Please or to access all these features

SN children

Here are some suggested organisations that offer expert advice on special needs.

Semantic Pragmatic Language Disorder

45 replies

Yaz11 · 28/01/2011 22:46

Hi,

Does anyone know anything about SPLD? I suspect my son has this. He's 3 1/2, recently started pre-school. They wanted to refer him for speech & lang. therapy, plus an ed psych. assessment.

After trawling through the sn section, google, etc. I feel that SPLD/SPD fits the bill.

Please advise if you have similar probs/experience in this area.

Thanks

OP posts:
ArthurPewty · 01/02/2011 07:46

This reply has been deleted

Message withdrawn at poster's request.

zzzzz · 01/02/2011 08:51

This reply has been deleted

Message withdrawn at poster's request.

ArthurPewty · 01/02/2011 11:05

This reply has been deleted

Message withdrawn at poster's request.

zzzzz · 01/02/2011 13:01

This reply has been deleted

Message withdrawn at poster's request.

superfantastic · 01/02/2011 13:06

I read the article and watched this thread with interest. My DD has a dx of ASD but before that I had read about SPLD and it seemed a very likely dx to me...at the time I was lead to believe it was not part of the spectrum but DDs doctor did say that was changing.

We met our SALT in school but she will only give the usual 'visit once a term to advise' and school is awful tbh (awaiting transfer). We did however manage to contact our University SALT Lecturer who agreed to see us, after an initial meet up in Dec she agreed to see us again, possibly on a regular basis, terms being that DD can be studied for a students MA. Next visit is this week. :)

That article struck a few chords especialy mentioning 'internalising' in girls...DD does this, hence school see no issues. She also processes things very slowly...normal has bad dreams 3 or 4 days after an incident. Visuals, simple instructions and language use seem to be helping.

Was lurking but just wanted to comment....obviously I should discuss further with SALT. :)

zzzzz · 01/02/2011 13:12

This reply has been deleted

Message withdrawn at poster's request.

superfantastic · 01/02/2011 13:24

Have pm you. Will keep you posted. :)

zzzzz · 01/02/2011 14:13

This reply has been deleted

Message withdrawn at poster's request.

ArthurPewty · 01/02/2011 14:36

This reply has been deleted

Message withdrawn at poster's request.

ArthurPewty · 01/02/2011 14:40

This reply has been deleted

Message withdrawn at poster's request.

zzzzz · 01/02/2011 14:58

This reply has been deleted

Message withdrawn at poster's request.

ArthurPewty · 01/02/2011 17:49

This reply has been deleted

Message withdrawn at poster's request.

zzzzz · 01/02/2011 18:31

This reply has been deleted

Message withdrawn at poster's request.

kissingfrogs · 01/02/2011 20:13

can we stay on topic please?

superfantastic
She also processes things very slowly...normal has bad dreams 3 or 4 days after an incident.

can you explain more? My dd has a history of night terrors, nightmares and restless sleep.

Leoniedelt (if you're still there?)
I do understand where you're coming from re. SPD/ASD. When I first mentioned dd at 3yrs possibley being on the spectrum I was shot down in flames by the lea senco coordinator at the time. I have recently mentioned SI/SPD being a continuum of ASD spectrum to dds teacher - tentatively. I have a meeting upcoming with all profs involved so will take the plunge to discuss this further as I need people's opinions and want to be able to discuss this (hence why I'm also on this thread).

I've got more to discuss but will open a new thread.

(hey, you gotta have a sense of humour Grin)

working9while5 · 01/02/2011 22:03

I think there's been a bit of a miscommunication here?

Most children with SLI will have semantic and pragmatic issues as language is the core issue.

If you think of language as being

syntax
semantics
pragmatics
fluency

then any child with a significant language impairment is likely to have difficulties in most domains.

This means that there are children with pervasive language impairments who have semantic and pragmatic issues who do not have ASD - their semantic and pragmatic issues are part of an overall language impairment. They may appear socially different or "odd", they may have all sorts of self-stimulatory behaviours going on, they may withdraw from social contact etc but these behavioural symptoms, if you like, relate primarily to a linguistic deficit.

Children with what is commonly referred to as an SPD may have language and IQ features in common with these children, but they typically have advanced vocabulary that they don't know how to use very well in context e.g. they can have severe communication difficulties, but good surface language skills. The current belief is that these language features stem from an underlying autistic-type difficulty.

It may help to think of it with reference to the adult population who have acquired language difficulties e.g. after brain trauma or stroke?

There are individuals with right hemisphere damage after stroke or traumatic brain injury who are very precise in terms of language use, very literal, good vocabulary but poor communication etc, can use language apparently fluently but with little context, what they say isn't relevant etc.

There are individuals with left hemisphere damage after stroke or traumatic brain injury who can formulate an idea but not really translate it into words. They struggle with sentence formation and word-finding and getting the content of their message across.

Both have severe communication difficulties. It's not a question of which is "better" or which is "worse" - they are different and there is a different underlying neurological reason for their language difficulties.

This is a crude representation of different language and communication difficulties - in reality in adults, as in children, each person can present slightly differently. Children more so than adults as they have a dynamic and developing language system and we can't really draw conclusions from the adult population: but I include the example to give an idea that there are recognised and proven differences between communication impairments (by fMRI etc), it's not all just a matter of who decides what label "fits" subjectively.

So, I do have to support the idea that SLI can be a lifelong pervasive disability in this discussion. I work with high school students with SLI and with ASD and yes, there is overlap.. but there are also differences. There are some students who would be best placed in an SLI setting with intervention focused more on the linguistic impairment and some in an ASD setting with intervention focused more on the social impact of the linguistic impairment. Both groups of students need language and communication intervention, but there are subtle differences in how to address these, with students who are more HFA tending to need a lot more support with emotional regulation than SLI students etc.

Crucially, I do believe that across the two settings in which I work, there are some students with ASD who are less disabled than some students with SLI, some students with SLI who are less students than some students with ASD etc. The label doesn't really define the level of difficulty that each individual student has..

Unfortunately, we have a situation in this country where SLI is extremely poorly understood and extremely poorly resourced. So it will be true that in some areas, the label that a child has will either open doors to intervention or shut them. However, that is not the case in all areas. In mine, it is actually quite likely that there might be more support for a student with SLI and a student with HFA than, say, a student with moderate autism. Postcode lottery...

Here is a link about the issues around recognition of SLI by one of the country's major experts in the area

zzzzz · 01/02/2011 22:41

This reply has been deleted

Message withdrawn at poster's request.

kissingfrogs · 02/02/2011 00:03

Thanks working, I've been racking my brains trying to remember where I'd read that very same article.
Good to hear your words of common sense and professional experience to get me back on my (steep)learning curve.

superfantastic · 02/02/2011 14:42

Thanks working. :)

Kissing DD has sleep issues, struggles to settle, wakes for long periods, noise/hearing issues but its the bad dreams that effect her most. It can take an hour just to calm her down and get any sense out of her, even then it is usually only a word or two....and repeated screaming 'NOOO'. The last one was a delayed reaction to someone at school pushing dd over, it was three nights later.

Eveiebaby · 02/02/2011 20:36

Thanks Working - what a fantastic explanation - very very helpful for me Smile Thank you

kissingfrogs · 02/02/2011 22:53

super that's really interesting that you've seen a link to what she has experienced. My dd sounds just like yours. Her night terors were awful though these are less now, still has the other sleep issues though. And the word she repeats, exactly the same: Noooo.

New posts on this thread. Refresh page