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Speech
Verbal or spoken means of communicating
Requires precise neuromuscular coordination, planning, and sequencing of oral motor movements
Involves other aspects involving voice quality, intonation, and rate which change the meaning of what is said
Contains phonemes - specific sounds/sound combos such as /s/ or /sl/; involves how we say our sounds and use our articulators effectively
Humans are the only beings that can produce the complexity of speech sounds/combinations; animals make sounds, but not near the complexity of human speech production
Language
Socially shared code system for representing concepts through symbols and rules of how they’re combined
Safe code in which we make symbols stand for something else
Form of social behavior maintained by verbal communication
Involves/consists of/requires:
5 parameters: phonology, morphology, syntax, semantics, and pragmatics
Involves gestures, facial expressions, and body postures to convey messages and change meaning or interactions with others as well
Affected by and based on biological, cognitive, psychosocial, and environmental factors
Requires understanding of non-verbal cues, motivation, and social-cultural rules
Communication
Exchange of information and ideas, needs, and desires between 2 or more people
Complex; involves speech, language, hearing, memory, and planning
Involves and is affected by social and cultural norms and situations
Involves encoding, transmitting, and decoding the intended message (also requires a sender and receiver, each party must understand the message conveyed)
Communicative competence
If a speaker successfully transmits a message, and a receiver successfully understands the message sent; the degree of success in communication measured by the appropriateness and effectiveness of the message
Paralinguistic cues
Intonation, stress/emphasis (most complex bc it changes meaning, signals, or mood), speed/rate of communication delivery, and pause/hesitation during communication
Non-linguistic cues
Gestures, body posture, facial expression, eye contact, head nod/body movements, and physical proximity/physical distance
Metalinguistic cues
Help us analyze language, think about language, and judge how appropriate or correct language is when we say or hear things
Language is a social tool
Without communication, language has no purpose
The purpose of language is to be a code of transmission between people
Language is how we are social with others
Language is rule-governed
The way we arrange our words and sounds into forming language isn’t random
The rules that form language help us as users to create/form and understand the messages between one anohter
Linguistic competence
Understanding the rules of languages
Linguistic performance
Using the rules of language appropriately
Syntax
The form or structure of a sentence; this specifies word, phrase, sentence order
Contains a noun phrase and a verb phrase
Involves an arrangement of words to form an overall meaningful sentence
Denotes word order and overall structure of a sentence
Contains different types of sentences (passive, active, questions, declaratives, commands, or exclamations)
As children mature, they begin to use complex constructions such as compound and complex sentences
Morphology
The study of word structure and how words are formed out of morphemes
Morpheme - smallest meaningful unit of language; these are used to form words
Consists of free morphemes - words that can’t be broken down into smaller parts (ocean, book, color, connect) and bound morphemes - words that can’t stand alone and must be joined to a free morpheme to make sense (“ing”, plurals, possessive /s/, and past tense “ed”)
Can change the meaning of a word
Understanding these is important when performing a language and speech sample
Phonology
The scientific study of the sound systems and patterns used to create sounds and words of a language
Phoneme - smallest unit of sound, placed in slashes (/p/ for example); The English language contains 44 phonemes
Contains phonological rules - explain how phonemes are distributed and sequenced through a language
Sequencing phonology rules - explain differences in sound production/modifications when 2 phonemes occur next to each other; and discuss the act that certain sounds aren’t placed together to form a word (for example, you can end a word with “nd” but cannot begin a word with “nd”)
Semantics
The study of the meaning of language which is conveyed by the words, phrases, sentences, and conversations we speak during communication
Consists of a person’s vocabulary, antonyms, synonyms, multiple meanings of words, humor, and figurative language like metaphors, idioms, and proverbs
Consists of semantic categories: recurrence, rejection, causality, overextension, under-extension, world knowledge, fast mapping, and categorization
Pragmatics
The study of rules that govern the use of language in social situations
Being successful means that both speaker and listener understand acceptable language use
Involves functions of language:
Labeling
Protesting
Commenting
Knowing when to talk without being redundant
Keeping sentences in a logical and coherent order
Turn-taking
Staying on topic
Repairing communication breakdowns
Using a normal flow of discourse
Dialect
Subcategories of a parent language that uses similar but not identical rules
Style shifting
A variation from formal speaking to informal speaking based on the situation
Code-switching
Being able to vary language rules between 2 different languages during interactions
Articulators consist of:
Lips, teeth, tongue, hard and soft palate, pharynx, larynx, lungs, and diaphragm
Help us produce our speech production effectively and our articulation
Articulation is developed in sounds from ________ to most ___________.
easiest; difficult
Substitution in articulation
Ex: “gog” for “dog”, “tar” for “car”, “tee” for “see”
Omission in speech
Leaving a sound out of a word
Ex: “cu” for “cup”, “poon” for “spoon”, “at” for “hat”
Baby milestones:
Should be cooing as early as 2 months
Babbling by 10 months
First word by 1 year/12 months
Putting two words together by 2 years/24 months
Chomsky’s theory:
Says language is innate
Skinner’s theory
Behaviorist theory (says language is learned through the environment)
Piaget’s theory
Language development is based on developmental stages
Vygotsky’s theory
Social learning theory (language is learned through social interactions and interaction with others)
Outer/external ear
Consists of the auricle (pinna) and auditory canal
Middle ear
Air-filled cavity, contains three small bones (malleus, incus, stapes), the eardrum, and the eustachian tube
Inner ear
Contains the oval window and round window, semicircular canals, and cochlea
Normal gestation period:
Typically 38-42 weeks
Anything below is premature, anything above is post-mature
Birth to 3 months:
Startle reflex, eye blinking
Limb movement
Head turning toward/away, suck swallow breathe pattern should be established
Coos, gurgles, and reflexive sounds noted
Prefers vowel sound productions
Beginning to discriminate between high and low sounds
12 months:
Understand up to 25 words receptively, but typically only produces the first word at this age
Sound imitation of common household sounds, animals, and first consistent word emerges
18 months:
Tremendous growth in vocabulary comprehension, 100-200 words understood; first 50 words now being used
24 months:
Understands and follows verbal directions well with critical elements, begins to understand “wh” questions, and begins placing 2 words together to form short phrases
36 months:
Shares auditory experiences from memory, will hold a seemingly appropriate conversation with an inanimate object, using over 200 and even up to 1,000 words but understanding between 2,000-3,000 words
Conductive hearing loss
Occurs when hearing loss occurs b/c sound is prevented due to problems through the ear canal and middle ear; may be caused by wax impaction, fluid/otitis media, or due to physical abnormalities/abnormal fusion of middle ear bones or failed development of ear canal; results in inability to hear soft sounds or even conversation
Sensorineural hearing loss
Occurs when damage to the cochlea (inner ear) or auditory pathways that deliver information to the cochlea occurs; involves damage to the neural structures of the sensory system; may occur in one or both ears and may have different levels of hearing loss in each ear; can range from mild (not hearing soft sounds only) to total deafness
Congenital hearing loss
Present at birth; 50-60% occurs due to this and may be genetic
Acquired hearing loss
Develops after birth due to infection, physical damage, occurring during birth, maternal health conditions during pregnancy (environmental conditions)
Genetic hearing loss
When one or both of the child’s parents have hearing loss
Although it should be noted that 90% of children born with hearing loss have parents with normal hearing, which is termed non-genetic
Non-genetic makes up the other 40-50% of pop. born with hearing loss and stem from maternal health conditions and infections during pregnancy; also considered “environmental” because the conditions stem from the child’s prenatal environment
Idiopathic hearing loss
Hearing loss when the cause is unknown
Common signs of hearing loss in children:
No response when called
Inconsistent response to sound
Delayed speech and language development
Unclear speech; problems with possible voice, fluency, and resonance as well
Misunderstanding or not following directions
Frequent requests for clarification (saying “huh” and “what”)
Sound turned up on electronic equipment (radio, TV, computer, games, etc.)
Newborn Hearing Screening/Early Hearing Detection:
Performed on all newborns before hospital departure; part of the National Institutes of Health Early Hearing Detection and Intervention Program; this ensures that hearing loss is identified in newborns and that follow-up medical/audiology services are provided in a timely manner
All newborns and infants who do not pass the initial screening are rescreened and should have confirmatory audiological and medical evaluations no later than 3 months of age
All infants with confirmed permanent hearing loss should receive early intervention as soon as possible, no later than 6 months of age
Case history interview is done with parents, as well as instrumentation like tympanometry, ABR, VRA, etc.
Different types of amplification:
Primary goal being to ensure that speech is audible at a variety of loudness levels, infant/child should be provided the most appropriate and efficient hearing aid possible/customized hearing aid
Body aid - worn under person’s shirt
Behind the ear - fits behind the ear and has an internal receiver
In the ear - a small unit which fits within the concha of the external ear
In the canal - fits in the ear canal and is less visible
Cochlear implant
For those who have profound hearing losses and cannot benefit from hearing aids
Electronic devices surgically placed in the cochlea and other parts of the ear; deliver sound directly to the acoustic nerve endings in the cochlea
Even if the patient is profoundly deaf, there is often a large residual population of primary cochlear neural elements and a cochlear implant can take advantage of those elements
Deliver electrical impulses, converted from sound, directly to the auditory nerve
Receptive language
The understanding of language; to comprehend the message; also involves the ability to understand and comprehend spoken, written, and non-verbal speech and language skills (also involves understanding the meaning of words, concepts, questions, and figurative language)
Language comprehension
One’s ability to understand the linguistic information in a message (what’s happening, who’s speaking, what was previously said, visual information available); involves vocabulary, grammar, content analysis, and inference making
Red flags of language comprehension
Not listening or responding
Not following directions
Not repeating or imitating
Little speech development
Problems processing oral directions
Immature vocabulary
Poor reading skills as children grow
Poor reading comprehension
Birth to 1 year:
Alert to sound
Quiets to smiles when you talk
Turns or looks toward voices or people talking
Recognizes loved ones and some common objects
19-24 months:
Uses and understands 50 words, puts 2 words together
2-3 years:
Uses 3-4 words, often says “watch me,” know their name, begins to use plurals, asking “wh-” and “how” questions, begins to use possessives (i.e. daddy’s socks)
4-5 years:
Producing most sounds correctly, carrying on full-blown conversations, producing sentences that are longer and more complex
Gestures
Communicate meaning and accompany speech development and production
Can be manual, facial, or other bodily movements
Essential for speaking
Deictic gestures
Showing, giving, pointing, and using ritual request gestures to communicate
These are repetitive, symbolic body movements used to communicate a request
Raising a hand to ask a question; moving an adult’s hand toward bubbles to show they want them
Also consists of hand waving, nodding head for yes/no, blowing kisses, and shrugging shoulders (I don’t know)
Representational gestures
Hand, body, and facial movements that convey information about a person, object, location, or event
Iconic gestures or “baby signs” - baby sign language is a set of simple hand gestures and movements, or signs that correspond to common words you use with your body everyday
Moving arms in air to symbolize an airplane, pinching your fingers close together to signify that an object is small
Emblem gestures
Emblematic
Body language, conveys a clear verbal meaning without the use of words
May be used in place of speech or with it
Examples are: “A-OK, thumbs up, peace sign, shhhh, finger over lips to “be quiet” or even just a look from someone that lets you know you’re in trouble
Beat gestures
Hand movements made in time with speech and can influence how speech is perceived
Quick up down hand movements used w/ speech to help ifnluence how speech is heard or perceived
Made when the speaker emphasizes a word or phrase
Help with pragmatics and understanding of what’s being said
Children begin using beat gestures around 2 years and later help with the child being able to tell stories as well as word recall
________ is the most common first gesture that happens.
Pointing
Gestures can also replace _______________.
language and speech in children (may be an issue as the child grows up)