Health care providers can experience increased diffculty communicating with adult patients during medical interactions when the patients have communication disorders. Meeting the communication needs of these patients can also create unique challenges for providers. The authors explore Communication Accommodation Theory (H. Giles, 1979) as a guide…

Approximately 20,000 children are adopted from foreign countries each year. Of these children, approximately 46% are adopted before they are 12 months old and 43% are adopted between 1 and 4 years of age. The development of children adopted from abroad before or by 2 years of age is the focus of this article. Given the impoverished language input…

The article offers an exploratory analysis of three conceptual models used in psychiatry. Through a case presentation, the article demonstrates each model's basic premises and implications. Patterns of speech, language, and communication impairment should be investigated from all three perspectives: biodynamic, psychodynamic, and sociodynamic.…

This article discusses some specific outcome measures for social communication problems exhibited by school-age children. Measures are discussed relative to (1) a model for viewing abilities essential for social communication and (2) a framework for sampling these abilities across four different contexts. A case example applies these outcome…

The paper discusses approaches designed to reduce, eliminate, or replace unconventional behavior in individuals with severe disabilities. Emphasis is placed on the need to analyze the communicative functions of behavior and to facilitate the development of an individual's communication system. A case example of a four-year-old nonverbal child is…

The paper defines the population of primary school age language/learning-disabled children with communication disorders and emotional/behavioral disorders. It then discusses the language demands of traditional treatment methods, assessment and diagnostic procedures, approaches to communication intervention, and treatment modalities; and offers a…

This article focuses on the speech language pathologist's (SLP) role as a member of a collaborative team in identifying patterns of strengths and challenges in communication in children with autism and in providing social, behavioral, and communication supports. It presents two case studies of boys (ages 10-12) with autism. (Contains references.)…

Case studies are presented of three individuals with severe communication impairments who had been judged to be intellectually impaired but revealed unexpected achievements after training in nonspeech communication. The communication training used facilitation to circumvent hand function impairments. (JDD)

A case study of a graduate student with language-learning disorders is used to demonstrate the development of self-determination abilities. Academic and communication interventions were used to foster development of the student's self-knowing and self-valuing as the basis for becoming a self-determined individual. The role of the speech-language…

Conveying information to clients has a variety of purposes in professional-client interactions. It has a clear relationship to client access to participation in the decisions made about a presenting problem. Speech-language pathologists tend to assume they do this competently and to the advantage of their clients, but rarely has this assumption…

A theoretical framework for how literacy is learned and an overview of some special learning and technological needs of persons with severe speech and physical impairments are presented. Guidelines are offered for appropriate software selection and specialized computer adaptation for speech output and physical access. (DB)