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.

Children with Developmental Language Disorder (DLD) often face problems in areas of social communication including negotiating with peers, entering ongoing interactions, and engaging in conflict resolution. A potential cause of these social communication difficulties is the decreased ability to make emotional inferences. This thesis investigates the effects of a social communication intervention on the ability of school-aged children with DLD to make inferences about emotions. Five children with DLD between the ages of 6;10 and 12;4 participated in a social communication intervention that highlighted principles of emotion understanding (recognizing emotions in facial expressions, inferring emotions with contextual information, and discussing reasoning behind emotions) using story books to illustrate concepts. Data were gathered before and after intervention using a psychometrically balanced measure of emotional inferencing ability. Results revealed notable improvements in three of the participants and consistent performance in two of the participants baseline to follow-up. While performance on the emotional inferencing task varied due to multiple factors, the participants that showed improvement produced real growth which encourages future research to be conducted.

Many school-age children with language impairment (LI) have difficulties with aspects of social and emotional learning. This study was structured to evaluate one aspect of the effectiveness of a social communication intervention, the appropriate production of emotion words. Four school-aged children with LI participated in 20 sessions of story-based intervention targeting understanding and usage of emotion-based words. Emotions targeted included the emotion word categories of happiness, sadness, anger, fear, surprise, and disgust. Because the knowledge of the emotion word categories varied from child to child, each child had different target words. The percentage of correct production of targeted emotion word categories was tracked, recorded and presented in figure format. The percentage of correct productions provided an estimation of the participants' usage and understanding of emotion-based words from session to session. Percentage of nonoverlapping data (PND) for each participant (subdivided by emotion) was calculated where appropriate as one measure of the effectiveness of the intervention. Although somewhat variable, the data showed that the children did make progress in their use of some of the emotion word categories that they did not understand at baseline. The results of the study present some promising preliminary findings.

This thesis examines the efficacy of a social communication intervention in increasing the emotion word productions in school-aged children with language impairment (LI). The study had a multiple baseline single subject design in which 5 children between the ages of 6 and 11 received 20 intervention sessions, each lasting 20 minutes. Intervention activities included reading and discussing children's books, enacting the stories using toys, and journal writing to reflect on experiences in each session. Emotion word productions during intervention sessions were coded for total productions within the categories of happiness, anger, sadness, fear, surprise, and disgust. Productions were also coded for type (spontaneous, in response to a question, cued, or imitated) and valence agreement. The percentage of non-overlapping data (PND) was calculated (measuring the overall percentage of sessions in which the participants produced more emotion words than they did in the baseline session with the most emotion word productions) in order to show efficacy of the intervention for each participant. According to PND calculations, the intervention was generally effective for 3 of the 5 children and was effective in at least one emotion category for each participant. Participants demonstrated no difficulties with valence agreement. Data regarding types of production indicated that the majority of emotion word productions during the intervention were elicited in some way rather than spontaneous. These results suggest that children with LI increased the number of emotion word productions during the intervention, but were still dependent upon the scaffolding provided by the intervention.

Children diagnosed with Language Impairment (LI) often have difficulty with aspects of social communication. This thesis evaluates the effects of a social communication intervention focused on facilitating the correct production of emotion words in four elementary school-aged children with LI. Researchers monitored changes from pretreatment baseline data, through the intervention, and ended with posttreatment follow-up data for the emotions happiness, surprise, fear, anger, sadness, and disgust. Based on baseline measures, emotion categories in which the child showed limited proficiency were targeted for the 20 intervention sessions. The emotions targeted were different for each child. Each intervention session contained a combination of storybook therapeutic strategies such as story enactment, story sharing, and modeling by the clinician to help increase the child's emotion understanding. The child participated in emotion recognition and emotion inferencing tasks. The data for each participant was analyzed individually and formatted into figures. Data analyzation was performed using percentage of non-overlapping data (PND) which provided insight into how successful the intervention was for each of the targeted emotions. The results of each child's emotion based words were varied, some participants making good progress and others showing little or no gains. These results suggest that the intervention was effective for some of the children and should continued to be refined.

Numerous studies have shown that children identified with Language Impairment (LI) have marked difficulty with producing story narratives compared to their typically developing peers. One particular area of weakness seen in the narratives of children with LI is their ability to incorporate internal states, specifically internal response, internal plan, and emotion words. The current study examines five children with LI and their descriptions of mental and emotional states of characters in story narratives under spontaneous and prompted conditions. Participants produced story retells based on a series of wordless picture books taken from the Edmonton Narrative Norms Instrument. Story retells were elicited twice for each story, once with and once without verbal prompts. As expected, children produced more internal state story elements in response to prompts. As children produced more of these elements, however, their accuracy decreased, and the states they reported did not always reflect the story content. The children with LI showed limited understanding and ability to interpret the reactions, motivations, and emotions that characters experienced. However, verbal prompts did reveal children's current abilities and understanding of internal states.

Narrative production and comprehension is a difficult task for children with language impairment (LI). Their stories are typically shorter and contain more grammatical errors than the stories of typically developing age-matched peers. This pilot study describes the abilities of six children with LI to produce stories from pictured stimuli. Stories were elicited from each child during a 10-week period. Stimulus pictures and coding procedures from the Edmonton Narrative Norms Instrument were employed to analyze the participants' story grammar (SG). Eight SG elements were assessed including character introduction, setting, initiating event (IE), internal response (IR), internal plan (IP), attempt, and outcome. The children varied highly in their production of SG elements. The SG elements that described the internal states, emotions, and motivations of the characters were the most difficult for all participants.

Many children identified with Language Impairment (LI) demonstrate difficulty comprehending and producing narratives. Their narratives are often structurally less complex and of overall poorer quality than those produced by their typically developing peers. These difficulties may negatively impact the academic and social success of children with LI. This thesis evaluates the performance of five school-aged children with LI on a story retell probe embedded within an intervention designed to address their social and emotional language abilities. During the 10-week intervention, participants completed a series of story retell probes using wordless picture books. The story stimuli were taken from the Edmonton Narrative Norms Instrument, which included six stories (divided into two story sets), elicited twice (12 total story retells). The production of story grammar (SG) categories was analyzed for each story retell. The results for each participant and SG category varied greatly, but all participants had difficulty producing the more complex SG elements. Although each participant demonstrated some improvement from the first retell to the second on at least one story, overall performance remained fairly stable over the 10-week period. Future research is needed to determine effective ways to support more complex story narratives in children with LI.

Many school-age children with a diagnosis of Language Impairment (LI) also have social communication difficulties. Some of these difficulties are related to deficits in emotion understanding. This thesis evaluates the effects of a social communication intervention designed to increase the production of emotion-based words as an indicator of emotional competence. For five elementary school-aged children with LI, the production of emotion-based words was analyzed by first determining the frequency of words produced in preintervention sessions for the following categories: happiness, sadness, anger, fear, surprise, and disgust. Following these measures, the participants received 20 intervention sessions over the course of treatment. Treatment involved the use of narratives to address emotion recognition and inferencing abilities. Individual analyses for each participant, including percent of nonoverlapping data (PND), were conducted for each participant in the categories of anger, fear, and surprise, to determine the effects on the production of emotion-based words during the intervention. The results for each participant and emotion category varied greatly, but each participant demonstrated improvement in the PND for at least one emotion category. These results were promising and underscore the value of social communication intervention for children with LI in the area of emotion understanding.

Children with language impairment (LI) have often been identified as having social communication breakdowns. A number of these problems are likely the result of deficits in emotional competence. This thesis examines a social communication intervention designed to target the emotional competence of children with LI. Three elementary school-aged children with LI were recruited to receive twenty, 20-minute intervention sessions over the course of four months. Each intervention session involved a combination of activities targeting emotion recognition and emotion inferencing using story retell, story exploration, story enactment, perspectives charts, journal entries, emotion labeling, and personalization. These activities revolved around Mercer Mayer's A Boy, A Dog, and A Frog (1967) wordless picture book series. These books were used because of their age-appropriate subject matter and clear, simple depictions of character actions and facial expressions. To analyze the effectiveness of this intervention package in improving emotional competence, the number of emotion-based words belonging to the emotional categories of happiness, sadness, anger, fear, surprise, and disgust that were produced each session was counted. The percentage of appropriate usage was calculated to represent how often the participants used each emotion-based word in a semantically correct manner. Finally, emotion word productions that did not match the intended target word were analyzed for valence agreement. Results were highly variable but all three participants demonstrated improvements in the percentage of accurate productions in at least one emotional category. Although all three participants usually used words of a positive valence in an appropriate manner, inappropriate uses were also observed. When actual emotion-word productions mismatched the intended emotions, all three participants produced low valence agreement for words of positive valence and high valence agreement for words of negative valence. Further research is warranted but results suggested that this particular social communication intervention was effective in improving the production of specific emotion words by children with LI.