Re: Pragmatic language

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Posted by Barbara on June 12, 201 at 06:49:44:

In Reply to: Re: Pragmatic language – Steve D.?? posted by Dave on June 11, 201 at 12:27:02:

Dave – thanks for your thoughts. Self-advocacy is something we really have to work on; we’re spending years helping her get through her denial that she has any problems. Hopefully one-one therapy that we’ve begun will begin to help here. As will an extremely careful choice of middle schools.

: Hi Barbara

: I could really relate to your post. To tell you the truth my daughters language abilities sometimes is her greatest downfall. Like you our daughter has made tremendous strides in this area. She too is very gifted verbally yet it can at times be her biggest weakness. She sometimes has word retrieval difficulties and is often confused by what someone means.

: I can tell you the biggest thing we have taught her is to self advocate. To say i don’t know what you meant by that etc.. This has helped her on a more practical level than anything else. Her true friends understand this as she has explained it to them.

: I too would recommend Speech and Language therapy. We assume that our children use language in such a precocious manner that there is not difficulty there. When in fact there often is.

: Last year i had my daughter take a CAPD evaluation because i thought there was more going on with her in the language context then people thought. Especially when she started complaining about concentrating in class with the noise. Kids with CAPD often compensate by controlling conversation which is something i have seen in my daughters case.

: We found she did have areas of difficulty and i thing it should be a standard NLD assessment.

: Speech and Language has been huge for us. Its more than what people think it is. It helps our children organize their thought process.

: I just picked up a book called It’s on the Tip of My Tongue. I’ve only perused it but i think there are strategies that would be helpful for NLDers as well.

: I have a son who has expressive language difficulties along with CAPD. He is kind of the opposite of NLD in that he is very visual. I primarily got the book for him but there are many crossover ideas and strategies to help my NLD daughter. Speech and Language has been incredibly helpful for him. People comment on how much he has changed and that he has come out of his shell.

: I think those that think there child does not need speech and language because they speak so eloquently or at least in output are missing out on a real helpful tool.

: Regards,
: Dave
: : Any thoughts from other parents, Steve our resident SLP, or others welcome: my 10.5 year old NLd daughter has lots of pragmatic language difficulty, and she has worked on this (and other things) with SLP off and on for 2+ years. She has had lots of progress in reading comprehension, main idea, inferences, humor, doublemeanings, slang expressions, etc. She has really come a long way. However, on a recent eval using certain subtests of the Comprehensive Assessment of Spoken Language (CASL) her pragmatic judgment subtest was very low (standard score 80, 9th percentile). Her SLP did say this is a relatively new test (implication = still working out kinks?). But I’m starting to wonder if, despite work in this area (and many social skills groups since age 7) the basic deficit in pragmatic language is what is standing in her way so much socially. I know how hard it is for her to “engage” to “get in” to a group socially, literally, to figure out what to do. We’re also aware from some other recent testing that she may be having some word retrieval problems, and I’ve watched her slow down in conversation as she struggles to find word (and this is a very verbal, gifted and bright child). We’re aware of more difficulties socially in particular this year as the pace of social interactions picked up a lot — not just in speed, but nuances, etc. QUESTION: is there any recommended intervention for the pragmatic difficulty beyond the various sorts of practice she gets in social skills groups (with pscyhiatrist and mostly ADHD girls) or with SLP? We know that generalizing the training is hard (all this is typical NLD). But I do wonder if there is any particular approache we might not have tried yet that would help in this area. Thanks in advance for your thoughts.

: : p.s. a recent psycho-ed eval showed wonderful and significant gains in many areas of prior weakness. She has had lots of interventions for 3 years. The speech/language work has been among her favorites, most useful, and seems to have “stuck”. I highly recommend it for NLD kids.

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: Dave – thanks for your thoughts. Self-advocacy is something we really have to work on; we’re spending years helping her get through her denial that she has any problems. Hopefully one-one therapy that we’ve begun will begin to help here. As will an extremely careful choice of middle schools. : : Hi Barbara: : I could really relate to your post. To tell you the truth my daughters language abilities sometimes is her greatest downfall. Like you our daughter has made tremendous strides in this area. She too is very gifted verbally yet it can at times be her biggest weakness. She sometimes has word retrieval difficulties and is often confused by what someone means. : : I can tell you the biggest thing we have taught her is to self advocate. To say i don’t know what you meant by that etc.. This has helped her on a more practical level than anything else. Her true friends understand this as she has explained it to them.: : I too would recommend Speech and Language therapy. We assume that our children use language in such a precocious manner that there is not difficulty there. When in fact there often is.: : Last year i had my daughter take a CAPD evaluation because i thought there was more going on with her in the language context then people thought. Especially when she started complaining about concentrating in class with the noise. Kids with CAPD often compensate by controlling conversation which is something i have seen in my daughters case.: : We found she did have areas of difficulty and i thing it should be a standard NLD assessment.: : Speech and Language has been huge for us. Its more than what people think it is. It helps our children organize their thought process.: : I just picked up a book called It’s on the Tip of My Tongue. I’ve only perused it but i think there are strategies that would be helpful for NLDers as well.: : I have a son who has expressive language difficulties along with CAPD. He is kind of the opposite of NLD in that he is very visual. I primarily got the book for him but there are many crossover ideas and strategies to help my NLD daughter. Speech and Language has been incredibly helpful for him. People comment on how much he has changed and that he has come out of his shell.: : I think those that think there child does not need speech and language because they speak so eloquently or at least in output are missing out on a real helpful tool.: : Regards, : : Dave: : : Any thoughts from other parents, Steve our resident SLP, or others welcome: my 10.5 year old NLd daughter has lots of pragmatic language difficulty, and she has worked on this (and other things) with SLP off and on for 2+ years. She has had lots of progress in reading comprehension, main idea, inferences, humor, doublemeanings, slang expressions, etc. She has really come a long way. However, on a recent eval using certain subtests of the Comprehensive Assessment of Spoken Language (CASL) her pragmatic judgment subtest was very low (standard score 80, 9th percentile). Her SLP did say this is a relatively new test (implication = still working out kinks?). But I’m starting to wonder if, despite work in this area (and many social skills groups since age 7) the basic deficit in pragmatic language is what is standing in her way so much socially. I know how hard it is for her to “engage” to “get in” to a group socially, literally, to figure out what to do. We’re also aware from some other recent testing that she may be having some word retrieval problems, and I’ve watched her slow down in conversation as she struggles to find word (and this is a very verbal, gifted and bright child). We’re aware of more difficulties socially in particular this year as the pace of social interactions picked up a lot — not just in speed, but nuances, etc. QUESTION: is there any recommended intervention for the pragmatic difficulty beyond the various sorts of practice she gets in social skills groups (with pscyhiatrist and mostly ADHD girls) or with SLP? We know that generalizing the training is hard (all this is typical NLD). But I do wonder if there is any particular approache we might not have tried yet that would help in this area. Thanks in advance for your thoughts. : : : p.s. a recent psycho-ed eval showed wonderful and significant gains in many areas of prior weakness. She has had lots of interventions for 3 years. The speech/language work has been among her favorites, most useful, and seems to have “stuck”. I highly recommend it for NLD kids.

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