Stackhouse J, Wells B
National Hospital's College of Speech Sciences, London, UK.
Eur J Disord Commun. 1993;28(4):331-48. doi: 10.3109/13682829309041469.
Although various psycholinguistic models of speech and language processing have been developed to account for levels of breakdown in developmental speech disorders, it is not obvious how they are to be applied in clinical practice. At the same time, speech and language therapists have routinely been using a wide range of procedures, including published tests, that tap different levels of phonological processing in the child. When analysed and classified appropriately, these procedures can form the basis for a comprehensive psycholinguistic investigation of developmental speech disorders. The aim of this paper is to present a clinically usable, needs-driven but theoretically motivated framework for investigation. The framework is organised in terms of a series of questions that the clinician can pose about the levels of deficit in processing that may be giving rise to the child's speech problems. It is illustrated by means of a case study of a child with a severe developmental speech disorder, which reveals a complex pattern of deficits within the speech processing chain. As the main purpose of the framework is to provide a useful clinical tool to facilitate the planning of appropriate therapy for the individual child, some therapy objectives deriving from the assessment are outlined.
尽管已经开发了各种言语和语言处理的心理语言学模型来解释发育性言语障碍中的功能障碍水平，但它们如何应用于临床实践并不明显。与此同时，言语和语言治疗师一直在常规使用广泛的程序，包括已发表的测试，这些程序可以挖掘儿童不同水平的语音处理能力。经过适当的分析和分类，这些程序可以构成对发育性言语障碍进行全面心理语言学调查的基础。本文的目的是提出一个临床可用、需求驱动但有理论依据的调查框架。该框架是根据一系列问题组织起来的，临床医生可以就可能导致儿童言语问题的处理缺陷水平提出这些问题。通过对一名患有严重发育性言语障碍儿童的案例研究进行说明，该案例揭示了言语处理链中复杂的缺陷模式。由于该框架的主要目的是提供一个有用的临床工具，以促进为个别儿童规划适当的治疗，因此概述了一些从评估中得出的治疗目标。
