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Specific language impairment: diagnostic dilemmas

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... Así, en el campo de estudio dedicado al TEL se establecían y se desechaban posteriormente categorías de subtipos de diagnóstico, por ejemplo, TEL expresivo o TEL mixto (receptivo y expresivo) (DSM-IV, APA, 1994). Algunos autores han abogado por una clasificación diagnóstica basada en el componente lingüístico deficiente (p.ej., TEL gramatical, Bishop, 2004;Bishop et al., 2000a), mientras que otros han propuesto utilizar la gravedad del trastorno para explicar su variabilidad (Leonard, 2009(Leonard, , 2010. ...
... Históricamente se han desarrollado dos modelos para explicar la variabilidad del TEL. Por un lado, se han intentado establecer subtipos del trastorno (Bishop, 2004;Bishop et al., 2000aBishop et al., , 2000bConti-Ramsden et al., 1997). Por otro lado, se han destacado las diferencias individuales de cada paciente diagnosticado con TEL (Leonard, 2014). ...
... A pesar de que ambos modelos han recibido mucha atención por parte de los investigadores y se han probado de manera exhaustiva, todavía no existe un acuerdo sobre cuál de los dos se adapta mejor a la población con TEL (Bishop et al., 2017 1975), clínicas (Rapin y Allen, 1987) o conforme con los diferentes componentes lingüísticos afectados junto con el CI (Tomblin et al., 1997a). Del mismo modo, las investigaciones previas han empleado una serie de métodos estadísticos que incluyen el análisis factorial (Aram y Nation, 1975), análisis cualitativo-descriptivo (Rapin y Allen, 1987), métodos estandarizados o experimentales (Bishop, 2004;Bishop et al., 2000aBishop et al., , 2000b) o análisis de grupos (Conti-Ramsden y Botting, 1999;Conti-Ramsden et al., 1997). ...
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La presente investigación aborda cuestiones relativas a la adquisición del género gramatical en niños hispanohablantes y rusohablantes diagnosticados con Trastorno Evolutivo del Lenguaje (TEL). En concreto, el objetivo del estudio es averiguar si existen diferencias cuantitativas y cualitativas en el uso del género gramatical entre los niños con TEL y aquellos que siguen el desarrollo típico del lenguaje (DT). Con este propósito,hemos elaborado y administrado una tarea de producción elicitada a 111 niños monolingües de dos lenguas tipológicamente distintas, el español y el ruso. Los resultados retratan que, en cuanto al uso del género gramatical, existen diferencias significativas entre los niños con DT y con TEL, tanto en español como en ruso. Del mismo modo, nuestro análisis corrobora que, en líneas generales, el patrón de asignación del género gramatical que utilizan los niños hispanohablantes y rusohablantes es semejante. En conclusión, sugerimos que las futuras investigaciones amplíen la muestra, sobre todo, en lo relativo a diferentes edades de la población con TEL. Igualmente, sería productivo diseñar un programa de intervención logopédica centrado en el refuerzo en las tareas de asignación y de concordancia en el género gramatical para su empleo en las terapias del lenguaje. _____________________________________________________________________________________ This research addresses the acquisition of grammatical gender in Spanish and Russian-speaking children diagnosed with Developmental Language Disorder (DLD). Specifically, the aim of this study is to explore whether there are quantitative and qualitative differences in grammatical gender use between DLD children and children with typical language development (TLD). To this end, 111 monolingual children of two typologically different languages, Spanish and Russian, were tested via an elicited production task. Our findings show that, referring to the grammatical gender use, there are significant differences between TLD and DLD children, in both Spanish and Russian. Furthermore, our analysis shows that, generally, the pattern of gender assignment used by Spanish and Russian-speaking children is similar. In conclusion, we suggest that future research extends the sample of DLD participants, especially concerning different age groups. Additionally, it would be convenient to design intervention strategies focused on the reinforcement of grammatical gender assignment and agreement, so they can be used in language and speech therapies.
... SLI is a disorder that affects between 5 and 7% of the population and limits comprehension and/or production involving difficulties in one, several or all language components, especially morphosyntax in the absence of cognitive, motor or sensory deficits (Leonard, 2014a). The factors that are normally associated with language problems, such as hearing or neurological damage, or low non-verbal IQ, are not affected (American Psychiatric Association (APA), 2013; Bishop, 2004;Leonard, 2015;Schwartz, 2009). ...
... SLI is a developmental disorder that affects to language acquisition and development, in the absence of other medical and psychological conditions. It is heterogeneous (different levels of language could be affected, and the deficits could be receptive or expressive); it is variable with time (different pictures observed across development); and it is non-exclusive, so a child could have different combinations of symptoms (Bishop, 2004). ...
... Diğer geçerli stratejiler; ipucu verme, çocuğa doğru üretimi teşvik etmesi için önerilerde bulunma (Smith-Lock ve ark., 2015) ve işitsel uyarı, örneğin gramer kuralıyla ilgili birtakım öneriler (Fey, 2009;Finestack, 2018) Conti- Ramsden & Botting, 2004;Johnson, 2006). Dolayısıyla, çocuklar ve aileleri için DKT müdahalesi sonuçlarının dikkate değer olduğu ifade edilmektedir (Bishop, 2004;Bishop ve ark., 2016). Geciken bir değerlendirme ve müdahalenin çocuklar ve aileleri için önemli sonuçları bulunmaktadır. ...
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Amaç: Bu çalışma, gelişimsel dil bozukluğu (GDB) olan çocuklar için Türkiye’deki dil ve konuşma terapistlerinin (DKT) ayırıcı tanı ve müdahale konularındaki çözüm odaklı yaklaşımlarına ilişkin bilgi vermeyi amaçlamaktadır. Yöntem: Araştırmada niteliksel bir paradigma içinde, yapılandırmacı bir yaklaşım kullanılmıştır. Fenomenoloji, DKT'lerin GDB'li çocuklara dil ve konuşma terapisi sağlamasını keşfetmek için ana araştırma metodolojisi olarak benimsenmiştir. Analitik yaklaşım olarak ise yorumlayıcı fenomenoloji seçilmiştir. Araştırmaya mesleki deneyim süresi 2 – 16 yıl arasında değişen 15 DKT katılmıştır. Bulgular: Bulgular, DKT'lerin GDB'nin ayırıcı tanısı için formal bir değerlendirme yöntemi olarak sıklıkla geçerlik ve güvenirliği yüksek, standardize bir değerlendirme aracı olan Türkçe Erken Dil Gelişimi Testi (TEDİL) ile klinik içi gözlem ve genellikle vaka geçmişi ile tamamlanan çeşitli informal değerlendirmeler kullandığını göstermektedir. Müdahale seçimi, bireye neyin hitap ettiğine, yaşına neyin uygun olduğuna, spesifik tanı ve bozukluğun şiddetine göre belirlenmektedir. DKT'lere göre ebeveynler ayırıcı tanı ve müdahalede kritik rol oynamaktadır. Sonuç: Bu bulgular, GDB alanında ayırıcı tanının açık ve tutarlı bir terminolojisine (a), günlük yaşama katılımı değerlendirmek için hızlı ve uygulaması kolay (b), kapsamlı bir ayırıcı tanı aracına, mevcut değerlendirme araçlarının güncellenmesine (c) ve GDB’ye yönelik kanıt temelli müdahale yaklaşımlarının tercih edilmesini teşvik edici uygulamaların (d) veya eğitimlerin yaygınlaştırılmasına olan ihtiyacı ortaya koymaktadır.
... Although nonverbal measures hold promise in screening children for potential language impairments (Park et al., 2015), low scores on nonverbal intelligence tests were previously used to exclude children from a diagnosis of SLI. Despite there being evidence that children with SLI tended to exhibit lower performance on nonverbal intelligence tests than neurotypical age-matched children (Gallinat & Spaulding, 2014), there had to be a discrepancy between verbal and nonverbal abilities for children to be diagnosed with SLI--effectively restricting diagnosis to children whose nonverbal abilities were at or above a certain score (Bishop, 2003), that is, 85 and above on a standardized intelligence test with a population mean of μ = 100, σ = 15. As a result of the collaborative effort of the CATALISE ("Criteria and Terminology Applied to Language Impairments: Synthesizing the Evidence") consortium, the field reached the consensus to include children with nonverbal IQs above 70 in the DLD diagnosis (Bishop et al., 2016. ...
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Chapter
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