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A group of 28 children attending a unit for children with developmental language disorders was assessed on a battery of cognitive and language tests. No relationship was found between verbal IQ and scores on other language measures. However, although correlations between the specialist language tests used were highly significant, the mean age scores obtained on the different tests were found to vary by as much as 2 years. The implications of these findings for clinical and experimental studies of children with language impairments are discussed.

The purpose of this study was to develop a reliable multidimensional topic analysis that would be sensitive to patterns and problems in topic management. Six conversation and four monologue language samples of a closed-head-injured adult and a matched normal adult were compared. High interjudge reliability was found for all frequently occurring parameters of the analysis. Differences between the two subjects were obtained on a number of the topic introduction and maintenance parameters. The results illustrate the potential of the analysis to reliably identify, quantify, and describe differences between subjects in discourse topic management. The potential of the analysis to provide detailed profiles of topic management and describe the influence of such variables as genre and topic complexity on discourse topic was demonstrated.

Stories were elicited from a group of 20 closed-head-injured children. Story grammar and intersentential cohesion were examined. Performance of the head-injured children was compared to that of a group of nonneurologically impaired accident victims matched for age, sex, and socioeconomic status. No significant differences were found between the performance of the closed-head-injured children and the matched controls on any of the measures of narrative ability applied to the elicited narratives.

The purpose of the present study was to determine whether the results of a language-teaching procedure could be used to identify specific language-impaired children in a group of bilingual children with limited English proficiency (LEP). An invented morpheme was taught to two groups of LEP children who had been previously identified as normal and specific language-impaired. The language-impaired group learned the morpheme at a slower rate than the normal children, thus allowing the two groups to be differentiated. The approach promises to circumvent many of the obstacles that impede current practices for identifying language impairment in the LEP population.

A point-scoring technique for the Early Language Milestone Scale is described. Normative data based on the original 1982 cross-sectional sample and validation data based on a separate longitudinal sample are presented. Mean Early Language Milestone Scale point scores, standard deviations, and percentile equivalents for raw point scores are presented for all ages from birth to 36 months. Correlations between point scores on the Early Language Milestone Scale and scores on other standardized developmental tests such as the Stanford-Binet Intelligence Scale, the Peabody Picture Vocabulary Test, and the Illinois Test of Psycholinguistic Abilities are presented. The clinical and research advantages of this point-scoring technique are presented and compared with the original pass/fail scoring method.

This study provided a preliminary investigation of the relative influence of cognitive and communicative factors in comprehension monitoring. This question was approached by studying language-disordered (LD) children for whom these abilities are presumably dissociated. Their performance on an ambiguity detection task was compared to that of two groups of control children, one matched for comprehension level and the other for cognitive level. Results revealed that LD children performed similarly to the control children who were matched for level of comprehension. The LD children's performance was examined along a continuum of the relative influence of cognitive and communicative factors, given that neither type of factor alone could sufficiently account for effective comprehension monitoring. It was concluded that communicative factors, both active primary comprehension and social communicative knowledge, had a stronger influence than the cognitive factors in our particular comprehension monitoring task.

This paper discusses some issues involved in identifying children who have language problems. The perspective taken is that (a) the goal of identification must be clearly distinguished from other goals of assessment; (b) identification of children with language disorders is better based on language performance than on inferences about the language knowledge that underlies this performance; (c) language performance must be sampled in more than one context, including, for purposes of identification, contexts that stress the language system; (d) the standards of expectations for comparing performance and determining differences must be explicit; (e) standards used to determine differences are better based on the performance of chronological-age peers than on the performance of children with similar mental abilities; and (f) children who do not evidence poor language performance but are considered at risk for language-related problems should be distinguished from children who demonstrate poor language skills.

This review focused on the methods used to identify language impairment in specifically language-impaired subjects participating in 72 research studies that were described in four journals from 1983 to 1988. The single most frequent source of information used in the identification process was found to be test data. There was, however, considerable variability and, often, a lack of clarity regarding the specific number and identity of tests used. More specific findings on test use indicated that researchers routinely assessed both expressive and receptive language and that they used incomplete tests. When test scores used in identification and selection were examined, there was a wide range of score types, and age-equivalent scores were by far the most common and often the only type of score utilized. Conclusions are drawn regarding the impact of these findings on the interpretation and generalizability of this research literature.

Video narration is a context for sampling spontaneous expressive language in which the subject produces an on-line description of the events he or she observes on videotape. Video narration offers a means of reducing the variability among language samples from different speakers, or from the same speaker over time, because the number and complexity of events to be coded linguistically is known and constant. This increased consistency facilitates comparisons among samples, as well as enabling certain analyses requiring a transparent relationship between utterances and events. Advantages and limitations of video narration as an adjunct to conversational sampling are described, and comparisons between longitudinal video narration and conversational samples obtained from brain-injured children and their matched normal controls are presented.

Letter-by-letter reading is a neuropsychological syndrome characterized by oral reading which seems to be mediated by explicit naming of constituent letters of the printed string. Thus reading time rises abnormally as a function of the length of the items to-be-read. This syndrome is generally interpreted as indicating a disconnection within the normal reading system prior to the activation of the visual and phonological lexical access routes. The patient retains a subsidiary strategy of spelling words by naming their constituent letters and uses this strategy for planning their pronunciation. If this interpretation is correct then reading aloud in letter-by-letter reading should not be affected by the features of the letter string which are stored lexically as the functional disconnection is postulated to occur prior to this stage. In this paper we report the case of a letter-by-letter reader who shows some signs which are puzzling in terms of current interpretations of the syndrome. They can be summarized as follows: (1) The patient reads words better than he reads nonwords; (2) Concrete words are processed more holistically while abstract words are processed more letter-by-letter; (3) Lexical decisions can be made far more rapidly than words can be read aloud. These three signs are very difficult to account for if reading is accomplished solely through a non-lexical reversed spelling strategy. Our experimental investigations of this patient are reported and alternative models assuming strategic control over the reading mechanism are discussed.

The coordination of the eye movement control system with comprehension processes was studied. Eye movements were monitored while subjects read paragraphs containing an anaphoric noun phrase. In Experiment 1, fixations on the anaphoric noun were shorter when its antecedent was close and typical of the noun category than when it was distant and/or atypical. Subjects took longer reading the words following the anaphoric noun when the antecedent was atypical than when it was typical. In Experiment 2, distance of antecedent affected anaphor fixation times for category name anaphors but not for general noun anaphors (e.g., "object"). The results suggest that the eyes do not wait for the completion of anaphor resolution processes. Rather, these processes are completed after the eyes have left the anaphoric noun. The different patterns of effects on the anaphors themselves and the post-anaphor region were interpreted to reflect two different stages in anaphor resolution.

Central auditory and linguistic functions were assessed in a group of 25 essentially normal-hearing, cognitively intact elderly adults. Inclusion in the study required normal performance on the Mini-Mental State Examination Procedures used to evaluate central auditory performance included monosyllabic word lists, the Synthetic Sentence Identification-Ipsilateral Competing Message (SSI-ICM) test, the Dichotic Digits test and the Staggered Spondaic Word test. Linguistic competence was assessed utilizing subtests of the Boston Diagnostic Aphasia test and the Revised Token test. Results indicate that central auditory involvement can occur without a concomitant decline in peripheral hearing sensitivity, cognitive function, or linguistic competence. Our findings also suggest, that for the type of individuals included in this study, the SSI-ICM appears to be the most sensitive measure to changes in central auditory processing abilities with advancing age.

Differences in scores assigned by five speech-language pathologists were determined for 96 language samples utilizing assessments of total words, total sentences, words per sentence, syntax quotient (usage and endings), syntax quotient (structures), and an abstract-concrete scale. Results of the study showed statistically significant interscorer differences for words per sentence, syntax quotient (usage and endings), and the abstract-concrete scale. Although the mean differences between scorers for total words, total sentences, and syntax quotient (structures) were not statistically significant, substantial absolute differences between scorers were found on all six measurement procedures.

Assessed alternate form reliability and equivalency for the Rey Auditory Verbal Learning Test (AVLT) in a clinical sample. A test-retest, counterbalanced design was utilized with a diagnostically heterogenous group of 85 VA Medical Center patients. The mean test-retest interval was 140 min. Alternate form reliability coefficients were highly significant, all p less than .001, and ranged from .60 to .77. The forms yielded comparable means with differences of less than 1 point on each of the five learning trails and the postinterference (VI) and recognition trials. Total words recalled on trials I through V differed by less than 3 points across forms. From a statistical point of view, when the alternate form was administered second it was slightly more difficult than the original. In the reverse order, the two measures were comparable. Overall, differences between forms lacked clinical significance and the tests were judged to be equivalent measures.

In this paper we have described the construction of a graded naming test that makes the distinction between object and proper names. This distinction was prompted by a single case study of a patient who showed a specific naming impairment for a particular class of proper names. Naming vocabulary was found to be highly correlated with other measures of verbal intelligence and we have discussed the use of the graded naming test as a tool for clinical assessment and diagnosis. The results of the naming test of the left hemisphere group showed that category-specific naming impairment along the object/proper name distinction is relatively uncommon in any gross form. Object naming was most impaired in patients with lesions of the temporal lobe.

The Screening Kit of Language Development ( SKOLD ) was designed to meet the following criteria: Validity for 2.5-4 year old children, standardization for speakers of standard and Black English, and appropriateness for paraprofessional screeners . This paper describes the development, content, administration, scoring, reliability, and validity of SKOLD .

The NSST was administered to 900 children aged three years to seven years, 11 months. Using a step-wise multiple regression model, the test was shortened from 20 to 11 test items receptively and expressively, while accounting for 95% of total test score variance. This shortened form, taking approximately 10 minutes to administer, was normed in six-month intervals as opposed to the one-year intervals of the original NSST. A cross validation sample of 301 children was used to demonstrate that comparable clinical decisions are made employing either form.

The intent of this study was to determine what size language sample was needed in order to obtain a reliable index of mean morphological units. Shriner (1967) suggested that 50 sentences were necessary for obtaining a mean length of response and a length complexity index. Brown (1973) recommended using 100 sentences when determining mean morphological units. However, other investigators (Schneiderman, 1955; Griffith and Miner, 1969) said that as few as 15 sentences could serve to provide enough data for reliable estimates of mean length of response and a length complexity index. For a practitioner, knowing that the first 15 sentences produced would be a reliable estimate of overall language ability would be of substantial benefit. Obtaining, transcribing, and analyzing 15 sentences takes about 20 min. The results of this study show that as few as 15 sentences are adequate for determining a reliable index of mean morphological units.

A procedure was devised in which a reward was hidden under the stimulus picture representing the correct answer to a comprehension task. Both accuracy and test-retest reliability of the responses of 34 2-yr-old children were measured. Eight items tested comprehension of plural allomorphs /s/ and /z/, and eight evaluated the comprehension of word order in reversible subject-verb-object active sentences. The effects of the rewarded search procedure varied, depending on sex and the language structure that was tested. In those cases where the procedure significantly affected responses, the difference was in the direction of improved accuracy and reliability.

Two experiments were conducted to determine the elicited imitation performance of preschool children when the stimulus sentences were meaningfully related to each other in a story as compared to when the sentences were arranged in a random order. Experiment 1 used a repeated-measures design and found a practice effect demonstrating less errors during the second trial regardless of experimental condition. Experiment 2 implemented a group design with one group imitating the related (story) sentences and the other imitating the randomly arranged sentences. The results showed no significant difference in the mean number of errors occurring in the "story" versus the "random" condition. The implications of the practice effect found in Experiment 1 are discussed and the error pattern during the second trial is evaluated. The efficacy of using discursively related as opposed to unrelated sentences in elicited imitation tasks is discussed from a pragmatic point of view.

The purpose of the present study was to examine the use of language functions in a structured setting in normal preschool children. Subjects were 240 males and females between the ages of two and five years. Results indicated statistically significant differences in the appropriateness of responses among several different age groups. The results are discussed relative to the assessment of the preschool child with a possible language disorder.

The Boston Naming Test has enjoyed increasing use in many research studies since its introduction. However, there is little normative data on the age group above 60 years of age. This study presents data from a sample of 58 well-defined healthy elderly males and females between the ages of 60 and 85. In comparison with published normative data, our sample has higher means, smaller standard deviations, and narrower ranges. These results suggest that aging alone does not significantly alter recognition-cued word-finding ability as defined by the Boston Naming Test. Also there is remarkably consistent performance throughout our age range.

Performance of 182 aphasic patients was examined on 11 PICA subtests for which the order of presentation of items is specified in an attempt to determine possible "tuning in" and "fading out" behavior. Results indicate that these phenomena occur as measurable patterns, which are to some degree dependent on the severity of aphasia as measured by each patient's overall PICA percentile.

Effects on spatial term comprehension as the result of transformations in the stimulus dimensions of six pictures containing the same three figures were explored using Piaget's concept of spatial perspective. A Modified Test of Pictorial Space (MTPS), adapted from Hudson's (1960) studies on non-Western pictorial perception strategies, was administered to 200 children, aged 6 yrs 5 mos to 11 yrs 3 mos. The purpose of the investigation was to gather data on (1) pictorial interpretation as a function of variations in perceptual depth cue complexity and transformations in conceptual perspective and (2) order of acquisition in the comprehension of two sets of spatial terms referring to perceptual object knowledge and more advanced conceptual knowledge of object relations. Significant age and IQ, but not sex, interactions were found for MTPS performance. Data analyses also supported predicted orders of acquisition and indicated that transformation of conceptual perspective better differentiated among the age span than did either perceptual depth cue complexity or comprehension of spatial terms. Findings are discussed in terms of their methodological and substantive implications for constructing and interpreting pictorially-based language comprehension tasks.

Narratives were produced by groups of language-disordered and nonimpaired children ages 9:0-11:4 (years:months) in story generation and story retelling tasks. The stories were analyzed in terms of the number of story grammar components, number of complete episodes, relative frequency of story components, and story length. For both groups of children, the results indicated strong overall homogeneity between story generation and story retelling. The retold narratives were longer and contained more story grammar components and complete episode structures for both groups of children. Clause length within complete episodes differentiated story generation from story retelling for the language-disordered children but not for the control group. The clinical advantages of using story retelling in language assessment are discussed.

The Elicited Language Inventory (ELI) (Carrow, 1974b) was administered in standardized fashion and in a modified procedure with contextually supported cues to eight language-delayed and eight normal-speaking children in Brown's (1973) Stage II of morphological development. Additionally, grammatical morpheme use under the two ELI presentation conditions was compared with use of the same morphemes in spontaneous speech for two language-delayed and two normal-speaking subjects. Results of both comparisons favored modified use of the ELI with contextually cued items when sampling children's expressive speech. A significantly greater number of morphemes was imitated and provided in obligatory contexts under modified ELI conditions. Significantly fewer total errors were produced by all subjects when ELI items were presented with contextual cues. Moreover, children's performance on contextually cued ELI items was a significantly better predictor of their grammatical morpheme use in spontaneous speech than performance on the standard version of the ELI. Except for total errors, subject group differences were not significant; however, the older language-delayed children performed consistently better than the stage-matched normal-speaking children on all imitative response measures.

Two experiments are carried out in which stimulus size and exposure duration of verbal stimuli are shown to effect visual field advantages in a lexical decision task. More visually complex or briefer presentations are shown to be associated with LVF advantages supporting the hypothesis that the right hemisphere plays a role in visually analysing verbal stimuli. The stronger possibility, suggested by clinical data, that the right hemisphere can independently perform lexical decisions receives speculative rather than convincing support.

This study investigated children's picture avoidance responses on a paired sentences, grammatical comprehension test. Such responses involved the nonselection of a particular referent picture for a stimulus sentence when the picture had been selected as a referent for a previous stimulus sentence. Forty-four children between three and seven years of age were administered a version of the Receptive subtest of the Northwestern Syntax Screening Test. Half of the sample was administered the test under its standardized "single pass-paired sentences" procedure. The remaining children were administered the test under a "double pass-paired sentences" procedure (i.e., a procedure similar to that employed on the Miller-Yoder Test of Grammatical Comprehension). As predicted, the single pass-paired sentences version of the test elicited significantly more picture avoidance responses from the children. The consequence of children's differential picture avoidance responses on a single pass-paired sentences test is discussed with respect to different scoring criteria.

Earlier investigations of deaf students' test-taking strategies have described visual matching strategies consisting generally of locating a word in the question, locating the same word in the text, and selecting a response in visual proximity to that word. Studies to date have utilized multiple-choice measures. The present investigation sought to confirm and extend earlier findings by (a) determining whether visual matching test-taking strategies are used by deaf students in testing situations requiring them to generate responses; (b) describing these strategies, if found; (c) determining whether visual matching is related to overall test performance of deaf readers; and (d) determining whether there are differences between the strategies used by deaf and hearing readers with comparable SAT-HI reading comprehension test performance. The results of this investigation indicate extensive use of visual matching test-taking strategies by deaf subjects but not by hearing subjects. The extent of strategy use was not related to deaf subjects' overall performance on the lookback test. Nine variations of strategy were identified and described. Implications are drawn for teachers, researchers, and other practitioners working with deaf children.

This study examined the number of trials necessary to obtain sampling reliability in elicited imitation. An examiner-constructed elicited imitation test was administered to 15 language-disordered subjects, sampled from the age range of 5:6 to 6:6 years. All test sentences were controlled for length, syntactic construction, and semantic content. The test instrument contained multiple occurrences of 16 syntactic structures. For each of these forms, subject performance on 1, 3, 5, and 7 trials was compared with performance on 10 trials. It was observed that sampling reliability increased as the number of trials increased, but as few as three repetitions provided reliable data.

Tests that tapped memory for spatial location, temporal order, frequency of occurrence, and category membership were administered to a group of alcoholic Korsakoff patients, a group of mixed amnesic patients with primarily temporal lobe pathology, and a group of normal subjects. The four tests were administered with incidental as well as intentional learning conditions. All groups performed better in the intentional than the incidental condition of the category recognition test. None of the groups performed better in the intentional than the incidental conditions on any of the other tests. The data were interpreted as implying that amnesic patients do not benefit from intentional learning conditions in tests of memory for contextual stimuli.

Aphasic subjects performed a modified version of the Token Test, in which 5 sec pauses were placed at various points in some of the spoken commands in the test. Insertion of pauses generally resulted in substantial improvements in the subjects' ability to carry out the commands. The location of the pauses in the commands did not appear to substantially affect subjects' performance. The results suggest that an insertion of a 5 sec pause may facilitate processing of color, size, and shape information, but not processing of locational or relational information.

The importance of the first letter of a word as a cue for the rest of the word was explored in a tachistoscopic presentation of four letter English words to the two hemispheres. The positioning of words presented bilaterally and the frequency of the words were manipulated so that the role of the first letter could be examined. The results indicate that the first letter does not play the critical role in word recognition that has been ascribed to it. In the standard bilateral presentation, subjects' recall patterns indicated that first letters were recalled equally well whether the word was presented in the right or left visual field. However, subjects did not recall as many words correctly when they went to the left visual field. The results were interpreted as supporting an information processing view of hemispheric specialization. Such a view proposes several levels of functioning in which the two hemispheres overlap, cooperate, or specialize, depending on the task to be accomplished.

Elicited imitation is a language sampling procedure in which a child is asked to repeat an utterance that is modeled by the examiner. In most clinical applications of this technique, the stimulus sentences are presented without any relevant context and without regard to whether the child knows the meaning of the sentences to be imitated. In the current experiment, 16 language-delayed preschool children repeated a set of 40 sentences, controlled for length, without context and with context provided by a set of pictures drawn to capture the meaning of the stimuli. For some of the children, the context had little effect. For the group as a whole, however, the number of errors was significantly reduced when the visual context was provided. These findings suggest that, for at least some children, the elicited imitation procedure is made more sensitive to the child's best grammatical performance when context is added.

The Token Test for Children (TT) was administered to 97 children aged 3-6 yrs enrolled in pre-school programs, together with the Memphis Comprehensive Developmental Scale (MCDS). The 2 tests covaried closely, particularly in the MCDS "Language" and "Cognitive" subtests. Of the 97 Ss, teachers identified 31 as having "special needs". The TT identified such children better than the best of the MCDS subtests ("Language"), but the teachers did poorly in identifying children shown to have language difficulties. In addition to its economical use as a language screening device, the TT might well become part of a standard pre-school admission test battery.

To summarize, the main strengths of the CELF are the clarity with which the manual describes the subtests and the instructions provided for test administration. Major concerns center on the absence of a theoretical framework as a basis for the selection of language skills assessed, the use of only "normal" children in the standardization sample, the lack of scoring criteria for one subtest, the seemingly incorrect weighting system for another, and minimal evidence of test reliability and validity.

The 60-item Boston Naming Test was administered to a group of 78 normal, bright, and independently living older adults in five age groupings from 59 to 80+ in an attempt to generate normative data for an older population. Results indicated that naming abilities decline only slightly with advancing age (r = -.33), although consistent with prior research, more variation in performance was found in the higher age groups.