The document discusses speaking skills for students with learning difficulties. It defines speaking and identifies several problems with auditory expressive language, including articulation problems, stammering, repetitive speech, aphasia, and dyspraxia. It also describes how auditory expressive language can be assessed.
The document discusses speaking skills for students with learning difficulties. It defines speaking and identifies several problems with auditory expressive language, including articulation problems, stammering, repetitive speech, aphasia, and dyspraxia. It also describes how auditory expressive language can be assessed.
The document discusses speaking skills for students with learning difficulties. It defines speaking and identifies several problems with auditory expressive language, including articulation problems, stammering, repetitive speech, aphasia, and dyspraxia. It also describes how auditory expressive language can be assessed.
METHODOLOGY FOR pupils with LEARNING DIFFICULTIES 3. SPEAKING SKILLS ■ Introduction to speaking ■ - Definition and concept of speaking ■ - Auditory Expressive Language Problems ■ - Articulation problem ■ - Stammering ■ - Repetitive ■ - Aphasia ■ - Dyspraxia ■ - Expressive language problems ■ ■ Assessment of auditory expressive language 3. SPEAKING SKILLS ■ 1. Give the definition and concept of speaking ■ 2. Identify problems in auditory expressive language ■ 3. Describe how auditory expressive language is assessed SPEAKING SKILLS 1. Difficult because it involves real-time processing (little time to formulate what to say & how to say it) 2. Students afraid to make mistake 3. Students afraid of poor pronunciation (often stems from previous learning experiences where emphasis was written accuracy) 4. Lack opportunity to speak in class DEFINITION AND CONCEPT OF SPEAKING
Action of conveying information or
expressing one’s feelings in speech Known as ‘auditory expressive language skills’: ability to use language to express an idea or a message to another person in a communicational situation SPEAKING COMPETENCE
Correctly articulate the words
Know the meaning of words, phrases and other linguistics terms To convey his idea adequately To formulate different kinds of sentences To explain ideas using connected texts. AUDITORY EXPRESSIVE LANGUAGE PROBLEM
A person who has defect in his speech organ
will have a problem in some aspect of speech production Could be too nasal or too breathy or unable to articulate certain speech sounds Poor auditory memory AUDITORY EXPRESSIVE LANGUAGE PROBLEM
The person has
Slow and hesitant speech Speech punctuated with ‘mmm’ and filler sentences like ‘What do you call it?’ or ‘You know what I mean.” AUDITORY EXPRESSIVE LANGUAGE PROBLEM
Could manifest (show signs)in::
Incorrect usage of language Overuse of simple sentences and a lack of complex ones Inability to express abstract concepts or ideas Inability to adjust the style of communication according to the communicational situation A tendency of not providing sufficient information AUDITORY EXPRESSIVE LANGUAGE PROBLEM • Could manifest (show signs)in:: • Incorrect usage of language • Overuse of simple sentences and a lack of complex ones • Inability to express abstract concepts or ideas • Inability to adjust the style of communication according to the communicational situation • A tendency of not providing sufficient information AUDITORY EXPRESSIVE LANGUAGE PROBLEM • Stammering / Stuttering • Speak with involuntary pauses or repetitions • Utter with involuntary pauses or repetitions • Repeats or prolongs words, syllables or phrases • Stop during speech and make no sound for certain syllables • Stress and fatigue make it harder to talk flowingly • Problem of stuttering alleviated when speaker relax AUDITORY EXPRESSIVE LANGUAGE PROBLEM • Tendency to Stutter • During interrogation (at police station or in court) • Talking to emergency services on the phone • Majority of children grow out of this stage • If problem persist, need speech therapy SIGNS AND SYMPTOMS OF STUTTERING • Problem starting a word, phrase or sentence • Hesitation certain sound have to be uttered • Repeating a sound, word or syllable • Certain speech sounds may be prolonged • Speech may come out in spurts • Words with certain sounds are substituted for others (circumlocution) • Rapid blinking (when trying to talk) • Trembling lips (when trying to talk) SIGNS AND SYMPTOMS OF STUTTERING • Foot may tap (when trying to talk) • Trembling jaw (when trying to talk) • Face and / or upper body tighten up (when trying to talk) • Some may appear out of breath when talking • Interjection such as “uhm” used more frequently before attempting to utter certain sounds TYPES OF STUTTERING 1. Developmental stuttering: •Children learn to speak and often stutter (early stage) when their speech and language skills are not developed enough to race along at the same speed as what they want to say. •Majority of children experience fewer and fewer until they can speak flowingly TYPES OF STUTTERING 2. Neurogenic stuttering: •Signals between the brain and speech nerves and muscles are not working properly •May affect patient of stroke or brain injury •Results in lesions (abnormal tissue) in the motor speech area of the brain TYPES OF STUTTERING 3. Psychological factors: •Stress •Embarrassment •Anxiety •Low self-esteem, •Nervousness •Not long term factors STUTTERING Likely to have family members who stutter Child who starts stuttering before 3 – 5 years old is less likely to be stuttering Long term stuttering more common among boys Consider consultation The child’s stuttering has persisted for over 6 months When stuttering occurs more frequently When it is accompanied with tightness of facial and upper body muscles When it interferes with the child’s schoolwork When it causes emotional difficulties , such as fear of places or situations When it persists after the child is 5 years old Repetitive Repetitive and talking to self usually go together Exhibited by children with a broad range of developmental difficulties Usually have social difficulties Tend to be resistant to change Display repetitive motor behaviours E.G Are we going to the zoo? X 10 untuk someone interrupts and redirects them May repeat phrases to themselves (It’s ok, you are not hurt) Repetitive Speech Maybe overlook for children with higher cognitive abilities (similar with other children who are just boisterous or too active)
Growing recognition that some children with quite
competent intellectually engage in repetitive talk
Recent reports have shown considerable increases in
numbers of children with repetitive or nonfunctional speech Repetitive Speech - characteristics Display problems in communication Intellectually delayed Once children acquire speech , may use it inappropriately for the context (nonfunctionally) Most likely talk to themselves Reverse e.g. use ‘He’ for ‘I and may use metaphors to communicate Aphasia Disorder that results from damage to portions of the brain that are responsible for language Left hemisphere Result of stroke or head injury May also develop slowly due to brain tumour, an infection or dementia Impairs the expression and understanding of language as well as reading and writing May occur with speech disorder such as dysarthria or apraxia of speech (due to brain damage) Cause of Aphasia Damage to one or more of the language areas of the brain Stroke occurs when blood is unable to reach a part of the brain Brain cells die when they do not receive their normal supply of blood which carries oxygen and important nutrient Severe blow to head, brain tumors, brain infections Two broad categories of Aphasia 1. Fluent : damage to the temporal lobe (side portion) called Wernicke’s aphasia 2. Occur in the left temporal lobe but can result from damage to the right lobe as well 3. May speak in long sentences that have no meaning, add unnecessary words and even create made-up words. E.g.: “You know that amoodle pinkered and that I want to get him round and take care of him like you want before.” difficult to follow what the person say 4. People with Wernicke’s aphasia usually have Two broad categories of Aphasia 1. Non-fluent : Broca’s aphasia. 2. Damage to fontal lobe of the brain 3. Frequently speak in short phrases that make sense but are produced with great effort 4. Often omit small words such as ‘is’, ‘and’ and ‘the’. E.g. ‘walk dog’ meaning ‘I will take the dog for a walk.’or ‘book book on the table’ meaning ‘There are two books on the table’ 5. Understand speech of others fairly well 6. Often aware of their difficulties and can become easily frustrate Two broad categories of Aphasia
1. Non-fluent : global aphasia
2. damage to extensive portions of the language areas of the brain 3. Have severe communication difficulties and maybe extremely limited in their ability to speak or comprehend language Other types of Aphasia 1. Results from damage to different language areas in the brain. 2. Some people have difficulty repeating words and sentences even though they can speak and they understand the meaning of the word or sentence. 3. Others have difficulty naming objects even though they know what the object is and what it may be used for. Dysprasia
1. Clumsy child syndrome
2. Present as an impairment or immaturity of the organization of movement 3. May have difficulties with manual and practical work, personel organization, memory and attention span Two Types of Dysprasia
1. Developmental Motor Dysprasia (DMD)
2. Verbal Dysprasia (specific learning disability): find it hard to form words and letters when speaking ( mouth &tongue are controlled by hundreds of different muscles - normal people can perform complex coordination achievement of speech) not really muscle problem but the messages being sent backwards and forwards to the brain – permanently tongue-tied Signs of Dysprasia
1. Each mouth movement has to be thought out
before the word is spoken 2. Amount of thinking involved in the activity makes it hard for the child to concentrate on what he is saying 3. If asked to repeat a word several times (even own name or simple word like ‘cat’, they cannot do it without having to think before each word. So instead of ‘run run run run run’ they will say ‘run…..run…..run…..run…..run’ 4. Late learning to speak Verbal Dysprasia 1. Need specialist help from speech therapists and often physiotherapists and occupational therapists 2. Have to learn to think about and control how the lips and tongue works to form all the different sounds and words 3. Watch mouth and tongue move when forming different sounds helps these children 4. Use mirror to make sure child can see how his/her mouth, tongue and lips form each sound. 5. Can take some time, quality of content suffer What can you do to help children with this problem? 1. Bring in speech therapist 2. Try to be patient & not interrupt or finishing a sentence for them 3. Explain to them why they are having problems and make sure they understand they are not stupid & it is not their fault 4. Organize lesson time when you help the child to articulate and improve his/her speech 5. Avoid nagging and correcting as this can make the child tense and angry What can you do to help children with this problem? 6. Hand eye coordination games helps to talk better (learn how their body response to actions and teaches them to understand how their bodies relate to the word 7.Thesechildren panic easily and respond badly to sudden changes in routine (keep to routine) 8.Get scared easily and not happy working outside their comfort zone. New information and teaching should be carried out one small step at a time 9.multi-sensory teaching should be used whenever possible Assessing of Auditory Expressive Language
Take language samples from pupil in various
communication settings Sample are examined for the types of sentences used, kinds of vocabulary found and whether there is difficulty in recalling words
Teacher take necessary steps to help
Assessing of Auditory Expressive Language
Assess pupils’ ability to use linguistic items of
nouns, adjectives and prepositions Same test for listening comprehension (teacher point to an object in picture and pupil provide name of object or describe or state the position of the object. Ways of Testing Auditory Expressive Language 1. Provide a word and pupil formulate a sentence based on the word 2. Provide a few words and pupils use all the words given to form a sentence 3. Provide beginning part of a sentence and pupil complete the sentence 4. Provide two simple sentences and pupil combine the two sentences into one Ways of Testing Auditory Expressive Language To assess pupil’s ability to use connected text, teacher can show a picture and ask pupils to describe the picture or tell a story Types of tests for speaking
1. Using a checklist - can be done
throughout the year, list may be added to and adapted to suit needs and circumstances 2. Progress test – given either at the end of a particular unit, week, month, term or year; usually prepared by class teacher or someone else to take account of overall syllabus; to measure progress. 3. Proficiency test – to measure overall TUTORIAL The lecturer : Demonstrates how to carry out a structured lesson to teach sentence patterns / grammatical items The students : Plan and demonstrate the application of structured instruction to teach sentence patterns / grammatical items ISL Check library resources or the internet for intervention strategies for the following problems: - Articulation problem - Stammering - Aphasia - Dyspraxia - Expressive language problems Prepare a Powerpoint presentation of the information