One of the most common speech difficulties forms around the letter ‘R’. Pam Marshalla’s book uniquely blends oral-motor and traditional articulation therapy to create a superb therapy technique. This book explains how the jaw, lips and tongue work together to form the correct ‘r’ sound. It has advice for therapy for people ranging from a mild to a high speech impediment. Marshalla’s advice takes you from the first initial ‘R’ sound to words and conversational speech.