By James Law (auth.), James Law BA, MCSLT (eds.)
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Extra resources for The Early Identification of Language Impairment in Children
Example text
1986) examined a population of 1655 five-year-olds to establish what proportion had speech impairment, language impairment or both together. Furthermore they used standardized measures and compared the numbers when cut-off scores of -1 and -2 standard deviations were used. 2. , 1986. Interpretation of the prevalence figures • • • 22 The numbers are highly dependent on the criterion used. Thus the more severe the condition sought and the more specific the skill under examination, the smaller the number identified.
In this case the children, aged three to five years, were given a set of objects and asked to pretend they were at a birthday party. Williams (1978) specifically counted the number of symbolic acts in a play session and found that language impaired children aged 2 years 6 months to 5 years 6 months performed significantly less well than age-matched controls. Terrell et al. (1984) used a specific measure of play and compared language impaired children (aged 2 years 8 months to 4 years 1 month) to one group of children controlled for language level and a second for age.
Despite these uncertainties as to how specific 'specific language impairment' is, the term continues to be widely used by many of those working with these children. Children are assessed in the UK and admitted to language units on the basis of this distinction between language difficulties which are associated with general developmental delay and those which are specific to language. Similarly these children are enrolled into programmes in the US on the basis of this type of distinction. Inevitably, disagreements as to the most valid provision accompany such decisions.