The Handbook of Language and Speech Disorders

The Handbook of Language and Speech Disorders
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An authoritative overview of language and speech disorders, featuring new and updated chapters written by leading specialists from across the field The Handbook of Speech and Language Disorders , Second Edition, provides timely and authoritative coverage of current issues, foundational principles, and new research directions within the study of communication disorders. Building upon the reputation of the landmark first edition, this volume offers an exceptionally broad and in-depth survey of the field, presenting original chapters by internationally recognized specialists that examine an array of language, speech, and cognitive disorders and discuss the most crucial aspects of this evolving discipline while providing practical information on analytical methods and assessment. Now in its second edition, the Handbook features extensively revised and refocused content throughout, reflecting the latest advances in the field. Original and updated chapters explore diverse topics including literacy and literacy impairments, patterns of normal and disordered language development, hearing impairment and cochlear implants, language acquisition and language delay, dementia, dysarthria, ADHD, autism spectrum disorder, and many others. This acclaimed single-volume reference resource: Provides 26 original chapters which describe the latest in new research and which indicate future research directions Covers new developments in research since the original publication of the first edition Features in-depth coverage of the major disorders of language and speech, including new insights on perception, hearing impairment, literacy, and genetic syndromes Includes a series of foundational chapters covering a variety of important general principles, including labelling, diversity, intelligibility, assessment, and intervention The Handbook of Speech and Language Disorders , Second Edition, is essential reading for researchers, scholars, and students in speech and language pathology, speech, language and hearing sciences, and clinical llinguistics, as well as active practitioners and clinicians.

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Группа авторов. The Handbook of Language and Speech Disorders

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

Blackwell Handbooks in Linguistics

The Handbook of Language and Speech Disorders

List of Figures

Notes on Contributors

Introduction

1 Labeling as a Sociocultural Process in Communicative Disorders

1.1 Introduction

1.2 Labeling Theory

1.3 Labeling within a Diagnostic Process

1.3.1 Medicalization

1.3.2 Diagnostic Legitimization

1.4 The Impact of Labeling

1.4.1 Positive Consequences

1.4.2 Negative Consequences

1.5 Concerns with the Process of Diagnostic Labeling

1.6 Implications and Conclusion

REFERENCES

2 Diversity Considerations in Speech and Language Disorders: A Focus on Training

2.1 Introduction

2.2 Some Facts

2.3 What is There and What is Missing

2.4 Identifying an MMI Curriculum

2.5 Relevant Theory

2.5.1 Culture and Cultural Diversity

2.5.2 Language and Linguistic Diversity

2.5.3 Language and Diversity in Acquisition

2.6 Relevant Applications

2.7 Issues in Cultural Competence

2.8 Concluding Statements

REFERENCES

3 Hearing Loss and Cochlear Implants

3.1 Introduction

3.2 Hearing Loss. 3.2.1 ISO 7029 and Observations from Hearing Loss in Normal Aging Populations

3.2.2 Physiological Correlates of Noise‐Induced Hearing Loss

3.2.3 Hearing Loss and the Individual

3.2.4 Hearing Loss and Cochlear Implants

3.3 Cochlear Implants. 3.3.1 Sound Processing in Cochlear Implants and the Electrical–Neural Bottleneck

3.3.2 General Communication Issues with Cochlear Implants

3.3.3 Recognition of Segments

3.3.4 Word Recognition

3.3.5 Prosody Perception

3.3.6 Production of Segments

3.3.7 Production of Prosody

3.3.8 Word and Sentence Processing

3.3.9 Higher‐Order Communication

3.4 Auditory Brainstem Implants

3.5 Conclusions and Perspectives

Acknowledgments

REFERENCES

4 Intelligibility Impairment

4.1 Introduction

4.2 Intelligibility Defined

4.3 Measurement of Intelligibility

4.3.1 Objective Measures of Intelligibility

4.3.2 Subjective Measures of Intelligibility

4.4 Intelligibility from a Developmental Perspective

4.5 Perceptual Learning

4.6 Individual Differences

4.7 Summary

REFERENCES

5 Genetic Syndromes and Communication Disorders

5.1 Why Study Genetic Syndromes?

5.2 Language and Communication in Williams Syndrome (WS)

5.3 Language and Communication in Down Syndrome (DS)

5.4 Conclusions

REFERENCES

6 Principles of Assessment and Intervention

6.1 Introduction

6.2 Principles of Assessment and Intervention. 6.2.1 People Live in a Social World: Consider Social Communication

6.2.2 Look Forward: Begin with the End in Mind

6.2.3 Know Where You Are Before You Plan Your Route: Good Intervention Requires Good Assessment

6.2.4 Focus on What is most Important to Achieve Your Goals: Put First Things First

6.2.5 Aim for Authenticity

6.2.5.1 Genuine connection

6.2.5.2 Real information

6.2.5.3 Integration of the components of social communication

6.2.5.4 Activities and communication that might actually occur

6.2.6 View Disorders without Borders

6.3 Principles in Practice

REFERENCES

7 Autism Spectrum Disorders

7.1 Introduction

7.2 Diagnostic Criteria

7.3 Early Markers of Autism Spectrum Disorder

7.4 Gold Standards for Comprehensive Assessment of Autism

7.5 Principles for Intervention Decision‐making

7.6 Established Evidence‐Based Interventions

7.7 Summary

References

8 Language Acquisition and Language Delay

8.1 Introduction

8.2 Individual Differences

8.2.1 Lexis

8.2.2 Grammar

8.2.3 Stability of Individual Differences

8.3 From Individual Differences to Individual Profiles. 8.3.1 Learning Grammar: The Child’s Task

8.3.2 Automatic Analysis of Language Samples

8.3.2.1 KIDEVAL

8.3.2.2 Systematic Analysis of Language Transcripts (SALT)

8.4 Tracking Grammatical Development in Detail

8.4.1 Major Grammatical Constructions

8.4.2 The LARSP Reference Database. 8.4.2.1 Simple clause types

8.4.2.2 Phrase types and phrasal integration into clauses

8.4.2.3 Interpretation

8.4.2.4 The missing link

8.5 Envoi

Acknowledgment

REFERENCES

9 Developmental Language Disorder

9.1 Introduction

9.2 Defining and Identifying Children with Language Disorders

9.3 Subtyping and Classification of Children with DLD

9.4 Implications of Subtyping Research for Clinical Practice

9.5 General Outcomes and Long‐term Stability for DLD

9.6 Causal Explanations for DLD

9.7 Intervention Outcomes

9.8 Summary and Conclusions

Acknowledgment

REFERENCES

10 Pragmatic Impairment

10.1 Introduction

10.2 Mental State Attribution During Communication

10.3 Scope of Pragmatic Impairment

10.3.1 Implicature

10.3.2 Reference

10.3.3 Information Management

10.4 Language in Pragmatic Impairment

10.5 Pragmatic Language Assessment and Intervention

10.6 Summary

REFERENCES

11 Learning Disabilities

11.1 Introduction

11.2 Historical Context and Definition

11.3 Types of Learning Disabilities

11.4 “Specific” Disabilities in Language and Reading

11.5 Theories of Learning Disabilities. 11.5.1 Connectionist Models

11.5.2 Statistical Learning and the Declarative/Procedural (DP) Model of Language Acquisition

11.5.3 Role of Working Memory in Language Processing

11.5.4 Impact of Processing Speed on Language Abilities

11.6 Etiology of Learning Disabilities. 11.6.1 Etiology of Reading Disability

11.6.2 Etiology of Speech and Language Disorders

11.6.3 Etiology of Dyscalculia

11.6.4 Etiology of ADHD

11.6.5 Other Possible Underlying Causes of LD

11.7 Identification and Intervention. 11.7.1 The Discrepancy Model

11.7.2 Response to Intervention (RTI) and Multi‐tiered System of Support (MTSS)

11.7.3 Educational Eligibility and Individualized Education Plans

11.7.4 Intervention

11.8 Impact of LD in Adulthood

11.9 Summary

REFERENCES

12 Literacy and Literacy Impairments

12.1 Introduction

12.2 Conceptualizations of Literacy

12.3 Literacy as Social Practice

12.3.1 A Limited History of Literacy

12.3.2 What it Means to Be Literate

12.4 Literacy as Personal Skill

12.4.1 Conceptions of Human Learning

12.4.1.1 Behaviorism

12.4.1.2 Cognitivism

12.4.2 Models of Literacy

12.4.2.1 The skills‐based model

12.4.2.2 The component skills approach to teaching

12.4.2.3 The meaning‐based model

12.4.2.4 The meaning‐based approach to teaching

12.4.3 Dyslexia

12.5 Solutions and Conclusions

REFERENCES

13 Language and Literacy in the Context of Early Life Adversity

13.1 Introduction

13.2 A Strong Start to Life Promotes Prosocial Interpersonal Skills in the Preschool Years

13.3 Developmental Language Disorder

13.4 Language and Culture

13.5 Threats to Optimal Child and Adolescent Language Development

13.5.1 Socioeconomic Status and Language and Literacy Development

13.5.2 Adverse Childhood Experiences and Language and Literacy Development

13.5.3 Neurobiological Impairments and Language and Literacy Development in Vulnerable Populations

13.6 Language Disorder: Diagnosis and Assessment in Vulnerable Populations

13.7 Assessment Processes and Considerations

13.7.1 The Purpose of Assessment

13.7.2 Referrals and Building a Case History

13.7.3 Consent and Confidentiality

13.7.4 Culturally Sensitive Assessment

13.7.5 Location of Assessment

13.7.6 Rapport

13.7.7 Assessment Tasks

13.7.8 Reporting Assessment Findings

13.7.9 Professional Self‐Care

13.8 Summary and Conclusions

REFERENCES

NOTES

14 Aphasia

14.1 What is Aphasia?

14.2 The Incidence and Prevalence of Aphasia

14.3 Some History

14.4 The Features of Aphasia

14.5 Recovery and Treatment

14.5.1 Treatment

14.5.2 The Promise of Cognitive Neuroscience and Neurophysiology for Aphasia Rehabilitation

14.6 Psychosocial and Emotional Response to Aphasia

REFERENCES

15 Children with Speech Sound Disorders

15.1 Introduction

15.2 Normal Speech Development

15.3 Nature of Speech Sound Disorders

15.3.1 Frameworks for Classifying SSD

15.3.2 Proposed Subtypes of SSD

15.3.3 Concomitant Developmental Concerns

15.3.4 Epidemiology of SSD

15.4 Clinical Management of Speech Sound Disorders. 15.4.1 Assessment of Speech Sound Disorders

15.4.2 Treatment of Speech Sound Disorders

15.5 Conclusion

REFERENCES

16 Dysarthria

16.1 The Brain Network of Speech Motor Control in Typical Adult Speakers

16.1.1 Speech and Language Generation in the Frontal Lobe

16.1.2 Temporal and Parietal Regions

16.1.3 Basal Ganglia

16.1.4 Cerebellum

16.2 Dysarthria: Classification and Taxonomy

16.3 Dysarthric Deficits in Neurological Disorders. 16.3.1 Disorders of Primary Motor Cortex and its Efferent Corticobulbar Pathways (Upper Motor Neuron)

16.3.2 Disorders of the Basal Ganglia: Syndromes of Hypo‐ and Hyperkinetic Dysarthria. 16.3.2.1 Parkinson’s disease

16.3.2.2 Huntington’s chorea

16.3.2.3 Focal damage to the basal ganglia

16.3.2.4 Dystonia and essential tremor

16.3.3 The Contribution of the Cerebellum and its Afferent and Efferent Connections to Speech Motor Control: Ataxic Dysarthria. 16.3.3.1 Topographic aspects

16.3.3.2 Characteristics of ataxic dysarthria

16.3.3.3 Transient cerebellar mutism

16.3.4 Cranial Nerves and (Neuro‐)Muscular Diseases: The Syndrome of Flaccid Dysarthria

16.3.5 Dysarthria in Neurological Diseases Affecting Multiple Components of the Central Motor System

16.3.6 Dissociation of Speech and Non‐speech Vocal Tract Motor Dysfunctions. 16.3.6.1 Speech production and swallowing

16.3.6.2 Speech production and facial/vocal expression of emotions

16.3.6.3 Speech production and volitional nonspeech oral movements

16.3.6.4 Dysarthria in psychiatric disorders

16.4 Auditory‐Perceptual and Instrumental Analysis of Motor Speech Disorders. 16.4.1 Overview

16.4.2 Auditory‐Perceptual Evaluation of Speech

16.4.3 Analysis of the Acoustic Speech Signal

16.4.4 Instrumental Analysis of the Physiological Mechanisms of Dysarthric Speech. 16.4.4.1 Overview

16.4.4.2 Evaluation of laryngeal functions (vocal fold vibrations)

16.4.4.3 Imaging of vocal tract structures

16.4.4.4 Movement trajectories of single articulators and vocal tract imaging

16.4.5 Lingual‐Palatal Contact and Distance Patterns

16.4.6 Electromyography

16.5 Therapeutic Approaches in Dysarthria. 16.5.1 Framework of Therapeutic Intervention

16.5.2 Behavioral Treatment Strategies

16.5.3 Instrumental Aids and Prostheses

16.5.4 Medication

16.5.5 Surgical Procedures

16.5.6 Non‐invasive Brain Stimulation

16.5.7 Evaluation of Treatment Efficacy

REFERENCES

17 Apraxia of Speech

17.1 Introduction

17.2 Etiologies of AOS

17.2.1 Stroke AOS

17.2.2 Progressive AOS

17.2.3 Childhood Apraxia of Speech

17.2.3.1 Idiopathic CAS

17.2.3.2 Complex neurodevelopmental CAS

17.2.3.3 Genetic bases of CAS

17.2.3.4 Neural bases of CAS

17.3 Features and Differential Diagnosis

17.3.1 Diagnostic Criteria

17.3.1.1 Speech sound errors

17.3.1.2 Distortion of speech sounds

17.3.1.3 Slow speech and abnormal prosody

17.3.1.4 Inconsistency of errors

17.3.2 Differentiation from Dysarthria

17.4 Assessment

17.4.1 Eliciting an Informative Speech Sample

17.4.2 Measuring Relevant Speech Features

17.4.2.1 Ratings and diagnostic checklists

17.4.2.2 Precise measurement of speech features

17.4.3 Assessing Severity

17.4.4 Assessment Batteries

17.5 Treatment

17.5.1 Communication Access

17.5.2 Articulatory‐Kinematic Treatments of Target Segments

17.5.3 Integrating Articulatory‐Kinematic and Language Approaches

17.5.4 Focus on Words and Phrases

17.5.5 Rate, Rhythm, and Inter‐systemic Reorganization

17.5.6 Principles of Motor Learning and Motivation

17.6 Summary

REFERENCES

18 Augmentative and Alternative Communication: An Introduction

18.1 Introduction

18.2 AAC Systems

18.3 Components of Aided AAC Systems

18.3.1 Symbol Representation

18.3.2 Layout and Organization

18.3.2.1 Display types

18.3.2.2 Organization of vocabulary

18.3.3 Selection Techniques

18.3.4 Output

18.4 Assessment

18.4.1 The AAC Assessment Team

18.4.2 Primary Components of AAC Assessment

18.4.3 Assessment Procedures

18.4.4 Assessing the Individual’s Skills. 18.4.4.1 Sensory‐perceptual skills

18.4.4.2 Linguistic skills

18.4.4.3 Cognitive skills

18.4.4.4 Natural speech skills

18.4.4.5 Motor skills

18.4.5 Vocabulary Selection

18.4.6 Types of Vocabulary

18.5 AAC Intervention

18.6 Summary

REFERENCES

19 Fluency and Fluency Disorders

19.1 Introduction

19.1.1 Background, Philosophy, and Definition

19.1.2 Definition of Stuttering (Behavioral)

19.1.3 Other Fluency Disorders

19.1.4 Definition of Stuttering (Constructivist)

19.2 Stuttering Evaluation and Assessment

19.2.1 Behavioral Assessment of Stuttering

19.2.2 Alternate Methods for Assessing Stuttering Behaviors

19.3 Epidemiological Issues Related to Stuttering Based on Longitudinal Studies

19.3.1 Early Childhood Stuttering: Persistence and Recovery

19.3.2 Longitudinal Studies with Older Children

19.4 Causes of Stuttering

19.4.1 Multifactorial Theories

19.5 Treatment Techniques and Efficacy

19.5.1 Fluency Shaping

19.5.2 Stuttering Modification

19.5.3 Pharmacological Treatment

19.5.4 Fluency Enhancing Devices

19.5.5 Evolution of Preschool Stuttering Treatment

19.6 Developmental Trends in Stuttering and Stuttering Theory: Yesterday and Today

19.7 Summary

REFERENCES

20 Describing, Assessing, and Treating Voice Disorders

20.1 Introduction

20.2 Prevalence of Voice Disorders

20.3 Recent Developments in Voice and Voice Disorders

20.3.1 Pediatric Voice Disorders

20.3.2 Gender‐Related Voice Disorders

20.3.3 Laryngeal Cancer Treatment

20.3.4 Acoustic Voice Assessment Using Spectral and Temporal Measures

20.4 Voice Evaluations

20.4.1 Case History and Interview

20.4.2 Quality‐of‐Life Measures

20.4.3 Auditory Perceptual Observations

20.4.4 Visual Perceptual Observations

20.4.5 Acoustic Measurements

20.4.6 Aerodynamic Measurements

20.5 Voice Therapy

20.5.1 Indirect/Behavioral Voice Therapy Approaches

20.5.2 Direct Voice Therapy Approaches

20.5.2.1 Auditory

20.5.2.2 Somatosensory

20.5.2.3 Musculoskeletal

20.5.2.4 Respiratory

20.5.2.5 Vocal function

20.5.3 Treatment of the Aging Population

REFERENCES

21 Speech Disorders Related to Cleft Palate and Velopharyngeal Dysfunction

21.1 Introduction

21.2 Cleft Lip and Palate and Non‐cleft Velopharyngeal Dysfunction. 21.2.1 What is It?

21.2.2 Causal Pathway

21.2.3 Prevalence

21.2.4 Syndromes associated with Cleft Lip and/or Palate

21.2.5 Surgery and Speech

21.2.6 Care Pathway and the Multidisciplinary Team

21.3 Speech Development in Children Born with Cleft Palate

21.3.1 Assessment of Speech. 21.3.1.1 Babbling and early speech development

21.3.1.2 Cleft specific speech assessment tools

21.3.1.3 Phonological development

21.3.1.4 Obtaining a speech sample

21.3.1.5 Investigations of velopharyngeal function

21.4 Intervention. 21.4.1 Aims of Intervention with this Population

21.4.2 Range of Interventions Offered

21.4.3 Range of Delivery

21.4.4 Evidence for Intervention

21.5 Types of Intervention. 21.5.1 Early Intervention Approaches

21.5.2 Direct Intervention Approaches

21.5.2.1 Parent involvement in intervention

21.5.2.2 Instrumental approaches

21.6 Language Development in Children Born with Cleft Palate

21.7 Impact on Academic Achievement

21.8 The ICF‐CY, HRQoL and PROMs

21.9 Clinical Audit and Research. 21.9.1 Clinical Audit

21.9.2 Research

21.10 Conclusion

REFERENCES

22 Speech Disorders Related to Head and Neck Cancer: Laryngectomy, Glossectomy, and Velopharyngeal and Maxillofacial Defects

22.1 Introduction

22.1.1 Treatment Philosophy and Quality of Life

22.1.2 Cancer

22.1.3 Causative Factors

22.1.4 Tumor Diagnosis and Staging

22.1.5 Principles of Cancer Treatment

22.1.6 Side‐effects of Radiation Therapy

22.2 Total Laryngectomy

22.2.1 Speech Rehabilitation in Total Laryngectomy—Artificial Larynges

22.2.2 Esophageal Speech

22.2.3 Tracheoesophageal Speech

22.3 Partial Laryngectomies

22.3.1 Rehabilitation of the Partial Laryngectomee

22.4 Glossectomy

22.4.1 Rehabilitation of the Patient with a Glossectomy

22.5 Velopharyngeal Defects

22.6 Maxillofacial and Facial Defects

Acknowledgment

REFERENCES

23 ADHD and Communication Disorders

23.1 Introduction

23.2 What is ADHD? 23.2.1 Diagnosis of ADHD

23.2.2 ADHD Across Cultures

23.3 The Nature of ADHD

23.3.1 Barkley’s Framework for Executive Functions

23.3.1.1 Self‐directed attention (self‐awareness)

23.3.1.2 Self‐restraint (executive inhibition)

23.3.1.3 Sensing to the self (nonverbal working memory)

23.3.1.4 Internalization of language (verbal working memory)

23.3.1.5 Self‐directed appraisal (emotion/motivation to the self)

23.3.1.6 Self‐play (reconstitution or problem‐solving)

23.4 ADHD and Language Learning Disabilities

23.4.1 Associated Language/Literacy Disorders in ADHD‐only Children

23.4.1.1 Pragmatic Deficits

23.4.1.2 Oral Narrative/Expository Discourse. 23.4.1.2.1 Oral discourse comprehension

23.4.1.2.2 Oral discourse production

23.4.1.3 Reading Comprehension

23.4.2 Language/Literacy in ADHD with Comorbid Disorders

23.5 Implications for Assessment and Intervention. 23.5.1 Language Assessment of Children with ADHD

23.5.1.1 Pragmatic language assessment

23.5.1.2 Assessing narrative production

23.5.1.3 Assessing narrative/expository comprehension

23.5.1.4 Problem‐solving

23.5.2 Interventions for ADHD

23.5.2.1 Deficits in verbal working memory

23.5.2.2 Deficits in sense of time

23.5.2.3 Deficits in self‐motivation

23.6 Conclusion

REFERENCES

24 Communication Deficits Associated with Right Hemisphere Brain Damage

24.1 Introduction

24.2 Overview of Disorders of Communication

24.3 Themes Underlying Comprehension Disorders

24.3.1 Activation of Distantly Related Meanings

24.3.2 Multiple Meanings

24.3.3 Using Context to Facilitate Comprehension

24.3.3.1 Using context to generate inferences

24.3.3.2 Determining appropriate interpretations

24.3.3.3 Integrating multiple cues

24.4 Discourse Production Deficits

24.5 Assessment

24.5.1 Treatment

24.5.2 Treatment for Impaired Activation of Distantly Related Meanings and Multiple Meanings

24.5.3 Treatment Using Context to Facilitate Comprehension

24.5.4 Treatment for Discourse Production and Pragmatics

24.6 Conclusions

REFERENCES

25 Traumatic Brain Injury

25.1 Introduction

25.2 Overview

25.2.1 Incidence

25.2.2 Consequences of TBI

25.3 Cognitive‐Communication Disorders Following TBI and their Assessment

25.3.1 Discourse Impairments

25.3.1.1 Monologic discourse impairments

25.3.1.1.1 Microlinguistic discourse impairments

25.3.1.1.2 Microstructural discourse impairments

25.3.1.1.3 Macrolinguistic discourse impairments

25.3.1.1.4 Superstructural discourse impairments

25.3.1.2 Conversational discourse impairments

25.3.1.2.1 Response appropriateness

25.3.1.2.2 Topic management

25.3.1.2.3 Pragmatic rating scales and checklists for conversational discourse

25.3.2 Pragmatic Impairments. 25.3.2.1 Deficits in social communication

25.3.2.2 Impact on social reintegration

25.4 Potential Cognitive Explanations for Communication Deficits Following TBI. 25.4.1 Attention and Information Processing. 25.4.1.1 Attentional components affected by TBI

25.4.1.2 Cognitive processes underlying attention in TBI

25.4.1.3 Working memory theory

25.4.1.4 Communication deficits

25.4.2 Memory

25.4.2.1 Communication deficits

25.4.2.2 Working memory

25.4.2.3 Post‐traumatic amnesia

25.4.2.4 Episodic and semantic memory

25.4.3 Executive Functions

25.4.3.1 Definitions of executive functions and their components

25.4.3.2 Communication deficits

25.4.3.3 Prefrontal cortex function and communication

25.4.3.3.1 Structured event complex

25.4.3.3.2 Somatic marker hypothesis and communication

25.4.4 Potential Discourse Model for TBI: Structure Building Framework

25.4.5 Theory of Mind and Neuropragmatics

25.5 Management of Cognitive Communicative Disorders Following TBI. 25.5.1 Discourse Treatment

25.5.2 Pragmatic Intervention

25.6 Conclusion

REFERENCES

26 Dementia

26.1 Introduction

26.1.1 Definitions of Dementia and Neurocognitive Disorder

26.2 Conditions Leading to Dementia

26.2.1 Reversible Dementias

26.2.2 Neuropathologies in Dementia Associated with Progressive Neurological Conditions

26.2.3 Cognitive, Communicative and Behavioral Patterns

26.3 Risk Factors for Dementia and Conditions Leading to Dementia

26.4 Diagnosis and Assessment

26.5 Intervention for Communication and Cognition in Dementia

26.6 Dementia and Bilingualism

26.7 Interactional Approaches to Dementia and Cognition

REFERENCES

NOTES

Author Index

Index

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