Expressive and Receptive Language Disorders in Children
DEFINITION and PURPOSE:
Language disorders in children are of three main types:
- Expressive
- Receptive
- Mixed receptive-expressive
Expressive language disorders mean a difficulty in communicating one’s thoughts, ideas and feelings to another person. This can be verbal or written.
Receptive language disorders mean having difficulty in understanding another person’s expressions and words.
Mixed receptive-expressive language disorders are those in which a child faces difficulties in both communicating to and understanding others.
A language disorder is basically an impairment that makes it more difficult than normal to find the right words to express themselves or to understand what another person is saying.
“Children with language disorders typically have no trouble hearing or pronouncing words.”
A child’s vocabulary is usually very basic and comprises of short and simple words. Therefore, when a child suffers from a language disorder of some sort, it becomes a huge communication barrier that they are not very well capable of understanding themselves let alone sharing it with anyone else.
If such disorders are not treated properly and on time they could leave behind great emotional impacts and further mental stress and problems for the child causing emotional and academic struggles.
They should not be left alone by assuming that the child is simply a “late talker”, rather they should be checked properly and given attention to.
“These conditions are sometimes misdiagnosed as developmental disorders.”
Careful observation of the child is very important in this matter and should not be taken lightly or ignored.
The problem arises as a communication barrier and such a language disorder leads a child to respond less frequently and appear to be anti-social.
“Mixed receptive-expressive language disorder is diagnosed when a child has problems expressing him-or herself using spoken language, and also has problems understanding what people say to him or her.”
The selected research reports that have been reviewed, relating to the topic under discussion mainly focused on:
- Defining the disorder
- Describing its symptoms and causes
- Reasons to diagnose it with caution
- Treatment
- Impacts on the child
The reports collectively talk about the overall impact the disorder may have over the affected child if not treated or given proper attention. The major symptoms are also discussed, although there are no clear signs of the disorder hence, any child having trouble understanding people around him/her or seemingly having a problem in communicating with other people should be given proper attention and care with great caution.
The idea is to highlight causes and signs amongst various children and create awareness among people regarding this matter while emphasizing its importance.
The reports briefly discuss the targeted topic of expressive and receptive language disorders in children and how to address and treat them and why it is important to give caution to this matter as most children are not just simply “late talkers”.
The disorder can prove to be highly repressive in children as they are developing many thoughts and their personalities and characters are also being built, so at the same time having a language disorder as a huge communication barrier can be a highly sensitive matter at such an important period in the child’s lifetime.
“Evaluation for language disorders includes gathering a full profile of the individual’s communication strengths, challenges and goals. It is a comprehensive look at how they understand information and express their thoughts. This can include tests, observations, conversations, and information from the family.”
METHODS:
Various methods of study have been employed in the research reports being reviewed. Mainly the reports provide information regarding language disorders in children through a careful study based on analysis and research from various resources and referencing. The information gathered and displayed is all fact based and is an analytical over view of what the main factors should be thrown light upon regarding the topic.
The various symptoms and treatment methods are also provided based on careful research and observation.
However it is important to remember that the resources are authentic and up to date. The information is to the point and an overall compilation of fact based information to guide the readers regarding various factors of language disorders in children.
Books, periodicals and organizations are listed and provided at the end of the research reports as a list of references which have been studied in order to provide the required data.
This method of study is quite effective in the research of the topic under discussion as it provides a vast range of information on the disorder, its impacts and how to track and cure it from various relative sources.
RESULTS:
The results gathered from reviewing the journal based research reports show that under age communication barriers are caused mainly due to miscommunication caused by language disorder in children which are often misunderstood as low levels of intelligence, dullness, attitude problems or late development. Caution should be taken in this regard to avoid emotional impacts on the child.
The cure is also dependent on the cause of the disorder development. In case of a brain injury or any structural complication the treatment can take more time and has less chances of being cured completely causing long term language problems for the affected child, while other reversible causes can be treated more effectively if diagnosed at the right time.
“Difficulty understanding and using language can cause problems with social interaction and the ability to function independently as an adult.”
The symptoms highlighted by this review (taken from the reports) are as follows:
- Children with a receptive language disorder have difficulty understanding language. They may have:
- A hard time understanding what other people have said
- Problems following directions that are spoken to them
- Problems organizing their thoughts
- Children with an expressive language disorder have problems using language to express what they are thinking or need. These children may:
- Have a hard time putting words together into sentences, or their sentences may be simple and short and the word order may be off
- Have difficulty finding the right words when talking, and often use placeholder words such as “um”
- Have a vocabulary that is below the level of other children the same age
- Leave words out of sentences when talking
- Use certain phrases over and over again, and repeat (echo) parts or all of questions
- Use tenses (past, present, future) improperly
“Because of their language problems, these children may have difficulty in social settings. At times, language disorders may be part of the cause of severe behavioral problems.”
Another area of concern relating to this topic is “Preschool Language Disorders”.
This means that preschool students, ranging from children of ages three to five years old, are unable to understand others and/or convey their thoughts or express their emotions properly.
Developing a language disorder at such an early age can cause immense difficulty for the child as he/she has only just begun to speak proper words and is more often misunderstood as “late talker” or low level of intelligence or shyness. However, if diagnosed and treated at such an early stage with the help of careful attention of family members and teachers, this type of language disorder can be more effectively treated and fully reversed.
For preschool language disorders the symptoms are same as ordinary language disorders, where the child seems more irritable in social situations and repetitively fails to follow orders and answer or ask questions when willing to.
Speaking more than one language is not a cause.
Treatment for language disorders amongst children are simple and effective but require great care and patience. The main points (taken from the reports reviewed) for the treatment are as follows:
- Increase your child’s understanding and use of language
- Teach caregivers, family members, and teachers ways to communicate with your child
- Help your child use other ways to communicate when needed. This may include simple gestures, picture boards, or computers that say words out loud. This is also called augmentative and alternative communication, or AAC
“Mixed receptive-expressive language disorder should be treated as soon as it is identified. Early intervention is the key to a successful outcome. Treatment involves teachers, siblings, parents, and anyone else who interacts regularly with the child.”
Great care and attention is required to treat this disorder and the sooner it is treated, the better as the treatment would be more effective. One-on-one interactive sessions are proven to be quite helpful for early age treatment methods. As for parents, they can help by paying more attention to the child and talking to them more.
However, it is believed that since the causes of such disorders are still quite unclear hence the overall language disorder can be tried to be prevented in children by maintaining a healthy diet, healthy interaction and full parental care and attention on a regular basis.
The study of the research reports shows that language disorders are either acquired or developmental.
Acquired disorders are mainly due to some sort of injury or trauma.
Developmental language disorders are more common among children and their causes are unclear resulting in late development of the child’s speech as compared to his/her peers. As discussed above, this can be tried to be prevented with proper caution and care.
“As many as 5 percent of school-age children are believed to have a language disorder. This makes language disorders some of the more common childhood disorders.”
Social skills of a child are vastly affected by the disorder as well as causing academic struggles.
A therapist can effectively attempt to treat such children. Therapists are usually specialized in such areas. Seeing a child therapist to help such children is extremely helpful. The therapist helps treat children with language disorders by:
- Individual speech therapy: “A speech therapist can work one-on-one with your child to build his vocabulary and improve his grammar.”
- Psychotherapy: “If your child has emotional difficulties as a result of language issues, you might want to consider psychological help.”
Helping your child read out loud and reading to them more often helps speed up the treatment at home and has lasting impacts. So it is highly recommended to have interactive reading sessions with your children if they suffer from such language impairments.
Overall, the review of the research reports displays the result that developed disorders should be prevented and children basically require a lot of our care and attention. Language disorders can be caused due to various reasons however they should be treated as soon as possible and should not at all be neglected at any cost. Therapy at an early age is proven to be helpful in such cases.
DISCUSSION:
The main purpose of the journal based research reports that have been reviewed was to clarify the definition and symptoms of receptive and expressive language disorders in children as well as to spread awareness amongst mainly parents and teachers regarding the diagnosis of such disorders, their impacts in the children which are affected and effective methods of prevention and for diagnosed children, various methods of treatment and therapy.
The reports also list down a number of practices and techniques that can be done at home to either avoid the disorder in the first place or help cure it and speed up the process of treating it.
The reports list down some of the most common symptoms and some major causes, however the exact cause is still quote unclear.
The purpose of causing awareness is being well served in the reports as well as suggesting methods of treatment and therapy.
Children at their developing ages are most sensitive emotionally and physically and require a lot of attention to prevent many mental disabilities and struggles in the future. The reports successfully throw light on a sensitive issue that is often neglected causing emotional and mental damage to our children without us even having any knowledge of this.
Rightful exams and tests are named and talked about in order to help parents and teachers to diagnose early symptoms and rule out any other possibilities with similar occurring symptoms.
“Many children who have language problems during the preschool years will also have some language problems or learning difficulty later in childhood. They may also have reading disorders.”
Reading and writing complications are also precedent in such cases.
Overall, the reports discuss relevant and useful facts and provide on point information to help treat children with receptive and expressive language disorders.
The method of study is through thorough research and analysis from resources provided and is a successful one in highlighting issues and suggesting solutions and precautions.
It is effective in spreading awareness and helping concerned individuals. Thus this review highlights the main causes being successfully discussed and listed.
SELECTED RESEARCH REPORTS
Citation:
- C. (n.d.). Receptive and Expressive Language Disorders. Retrieved from https://sphsc.washington.edu/receptive-and-expressive-language-disorders
- Kaneshiro, N. K. (Ed.). (n.d.). Language disorder – children. Retrieved June 25, 2017, from https://medlineplus.gov/ency/article/001545.htm
- T. (n.d.). Understanding Language Disorders. Retrieved June 25, 2017, from https://www.understood.org/en/learning-attention-issues/child-learning-disabilities/communication-disorders/understanding-language-disorders
- Preschool Language Disorders. (n.d.). Retrieved June 25, 2017, from http://www.asha.org/public/speech/disorders/Preschool-Language-Disorders/
- Mixed receptive-expressive language disorder. (n.d.). Retrieved June 25, 2017, from http://www.minddisorders.com/Kau-Nu/Mixed-receptive-expressive-language-disorder.html