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Practitioner review: developmental language disorders: a clinical update

I Rapin1

  • 1Albert Einstein College of Medicine, Bronx, NY 10461, USA.

Journal of Child Psychology and Psychiatry, and Allied Disciplines
|September 1, 1996
PubMed
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Three types of developmental language disorders are identifiable by non-specialists, primarily stemming from genetic factors. Early educational intervention is crucial for effective treatment of these language impairments.

Area of Science:

  • Linguistics
  • Developmental Psychology
  • Pediatrics

Background:

  • Developmental language disorders (DLDs) affect children's ability to understand and use language.
  • Accurate identification and classification of DLD subtypes are essential for targeted interventions.
  • Understanding the etiology and neurological underpinnings of DLDs is critical for effective management.

Purpose of the Study:

  • To outline three distinct categories of developmental language disorders for non-specialist identification.
  • To describe the characteristics of each DLD subtype, including phonology, syntax, semantics, and pragmatics.
  • To discuss the genetic etiology and neurobiological correlates of DLDs, and the role of early intervention.

Main Methods:

  • Classification of DLDs based on receptive and expressive language abilities.

Related Experiment Videos

  • Description of phonological, semantic, and pragmatic deficits associated with each subtype.
  • Review of etiological factors, including genetic influences and neuroimaging findings.
  • Main Results:

    • Three DLD types identified: mixed receptive/expressive, expressive with adequate comprehension, and higher-order processing disorders.
    • Mixed receptive/expressive disorders impact phonology, syntax, and semantics; expressive disorders primarily affect phonologic production.
    • Higher-order processing disorders affect semantics, pragmatics, and discourse, notably in preschool autistic children.

    Conclusions:

    • Developmental language disorders are primarily genetic, with structural brain lesions being rare.
    • Early educational intervention is highly effective for children with DLDs.
    • Subclinical epilepsy in severe receptive deficits may be detected via sleep EEG.