Lecture 14 Flashcards
(47 cards)
Wodka et. al 2013
studied language delay
• 535 children with autism who were
– Age 8+
– No phrases by age 4 (37% of 8+-y-o’s)
- 253 (47%) attained fluent speech after age 4
- 372 (70%) could at least produce phrases (multiword utterances)
- Non-verbal IQ, social engagement were predictors
- Stereotypies, sensory sensitivities (sensitive to light or certain kinds of sounds): doesn’t matter
- Good news! Late language is not equivalent to no language in adult life
Echolalia:
type of sterotyped behavior
kids with autism repeat things they’ve heard recently
- Immediate vs. delayed
- Exact vs. mitigated
exact echolalia
exact repition of what they’ve just heard
mitigated echolalia
repetition with some sort of change to it: modified
• Actually, a lot of it is mitigated
– Communicative strategy? Maybe it’s a bit like expressive kids producing entire phrases.
– Tends to disappear as they acquire more
spontaneous speech: this suggestes that maybe early on it’s a stepping stone communicative device
– May be “stepping stone” to help break down larger pieces
autism treatment: intervention guidelines
intensive, early intervention is KEY
– Early
– Intensive (up to 25 h/wk!)
– Involve family
– Social, pragmatic communication: attend to social factors during conversation: real world communication
– Systematic but customized to child (because there’s a wide array of variability)
– Generalization: want children to learn real world skill that can be used outside the treatment context
evaluation of autism treatment
– Until recently, mostly “small N” (where “n” refers to the number of participants) studies
spectrum of treatment
None meet strict criteria for efficacy.
behavioral intervention
address children’s self harming behaviors
reinforcement (reward good behavior), punishment: operant conditioning
Lovaas
applied behavior analysis: discourage negative behaviors and shape kid’s behaviors to more productive forms
have good outcomes in clinical settings
less effective if parents administer these techniques (maybe they don’t have enough time, maybe clinicians are stricter than the parents
developmental social-pragmatic
trying to shape their social and pragmatic development
Multifaceted “TEACCH” approach: looks at multiple facets of development
New study: it improves range of skills
nonverbal autistic intervention
picture communication
if kids can communicate better then…
harmful behaviors may drop (see this in typically developing kids)
autism treatment
• Not just treating language, of course
• ABA: quite good for reducing harmful behaviors
• Medication
– Often, undesirable side effects (weight gain,
dyskinesias)
Medication
– Often, undesirable side effects (weight gain,
dyskinesias - movement disorder )
things that don’t work for autism treatment
• Auditory integration therapy (AIT)
– “uses filtered and modulated music to help
stimulate the audiological and neurological
systems”
• Facilitated communication (FC)
– “Facilitator” offers physical support (usually to type something on a computer) to help the autistic communicate
– May have helped small handful of people (4ish)
– Most scientists think authorship is facilitator’s
specific language impairment (SLI)
• Delayed (not deviant) learning: child’s language skills are worse based on their other cognitive traits
• May originate in toddlerhood (or earlier) with late talkers
– 25-50% of late talkers end up getting SLI diagnosis
- Family history
- Less likely to be caught than articulation problems (Sedaris’ “s”)
- Likely to cascade into reading difficulty: if you can’t read you’ll be really behind with vocab
What does SLI look like?
- no gene for SLI
- Bad at mapping words to meanings
- Circumlocutions: talking around what they want to say
- Syntactic problems (big identifier)
- Pragmatic problems
Syntactic problems SLI
leave off certain kinds of function morphemes: “ the boy go to store”
– Tough time using grammatical syntax
- “He run”
- “Me want cookie”
– Even when you control for language age w/MLU! = compare to normal kids
is this some kind of lesion to the syntactic module?
Circumlocutions in SLI
talking around what they want to say
– SLI kid: “Something round and English” for breakfast ( “ I want an english muffin”)
– Trouble accessing words? [Like anomic adults! = trouble naming things]
pragmatic problems in SLI
– Which can cascade into social difficulties
*Different symptoms in different languages
Where does SLI come from?
• Tip end of distribution of the population? (Hard to say)
- assess normal and SLI kids
• The Brain?
• Genes? (KE family: some members had a really strong language impairment and then had a FOXP2 mutation; Crago & Gopnik, 1994)
– BUT this KE family data smoking gun didn’t work: Lots of SLI kids tested with no FOXP2 mutation
– In mice they took out (lesioned) FOXP2:
– Differences in brain development in multiple
regions
- Deficits in temporal auditory processing (Tallal)
- Trouble with linguistic rules (modular-ish)
In mice they took out (lesioned) FOXP2:
- Difficulty in motor learning (French et al., 2007, Genesis)
- Aberrant vocalizations (Gaub et al., 2010)
- Poor sound-behavior associations (Kurt et al., 2012, PLOS One): learning that a particular sound cues something (sound + electrocution
might explain why mutations in this gene contribute to language difficulties
Surface Hypothesis:
SLI
Hard time processing grammatical morphemes with low perceptual salience (they don’t get stressed in the speech signal)
can’t pick up on those less salient speech sounds
Theory for where SLI comes from:
Deficits in temporal auditory processing (Tallal)
set of tasks where kids have difficulty processing fine grained temporal auditory distinctions: screws up speech perception = screws with the rest of language development = very controversial
Generalized Slowing Hypothesis
SLI
slower at executing a lot of perceptual/motor tasks
bad not just at language learning but also at learning motor sequences
active area of research