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Bt5-PreLinguistic
Lang Dis Birth to 5
Question | Answer |
---|---|
Why are we concerned with prelinguistic development? | 1-Nip early communication problems in the bud. 2-Spare child and family frustration. 3-Save therapeutic time and money. 4-More positive prognosis. |
Pre-Linguistic Assessment | Focus is on monitoring risk factors, not medical/developmental diagnosis |
Pre-Linguistic service models (2) | 1-Family-centered model: IFSP provided under Early Intervention (EI) 2-Medical model: NICU services provided under a treatment plan under medical supervision. |
Counseling component | Important for both service models. These parents are at their most vulnerable. |
Family model strengths? | Family involvement. SLP becomes a familiar support and advocate. |
Family model challenges? | SLP may be more likely to side with family even when family values/culture conflict with best Tx (e.g., no AAC) |
Where can you obtain additional information for prelinguistic assessment? | Call the family ahead for medical Hx, prior Dx (e.g., cleft palate), dev. milestones, time since onset, etc. Only speak with consent. |
Prelinguistic Assessment info | •Medical history •Family structure and concerns •Feeding, oral-motor abilities •Vocal behavior (babbling) •Hearing •Social-Cognitive Considerations •Infant behavior (Homeostasis) •Physiological stability •Parental Styles |
Intentionality | Ability to engage in purposeful behavior |
Stages of Intentionality | 1-Perlocutionary Stage = pre-intentional. 2-Illocutionary Stage = intentional, prelinguistic. 3-Locutionary = intentional, linguistic |
Prelinguistic Communication Stages (3) | 1-Pre-intentional Communication Stage. 2-Intentional Communication Phase. 3-The “Muddy Area”. |
Pre-intentional Communication Stage | •0 and 8-months •Infant demonstrates a behavior that has a communicative effect on a listener, but the child is NOT cognizant of this fact |
Intentional Communication Phase | •8 to 9-months: purposeful communication, coordinated attention. •12-months: 1-points to objects out of reach. 2- use vocalizations to gain attention. 3- use gestures. 4-combine gestures and vocalizations |
The “Muddy Area” | 12 to 18-months •Pre-linguistic Period begins to fade into the Linguistic Period: first single words and short phrases to begin communicating about the familiar environment. |
Suggestions for communicative stimulation | •Turn-taking (Respond as if baby initiated). •Imitation (“wait and match”) •Joint attention (attend to infant’s focus). •Anticipatory sets/expectant delay: (Peek – a – boo) |