Skip to main content Accessibility help
×
Hostname: page-component-77c89778f8-n9wrp Total loading time: 0 Render date: 2024-07-20T08:24:12.662Z Has data issue: false hasContentIssue false

3 - Speech, language, and communication

from Part I - Speech and language problems

Published online by Cambridge University Press:  26 October 2009

Get access

Summary

Communication is the exchange of ideas and feelings between two or more persons. The main method of communication is language, spoken or written. Failure to communicate accurately or adequately may lead to misunderstandings. Subtle language problems often underlie many of the problems people experience at home, at school, in society, and in employment.

Some epileptic children do not communicate well. They experience subtle language problems. They may misunderstand what others say. They may not be able to express themselves so that others can understand. One adolescent complained, “They don't understand me.” The parents complained, “She doesn't seem to listen.” Her teachers noted, “We teach her one day and the next day she has learned nothing.” These problems may vary from day to day. Such misunderstandings may impair emotional development, learning, and later earning.

There are numerous types of speech–language problems reported in children who have epilepsy. Speech problems include difficulties in pronunciation, in the rate and in the flow of speech. Language problems include difficulties in understanding speech sounds, words, and word meanings, as well as problems in expressing ideas in words and in forming the actual words. This may be related to impairments in memory, in remembering what was heard recently as well as what was previously learned. Problems in remembering names is also a common difficulty.

Communication disorders

MacDonald Critchley defined language as “the expression and reception of ideas and feelings.” This does not say how the ideas and feelings are expressed or understood.

Type
Chapter
Information
Childhood Epilepsy
Language, Learning and Behavioural Complications
, pp. 17 - 30
Publisher: Cambridge University Press
Print publication year: 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Speech and Hearing Association (1982). Definitions – communicative disorders and variations. ASHA 24: 949–50
Andy, O. J. (1984). Right-hemispheric language evidence from cortical stimulation. Brain Lang. 23: 159–66CrossRefGoogle ScholarPubMed
Balthazar, T. E. (1963). Cerebral unilateralization in chronic epileptic cases: the Wechsler object assembly subtest. J. C.in. Psychol. 19: 169–713.0.CO;2-B>CrossRefGoogle ScholarPubMed
Benson, D. F. (1979). Associated neurobehavioral problems Aphasia, Alexia, and Agraphia, pp. 158–73. New York: Churchill Livingstone
Berlin, C. I., Lowe-Bell, S. S., Jannetta, P. J. & Kline, D. G. (1972). Central auditory deficits after temporal lobectomy. Arch. Otolaryngol. 96: 4–10CrossRefGoogle ScholarPubMed
Bishop, D. V. M. (1981). Plasticity and specificity of language localization in the developing brain. Dev. Med. Child Neurol. 23: 545–6CrossRefGoogle ScholarPubMed
Bradshaw, J. L. (1980). Right hemisphere language: familial and non-familial sinistrals, cognitive deficits and writing hand position in sinistrals and concrete-abstract imageable-nonimageable dimensions in word recognition: a review of interrelated issues. Brain Lang. 10: 172–88CrossRefGoogle Scholar
Critchley, M. (1979). Physiology and other aspects of language. In Aphasiology. London: Edward Arnold
Devinsky, O., Perrine, K., Hirsch, J., McMullen, W., et al. (2000). Relation of cortical language distribution and cognitive functions in surgical epilepsy patients.Epilepsia 41: 400–404CrossRefGoogle ScholarPubMed
Drewe, E. A. (1976). An experimental investigation of Luria's theory on the effects of frontal lobe lesions in men. Neurophysiology 13: 421–9Google Scholar
Duchaney, M. (2000). The transfer of function in dysplastic contex. Cleveland Clinic Conference, Cleveland, OH. June 2, 2000
Fedio, P., August, A., Sato, S. & Kufta, C. (1992). Neuropsychological characteristics of patients with basolateral temporal language. Epilepsia 33 (suppl 3): 120Google Scholar
Geets, W. & Pinon, A. (1975). Crises agnosiques avec troubles du languge et anomalies asmetricques de EEG. Acta Psychiatr. Belg. 75: 160–72Google Scholar
Geffen, G. (1976). Development of hemispheric specialization for speech perception. Cortex 12: 337–46CrossRefGoogle ScholarPubMed
Geschwind, N. (1972). Cerebral dominance and anatomic asymmetry. N. Engl. J. Med. 287: 194–5CrossRefGoogle ScholarPubMed
Goodglass, H. & Quadfasel, F. A. (1954). Language laterality and left-handed aphasiacs. Brain 77: 521–84CrossRefGoogle Scholar
Gordon, B. (1996). Organization and localization of language in the brain. Presented at the American Epilepsy Society Conference, San Francisco, December, 1996
Hardy, W. G. (1965). On language disorders in young children: a reorganization of thinking. J. Speech Hear. Disord. 30: 3–16CrossRefGoogle ScholarPubMed
Heilman, K. M., Scholes, R. & Watson, R. T. (1975). Auditory affective agnosia: disturbed comprehension of affective speech. J. Nurol. Neurosurg. Psychatry 38: 69–71CrossRefGoogle ScholarPubMed
Knaven, F. (1980). Cognitive functioning in adults – discussion notes. In Epilepsy and Behavior'79, ed. E. M. Kulig, H. M.inardi & G. S.ores, pp. 43–6. Lisse: Swet & Zeitlinger
LeDoux, J. E., Barclay, L. & Premuck, A. (1978). The brain and cognitive sciences. Ann. Neurol. 4: 391–98CrossRefGoogle ScholarPubMed
Lenneberg, E. H. (1966). Speech development: its anatomical and psychological concomitants. In Brain Function III Proceedings of the Third Conference (Nov. 1963) Speech, Language and Communication, ed. E. C. Carterette. Berkeley: University of California Press
Luria, A. R. (1974). Language and brain: towards the basic problems of neurolinquisticsBrain Lang. 1: 1–4CrossRefGoogle Scholar
McGone, J. (1977). Sex differences in the cerebral organization of verbal functions in patients with unilateral brain lesions. Brain 100: 775–93CrossRefGoogle Scholar
Milner, B. (1975). Psychological aspects of focal epilepsy and its neurosurgical management. In Advances in Neurology, ed. D. P. Purpura, J. R. Penry & R. D. Walter, Vol. 8, pp. 299–321. New York: Raven Press
Milner, B., Branch, C. & Rasmussen, T. (1966). Evidence for bilateral speech representation in some non-right handers. Trans. Am. Neurol. Assoc. 91: 306–8Google Scholar
Novelly, R. A. & Naugle, R. I. (1985). Neuropsychological prediction of hemisphere speech dominance in childhood onset complex partial epilepsy.Epilepsia 26: 539Google Scholar
Ojelmann, G. A. (1979). Individual variability in cortical localization of language. J. Nurosurg. 50: 164–9CrossRefGoogle Scholar
Quinn, P. J. (1972). Stuttering: cerebral dominance and the Dichotic Word Test. Med. J. Astr. 2: 639–45Google Scholar
Risse, G. L., Hempel, A., Farnham, S. J., Penovich, P. E., et al. (1999). A comparison of cortical language areas in adults vs. children based on electrical stimulation with subdural electrode array.Epilepsia 40 (suppl 7): 53Google Scholar
Ross, E. D. & Mesulam, M. M. (1979). Dominant language functions of the right hemisphere: prosody and emotional gesturing. Arch. Neurol. 36: 144–8CrossRefGoogle ScholarPubMed
Ross, E. D., Harney, J. H., deLaCosta-Utemssing, C. & Purdy, P. D. (1981). How the brain integrates affective and prepositional language into a unified behavioral function. Arch. Neurol. 38: 475–8CrossRefGoogle Scholar
Schulhoff, G. & Goodglass, H. (1969). Dichotic listening, side of brain injury and cerebral dominance. Neuropsychogia 7: 149–60CrossRefGoogle Scholar
Searleman, A. (1978). A review of right hemisphere linguistic capabilities. Psychol. Bull. 83: 503–28Google Scholar
Smith, B. L. (1980). Cortical stimulation and speech timing: a preliminary observation. Brain Lang. 10: 89–97CrossRefGoogle ScholarPubMed
Sorokina, N. & Selitsky, G. A. (1999). Impairment of verbal and imaginative function in childhood epilepsy. 23rd International Epilepsy Congress, Prague, Czech Republic. Epilepsia 40 (suppl 2): 68Google Scholar
Todd, J. & Satz, P. (1977). WAIS performance in brain-damaged left and right handers. Ann. Neurol. 2: 422–4CrossRefGoogle ScholarPubMed
Weintraub, P. (1981). The brain: his and hers. Discover 15–20
Weintraub, S.Mesulam, M.-M. & Kramer, L. (1958). Disturbances in prosody, a right hemisphere contribution to language.Arch. Neurol. 368: 742–4Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×