As "communication specialists" we often diagnose and treat children and adults with severe communication disorders. However, in treatment, we often assume this "illusion" that George Bernard Shaw described. Many clients struggle with verbal communication through various sensory barriers to communication. As treatment specialists, teachers, and parents, how we address meaningful communication is dependent upon how we understand and perceive the frustration of the client when expressive verbal communication is not easily accessed.
The emotional environment of the treatment sessions, classroom, or home is critical in creating meaningful communication strategies. Perception of spoken language and then assigning appropriate meaning is difficult for many client/children with sensory needs. Sifting through the sensory "distractions" often creates stress for the child, which is exhibited in numerous ways. Most often, this stress is exhibited through "attention-getting" behaviors.
Our first goal is to diagnose what the child is communicating through these attention-getting behaviors. Our next goal is to assign meaning to these behaviors. Finally, therapeutic strategies to achieve meaningful communication are designed around these diagnostic observations. Choice of topic assists the child to assign meaning through experiential learning. For example, if a child is growing up in today’s world, how could he/she "experience" the animal "dinosaur"? A better choice of "animal" experience might be pets, farm animals, or animals we see at the zoo, in the mountains, in the river, etc. The choices must come from the child’s immediate environment.
Meaningful vocabulary comes from everyday life and the experiences life brings to the child. Brain-based research suggests that experiences are how the brain assigns meaning, and therefore pays attention to the meaning, with an end result of committing it to memory. The final stage is recalling the information based upon the real life experiences, the individual perceptions of the child and the corresponding responses to these perceptions.
Setting the emotional "stage" for learning requires the adults in the child’s life to provide calm, de-cluttered learning spaces, choices, movement, preparation for transitions within the activity, and adequate time for learning new skills. Immersion in a real-life, experiential education process allows the brain to perceive, access, retain, and use the information gained in the activities. Providing attention to the foundations for learning assists the child to develop meaningful communication.
The following foundation provided for learning supports structuring and implementing highly effective learning experiences:
- Adequate Time: Young children and children with auditory processing disorders need time to process verbal directions. Time to complete their individual learning tasks will vary from client to client. Adequate time is individualized to support the learning.
- Meaningful Content: Necessary vocabulary aids communication, supports to sensory integration, and usefulness of the learning experience.
- Choices: Pre-selected activities to support communication and language learning.
- Immediate Feedback: May be sensory, motor break, verbal, snacks, charts. Will ALWAYS need to be individualized to the learning process. Is considered by many researchers to be the single most important factor for learning.
- Enriched Learning Environment/Experiential Learning: Multiple Intelligence experiences, materials specific to learning processes, involving all the senses.
- Absence of Threat: The emotional environment to support learning must be positive, set intentions of learning, and reassure all clients that they are protected by the therapist in the session. For children with sensory needs, the space/schedule for a break.
- Movement to Enhance Learning: BrainGym™, Sensory Motor Activities, Motor-Music Experiences of learning.
- Collaboration: Learning to work with others: sharing, communicating, turn-taking skills.
- Mastery/application: Spontaneous usage of linguistic skills in appropriate situations, ability to help another "learner", generalization of communication skills.
Speech Pathology Services of East Tennessee, LLC
MA, CCC, SLP, Founder & President
