This article focuses on a narrative account of a therapeutic journey experienced by 2 of the authors: an individual (P.D.) with a diagnosis in adulthood of autism spectrum disorder (ASD) and a speech-language pathologist/researcher (I.W.). Instead of adopting a traditional expert clinician treating an impaired patient stance in a highly formalized…

This study provides qualitative and quantitative evidence of how an emotion explanation task can reflect African American preschoolers' pragmatic skills. We used an emotion explanation task to assess pragmatic skills among 19 children (aged 3-5 years) related to (1) engaging in conversational turn-taking, (2) answering "Wh-" questions,…

During clinical interactions between speech-language pathologists and adults with aphasia, a variety of emotional issues arise. The literature suggests that while counseling is within the scope of practice, SLPs tend to avoid emotional issues in therapy (A. Holland, 2007a). The precise mechanisms employed for circumventing emotional issues in…

This article presents a longitudinal case study of a child named Cody identified with specific language impairment. Cody was followed from 4 to 19 years of age, at which time he compared his social skills with those of peers: "It's like they're driving sports car and I'm on a tricycle." His initial long- and short-term intervention goals are…

Effective social communication interventions achieve 2 outcomes: enhancement of language and social skills and generalization of these skills during authentic interactions with peers. This article describes intervention contexts and strategies for promoting generalization of social communication skills in children with language impairments.…

A portrait is presented of the toddler with slow expressive language development (SELD), based on research examining the health history; cognitive, communicative, and adaptive skills; behavior; and phonology of 30 toddlers with SELD and 30 nondisabled toddlers. The paper offers a review of research on the outcomes of SELD, and explores…

This case study follows Casey, a child with significant speech and language deficits, from age 4 years 2 months until 9 years 9 months. It focuses on a 9-month period starting at age 5 years 9 months during which a meaning-based phonological intervention was used to improve his intelligibility and language skills. Clinicians evoked frequent word…

This article presents a discussion of peer relationships, family relationships, and the contexts of junior high and high school as experienced by normally developing adolescents and offers implications in each of these areas for adolescents with language disorders. Case studies of adolescents with language impairments are presented. (Contains…