Who shall be called language disordered? Some reflections and one perspective
Abstract
This paper discusses some issues involved in identifying children who have language problems. The perspective taken is that (a) the goal of identification must be clearly distinguished from other goals of assessment; (b) identification of children with language disorders is better based on language performance than on inferences about the language knowledge that underlies this performance; (c) language performance must be sampled in more than one context, including, for purposes of identification, contexts that stress the language system; (d) the standards of expectations for comparing performance and determining differences must be explicit; (e) standards used to determine differences are better based on the performance of chronological-age peers than on the performance of children with similar mental abilities; and (f) children who do not evidence poor language performance but are considered at risk for language-related problems should be distinguished from children who demonstrate poor language skills.
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The possibility of diagnostic bias is enhanced by ambiguity in the cut-offs used for diagnosis: 1 SD, 1.25 SDs, 1.5 SDs, or 2 SDs below the expected mean.
“The possibility of diagnostic bias is further enhanced by another ambiguity in the available literature that concerns different cut-offs used for the diagnosis: 1 standard deviation (SD), 1.25 SDs, 1.5 SDs, or 2 SDs below the expected mean [53,54,55,56,57,58].”
From Developmental Language Disorder: Early Predictors, Age for the Diagnosis, and Diagnostic Tools. A Scoping Review (2021) · cites this paper as [56]
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- Authors
- Lahey, M.
- Affiliations
- Emerson College (US)
- Corresponding author
- Lahey, Margaret
- Venue
- Journal of Speech and Hearing Disorders
- Published
- 1990-11
- Volume
- 55
- Issue
- 4
- Pages
- 612-620
- ISSN
- 0022-4677 (ISSN-L)
- 2163-6184
- OpenAlex
- W1965033403
- Cited by
- 128
- References
- 42
- Citations by year
- 2022: 1 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 1 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 1 · 2012: 2
- FWCI
- 10.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Speech and Hearing Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Keywords
- language assessment, language performance, linguistic knowledge, peer comparison, vulnerable children, language disorders in children
- MeSH terms
- Child, Humans, Intelligence, Language Development, Language Disorders, Language Tests
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