Lecture #8 - child language disorders 2 Flashcards
what does DSM-V language disorder stand for ?
Diagnostic and Statistical Manual of Mental Disorders
what are the 3 definitions of DSM-V language disorder ?
1) persistent difficulties in the acquisition and use of language across modalities (i.e., spoken, written, sign language, or other) due to deficits in comprehensoin or production
2) language abilities substantially and quantifiably below those expected for age, resulting in functional limitations in effective communication, social participation, academic achievement, or occupational performance, individually or in any combination
3) onset of symptoms in early developmental period
4) dificulties not attributable to hearing or other sensory impairment, motor dysfunction, or another medical or neurological condition and not better explained by intellectual disability or global devlopmental delay
what are some examples of deficits in comprehension or production in regards to DSM-V language disorder ?
- reduce vocabulary (word knowledge and use)
- limited sentence structure (ability to put words and word endings together to form sentences based on rules of grammar and morphology)
- impairments in discourse (ability to use vocabulary and connect sentences to explain or describe topic or series of events or have conversation)
what does impairement in discourse mean?
having trouble with the flow of conversation or storytelling (it can make it hard for someone to organize their thoughts, stay on topic, or explain things in a clear, logical way)
what are the two types of perspectives in language disorders ?
normative & naturalist perspectives
what is a “normative perspective” ?
- impact on overall development and ability to function in everyday situations
- child is recognized by those in their environemnt as having a problem
how do “normative perspectives” defines language disorder ?
defines language impairment related ont only to child’s abilities, but also society’s view on these abilities and on the linguistic, social, psychological and educational consequences of these abilities
how do “naturalist perspectives” defines language disorder ?
defines language impaiment solely based on the child’s level of functioning
what is a “naturalist perspective” ?
- child scores significantly below expectations on norm-referenced or standardized tests
- impaurment identified based on notion of significant deviation from norm
what term is defined as :
This view focuses on whether there is a clear difference from what’s typical based on standardized measures. If someone’s language abilities are significantly below the average or expected level for their age, then it’s considered a disorder. In short, it’s all about measuring how different someone’s skills are from what’s “normal” or typical.
naturalist perspective
what term is defined as :
This view looks at how a language difficulty affects a person’s life. Here, a disorder is only diagnosed if the language issue causes noticeable problems in everyday life—like trouble communicating with others, issues in school, or difficulty in social settings. It’s about whether the person’s language skills actually get in the way of living a normal life.
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in a naturalist perspective anything below the _______ is viwed as having a language disorder
mean
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in a nromal distribution, anything from where and onwards is considered normal and typical
16th
what is a language disorder ?
overarching term describing language problems that have functional imacts and are likely to persist
what percentage of people have a language disorder ?
9.9%
TRUE OR FALSE
disorder is an overarching term ?
TRUE
in simplest, shortest way, what is the difference between a language disorder and language difficulty ?
- A language disorder is a long-term issue with understanding or using language that significantly affects daily life.
- A language difficulty is a temporary or mild challenge with language that doesn’t usually disrupt daily activities as much.
how many different branches are there of language disorders ?
language disorder associated with a biomedical condition
OR
developmental language disorder
what percentage of the people who have language disorders (9.9%) have a language disorder associated with a biomedical condition ?
2.3%
what percentage of the people who have language disorders (9.9%) have a developmental lnaguage disorder (DLD) ?
7.6%
what is an example of a language disorder associated with a biomedical condition ?
autism (evidence based causal linked)
what is an example of a developmental language disorder (DLD) ?
An example of a Developmental Language Disorder (DLD) is when a child has trouble forming sentences correctly, like saying “Him go school” instead of “He goes to school.” Children with DLD may struggle with vocabulary, grammar, and organizing thoughts, even though they don’t have hearing loss or other developmental delays
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developmental language disorder is as common as _________
dyslexia
in regards to child language disorder labels; language disorder associated with “x” (LDx) … what do some associated conditions include :
- acquired epileptic aphasia
- autism
- brain injury
- cerebral palsy
- genetic conditions (e.g., down syndrome)
- intellectual disability
- neurodegenerative conditions
- sensorineural hearing loss
in regards to child language disorder labels; developmental language disorder (DLD) … what do some associated conditions include :
- difficulty with language
- significant functional impact
- persistent or likely to persist into middle childhood and beyond
- no known cause
TRUE OR FALSE
developmental language disorders can be life-long
TRUE
what is DLD more common than ? (an example)
DLD is more common than autism despite autism being more “known”
when do we usually diagnose kids ?
essentual to diagnose as kids, however its never too late
in regards to child language disorder labels …. what about preschoolers (e.g., late talkers) and kids in JK?
Out of the following three points what are likely to be true ?
a) language diffriculties
b) functional impacts
c) likely to persist
a) language diffriculties
b) functional impacts
c) we dont always know if it will persist
what are the 3 labels in the “decision tree” for kids under 5 in regards to child language disorder labels ?
- Ldx
- DLD
- Language Difficulty
what does it mean if a child’s language disorder continues beyond 5 ?
will always persist
under the age of 5 will LDx persist ?
we dont know if it will persist
what is the clinical population of LDx ?
- children with a diagnosed condition known to be associated with LD
- if waiting for diagnosis, use language disorder
what is the clinical population for DLD ?
- children with no known casual condition
- when reasonable to think the condition will persist … even if <5!
what is the clinical population for Language Difficulty ?
- children <5 when the SLP is unsure whether the difficulty will persist and/or the child has few risk factors
In speech, language and communication needs, what are some areas of impairements for developmental lnaguage disorder?
- syntax
- morphology
- semantics
- word finding
- pragmatics
- discourse
- verbal learning/memory
what characteristic is shared between developmental language disorder and speech sound disorder ?
phonology
“disorder vs. difference” - what is disorder ?
language skill below environmental and norm-referenced expectations
“disorder vs. difference” - what is difference ?
rule govered language style that deviates in some way from standard use in mainstream culture
how common are child language disorders ?
affects up to 10% of children
TRUE OR FALSE
are child language disorders heterogeneous ?
TRUE
explain how child language disorders can be heterogenous :
- can include difficulties, with phonology, syntax, morphology, semantics, and/or progmatics
- can affect receptive and/or expressive language
- often additional difficulties in areas of cognitive functioning, organization, attention, memory, peer interactions and/or behaviour
TRUE OR FALSE
child language disorders can affect multiple or one category ; looks different on everyone
TRUE
TRUE OR FALSE
child language disorders are often enduring ?
TRUE (a thing people tend to have,make adjustments and practice and eventually can get somewhat stable performance
what percentage of young offenders in a study has language difficulties ?
43%
who are the 3 major age categories of who are at risk ?
1) infant/toddler
2) preschool
3) school-age
define “infant/toddler” :
- pre-intentional (birth-8 months)
- prelinguistic (around 8-18 months)
- emerging language (18-36 months)
define “preschool” :
- developing language (3-5 years)
define “school-age” :
- 6+ years
in the pre-intentional stage : who needs help ?
1) infant identified at birth as high risk for language impairment
2) infant identified as high risk
3) older children functioning at pre
define “infant identified at birth as high risk for language impairment” :
e.g., prenatal drug/toxin exposure, prematurity, obvious genetic or congenital disorder
define “infant identified as high risk “ :
e.g., hearing impairment, global developmental delay, autism, neglect
what is the prelinguistic stage : who needs help ?
- risk for language disorder at 18 months …
- limited range of communicative functions/purposes (low rate of asking for things)
- low rate of communicating (10-12 consonants sounds)
- difficulties with receptive language
what is the emerging language stage : who needs help ?
- risk for language disorder at 24 months …
- fewer than 50-100 words
- no two-word combinations
- risk factors are present e.g., family history of language or learning problems, low socioeconomic status, and high parental concern (counsilling families to support them during this though time)
for the emerging language stage, define late talkers :
- around 20% of toddlers will have : low expressive vocabulary for age and delayed onset of word combinations
- as a group, higher risk for language disorder
- however, around 3/4 are just late bloomers and will go on to have normal language development
late talkers for the emerging language disorder : if delayed expressive language but have all of the below :
- using some language by 30 months
- no risk factors
- normal receptive language
- normal play
- normal nonverbal communication
then …..
more liekly to catch up with no long term effects (i.e., late bloomers not lnaguage disorder)
- monitor closely between ages 3-4 years old
developing language stage: who needs help ?
1) children with developmental language disorder (DLD)
2) children with language disorder associated with biomedical condition
define “children with developmental language disorder (DLD)” :
- formely known as specific language impairement
TRUE OR FALSE
the earlier we intervene the better ?
TRUE
define “children with language disorder associated with biomedical condition” :
- children with language disorders and other area(s) of difficulty (intellectual impairement) (sometimes wont know if its an intellectual impraimrent or a DLD
- e.g., ASD, TBI, Sensorineural hearing loss
TRUE OR FALSE
kids who have a DLD could also have a intellectual impairement ?
TRUE
what could minor difficulties with impairements be diagnosed with ?
DLD (but definetly not always)
school-aged and beyond: who needs help ?
1) children with DLD and LDx
2) children with specific learning disability
3) dyslexia/specific reading disability
4) others