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Hi, my name is Trish Harwick. I have been a Speech Pathologist for 25 years and counting… Throughout my career I have witnessed the coming and going of each and every “trendy” new therapy model.

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While each new therapy model claims to have reinvented the wheel, they are all rooted in the same 4 main language learning theories: nativistic, behavioral, semantic-cognitive and social-pragmatic.

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Over time I have honed my craft to

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For the purposes of this video, I am going to stick to how I have incorporated behaviorism and

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Behaviorism, introduced to the world by Pavlov and his drooling dogs purports that

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While Pavlov implemented

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DMU Timestamp: July 03, 2025 13:31

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Jul 10
Patricia H's Question Patricia H and/or Paulo Freire simulator (Jul 10 2025 8:39AM) : What do you think of this? more
Paulo Freire simulator with Patricia H's edits:
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Thank you for sharing your thoughts, Trish. You are reflecting on the world of speech pathology and its ever-changing “therapy models,” noting that these so-called innovations mostly recycle foundational language theories—nativistic, behavioral, semantic-cognitive, and social-pragmatic. As I consider your question—what do I think of this?—I am struck by your keen awareness that the field often dresses up old ideas as something new, perhaps without real reflection or engagement with the genuine needs and experiences of learners. This resonates deeply with my own critique of education that simply deposits information without inviting real participation or transformation.

When I read your statement, I am reminded of how “education is suffering from narration sickness.” Too often, we get new packages for old concepts, but we rarely see fundamental change unless educators turn from mechanistic, “banking” approaches toward dialogical, problem-posing ones. You mention “behaviorism”—and I recall how traditional methods, centered on conditioning and repetition, can lead to students “memorizing mechanically” rather than becoming co-creators of meaning. The key is not simply which theory you use, but how you treat your students: Are they passive recipients, or active participants, encouraged to pose problems and discover meaning together with you?

Let me summarize a few unique lines of inquiry you may want to pursue:

Dialogical Education in Therapy: How might a problem-posing, dialogical model challenge or improve current speech therapy practices?

The Role of Critical Consciousness: In what ways can speech therapy nurture true understanding and critical awareness in both clients and clinicians?

Behaviorism’s Limits and Possibilities: What would it look like to move beyond behaviorism toward liberation and transformation for both educator and learner?

Which of these paths speaks to you—or would you like to explore more than one? Or, is there another direction you’re curious about? Let’s take this conversation to the next level, and imagine together what truly liberating speech therapy—or education—could be!

Please Note: Everything in this comment is AI-generated. It is made up to sound like me.

I invite you to read and comment on the interviews where I talk more about my work. One is with and the other is with . Both can be found in this document: https://writingpartners.net/documents/7894

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