Communication Disorders Chapter 14 Chapter 14 Communication Disorders Exceptional Lives: Special Education in Today’s Schools (4th ed.) Chapter 14 Defining Communication Disorders How Do You Recognize Students with Communication Disorders? How Do You Recognize Students with Communication Disorders? • • • • ? Communication entails receiving, understanding, and expressing information, feelings, and ideas. Communication and language include both the content and the medium used. Speech and language disorders (often associated with other disorders) – Speech disorder refers to difficulty in producing sounds (cleft palate). – Language disorder refers to difficulty in receiving, understanding, and formulating ideas and information. Cultural diversity – Difference does not always mean disorder. – Dialects are various forms of language. Describing the Characteristics • • How Do You Recognize Students with Communication Disorders? Typical speech development – Follows a typical and predictable pattern and time table – By the age of 8, children can produce nearly all the consonants and vowels that make up the native language. – There is variation among children in the time of acquisition. Speech disorders – Articulation: production of individual or sequenced sounds • Substitutions, omissions, additions, and distortions • If these problems interfere with peer interactions or educational performance: REFER – Apraxia of speech: motor speech disorder affecting the planning of speech • Difficulty with the voluntary, purposeful movement of speech (stroke, tumor, head injury, developmental) • Can produce individual sounds but cannot produce them in longer words or sentences – Voice disorders: pitch, duration, intensity, resonance, and vocal quality – Fluency disorders: interruptions in the flow of speaking • Stuttering: frequent repetition and/or prolongation of words or sounds ? Describing the Characteristics • • How Do You Recognize Students with Communication Disorders? Typical language development – Language development is complex – Depends on biological preparation, successful nurturance, sensorimotor experiences, and linguistic experiences Five components of language – Phonology: the use of sounds to make meaningful syllables and words • Phonemes: individual speech sounds – Morphology: the structure of words • Morphemes: the smallest meaningful unit of speech (e.g., s) – Syntax: the rules for putting together a series of words to form sentences – Semantics: word and sentence meanings for what is spoken – Pragmatics: social use of language ? Describing the Characteristics • How Do You Recognize Students with Communication Disorders? Characteristics of language impairments – Language disorders may be receptive, expressive, or both. – Language disorders may be related to another disability or may be a specific language impairment. • Phonological disorders – difficulty in discriminating differences in speech sounds or sound segments • Morphological difficulties – problem using the structure of words to get or give information (e.g., proper tenses) • Syntactical errors – problem with the correct word order in sentences that meaning is lost for listeners • Semantic disorders – problems using words singly or together in sentences • Pragmatic disorders – problems in the social use of language (e.g., eye contact, body language, organization) ? Identifying the Causes and Prevalence ? How Do You Recognize Students with Communication Disorders? • Two types of speech and language disorders – Organic: caused by an identifiable problem in the neuromuscular mechanism of the person (hereditary malformations, prenatal injuries, toxic disturbances, tumors, traumas, seizures, infectious diseases, muscular diseases) – Functional: those with no identifiable origin • Speech and language disorders can also be classified according to when the disorder began. – Congenital: present at birth – Acquired: occurs well after birth Determining the Presence How Do You Evaluate Students with Communication Disorders? How Do You Evaluate Students with Communication Disorders? • • • • • • ? Speech assessment: speech pathologist uses a standardized articulation test to measure articulation, voice, and fluency problems. Voice evaluations: includes both quantitative and qualitative measures (interviews and case history) Fluency assessments: evaluated through a conversation with the student and interview with parents Three areas to be assessed relative to language interactions in the classroom: – The student’s ability to use language effectively by speaking and listening tasks – The teacher’s language – The language requirements of the lessons and textbooks Assessments for students who are bilingual or multilingual Evaluation teams need to take a holistic view of the student’s communication skills using ecological assessments. Determining the Presence Figure 14-4 ? How Do You Evaluate Students with Communication Disorders? How Do You Assure Progress in the General Curriculum? Including Students Figure 14-5 Describe how students with communication disorders are supported in the general education curriculum. Planning Universally Designed Learning • • How Do You Assure Progress in the General Curriculum? Adapting Instruction – Ask varied types of questions to encourage students’ self-expression – Expand student utterances by using modeling more elaborate language – Augment or alter classroom language by providing statements that explain a student’s nonverbal behaviors – Allow students opportunity to practice public verbalizations – Keep in mind the need of some students for AAC systems – Figure 14-6 (page 417) Augmenting Instruction – Repetition of the curriculum – Visual supports: graphic organizers, photographs, gestures, sign language – Direct instruction in social skills Reflect on how communication disorders can be accommodated in the general curriculum. Augmentative and Alternative Communication (AAC) • ACC systems are an integrated group of components that supplement the communication abilities of individuals who cannot meet their communication needs through gestures, speaking, and/or writing. • An AAC device is a physical object that transmits or receives messages. • Types of AAC: communication books, communication boards, communication charts, mechanical/electrical voice output, computers, etc. • Using the AAC devices: – Using eyes to look at the symbol – Touching the symbols with fingers – Using a laser beam attached to the head – Scanning – Encoding
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