![]() It is critical to understand the complex interactions between these levels as they have implications for differential diagnosis and treatment planning ( Terband et al., 2019a). Thus, in many current SSD classification systems the complex relationships between the etiology (distal), processing deficits (proximal) and the behavioral levels (speech symptoms) is under-specified ( Terband et al., 2019a). The foundations of clinical assessment, classification and intervention for children with SSD have been heavily influenced by psycholinguistic theory and procedures, which largely posit a firm boundary between phonological processes and phonetics/articulation ( Shriberg, 2010). Speech Sound Disorders (SSDs) is a generic term used to describe a range of difficulties producing speech sounds in children ( McLeod and Baker, 2017).
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