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Dictionary of Terms


A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

A

Acquired (communication disorder): Caused by an event after birth - e.g. an accident or illness such as a stroke or cancer.

Alternative Communication (see also "Assistive Communication" and "Augmentative Communication "): A means of communication to support or replace speech. For example, pictures, signing, alphabet board or electronic devices such as a computer or electronic communication aid.

Anarthria (see also "Dysarthria"): A severe form of dysarthria, in which the muscles used to produce voice and speech are so weak, they are unable to produce any understandable speech sounds.

Aphasia (see also "Dysphasia"): Aphasia and dysphasia are now used to mean the same thing. Aphasia is a disorder of language. The person's ability to understand and express words is affected. Aphasia can affect the understanding of speech, reading, speaking, writing, gesture and signing. People sometimes describe their difficulty as "knowing what they want to say but being unable to remember the words." Aphasia can be acquired or developmental. Aphasia does not affect the person's general intelligence. The type of difficulties vary from one person to another.

Aphonia: Total loss of voice (may be temporary or permanent).

Apraxia (see also "Dyspraxia"): A more severe form of dyspraxia in which the person's ability to co-ordinate their muscles together to form speech is severely disrupted.

Articulation: Movement of the articulators (mouth, throat, tongue and teeth) together to shape sounds.

Asperger's Syndrome: A form of autism used to describe people who function at the higher end of the autistic spectrum.

Assistive Communication: (see also "Alternative Communication" and "Augmentative Communication "): A means of communication to support or replace speech. For example, pictures, signing, alphabet board or electronic devices such as a computer or electronic communication aid.

Attention Deficit Hyperactivity Disorder: ADHA effects 3-5% of all children. Two to three times more boys than girls are affected. It has been described as "living in a kaleidoscope, where sounds, images and thoughts are constantly shifting". A child will feel easily bored and distracted by unimportant sounds and sights. They will be unable to sit still and dash around incessantly. There will also be signs of impulsicity; unable to curb their immediate reactions or thinking before they act.

Augmentative Communication (see also "Alternative Communication" and "Assistive Communication"): A means of communication to support or replace speech. For example, pictures, signing, alphabet board or electronic devices such as a computer or electronic communication aid.

Autistic Spectrum Disorders: Developmental disability affecting the way the person communicates with and relates to people around them. People with autism have difficulty relating to others in a meaningful way. Social interaction, social communication and imagination are impaired. Difficulties range from severe to mild (see also Asperger's Syndrome).

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C

Cluttering: A speech / language disorder characterised by abnormal fluency which is not stuttering, and a rapid and / or irregular speech rate.

Cognitive Difficulties: Cognition refers to the way the brain remembers, organises thoughts and problem solves situations. People who have cognitive difficulties may have short or long-term memory problems and experience difficulties in starting things, making decisions, planning and organising. They may not always recognise these difficulties themselves. Cognitive problems can occur with or without an accompanying language disorder (see "aphasia" above) and are often present in people who have had a head injury or who have dementia.

Communication: The sending and receiving of messages between people. The message can be about information, ideas or feelings and can be by spoken or written word or gesture. Facial expression, tone of voice and body language are also important elements of communication. (See also "non-verbal communication").

Communication Disorder: Disruption to one or all of the usual methods of communication.

Communication Impairment: Reduced or lost ability to communicate in the standard way.

Cued Speech: Cued Speech is a sound-based visual communication system which in English, uses eight hand shapes in four different locations (cues) in combination with the natural mouth movements of speech to make all the sounds of spoken language look different. Cued Speech was devised for use with deaf and hearing-impaired people and is also being successfully used to assist hearing children with specific language impairments.

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D

Deafness: As hearing impairment but the term "Deaf" can also be used to identify a cultural group.

Developmental: Present from birth. May become apparent during the child's development.

Developmental Language Delay: The child's language is developing slowly and is similar to that of a younger child.

Developmental Language Disorder: The child's language is not following the usual order for language development.

Dysarthria (see also "Anarthria"): A disorder of speech. The person's ability to speak clearly is affected due to weakness of the muscles in the mouth and throat that produce voice and speech. The person may find it difficult to control the volume of their speech. It may also sound flat in quality. The speech sounds may be slurred or mumbled making them difficult to understand.

Dyscalculia: Difficulty with calculation and using numbers.

Dysfluency: A disorder which affects the fluency of speech production. Problems with fluency may include disruptions in the flow of speech, e.g. hesitations, blocking or repetitions of speech. These may be accompanied by associated non-verbal mannerisms and / or psychological and emotional difficulties.

Dysgraphia: Difficulty with writing. Dysgraphia may affect the person's ability to find and spell words correctly. Dysgraphia may be developmental or acquired.

Dyslexia: Difficulty with written language. Dyslexia affects reading, spelling, writing, memory and concentration. Sometimes called a "specific learning difficulty." Dyslexia can be developmental or acquired.

Dysphasia (see also "Aphasia"): Dysphasia and Aphasia are now used to mean the same thing. Dysphasia is a disorder of language. The person's ability to understand, find and express words is affected. Dysphasia can affect the understanding of speech, reading, speaking, writing, gesture and signing. People sometimes describe their difficulty as "knowing what they want to say but being unable to remember the words." Dysphasia can be acquired or developmental. Dysphasia does not affect the person's general intelligence. The type of difficulties vary from one person to another.

Dysphonia: Voice disorder in which the quality and / or volume of the voice is changed. Dysphonia can be caused by misusing the voice.

Dyspraxia (Verbal): A co-ordination difficulty. The brain transmits the wrong messages about when and how the muscles of the throat and mouth should move to make voice and speech. Speech may sound muddled because the wrong sounds are produced in the wrong places. Sometimes words are said automatically and sound clear. Other forms of dyspraxia can affect other parts of the body (e.g. limb dyspraxia). Automatic movements may not be affected.

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E

Echolalia: Instant and meaningless repetition of words / phrases heard.

Elective Mutism: Emotional disorder affecting children. The child speaks fluently in some situations, but remains silent in others.

Expressive Language Difficulty: Difficulty affecting the person's ability to speak, write or gesture. May be developmental or acquired.

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H

Hearing Impairment: A hearing loss that can be either temporary or permanent and can range in severity from mild to profound.

I

Impairment: Loss or abnormality of function.

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L

Language: May be spoken, written or signed. Sounds or symbols are grouped together to form meaningful words. Symbols or words are grouped together to form meaningful phrases.

Laryngectomee: Person who has had his / her larynx (voice box) removed usually due to cancer.

Laryngectomy: Surgical removal of the larynx (voice box) usually due to cancer.

Laryngopharyngectomee: Person who has had their larynx (voice box) and pharynx (part of throat) surgically removed.

Larynx: Voice box, including the vocal folds.

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N

Normal Non-fluency: A period of dysfluency that can occur as part of a child's development and which the child grows out of.

Non-verbal Communication: Communication not by spoken or written words. Non-verbal communication includes facial expression, body language, natural gestures, tone of voice, drawing and use of symbols.

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O

Oesophageal Speech: Used by some laryngectomees. A method of producing voice by pushing air down into the upper oesophagus (food pipe) then releasing it, causing the pharyngo-oesophageal segment to vibrate.

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P

Pharyngo-oesophageal segment: A surgically created area in people who have had a laryngectomy, It is made when some of the throat muscles (the inferior pharyngeal constrictors) are repaired after the larynx has been removed.

Phonological Impairment (developmental or acquired): Difficulty in recognizing, selecting and using speech sounds in words.

Pitch: This describes the fundamental frequency of voice. Frequency is measured in hertz in the same way that temperature is measured in degrees centigrade. Pitch refers to how "high" or "low" your voice is.

Pragmatic Disorder: Difficulty relating to the world and using language appropriate to a particular situation. May be developmental or acquired.

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R

Receptive Language Difficulty: Difficulty affecting the person's ability to understand other people or read. May be developmental or acquired.

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S

Semantic Disorder: Difficulty understanding and using the meanings of words. May be developmental or acquired.

Sign Language (See also "Language"): A system of hand movements supported by posture and facial expression and used for communication. This refers to a system that has evolved naturally within a Deaf community and has its own structure and rules of grammar. Like any other language it is continuing to evolve and has regional variations. Examples include - British Sign Language, Irish Sign Language and American Sign Language.

Sign System: A system of hand movements used to support the understanding and use of spoken language. This has been systematically developed and introduced to meet the needs of a particular group. Examples include: Paget Gorman, Makaton and Sign Supported English.

Specific Language Impairment: Difficulty in understanding and / or using spoken language in the absence of other types of disability.

Speech: A series of sounds shaped by the person's mouth, tongue, teeth and throat. The sounds are grouped together to create spoken words.

Stammering (See also "Stuttering"): Stammering and stuttering are used to mean the same thing - a communication impairment which can affect the way the person who stammers relates to the world. Many stammering "symptoms" such as avoiding particular words or situations cannot be heard. Stammering speech itself is characterised by "involuntary interruptions" (usually repetitions of sounds or words), "prolongations" (where the person extends a sound) and "blocks" (where the person is unable to produce a particular sound).

Stuttering (See also "Stammering"): Stammering and stuttering are used to mean the same thing - a communication impairment which can affect the way the person who stammers relates to the world. Many stammering "symptoms" such as avoiding particular words or situations cannot be heard. Stammering speech itself is characterised by "involuntary interruptions" (usually repetitions of sounds or words), "prolongations" (where the person extends a sound) and "blocks" (where the person is unable to produce a particular sound).

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T

Tracheostomy: Operation to form a hole from the front of the neck into the trachea (wind pipe). The operation is performed when normal breathing is prevented by an obstruction in the windpipe or prior to surgery to prevent blood / saliva entering the trachea, or to ventilate people in Intensive Care.

Tracheo-Oesophageal Speech: Another alternative method of producing voice used by people who have had their voice box removed. Here, the air from the lungs passes from the trachea (wind pipe) to the oesophagus (food pipe) through a small hole made surgically between the two. The movement of the air causes the pharyngo-oesophageal segment to vibrate and this produces noise.

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V

Verbal Dyspraxia: See "Dyspraxia".

Voice: Sound produced by the vibration of the vocal cords in the voice box as air from the lungs passes between them.



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