Exam 2 Flashcards

1
Q

Types of Communication

A

Linguistic: speak, listen, read, write, sign
Metalinguistic: ability to talk about, think, judge, analyze language and see it as an entity separate from its content.
Paralinguistic/Suprasegmental: intonation, stress, rate of speech, pause.
Nonlinguistic: Gestures, posture, facial expressions, eye contact, body movement

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2
Q

Components of Language Formation

A

1: Form - smallest contrastive unit of the sounds system, smallest grammatical unit in language that carries word meaning, and word order
2: Content - words, categories/word classes
3: Use - purposes, communication partner, context
4: Effort: resources a child brings to language
5: Engagement: child’s social and emotional development

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3
Q

Interconnections of the Language Components

A

The components may influence one another.
Changing one may modify development of another.
Language is heavily influenced by context.
Communication intention is the precursor for language development.
Intentionality is a cornerstone for ToM.

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4
Q

Semantics

A

Meaning of the word and word knowledge.
WFD is found in children with DLD: weak connections, slow fast mapping, requires extended slow mapping.

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5
Q

Morphology

A

Morpheme is the smallest meaningful unit of grammar.
Free morphemes and bound morphemes

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6
Q

Syntax

A

Structure of the sentence
Each sentence must contain a noun phrase and a verb phrase.
Types of sentences: simple, compound, complex, compound-complex.
Functions: declarative, interrogative, exclamatory, imperative

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7
Q

Clauses

A

Group of words that expresses a subject.
Subject is the topic of the sentence.
Clauses can be independent or dependent.

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8
Q

Dependent Clauses

A

1: Adverbial Clauses: describes a verb
2: Relative/Adjective Clauses: describe a noun
3: Nominal Clauses: Names a person place or thing

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9
Q

Specific Language Impairment (SLI) Definition

A

A developmental language disorder.
A significant deficit in spoken language NOT due to neurological damage, hearing impairment, or intellectual disability.
Inability to master spoken and written language expression and comprehension.

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10
Q

Developmental Language Disorder

A

A neurodevelopmental disorder emerging in early childhood and often persists into adulthood.
Impairs learning, expression, and comprehension of spoken and written language in people of all ages.
Persistent difficulties in the acquisition and use of language.
Language problems unlikely to resolve by 5 years old.
Weakness in cognitive functions: limited processing capacity, WM, selective attention, executive functioning.
NOT a result of intellectual disability, hearing impairment, autism, or any other diagnosis.

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11
Q

Symptoms of DLD

A

Form: deficits in grammar and difficulty forming questions
Content: slow in learning new words and need more exposure.
Use: immature rather than quantitatively abnormal in pragmatic skills like ASD.

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12
Q

Co-occuring Symptoms of DLD

A

Behavior problems
Motor/coordination deficits
Literacy difficulty
Struggle with social communication
Older children: mental health issues.

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13
Q

Etiology of DLD

A

Biological: genetic factors (highly heritable), neurobiological factors (subtle but significant difference in inferior frontal, temporal.
Environmental: quality and quantity of mother’s interaction

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14
Q

Etiology of DLD - Cognitive Factors

A

1: limited processing capacity - poor WM, non-word repetition task to assess phonological WM, speech perception phonological assembly and short-term memory.
2: Procedural Deficits
3: Auditory Processing: fast pace, difficulty with phonemic contrasts and categorization

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15
Q

Working Memory

A

Store limited information (3-5 items) for a restricted period of time (10-20 minutes)
Temporary mental work space
Can become long term through processes of consolidation

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16
Q

Late Talker vs. Language Disorder

A

Children aged 2 are at an increase risk of long term language concerns if: fewer than 50 words, no 2 word utterances.
Other risk factors: minimal gestures, poor eye contact, minimal smiling, reduced joint attention, lack of symbolic play.
Delay at 2 is a significant risk factor for delay at 4

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17
Q

Screening

A

Does not result in diagnosis
Identify children at risk for DLD
Mulit-tiered systems of support/Response to intervention
Recommendations for a complete assessment in the suspected area.

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18
Q

Standardized Tests for 5 and Younger

A

Comprehensive tests cover preschool age range: PLS-5, TOLD-P:5
Domain Specific: SPELT-P2, Vocab tests
Tests for young and low functioning children: REEL-4, TELD-4, MB-CDIs, FCP-R

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19
Q

Communication Challenges in Toddlers with Developmental Delays

A

Impairment in physical, learning, language, or behavior areas.
Determine when there is a significant different for child’s age and his/her current level of functioning.
Delay found in gesture use, speech, language and other areas.
Persistent and chronic speech and language delay that does not resolve before 5

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20
Q

Intellectual Disability Definition

A

Characterized by significant limitations in both intellectual functioning and adaptive behaviors.
Originates before the age of 18
Intellectual Functioning: refers to mental capacity such as learning, reasoning, problem solving and so on
Adaptive Behavior: Conceptual skills (language, literacy, money, time, and number concepts), Social skills (interpersonal skills, self-esteem, social problem solving, follow rules), Practical Skills (ADL, occupational skills, safety, self-management)

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21
Q

Pre-Intentional (1-8 Months)

A

Assessment: feeding and oral motor skills
Management: encourage vocalization, awareness of infant communication patterns, model interactive behaviors
Assessment of parent-child interaction: language stimulation and responsiveness, reciprocity, encourage joint attention

22
Q

Prelinguistic Assessment (9-18 months)

A

Intentionality starts to develop around 9 months
Pretend Play starts at 18 months
Communicate through vocal, gestural, verbal.

23
Q

Prelinguistic Management (9-18 months)

A

Prelinguistic Milieu Teaching: arrange environment, violate the order of events the child expect, follow child lead, imitate, prompting (delay, verbal, gaze intersection), model vocal and gestural
Communication Temptations
Expand phonetic inventory, production of simple syllables
Connect sounds to meaning through song
Focus on expressive and receptive language.

24
Q

Gestural and Language Development

A

Language skills are built on a foundation of prelinguistic skills
Actions are produced with intent to communicate by using hands and fingers, facial features and body movement
Strong relationship between gesture and language continues when child begins to speak
Gestures become part of lexicon approximately 3 months after it’s use.

25
Q

Deictic Gesture

A

Early developing
1: Contact (between 7-9 months)
2: Distal (between 10-12 months) - no contact, pointing is most important and is joint attention behavior

26
Q

Representational Gesture

A

Later Developing
Have meaning independent of object
Emerge within familiar games and routines
1: Symbolic gestures
2: Conventional gestures (used socially)

27
Q

Gesture-Function

A

Communicative functions by 12 months
Social Interaction: initiate or sustain social game or routine
Behavior regulation: regulate behavior of others for different purposes
Joint attention: direct others attention to comment

28
Q

Gesture and Language Development

A

Gesture and speech may share symbolic foundations and neurological commonality
Children use gestures because it is less demanding than verbal production
Continue to pair gestures with spoken language
By 16 months, infants use both words and representational gestures interchangeably to name objects

29
Q

Gesture +Speech

A

Reinforcing Relation: gesture conveys redundant info
Disambiguating Relation: gesture clarifies referent
Supplementary relation: represent semantic relations

30
Q

Older Prelinguistic Clients - Assessment

A

Any diagnosis related to limited verbal output
Address maladaptive behaviors due to not being able to communicate
Assess play

31
Q

Older Prelinguistic Clients - Intervention

A

Facilitate early consonant production and early syllable shape
Focus on communication wants and needs
Functional words (noun+verb)

32
Q

Assessment Communication Intention (18-36 months)

A

Observe low structure interactions with toys and familiar adults
Three aspects: communicative function, frequency and form of communication

33
Q

1: Communicative Functions

A

8-18 months: Proto-imperatives: request, reject, protest
Proto-declarative: point out/show
18-24 months: request info, acknowledge and answer

34
Q

2: Frequency of Communication

A

Both verbal production and nonverbal communication increase especially proto-declaratives

35
Q

Form of Communication

A

Gestures, gestures + vocalization, vrebalization

36
Q

Assess Comprehension (18-36 months)

A

Parent report
Highly contextualized
Test nouns and verbs
Understand semantic relations with unusual 2 term combinations

37
Q

Assessment - Production (18-36 months)

A

Phonology: phonetic inventory, syllable shapes, independent analysis
Morphosyntax: from. 50 words to 2 word combos to sentences
Semantics: freuency of word combinations
Relationship between phonology and lexicon, lexicon and morphosyntax

38
Q

Assessment - Play & Communication

A

Elicit language through play: play is context
Means of communication: eye gaze, vocalization, gestures, combination of 2 or more different means.

39
Q

Standardized tests for 18-36 months

A

MacArthur-Bates
Rossettii infant and toddler language scale
Communication ans symbolic behavior scale (CSBS)
Receptive - Expressive Emergent Language Scale (Reel-3)
TELD-4
PLS-5
and more

40
Q

Age 3-5 Assessment: Vocabulary

A

Assess: receptive and expressive, breadth and depth, word finding in discourse, understanding question words and spatial terms

41
Q

3 Tiers of Vocab

A

1: basic words, don’t have multiple meanings
2: high frequency words that occur in variety of domains
3:low frequency words and subject-specific

42
Q

Learning New Words

A

1: Fast Mapping - pick up a partial understanding of a new word from single exposure, difficulty with storage
2:Slow Mapping or Extended Mapping - strengthen relationship between the words, referent and concepts

43
Q

What causes word finding problems?

A

Limitation in storage
Limitation in retrieval
WFD behaviors: circumlocution, substitutions, gesture use, pauses, fillers, unspecific words

44
Q

Ages 3-5 Assessment - Morphosyntax

A

Comprehension: act out the sentence, judgement tasks, use of strategies to aid comprehension, % of off topic talking
Production: Language samples, MLU (<3 = semantic relations, 3-4.5 = focus on basic morphology and syntactic markers >4.5 = complex sentence development

45
Q

Ages 3-5 Assessment - Pragmatics

A

Observation of natural communication
End of preschool period:assess discourse comprehension and production

46
Q

Ages 3-5 Assessment: Emergent Literacy

A

Oral narrative
Parent questionnaire
Older children functioning at preschool level

47
Q

Ages 3-5 Assessment - Phonology & PA

A

Assess delays in phonological processing AND oral language
PA should be assessed at proper age

48
Q

Child Centered Approach

A

Follow child lead
Wait, child says or does something, model better language
Expansion: make utterance acceptable adult form
Extension: add semantic info to child remarks
Buildups and Breakdowns: childs utterance is first expanded then broken down, the built up again
Recast: expand remarks into different sentence type

49
Q

Hybrid Approach

A

Not only respond to child, but model and highlight the forms being targeted
Focused stimulation
Vertical structuring and expansion
milieu teaching
Script therapy
Shared reading

50
Q

Milieu Teaching

A

A. Model
B. Mand Model
C. Time Delay
D. Incidental Teaching