T or F
Specific Language Impairment refer to an impairment with otherwise normal intelligence?
True
3 Early researchers who explored issues related to what is now called SLI?
1. Helmer Myklebust (1971)
2. Paula Menyuk (1964)
3 Lois Bloom (1967)
Leonard (1999) terms used in the 1800's included (2 of them)
1. Congential Aphasia
2. Hearing mutism
By the 1950's and 60's terms being used were? (3 of them)
1. Receptive or expressive developmental aphasia
2. Developmental Dysphasia
3. Language learning disabled (LLD) or langugage learning impaired.
Other terms used in the 1960's and 70's
1. Specific language delay
2. Developmental language disorder
3. Childhood aphaisa
4. Minimal brain dysfunction
5. Subclinical brain damage
Bruce Tomblin and Laurence Leonard definition of SLI?
Language impairment is defined as a combinations of normal intelligence (IQ greater than 85) and language impairment.
(a composite language measure falling more than 1.25 SD below the mean)
Overall incidence in the general populations is what %?
1% or 1 in 100
Incidences in Kindergarten children are possibly as high as?
7%-8%
What are the large scale epidemiological studies varied by (3 things)
1. Subject age
2 Assessment tools
3. Diagnostic criteria
Epidemiological evolution of SLI is based on ?
recovery of "late talkers"
Approximately _______% of children may be "late talkers"
15%
Approximately ________ of children catch up to typically developing by 4 years of age.
half
So half do not= 7-8% incidence of SLI
Do Familial aggregation studies suggest a genetic role?
T or F
True
Individuals with SLI are more likely to have a family history of language/learning impairment?
T or F
True
Parent, aunt, uncle with SLI in the family seem to be at greater risk in having SLI.
The incidence in families with a history of SLI is estimated at approximately ____% - ____%.
20%-40%
In twin studies there is a higher concordance in dizygotic twins than in monozygotic twins?
T or F
False
higher in monozygotic twins- means from one egg.
dizygotic- 2 separate eggss
What are the gender differences in SLI?
What are the percentages?
Prevelence slightly higher in boys than girls.
boys 8% girls 6%
Males are _______ times more likely to exhibit SLI?
1.7
Some studies have suggested the role of fetal ______________ levels as a causative agent.
A. Estrogen
B. Testosterone
C. Progesterone
Answer (B)
Some studies suggest that the % of girls and boys with SLI are not significant and some studies have found no difference?
T or F
True
Children in minority groups evidenced lower rates of SLI?
T or F
False
Rates are higher
Name the minority groups of SLI in order from highest to lowest rates of prevealence.
1. African-American
2. Native American
3. Hispanic
4. Caucasian-White
The diffence of prevelance in the minority groups could be contributed to risk factors such as ____________________.
Low SES
socialeconomic status
What are the risk factors related to SES?
Low birth weight
Low income
Low maternal education
What is one of the most salient risk factors for SLI?
Low birth weight
Smoking causes little effect to a childs language ablility, however the factors associated with parental smoking are more important risk factors for SLI.
T or F
True
SLI children is lower SES may have their difficulties compounded by __________________?
their limited access to appropriate services.
Who stated that Perceptual Defict are caused by possible auditory processing factors?
Didn't word this question great, its under "Proposed Theoretical Accounts of SLI"
(Tallal)
- basically SLI people have problems with their auditory processing abilities.
Who stated that suface features saliency?
Didn't word this question great, its under "Proposed Theoretical Accounts of SLI"
(Leonard)
- meaning the morphological inflections at the end of sentences do not stand out to SLI people. ???? on my notes so be cautious.
What does the perceptual deficit not explain?
Does not explain the purely expressive type where comprehension of language features is intact.
Linguisitic Deficit Account
2 key things
1. Missing or aberrant elements of underlying linguisitc elements ("universal grammar") that comprises their linguistic competence.
2. Does not explain the slowness of vocab development in so many of SLI children prior to two years that is not related to grammatical development (neither does the perceptual deficit account)
Which of the 3 "Theoretical Accounts" are the most straight forward and most down to earth.
Normal Distribution Account
What does the Normal Distribution Account state:
1. That SLI Children are not impaired, they are simply at the lower end of the normal distribution of language abilities.
2. If language ability is an aggregate of different abilities- allows for sub-average performance in various aspects of language. ?? not sure what this means.???
Breakdown by type - According to the Diagnostic and Statisical Manual of Mental Disorders
Expressive type has an estimated prevalence of about ___ to _____ %.
3-5%
Breakdown by type - According to the Diagnostic and Statisical Manual of Mental Disorders
Mixed receptive-expressive type has about ___ %.
3
Breakdown by type - According to the Diagnostic and Statisical Manual of Mental Disorders
More controversial is the existence of _________ ________ _________, a subtype that is not included in the DSM-IV.
pure receptive type
What kind of approach used standardized test, language samples and informal observations?
Holistic Approach- meaning multi demensional.
If obtaining information using the Holistic approach you should a variety of ways to obtain this information such as?
1. Standardized Tests - receptive vs. expressive
2. Language samples
3. Informal observations
Diagnosis requires a set of postitive observations?
T or F
True
Negative Diagnois accomplished by excluding other possible causes such as:
4. Narrative Skills - difficulty with narrative structure, story components, effective use of pronouns and significantly fewer connectives.
Linguistic Characteristics
Difficulty with Literacy
1. Deficits in print conventions, phonological awareness, metalinguistic abilities, narrative abilities that underlie reading abilities.
2. Persisting difficulty with reading and writing that frequently lasts into adulthood.
The deficits exhibited by SLI Children are heterogenous?
T or F
True
a variety of specialist may be involved
Name the different treatment techniques for SLI (8)
1. Incidental/Milieu Teaching
2. Focused Stimulation
3. Self-Talk
4. Parallel Talk
5. Expansion
6. Extension
7. Mand-Model
8. Recasting
Define Incidental/Milieu Teaching; one of the treatment techniques for SLI
Settings, play therapy, unstructured
- interactions that arise out of everyday routines to cultivate communication and natural responding.
Define Focused Stimulation; one of the treatment techniques for SLI
Clinician repeatedly models the targeted structure during a supporting activitey.
(bombardment)
Define Self-Talk; one of the treatment techniques for SLI
Clinician describes his or her own activities while playing with the child.
Define Parallel Talk; one of the treatment techniques for SLI
Clinician comments on the child's activities
Define Expansion; one of the treatment techniques for SLI
Clinician expands incomplete utterances into grammatically more complete structures.
Define Extension; one of the treatment techniques for SLI
Build ups and Break downs. ex blue blocks
- Clinician comments on child's utterances adding new semantic information.
Define Mand-model; one of the treatment techniques for SLI
Clinician uses attractive materials to interest the child then mands (requests) a response from the child to obtain materials.
Define recasting; one of the treatment techniques for SLI
Clinician repeats child's utterances wihle recasting (reformulating) it into different grammatical form. (ex. sentences are recast as questions)
ex. the boy is running
is the boy running
what is the boy doing?
- rephase helps with grammatical structure.
Review Fast Forward in our notes, too much to add here.
Outcomes
Late talkers generally "catch up" in alnguage and reading skills by the early grades.
True
SLI children are more varied?
Why?
-Some Catch up
-some continue to exhitbit depressed language skills compared to their other skills
-chldren who have not caught up continue to exhitbit reading difficulties even into adolescence and adulthood.
Between ________ and ______ percent of preschoolers with early language impairment develop _______ difficulities later, often in conjuction with broader academic achievement problems.
40-75%
reading
Regardless of a child's general cognitive ablilites or therapeutic history, in general the risk of reading problems is greatest when a childs language inpariment is severe in any area broad in scope over the preschool years.
True or False
True
Behavioral Outcomes
The SLI group in one study had significantly __________ global self-esteem scores than the group with typical language ablilites.
lower
Adolescents with SLI have been shown to be more outgoing than their peers?
T or F
False - they tend to by shyer
Olders adolescents with SLI are at risk of lower global self-esteem and experience shyness, although they want to interact socially.
T or F
True
Children with SLI have been shown to have ___________ social skills and fewer peer relationships, and were _________ satisifed with the peer relationships in which they participated when compared with their age-matched classmates.
poorer, less
When SLI persists, social skills are ___________ and may persist as __________ maladjustment in adulthood.
depressed, social
Variables related to Positive Prognosis
(5) of them?