Page 65 - The Modul of Psycholinguistics Studies_2
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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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