Statistics:
42 million Americans (5-10%) have a communication disorder (ASHA, 2021).
Breakdown of Issues:
7.5 million struggle with voice problems.
3 million people stutter.
6-8 million face language problems, with about 5% of first graders affected by speech disorders.
37.5 million have hearing loss, with 47% untreated.
1 in 5 Americans have hearing loss in at least one ear.
26 million aged 20-69 have high-frequency hearing loss due to noise exposure.
Reflection: Consider listing communication disorders you are aware of.
Definition: Sharing information between individuals; process involves sending and receiving messages.
Ways to Communicate:
Speech, writing, Morse code, Braille, art, music, dance, gestures, facial expressions, vocal inflection, body language, clothes, hairstyles.
Purposes of Communication:
Requesting, rejecting, and commenting on various subjects.
Formulation:
"Getting your thoughts together"; deciding what message to convey.
Transmission:
Sending the message through various modalities (e.g., speech, gestures).
Reception:
Receiving the message through visual or auditory means.
Comprehension:
Understanding the message determines how the receiver responds.
Components:
Sender: Initiates the message.
Receiver: Accepts the message.
Formulation, Transmission, Modality, Reception, Comprehension are all integral parts.
Feedback System: Essential for active and dynamic communication.
Linguistic/Verbal Feedback:
Examples: "Mmm hmmm," "Huh?", "Cool," "Shut up!"
Non-Linguistic/Extra-Linguistic Feedback:
Examples: Nodding, eye contact, smiling. Can accompany or stand alone.
Paralinguistic Feedback:
Voice characteristics, including pitch changes and sarcasm.
Four Components:
Quality: Be truthful.
Quantity: Provide the right amount of information.
Relevance: Stay on topic.
Manner: Avoid ambiguity and obscurity.
Language (Nelson, 1998):
A socially shared code using a conventional system of arbitrary symbols that represents ideas significant to those who understand the code.
Key Components:
Socially shared, coded, rule-governed, representational tool.
Cognitive Process: Involves formulation of thoughts and ideas; language is uniquely human despite other species communicating.
Form:
Syntax: Word order (e.g., "The baby happy was smiling").
Morphology: Structure of words (e.g., verb tense formation).
Phonology: Speech sounds (e.g., segmenting phonemes).
Content:
Semantics: Meaning of words and phrases.
Use:
Pragmatics: Applying language appropriately in social contexts, including communicative functions and discourse.
Pragmatics is deemed the most critical domain of language.
Activation of three systems:
Respiration: Provides airflow.
Phonation: Produces voice.
Articulation: Shapes sounds using tongue and palate.
Biological Functions:
Gas exchange, protection of airways, and food management related to swallowing.
Definition: Perception of sound, with acoustics being the study of sound.
Sound Creation: Requires a source to vibrate air particles, leading to sound reception through the ear and comprehension by the brain.
Distinction between speech perception (how humans process speech) and other non-speech sounds.
The brain's ability to prioritize speech sounds enhances understanding despite rapid speech production.
Types of Disorders:
Formulating: Issues like stroke.
Transmitting: Problems such as those caused by cerebral palsy.
Receiving: Deafness issues.
Comprehending: Autism-related challenges.
Must impact functionality in various environments (home, work, school).
Culture includes shared values, beliefs, and customs across groups (racial, ethnic, gender).
It profoundly impacts communication; various dialects exist in the US. Differences do not imply disorders.
Important to assess communication skills in the cultural context to distinguish between a disorder and a difference.
Language Disorders: Childhood impairments, adult aphasia, reading disabilities (e.g., dyslexia).
Speech Disorders: Articulation, phonological, fluency, voice, and motor speech disorders.
Hearing Disorders: Sensorineural and conductive hearing losses, auditory processing disorders.
Feeding and Swallowing Disorders: Pediatric issues related to premature birth and adult dysphagia following neurological incidents.
Professionals:
Speech-Language Pathologists (SLPs), Audiologists, Speech Hearing Scientists.
Statistics:
Over 185,000 certified SLPs in the US with a median salary of $77,510; noted as one of the fastest-growing careers.
Education Requirements for SLP: Master’s degree, extensive graduate work and practicum, national exam, state licensure.
Education Requirements for Audiologists: Clinical doctorate (AuD), supervised practicum, national exam, state licensure.
The field has various attractive qualities and presents numerous opportunities for impact and growth.