Pretend that I’ve never brushed my teeth before, so I need to hear how to do it step-by-step.” To elicit a more complex response, you say, “That’s right. For example, “Tell me in detail how to brush your teeth.” The patient responds, “I grab my toothbrush, put on toothpaste, and brush my teeth.”Ģ.Say, “Tell me in detail how to…” Complete the sentence with a functional task, like “pump gas” or “make a pot of coffee.” Here’s an example of RET with a patient ready to advance to longer sentences and even multiple sentences.ġ. Continue this process of chaining to increase the number of content words. “Yes: He’s brushing his teeth with a toothbrush. “What is he using to brush his teeth?” Then model and shape these responses, asking the patient to repeat your model. Ask questions to further elaborate their response. “That’s right, he’s brushing his teeth.”ģ. Reenforce the patient, then model and shape their response. Show the patient a picture and say, “Tell me about this picture.” Let’s say it’s an image of a man brushing his teeth. This can help the patient elaborate on one theme.ġ. When using an image, choose a simple picture (not abstract) that’s not too busy. Use RET with either visual or auditory prompts.Complete steps 1-7 with a new word or phrase.Immediately after their correct repetition, ask, “What did you say?” Provide hand-tapping as the patient intones the target word or phrase.For example, with the word “apple,” the first syllable “ah” will be high-pitched and the second syllable “ple” will be low-pitched. To intone, the patient may use a sing-song voice.Immediately after, the patient intones the word or phrase, assisted only by your hand tapping. Sing and tap the word or phrase while the patient listens.At this point, the patient is singing, and you are only tapping their left hand (no verbal or oral/facial cueing).Continue to sing the word or phrase together with the patient while tapping their left hand.Sing the word or phrase in unison with your patient while tapping the patient’s left hand on each syllable.You tap the patient’s left hand on each syllable as you hum. Hum the word or phrase at a rate of 1 syllable per second (use a higher-pitched note on the stressed syllable or word).Remove all of the foils and continue with treatment. The patient will identify the correct word, and then read it aloud.
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