The ability to represent the mental states of others (i.e., Theory of Mind, ToM) is vital for social interaction. There is limited information on ToM knowledge in children with specific language impairment (SLI). These children have deficient language abilities that cannot be explained by hearing, cognitive, or neurological problems. Furthermore, children with SLI experience difficulty in initiating and maintaining social pretend play. Language, pretend play, and ToM typically develop in concert, which may indicate that they share an underlying capacity for representation. Given that language is deficient in children with SLI, these children may have problems with ToM, which might be related to their social behaviors during pretend play. This study was the first to investigate the association between ToM and pretend play in children with and without SLI. Twenty-two children with SLI and 22 with typical development (TD), between 48-71 months of age, participated in this study. Children engaged in a variety of ToM tasks and participated in two pretend play assessments: a standardized pretend play assessment and a role play activity. Children with SLI scored significantly lower on ToM tasks and engaged less often in some sophisticated forms of pretend play than their age-matched peers with TD. After controlling for language and SES, there were no significant associations between ToM and pretend play in children with and without SLI. When language groups were analyzed individually, different patterns of associations emerged for children with and without SLI. ToM was positively associated with pretend play in children with TD but negatively associated in children with SLI. Moreover, inconsistent patterns of associations were observed for some children with SLI (i.e., poor ToM understanding but sophisticated pretend play or vice versa). This study demonstrated that children with SLI may also have concomitant problems in ToM and pretend play, which may have implications for clinical assessment and intervention. The study contributes to the literature by investigating the link between ToM and different forms of sophisticated pretend play in children with and without SLI. Given the different patterns of partial correlations, future investigation of the relationship between ToM and pretend play relationship is warranted.

The purpose of this thesis was to evaluate the efficacy of an intervention to increase the production of emotion words in five children with language impairment. Participants were between the ages of 5;11 (years; months) and 11;3 (at the onset of enrollment in treatment) and had been identified with language impairment. Each participant completed between three and six baseline sessions, 20 twenty-minute intervention sessions, and three follow-up sessions. Tasks included story reading, story enactment, and journaling. Each session was recorded and then coded for emotion category (sadness, anger, fear, and surprise), errors made, type of production, and valence agreement. Total emotion word production per category is reported along with percentage of non-overlapping data calculations to determine the effectiveness of treatment for each participant for each emotion word category. Based on percentage of non-overlapping data calculations, treatment was moderately effective for four of the five participants in at least one or more emotion word category. Treatment was mildly effective for all five participants in at least one emotion category. Each participant was observed to make between one and five valence errors throughout the intervention. The errors made by participants often involved the substitution of a simple emotion word category for a more complex emotion word category. Participants were more successful with intervention tasks when provided increased support from the clinician, as seen by most productions being made in response to a question or in response to a cue. While results from this intervention were variable, participants generally made improvements from their participation in this intervention. Utilization of a similar intervention framework with a few alterations based on the limitations observed would be beneficial in future research.

Studies over the past several years have shown that children with language impairment (LI) have greater difficulty in social situations than typically developing children. More specifically, studies have shown that children with LI have more difficulty with dissemblance. This study was conducted to assess whether these children are less likely to dissemble in real-life situations. Forty-four children aged 7 to 11 years (22 LI and 22 typically developing) were presented with four situations designed to elicit dissemblance. Their reactions were scored and compared. The results of this study showed subtle differences between children with LI and typically developing children. Children with LI were more likely to display emotions, and the typically developing children were more likely to have non-committal and dissembled responses. These tasks were pilots, and further research is suggested.

Children with language impairment (LI) are more likely to be socially withdrawn than their typically-developing peers. This withdrawal can lead to negative outcomes later in life. This study focuses on a subtype of withdrawal labeled as solitary-pretend play, which involves parallel play and solitary-dramatizing. The effectiveness of the Teacher Behavior Rating Scale (TBRS) to measure the construct of solitary-pretend play was considered in a group of 256 children. First, confirmatory factor analysis was used on the entire sample to assess the TBRS questions. The TBRS ratings of 128 children with LI and 128 typically developing peers were then compared, with group and gender as variables. The analyses revealed that the TBRS items intended to measure solitary-pretend play grouped together to measure a single construct. Additionally, significant differences were observed between the groups of children with LI and their typically-developing peers. There was also a significant difference between boys and girls. The interaction between these variables was not significant. These results demonstrated that the TBRS is a viable measure of solitary-pretend play in children and that children with LI are rated as demonstrating higher levels of solitary-pretend play that their typical peers. Boys were also rated as demonstrating more instances of solitary-pretend play compared to girls. This study suggests that the TBRS is an effective way to quickly identify instances of solitary-pretend play in children and that children with LI and boys are more likely to demonstrate instances of solitary-pretend play, which will lead to the needed referrals and interventions to help manage these behaviors. Further research is required to determine the extent to which the influence of group and age has on solitary-pretend play and the extent to which each of the subtypes of withdrawal relate one to another.

This study describes a series of case studies on topic management patterns of five children (ages 5 to 10 years) with language impairment. The children participated in semi-structured topic tasks that assessed conversational abilities on topics that were verbally introduced and topics that were introduced both verbally and with an object. Although there was considerable variability among participants, the children generally responded to most introductions by acknowledging and maintaining the topic. With the exception of one child, however, the children in this study demonstrated immature topic manipulation patterns that could be expected to have negative social ramifications.

Language impairment (LI) and ADHD are two relatively common developmental disorders that frequently co-occur and have thus been said to be comorbid. The overall aim of this research is to investigate the nature of comorbidity between LI and ADHD in a large population-based sample. The project comprises two parts. The first study aims to quantify the extent of comorbidity between LI and ADHD, and asks whether there is any evidence for a shared liability between the two disorders on the basis of family history data. The second study hypothesizes that comorbidity between LI and ADHD arises because the two disorders share a common genetic etiology. Genetic variants previously associated with ADHD are tested for association to LI. Association is found with the dopamine receptor D4 (DRD4) and the serotonin transporter gene (SLC6A4). Implications for this in relation to language are discussed with respect to reinforcement and associative learning.

This study examined the use of music as an intervention tool with primary school aged children with Specific Language Impairment, specifically in the linguistic areas of semantics, pragmatics and oral narrative. As teachers and speech pathologists have the most professional contact with children with language impairment, they would benefit from access to suitable music activities. As it cannot be assumed that they have musical training, activities must be designed to be easy to use and adapt. The main aims of the study were (1) to determine whether a range of music activities designed to teach specific language skills were suitable for language intervention programmes, and (2) to ascertain the extent to which teachers and speech pathologists could use these activities (and similar activities) in language intervention. A preliminary survey of Grade Two teachers in Language Development Centres (LDCs) in Perth, Western Australia provided the basis for specific skills to be targeted. Music activities were designed and implemented with a Grade Two class in a Language Development Centre. Four of the students were selected as case studies in order to evaluate the impact of the activities. The classroom teacher was also studied as a case example to determine the usefulness of the activities for professionals with no musical training. Additionally, surveys of teachers in LDCs and speech pathologists (both public facilities and private practice) working with children in the Perth metropolitan region were conducted. Evaluations by the researcher, classroom teacher, a speech pathologist and the four student case studies indicated that the activities designed in this study addressed the specific language goals appropriately, were suitable for use with groups, and that the students were learning and developing the targeted language skills. In addition, the activities were suitable for use by professionals with little musical background, and were perceived by the teacher to be adaptable for different skill levels and age groups. This suggests that music can be effectively used in semantic, pragmatic and oral narrative intervention for primary school aged children with specific language impairment.

Thesis (M.S.)--Brigham Young University. Dept. of Communication Disorders, 2008. / Includes bibliographical references (p. 30-33).

Thesis (M.S.)--Brigham Young University. Dept. of Communication Disorders, 2008. / Includes bibliographical references (p. 37-44).

Thesis (M.A.)--University of Missouri-Columbia, 2003. / Typescript. Includes bibliographical references (leaves 63-66). Also available on the Internet.