Term
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Definition
Birth to 6-8 months Behaviors initially not intentional Parent and child both active participants Engage in protocoversations back and forth interactions that contain the elements of a convo but no intention |
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Term
Prelocutionary stage communication behaviors |
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Definition
Facial expressions Eye gaze Head movements Crying Vocalizations Smile |
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Term
Communication- Birth to 1 month |
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Definition
Crying provides experience • Moving air across vocal folds Makes non crying speech sounds quasi resonant nuclei gooing (grunts) |
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Term
Expressive Communication- 1-6 months |
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Definition
Greater control of tongue Oral muscles develop to sufficiently start and stop movement As vocalizations increase, crying decreases Cooing and babbling Babbling made up of mostly sounds from surrounding language |
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Term
Receptive Language- 0 – 6 months |
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Definition
Reacts to loud sounds Localizes sounds- turns when hears sound Watches face when speaking Enjoys social response like a smile Recognize own name at 4-6 months Knows difference btw mom and dad and strangers |
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Term
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Definition
o begins around 6-8 months old o child is now intentional demonstrated through eye contact, persistence in attempting to communicate, gestures and phonetically consistent forms |
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Term
Expressive communication- 7-12 months Emergence of babbling |
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Definition
• Reduplicated babbling consonant vowel syllable repetitions ( ma ma ma ) • Variegated babbling adjacent and successive sylalbes are not identical (eeddaa, daga) |
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Term
Expressive communication- 7-12 months Use of jargon when approaching 1 year old |
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Definition
Long unintelligible sound strings Adult like prosody and intonation |
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Term
Expressive communication- 7-12 months Phonetically consistent forms (PCF) |
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Definition
• Meaningful babbling • Function as words for the infant child has symbolic representation • Not based on adult words • Link btw babbling and adult like speech • Echolaic period repeats/ imitates others sounds |
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Term
Receptive language- 6-12 months |
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Definition
2nd half of first year • Increased receptive vocab common objects, familiar people • Understands common phrases and commands increasing length and complexity Babies understand MUCH MORE than they express |
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Term
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Definition
o Begins when child uses TRUE WORDS Spoken form paired with intended referent Emerges around 12 months |
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Term
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Definition
Must have a phonetic relationship to the adult word Must be used in the presence of a referent |
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Term
Progression of expressive forms- FIRST YEAR |
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Definition
• Crying • Gooing(quasi- resonant nuclei) • Cooing (fully resonant nuclei) • Babbling o Reduplicated – CV-CV-CV o Variegated –CVC or VCV • Jargon • Phonetically consistent forms • True words |
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Term
Toddler Language development – 12-36 months |
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Definition
• Language begins with first true words around 1st birthday (11-14 months) • After first words- don’t expect change overnight o Words appear gradually and may be mixed with jargon and babbling |
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Term
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Definition
o Single word utterances o 1-2 syllables o Variations in pronunciation o Syllable construction VC, CV, CVCV |
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Term
Content of first lexicons |
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Definition
o Nouns predominate (60-65%) o First 10 words Animals, food, toys o Meanings of first words may be very restricted – apply to only 1 referent- only family dog is a dog, no other dogs are dogs o Talk about the here and now |
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Term
Toddler Language development – 12-36 months Rate and vocab growth |
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Definition
o Initial growth slow- plateaus common o By 18 months lexicon is 50-100 words o 18-24 months vocab growth spurt o 2 years 250 words |
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Term
Early syntax: word combinations |
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Definition
o At around 18 months combine words into 2 word utterances o Increased memory and processing allow for longer utterances |
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Term
Multi word combinations- 18-24 months |
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Definition
o Children comprehend many multi-word utterances before they can produce them o By 24 months the average child uses 2- word phrases and many children use 3 and 4 word phrases |
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Term
Toddler Language development – 12-36 months Pragmatic functions |
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Definition
• Demand, request, protest • Discuss things or evens or ask for information • Exclaim, express feelings or attitudes • Greet, express farewells, participate in talk routines • Practice language forms • Maintain communication- directing attention, asking for clarification |
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Term
Toddler Language development – 12-36 months Conversation |
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Definition
By 24 months most toddlers truly participate in the conversation • Initiate conversation, maintain topics, request information, predict and describe states or qualities |
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Term
Key 2 year old milestones |
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Definition
• At least 2 word utterances • Initiating conversation use range of communicative function- describe, request • Using an increased variety of words nouns, verbs, modifiers • Increased processing • Follow multi-step directions • Expressing feelings • Can talk about things not around them |
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Term
3 year milestones • Pragmatics o 24-30 months |
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Definition
Uses please to request Uses symbolic play Can tease or lie Talk about absent objects |
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Term
3 year milestones • Pragmatics o 30-36 months |
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Definition
Topics continued by adding new information More use of language in play Narratives are sequences with themes, but no plot |
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Term
3 year milestones • Semantic o 24-30 months |
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Definition
Understands and uses questions • People- who • Objects- what • Places-where |
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Term
3 year milestones • Semantic o 30-36 months |
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Definition
Average expressive vocabulary at 36 months 900-1000 words Understands and uses why Understands and uses spatial terms- in, on, under |
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Term
3 year milestones • Syntax o 24-30 months |
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Definition
MLU- 2.0 to 2.5 morphemes Emergence of grammatical morphemes ing, in, on, plurals Use of can’t, not, don’t for negation |
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Term
3 year milestones • Syntax o 30-36 months |
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Definition
MLU- 2.5 to 3.2 morphemes Use of present tense auxiliaries- can, will o MLU increases by approximately 1.2 morphemes a year between 1 and 5 years of age |
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Term
3 year milestones • Phonology o 24-30 months |
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Definition
Awareness of rhyme emerges o Speech is 75% intelligible by 36 months |
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Term
Key 3 year old milestones |
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Definition
• Asks questions wh concrete, why a little later • Can have a conversation • Use full sentences • Can understand • Use grammatical morphemes negation, prepositions • MLU- 3.2-3.5 • 900-1000 words different types of words • Understands time • Symbolic play |
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Term
Prelinguistic milieu teaching |
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Definition
o Arrange environment to facilitate need to communicate Put things out of reach Violate order of events o Jointly attend, then wait for child to do something o Parent then makes their actions contingent on the child’s communication o Teaches child the power of communication |
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Term
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Definition
interrupt an ongoing activity and wait for a communicative attempt before continuing |
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Term
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Definition
open ended questions “what” or directions “look at me” |
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Term
Prompts o Gaze intersection |
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Definition
adult moves into child’s gaze when the child doesn’t make eye contact |
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Term
Communication temptations |
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Definition
o Pay less attention than usual to the child and wait for them to try and get your attention o Initiate a silly or unusual event, then wait for the child to respond o Eat a desirable food in front of the child but don’t offer them any |
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Term
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Definition
o Early expressive communication form o Teaches children about the power of communication o A socially appropriate mode of communication o Gives children communicative control o Apply to behavior management o Teaching choice making |
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Term
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Definition
Start with objects concrete, may not be symbolic Pair verbal offer with visual Keep items within childs view Can use preferred or no preferred objects Allow enough time for child to make choice Always give child his/her choice even if you know/think they have indicated the wrong item |
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Term
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Definition
Most natural to highly structures • Child centered hybrid clinician directed |
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Term
Child-centered (CC) approaches |
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Definition
• Provide communication therapy in authentic/ natural settings • Child directs the content, timing and sequence of therapy motivation • Assumes that child will: o Learn skills more easily o Generalize to other people and environments more effectively • Uses natural reinforces/ communicative consequences |
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Term
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Definition
o Wait for the client to initiate a behavior o Interpret the behavior as communicative ( whether it was or not) o Respond to the behavior within a communicative context o Clinician does not attempt to elicit a predetermined set of responses o Follow the child’s lead |
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Term
facilitative play techniques • Self talk |
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Definition
clinician engages in same behavior/activity as child while simultaneously producing an ongoing narration of the clinicians activities narrate what you are doing |
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Term
facilitative play techniques • Parallel talk |
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Definition
clinician produces ongoing commentary of the child’s actions |
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Term
facilitative play techniques • Expansions |
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Definition
clinician reformulates a child’s utterance into a grammatically more complete version o Ex child: kitty drink water, adult: yes, the kitty is drinking water |
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Term
facilitative play techniques • Recasts |
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Definition
clinician expands child’s utterance into a different sentence form o Ex child: kitty drinking water, adult: is the kitty drinking water? |
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Term
facilitative play techniques • Extensions (explanations) |
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Definition
clinician expands on child’s utterance by adding new semantic information o Ex child: kitty drinking water, adult: yes, he is very thirsty today |
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Term
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Definition
oWho? Younger kids or beginning communicators Clients with general goals more impaired clients Not good for clients who need structure oPros high motivation for client Naturalistic good for generalization oCons Autistic clients Clients with specific goals Distracting kids who can’t attend If don’t have good play skills |
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Term
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Definition
•Intervention activities are highly natural but clinician maintains control over the therapy environment to maximize learning and generalization oOnly one or a small set of goals are targeted for intervention oThe clinician selects activities and materials that will elicit target responses oClinician responds contingently to clients response Models Accentuates correct responses |
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Term
Focused stimulation ( aka. Auditory Bombardment) |
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Definition
Clinician deliberately arranges the environment to increase likelihood of a spontaneous desired communication behavior Clinician provides frequent models with exaggerated stress on the target Response is not required set up is highly conducive to responses • Ex child: she tall, clinician: Is she? or she is? |
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Term
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Definition
Use natural setting, but arrange the environment to encourage communication Use operant techniques within the context of real communicative events Use naturally occurring reinforcement •Placing toys out of reach to elicit a request •Not providing assistance for harder fine motor tasks |
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Term
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Definition
Target behaviors taught within the context of a familiar routine or script •Reduces cognitive overload Script sequence of events that depicts a familiar activity- •Can use familiar routines or create new ones Clinician and client enact the script but clinician can violate the routine to encourage communication Once a script is over learned, can change or expand •Presenting client with duplicate gifts to encourage plurals |
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Term
Structured discourse and conversational recasting |
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Definition
Use typical verbal interactions that may occur between the adult and child Adapt the conversational exchange to elicit vocab and syntax from child |
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Term
Clinician directed approaches |
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Definition
• Clinician controls all aspects of the intervention o Selecting the goals o Selecting the stimulus materials o Choosing type and frequency of reinforcement o Determining the order of activities |
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Term
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Definition
Systematic follows plan, certain steps, set of rules Explicit client is aware they are working on a skill oConducted within discrete time periods oInvolves high level of practice as many opportunities as possible oUse extrinsic reinforces Token Verbal praises good talking oGoal elicit high number of practice trails in a short amount of time o Efficiency more important than naturalness |
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Term
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Definition
o Provides motivation o Activities that incorporate a fun play activity with drills of target behavior o Examples Hide and seek hide cards of target vocab around room and say each one as you find it Bowling tape cards with verbs on them, name verb when each pin is knocked down |
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Term
CD modeling (clinician directed modeling) |
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Definition
o Alternative to drill o Involves use of third person model o Highly structured format o Child listens, does not imitate immediately o Example Clinician models 10 present progressive verbs to describe picture cards Client is then asked to talk like the model to describe a similar set of cards |
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Term
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Definition
• Normal gestation- 40 weeks • Full term 36-40 weeks • Anything prior considered preterm • 23-25 weeks- edge of viability o 23 weeks 20% survive o 25 weeks- 65% survive • 26-29 weeks survival rates increase o 26 weeks- 75% o 29 weeks- 85% • 30-33 weeks most survive with medical intervention • 24+ weeks greater than 95% - almost same as full term |
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Term
bronchopulmonary dysplasia (BPD) |
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Definition
o Thickening of immature lung wall o Impedes oxygen exchange o Long term tracheostomy Leads to speech and language delays |
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Term
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Definition
• Assessment and intervention o Feeding o Oral motor function o Hearing conservation o Infant behavior and development • Parent child communication o Parent education, facilitating appropriate communication |
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Term
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Definition
• Usually identified at approximately 2 years of age • Demonstrate expressive language delays in vocab and syntax (generally in isolation) o Limited expressive lexicon or fewer than 50 words o Producing limited word combos by 24 months of age Are they using meaningful words and putting words together meet both criteria |
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Term
LT Predictor- language production (Olswang 1998) |
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Definition
o Quality of expressive vocabulary 2 year old with fewer than 50 word predictor of problem Risk increases if age increases without vocab improvement o Variety of vocab Less diverse overall vocab Less diverse verb repertoires Kids will less verbs predictors for problem |
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Term
LT Predictor- language comprehension ( Olswang, 1998) |
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Definition
o Conflicting data o Toddlers with expressive and receptive language weakness significant weakness o Look for gap btw comprehension and production larger the gap, poorer prognosis |
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Term
LT Predictor- phonology ( Olswang, 1998) |
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Definition
o Factors associated with continued language delay Few prelinguistic productions decrease in babbling Limited phonetic inventory Restricted syllable structure Vowel errors Less accurate consonant productions |
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Term
LT Predictor- imitation (Olswang, 1998) |
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Definition
o Toddlers who do not imitate spoken productions are at risk Word combos When provided with prompts and cues o Appropriate candidates for treatment- who can imitate |
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Term
LT Predictor – play (Olswang, 1998) |
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Definition
o Foundational skill for pragmatics commenting, predicting o Combinatorial/ thematic play use toys in a meaningful way/use it appropriately oSymbolic play pretend play, using the toy symbolically Understand/ have the idea that one thing represents another o More elaborate play schemes= better chance of catching up o Delayed play behaviors= poor indicator Lack of combinatorial and or symbolic play If play only consists of grouping toys, manipulating objects |
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Term
LT Predictor- gestures (olswang, 1998) |
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Definition
o Children use gestures to support communication Complementary Supplementary code or add new meaning o Use of gestures to eleaborate on a single word messages= good candidate for intervention will be successful |
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Term
LT Predictor- social skills |
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Definition
o Socialization problems suggest a greater risk for continued language difficulties Decreased initiations Lack of peer interactions Preference for interacting with adults • Peers don’t compensate for weakness |
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Term
LT Risk factor- heritability |
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Definition
o Family history is a risk factor o If parent of sibling has had a language impairment, risk for continued language problems increases o Suggest affirmatively for intervention |
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Term
LT Risk factor- otisis media |
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Definition
o Debate in research o High risk profile include Prolonged, untreated Otitis media Persistent otitis media • Greater risk of artic difficulties |
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Term
Autism Spectrum Disorders |
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Definition
• Developmental disorders • Neurologically based- not behavioral • Spectrum of difficulties in o Communication o Socialization o Behavior |
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Term
Several classifications of ASD |
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Definition
o Autism o Asperger’s syndrome o Pervasive developmental disorder o PDD-NOS ( not otherwise specified) |
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Term
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Definition
• Prevalence 1/150 children • Occurs more frequently in boys o 4x more often than girls o 1 in 94 boys on spectrum • Occurs in all racial, social and ethnic groups • Fastest growing developmental disability in US • Cause unknown o Thought to be combo on genetic and environmental factors o Involves several genes |
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Term
ASD – triad of symptoms (woods, wetherby, 2003) |
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Definition
• Impairments of verbal and non verbal communication • Impairments of social interaction • Restricted, repetitive and stereotyped patterns of behaviors, interests and activities |
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Term
ASD Communication impairments- speech |
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Definition
• Spoken language o As many as ½ with ASD do not develop functional speech skills • When speech is absent, it is often not replaced with gestures • Begin speaking late and develop at much slower rate than typically developing children • May develop maladaptive means to communicate o Challenging behaviors- head banging o Echolalia |
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Term
COMMUNICATION CHARACTERISTCS OF ASD Joint Attention |
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Definition
• Includes deficits in o Orienting and attending to social partner o Shifting gaze btw people and objects o Sharing emotional state with others o Following gaze or point of another person o Ability to draw another person’s attention to an object for purposes of sharing |
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Term
ASD Impairments of symbol use (woods,2003) |
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Definition
• Deficits in learning conventional/ share meanings for symbol use evident in problems with o Using conventional gestures Take partner to desired item rather than pointing o Understanding and using conventional spoken word meanings o Using objects functionally in symbolic play |
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Term
ASD When spoken language doesn’t develop |
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Definition
• Use non reciprocal speech ( not directed at or responsive to others ) o Language may become stuck in original context • Use of echolalia ( has a purpose) o Immediate o Delayed • Language acquisition does not follow a typical developmental sequence |
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Term
ASD Language characteristics Content and Form |
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Definition
• Content o Extreme literalness o Poor understanding of synonyms and multiple meanings o Difficulty interpreting humor o Pronoun reversals • Form o Repetitive phrases |
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Term
ASD Language characteristics—pragmatics biggest problem area Use |
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Definition
• Use o Limited skill for acquiring and applying conventional rules of language o Use of non conversational strategies maintain interaction Echolalia Socially inappropriate phrases Challenging behaviors o Decreased turn taking o Lack of conversational repair strategies |
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Term
ASD Language characteristics—pragmatics biggest problem area • Impairments in social interaction |
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Definition
o Difficulty interpreting nonverbal cues Facial expression Eye contact Body language o Difficulty sharing emotions Understanding, expression o Trouble taking a partner’s perspective and showing empathy |
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Term
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Definition
• Parents often first to notice symptoms and report one of the two profiles o Different from birth o Developmentally normal than regressed before 2 • Early diagnosis critical o Can diagnose as early as 6 months o Most of the time 18-2 years • Problems with getting diagnosis o Getting kids seen waitlist o Labeling o Parents are not ready to face it |
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Term
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Definition
• Language battery • Informal observations of communicative behavior • Autism specific tests ( require training) o Autism Diagnostic Evaluation Schedule (ADOS) o Childhood Autism Rating Scale o Autism Diagnostic Interview-Revises ( ADI-R) |
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Term
EARLY SIGN OF ASD Social isolation |
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Definition
• Social isolation o Ignoring others o Doesn’t respond to name o Fails to attend to voice o Does not imitate |
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Term
EARLY SIGN OF ASD Abnormal play |
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Definition
• Abnormal play o Absence of pretend play o Playing with only parts of objects o Playing with only a few things o Inappropriate relating to toys kicking toys across room |
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Term
EARLY SIGN OF ASD Lack of joint attention |
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Definition
• Lack of joint attention o Showing and protodecrlarative pointing o Sharing o Commenting o Directing others attention |
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Term
EARLY SIGN OF ASD Earliest Signs |
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Definition
No/abnormal eye contact o Doesn’t respond to mom o Lack of response to human voice o Stacking blocks, not playing with them |
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Term
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Definition
•Little or no babbling or speech •Parent report of loss of language •Lack of meaningful eye contact •Poor play skills •Prefers to play alone •Treats others like piece of furniture •Repetitive behaviors •Screeching •Doesn’t respond to name •Developmental delays in fine and gross motor •Difficulty with joint attention |
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Term
ASD Essential components for effective treatment |
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Definition
o Begin intervention as early as possible o Intensive treatment occurring a minimum of 5 hours per day, 5 days a week 25 hours o Family involvement o Low client- clinician ratio o Repeated, planned teaching opportunities o Dynamic, ongoing assessment and program modifications |
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Term
ASD Essential components of treatment program |
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Definition
o Functional, spontaneous communication o Inclusion of social instruction, variety of settings and partners o Focus on play skills, include peer interaction o Target generalization to natural contexts and maintenance o Positive behavior support and functional assessment o Functional academic skills |
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Term
ASD Behavioral approaches • Discrete trial- training ( Lovaas, 1987) |
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Definition
o Highly prescribed teaching structure o Focus on teaching discrete defined behaviors Attending behaviors Following directions Imitation Prompted verbal responses o Predetermined criteria for correctness of response o Minimal use of contextual supports Teaching directed and organized through oral language |
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Term
ASD Contemporary behavioral approaches- middle ground •Applied behavioral analysis (ABA) |
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Definition
o Incidental language teaching o Pivotal response training o Enhanced milieu approaches |
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Term
ASD Differences btw ABA and DT |
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Definition
o Control shifted from instructor to child o Teacher encouraged to follow child’s lead o Child- preferred activities used as context for language training o Choice making opportunities provided o Natural reinforcers utilized |
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Term
ASD Naturalistic approaches- •Social Pragmatic Development (SP-D) (wetherby, 1997) |
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Definition
oFocus on functional teaching oEmphasizes spontaneous interaction Natural opportunities for communication oFocus on interactive facilitative strategies Follow child’s communicative focus Offer choices and alternative within activities Responding to and acknowledging child’s intent Modeling variety of communicative functions Comment on child’s activities Expanding on topic of child’s choice |
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Term
ASD Naturalistic approaches- Floortime |
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Definition
o Highly naturalistic o Goals are to encourage: Attention and intimacy Reciprocal communication Expression of feelings and ideas Break into child’s world o Parents and clinicians get down on floor with child for several hours each day Follow child’s lead and play |
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Term
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Definition
• Pre-reading skills that precede formal literacy instruction • Foundational skills develop from birth to approx. 5 years Kindergarten • Should include o Print awareness o Phonological awareness o Letter name knowledge o Letter sound correspondence o Literacy motivation |
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Term
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Definition
• Earliest emergent literacy skill • Awareness of the properties of written language o Print carries meaning o Directionality read left to right o How to interact with storybooks Turns pages Interested in reading books Holds book the correct way o Relationship btw speech and print o Recognition of familiar logos and signs |
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Term
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Definition
• One of most powerful predictors of later reading ability • Ability to notice, think about and manipulate the sounds and syllables of spoken words • Develops gradually o Early 3 yrs, 4 to 5 to kick in • Development of PA o Early skills ( 3-4) Rhyming Alliteration Recognizing syllable boundaries o Later skills ( 4-6) Individual sound blending Segmentation Manipulation More correlated to actually learning to read |
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Term
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Definition
• Ability to name the letters of the alphabet • Rapid and automatic ability to identify letters is a significant predictor of later reading achievement • Emergence of the alphabetic principle when kids can decode o Foundational skills for understanding the code |
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Term
Sound Letter correspondence |
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Definition
• Sound – symbol relationship • Understanding which phonemes correspond to which graphemes • Skill acquired in the later stages of early literacy development o After print awareness, early phono awareness and letter name knowledge, this emerges |
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Term
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Definition
• Child’s interest or orientation to early literacy experiences • Print motivation plays significant role in achievement o Early reading activities o Early writing activities • Children with language impairment often show low literacy/ print motivation o It’s frustrating |
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Term
Emergent literacy research- typical development Kaderveck, 2000 |
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Definition
o Literacy rich environment facilitates literacy development Learn in context Become socialized to literacy activities o Reading to young children is important tool for language development Vocabulary Syntax Discourse |
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Term
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Definition
• Strong correlation between home literacy attitudes and activities and reading achievement • Important factors include o Joint storybook reading interactions child participating Quality questions, vocab, activities Quantity amount of books o Parental literacy practices what kid sees parent doing o Child’s access to materials |
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Term
Emergent Literacy More clinical implications- typical development |
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Definition
• Repeated story book readings yield positive language outcomes o Quality of child’s questions o Increase depth of vocab knowledge • Creates an enriched language environment o Parents use more complex language o Creates a more enriched language learning environment |
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Term
THE LANGUAGE-LITERACY CONNECTION |
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Definition
• Oral language provides the foundations for literacy development spoken lang develops first • Oral language and literacy are reciprocal nature both have effect/ impact each o Begins in early childhood • Children with speech and language impairments are at increased risk o Early literacy development o Conventional literacy development • Intervention for oral language can positively impact literacy development and vice versa |
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Term
Early literacy screening tasks Written language awareness |
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Definition
Assess awareness of book and print conventions during shared book reading • Print directionality • Book functions Child read common words logos, labels, signs Child differentiates different written language units |
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Term
Screening- phonological awareness |
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Definition
o Rhyming 2-3 years Detect off word from set of three ( pup, fish, cup) Produce a rhyme for a target word o Identify initial phoneme Tell me word that starts with m o Delete sound from target word Tell me bat without b o Break word into component parts c-u-p 4-5 years old o Count number of phonemes in word seat= 3 phonemes |
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Term
Screening- letter name knowledge and phoneme-grapheme correspondence |
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Definition
o Letter name knowledge Point to letters named by evaluator Recite alphabet Name letters • Rapid letter naming Phoneme-grapheme correspondence • Name sound that goes with target letter |
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Term
Screening- literacy motivation and home literacy |
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Definition
o Literacy motivation Describe level of child’s engagement during literacy activities o Home literacy Parent checklist • Access to printed material • Home activities Conduct home visit |
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Term
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Definition
o Builds language and emergent literacy skills o Use story as a context to Target each of the emergent literacy skills Target spoken language development o Implement a variety of shared storybook reading techniques Let child participate, adult feedback |
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Term
Getting the most out of storybook reading •Encourage participation |
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Definition
o Pause btw pages o Ask open ended questions Fact based questions, opinion questions o Make predictions o Comment on pictures, characters, actions etc o Relate story to child’s own life |
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Term
Getting the most out of storybook reading •Interact during story time |
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Definition
o Ask and answer questions o Praise creative answers o Expand on child’s utterance o Facilitate discussions o Use silly voices o Act it out |
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