Oral language impairments in developmental disorders characterized by language strengths: A comparison of Asperger syndrome and nonverbal learning disabilities

Asperger syndrome (AS) and nonverbal learning disabilities (NLD) are developmental disorders in which linguistic ability is reported to be stronger than in disorders from which they must be distinguished for diagnosis. Children and adults with AS and NLD share pragmatic weaknesses, atypical social behaviours, and some cognitive features. To date, potential similarities between these disorders in oral language have not been directly examined in the literature. A review of the available research suggests that adequate structural language is another area of similarity for AS and NLD. However, systematic investigations of phonology, morphology, or syntax were not found; thus, the evidence for largely intact structural language in these disorders is indirect. The review also pointed to a common semantic profile across both disorders, characterized by strong vocabulary breadth in the face of limited depth and organization. These higher-order problems with semantics are proposed to be consistent with theoretical accounts of poor integrative abilities in AS and NLD, and to contribute to the well-documented pragmatic difficulties in these disorders.     

Considerations of verbal and non-verbal communication in body psychotherapy

Communication with others has both verbal and non-verbal aspects. This article describes theory about the use of language in body psychotherapy, ways of the psychotherapist relating to the client's language, and the psychotherapist using language with different therapeutic purposes in mind. Illustrative case vignettes are included. Links are made to current thinking in neuroscience and cognitive psychology. Language in the therapeutic relationship is discussed in terms of emotional regulation and spiritual awareness by combining verbal and non-verbal communications with intention, presence, contact and awareness.     

Reaching Latinas with Our Bodies,Ourselves and the Guía de Capacitación para Promotoras de Salud: Health Education for Social Change

As the cultural and linguistic diversity of the United States continues to grow and population shifts transform the communities where we live and work, health care providers continue to face challenges to deliver health services in demographically redefined terrains. This report describes the development of a Spanish‐language training guide for community health workers (Guía de Capacitación para Promotoras de Salud) based on the book Nuestros Cuerpos, Nuestras Vidas (NCNV), the Spanish‐language translation and cultural adaptation of the classic women's health book Our Bodies, Ourselves. The guide aims to 1) provide a tool for addressing the health education needs of immigrant Latinas and 2) facilitate the use of the book NCNV as a health education tool in Latino communities. Thirty telephone interviews with individuals working in agencies and organizations serving Latinos and 2 focus groups with Latinas were conducted to select the topics included in the training guide, all of which were drawn directly from NCNV. The guide contains 11 modules organized into 6 workshops. The modules address 11 topics related to women's health, ranging from sexuality and pregnancy to domestic violence and mental health. An ecological framework is used to deliver the health information. The materials acknowledge the roles of history, environment, culture, economic conditions, migration history, and politics as key determinants of health and illness. The workshops are designed to train community health workers on the women's health topics contained in the guide and to equip them for the delivery of health education among immigrant Latinas.     

Cohesion in Discourse of College-Educated and Non-College-Educated Adults: Implications for Young Adults with Brain Injury

At the present time there is a lack of documented normative language data for adults. The purpose of this study was to initiate a database for language abilities in normally functioning adults, which will facilitate appropriate assessment and treatment goals for adults with brain injury. Verbal and written narrative and procedural discourse samples were collected from two groups of normal adults, 12 college-educated and 12 non-college-educated, between the ages of 18 and 30. The samples were elicited using picture stimuli and verbal directions. The discourse samples were analysed to determine if differences existed in the frequency and adequacy of cohesive ties used in the discourse. In addition, the discourse samples were analysed for the total number of words used. The results of this study demonstrated that the non-college-educated subjects produced fewer words in all forms of discourse, used fewer cohesive ties in written procedural discourse, and used more incomplete cohesive ties in written procedural discourse. These findings provide a beginning normative database to which speech-language pathologists can refer when evaluating the discourse skills of neurologically impaired adults.     

High-level language ability in healthy individuals and its relationship with verbal working memory

The aims of the study were to investigate healthy subjects’ performance on a clinical test of high-level language (HLL) and how it is related to demographic characteristics and verbal working memory (VWM). One hundred healthy subjects (20–79 years old) were assessed with the Swedish BeSS test (Laakso, Brunnegård, Hartelius, & Ahlsén, 2000) and two digit span tasks. Relationships between the demographic variables, VWM and BeSS were investigated both with bivariate correlations and multiple regression analysis. The results present the norms for BeSS. The correlations and multiple regression analysis show that demographic variables had limited influence on test performance. Measures of VWM were moderately related to total BeSS score and weakly to moderately correlated with five of the seven subtests. To conclude, education has an influence on the test as a whole but measures of VWM stood out as the most robust predictor of HLL.     

Conceptualising “dose” in paediatric language interventions: Current findings and future directions

Dose is a particularly important element of treatment for speech and language disorders, yet relatively little is known concerning how best to operationalise dose in clinical settings. This keynote provides an overview of dose as a theoretical and empirical concept and discusses recent findings that question whether “more is better” when treating children with language disorders. Given recent evidence showing that spaced treatments may result in optimal gains for children, I argue that low-frequency therapy sessions can be especially beneficial for children with language disorders when they are highly productive, providing children with high levels of dose.     

Relationship between physical activity and physical fitness in school-aged children with developmental language disorders

Children with developmental language disorders (DLD) often experience difficulty in understanding and engaging in interactive behavior with other children, which may lead to reduced daily physical activity and fitness levels. The present study evaluated the physical activity and physical fitness levels of 8–11 year old children with DLD (n = 27) and compared this to typically developing (TD) age and gender matched controls (n = 27). In addition, it was investigated whether interrelationships existed between physical activity and physical fitness in children with DLD and in TD children. Physical activity was measured using accelerometers. Physical fitness was measured using five tests of the Eurofit test battery (standing broad jump (SBJ), sit-ups (SUP), handgrip (HG), 10 × 5 m shuttle run (10 × 5 m SR), and the 20 m shuttle run test (20 m SR)). Physical activity of children with DLD did not significantly differ from TD children. Physical fitness of children with DLD was significantly lower on the SBJ, SUP, HG and 10 × 5 m SR than TD controls, while no significant difference was found on the 20 m SR. Strong significant relationships were found between physical activity variables and sedentary behavior and some physical fitness measures (SBJ and SUP) in children with DLD, while in TD children a strong significant relationship was found between time spent in moderate to vigorous physical activity and performance on the SBJ. This study reveals important differences in fitness between children with DLD and TD children, which should be taken into account when creating physical activity interventions. Special attention has to be paid to children with DLD who show low physical activity and low physical fitness performance.     

The Language of Dissociation

ABSTRACT

Three case studies of inner-city elementary school children illustrate the connection between speech-language disorders and dissociative disorders in children who have known or suspected trauma histories. The role of speech language pathologists in identifying and responding to dissociative symptoms in children is explored. Lack of adequate training concerning the impact of trauma and scarce literature on the communication profiles of dissociative children contributes and greatly impacts the diagnosis, referral, and treatment of these children. The case studies demonstrate how unusual speech and language symptoms and awareness of dissociative features may aid in identifying trauma-related problems and instituting effective treatment. Grounding techniques and specific language interventions can assist children in acquiring the vocabulary needed for communicating both their daily experiences and traumatic histories. The nature of the relationship between dissociation and communication disorders is explored, and the importance of future research, interdisciplinary collaboration, and trauma training in the speech-language curriculum is emphasized.     

Validity of an eyetracking method for capturing auditory–visual cross-format semantic priming

Introduction: Semantic priming paradigms are important for understanding lexical–semantic processing and the nature of linguistic deficits accompanying language performance in neurologically impaired individuals such as people with aphasia. Reaction-time-(RT)-based traditional semantic priming tasks entail potential confounds, especially problematic when applied to people with aphasia, who may have concomitant neurocognitive challenges that limit task performance. Some of these confounds include requirements of following complex instructions, making metalinguistic judgments, and using speech or limb-based motor actions to indicate overt responses. Eyetracking methods have great potential for avoiding some of these confounds. We tested the validity of an eyetracking method in capturing semantic priming in an auditory–visual cross-format priming paradigm (auditory word prime–visual image target).

Method: A total of 72 neurologically unimpaired adults participated in two phases: a stimulus development phase using traditional priming (n = 32) and an experimental eyetracking phase (n = 40). Each phase included two conditions, representing distinct levels of prime–target semantic relatedness: unrelated and related. Mean RT data from the traditional priming (stimuli development) phase guided image selection for the eyetracking experiment. Eyetracking indices of fixation duration and latency of fixation were recorded to capture semantic priming in the eyetracking experiment.

Results: Eye fixation data indicated that images related to auditory primes were attended to earlier and attracted significantly greater visual attention than unrelated images. These results mirrored RT data from the traditional priming method, which showed faster RT latencies and more accurate naming performance for related images than for unrelated images.

Conclusions: Results support the validity of eyetracking indices of semantic priming and offer a robust testing protocol for future studies in this line of research. Current clinical relevance for people with aphasia is highlighted. Further empirical testing of the psychometric properties of the eyetracking measures in various semantic priming contexts is recommended.     

Oral language supports early literacy: A pilot cluster randomized trial in disadvantaged schools

Abstract

This study examined the impact of teacher professional development aimed at improving the capacity of primary teachers in disadvantaged schools to strengthen children's expressive and receptive oral language skills and early literacy success in the first 2 years of school. Fourteen low-SES schools in Victoria, Australia were randomly allocated to a research (n = 8) or control arm (n = 6), resulting in an initial sample of 1254 students, (n = 602 in research arm and n = 652 in control arm). The intervention comprised 6 days of teacher and principal professional development (delivered by language and literacy experts), school-based continuing contact with the research team and completion by one staff member of each research school of a postgraduate unit on early language and literacy. Schools in the control arm received standard teaching according to state auspiced curriculum guidelines. Full data were available on 979 students at follow-up (time 2). Students in the research arm performed significantly better on Test of Language Development: Primary (Fourth Edition) sub-tests (p ≤ .002) and the Reading Progress Test (F = 10.4(1); p = .001) than students in the control arm at time 2. Narrative scores were not significantly different at time 2, although students in research schools showed greater gains. Findings provide “proof of concept” for this approach, and are discussed with respect to implications for teacher professional development and pre-service education concerning the psycholinguistic competencies that underpin the transition to literacy.