Instructor’s Manual 10-1
Copyright © 2017 Cengage Learning. All rights reserved.
10
COMMUNICATION DISORDERS
INSTRUCTOR OVERVIEW
Chapter 10 examines people with communication disorders. These individuals may present
challenges with speech and/or language. Speech disorders include difficulties with voice,
articulation, or fluency, whereas language disorders involve difficulties with phonology,
morphology, syntax, semantics, or pragmatics of language use.
CHAPTER-AT-A-GLANCE
DETAILED
OUTLINE
TRADITIONAL
LEARNING
ONLINE
LEARNING
CEC
STANDARDS
101 A CHANGING ERA IN
THE LIVES OF PEOPLE
WITH COMMUNICATION
DISORDERS p. 231
Learning Objectives:
10-1
PowerPoint Slides:
Ch. 10
Test Bank:
Ch. 10
MindTap for Human
Exceptionality
Chapter 10 Video Case:
Assistive Technology in
the Inclusive Classroom:
Best Practices
Chapter 10 Quiz: Did
You Get It?
Chapter 10 Quiz:
Wrapping It Up
6 Professional Learning
and Practice
102 COMMUNICATION
DEVELOPMENT
p. 231236
102a Expressive and
Receptive Language /
102b Speech and Language /
102c Speech and Language
Development
Learning Objectives:
10-2
Snapshot:
Trinity
PowerPoint Slides:
Ch. 10
Test Bank:
Ch. 10
MindTap for Human
Exceptionality
Chapter 10 Quiz: Did
You Get It?
Chapter 10 Quiz:
Wrapping It Up
1 Learner Development
and Individual Learning
Differences
Instructor’s Manual 10-2
DETAILED
OUTLINE
TRADITIONAL
LEARNING
ONLINE
LEARNING
CEC
STANDARDS
103 LANGUAGE
DISORDERS p. 236241
103a Definition and
Classifications of Language
Disorders / 103b
Characteristics and Prevalence
of Language Disorders /
103c Causes and Risk Factors
of Language Disorders /
103d Identification and
Assessment of Language
Disorders / 103e Interventions
and Treatments for Language
Disorders
Learning Objectives:
10-3
Assistive
Technology:
WorldRenowned
Astrophysicist
Stephen Hawking’s
Use of Assistive
Technology
Learning Through
Social Media:
Treating Language
Delays
PowerPoint Slides:
Ch. 10
Test Bank:
Ch. 10
MindTap for Human
Exceptionality
Chapter 10 Quiz: Did
You Get It?
Chapter 10 Scenario
(6 options):
o PreK Sara A
o PreK Sara B
o PreK Sara C
o Grades K3 Lily A
o Grades K3 Lily B
o Grades K3 Lily C
Chapter 10 Quiz:
Wrapping It Up
1 Learner Development
and Individual Learning
Differences
2 Learning Environments
4 Assessment
5 Instructional Planning
and Strategies
7 Collaboration
104 SPEECH SOUND
DISORDER p. 242247
104a Definition and
Classifications of Speech
Sound Disorders / 104b
Characteristics and Prevalence
of Speech Sound Disorders /
104c Causes and Risk Factors
of Speech Sound Disorders /
104d Identification and
Assessment of Speech Sound
Disorders / 104e Interventions
and Treatments for Speech
Sound Disorders
Learning Objectives:
10-4
Case Study on
Embracing
Diversity:
Emilio
Reflect on This:
Timothy: “I Think I
Talk Okay, Don’
You?”
PowerPoint Slides:
Ch. 10
Test Bank:
Ch. 10
MindTap for Human
Exceptionality
Chapter 10 Quiz: Did
You Get It?
Chapter 10 Quiz:
Wrapping It Up
1 Learner Development
and Individual Learning
Differences
2 Learning Environments
4 Assessment
5 Instructional Planning
and Strategies
7 Collaboration
Instructor’s Manual 10-3
DETAILED
OUTLINE
TRADITIONAL
LEARNING
ONLINE
LEARNING
CEC
STANDARDS
105 CHILD ONSET
FLUENCY DISORDER
p. 248251
105a Definitions and
Classifications of Child Onset
Fluency Disorder /
105b Characteristics and
Prevalence of Child Onset
Fluency Disorder /
105c Causes and Risk Factors
of Child Onset Fluency
Disorder / 105d Identification
and Assessment of Child Onset
Fluency Disorder /
105e Interventions and
Treatments for Child Onset
Fluency Disorder
Learning Objectives:
10-5
Snapshot:
Windows to the
World
PowerPoint Slides:
Ch. 10
Test Bank:
Ch. 10
MindTap for Human
Exceptionality
Chapter 10 Quiz: Did
You Get It?
Chapter 10 Quiz:
Wrapping It Up
1 Learner Development
and Individual Learning
Differences
2 Learning Environments
4 Assessment
5 Instructional Planning
and Strategies
7 Collaboration
106 SOCIAL
(PRAGMATIC)
COMMUNICATION
DISORDER p. 251255
106a Definition and
Classifications of Social
(Pragmatic) Communication
Disorder / 106b
Characteristics and Prevalence
of Social (Pragmatic)
Communication Disorder /
106c Causes and Risk Factors
of Social (Pragmatic)
Communication Disorder /
106d Identification and
Assessment of Social
(Pragmatic) Communication
Disorder / 106e Interventions
and Treatments for Social
(Pragmatic) Communication
Disorder
Learning Objectives:
10-6
PowerPoint Slides:
Ch. 10
Test Bank:
Ch. 10
MindTap for Human
Exceptionality
Chapter 10 Quiz: Did
You Get It?
Chapter 10 Scenario
(6 options):
o PreK Sara A
o PreK Sara B
o PreK Sara C
o Grades K3 Lily A
o Grades K3 Lily B
o Grades K3 Lily C
Chapter 10 Quiz:
Wrapping It Up
1 Learner Development
and Individual Learning
Differences
2 Learning Environments
4 Assessment
5 Instructional Planning
and Strategies
7 Collaboration
Instructor’s Manual 10-4
DETAILED
OUTLINE
TRADITIONAL
LEARNING
ONLINE
LEARNING
CEC
STANDARDS
107 VOICE AND
RESONANCE DISORDERS
p. 255259
107a Definition and
Classifications of Voice and
Resonance Disorders /
107b Characteristics and
Prevalence of Voice and
Resonance Disorders /
107c Causes and Risk Factors
of Voice and Resonance
Disorders / 107d Identification
and Assessment of Voice and
Resonance Disorders /
107e Interventions and
Treatments for Voice and
Resonance Disorders
Learning Objectives:
10-7
Community Support
for Lifelong
Inclusion:
People with
Communication
Disorders
PowerPoint Slides:
Ch. 10
Test Bank:
Ch. 10
MindTap for Human
Exceptionality
Chapter 10 Quiz: Did
You Get It?
Chapter 10 Quiz:
Wrapping It Up
1 Learner Development
and Individual Learning
Differences
2 Learning Environments
4 Assessment
5 Instructional Planning
and Strategies
7 Collaboration
LOOKING TOWARD A
BRIGHT FUTURE p. 259
PowerPoint Slides:
Ch. 10
Test Bank:
Ch. 10
LEARNING OBJECTIVES
After completing this chapter, your students should be able to:
10-1 Describe how the lives of people with communication disorders have changed since the
advent of IDEA.
10-2 Describe the primary components of typical communication development.
10-3 Describe language disorders, their prevalence, causation, identification, and related
interventions.
10-4 Describe speech sound disorder, its prevalence, causation, identification, and related
10-5 Describe child onset fluency disorder, its prevalence, causation, identification, and related
interventions.
10-6 Describe social (pragmatic) communication disorder, its prevalence, causation,
10-7 Describe voice and resonance disorders, their prevalence, causation, identification, and
related interventions.
COMMUNICATION DISORDERS
o Communication is one of the most frequent activities we undertake. Our lives
Instructor’s Manual 10-5
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10-2 COMMUNICATION DEVELOPMENT
o Communication is a relational, nonlinear, transactional process between a sender
and a receiver of a message.
o 10-2a Expressive and Receptive Language
! Expressive language involves many skills that help an individual
communicate a message to another. Receptive language involves many
o 10-2b Speech and Language
! Speech is the physical production of sounds that take the form of words
and is one means of expressing language. Language represents a
symbolic, rule-based system that gives meaning to the things we speak,
write, read, and understand.
o 10-2c Speech and Language Development
! Young children normally advance through several stages in acquiring
language:
Initial verbal output is primarily limited to crying
Cooing
Babbling
Words
10-3 LANGUAGE DISORDERS
o As we examine language disorders, we will discuss both difficulties in expressing
meaning and difficulties in receiving information.
o 10-3a Definitions and Classifications of Language Disorders
! Stated simply, language disorders represent significant difficulties in one’s
ability to understand or express ideas in his or her native communication
system.
Instructor’s Manual 10-6
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o 10-3b Characteristics and Prevalence of Language Disorders
! Individuals who experience difficulty in language production, or
formulating and using spoken or written language, may have an expressive
o 10-3c Causes and Risk Factors of Language Disorders
! Many physiological problems may cause language difficulties. Language
o 10-3d Identification and Assessment of Language Disorders
! Referrals may come from several stakeholders, notably parents and
teachers or other educational personnel. Because language disorders are
o 10-3e Interventions and Treatments for Language Disorders
! Interventions are individualized, and significant planning is required,
especially by speech–language pathologists. When a student is identified
10-4 SPEECH SOUND DISORDERS
o 10-4a Definitions and Classifications of Speech Sound Disorders
! To be diagnosed with a speech sound disorder, the individual must
o 10-4b Characteristics and Prevalence of Speech Sound Disorders
! Speech sound disorders are characterized by problems with articulation
(making sounds) and sound patterns (phonological processing), resulting
o 10-4c Causes and Risk Factors of Speech Sound Disorders
! Speech sound disorders are believed to develop for three primary reasons:
o 10-4d Identification and Assessment of Speech Sound Disorders
! Identification and assessment of speech sound disorders occur in similar
o 10-4e Interventions and Treatments for Speech Sound Disorders
! Many types of treatment exist for speech sound disorders. In many cases,
however, treatment may include a combination of procedures.
Instructor’s Manual 10-7
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10-5 CHILD ONSET FLUENCY DISORDER
o 10-5a Definitions and Classifications of Child Onset Fluency Disorder
! Child onset fluency disorder, or stuttering, occurs when the individual’s
normal fluency and time patterning of speech is disturbed, and this causes
o 10-5b Characteristics and Prevalence of Child Onset Fluency Disorder
! When an individual has childhood onset fluency disorder (stuttering),
typical flow of speech is abnormally interrupted by repetitions, blocks, or
prolongations of sounds, syllables, words, or phrases. Prevalence differs in
o 10-5c Causes and Risk Factors of Child Onset Fluency Disorder
! Most research supports two primary causes: developmental stuttering and
neurogenic stuttering. Developmental stuttering occurs when a child’s
o 10-5d Identification and Assessment of Child Onset Fluency Disorder
! Most children exhibit some normal dysfluencies that diminish and cease
with maturation. When making a diagnosis, SLPs pay particular attention
o 10-5e Interventions and Treatments of Child Onset Fluency Disorder
! Because stuttering is a complex problem, effective interventions are likely
to be complicated. The inability of any one treatment or cluster of
10-6 SOCIAL (PRAGMATIC) COMMUNICATION DISORDER
o Delayed speech is a deficit in communication ability in which the individual
speaks like a much younger person.
o 10-6a Definitions and Classifications of Social (Pragmatic) Communication
Disorder
! Social (pragmatic) communication disorder (SCD) is characterized by
sustained difficulties in using verbal and nonverbal communication, as
Instructor’s Manual 10-8
Instructor’s Manual 10-9
Instructor’s Manual 1010
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ACTIVITY 2
INTRODUCTION: Speech and language disorders are identified using various testing methods and
instruments, such as the Test of Language Development, the Test of Adolescent Language, and
the Let’s Talk series.
ACTIVITY: Provide students with the opportunity to look at these instruments and explain their
various functions.
ACTIVITY 3
INTRODUCTION: Receptive and expressive language disorders present a multitude of problems for
student participation in classroom activities.
ACTIVITY: At the beginning of class, present an unannounced quiz. Write the quiz using
extremely complex vocabulary. Inform students that they have five minutes to complete it. Then
discuss their responses to the obstacles created by the language complexity. Compare these
reactions with the potential reactions of students with poor expressive or receptive
ACTIVITY 4
INTRODUCTION: The customary approach to language disorder intervention follows the basic
steps for intervention outlined in IDEA. Each student deserves instruction based on an
individualized program with clearly stated goals and objectives.
ACTIVITY: Present several examples of completed individualized education programs (IEPs)—
use fictionalized ones if appropriate to maintain confidentiality—and discuss the appropriateness
of the stated goals for students with language disorders. Questions to discuss include:
Are speech goals appropriate for the student’s age?
ACTIVITY 5
INTRODUCTION: Treatment should mirror the conditions under which children normally learn
language. However, typical speech therapy sessions are conducted in isolated settings.
Controversy exists over the validity of speech therapy provided in such settings as opposed to
speech therapy integrated in regular classrooms.
ACTIVITY: Debate this issue with the class. Questions to discuss include:
What are the benefits and problems of speech therapy conducted in separate settings?
What are the benefits and problems of speech therapy conducted in regular classrooms?
Instructor’s Manual 1011
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ACTIVITY 6
INTRODUCTION: General articulation skills transcend a singular setting or skill.
ACTIVITY: Discuss the impact communication disorders have on an individual. Questions to
discuss include:
How do articulation skill levels seem to impact the lives of people who have
communication disorders?
What is the impact to their access to activities?
Is there any effect on their interpersonal relationships?
ACTIVITY 7
INTRODUCTION: Increasingly professionals are using alternative or augmentative communication
devices for individuals with severe disabilities. The nature of these devices ranges from simple
communication boards to complex technological instruments.
ACTIVITY: Describe the augmentative communication devices used in school and employment
settings. Arrange a demonstration of one or more communication devices for class members, and
ACTIVITY 8
INTRODUCTION: Over the years, many different approaches have been used to treat persons who
stutter. Techniques such as play therapy, creative therapy, parent counseling, group counseling,
psychotherapy, biofeedback, relaxation therapy, and direct behavioral therapy have been useful
in working with children who stutter.
ACTIVITY: Assign each student to select one of these approaches and prepare a short presentation
that describes the approach and how it could be used in the classroom.
ACTIVITY 9
INTRODUCTION: Basic principles of learning suggest that, when one is first learning a skill, the
stimulus and reward circumstances can affect the rate of learning.
ACTIVITY: Discuss this theory of learning in relation to communication. Questions to discuss
include:
What type of reinforcement system could be developed in the classroom to assist in
speech development?
What teacher behaviors can encourage communication?
How could this system be transferred to the home?
ACTIVITY 10
INTRODUCTION: Articulation disorders are quite frequent among small children and may improve
with age. However, the longer such difficulties are allowed to continue, the more difficult the
Instructor’s Manual 1012
Copyright © 2017 Cengage Learning. All rights reserved.
therapy to correct articulation problems, regardless of the child’s age? Or should professionals
wait and see how the child progresses?
ACTIVITY: Break students into groups, and ask each group to discuss their position, supporting
either early intervention or a wait-and-see position. As students to discuss their thoughts on each
VIDEO ACTIVITIES
ACTIVITY 1
VIDEO: How Intel Keeps Stephen Hawking Talking
VIDEO URL: http://iq.intel.com/behind-scenes-intel-keeps-stephen-hawking-talking
ACTIVITY: Language and communication barriers are reduced through the use of assistive
technology. Physicist Stephen Hawkins uses assistive technology to communicate with others.
Watch the short clip titled How Intel Keeps Stephen Hawking Talking. Afterward, discuss with
students how technology helps people with communication difficulties maintain independence.
ACTIVITY 2
VIDEO: Interventions for Speech Sound Disorders in Young Children
VIDEO URL: https://www.youtube.com/watch?v=BLuZdiX7Wrg
ACTIVITY The complexity and variety of communication disorders requires that professionals are
able to use and select from a multiplicity of interventions and treatments. Watch the video titled
Interventions for Speech Sound Disorders in Young Children. Afterward, discuss the video with
students, including questions such as:
What problems did you notice in communication?
What were the interventions being used?
Why are young children more likely to have problems in communication?
ACTIVITY 3
VIDEO: Stuttering: For Kids, By Kids
ACTIVITY: What is it like to be a child with a fluency disorder? Watch the Stuttering Foundation
video titled Stuttering: For Kids, By Kids. Afterward, have students share the insights they
gained from the video.
DEBATE FORUM
To Treat or Not to Treat?
Articulation problems represent about 80 percent of all speech disorders that speech–language
pathologists encounter, making this type of difficulty the most prevalent of all communication
disorders. It is also well-known that young children normally make a number of articulation
errors during the process of maturation as they are learning to talk. A substantial portion do not
Instructor’s Manual 1013
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conquer all the rules of language and produce all the speech sounds correctly until they are about
7 years old, yet they eventually develop normal speech and articulate properly. In lay
terminology, they seem to “grow out of” early articulation problems. This maturation outcome
POINT
Some school administrators are reluctant to treat young children who display articulation errors
because they expect most children’s articulation to improve over time without expending
resources from tight budgets. If a substantial proportion of young children’s articulation
COUNTERPOINT
Although articulation does improve with maturation, delaying intervention is a mistake. The
longer such problems persist, the more difficult treatment will be. Even the claim of financial
savings is an invalid one. If all articulation difficulties are allowed to continue, those children
TAKE A STAND
1. Do you think that given the fact that articulation problems improve with maturation
and school district resources are tight, such problems should not be treated unless
they persist beyond the age of 10 or 11? Explain your answer.
CASE STUDY FEEDBACK
Emilio
As a member of the multidisciplinary team, what advice would you give to Emilio’s speech–
language pathologist regarding differentiating between speech–language disabilities and
speech–language differences?
Speech language disabilities and speech language differences can occur for many reasons and
Instructor’s Manual 1014
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