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1.  Speech Disorders in Children a Psycholinguistic Perspective
                    The  terminology  used  to  describe  speech  problems  is

            rooted in classificatory systems derived from different academic
            disciplines.  In  order  to  understand  the  rationale  behind  the

            psycholinguistic  approach,  it  is  helpful  to  examine  other
            approaches  and  compare  how  speech  problems  have  been
            classified  from  different  perspectives.  Three  perspectives  that

            have been particularly influential are the medical, linguistic, and
            psycholinguistic perspectives.
                    In a medical perspective, speech and language problems

            are classified according to clinical entity. Commonly used labels
            include  dyspraxia,  dysarthria,  and  stuttering.  Causes  of  speech

            difficulties  can  be  identified  (e.g.,  cleft  palate,  hearing  loss,
            neurological  impairment)  or  an  associated  medical  condition  is
            known (e.g., autism, learning difficulties, Down syndrome).

                    Viewing  speech  and  language  disorders  from  a  medical
            perspective  can  be  helpful  in  various  ways.  First,  through  the

            medical  exercise  of  constructing  a  differential  diagnosis,  a
            condition may be defined when symptoms commonly associated
            with  that  condition  are  identified;  two  examples  are  dyspraxia

            and  dysarthria.  Second,  for  some  conditions,  medical
            management  can  contribute  significantly  to  the  prevention  or

            remediation  of  the  speech  or  language  difficulty,  such  as  by
            insertion  of  a cochlear implant  to  remediate  hearing  loss  or  by
            surgical repair of a cleft palate. Third, the medical perspective

            may  be  helpful  when  considering  the  prognosis  for  a  child's
            speech  and  language  development,  such  as  when  a  progressive

            neurological condition is present.


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