- Susan LaVorgna Elementary School
- Answers to Questions About Speech Disorders
Portillo, Elizabeth (Speech and Language Pathologist)
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"ONE OF THE HARDEST THINGS IN LIFE IS HAVING WORDS IN YOUR HEART THAT YOU CAN'T UTTER." -JAMES EARL JONES (Voice of Darth Vader)
WHAT IS A SPEECH-LANGUAGE DISORDER?
- Per the American Speech-Language-Hearing Association (ASHA), a language disorder is impaired comprehension (understanding) and/or use of spoken or written language and/or other symbol systems (e.g. sign language). The disorder may involve one or all of the following:
*Form of Language:
- Phonology is the sound system of a language and the rules that govern the sound combinations.
- Morphology is the system that governs the structure of words and the construction of word forms.
- Syntax is the system governing the order and combination of words to form sentences, and the relationships among the elements within a sentence.
*Content of Language:
- Semantics is the system that governs the meanings of words and sentences.
*Function of Language:
- Pragmatics is the system that combines the above language components in functional and socially appropriate communication
*Voice and Fluency Disorders (stuttering) may also be a part of communication deficits.
What difficulties might a child with a speech disorder experience?
A child with speech difficulties may demonstrate one, some or serveral of the following:
*Speech disorders include sound production (articulation), voice difficulties (e.g. hoarse voice) and fluency (stuttering)
- Difficulty with academic development in spelling, reading and/or writing
- Difficulty being understood by others
- Difficulty with speech fluency (stuttering)-may repeat sounds, words or phrases
- Secondary characteristics (e.g. lip quivering, strain, tension in face, jaws, throat)
- Hoarse vocal quality, reduced volume, pitch breaks, loss of voice or other related voice problems
- Difficulty saying specific sounds (e.g. wabbit/rabbit; chew/shoe)
- Inconsistent errors in speech sounds (apraxia)
- Difficulty with phonemic awareness (e.g. how sounds and letters are related)
- Late or delayed speaking development
- Difficulty participating in conversational exchanges
- Frustration-Crying, tantrums, behavior changes
- Maladaptive Behaviors-if you can’t communicate, how can you get your
wants/need across to people? = frustration/anger - Overall academic difficulties, especially in language arts
What difficulties might a child with a language disorder experience?
A child with language difficulties may demonstrate one, some or serveral of the following:
- Limited vocabulary-may use very few words or only simple/familiar words
- Late or delayed speaking development
- Limited grammar-may omit grammar structures or use them inappropriately
- Limited sentence length-may use short phrases or sentences with “telegraphic”
type speech. Telegraphic speech sounds very much like a telegram. It has words
arranged in an order that makes sense, and contains almost all nouns and
verbs (e.g., “me no go.” “Girl kick ball” “get milk). - Difficulty engaging in conversations.
- Difficulty following directions, especially multiple steps and/or directions that
include concepts (e.g., descriptive words, prepositions 🡪 under, behind) - Difficulty answering questions (simple or more complicated).
- Difficulty engaging socially-if you can’t communicate, how do you interact with
people? - Frustration-Crying, tantrums, behavior changes
- Maladaptive Behaviors-if you can’t communicate, how can you get your
wants/need across to people? = frustration/anger - Overall academic difficulties, especially in language arts
Language disorders may include receptive, expressive or both:
Receptive Language-The understanding of what is being stated by a speaker; having dificulty interpreting oral language. A child with receptive language concerns may be unable to connect words and ideas together for the bigger overall meaning. Difficulty with receptive language may cause your child to have a hard time participating in class, following directions, understanding questions, responding to requests or understanding vocabulary.
Specific signs of receptive language disorders may include:
- Appears as though they are not listening or may be uninterested in interactions or stories
- Answers with off topic or unrelated information
- Infrequently asks questions or makes comments
- Does not respond to requests or questions
- Difficulty following directions or performs only parts of directons/tasks
- Often looks to adults or other peers for directions/actions
- May wait to copy what others are doing
- Frequenly misunderstands or misinterprets what is being said
- Responds more readily to directions that are short and simplified
Expressive Language: Difficulty expressing thoughts and ideas. Challenges with verbal expression which may include difficulty using appropriate grammar, developing vocabulary and developing narrative skills (event/story telling). A child with expressive language concerns may be unable to formulatie sentences or connect ideas verbally to comment, request, ask/answer quesitons or participate in conversational interactions. Difficulty with expressive language may cause your child to have a hard time participating in class, interacting with adults/peers, answering questions, using descriptive language or developing social relationships.
Specific signs of expressive language disorders may include:
- Late talker-child may not begin talking until age 2-2 1/2 years
- Speech may sound "telegraphic" in nature
- Grammar may be omitted or frequently used in error
- May become frustrated or upset by inability to communicate
- Uses "rote" language-common phrases memorized and/or used repetitively
- Uses limited vocabulary and/or may have difficulty learning new vocabulary
- May frequently use non-specific language (e.g. stuff, thing, it, that, there)
- May be difficult to understand
- Frequently says “um” and substitutes general words like “stuff” and “things” for more precise words
- Leaves out key words and confuses verb tense
- Uses certain phrases over and over again when talking
- May not talk much or often, but understands what other people say
How can I get help for my child and what can I do?
*If you have a concern about your child's speech-language development, please contact your child's teacher so a speech referral can be made to our department. To access referral policies and procedures click here. To access activities, ideas and help for home, please see Parent/Teacher Strategies/Resources for Parents/Teachers.