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Imitation theory, nativist theory, interactionist theory
Language acquisition theories
Imitation theory
Language is learned through imitation and then positive reinforcement from parents and others
Nativist theory
We all have innate grammar, and we are born with the abilities that we need to begin speaking
Interactionist theory
Combination of imitation and nativist theory. Children have innate abilities, but they additionally learn through reception skills and interactions with others
Social Emotional Learning
Includes a childs ability to recognize their own and others emotions and to respond to facial expressions appropriately, contextualizes appropriate actions
Perspective taking
‘putting yourself in someone else’s shoes’, considering how others think and feel and might respond, differences in responses to different people
6-9 months
Joint attention and emotional sharing
12 months
First word
16 months
Overextension
18 months
Two word combinations
Preschool age
Decontextualized language
School age
Literacy, reading and writing abilities
Joint attention
Simultaneous sharing and includes emotional sharing, an infant being able to pay attention to the same things as an adult
Emotional Sharing
Ability of an infant to share the same emotions as others around them and react emotionally to others actions
Overextension
One word to cover many/all categories (example: calling an orange a ball)
Decontextualized language
Talking about non immediate events or objects, often talking about things in future or past tense
intentional, generalizable, intelligible*
First word requirements
DLD cause
Unknown
Percent of kindergartners with DLD
7%
What three things might DLD involve?
Content, form, use difficulties
Is DLD a primary or secondary disorder?
Primary disorder
DLD manifestations
Late talker, late morphemes, reliance on gestures, difficulty with understanding others, slow and effortful language production, agrammatisms, limited vocab
DLD social emotional manifestations
Withdrawn, less socializing, uneven conversation, emotional regulation skills
ASD cause
Not the mmr vaccine
ASD prevalence
1 in 59
ASD diagnostic criteria
social communication, restricted interests and repetitive behaviors
ASD social communication and interaction
Difficulty with pragmatics, hard time with relevance, turn taking, eye contact, social emotional learning
Repetitive behaviors and restricted interest
Routines, doing the same thing over and over, stimming, extreme focus on one topic, sensory sensitivities
Intellectual disability diagnostic criteria
Intellectual functioning, adaptive functioning
Intellectual functioning, adaptive functioning
Intellectual disability diagnostic criteria*
Intellectual functioning
Includes skills such as reasoning, planning, problem solving, abstract thinking, judgement
Adaptive functioning
Ability to easily map old skills onto new situations
Known causes of ID
Chromosomal disorders, toxicity, infection, trauma
Two types of stroke
Ischemic, hemorrhagic
Ischemic stroke
Artery blockage, blood cannot get to brain
Hemorrhagic stroke
Blood vessels bursts or ruptures which causes excess bleeding into brain
Two types of ischemic stroke
Thrombosis, embolism
Thrombosis
Build up of plaque in the artery
Embolism
A piece of plaque breaks off and then blocks thinner arteries
BE FAST
balance, eyes, face, arms, speech, time
Aphasia
Acquired LANGUAGE disorder as a result of injury to brain, usually from a traumatic brain injury or stroke
Types of aphasia
Fluent/nonfluent, comprehension, repetition, naming
Fluent aphasia
Long phrases, easily produced speech, logorrhea, paraphasia
Paraphasia
Word error, either substituting a word for another word or a something similar sounding
Logorrhea
Excessive talking
Wernicke’s Aphasia
Damage to temporal lobe. Fluent aphasia. Poor comprehension, poor repetition, good fluency, relatively spared naming
Nonfluent aphasia
Short phrases, agrammatisms, labored speech
Agrammatisms
Dropping prepositions/’filler’ words, focus on content words like verbs and nouns
Broca’s aphasia
Damage to frontal lobe, non-fluent aphasia. Relatively spared comprehension, poor repetition, poor naming, awareness of deficits.
Medical model of treatment
'Solving' problem, just looking at deficits and trying to fix them
Life participation approach
Helping a person fully participate in their life given their circumstances. Includes working on goals and what is most important to client and giving environmental supports.
Right Hemisphere Disorder
Difficulties with right hemisphere. Can include anosognosia, left neglect, social communication problems, higher order functioning
Anosognosia
Lack of awareness of deficits
Egocentric neglect
Allocentric neglect
Left neglect
Difficulty with left side of body. In regards to vision, difficulty seeing left side of visual field
RHD Social Communication Problems
Inappropriate language, difficulty staying on topic, difficulty understanding others emotions, aprosodia
Aprosodia
Lack of prosody, monotone speech
Traumatic Brain Injury
Damage to the brain caused by an external force. Common causes include falls, motor vehicle accidents, sports, or abuse.
Closed TBI
Damage does not penetrate skull or meninges, brain is ‘jostled’ around.
Open TBI
Meninges and skull are penetrated
Polytrauma
Mixture of closed and open TBI where blunt force jostles the brain and it is penetrated. Common in military or from shrapnel.
mTBI symptoms
dizziness, blurred vision, vomiting, confusion, ringing in ears, slurred speech, nausea, headaches
Dementia
Progressive disease where cognitive abilities start detoriorating due to CNS dysfunction. Is progressive and has a slow onset.
Dementia diagnostic criteria*
Memory impairment, cognitive functioning impairment, perceptual deficits
Memory impairment, cognitive functioning impairment, perceptual deficits
Dementia diagnostic criteria*
Phonological speech sound disorder
Perceptual target deficit. Unable to properly differentiate between phonemes. Consists of rule based consistent errors. More involved treatment.
Articulation speech sound disorder
Speech output error. Unable to place articulators correctly for sound- it is usually less involved treatment. Able to hear differences between phonemes.
Early 8
m, b, y, w, n, d, p, h
Middle 8
t, ng, k, g, f, v, ch, dg
Late 8
sh, s, z, th, th, r, l, zh
2 years old intelligibility
50%
3 years old intelligibility
75%
4 years old intelligibility
100%
Speech sound disorder treatment approaches
Developmental, complexity, cycles, metaphon
Developmental, complexity, cycles, metaphon
Speech sound disorder treatment approaches
Developmental speech sound disorder treatment
Treating sound errors in order of how sounds are naturally developed, earlier sounds first.
Complexity approach
Focuses on treating harder sounds first, the easier ones will follow.
Cycles approach
Cycling through phonemes, specifically phoneme pairs- staying on one phoneme set for a set amount of time before you move on, regardless of mastery
Metaphon approach
Phonological disorder treatment. Treating how phonemes work in order to raise awareness of their production. Example, voiced vs voiceless phonemes.
Phoneme classification
Manner, place, voice
Manner phoneme classification
How sound is produced (ie, plosive vs fricative)
Place phoneme classification
Where articulator is placed
Voice phoneme classification
Whether the phoneme is voiced or not (ie, v vs t)
Motor speech disorder
Difficulty with the planning, coordination, and/or execution of movements required for speech production
Apraxia
Motor schema error. Brain is unable to properly make the plan for how speech should be produced.
Apraxia characteristics*
slow rate, distorted sounds, impaired prosody
Three types of apraxia
Childhood apraxia of speech, acquired apraxia of speech, primary progressive apraxia
Dysarthria
Correct representation and motor schema, execution error. Often muscle weakness.
Dysarthria includes deficits in
Muscle tone, muscle strength, range, steadiness, speed, coordination
Assessment steps
Screening, standardized test, questionnaire, observational methods
Two type of treatment approaches*
Life participation model, medical model
Life participation model
Focus on adding supports into environment and working towards clients goals
Medical model
'Solving' problem, just looking at deficits and trying to fix them
Preventative treatment
Trying to stop disorders from ensuing from education- example, teaching about importance of helmets, or causes of intellectual disorders
Remedial treatment
Recovering lost or absent functions
Compensation treatment
Adding things to accommodate problems and working around them
Communication relies on
Cooperation, shared conventions, shared understandings and knowledge, social rules
Grice’s maxims
Quantity, quality, relevance, manner
Quantity (Grice’s maxim)
Too much or not enough info