Fw: [AHA-AS-PDD] Digest Number 97

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Advice for Perplexed Parents of Late Talkers

>

> fyi

> Advice for Perplexed Parents of Late Talkers

>

> June 8, 2004

>

> Children Talk At Their Own Rate

>

>

> By Jane Brody

> The New York Times

>

> When your 18-month-old speaks fewer than 10 words, your 2-year-old

> uses no two-word combinations, or your 3-year-old's speech is

> unintelligible to anyone but the immediate family, should you worry?

>

> Is the child merely a slow talker who will eventually catch up to his

> or her peers, or does the child have a speech or language disorder in

> need of evaluation and therapy?

>

> Every parent knows that children develop at different rates. There is

> a very wide range of normal.

>

> At 22 months, my niece clearly enunciated complex sentences, while at

> 30 months a boy I know was still uttering only two- or three-word

> phrases. Like most children, they both developed to have perfectly

> normal verbal and social ability.

>

> The availability of free or lowcost speech therapy for preschoolers

> under the federal Individuals With Disabilities Education Act has

> prompted some parents to seek such therapy for children with

> articulation difficulties or seemingly slow speech development that

> are well within the range of normal for their age. This can be

> unnecessarily stressful for parents and children and a waste of

> valuable resources.

>

> WHAT'S NORMAL?

>

> My twin grandsons had just turned 2 when their parents decided to

> take a vacation without them. The boys, who were told that Mommy and

> Daddy were going to the beach, looked at their parents' wedding

> photograph each day they were gone and said, " Mommy, Daddy, bitch. "

> We laughed at the mispronunciation, but it was clear that the boys

> got the message and could voice their understanding.

>

> Now, from reading " The Late Talker: What to Do if Your Child Isn't

> Talking Yet " by Dr. Marilyn C. Agin, F. Geng and Malcolm J.

> Nicholl, it is also clear that the boys were well within normal range

> in their language development.

>

> Typically by age 2, children use a variety of two-word combinations

> ( " more cookie, " " mommy work " ), know at least 50 words and mostly use

> words to communicate.

>

> Now that the boys are 4, I was reassured by the book that their

> difficulties pronouncing " l " and " th " and their frequent failure to

> string two consonants together ( " geen " for " green " ) is also within

> the range of normal.

>

> As " The Late Talker " points out, it is not unusual for a child of 4

> or 5 to mispronounce l, s, r, v, z, j, ch, sh and th. A 5- or 6-year-

> old who says " tiziz " for " scissors " does not have a speech or

> language disorder.

>

> The authors note: " All children misarticulate sounds in the course of

> normal speech development. They may use sound substitutions, like

> `wady' for `lady.' They may omit sounds, saying `baw' instead of

> `ball.' Or they may distort a sound, so that `spaghetti' comes out as

> `psketti.' "

>

> REAL PROBLEMS

>

> The book continues, " Concern arises when these errors continue beyond

> the time when a child normally outgrows them " -- usually by 7 or 8.

>

> But the authors caution that some parents of children with what they

> think are speech delays go overboard in trying to speed development.

> They write, " Excessive parental concern can also impede the child's

> language development, and counseling may be needed for the parents. "

>

> When children's ability to communicate lags way behind that of their

> peers, there may be reason for concern and a need to attend to the

> matter. Although Albert Einstein reportedly did not talk until he was

> 3, parents should not be lulled into a false sense of security that

> the genius within will emerge when the child is ready, experts say.

>

> Studies have shown that without any intervention, half of children

> with delays in the ability to express language at age 2 catch up to

> their peers by 3, and that another 25 percent have normal speech when

> they start school. But " this leaves 25 percent of late-talking

> children who do not grow out of their problem before starting

> school, " the authors of " The Late Talker " note.

>

> In such seriously speech-delayed children, intelligible speech may

> not appear on its own; these children often require professional help

> if they are to develop with normal social and academic skills.

>

> Speech and language difficulties can have many causes, including an

> undetected hearing impairment, poor oral muscle tone or coordination

> or a neurological disorder like Asperger's syndrome, a mild form of

> autism, or apraxia, a breakdown in the transmission of messages from

> the brain to the muscles in the jaw, cheeks, lips, tongue and palate.

>

> The parents of a bright man I know who said nothing, not even " Mommy "

> or " Daddy, " before age 3, were told by child development specialists

> in 1970 that their son was perfectly normal. Once he started talking,

> he spoke in full, complex sentences. But years later he received a

> diagnosis of Asperger's syndrome, which severely impairs his ability

> to relate to others.

>

> The son of Geng, an author of " The Late Talker, " also had delayed

> speech and other problems that turned out to be related. He could not

> blow out the candles on his second birthday cake, because he was

> unable to purse his lips. Nor could he smile. Except for " ma, " he

> said nothing but " mmm " to indicate anything he wanted. Eventually,

> doctors told her that the boy had apraxia.

>

> Too often, when parents express concern to the pediatrician or

> preschool teacher about what they believe are a child's speech and

> language problems, they are told to " wait and see. " That can result

> in the loss of precious time, during which the child might be

> receiving therapy.

>

> Geng is glad she did not wait until age 3, as suggested by the

> pediatrician, to have her son's speech and hearing evaluated and

> therapy begun. Preschoolers who cannot communicate effectively may

> have difficulty playing with other children and may become frustrated

> when they are unable to make their needs known.

>

> Uncorrected, these problems can lead to learning difficulties and

> school failure, social ostracism, poor self-image, anxiety disorders

> and behavioral problems.

>

> The authors of " The Late Talker " point out that " speech and language

> disorders are the No.1 developmental impairment in children under the

> age of 5. " They offer age-appropriate guidelines to help parents

> detect early warning signs of serious communication gaps and urge

> parents to act if they find reason for concern.

>

> For referrals to qualified professionals, contact the American Speech-

> Language-Hearing Association at 10801 Rockville Pike, Rockville, MD

> 20852, 301-8975700 or 800-638-8255. The group also has a Web site:

> www.asha.org

>

> Jane Brody covers science and biology for The New York Times.

>

>

>

>

>

>

> ________________________________________________________________________

> ________________________________________________________________________

>

>

> R. Schissel, CSW

> President (AHA/AS/PDD)

> Advocates for Individuals with HighFunctioning Autism, Asperger's Syndrome

and other Pervasive Developmental Disorders

> phone/fax (516) 484-8404

> PO Box 475, Roslyn Heights, NY 11577

> (patschiss@...)

>

> Please visit (www.aha-as-pdd.org) to find the listings of our support

group dates, locations, and times. The groups meet monthly and are open to

all at no charge. There are groups for parents of school age children,

parents of older teens and adults, and for individuals on the spectrum.

>

> Helpful Websites:

> Part 200 Regulations:

> Part 200.13(specific to Autism):

>

http://www.vesid.nysed.gov/specialed/publications/lawsandregs/part200.htm#200.13

>

>

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