5 - ELD Toddlers (12-24m) Flashcards

2
Q

Why we need to know about milestones in all areas

A

• Often the SLP is the first professional to see a young child with a delay or challenge. • We need to know basics in all areas - cognitive, social, motor • If we see problems, we can immediately refer to appropriate professional for early intervention.

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3
Q

First words - when does it appear? What period is it?

A

appears around 12 months of age; however could be 8-16mos Locutionary period

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3
Q

What qualifies a true word?

A

• Needs to occur consistently in a given context • Should be produced consistently in the presence of the same person, object or event • Some phonetic resemblance to a conventional word

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3
Q

Phonemes in first words are….

A

Front consonants: /p, b, d, t, m, n/ most common • pretty, bright days tickle my neck Simple syllable patterns (CV, VC, CVCV)

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3
Q

Rapid vocabulary growth how and by what age

A

by 18 months, they should have 50 words and begin putting two words together. Children do not use two word combos until they can say 50 words

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3
Q

Gleason & Ratner 2009

A

• 2nd year of life: children start learning 1 word per week • As 3rd bday approaches, learning 1 new word per day • No major growth spurt - possible language delay (clinically significant)

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3
Q

Therapy implication (for ch w/out growth spurt)

A

Don’t try to teach kids 2 word combos if they don’t have 50 words yet. Train them to say 50 words, then start on combos

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3
Q

• Toddlers’ receptive vocab grows faster than expressive vocab (they understand more than they say) • Vocab growth is dependent in part on exposure and experience • New words are related to familiar objects, events, relationships

A

.

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3
Q

Referential level

A

word refers to a particular object, even, or relationship (eg “dog” refers to the family pet, Cocoa)

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4
Q

Extended level

A

word extends to other examples (eg “dog” refers to cocoa and also the other dogs in the neighborhod)

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5
Q

Relational level

A

How words go together in a context; producing several words related (eg “doggy bark” or “daddy eat”)

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6
Q

Categorical level

A

understanding categories (eg dogs are animals, a strawberry is a fruit)

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7
Q

Metalinguistic level

A

Children evaluate each word as a stimulus apart from its referent (eg: strawberry has 3 syllables, starts with /s/ and is longer than the word grape)

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8
Q

Classes of first words

A

• Nouns are prominent; may be 50% or more of toddler’s lexicon • Usually nouns have been frequently involved in toddler’s interactions and activities (family pet, park, squirrel, grandma, grandpa, bath, juice)

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9
Q

Reflexive relations **

A

See page 237, table 6-3 • Early words that indicate the state of objects (Disappearance, recurrence, existence, nonexistence)

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10
Q

Disappearance (reflexive relation)

A

object that was present disappears (eg: calling dog when it runs out of the house into the yard)

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11
Q

Recurrence

A

reoccurrence of items or actions like the preceding one (“more!” “again!”)

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12
Q

Existence

A

“this” “That” “whats that”

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13
Q

Nonexistence

A

object not present where it was anticipated to be (calling for the dog when its not in its doghouse) • Different from disappearance in that the dog was there and now its not.

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14
Q

Three types of relational words

A

Attribution: individual characteristics (tall, big, hot, funny) Action: actions associated with objects (eat, throw, kiss) Location: words that occur in response to the locations or objects or directions of their movement (up, outside, in) • location difficult because its abstract

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15
Q

Combining words is significant because….

A

it indicates that toddlers have the cognitive ability to perceive and respond to relationships between objects and events and that they have enough oral motor coordination to produce longer and more complex syllable strings.

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16
Q

Characteristics of true 2-word utterances

A
  1. Production of 2 true words (Doggy bark) 2. No distinct pauses between the 2 words 3. A single intonation contour that envelopes both words (“see ya!” “i know!” “I do” “all gone”) • inflection in the right place
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17
Q

Semantic-Syntactic Considerations

A

Semantic-Syntactic rules emphasize that meaning PRECEDES and influences form. The meaning most frequently expressed by toddlers in two word utterances increasingly shifts to action.

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18
Q

Agent + Action

A

Daddy Wash

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19
Q

Action + object

A

Wash car

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20
Q

Agent + object

A

Daddy car

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21
Q

Demonstrative + entity

A

That soap

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22
Q

Entity + locative

A

Soap car

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23
Q

Action + locative

A

put car

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24
Q

Possessor + possession

A

Mark toy

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25
Q

Attribute + entity

A

Yummy snack

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26
Q

Primitive Speech Act

A

distinctive vocalization or word, often accompanied by a gesture, to communicate intentions

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27
Q

Dore’s Primitive Speech Acts

A

Labeling Greeting calling repeating requesting action requesting answer answering protesting

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28
Q

Labeling

A

giving a name • “Rice Krispies” when cereal box is taken out

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29
Q

Greeting

A

addressing people when they appear (Hi Aunt Mary)

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30
Q

Calling

A

gaining another’s attention (child shouts ‘mommy’ from his swing)

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31
Q

Repeating

A

reproducing part or all of an utterance (echoes mom’s *&^# when she stubs her toe)

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32
Q

Requesting action

A

asking somebody to do something (uppy to be picked up)

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33
Q

Requesting answer

A

asking for information (do snakes kiss? does god have skin?) • if caregiver is too busy to answer, the child will stop asking. This affects language and cognition skills and can greatly affect self esteem

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34
Q

Answering

A

responding to others’ questions

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35
Q

Protesting

A

expressing dislike or rejection (don’t want comb hair)

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36
Q

Presupposition

A

refers to speaker’s ability to judge how much their listeners might know about the subject being introduced and to adapt their utterances accordingly. ** most conversations between toddlers and caregivers are about the here-and-now, so presuppositional skills are not much needed.

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36
Q

Turn-Taking

A

• Conversational skill that requires appropriate role switching between speaker and listener. • each turn should contribute something new • In America, listeners are expected to politely wait until the other person is done before taking their turn (not always the case in other cultures) • By 24 months, most toddlers still don’t have a lot of turn taking skills; conversations are brief

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37
Q

Topic initiation

A

Establishing a subject for conversation a speaker is about to begin “hey, guess what” “by the way” “did you know…” Then, introduce subject and then add new info

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38
Q

Conversations with toddlers

A

Develop out of things they have just engaged their attention • “Drive car!” – followed by dialogue

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39
Q

Selective Imitation

A

Portions of caregivers’ previous utterances are repeated within toddlers’ next several utterances • mostly, toddlers imitate words currently entering their vocab

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40
Q

Interrogative utterances

A

• Request for appropriate word • “what’s that?”

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41
Q

Hypothesis testing

A

Toddlers attempt a word, produce it with rising question intonation. “Kwerl??” means “is that a squirrel?” • Question intonation invites feedback from caregiver

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42
Q

Types of prompts

A

Open-ended questions Wh-constituent questions Fill-In prompts Elicited imitations Confirmational yes/no questions

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43
Q

Open-ended questions

A

“what happens if we don’t fee the dog?”

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44
Q

Wh-constituent questions

A

requires toddler to recall associated information from their experience and formulate a specific response “What does a policeman do?”

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45
Q

Fill-In Prompts

A

“people who wear uniforms and keep us safe are called ______”

46
Q

Elicited imitations

A

“Say thank you” “say goodbye”

47
Q

Confirmational yes/no

A

“do policemen keep us safe?” “does grandma love you?”

48
Q

Turnabouts

A

Comments or questions that follow toddlers’ utterances to maintain interaction

49
Q

Expansions

A

caregiver adds grammatical info in response to toddler’s grammatically incorrect utterances. eg: • Mark: Cocoa eat dog chow • Mom: Yes, Cocoa eats her dog chow

50
Q

Extensions

A

caregiver adds grammatical and semantic info eg: • Mark: Cocoa eat dog chow • Mom: Yes, Cocoa eats her dog chow so she can be strong and healthy

51
Q

To increase expressive language skills….

A

• Talking with the child as much as possible is very helpful • Extensions are quite powerful • Child: “kitty!” • Adult: “Yes, there is a black kitty sitting on the sidewalk.”

52
Q

Roberts & Kaiser 2011 August (American Journal of Speech-Language Pathology) “The Effectiveness of Parent-Implemented Language Interventions: A Meta-Analysis”

A

• Working with parents as little as once a week can provide benefits • Extensions are very useful; easily taught to parents and they increase the child’s morphosyntactic skills

53
Q

Intervention with Language delayed toddlers

A

• Direct intervention: child is seen by SLP • Indirect intervention: we train caregivers such as parents and preschool teachers to stimulate children’s language development

54
Q

Incidental teaching

A

adult carefully observes child, takes advantage of spontaneous teachable moments • If child points to a cat, adult can say “Look, there is a grey cat. I wonder why she looks so funny?”

55
Q

Specific Techniques

A

• ask open-ended questions • when child says something, respond in a topic-continuing way

56
Q

Communicative temptations

A

Elicitation tasks that increase likelihood that child will use language to get what she wants • eg: if a child usually points for what he wants, adult can set a very attractive toy or snack a little out of reach. To get to it, child must say something, not just point.

57
Q

Paul & Norbury, 2012 - Suggestions for communicative temptaions:

A

• Eat desirable food in front of child and don’t offer any • Demo a wind up toy, then offer to child –?? • give blocks or small toys for children to drop into a can –?? • throw a ball to a child, wait for her to roll or throw back • Put desired toy or food into a plastic container the child can’t open • turn away during a game or activity so they will use words to get your attention back *** things kids want but can’t have unless they vocalize ***

58
Q

reverse

• Often the SLP is the first professional to see a young child with a delay or challenge. • We need to know basics in all areas - cognitive, social, motor • If we see problems, we can immediately refer to appropriate professional for early intervention.

A

Why we need to know about milestones in all areas

59
Q

reverse

appears around 12 months of age; however could be 8-16mos Locutionary period

A

First words - when does it appear? What period is it?

60
Q

reverse

• Needs to occur consistently in a given context • Should be produced consistently in the presence of the same person, object or event • Some phonetic resemblance to a conventional word

A

What qualifies a true word?

61
Q

reverse

Front consonants: /p, b, d, t, m, n/ most common • pretty, bright days tickle my neck Simple syllable patterns (CV, VC, CVCV)

A

Phonemes in first words are….

62
Q

reverse

by 18 months, they should have 50 words and begin putting two words together. Children do not use two word combos until they can say 50 words

A

Rapid vocabulary growth how and by what age

63
Q

reverse

• 2nd year of life: children start learning 1 word per week • As 3rd bday approaches, learning 1 new word per day • No major growth spurt - possible language delay (clinically significant)

A

Gleason & Ratner 2009

64
Q

reverse

Don’t try to teach kids 2 word combos if they don’t have 50 words yet. Train them to say 50 words, then start on combos

A

Therapy implication (for ch w/out growth spurt)

65
Q

reverse

.

A

• Toddlers’ receptive vocab grows faster than expressive vocab (they understand more than they say) • Vocab growth is dependent in part on exposure and experience • New words are related to familiar objects, events, relationships

66
Q

reverse

word refers to a particular object, even, or relationship (eg “dog” refers to the family pet, Cocoa)

A

Referential level

67
Q

reverse

word extends to other examples (eg “dog” refers to cocoa and also the other dogs in the neighborhod)

A

Extended level

68
Q

reverse

How words go together in a context; producing several words related (eg “doggy bark” or “daddy eat”)

A

Relational level

69
Q

reverse

understanding categories (eg dogs are animals, a strawberry is a fruit)

A

Categorical level

70
Q

reverse

Children evaluate each word as a stimulus apart from its referent (eg: strawberry has 3 syllables, starts with /s/ and is longer than the word grape)

A

Metalinguistic level

71
Q

reverse

• Nouns are prominent; may be 50% or more of toddler’s lexicon • Usually nouns have been frequently involved in toddler’s interactions and activities (family pet, park, squirrel, grandma, grandpa, bath, juice)

A

Classes of first words

72
Q

reverse

See page 237, table 6-3 • Early words that indicate the state of objects (Disappearance, recurrence, existence, nonexistence)

A

Reflexive relations **

73
Q

reverse

object that was present disappears (eg: calling dog when it runs out of the house into the yard)

A

Disappearance (reflexive relation)

74
Q

reverse

reoccurrence of items or actions like the preceding one (“more!” “again!”)

A

Recurrence

75
Q

reverse

“this” “That” “whats that”

A

Existence

76
Q

reverse

object not present where it was anticipated to be (calling for the dog when its not in its doghouse) • Different from disappearance in that the dog was there and now its not.

A

Nonexistence

77
Q

reverse

Attribution: individual characteristics (tall, big, hot, funny) Action: actions associated with objects (eat, throw, kiss) Location: words that occur in response to the locations or objects or directions of their movement (up, outside, in) • location difficult because its abstract

A

Three types of relational words

78
Q

reverse

it indicates that toddlers have the cognitive ability to perceive and respond to relationships between objects and events and that they have enough oral motor coordination to produce longer and more complex syllable strings.

A

Combining words is significant because….

79
Q

reverse

  1. Production of 2 true words (Doggy bark) 2. No distinct pauses between the 2 words 3. A single intonation contour that envelopes both words (“see ya!” “i know!” “I do” “all gone”) • inflection in the right place
A

Characteristics of true 2-word utterances

80
Q

reverse

Semantic-Syntactic rules emphasize that meaning PRECEDES and influences form. The meaning most frequently expressed by toddlers in two word utterances increasingly shifts to action.

A

Semantic-Syntactic Considerations

81
Q

reverse

Daddy Wash

A

Agent + Action

82
Q

reverse

Wash car

A

Action + object

83
Q

reverse

Daddy car

A

Agent + object

84
Q

reverse

That soap

A

Demonstrative + entity

85
Q

reverse

Soap car

A

Entity + locative

86
Q

reverse

put car

A

Action + locative

87
Q

reverse

Mark toy

A

Possessor + possession

88
Q

reverse

Yummy snack

A

Attribute + entity

89
Q

reverse

distinctive vocalization or word, often accompanied by a gesture, to communicate intentions

A

Primitive Speech Act

90
Q

reverse

Labeling Greeting calling repeating requesting action requesting answer answering protesting

A

Dore’s Primitive Speech Acts

91
Q

reverse

giving a name • “Rice Krispies” when cereal box is taken out

A

Labeling

92
Q

reverse

addressing people when they appear (Hi Aunt Mary)

A

Greeting

93
Q

reverse

gaining another’s attention (child shouts ‘mommy’ from his swing)

A

Calling

94
Q

reverse

reproducing part or all of an utterance (echoes mom’s *&^# when she stubs her toe)

A

Repeating

95
Q

reverse

asking somebody to do something (uppy to be picked up)

A

Requesting action

96
Q

reverse

asking for information (do snakes kiss? does god have skin?) • if caregiver is too busy to answer, the child will stop asking. This affects language and cognition skills and can greatly affect self esteem

A

Requesting answer

97
Q

reverse

responding to others’ questions

A

Answering

98
Q

reverse

expressing dislike or rejection (don’t want comb hair)

A

Protesting

99
Q

reverse

refers to speaker’s ability to judge how much their listeners might know about the subject being introduced and to adapt their utterances accordingly. ** most conversations between toddlers and caregivers are about the here-and-now, so presuppositional skills are not much needed.

A

Presupposition

100
Q

reverse

• Conversational skill that requires appropriate role switching between speaker and listener. • each turn should contribute something new • In America, listeners are expected to politely wait until the other person is done before taking their turn (not always the case in other cultures) • By 24 months, most toddlers still don’t have a lot of turn taking skills; conversations are brief

A

Turn-Taking

101
Q

reverse

Establishing a subject for conversation a speaker is about to begin “hey, guess what” “by the way” “did you know…” Then, introduce subject and then add new info

A

Topic initiation

102
Q

reverse

Develop out of things they have just engaged their attention • “Drive car!” – followed by dialogue

A

Conversations with toddlers

103
Q

reverse

Portions of caregivers’ previous utterances are repeated within toddlers’ next several utterances • mostly, toddlers imitate words currently entering their vocab

A

Selective Imitation

104
Q

reverse

• Request for appropriate word • “what’s that?”

A

Interrogative utterances

105
Q

reverse

Toddlers attempt a word, produce it with rising question intonation. “Kwerl??” means “is that a squirrel?” • Question intonation invites feedback from caregiver

A

Hypothesis testing

106
Q

reverse

Open-ended questions Wh-constituent questions Fill-In prompts Elicited imitations Confirmational yes/no questions

A

Types of prompts

107
Q

reverse

“what happens if we don’t fee the dog?”

A

Open-ended questions

108
Q

reverse

requires toddler to recall associated information from their experience and formulate a specific response “What does a policeman do?”

A

Wh-constituent questions

109
Q

reverse

“people who wear uniforms and keep us safe are called ______”

A

Fill-In Prompts

110
Q

reverse

“Say thank you” “say goodbye”

A

Elicited imitations

111
Q

reverse

“do policemen keep us safe?” “does grandma love you?”

A

Confirmational yes/no

112
Q

reverse

Comments or questions that follow toddlers’ utterances to maintain interaction

A

Turnabouts

113
Q

reverse

caregiver adds grammatical info in response to toddler’s grammatically incorrect utterances. eg: • Mark: Cocoa eat dog chow • Mom: Yes, Cocoa eats her dog chow

A

Expansions

114
Q

reverse

caregiver adds grammatical and semantic info eg: • Mark: Cocoa eat dog chow • Mom: Yes, Cocoa eats her dog chow so she can be strong and healthy

A

Extensions

115
Q

reverse

• Talking with the child as much as possible is very helpful • Extensions are quite powerful • Child: “kitty!” • Adult: “Yes, there is a black kitty sitting on the sidewalk.”

A

To increase expressive language skills….

116
Q

reverse

• Working with parents as little as once a week can provide benefits • Extensions are very useful; easily taught to parents and they increase the child’s morphosyntactic skills

A

Roberts & Kaiser 2011 August (American Journal of Speech-Language Pathology) “The Effectiveness of Parent-Implemented Language Interventions: A Meta-Analysis”

117
Q

reverse

• Direct intervention: child is seen by SLP • Indirect intervention: we train caregivers such as parents and preschool teachers to stimulate children’s language development

A

Intervention with Language delayed toddlers

118
Q

reverse

adult carefully observes child, takes advantage of spontaneous teachable moments • If child points to a cat, adult can say “Look, there is a grey cat. I wonder why she looks so funny?”

A

Incidental teaching

119
Q

reverse

• ask open-ended questions • when child says something, respond in a topic-continuing way

A

Specific Techniques

120
Q

reverse

Elicitation tasks that increase likelihood that child will use language to get what she wants • eg: if a child usually points for what he wants, adult can set a very attractive toy or snack a little out of reach. To get to it, child must say something, not just point.

A

Communicative temptations

121
Q

reverse

• Eat desirable food in front of child and don’t offer any • Demo a wind up toy, then offer to child –?? • give blocks or small toys for children to drop into a can –?? • throw a ball to a child, wait for her to roll or throw back • Put desired toy or food into a plastic container the child can’t open • turn away during a game or activity so they will use words to get your attention back *** things kids want but can’t have unless they vocalize ***

A

Paul & Norbury, 2012 - Suggestions for communicative temptaions: