Infant-Directed Speech
Infant-Directed Speech
All cultures have specific ways of
interacting with young language learners. In
Western cultures,
such as that in the United States, adults speak directly to
in-
fants from birth using a unique speech register called
infant-directed (ID) speech.
Noticeable characteristics of ID
speech include a high overall pitch, exaggerated
pitch contours,
and slower tempos than those used in adult-directed (AD)
speech.
ID speech effectively attracts and maintains infants’
attention, and infants seem
to prefer it to AD speech (Cooper
& Aslin, 1990; Fernald & Kuhl, 1987). In addi-
tion to
eliciting attention, ID speech may facilitate language acquisition in
several
ways, such as clarifying vowels (Bernstein Ratner, 1986;
Kuhl et al., 1997), and
aiding acquisition of words (Fernald,
2000; Fernald & Mazzie, 1991; Golinkoff
& Alioto, 1995).
See Chapter 5 for more information on the role of ID speech in
language acquisition.
Dialects
Dialects
Everyone has a dialect. Dialects are regional or social
varieties of language that
differ from one another in terms of
their pronunciation, vocabulary, and grammar.
In comparison,
accents are varieties of language that differ solely in
pronunci-
ation. The second author of this text (L.J.), born and
raised in Ohio, speaks the
dialect of English associated with
the geographic Midwest, called the Midland di-
alect. However,
her father was born and raised in the Cumberland Gap region of
Tennessee, and still has traces of an Appalachian English
dialect. By contrast, the
first author of this text (K.T.) was
born and raised in the Baltimore area and speaks
Expanding transportation and communication networks can also affect a re-
Expanding transportation and communication networks can also affect a
re-
gional dialect in the same two ways: It may vanish or it may
become more pro-
nounced. Such networks have an impact on
once-isolated regions, such as small
islands along the eastern
seaboard of the United States, which now host tourists
from many
dialect regions of the country.
Shifting cultural centers also influence dialect change in the United States
Shifting cultural centers also influence dialect change in the United
States. Sub-
urban areas are now becoming influential in the
development of dialects, just as
large urban areas once were.
One example of how a large nonurban cultural center
can give
life to a new regional variety is California English, whose speakers
intro-
duced such words as dude and awesome, as well as the
discourse marker like to
introduce quoted speech rather than
using the word said (I called my dad and he
was like “Hey, what
have you been up to?” I was like “Well, I’ve been working and
studying.”). As you study the next section of the chapter, you
may be interested to
check out an expansive collection of North
American English dialects (including
many audio samples),
maintained by Rick Aschmann, a self-proclaimed collector of
dialects, at http://aschmann.net/AmEng/.
Southern Dialects
Southern Dialects. Southern dialects are among the more recognizable
varieties
of American English. Specific southern dialects
include Appalachian English, Smoky
Mountain dialect, South
Carolina dialect, Texas English, New Orleans dialect, and
Memphis dialect, although the general dialect of the region is
southern American di-
alect. Southern American dialect differs in
its phonology, grammar, and lexicon from
Northern Dialects
Northern Dialects. Dialects of the North include New England dialect,
Boston
dialect, Maine dialect, Pittsburgh dialect, New York City
dialect, Philadelphia dialect,
and Canadian English. You are
likely familiar with the Boston dialect if you have
heard reruns
of the long-running National Public Radio show, Car Talk featuring
brothers,
Midwestern Dialects
Midwestern Dialects. Persons from areas such as Chicago, Illinois,
Ohio,
St. Louis, Missouri, and Michigan speak midwestern
dialects. These dialects,
which some people erroneously claim to
be accent free or most typical of a
“standard” American dialect,
actually have phonological, grammatical, and lexi-
cal features
that differentiate them from other regional dialects. With respect to
phonology, midwestern dialects tend to merge the vowel sounds in
the words
Don–Dawn, hot–caught, dollar–taller, sock–talk into a
single vowel sound, ren-
dering the words “Don” and “Dawn”
virtually indistinguishable. Because of the
Western Dialects
Western Dialects. Because the western United States was settled more
recently
than other regions of the country were, the western
dialect area remains largely
undefined (Conn, 2006; W. Labov,
Ash, & Boberg, 2005). In some respects, western
dialects
share features with their northern and southern counterparts.
Phonologi-
cally, many western dialects have a single vowel for
the words caught and cot, as
do midwestern dialects. Some
western dialects, particularly in California, exhibit
fronted
back vowels, so that totally sounds like “tewtally” and dude sounds
like
“diwd” (Conn, 2006). Other western dialects include Utah
dialect; Portland, Oregon
dialect; and Arizona English.
American English Sociocultural Dialects
American English Sociocultural Dialects
Sociocultural dialects
differ from geographical dialects of the West, Midwest, North,
and South in that they transcend region. Instead, persons from
certain socioeco-
nomic classes and cultural orientations speak
these dialects. Three examples of so-
ciocultural dialects are
African American Vernacular English, Chicano English, and
Jewish English.
African American Vernacular English (AAVE)
African American Vernacular English (AAVE) comprises the English
dialects
that many descendants of enslaved persons speak. AAVE
dialects emerged during
the period when persons from Africa
arrived in the United States. Persons speaking
the same African
languages were often separated to prevent uprisings. In addition,
once the enslaved persons arrived in the United States, they
were not permitted
to attend schools. As a consequence of these
practices, African Americans began
to form pidgins (discussed
later in the chapter), which were combinations of their
African
languages and the European languages they were exposed to, so they
could
communicate with their owners and with other enslaved individuals.
Pidgins
Pidgins
A pidgin is a simplified type of language that develops
when speakers who do not
share a common language come into
prolonged contact. Pidgins have no native
speakers; instead,
people use them as a second language, particularly when they are
conducting business with one another (Southerland, 1997).
Pidgins typically use the
lexicon of the more dominant of the
two languages, and the phonology and syntac-
tic structure of the
less dominant language, as is the case for the Hawaiian Pigdin
English that Philippine laborers in Hawaii spoke prior to the
1930s (Southerland,
1997). Hawaiian Pidgin English included
lexical items of the more dominant lan-
guage (English), and
syntactic structure of the less dominant language (Philippine
languages)—for example, by omitting the copula to be verb when
describing a per-
manent attribute of a person or an object
(e.g., “Da man tall”; “Da lady short”
Creoles
Creoles
Pidgins become creoles when speakers pass them down
through generations as a first
language. Creoles continue to
evolve and become more elaborate and stable with
each new
generation of native speakers. Some creoles remain nondominant in
their
community, whereas others gain status as official
languages. See Language Diversity
and Differences: Nicaraguan
Sign Language for a discussion of how Nicaraguan Sign
Language
evolved among a group of people who did not share a common language.
Bilingualism
Bilingualism
Bilingualism is a term that describes the process
whereby children essentially acquire
two first languages. Many
young children around the world acquire more than two
first
languages. The term used to describe this process is multilingualism.
However,
for the sake of simplicity, in this text we use the
more common term bilingualism to
describe children who acquire
two or more first languages. Some children acquire
two or more
first languages from birth, whereas others acquire them sequentially.
Simultaneous Bilingualism
Simultaneous Bilingualism
With simultaneous bilingualism, a
child acquires two or more languages from birth,
or
simultaneously. Simultaneous bilingual children usually receive
language input in
two or more forms from their parents,
grandparents, other close relatives, or child
care providers.
Simultaneous bilingualism occurs in one of two contexts: A child
is part of a majority ethnolinguistic community, or he or she is
part of a minority
ethnolinguistic community (Genesee et al.,
2004). Bilingual children from these two
types of communities
may experience different degrees of success in acquiring and
maintaining proficiency in their two first languages.
A majority ethnolinguistic
A majority ethnolinguistic community is a group that speaks a
language the
majority of people in an area (e.g., country,
state, province) value and assign high
social status. The
language the majority ethnolinguistic community speaks may be
an
official language in the community, or it may be the unofficial
standard in the
community. In general, persons from a majority
ethnolinguistic community share
cultural and ethnic backgrounds.
Examples of majority ethnolinguistic communi-
ties include
Standard American English (SAE) speakers in the United States, French
speakers in France, and German speakers in Germany.
contrast
In contrast to a majority ethnolinguistic community, a minority
ethnolinguistic
community is a group that speaks a language few
people in the community speak
or value. Languages that people in
minority ethnolinguistic communities speak
may have lower social
status, and may receive little or no institutional support.
Historically, Spanish was considered a minority ethnolinguistic
community in the
United States, although in many communities
that is certainly not the case. For
instance, in the Laredo,
Texas, metropolitan area, 92% of people speak a lan-
guage other
than English at home—which, in 99% of the cases, is Spanish
Sequential Bilingualism
Sequential Bilingualism
Sequential bilingualism is similar to
simultaneous bilingualism in that a child
acquires two first
languages. The difference is that the child learns the two first
languages in succession, usually within the first 3 years of
life, before developing
proficiency with only one of the
languages. Children may acquire two or more
languages
sequentially rather than simultaneously for two reasons. First, some
par-
ents prefer to use a single language from birth and wait to
introduce an additional
language. Second, input from one
language may not be available immediately after
birth. For
example, a child may start to attend child care with a provider who
speaks a different language, or a child’s grandparents, who
speak a different lan-
guage, may move to the area after the
child has begun to acquire one language.
Children who acquire
two or more languages sequentially experience the same
advantages and setbacks children who acquire multiple languages
simultaneously
experience, depending on their status in a
majority or minority ethnolinguistic
community.
Two Systems or One
Two Systems or One?
Researchers disagree as to whether bilingual
children have two separate language
systems from the start or
begin with a single language system that eventually splits
into
two. Some time ago, Volterra and Taeschner
Code switching
Code Switching
A common phenomenon among bilingual individuals
is code switching, or code
mixing. In this process, speakers who
have more than one language alternate
between the languages. The
character, Gloria on the TV show, Modern Family uses
code
switching when she incorporates words and phrases from her native
lan-
guage, Spanish
interutterance
mixing
When the alternation occurs within a single utterance, it is called
intrautterance mixing (or, within one sentence, intrasentential
mixing). These
two examples were produced by Isabella, a
3-year-old Spanish–English bilingual
speaker (Arias &
Lakshmanan, 2005):
Second language acquisition
Second language acquisition (SLA),
or L2 acquisition, is the process by which chil-
dren who have
already established a solid foundation in their first language (L1)
learn an additional language. Second language acquisition
usually takes place in
the context of a school, either as the
majority language for a particular community
or as a foreign
language. Some researchers use the term instructed second language
Second language acquisition
Transfer
Transfer is the influence of one’s L1 on his or her L2 development.
For ex-
ample, with respect to phonology, Spanish speakers
learning English may exhibit
spirantization, whereby the stop
sound in the English word caddy sounds more
like the fricative
sound in the word Cathy. With respect to syntax, Spanish
speak-
ers learning English may reverse the order of adjectives
and nouns, consistent with
Spanish word order (e.g., the store
new instead of the new store). In some cases,
greater similarity
between an L1 and L2 can lead to greater transfer of L1 features
to the L2 (including syntax, semantics, phonology, morphology,
and pragmatics). In
other cases, greater similarity between an
L1 and L2 may lead to less transfer of L1
features to the L2
(possibly because the learner does not believe certain structures
work similarly in the L1 and L2), so research has not been fully
conclusive as to the
predictability of language transfer.
interlanguage
During the process of L2 acquisition, speakers create a language
system called
an interlanguage that represents the learner’s
evolving second language knowl-
edge, patterns, and rules. Other
terms that characterize an L2 learner’s developing
language
system include learner language, approximative system, and
idiosyncratic
dialect (Hummel, 2014). The interlanguage includes
elements of the L1 and the L2,
as well as elements found in
neither of the two languages (Gass & Selinker, 2001).
For
example, evidence of L1 phonology and syntax in the L2 is often
evident in
the interlanguage (see Table 9.2). In addition to
phonology and syntax, one’s in-
terlanguage is also evident in
morphological, semantic, and pragmatic aspects of
language.
Depending on a person’s exposure to and education in the L2,
linguistic
forms of the interlanguage may stabilize with time.
Language stabilization occurs
Language stabilization occurs
once the interlanguage stops
evolving and L2 learners reach a plateau in their lan-
guage
development. Gass and Selinker (2001) cautioned that because of a lack
of
research on the extent to which L2 learners experience
temporary or permanent
plateaus in their development,
practitioners should avoid using the term language
fossilization. To say a student’s language has become fossilized
conveys that the
student is no longer making progress in his or
her L2 acquisition, or that that stu-
dent is permanently trapped
in the interlanguage
Overgeneralization
Overgeneralization is a developmental process we discussed in Chapter
5, with
regard to word learning. Overgeneralization also occurs
in second language acquisition
and refers to situations when a
learner incorrectly overextends or applies rules in the
L2, such
as using the past tense ending -ed with irregular verbs as in, “We
drinked it.”
Avoidance
Avoidance is another common developmental process in L2 acquisition
and de-
scribes when a learner avoids using sounds, words, or
grammatical constructions he
or she finds to be difficult or
does not know. For example, although the first author
(K.T.)
studied Spanish in classroom settings for more than 10 years, she
still avoids
using the subjunctive mood (which expresses doubt,
uncertainty, and conveys sub-
jectivity) in conversations because
she does not have as strong of a grasp on the
subjunctive as the
indicative mood (which expresses factual information, certainty,
and conveys objectivity).
Attitudes and Policies Regarding Dual Language Instruction
Attitudes and Policies Regarding Dual Language Instruction
Dual
language instruction has been an important consideration throughout
history.
In ancient times, when written materials were scarce,
students who wanted to read
widely had to learn more than a
single language (Lessow-Hurley, 1990). Ancient
societies thus
valued and endorsed dual language instruction. In later times, dual
language instruction became important for religious purposes.
For example, Latin
remained the language of worship for
Catholics, and Hebrew persisted as the lan-
guage of worship for
Jews, well after people ceased to use these languages in their
homes and communities. In more modern times, dual language
instruction has en-
dured in most areas of the world, especially
in countries with official bilingualism,
such as Canada, Israel,
and Belgium.
English as a Second Language
English as a Second Language
Learning English as a second
language (ESL) occurs when a person who speaks
a first language
other than English then learns English in the context of an
En-
glish-speaking country, such as England or the United States.
Sometimes people re-
fer to learning English as an additional
language (EAL) when a person who speaks
two or more languages
subsequently learns English. Within U.S. schooling, the term
English language learner (ELL) or English learner (EL) is often
used to describe
children identified as having limited English proficiency.
Principles
Principles. Language structures are language units, or forms one can
observe
directly. The contrastive analysis hypothesis posits
that a learner will acquire lan-
guage structures easily when the
structures are similar in the two languages and
will experience
difficulty acquiring language structures when they differ in the two
languages. This process is called L1 interference. Because the
contrastive analysis
hypothesis is a nurture-inspired theory,
proponents believe L1 acquisition and L2
acquisition are similar
processes, both of which benefit from imitation, practice,
repetition, and reinforcement of language behavior.
Implications for L2 Instruction
Implications for L2 Instruction. Given that L1 interference makes it
diffi-
cult for learners to acquire L2 structures, one
implication for L2 instruction is a
process called contrastive
analysis. Contrastive analysis involves performing a
structural
analysis by identifying aspects of the L1 and L2 that differ. The
learner
would then focus on practicing the aspects of the L2
that differ so as to avoid
reinforcing behaviors or habits from
the L1. The learner would also work to
replace L1 habits with L2
habits. Contrastive analysis was especially prevalent
in the
1950s and 1960s, when behaviorist theories were also more widespread.
Another implication for instruction (which may be more common
today) is per-
forming contrastive analysis in a more simplified
manner to help identify and
explain errors in a learner’s L2.
What is a Language Disorder
What is a Language Disorder?
Practitioners and researchers use
many terms to describe language disorders in
children, including
language delay, language impairment, language disability, and
language-learning disability. In general, all of these terms are
synonyms used to
describe individuals who exhibit significant
impairments in the comprehension
and/or production of language
in form, content, and/or use. Additionally, this im-
pairment
must be significant enough to have an adverse impact on an
individual’s
social, psychological, and educational functioning
and cannot reflect a language
difference, such as dialectical variation.
Prevalence
Prevalence
Language disorders are the most prevalent (common)
type of communication im-
pairment affecting children, and often
seem to contribute to other issues as well,
including problems
with social well-being (e.g., making friends with others) and
academic achievement, particularly in reading. It is important,
therefore, for parents,
educators, physicians, and others to be
aware of common signs of language diso
Late language emergence (LLE),
Late language emergence (LLE), which generally equates to having
a slow start in language, occurs in an estimated one in five
children (19%;
Zubrick, Taylor, Rice, & Slegers, 2007).
Children with LLE, also called late talk-
ers, are usually
identified at about 2 years of age. Recall that language
pro-
duction really starts to “take off” at around 1 year of age,
when many children
produce their first word, and that by 18
months or so, children have acquired a
productive vocabulary of
about 50 words and begin to produce some two-word
combinations
(mommy go, want baba).
secondary language impairment,
The prevalence of secondary language impairment, language
disor-
ders resulting from or secondary to other conditions, is
more difficult to es-
timate. Common types of secondary language
impairment include intellectual
or cognitive disability and the
autism spectrum disorders. Recent estimates
from the Centers for
Disease Control and Prevention (CDC, 2015)
Who Identifies and Treats Children
with Language Disorders?
Who Identifies and Treats Children
with Language
Disorders?
A variety of professionals are involved with the
identification and treatment of lan-
guage disorders in children.
Some professionals provide direct services, whereas
others
provide indirect services. Direct services include diagnosing language
disor-
ders and providing treatment to children with disorders
through clinical and educa-
tional interventions. Indirect
services include screening children for the possibility of
language disorders and referring them for direct services, as
well as counseling par-
ents on approaches to supporting language
development in the home environment.
Speech–Language Pathologists
Speech–Language Pathologists
Speech–language pathologists, or
SLPs, are frequently the lead direct service pro-
vider for
children with language disorders. The scope of practice for SLPs as
related
to language disorders includes a number of pertinent
responsibilities, including
Psychologists
Psychologists also hold important responsibilities in the
identification and treatment
of child language disorders, and
also conduct research important to our under-
standing of how to
identify and treat these disorders. Cognitive and perceptual
psy-
chology and developmental psychology are two branches of
psychology that conduct
research relevant to child language
disorders. These researchers conduct basic and
applied research
on human perception, thinking, and memory, with developmen-
tal
psychologists emphasizing growth in these capacities over the
lifespan. Their
research helps us answer such valuable questions
as, “What demographic factors
General Educators
General Educators
General educators include preschool,
elementary, middle school, and high school
teachers. General
educators have the important role of identifying children in
their classrooms who may show signs of difficulty with language
within the
Special Educators
Special Educators
Special educators have a critical role to play
in supporting the educational
progress of children with
identified language disorders. The field of special
education
has grown as a result of federal legislation mandating the free and
appropriate education of children with disabilities in our
nation’s schools. Cur-
rently, there are more than 400,000
special educators teaching the nearly 6 mil-
lion children with
disabilities in our nation’s schools (Bureau of Labor Statistics,
2015). Nearly one-fourth of these children with disabilities
have disabilities of
speech and language (U.S. Department of
Education, National Center for Educa-
tion Statistics, 2015).
Early Interventionists
Early Interventionists
Early interventionists (sometimes called
child development specialists) are pro-
fessionals with
specialization in intervention for infants and toddlers. The field
of early intervention is a new one, growing out of the 1986
reauthorization and
amendment (P.L. 99-457) of the original 1975
Individuals with Disabilities Educa-
tion Act. The original act
legislated special education services for children ages
6 to 21,
with some support available for preschool programs serving children
ages
3 to 5. In light of concerns raised about access to
services for children who were
even younger, the 1986
reauthorization provided federal support to states to imple-
ment
early intervention services to children with identified or suspected
disabili-
ties from birth to age 2. Obviously, states needed
well-trained professionals—early
interventionists—to support
their design and implementation of statewide early
intervention
systems. P.L. 99–457 provided states with considerable flexibility in
de-
termining the credentials early intervention personnel
require, and there remains
great variability across the nation
in the training provided to and required by these
professionals.
Audiologists
Audiologists
Audiologists are specialists in identifying,
assessing, and managing disorders of the
auditory, balance, and
other neural systems. Audiologists are often involved in the
Otorhinolaryngologist
Otorhinolaryngologist
Otorhinolaryngologists, or ear–nose–throat
physicians (ENTs), are close collabora-
tors in the diagnosis and
management of language disorders that result from injury
or
illness of the ear, nose, or throat. They are a particularly important
team member
for children who exhibit slow language development
as a function of otitis media
(OM) or other types of hearing
loss. OM is one of the most common causes of hear-
ing loss in
children. It results from a viral or bacterial infection of the middle
ear
space, and in some instances the middle ear space is filled
with fluid, which damp-
ens their hearing ability. Some estimates
indicate that at any given point, about 10%
of children have OM
(Monasta et al., 2012). When OM persists either in a single
case
of the disease or through chronic infections (e.g., five or six in a
given year), a
child may exhibit delays in the acquisition of
language. The ENT has the key role of
halting the progress of OM
through use of antibiotics and/or the insertion of
pres-
sure-equalizing tubes (PE tubes) into the eardrum to
equalize pressure between the
middle and outer ear and to
release any fluids in the middle ear space. ENTs often
work
closely with speech–language pathologists and audiologists to promote
the
language and hearing achievements of children with chronic
hearing lo
Specific Language Impairment
Specific Language Impairment
Defining Characteristics As
mentioned previously, SLI (also called primary lan-
guage
disorder) is a developmental disability in which an individual shows a
significant impairment of expressive or receptive language that
cannot be attributed
to any other causal condition (Leonard,
2014). Children with SLI have typical hear-
ing skills (although
they may have a history of middle-ear infections); normal
intelligence; and no obvious neurological, motor, or sensory
disturbances, such as
seizures or brain injury.
Defining Characteristics
Defining Characteristics As mentioned previously, SLI (also called
primary lan-
guage disorder) is a developmental disability in
which an individual shows a
significant impairment of expressive
or receptive language that cannot be attributed
to any other
causal condition (Leonard, 2014). Children with SLI have typical
hear-
ing skills (although they may have a history of middle-ear
infections); normal
intelligence; and no obvious neurological,
motor, or sensory disturbances, such as
seizures or brain injury.
causes
Causes
No known cause for SLI has been identified, although
advances in brain-imaging
and epidemiological research suggest a
strong biological and genetic component
to this disorder
(O’Brien, Zhang, Nishimura, Tomblin, & Murray, 2003; Reader
et al., 2014). Children who have immediate family members with
language
impairment are more likely than other children to
develop SLI, and 20%–40% of
children with SLI have a sibling or
parent with a language disorder (Rice, Haney,
& Wexler, 1998)
Difficulties with nonverbal communicative behaviors. When individuals com-
municate
2. Difficulties with nonverbal communicative behaviors. When
individuals com-
municate, they use a variety of nonverbal
communicative behaviors to supple-
ment their verbal behaviors.
For instance, we use gestures, eye contact, and
facial
expressions as a vehicle to communicate. Individuals with ASD show
sig-
nificant difficulties with this aspect of communication. For
instance, they may
not use gestures or eye gaze when
communicating in ways that conform to
their cultural norms.
Difficulties with nonverbal communicative behaviors
Difficulties with nonverbal communicative behaviors. When individuals
com-
municate, they use a variety of nonverbal communicative
behaviors to supple-
ment their verbal behaviors. For instance,
we use gestures, eye contact, and
facial expressions as a
vehicle to communicate. Individuals with ASD show sig-
nificant
difficulties with this aspect of communication. For instance, they may
not use gestures or eye gaze when communicating in ways that
conform to
their cultural norms.
Difficulties developing and maintaining relationships with others.
Difficulties developing and maintaining relationships with others.
Individuals
with ASD typically have significant difficulties in
their relationships with others.
They may have no interest in
having relationships with others, they may have
difficulties
engaging in play with others, and they may seldom if ever initiate
with peers.
Causes
Causes
ASDs are neurobiological disorders that are believed to
result from an organic brain
abnormality (Hall, 2012). Genetic
research showing high rates of co-occurrence
between monozygotic
twins indicates that there is a strong biological basis of this
disability. Some factors may increase a child’s risk for
developing autism. Certain
prenatal and perinatal complications,
particularly maternal rubella and anoxia (lack
of oxygen to the
brain), are associated with an increased risk for autism, as is the
presence of some developmental or physical disabilities, such as
encephalitis (an
inflammation of the brain) and fragile X
syndrome (a genetic disorder that resul
Intellectual Disability
Defining Characteristics
Intellectual Disability
Defining
Characteristics
Intellectual disability (ID) is a “condition of
arrested or incomplete development
of the mind, which is
especially characterized by impairment of skills manifested
during the developmental period” (American Association on Mental
Retardation
[AAMR], 2002, p. 103). ID is diagnosed in children
younger than age 18 years who
meet two criteria: (a) significant
limitations in intellectual functioning and (b) signif-
icant
limitations in adaptive behavior (AAMR, 2002). Thus, children with ID
exhibit
limitations in intelligence such as difficulty
reasoning, planning, solving problems,
thinking in abstract
terms, comprehending abstract and complex concepts, and
learning
skills. These children also experience limitations in adaptive
behavior and
the activities of daily living, including
difficulties with conceptual skills (communi-
cation, functional
academics, self-direction, health and safety), social skills (social
relationships, leisure), and practical skills (self-care, home
living, community partic-
ipation, work)
Traumatic Brain Injury
Defining Characteristics
Traumatic Brain Injury
Defining Characteristics
Traumatic
brain injury (TBI) refers to damage or injury to an individual’s brain
tissue sometime after birth. Young children, adolescent males,
and older persons
have the highest risk, and males are affected
twice as often as females (CDC, 2007).
Mild injuries,
characterized by a concussion and loss of consciousness for 30 min or
less, are the most common type of brain injury and usually have
few lasting reper-
cussions. In contrast, a severe injury is
accompanied by a coma lasting for 6 hr or
more. Such injuries
can result from infection (e.g., meningitis), disease (e.g., brain
tumor), and physical trauma (e.g., gunshot wound). Some of the
more common
causes of TBI in children include abuse (e.g.,
shaken baby syndrome), intentional
harm (e.g., being hit on the
head), accidental poisoning through ingestion of toxic
substances (e.g., prescription medications, pesticides), car
accidents, and falls.
Defining Characteristics
Defining Characteristics
A hearing loss is a physical condition
in which an individual cannot detect or dis-
tinguish the full
range of sounds normally available to the human ear. It can result
from prenatal, perinatal, or postnatal damage to any of the
structures that carry
auditory information from the external
world to the brain centers that process au-
ditory information.
As shown in Figure 10.1, hearing loss resulting from damage
to
the outer or middle ear is termed conductive loss, whereas hearing
loss result-
ing from damage to the inner ear or auditory nerve
is termed sensorineural loss.
Conductive and sensorineural loss
may occur bilaterally (both ears are affected) or
unilaterally
(one ear is affected and the other is intact). Hearing loss that
results
from damage to the centers of the brain that process
auditory information is called
auditory-processing disorder (APD).