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Developmental language and speech disability.

G Spiel1, E Brunner, B Allmayer

  • 1georg.spiel@lkh-klu.at

Indian Journal of Pediatrics
|October 24, 2001
PubMed
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This article discusses childhood speech and language disorders, including expressive and receptive deficits. It proposes an alternative classification and reviews diagnostic tools, influencing factors, and treatment approaches for better communication development.

Area of Science:

  • Pediatric Speech-Language Pathology
  • Developmental Psychology

Background:

  • Childhood speech disabilities (articulation deficits) and language disorders (expressive and receptive) are prevalent.
  • Understanding communication impairments and clinical characteristics of language developmental disorders is crucial.

Purpose of the Study:

  • To provide an overview of childhood speech and language disorders.
  • To compare diagnostic classifications (ICD-10, DSM-IV) and propose an alternative.
  • To discuss influencing factors and treatment paradigms.

Main Methods:

  • Literature review and comparative analysis of diagnostic systems.
  • Development of an alternative classification for language and speech disorders.
  • Discussion of etiological factors and therapeutic strategies.

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Main Results:

  • Existing diagnostic tables (ICD-10, DSM-IV) have limitations.
  • An alternative classification differentiating expressive/receptive and semantic/morphological-syntactic domains is proposed.
  • Standardized examinations are essential for accurate diagnosis.

Conclusions:

  • Effective management requires understanding diverse factors: psychosocial, biological, and their interaction.
  • Logopaedic treatment paradigms and specific therapy concepts are vital for prognosis.
  • The proposed classification aids in precise diagnosis and tailored interventions for speech and language disorders.