Developmental Language Disorder (DLD) is a condition that affects language development in children without an obvious cause such as cognitive impairment, hearing loss, or other developmental conditions. DLD can have a profound impact on a child's ability to understand, use, and process language, which in turn affects their academic, social, and emotional development. This essay explores the nature of DLD, its impact on children, and recent approaches to supporting language development in affected individuals.
DLD is a prevalent but often under-recognized condition that affects approximately 7% of children, making it more common than better-known conditions like ADHD. Children with DLD may struggle with various aspects of language, such as vocabulary, grammar, sentence structure, and word retrieval. Despite average or above-average intelligence, these children have persistent difficulties with language that cannot be explained by other developmental factors.
There are different types of DLD, which can manifest in various ways. Some children may primarily have expressive language difficulties, where they struggle to put their thoughts into words. Others may have receptive language difficulties, making it hard for them to understand what is being said. A mixed type of DLD includes both expressive and receptive challenges, making communication particularly challenging. These difficulties can lead to a range of problems, including difficulties in following instructions, engaging in conversations, and academic challenges in reading and writing.
Recent approaches to DLD emphasize early identification and individualized interventions tailored to each child's specific language needs. Early diagnosis is critical because it allows for timely support, which can lead to better language outcomes. Standardized assessments, observations, and language tests are used to diagnose DLD, and interventions often involve speech-language therapy aimed at improving specific language skills.
One effective approach is language intervention that focuses on enhancing vocabulary and grammar skills. For example, targeted interventions that use interactive book reading, storytelling, and structured play have been shown to improve language skills in children with DLD. These interventions are typically conducted by speech-language therapists who work closely with the child, using engaging and age-appropriate methods to develop language skills in a naturalistic context.
The use of technology in DLD interventions is also on the rise. Apps and software designed for language learning provide interactive and personalized practice for children with DLD. These tools can support language development by offering repetitive practice and immediate feedback, which are crucial for learning new words and grammatical structures. For example, computer-based language programs that incorporate visual support and interactive games can help children practice language skills in a fun and engaging way.
Another recent approach is the use of parent-mediated interventions. In these programs, parents are trained to implement language-enhancing strategies in their daily interactions with their children. For example, the Hanen Program teaches parents how to create a language-rich environment by using techniques such as commenting on the child’s actions, expanding on their utterances, and encouraging turn-taking. Research shows that when parents are actively involved in their child’s language learning, it can lead to significant improvements in language skills.
In addition to speech-language therapy, educational support is often needed for children with DLD, especially as they enter school. Individualized Education Plans (IEPs) or special accommodations in the classroom, such as additional time for assignments, visual supports, and simplified language instructions, can help children with DLD succeed academically. Teachers play a crucial role in identifying language difficulties and working collaboratively with speech-language pathologists to support these students in the classroom.
Developmental Language Disorder is a complex condition that affects many children, posing significant challenges to their language and communication skills. Recent approaches, including early intervention, targeted language therapy, and parent-mediated programs, offer valuable strategies to support these children. By recognizing the signs of DLD and seeking appropriate interventions, parents, educators, and clinicians can help children with DLD reach their full language potential and improve their overall quality of life.
References
✦Bishop, D. V. M., Snowling, M. J., Thompson, P. A., Greenhalgh, T., & CATALISE Consortium. (2017). CATALISE: A multinational and multidisciplinary Delphi consensus study. International Journal of Language & Communication Disorders, 52(3), 331-344.
✦Ebbels, S., McCartney, E., Slonims, V., Dockrell, J., & Norbury, C. (2017). Evidence-based pathways to intervention for children with language disorders. International Journal of Language & Communication Disorders, 52(4), 529-546.
✦Girolametto, L., Pearce, P. S., & Weitzman, E. (1996). Interactive focused stimulation for toddlers with expressive vocabulary delays. Journal of Speech and Hearing Research, 39(6), 1274-1283.
✦Leonard, L. B. (2014). Children with Specific Language Impairment. MIT Press.
✦Norbury, C. F., Gooch, D., Wray, C., Baird, G., Charman, T., Simonoff, E., & Pickles, A. (2016). The impact of nonverbal ability on prevalence and clinical presentation of language disorder: Evidence from a population study. Journal of Child Psychology and Psychiatry, 57(11), 1247-1257.
✦Stothard, S. E., Snowling, M. J., Bishop, D. V., Chipchase, B. B., & Kaplan, C. A. (1998). Language-impaired preschoolers: A follow-up into adolescence. Journal of Speech, Language, and Hearing Research, 41(2), 407-418.