Inner Speech and Executive Function in Children With Developmental Language Disorder: Implications for Assessment and
1Department of Communication Sciences and Disorders, MGH Institute of Health Professions, Boston, MA.
Perspectives of the ASHA Special Interest Groups
|July 3, 2024
Summary
Children with developmental language disorder (DLD) may struggle with executive function due to less effective inner speech. Understanding this connection is crucial for speech-language pathologists to improve interventions for DLD and executive function skills.
Area of Science:
- Cognitive Science
- Developmental Psychology
- Speech-Language Pathology
Background:
- Executive function (EF) and language skills frequently co-occur in children with developmental language disorder (DLD).
- Inner speech, or self-talk, is a critical mediator for executive function performance in typical development.
- The interplay between inner speech and EF in DLD is not well understood, impacting assessment and intervention.
Purpose of the Study:
- To review the role of inner speech in executive function for typical populations.
- To summarize current knowledge on inner speech and executive function in children with DLD.
- To discuss clinical implications and future research directions.
Main Methods:
- Literature review of theoretical frameworks, developmental trajectories, and measurement of inner speech.
- Synthesis of research on inner speech and EF in typical adults and children.
- Analysis of existing studies on inner speech and EF in children with DLD.
Main Results:
- Inner speech acts as a self-cueing mechanism for task rules, sequencing, and goal maintenance in typical individuals.
- Preliminary findings suggest children with DLD exhibit less mature and effective inner speech during EF tasks.
- There is a significant gap in research specifically examining the relationship between inner speech and EF in children with DLD.
Conclusions:
- Inner speech plays a vital role in executive function, and its atypical development in DLD may contribute to EF deficits.
- Speech-language pathologists should consider the role of inner speech when addressing EF challenges in children with DLD.
- Further research is needed to fully elucidate the inner speech-EF link in DLD and inform evidence-based practices.
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