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Language Disabilities and Speech Defects

The cause of most language disabilities is unknown, but here are some terms to be familiar with:

Developmental aphasia. A problem in developing language that can result in poor pronunciation, limited speech, and problems with grammar

Expressive language disorder. A limited ability to speak (comprehension may be normal)

Receptive language disorder. A limited ability to understand the spoken word (speech may be normal)

Elective mutism. The use of language only in certain situations due to emotional blocks

Echolalia. A limiting of speech to repeating what others have said

Autistic speech. An abnormal inflection and intonation that gives the voice a robotlike quality

Psychotic or disorganized language. Language content is bizarre and lacks context

Even if a child has a severe speech defect that makes it almost impossible for others to understand her, parents should still try to teach the basics of conversation by doing the following:

  • Continuing to talk

  • Leaving pauses so the toddler can respond

  • Listening to the tone of voice and watching facial expressions and gestures for clues as to what is being said

  • Listening respectfully

  • Providing neutral responses that encourage talking, such as “Oh,” “Really?” and “Tell me more.”

  • Remember that even if you can't understand what your toddler is saying, she may well understand what you are saying. As long as you keep talking, she'll keep learning! For further information, contact the American Speech-Language-Hearing Association at (800) 638-8255.

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    4. Language Disabilities and Speech Defects
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