PURPOSE: this study aims at reviewing the literature on therapeutic patterns utilized in the phonologic therapy, emphasizing the contrastive approaches, being these the Minimal Pairs/Maximum Oppositions and Multiple Oppositions Approaches. METHODS: searches were accomplished throughout publications based on Medline, Scielo, Bireme and Pubmed data, books, thesis, dissertations, monographs and articles. RESULTS: the Minimal Pairs/ Maximum Opposition Approaches involve the selection of couples of words that are distinguished by a single phoneme, and they may contrast few distinctive features (minimum pairs) or many features (maximum opposition). These patterns are recommended for children suffering from mild to mild-moderate disorder. In the Multiple Opposition Approach, there are words that also differ in just one phoneme, however, these contrast diverse features due to the selection of many phonemes. This pattern is recommended for severe disorder, because, in general, the children replace many phonemes of the adult system by just one sound. CONCLUSION: to choose the appropriate pattern, you must take into account the presence and the lack of phonemes in the sound system of the child, the kind and the severity level of the phonological disorder. Moreover, the selection of the appropriate therapeutic pattern can help to obtain future generalizations.
Articulation Disorders; Speech; Speech Therapy
