Targeting the expressive language of children with Down syndrome who are minimally verbal : bridging research and practice

textChildren with Down syndrome present with an array of physical and cognitive sequelae that can hinder speech and language development. These individuals can constitute a considerable portion of a speech-language pathologist’s caseload. Based on the principles of best evidence, clinicians are ethically responsible for providing the most effective treatment for their clients. The available literature focuses mainly on describing the linguistic characteristics in this population, while relatively less focus is placed on effective intervention programs. This paper investigates the available evidence regarding speech and language interventions for children with Down syndrome who are in the mild to moderate range of linguistic functioning, and provides an outlook for future research based on best evidence.Communication Sciences and Disorder

Directional adposition use in English, Swedish and Finnish

Directional adpositions such as to the left of describe where a Figure is in relation to a Ground. English and Swedish directional adpositions refer to the location of a Figure in relation to a Ground, whether both are static or in motion. In contrast, the Finnish directional adpositions edellä (in front of) and jäljessä (behind) solely describe the location of a moving Figure in relation to a moving Ground (Nikanne, 2003). When using directional adpositions, a frame of reference must be assumed for interpreting the meaning of directional adpositions. For example, the meaning of to the left of in English can be based on a relative (speaker or listener based) reference frame or an intrinsic (object based) reference frame (Levinson, 1996). When a Figure and a Ground are both in motion, it is possible for a Figure to be described as being behind or in front of the Ground, even if neither have intrinsic features. As shown by Walker (in preparation), there are good reasons to assume that in the latter case a motion based reference frame is involved. This means that if Finnish speakers would use edellä (in front of) and jäljessä (behind) more frequently in situations where both the Figure and Ground are in motion, a difference in reference frame use between Finnish on one hand and English and Swedish on the other could be expected. We asked native English, Swedish and Finnish speakers’ to select adpositions from a language specific list to describe the location of a Figure relative to a Ground when both were shown to be moving on a computer screen. We were interested in any differences between Finnish, English and Swedish speakers. All languages showed a predominant use of directional spatial adpositions referring to the lexical concepts TO THE LEFT OF, TO THE RIGHT OF, ABOVE and BELOW. There were no differences between the languages in directional adpositions use or reference frame use, including reference frame use based on motion. We conclude that despite differences in the grammars of the languages involved, and potential differences in reference frame system use, the three languages investigated encode Figure location in relation to Ground location in a similar way when both are in motion. Levinson, S. C. (1996). Frames of reference and Molyneux’s question: Crosslingiuistic evidence. In P. Bloom, M.A. Peterson, L. Nadel & M.F. Garrett (Eds.) Language and Space (pp.109-170). Massachusetts: MIT Press. Nikanne, U. (2003). How Finnish postpositions see the axis system. In E. van der Zee & J. Slack (Eds.), Representing direction in language and space. Oxford, UK: Oxford University Press. Walker, C. (in preparation). Motion encoding in language, the use of spatial locatives in a motion context. Unpublished doctoral dissertation, University of Lincoln, Lincoln. United Kingdo

Nixon's “full-speech”: imaginary and symbolic registers of communication

Communicative interchanges play a foundational role in establishing the social. This being said, communicative behaviour can also lead to stalemates and conflict in which demands of recognition outweigh the prospect of hearing or saying anything beyond what is thought to be known. This paper foregrounds a dimension of communication often neglected by approaches prioritizing mass communications and new media technologies, namely the psychical and inter-subjective aspects of communicative exchange. More directly, this paper introduces and develops a Lacanian psychoanalytic theory of two interlinked registers of communicative behaviour. The first of these is the imaginary: the domain of one-to-one inter-subjectivity and behaviour that serves the ego and functions to consolidate the images subjects use to substantiate themselves. The second - far more disturbing and unpredictable - is the symbolic. It links the subject to a trans-subjective order of truth, it provides them with a set of socio-symbolic co-ordinates, and it ties them into a variety of roles and social contracts. In an elaboration of these two registers, illustrated by brief reference to Nixon’s admission of guilt in his interviews with David Frost, I pay particular attention to both the potentially transformative symbolic aspect of communicative behaviours and the ever-present prospect that such relations will ossify into imaginary impasses of mis-knowing (méconnaissance) and aggressive rivalry

Prelinguistic vocalizations distinguish pointing acts

The current study investigated whether point-accompanying characteristics, like vocalizations and hand shape, differentiate infants' underlying motives of prelinguistic pointing. We elicited imperative (requestive) and declarative (expressive and informative) pointing acts in experimentally controlled situations, and analyzed accompanying characteristics. Experiment 1 revealed that prosodic characteristics of point-accompanying vocalizations distinguished requestive from both expressive and informative pointing acts, with little differences between the latter two. In addition, requestive points were more often realized with the whole hand than the index finger, while this was the opposite for expressive and informative acts. Experiment 2 replicated Experiment 1, revealing distinct prosodic characteristics for requestive pointing also when the referent was distal and when it had an index-finger shape. Findings reveal that beyond the social context, point-accompanying vocalizations give clues to infants' underlying intentions when pointing

Neurophysiological evidence for rapid processing of verbal and gestural information in understanding communicative actions

During everyday social interaction, gestures are a fundamental part of human communication. The communicative pragmatic role of hand gestures and their interaction with spoken language has been documented at the earliest stage of language development, in which two types of indexical gestures are most prominent: the pointing gesture for directing attention to objects and the give-me gesture for making requests. Here we study, in adult human participants, the neurophysiological signatures of gestural-linguistic acts of communicating the pragmatic intentions of naming and requesting by simultaneously presenting written words and gestures. Already at ~150 ms, brain responses diverged between naming and request actions expressed by word-gesture combination, whereas the same gestures presented in isolation elicited their earliest neurophysiological dissociations significantly later (at ~210 ms). There was an early enhancement of request-evoked brain activity as compared with naming, which was due to sources in the frontocentral cortex, consistent with access to action knowledge in request understanding. In addition, an enhanced N400-like response indicated late semantic integration of gesture-language interaction. The present study demonstrates that word-gesture combinations used to express communicative pragmatic intentions speed up the brain correlates of comprehension processes – compared with gesture-only understanding – thereby calling into question current serial linguistic models viewing pragmatic function decoding at the end of a language comprehension cascade. Instead, information about the social-interactive role of communicative acts is processed instantaneously

Emerging Language: Cognition and Gestural Communication in Wild and Language Trained Chimpanzees (Pan troglodytes)

An important element in understanding the evolutionary origin of human language is to explore homologous traits in cognition and communication between primates and humans (Burling, 1993, Hewes, 1973). One proposed modality of language evolution is that of gestural communication, defined as communicative movements of hands without using or touching objects (de Waal, 2003). While homologies between primate calls and language have been relatively well explored, we still have a limited understanding of how cognitive abilities may have shaped the characteristics of primate gestures (Corballis, 2003). Chimpanzees (Pan troglodytes) are our closest living relatives and display some complex cognitive skills in various aspects of their gestural behaviour in captivity (de Waal, 2003, Pollick and de Waal, 2007). However, it is not yet currently clear to what extent these abilities seen in captive apes are typical of chimpanzees in general and to what extent cognitive capacities observed in captive chimpanzees have been enhanced by the socio-cultural environment of captivity such as language training. In this Ph.D. research, I investigated the cognitive skills underlying gestural communication in both wild and language trained chimpanzees, with a special focus on the repertoire and the intentionality of production and comprehension. The study of cognitive skills underlying the production of the repertoire and the role of intentionality is important because these skills are cognitively demanding and are a prerequisite in human infants for their ability to acquire language (Baldwin, 1995, Olson, 1993). My research suggests that chimpanzee gestural communication is cognitively complex and may be homologous with the cognitive skills evident in pre-verbal infants on the cusp of language acquisition. Chimpanzees display a multifaceted and complex signal repertoire of manual gestures. These gestures are the prototypes, within which there is variation, and between which the boundaries are not clear-cut, but there is gradation apparent along several morphological components. Both wild and language trained chimpanzees communicate intentionally about their perceived desires and the actions that they want the recipients to undertake. They do not just express their emotions, but they communicate flexibly by adjusting their communicative tactics in response to the comprehension states of the recipient. Whilst chimpanzees communicate their intentions flexibly, the messages conveyed are specific. However, recipients comprehend gestures flexibly in light of the signaller’s overall intentions. Whilst wild and language trained chimpanzee gestural communication revealed similar cognitive characteristics, language trained chimpanzees outperformed wild apes in that they had ability to use signals which made distinctions that human deictic words can make. Whilst these differences between wild and language trained chimpanzees may be due to the different methodological approaches used, it is conceivable that language training may have influenced captive ape cognitive skills in the representational domain. These results from wild and language trained chimpanzees indicate that chimpanzees possess some form of cognitive skills necessary for language development and that cognitive skills underlying repertoire and use in chimpanzees are a shared capacity between humans, other apes and a common ancestor. These findings render theories of the gestural origins of language more plausible. Related publications: 1. Roberts, A. I., Vick, S.-J., Roberts, S. G. B., Buchanan-Smith, H. M. & Zuberbühler, K. 2012. A structure-based repertoire of manual gestures in wild chimpanzees: Statistical analyses of a graded communication system. Evolution and Human Behavior, Published online: http://dx.doi.org/ 10.1016/j.evolhumbehav.2012.05.006 2. Roberts, A. I., Vick, S.-J. & Buchanan-Smith, H. 2012. Usage and comprehension of manual gestures in wild chimpanzees. Animal Behaviour, Published online: http://dx.doi.org/10.1016/j.anbehav.2012.05.02

The virtual guide: a direction giving embodied conversational agent

We present the Virtual Guide, an embodied conversational agent that can give directions in a 3D virtual environment. We discuss how dialogue management, language generation and the generation of appropriate gestures are carried out in our system

Prelinguistic vocalizations distinguish pointing acts

The current study investigated whether point-accompanying characteristics, like vocalizations and hand shape, differentiate infants’ underlying motives of prelinguistic pointing. We elicited imperative (requestive) and declarative (expressive and informative) pointing acts in experimentally controlled situations, and analyzed accompanying characteristics. Experiment 1 revealed that prosodic characteristics of point-accompanying vocalizations distinguished requestive from both expressive and informative pointing acts, with little differences between the latter two. In addition, requestive points were more often realized with the whole hand than the index finger, while this was the opposite for expressive and informative acts. Experiment 2 replicated Experiment 1, revealing distinct prosodic characteristics for requestive pointing also when the referent was distal and when it had an index-finger shape. Findings reveal that beyond the social context, point-accompanying vocalizations give clues to infants’ underlying intentions when pointing