Language Development in Hyperlexia

 

by Karen Kroll, Speech Language Pathologist

This information was presented at the Support and Information Meeting of
the Canadian Hyperlexia Association, February 12, 1998

LANGUAGE DEVELOPMENT may be best viewed within a framework of COMMUNICATION
 

Common Areas Where Language Problems Occur

(1)  Understanding and using language functionally.
Difficulties are exhibited in the areas of:
(a) processing - auditory, visual, and/or other sensory
        stimuli. Children may, for example, find  it easier to attend
        to, and grasp language information that they see, better than that
        which they listen to, and meaning is often difficult to attach to
        words;
(b) formulating - organizing thoughts into meaningful and
        accurate language structures;
(c ) expressing oneself - through spoken, printed and/or
        gestural modes. Motor planning issues may be
        compounding language difficulties;

(2) comprehending the intentions of others
        through their words and language, emotions, expressions;

(3) being able to convey one's own intentions:
              - through understanding oneself;
              - having the ability to attach labels to thoughts;
              -having the neuro-motor functioning and planning
                ability to program the words/language into
                speech;
              -doing this in an emotionally and behaviourally
                appropriate and social way
 

EVALUATION

 Look at the child's particular profile comprehensively
 through multidisciplinary measures in order to gain
 a full, multifaceted description.  Be less concerned with seeking a label
 in the early stages, than obtaining complete and accurate observations and
 findings about him in his many dimensions.

One needs to consider:
- professional assessments (developmental pediatricians, child
psychiatrists, child psychologists, speech and language pathologists,
audiologists, occupational therapists, special educational consultants,
classroom teachers, etc. )
-how he absorbs, processes, and responds to what is in  his world
-biological challenges (S. Greenspan and S. Wieder ):
                -difficulty with sensory reactivity
                 -processing difficulty
                -difficulty creating and sequencing or planning
                responses
- how he relates to his caregivers
- how his caregivers relate to him

PROGRAMME  for the child rather than trying to make him
 fit into a program

Some factors to consider in developing a communication program:

(1) Develop the intent to communicate. Follow his lead. Join into his
activities and interests.  Wean him into interaction, but be persistent.
Communicate with him nonverbally as well as verbally. Try to ensure that
communicating together is a positive experience. Seek professional advice
about strategies that are child specific. Link emotions to communication;

(2) A lot of communication is preverbal and nonverbal. Gesture, facial
expressions, posture, pace, etc., all convey strong messages. Note his
observance of , reaction to , and personal use of these;

(3) Recognize that many of these children have difficulty connecting their
thoughts and feelings to means of expression.
-Give him examples from your life experiences ("I'm sad," "I'm angry." "I
    feel happy.", etc.) Connect these with facial expressions gestures, body
    language. Use mirrors, audio tapes;
-Expand to commenting about others ( on television, books and magazines,
    posters, people watching);
-Draw on his strengths and interests;
-Look into motor planning and sequencing factors that may influence difficulty;

(4) Processing difficulties often hinder understanding.
-cognitive factors: be aware of those that are specific to the child;
-sensory issues: sensory reactivity within different
    modalities can affect learning and lead to misinterpretation;
- emotional component: sensitivity, reactivity, etc. can affect
    processing, especially when in low or  heightened states;
- look at the child's profile in these areas, and how they may be
    interacting and influencing one another;
- attach meaning to words, language, and sensory information by enhancing
    the message with gesture, props, visualization strategies and other
    techniques that can enrich the stimulus ( use a multi-sensory approach );
- speak to him at his language level. This can be accurately determined
    through a professional speech and language assessment;
-many children require extra time to process information. one can assist
    them with this by speaking at a slow-normal rate of speech, allowing for
    pause time before you expect them to respond, being prepared to repeat,
    reward and/or simplify what you have said, and teaching them ways of
    indicating that they have not understood.

5) Communication involves interaction.
-We must examine out patterns of relating to others as well as his.  Look
at the impact of these and make adjustments as needed;
-Areas to observe: -voice -loudness, inflection;
        -language - amount, complexity, pause time, timing, rate
        of speech, incorporation of nonverbal language
        enrichment, exposure ot second languages and/or users of these,
        -turn taking;
        -over reactive behaviours;
        -visual, auditory and other sensory factors that are present
        in the environment may have effects that could cause distraction,
        understimulation, overstimulation, etc. and the resultant
        behaviours associated with them.

6) Weave social language development into many levels and spheres of his
program as early as possible.
-child specific suggestions can be best determined following a professional
speech and language assessment;
-enabling the child to gain control and influence through means of
expression (gesture, pictures, words) is of prime importance.

7) Communication will tend to develop its own inherent rewards if it is
purposeful and enjoyable.
-One should aim to facilitate understanding and expression by targeting
relevant areas and levels in functional, pragmatic and playful ways.
-Focus on areas of high interest and need.  Use them as pivotal points when
beginning to use expansion techniques

8) Use an integrated approach.
-Utilize recommended input from the various professionals that are involved
with his development;
-Find ways so that if the various disciplines are not physically in close
proximity with one another, they can meet periodically as a team in order
to review progress, design current goals and discuss ways of reinforcing
them so that it will allow for maximum carryover;
-Develop means of keeping in touch on an ongoing basis (telephone, fax,
communication book).

9) Development is constantly changing.
-Update professional assessments as recommended;
-Keep a log of behaviours, social and emotional observations, speech and
language (prompted and spontaneous);
-Be vigilant about frequently reviewing goals, revising and developing
stage appropriate techniques that incorporate new areas of interest and
language demands.

10) Try to obtain the support that you need.
(physical, emotional, educational, financial, professional)
-Request specific information and suggestions in these areas from relevant
professionals, professional groups, parent support groups and association,
resource  centres and materials, conferences;
-You may want to assist in some areas and advocate when necessary.
 

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