PubMed · 11089350
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B Lust. 2000. Requirements for paradigm shift.. https://doi.org/10.1017/s0305000900004426
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Speech disabilities (articulation deficits) and language disorders--expressive (vocabulary) receptive (language comprehension) are not uncommon in children. An overview of these along with a global description of the impairment of communication as well as clinical characteristics of language developmental disorders are presented in this article. The diagnostic tables, which are applied in the European and Anglo-American speech areas, ICD-10 and DSM-IV, have been explained and compared. Because of their strengths and weaknesses an alternative classification of language and speech developmental disorders is proposed, which allows a differentiation between expressive and receptive language capabilities with regard to the semantic and the morphological/syntax domains. Prevalence and comorbidity rates, psychosocial influences, biological factors and the biological social interaction have been discussed. The necessity of the use of standardized examinations is emphasised. General logopaedic treatment paradigms, specific therapy concepts and an overview of prognosis have been described.
Although it has long been observed that some children incorporate unglossable syllables into their early utterances, it has been difficult to integrate these 'fillers' into theories of language acquisition. Because they straddle boundaries between phonology and morphosyntax, and between pragmatics and lexicon, they do not fit neatly into linguists' notions about 'modules' of language. Fillers have been reported in quite an array of languages, and yet they seem to be more common among learners of some languages than others. Even when language is held constant, children seem to vary immensely as to whether they produce fillers at all. With more researchers reporting fillers in more languages, it seems time to (1) review what we now know about fillers; (2) propose a reasonably unified set of criteria for identifying them; and (3) suggest an approach that will promote their further study.
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