Using semantic differential scales with nine trait pairs, 445 adults rated five audio-taped speech samples, one depicting an individual without a disorder and four portraying communication disorders. Statistical analyses indicated that the no disorder sample was rated higher with respect to the trait of employability than were the articulation,…

Background: Current models of evidence-based practice marginalize and even silence the voices of those who are the potential beneficiaries of assessment and intervention. These missing voices can be found in the reflections of clients on their own life-world experiences. Aims: This paper examines how voices from the life-world are silenced in…

An Aphasia Communication Enhancement program in which therapeutic roles are modified to include roles associated with a life participation approach to aphasia (LPAA) is discussed.

Assessment for a diagnosis of dementia is hard enough under the best possible conditions. There are possible alternative or concomitant diagnoses, such as depression, to consider. However, when the possible dementia concerns a gentleman with severe learning disabilities and with a severe communication disorder then this assessment becomes even…

This article provides a conceptualization of physical impairment as an object loss comparable to the loss of a loved one. It exists when, for example, a person has only one limb, or an illness in an organ of the body. Parkinson's disease is just such an impairment that denies the author the ability to utilize his body's previous capacity of…

Purpose: To provide preliminary evidence of the construct validity of the Communicative Effectiveness Survey (CES) for individuals with dysarthria and idiopathic Parkinson's disease (PD). Method: In a prospective, quasi-experimental design, 25 participants each were assigned to 3 groups (N = 75): PD and dysarthria, non-PD and no dysarthria, and PD…

The incidence of ASD is increasing at an alarming rate. Autism affects the ability to communicate and, in fact, between 33 and 55 percent of individuals with ASD never develop communication skills that are sufficient to meet their most simple daily needs. The National Research Council stated in its 2001 landmark publication, Educating Children…

Purpose: The purpose of this article is to help speech-language pathologists (SLPs) apply the principles of evidence-based practice (EBP) to nonspeech oral motor treatments (NSOMTs) in order to make valid, evidence-based decisions about NSOMTs and thus determine if they are viable treatment approaches for the management of communication disorders.…

The critical role of communication in schools cannot be understated. Communication skills are a necessity both in the academic and social atmosphere of the school environment. Unfortunately, there are a large number of children in the schools today identified with speech and language disorders. This special edition of "Psychology in the Schools"…

This paper examined the processes that resulted in an adult failing to comprehend the intentions of a boy with high-functioning autism. In a dyadic conversation between an adult and a young boy, the adult used questions to elicit clarification of intentions. The boy's responses were examined frame-by-frame using videotape microanalysis. Two causes…

This paper uses the methodology of conversation analysis (CA) to examine the practice of co-constructed turn and utterance production in impaired communication. An investigation of the conversations between two family dyads, featuring one person with dysarthric speech and one with aphasic language, reveals one way in which single turns and…

This study compares use of the Picture Exchange Communication System (PECS) and a Voice Output Communication Aide (VOCA) with four preschool children who were either non-speaking or limited in their ability to speak and did not use an AAC system to communicate functionally. An alternating treatment single subject design was used to measure…

The child-caregiver relationship has long been recognized as crucial to social-emotional functioning and later development. Specifically, the consistency with which caregivers interact with young children in warm, supportive ways is related to optimal early development. This may be especially critical in the families formed by international…

This article reviews the effectiveness of dose forms and the efficacy of dosage and distribution in morphosyntax intervention for children. Dose forms include the commonly used techniques, procedures, and intervention contexts that constitute teaching episodes; dosage includes the quantitative measures of dose, dose frequency, total intervention…

Including children as research participants is an important new direction in early childhood research. However, it is rare for such studies to include the voices of children with significant communication impairment. This article suggests that drawing may be an appropriate non-verbal method for "listening" to these children's ideas and recording…