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expressive language/hearing impaired

10 replies

kissingfrogs · 27/12/2009 16:35

Hello. My DD age 4 has moderate hearing loss. I've been told her language problem is way and above what is expected for her level of hearing loss. She has expressive language & word retrieval problem (poss some receptive probs too). She did have behavioural issues (hitting other children) but is much better now & meltdowns are less often. She speaks clearly and has a bank of sentances but you can't actually have a conversation with her & she can't tell me what she did at school etc. She invented her own language, some of which she still uses. She is having huge problems telling a story with school's ORT books without words (the concept eludes her totally) plus difficulty learning to blend phonics, therefore school does not think she can not start reading yet. She has had 1 block of SALT & due for another. Appointment soon with an Ed Psych in Jan.
My DD is dumbfounding the professionals. There's "something" different about her but she doesn't fit into a particular catagory. She's obviously very bright(v visual)but her teacher says it's impossible to assess her comprehension at school (or at home).
Grandad, who is also partly deaf, has had a lifetime of difficulty due to being "eccentric" - at age of 80 he has finally began to understand himself after realising he is a classic Aspergers.
I don't think my DD is an aspie, but what if some ASD traits have influenced DD's language???
I'm going nuts trying to understand.
Please, any ideas anyone?

OP posts:
RaggedRobin · 27/12/2009 21:56

"She speaks clearly and has a bank of sentances but you can't actually have a conversation with her"

i can relate to this as my ds, who has a language disorder/delay, also communicates using sentences he has memorised in chunks rather than using his own spontaneous language. also 4, he is beginning to be a bit more creative with his communication, but often struggles to find the words.

your post also struck a chord with me because i also teach deaf children. i usually work with pupils who are profoundly deaf using bsl, but have experience of working with pupils who have more moderate/severe hearing loss who have additional difficulties with language. this may sound way off the mark for you, and is just a suggestion, but if dd is very visual, could sign language provide an alternative route to language for your dd?

i understand that this might sound odd if dd has clear speech, it's just that we are finding that some pupils who find spoken language more difficult to develop despite having a lot of useful hearing do seem to respond to having some signed support.

other ideas with word retrieval might be that when dd is trying to learn a word, that you try to help her to link the word to other related words so that the word is "filed" more effectively, and thus easier to retrieve? dunno if that makes sense?!

would dd's school allow her to take pictures of key events during the day? this might be a way for you to get her to talk about what she has been doing that day in school. it might also be a way for her to understand the concept of describing the pictures in her reading books, but slightly easier if they are pictures about herself rather than pictures about things she hasn't actually experienced.

sorry if i'm rambling!

kissingfrogs · 29/12/2009 20:08

Thanks for replying raggedrobin. I'm doing bsl cacpd level 1 & am teaching dd the bits I know. She picks up signs v quick and they have helped for things like learning prepositions. I'll have to try the photo-story book idea. I have worked as a TA with some severe/profoundly deaf children (briefly) and have some understanding of the effects of hearing loss on language development. I had thought deafness was the sole cause of dd's language problems until I was told otherwise. What's frustrating me is that the head of my LEA SEN dept said this but can't quite put her finger on what it is so said the SALT would diagnose, SALT said is wasn't her field, sensory panel made an assessment and passed it on to the ed psych. As a mum I just want someone to nod sagely and say "i've come across this before" rather than the enigma message i'm getting.
Dd's TOD had recommended the maternal reflective approach to storytelling/reading. I thought this sounded great until i tried it. Dd "read" The Apple and managed 1 or 2 words per page until we came to a page where she said "mum looking apple wow". If i make a reading sentence/flash cards out of this should i fill in the missing words?
I've been teaching dd to sight read unit 1 high frequency words (using flashcards). Great memory, but when the font is changed or the words are seen out of context (e.g in a book)she struggles. It seems as if being a visual learner has it's downfalls - dd can't help but see the differences and therefore to her it's not the same letter/word/object. E.g taught her the object in the picture is a fence, took her outside to show her the garden fence....dd was confused, they looked very different so how could they both be a fence! Great logic, great perception, but how utterly mindblowing to get your head around that!
sorry, i've REALLY rambled... must stop before i write a major essay :-I

OP posts:
kissingfrogs · 29/12/2009 20:29

sorry raggedrobin - just 1 more thing: u say your ds has a lang delay/disorder & is using memorised sentances with word finding problems. Have you had a definition of this or is it typical of a general language delay? (hope you don't mind me asking, just want to learn more about these things)

OP posts:
RaggedRobin · 29/12/2009 23:49

hi kissingfrogs, you sound like you are doing a great job with dd. i can understand your frustration; our ds's language problems seem to be outwith our salt's area of interest and so most of the support i've had has been from here. also it has been my experience working with pupils who have a hearing loss and additional language problems that even by secondary school, the exact nature of the "additional" difficulties is never pinpointed. we try to overcome this by focussing on what the child's communication needs are rather than what is causing the problem, but it does often feel as though we are rather working in the dark.

i have had nothing concrete from salt in the 18 months we've had one. not one report, just discussions on how ds's language is developing and the suggestion that we "wait and see" how he progresses. when we first visited salt, ds was displaying some asd traits and i think that this can be common with children who have disordered language. from the discussions i've had with salt and lots of discussions on here, my understanding is that my ds is not developing language in the typical way, learning what words mean and applying them in communicative situations, but is more interested in the patterns and sounds of words and will learn whole strings of words without being particularly interested in their meaning or how he will use them to communicate. as his repertoire of memorised chunks became bigger, he was able to use some of them is more and more relevant ways. it was still obvious that they weren't "his" sentences but he was beginning to use them in something approaching conversation. but because he is used to learning words and sentences by the pattern or sound they make, when he tries to recall them now to make his own sentences, it is difficult for him to find the words. he hasn't "filed" them in a useful way. this makes him more likely to stick to repeating the learned lines than to try to put words together himself; it's the easier option for him.

sorry that was a particularly lengthy answer to your question about ds!!

i think you are right about filling in the words for the maternal/reflective approach to reading. as i understand it, you are taking the child's attempts and adding your "scaffolding" to show how their attempts at communication will look in written english.

it sounds as though your dd's visual strengths are affecting her negatively in the same way as my ds's strengths for memorising the prosodic elements of language are affecting him. that is, she might be "storing" the word with too much emphasis on how it looks rather than what it means or how it can be used. do you think it would be useful to do activities with flashcards that perhaps have two or three examples of the same words in different fonts, plus pictures of that word and ask her to match words that are the same with a picture of the word and then find a picture where the word is being used? so for example a few examples of the word "ball" in different fonts, plus the word "hat" or whatever then pictures of these two things, so that dd has to match up all the different ways the word can be represented then find a picture of a hat being worn or a ball being thrown, so that when she is learning the word, she's making lots of associations with it rather than just that one association. hopefully that will make the word easier to retrieve when she needs to use it or when she sees it again?

i'm really not explaining these very well am i?! i tend to work with older teenagers, so am not very experienced with working with kids the same age as our dcs! haven't started with pre-reading skills with ds; i live in scotland so am able to defer his entry to school until he is 5.8. i'm hoping it gives him more time to discover what language is for! he has only just turned 4 (today!) so i'm hoping that by the time he goes to school it will all be more meaningful for him.

RaggedRobin · 29/12/2009 23:50

i think that's my longest ever mumsnet post!

kissingfrogs · 30/12/2009 23:25

your idea of making flashcards with the word in different fonts with pictures to match them to is great (why didn't i think of that!). It's such a relief to talk to someone who has experiance of deaf children with language impairments. Yes - the asd traits. I recently attended a days conference on asd and was astounded how the communication (language) difficulties experianced by children with asd are the same as those of hearing impaired children. There is a link. Unfortunately science isn't advanced enough yet to explain it.
Have you read about "visual spatial learners with poor auditory sequential development"? I've been researching this on the net. Common in children who have had a delay in auditory development. Interesting and probably very relevant.
I believe that finding the cause/nature of these additional difficulties will lead to a breakthrough in understanding how our children think and how to develop learning strategies that work (I can't help but be the armchair detective!).
As for the reading, I've had one piece of advice from an experianced teacher of SALTs who told me to leave the reading until my dd was much much older and ready for it. I understand this. I don't want learning to read to be a struggle (risking lifelong bad association) and take years when by simply waiting dd will pick it up when she has the language skills & cognitive development to learn reading easily. Hmmm. However, I kind of thought that learning to read would help open the doors of language for my dd. I'm swinging between the 2 schools of thought on this one...and having read that bit back to myself I think I've had a lightbulb moment.

OP posts:
CardyMow · 31/12/2009 00:47

Just to add my 2-pennyworth into THAT debate, my DD is partially deaf AND asd, was 'forced' to read, took her to age 8 to read simple sentences, now at 11.10yo, she can read at a 7yo level, but CHOOSES not to. EVER. Except at school. I personally feel that IF she had been left (looking back, should have been more shouty at the school about it), she may have a little bit of enjoyment from reading by now. Which she doesn't. She hates it, reminds her of all the times she was 'made to'. DON'T force, they will learn, and you as a parent will KNOW when they are ready to learn. Don't take away the chance that they might actually enjoy reading eventually.

RaggedRobin · 31/12/2009 12:28

kissingfrogs; i'd be really interested to read more about "visual spatial learners with poor auditory sequential development". do you have any good links? lazy me.

kissingfrogs · 01/01/2010 21:31

Raggedrobin:
here are a few sites/articles I saved:
A good site is:
www.learningstyles.apduk.org
The visual/poor auditory article is on the 2nd page of "power of visual thinking":
www.learningstyles.apduk.org/powerofvt2.htm
Also:
giftedservices.com.au/visualthinking.html
And:
talentdevelop.com/articles/ITIPYTIW.html

Loudlass: hear you loud & clear! My dd wants to read because she sees her sister reading & wants to copy. However, if she starts strugglng & stops wanting to try then I'll stop the whole reading thing as I don't want her to feel any pressure. She must learn to read, but there's no timescale - when she's ready, whenever that may be. Like you say, enjoying it is the most important thing

OP posts:
RaggedRobin · 03/01/2010 00:08

thanks! ds been sick tonight, so will read them when i get a chance.

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