Review of affected systems in Jax's speech may include:
Phonology
Morphology
Syntax
Semantics
Pragmatics
Prosody
Form, Content, Use categorization.
Four categories assessed:
Verbal expression
Written expression
Auditory comprehension
Reading comprehension
Relevant language components: phonology, syntax, morphology, pragmatics, prosody, semantics.
Language impairment may occur alongside other developmental issues.
Common diagnostic categories for language disorders include:
A. Intellectual Disability (ID)
B. Developmental Language Disorder (DLD) (Specific Language Impairment)
C. Language Learning Disability (LLD)
D. Pervasive Development Disorder/Autism Spectrum Disorder (PDD/ASD)
E. Traumatic Brain Injury (TBI)
F. Cerebrovascular Accident (CVA)
G. Other Language Impairments
Critical skills:
Perception of sequenced acoustic events.
Active attention, responsiveness, anticipation of stimuli.
Symbol use: understanding and creating symbols in language.
Syntax invention from environmental language exposure.
Mental energy to execute language tasks.
Interaction and communication competencies.
Information processing affects language acquisition and use, encompassing cognitive-communication.
Profiles of information processing:
Vary among individuals due to brain structure or learned experiences.
Affects attention, organization, and rule development.
Attention
Discrimination
Organization
Memory/Retrieval
Automatic brain activation; focus creation.
Poor attention can lead to missed stimuli and discrimination difficulties.
Ability to identify similarity/dissimilarity of stimuli from competing options.
Active information processing location.
Sufficiency in capacity is vital for handling complex information.
Categorizing information for storage and retrieval.
Effective organization leads to improved memory and retrieval through associative networks.
Storing and accessing learned information.
Growth of storage capacity and retrieval accuracy with maturity.
Organized storage for information retrieval.
Be aware of simultaneous processing levels as cognitive and linguistic skills develop.
Bottom-Up Processing: Involves new concepts processed at a basic level.
Top-Down Processing: Higher-level processing utilizing stored knowledge.
Governs planning, cognitive flexibility, and remembering strategies.
Recalling information.
Planning, organizing, and sequencing challenges.
Difficulty integrating or associating information.
Disorganization and impulse control issues.
Problems following multi-step directions and defining goals.
Poor processing resources may inhibit automatic language analysis, leading to reliance on bottom-up processing rather than efficient top-down methods.
Language deficits present across various disabilities:
Tailored assessments needed as children may have cross-category profiles.
Originates before age 18; significant limitations in intellectual functioning.
Sub-average intellectual functioning (IQ < 68).
Must exhibit limitations in two or more adaptive areas.
Percentages of scores within standard deviations from the mean.
Implications for qualifying for speech services based on language scores.
Language typically the most impaired area.
Slower developmental sequence compared to typically developing peers.
Less mature forms used even at matched mental age.
Pragmatics: Delayed, less dominant in conversations.
Semantics: More concrete understanding; slow vocabulary growth.
Syntax/Morphology: Similar development to peers, but at a slower rate.
Phonology: Similar to typically developing peers but use immature forms.
Comprehension: Poorer skills, especially memory recall and reliance on context.
Genetic, chromosomal issues, maternal infections, toxins, among others.
Interactive variables affecting development, including deprivation and lack of care.
Cognitive and processing ability differences from typically developing peers, affecting learning capability.