• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/91

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

91 Cards in this Set

  • Front
  • Back
Speech Act
An act of communication in which a speaker produces a meaningful sequence of
sounds, these sounds impact a listener’s ears, and the listener decodes a message identical to the one intended by the speaker.
Cognitive Linguistic Processes
Thoughts, feelings, emotions generate an intent to communicate, are organized and converted to verbal symbols in the appropriate language.
Motor Speech Programming
The intended verbal message must be organized for neuromuscular execution.
Neuromuscular Execution
CNS and PNS activity executes by innervating all relevant muscles so that an acoustic signal is generated.
Output of the Phonetics Component
A fully specified string of phonetic segments
e.g. [ailaikmuviz]
Operation 1 of Speech Production
Breakup of segments into articulatory properties
Operation 2 of Speech Production
Sequencing and coordination of neural commands
Operation 3 of Speech Production
Transmission of the neural commands
Operation 4 of Speech Production
Contraction of muscles
Product of Speech Production
A temporal sequence of pulmonary air pressure states, laryngeal states, and articulatory shapes resulting in an acoustic wave
Why is Speech Special?
1. Reorganization of the breathing mechanism
2. Coordination of relatively small muscle groups
within small temporal intervals (thousandths of
a second)
3. Very high information transmission rates
The Task (The process of speech perception)
To extract, from the acoustic signal, the information that will enable the listener to perceive and understand the message intended by the speaker.
Problems of Speech Perception
1. Segmentation
2. Speaker characteristics
3. The question of the basic unit
Phonology
rules for what sounds are in the language and how they can be combined to make meaning
Morphology
rules of word formation
Syntax
rules for putting words together to form sentences
Semantics
rules for word meanings
Pragmatics
rules for conversations
Lexicon
stored information on the sounds and meanings of words
Cognition/Affect
stored experiences and emotions (where communication begins and ends)
Language Development 0-12 months
• Early Reflexive
• Cries, sneezes, grunts, squeals
• Early association of sound with vocalizations
• Later Intentional
• Vocal play and imitation (raspberries)
• Cooing – beginning vowels, turn-taking (motherese)
• Canonical babble (repetitive, bababa), variegated babble
(varied, badapa) and jargon (intonation, bada’pa)
• Intentional communication gestures – reaching (“I want”)
open arms (“pick me up”)
Language Development 12-24 months
• First year
• Uses first meaningful word
• Understands simple commands – “Where’s doggy?”
• Second year
• Vocabulary spurt – approx. 150-300 words
• Naming insight - link between words & objects
• Meaningful word combinations – “My book”
• About 66% of speech is intelligible
Language Development 2-3 years
• Uses pronouns (I, you, me) correctly
• Uses a few prepositions correctly (usually in, on, and under)
• Over-generalizations – errors demonstrating the learning of
language rules (“I eated it”)
• Has a vocabulary of approx. 900-1000 words
• About 90% of speech is intelligible
Language Development 3-5 years
• Can count to ten
• Speech completely intelligible (5th year)
• By the time children enters first grade, they know
approximately 14,000 words. That’s more than 6 new words
a day starting from the day they are born!
• Paradoxical: in most areas of learning, adults perform
better than children
The Critical Period
a period within which it is
maximally easy to learn language. In early
childhood, language learning proceeds quickly,
effortlessly (?), and without formal instruction.
Behaviorist Theory (B.F. Skinner)
Language is learned through
operant conditioning (reinforcement and imitation). Criticism: parents
would have to engage in intensive tutoring in order for language to be
taught properly.
Nativist Theory (Noam Chomsky)
language is a unique human
accomplishment. All children have what is called an LAD, an innate language acquisition device that allows them to produce consistent sentences once vocabulary is learned.
Empiricist Theory (statistical learning theories, connectionist models)
There is enough information in the linguistic input that children receive for
language development. Brain is a learning machine, learns patterns w/o feedback, no need for operant conditioning or LAD.
Intellectual Disability
A disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills. This disability originates
before the age of 18.
Intelligence
A general mental capability involving the ability to reason, plan, solve problems, think abstractly, comprehend complex ideas, learn quickly, and learn from experience.
Adaptive Behavior
The conceptual, social, and practical skills that people
have learned to be able to function in their everyday
lives
Limitations of Adaptive Behavior
performance that is at least 2 standard deviations below the mean of the general population.
Language
A system of communicating with other people using sounds, symbols and words in expressing meaning, emotion, idea or thought.
How are language disorders assessed?
assessed using a range of
standardized tests, as well as direct and reported
observation.
 MLU: Mean length of utterance. Average number of morphemes
(smallest meaningful linguistic units) per utterance.
 Vocabulary Size
Mean Length of Utterance
Average number of morphemes
Causes of Intellectual Disabilities
 Genetic: Down Syndrome, PKU, Fragile X
 Prenatal Injury: Fetal Alcohol Syndrome
 Birthing Problems: Asphyxiation
 Disease: Meningitis, Measles
 Environment: Lead poisoning, Malnutrition
(iodine deficiency, most common preventable)
 Unknown: 30-50%, Autism
Down Syndrome
 Cause: Genetic mutation. All or part of an extra 21st
chromosome (Trisomy 21)
 Incidence: approx. 1 in 900 births. High risk beyond
maternal age of 42.
 Physical features: Hypotonia; flat facial profile;
upslanting eyes; epicanthic fold; small ears, small oral
cavity, in-curving fifth fingers. Features are apparent
at birth
 Language: Cluttered (Nervous); Expression lags
comprehension; Males and females similarly affected;
Focus on production and learning syntax
Fragile X
 Cause: Gene mutation of the X chromosome
 Incidence: 1 in 2000 males, 1 in 4000 females; Most
common inherited cause of intellectual disability
 Physical features: large ears, long face, malocclusion,
hyperextensible fingers, gynecomastia. Features
develop after birth.
 Language: Perseveration; Tangential utterances; Males
more severely affected; Focus on social use, staying on
topic, attending to conversational partner
Phenylketonuria (PKU)
 Cause: Enzyme deficiency on chromosome 12;
Inherited, Failure to break down phenylalanine…
 Incidence: 1 in 15,000 births
 Physical features: Typically light hair and skin.
Otherwise normal.
 Language: Normal if deficiency is detected early
and treated with a special diet low in the amino
acid phenylalanine
Fetal Alcohol Syndrome
 Cause: Alcohol consumption of mother during
pregnancy
 Incidence: Possibly as much as 3 in 1000 births.
 Physical features: Long smooth philtrum, thin upper
lip, wide nasal bridge, epicanthal folds, wide palpebral
fissure
 Language: Chatty, intrusive, inappropriate; Behavioral
problems
Mowat-Wilson Syndrome
 Cause: Recently identified, Genetic mutation
 Incidence: Rare
 Physical features: narrow chin, cupped ears with
protruding lobes, deep and widely set eyes, open
mouth, wide nasal bridge and a shortened philtrum
Autism definition
Abnormal or impaired development prior to age 3
that involves (1) delays or abnormal functioning in
social interaction, (2) deficits in language and
communication, and (3) restricted
interests/repetitive behaviors
Autism: General Overview
Autism
 Cause: Suspected genetic origin, popular suspected
causes for which there is little or no evidence…
 Prevalence: At least 1 in 350; 4 times more likely in
males.
 Physical features: No abnormal features specifically
associated with autism
 Language: Perseveration, echolalia; Early normal
development
Centers
Definition of TBI
Damage to the brain resulting from an
outside source
Epidemiology of TBI
• Leading cause of death and disability worldwide
• Annual incidence in U.S.- 2,000,000
• Cost:
• 1/3 of total cost is health care, 2/3 is lost productivity
• Cost for acute care: $105,823
• Cost for acute rehabilitation: $58,415
• Greatest frequency of occurrence between ages 15-24
• 2 x as frequent in males, 4 x as likely to be fatal
The ways the brain is protected
Protective Head Gear, The Skull, The Meninges
Three membrane layers surrounding the brain, Cerebrospinal Fluid
Surrounds brain and fills ventricles; buffers impact
The ways the brain is injured
Skull fracture, Epidural Hematoma (Build up of blood between the skull and dura), Subdural Hematoma (Build up of blood between the brain and dura), Diffuse Axonal Injury
(Damage to nervous tissue)
Physical Symptoms of Mild TBI
• Headache, vomiting and nausea
• Lack of motor coordination, dizziness, difficulty balancing
• Lightheadedness, blurred vision, ringing in the ears
• Fatigue or lethargy
• Changes in sleep patterns
Physical Symptoms of Moderate to Severe TBI
• Dilation of one or both pupils
• Convulsions
• Inability to awaken
• Dysarthria and aphasia
• Weakness or numbness in the limbs
Behavioral Symptoms of Mild TBI
Mild TBI
• Mood changes
• Confusion
• Trouble with memory, concentration, attention, or thinking
• Tangential thought
Behavioral Symptoms of Moderate to Severe TBI
• Restlessness, irritation and agitation
• Overriding egocentricity
• Lack of inhibitions, poor judgment
• Need to challenge limits
• Criminal behavior
Psychosocial Effects of TBI
• Social isolation
• Loss of independence
• Change in personal/physical identity
• Failing academic achievement
• Loss of job and earning potential
• Costs to survivor and family
Number of Individuals diagnosed with Autism
1 in 110 individuals diagnosed with ASD
Genetics of Autism
 Boys 4 times more likely
 Runs in families (2-8% )
 Higher concordance in monozygotic
twins (60-96%)
 Multiple Gene model:
› About 11 different genes identified so far as
having an increased risk of ASD
› Combination of environmental and genetic
factors
Sensory Issues
 Parents often report children with normal
hearing act deaf
 Many children with ASD have sound
sensitivities
 30% children diagnosed with ASD do not
learn to speak
Definition of Autism
Qualitative and pervasive impairment in social interaction and communication, accompanied by restricted patterns of behavior, interests and activities, and delays prior to age 3 years in social development, play and language used for social communication.
Echolalia
repetition of another person’s
utterance
Perseveration
continued focus or preoccupation with a topic, word, or phrase
Alexithymia
difficulty in identifying and
describing one's emotions
Ratio of Boys to Girls with Autism
4:1
Applied Behavioral Approach (Autism)
– Stimulus-Response-Consequence
– Focus on goal behaviors
– Adult Directed
Developmental Social Pragmatic
– Focus on initiation and spontaneity
– No prescribed behaviors for
reinforcement
– Child Directed
Definition of Learning Disabilities
Significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning, OR mathematical abilities that are intrinsic to the individual, presumed to be due to central nervous system dysfunction.
Assessment of Learning Disabilities
 Intelligence testing
 academic achievement testing (e.g. Weschler Individual Achievement)
 classroom performance
 social interaction and aptitude evaluation
 perception, cognition, memory, attention, and language skills evaluation
 If a child's cognitive ability, so assessed, is much higher than his or her
academic performance, the student is often diagnosed with a learning
disability.
Dyslexia
reading disability
Discalculia
difficulty in learning or
comprehending mathematics.
Dysgraphia
(or agraphia) is a deficiency in the ability to write
Dyspraxia
a motor learning difficulty that can affect planning of movements and co-ordination.
Learning Disabilities by Stage of Information Processing
 Input: Sensory deficits, e.g. difficulty recognizing shapes,
problems sequencing letters or sounds, inability to screen
out competing sounds.
 Integration: Interpretation, generalization, categorization,
relation to past learning. Problems telling a story in the
correct sequence, memorizing sequences of information
such as the days of the week. Inability to see the "big
picture."
 Storage: Problems with short-term or working memory, or
with long-term memory. can make it difficult to learn new
material without many more repetitions than is usual.
 Output: Difficulties with language, expression or motor
skills.
Learning Disabilities: Warning Signs
 Family history
 Difficulty finding words
to express thoughts
 Poor spelling, reverse
order of letters
 Poor penmanship
 Difficulty memorizing
times tables or numbers
in a sequence.
 Disorganized, misplaces
things, untidy
Unaided Communication Methods
– Gesture
– Sign
– Facial Expression
– Body Posture
– Reaching, Pointing
– Vocalizations (coo, cry)
Aided Communication Methods
Alternative and Augmentative Communication definition
Area of practice that attempts to compensate and facilitate for impairment and disabilities of individuals with severe expressive and/or language comprehension disorders.
canonical babbling
no intonation, no contour, single syllable type "babababa"
variegated babbling
no intonation, no contour, variable syllable type "badapaga"
jargon
intonation, contour and variable syllable type.
Nine Disorder Areas of Communication
3 components of language
content, form, use
Thought processes that underlie language
Definition of Knowledge
remembering previously learned material by rote memory or recall
Indirect Language Stimulation/Expansion
The SLP reformulates what
the child said into an expanded, grammatically complete sentence
( e.g., Child: “Dat a truck.”; SLP: “That’s a big truck with black wheels.”)
Focused Language Stimulation
The SLP manipulates the environment to
evoke the child’s spontaneous production of a specific linguistic target using
strategies such as false assertions, feigned misunderstandings, forced choices, violation of routines, etc.
Facilitative Play Approach
The SLP models target language forms and
functions using self-talk and/or parallel talk during client-centered activities in
authentic settings. The child’s interest is maintained by using high-interest,
developmentally appropriate activities.
Model-Imitation/Modeling Plus Evoked Production
The SLP provides a
model of the target and the child imitates it. Specific verbal praise and/or
corrective feedback are provided. Edible, tangible, social, and/or natural
reinforcements may or may not be provided.
Parent Directed
The SLP models specific techniques while
interacting with the child; the parent observes; parent’s questions
are answered; then the SLP observes the parent use the
techniques while the SLP observes; the SLP provides specific
positive and/or corrective feedback to the parent; a home
carryover program is established.
Causes of Language Delays and Disorders
Linguistic Diversity
those whose first language is
either a language other than English or a language
other than “middle-class,” mainstream English who
represent the majority culture in the United States
Cultural Diversity
those whose first language is
either a language other than English or a language
other than “middle-class,” mainstream English who
represent the majority culture in the United States
Cultural Aspects of Verbal Communication
•Semantics (word meaning)
–Our vocabulary “test”
•Syntax (word order)
–Omission of structure or different order
•AAE “He big.” (zero copula)
•Spanish “We went of the afternoon.” (prepositions)
•Asian “She sang song.” (articles)
•Phonology (sound system)
–AAE e.g., f/th, /r/ or /l/ omitted in final position poor --> po or poa
–Spanish e.g., sh--> ch sheet--> cheat
–Asian influenced /r/ & /l/ blends
•Pragmatics (social use)
•Narratives (story telling)
Proxemics
distance while speaking
Why are cultural considerations important?
Most normative, diagnostic and intervention information in communicative disorders is based on majority culture in the U.S. (i.e., English-speaking, caucasian, middle-class people)