Intervention for discourse and pragmatic language disorder Flashcards

1
Q

What is discourse? (5)

A

Longer than a single sentence
- Description
- Narration
- Exposition
- Persuasion
- Argumentation

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2
Q

What is the discourse continuum?

A

Continuum from least formal (eg. oral, some written conversational style writing, notes, lists) to most formal (eg. scientific papers, lectures, sermons)

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3
Q

Types of narratives (5)

A
  • Recounts
  • Accounts
  • Event casts
  • Fictional stories
  • Scripts
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4
Q

What are features of narratives?

A
  • Purpose to tell a story
  • Familiar schema initially
  • Focus on character motivations, intentions, goals
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5
Q

What are features of exposition?

A
  • Purpose to inform or describe
  • Unfamiliar schema initially
  • Focus on factual information and abstract ideas
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6
Q

Narrative vs expository

A
  • Eg. Horrible Histories
  • Takes an expository form and makes stories/narratives of them
  • Turns dry/dense material into stories
  • Easier to access, remember and can be funny
    Even with adolescents, try to find narratives if we can
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7
Q

Narrative development

A
  1. Present of plot becomes clearer
    - Central organising theme
    - 2 main elements: setting + episodes
    - Defining characteristics of true narratives
  2. Changes primarily in internal structure/organisation - story grammar
    - Story grammar = setting + episode structure
    - Most children produce all elements of story grammar by age 9
    - Progress through narrative levels to ‘true narratives’
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8
Q

Macrostructure of narratives

A
  • Story production and retell
  • Story grammar analysis
  • Episode complexity
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9
Q

Microstructure of narratives

A
  • Causal and temporal subordinating conjunctions
  • Coordinating conjunctions
  • Adverbs
  • Verbs
  • Elaborated noun phrases
  • MLU, TTR, complexity
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10
Q

Common techniques to assist narrative skills

A
  • Direct instruction of story components
  • Visual aids, eg. icons representing story components
  • Verbal supports, eg. prompting, recasting
  • Integrating literature
  • Production of narratives, eg. having student tell or retell stories during therapy
  • Using wordless books
  • Using ‘story train’ handouts
  • ‘Character map’ handouts
  • High risk children benefit more from narrative therapy
  • Low risk children benefit more from vocab therapy
  • Macrostructure gains > microstructure gains
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11
Q

What are some examples of expository discourse?

A

Oral
- Debating
- Public speaking
- Giving instructions
- Explaining and discussing
- Group work
Written
- Reporting
- Persuasive
- Instructions
- Recipes

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12
Q

Common techniques to assist exposition

A
  • Start with oral modality (eg. record on phone) to allow ideas for form and logic to be explained, then move on to written form (eg. essay, report, response)
  • Graphic organisers/mind maps
  • Planning paragraphs, eg. TEEL
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13
Q

What is pragmatics?

A

Language use within a social context
- Communicative functions
- Frequency of communication
- Discourse skills
- Flexibility to modify for different contexts
- Ability to convey info coherently
- Non-verbals, proxemics, eye contact, etc

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14
Q

Considering pragmatics with Grice’s maxims

A
  1. Quantity: sufficient info, specific vocab redundancy, need for repetition
  2. Quality: accuracy
  3. Relevance: topic maintenance, appropriate for situation, speech style
  4. Manner: linguistic non-fluency, delay, structure, turn taking, non-verbals, intonation
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15
Q

4 main intervention approaches for social skills/pragmatics

A
  1. Scripting
  2. Social stories/comic strip conversations
  3. Social skill groups
  4. Direct instruction
  • Writing out words/pictures to rehearse a real world scenario
  • Flow charts of processes, eg. organising a catch up
  • Explicit teaching by telling them how to respond
  • Teach whole body listening
  • Teach socio-emotional regulation, increasing awareness of ups and downs with labels for emotions, prompting others to check in, rating on a ‘thermometer’, meltdown strategies like deep breathing, counting, removing self
  • Social Stories to be read to children about eg. asking to play, sharing toys
  • Barrier games, working together, using oral skills only
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