{"id":345575,"date":"2022-05-05T09:00:00","date_gmt":"2022-05-05T09:00:00","guid":{"rendered":"https:\/\/ora-visio.com\/speech-and-language-therapy-remediation-focus-on-the-dynamics-of-the-relationship\/"},"modified":"2022-05-05T09:00:00","modified_gmt":"2022-05-05T09:00:00","slug":"speech-and-language-therapy-remediation-focus-on-the-dynamics-of-the-relationship","status":"publish","type":"post","link":"https:\/\/ora-visio.com\/en\/speech-and-language-therapy-remediation-focus-on-the-dynamics-of-the-relationship\/","title":{"rendered":"Speech and Language Therapy Remediation: Focus on the Dynamics of the Relationship"},"content":{"rendered":"<p>The boundary between speech and language therapy and psychotherapy has always been described as porous: indeed, <strong>speech and language therapy involves psychological phenomena<\/strong>, both at the level of language and at the level of the relationship that forms between the professional and the child. This relational dynamic plays out within <strong>two therapeutic frameworks<\/strong>: the Relational Pedagogy of Language (PRL) and Language and Communication Therapy (TLC).<\/p>\n<h2>The Relational Pedagogy of Language (PRL)<\/h2>\n<p>Behind the <a href=\"https:\/\/acchassagny.org\/formations-orthophonie-pedagogie-relationnelle-du-langage\/\">PRL theory<\/a> is <strong>Claude Chassagny<\/strong>, a schoolteacher devoted to dyslexic children. Despite the contribution of technique, he observed that some difficulties would freeze while others would shift. From this, he chose to <strong>give the relationship priority in remediation<\/strong>. Sitting at the crossroads of pedagogy, linguistics, and psychoanalysis, his approach speaks to <strong>any professional<\/strong> <strong>who questions the meaning of their work<\/strong>: educators, psychomotor therapists, social workers, speech and language therapists&#8230;<\/p>\n<p>For its creator, the PRL process unfolds in 3 stages:<\/p>\n<ul>\n<li><strong>The stance<\/strong>: at the start of remediation, the child is received as they are, without interpretation.<\/li>\n<li><strong>The negotiation<\/strong>: here, the child gives up certain satisfactions in the hope of others. They begin to express what they want.<\/li>\n<li><strong>The expression<\/strong>: this period reflects the child&#8217;s development outside the speech therapy session and generally leads to their wanting to stop the sessions.<\/li>\n<\/ul>\n<p>A PRL speech and language therapist cannot prepare their sessions in advance: with their technique and creativity, they accompany the child, who is often surprised to be <strong>seen differently<\/strong>. The child generally takes hold of this new space and grows with the help of the professional&#8217;s relevant interventions.<\/p>\n<h2>Language and Communication Therapy (TLC)<\/h2>\n<p>After exploring remediation, psychopedagogy, and psychoanalysis, <strong>Marc Lindenfeld<\/strong> created TLC together with <strong>Genevi\u00e8ve Dubois<\/strong> and other professionals brought together within <a href=\"http:\/\/atelierstlc.free.fr\/\">ATHELEC<\/a> (the Association of Language and Communication Therapists). With this new approach, disorders are seen as a <strong>symptom that carries meaning<\/strong>. Remediation, then, is driven by the symptom itself&#8230;<\/p>\n<p>A TLC process begins with a <strong>therapeutic verbal contract<\/strong>, which sets out the objectives, methods, and framework for the work. Here, the professional pays close attention to the request of the <strong>patient, who becomes a subject<\/strong>, rather than an object of remediation. This <strong>listening<\/strong> supports the other person&#8217;s gradual progress, through carefully adapted responses. It&#8217;s worth noting that any intersubjective relationship (between 2 subjects) is <strong>subject to transference<\/strong>: recognising this helps to better perceive the dynamic within the therapeutic relationship, stay clear-headed, and factor in counter-transferential elements.<\/p>\n<p>&nbsp;<\/p>\n<p>Positioned clearly between <a href=\"https:\/\/ora-visio.com\/en\/online-speech-therapy\/\">speech and language therapy<\/a> and <a href=\"https:\/\/ora-visio.com\/en\/distance-psychology\/\">psychotherapy<\/a>, TLC addresses symptoms that belong to both professions and cannot be separated for treatment purposes. PRL, meanwhile, aims for reciprocity within a relationship that is inherently unbalanced (the adult\/child dynamic and the professional\/client dynamic), by giving the child&#8217;s expression a genuine place. In both cases, <strong>these two frameworks position the professional as a companion<\/strong> on the path of discovery unique to each child.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The boundary between speech and language therapy and psychotherapy has  [&#8230;]<\/p>\n","protected":false},"author":7,"featured_media":345576,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[339],"tags":[386],"class_list":["post-345575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-speech-therapy","tag-speech-therapy"],"_links":{"self":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts\/345575","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/comments?post=345575"}],"version-history":[{"count":0,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts\/345575\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/media\/345576"}],"wp:attachment":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/media?parent=345575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/categories?post=345575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/tags?post=345575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}