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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 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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Cited by
Sorted by citations
Prevalence of Specific Language Impairment in Kindergarten Children
Tomblin, J. B., Records, N. L., Buckwalter, P., Zhang, X., Smith, E., & O’Brien, M. (1997) · Journal of Speech, Language, and Hearing Research · doi:10.1044/jslhr.4006.1245 · Cited by 2,288
“In response to her concerns about nonverbal mental age referencing, Lahey (1990) recommended that chronological age be used as the principal basis for judging language expectations in children.”
BackgroundInfluentialA Longitudinal Investigation of Reading Outcomes in Children With Language Impairments
Catts, H. W., Fey, M. E., Tomblin, J. B., & Zhang, X. (2002) · Journal of Speech Language and Hearing Research · doi:10.1044/1092-4388(2002/093 · Cited by 1,057
Nonword repetition and child language impairment
Dollaghan, C., & Campbell, T. F. (1998) · Journal of Speech, Language, and Hearing Research · doi:10.1044/jslhr.4105.1136 · Cited by 1,006
“…language impairment continues to be a contentious one; as noted by a number of investigators (e.g., Aram, Morris, & Hall, 1993; Dunn, Flax, Sliwinski, & Aram, 1996; Lahey, 1990; Tomblin, Records, & Zhang, 1996) there is no consensus on a gold standard for the diagnosis of language impairment.”
BackgroundA System for the Diagnosis of Specific Language Impairment in Kindergarten Children
Tomblin, J. B., Records, N. L., & Zhang, X. (1996) · Journal of Speech Language and Hearing Research · doi:10.1044/jshr.3906.1284 · Cited by 429
Shriberg, L. D. (1993) · Journal of Speech Language and Hearing Research · doi:10.1044/jshr.3601.105 · Cited by 374
Metadata
- 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 › Health Professions › Speech and Hearing › 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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