Evidence-based practice requires that clinical decisions be based on evidence from rigorously controlled research studies. At this time, very few studies have directly examined the efficacy of clinical intervention methods for bilingual children. Clinical decisions for this population cannot, therefore, be based on the strongest forms of research…

Auditory processing disorder (APD) describes a mixed and poorly understood listening problem characterised by poor speech perception, especially in challenging environments. APD may include an inherited component, and this may be major, but studies reviewed here of children with long-term otitis media with effusion (OME) provide strong evidence…

Tinnitus is a vexing disorder of hearing characterized by sound sensations originating in the head without any external stimulation. The specific etiology of these sensations is uncertain but frequently associated with hearing loss. The "neurophysiogical" model of tinnitus has enhanced appreciation of central nervous system (CNS) contributions.…

The objective of the current report is to review experimental findings on centrally patterned movements and sensory and descending modulation of central pattern generators (CPGs) in a variety of animal and human models. Special emphasis is directed toward speech production muscle systems, including the chest wall and orofacial complex during…

Background: Children who are bilingual and have speech sound disorder are likely to be under-referred, possibly due to confusion about typical speech acquisition in bilingual children. Aims: To investigate what is known about the impact of bilingualism on children's acquisition of speech in English to facilitate the identification and treatment of…

Background: People transitioning from male to female (MTF) gender seek speech-language pathology services when they feel their voice is betraying their genuine self or perhaps is the last obstacle to representing their authentic gender. Speaking fundamental frequency (pitch) and resonance are most often targets in treatment because the combination…

Background: In recent years there has been significant interest in the differential processing of nouns and verbs in people with aphasia, but more limited consideration about whether the differences have implications for therapy. It remains unclear whether verbs can be treated in a similar way to nouns or should be treated using approaches that…

The difficulties of generalization and maintenance in stuttering treatment is discussed. Three strategies for promoting generalization and maintenance in school settings are suggested based on current research evidence: probing and training for generalization; incorporating real-life elements into therapy; and training clients to self-regulate…

This article introduces the concept of a multi-component working memory. Emphasis is placed on the phonological loop component, its fractionation into a storage and processing component, and implications for native and second language learning. An overview of the visual spatial sketchpad and its possible role in language is provided. (Contains…

The performance data of individuals with Alzheimer's on language comprehension and expression tests are presented and discussed in the context of possible contributions from impaired working memory functions. It is argued that diminished scores result primarily from attenuated span capacity, difficulty focusing attention, encoding, and activation…

This article discusses the crucial role that working memory (WM) plays in learning a second language and analyzes cross-linguistic differences in digit span. It argues that word span and semantic span should be considered in WM analysis. A semantic system is proposed in the WM model for language. (Contains references.) (Author/CR)

Discussion of behavioral interventions in Alzheimer's disease (AD) notes new understanding, including that memory is not a unitary phenomenon, that certain types of memory are relatively spared in AD, and that conceptual knowledge is largely intact. Intervention techniques that capitalize on spared memory systems and take advantage of principles…

Background: Speech perception is often considered specific to the auditory modality, despite convincing evidence that speech processing is bimodal. The theoretical and clinical roles of speech-reading for speech perception, however, have received little attention in speech-language therapy. Aims: The role of speech-read information for speech…

Findings from a study in which twins were given tests of onward repetition and auditory processing are discussed. Children with specific language impairments were impaired on both measures, but deficits had different origins. Auditory processing problems showed no evidence of genetic influence, whereas the nonword repetition deficit was highly…

This article explores the gene-finding process for developmental speech disorders (DSDs), specifically disorders of articulation/phonology and stuttering. It reviews existing behavioral genetic studies of these phenotypes, discusses roadblocks that may impede the molecular study of DSDs, and reviews the findings of the small number of molecular…