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500 whowhat to treat baby Washington SPHSC 500
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  • Title: 500 whowhat to treat baby
  • Type: Notes
  • School: Washington
  • Course: SPHSC 500
  • Term: Fall

Coursehero >> Washington >> Washington >> SPHSC 500
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500 SPHSC Autumn 2008 Clinical Methods Lesley B. Olswang, Ph.D. Who to Treat What to Treat Example Example Baby with moderate to severe motor impairments 10-24 months Nonverbal Non-communicative What would you do? Where would you start? Standardized Assessment Bayley Scales of Infant Development (Bayley) Mullen Scales of Early Learning (Mullen) Communication and Symbolic Behavior Scales (CSBS) Early Social Communication Scales (ESCS) MacArthur Communicative Development Inventories (CDI) Vision and Hearing Nonstandardized Assessment Observation Dynamic Assessment Elicitation Tasks Probes What will you focus on? Developmental Model What behaviors would you expect to see? What behaviors would you hope were developing? Theory Preverbal Development Broad Strokes Bates, Camaioni, and Volterra (1975) Perlocutionary Stage child s involuntary/reflexive movements, orienting or reacting to environmental stimuli interpreted entirely by the listener (adult) Illocutionary Stage child intentionally uses nonverbal signals to convey communicative function Locutionary Stage child uses conventional symbolic signals or forms (signs, words, sentences) to convey communicative intention Austin (1965) Speech Acts: Perlocutionary Listener s interpretation of the communicative intention for the act Illocutionary Speaker s actual communicative intention for the act Locutionary Communicative intention carried by the linguistic form Austin Speech Acts-Example Is your mother home? (social situation) Locutionary request for information Illocutionary request for information and action Perlocutionary either of the above depending upon the listener s abilities Perlocutionary Illocutionary Prior to first words 0 7 mo 8 12 mo Locutionary Words + 1;0 12;0 Social communication changes along this broad developmental timeline Perlocutionary Signals Nature of Interaction Context Illocutionary Signals Nature of Interaction Context Locutionary Context Nature of Interactio n Preverbal Social Communication Development from Perlocutionary Why is it important? How does this happen? Illocutiona ry Social engagement and joint attention capacity to share attention and information with someone about an object, an event, an emotion, or an idea. PREMISE: Social Engagement Joint Attention Social engagement and joint attention are fundamental to participation in most, if not all, human social interactions and social learning situations (Mundy & Acra, 2006) Joint Attention in Infancy what are we talking about Following the direction of gaze, head turning, and/or pointing gesture of social partner Responding to Joint Attention (RJA) Child s using gaze and/or gestures to spontaneously initiate joint attention with social partner Initiating Joint Attention (IJA) - Protodeclarative Child s using gaze and/or gestures to elicit aid in obtaining an object or event Initiating Behavior Regulation/Requests (IBR) Protoimperative Child taking turns with social partner Child expressing emotion with social partner Why is Joint Attention Shared Eye Gaze Important Joint attention skills reflect the ability to engage with others in a manner that facilitates selforganizing and thus social learning Joint attention constitutes a form of early engagement that is integral to the development of understanding other s thoughts, intentions, and feeling Joint attention holds some positive reward that motivates people to engage with others throughout the life span. Perlocutionary Development Limited Context Interaction with adults Limited interactions and limited behaviors looking, joint attention, cooing, early babbling Limited cognitive abilities Knowledge of self emerging awareness of others separate from self Perlocutionary Behaviors First month of life - face-to-face interactions predominate and as such, are at the core of development. Second month - infants begin to focus on the eyes and mouth of other people, and become distressed when presented with a still-face . Third to fourth months brief focus on objects, follow the gaze of adults, recognizes novel object Understanding self vs. others-pulling away at 4 months Improved head and trunk control Perlocutionary Behaviors continued Fifth to Sixth Months Sustained single focus on objects or adult (adding gestures and vocalizations) Dyadic Eye Gaze Reaches Explores Objects Scanning between objects (or even adult object) As child develops Illocutionary Stage Expanding Context Object manipulation, playing Expanding behaviors Gestures include reaching, showing, pointing, giving; vocalizations include vowels, CV consonants, combinations single behaviors then combined (e.g., gaze + gesture + vocalization) clearer signals Knowledge of others Objects (including people) Knowledge of relations Object relations (agency) Events Attributes Locations Illocutionary Behaviors ~Seven to Nine Months Shifting or coordinated attention between object/adult/object Triadic Eye Gaze (three point gaze shift) Secondary intersubjectivity Intentionality ~Nine to Ten Months Triadic Eye Gaze with gestures and vocalizations clearer communication Pulls cloth to get a toy Searches Triadic Eye Gaze Defined Shifting eye gaze between adult and an object to request or comment. ADULT SHIFT OBJECT INFANT Triadic Eye Gaze Coordinated Joint Attention Behavior with strongest relationship to emerging language and social skills Behavior that has been viewed as the most convincing indication of intentional communication Reflecting knowledge of self and others (others as communicative partners and agents of action) Behavior that is most often problematic in children with disabilities Perlocutionary to Illocutionary How does this happen? NATURE NURTURE Neurological maturation Caregiver-Infant interaction Perlocutionary to Illocutionary Wonderful dance between child and adult: Recognizing and responding to child s unintentional behaviors shaping them into Signals that can be read by parents (and others) Signals that facilitate interactions, which ultimately shape learning and neurological development (Locke; Mundy;Tomasello; Trevarthen; Dunst) Infant early signals are extremely important; they: Facilitate immediate communication Facilitate attachment Facilitates social engagement They ultimately provide the stimuli for caregivers to recognize, respond to and thus reinforce. Emerging Intentional Communication Perlocutionary Illocutionary Child s Intentional Shaped Into unintentional Communicative behaviors, Behaviors recognized and While concurrently facilitating infant s neurological responded to growth and development by the caregiver Early Communication Signals: Sustained eye gaze toward adult (dyadic gaze) Sustained eye gaze toward object (dyadic gaze) Early vocalizations cooing Tracking objects Early gestures leaning/reaching Following gaze following pointing and gaze Expanding Gestures -- Showing, Pointing, Giving Expanding vocalizations C, V, CV, CVCV Dyadic eye gaze + gestures + vocalizations Gaze shift between objects Gaze shift + gestures + vocalizations Gaze shift + gestures + vocalizations Gaze shift between object and adult Gaze back and forth between object and adult (object-adultobject/adult-object-adult) (triadic eye gaze) Triadic alone Triadic + gestures + vocalizations Child with disabilities http://content.sphsc.washington.edu/public/image/852.wmv http://content.sphsc.washington.edu/public/image/848.wmv So .What to focus on Observation Dynamic Assessment Elicitation Gestures Eye Gaze Vocalization Early Communication Signals: Sustained eye gaze toward adult (dyadic gaze) Sustained eye gaze toward object (dyadic gaze) Early vocalizations cooing Tracking objects Early gestures leaning/reaching Following gaze following pointing and gaze Expanding Gestures -- Showing, Pointing, Giving Expanding vocalizations C, V, CV, CVCV Dyadic eye gaze + gestures + vocalizations Gaze shift between objects assessment and treatment benchmarks Gaze shift + gestures + vocalizations Gaze shift + gestures + vocalizations Gaze shift between object and adult Gaze back and forth between object and adult (object-adultobject/adult-object-adult) (triadic eye gaze) Triadic alone Triadic + gestures + vocalizations Developmental/Normative Determine level of functioning Consider severity Consider developmental hierarchy Possible target what is critical for this developmental (age) level Profile communication (form, content, use; syntax, semantics, phonology, pragmatics) (receptive/expressive)(verbal/nonverbal) Developmental/Normative Consider the WHO Readiness (Zone of Proximal Development) Prerequisites/precursors Cognition Motor Sensory Social/Emotional Building block for other behaviors/skills Generalization Who and What to treat Who to treat Child and adult/caregiver What to treat Triadic Eye Gaze as ultimate goal/objective For joint attention (following, initiating, behavior regulation) What is expected Facilitation? Induction? Where to start treatment? What behaviors are missing? Consider other domains cognition, motor, sensory

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500 Course Intro.pdf
Path: Washington >> SPHSC >> 500 Fall, 2008

Description: SPHSC 500 Autumn 2008 Clinical Methods Lesley B. Olswang, Ph.D. Introduction Course Content What is the role of the SpeechLanguage Pathologist Fundamental concepts of treatment Data collection for monitoring change and decision-making Course App...
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Path: Washington >> SPHSC >> 509 Fall, 2008
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Path: Washington >> SPHSC >> 582 Fall, 2008
Description: SPHSC 582 WINTER 2006 LAB 7: DIRECTIONAL MICROPHONES PART I - Phonak Savia Software Questions -Connect the Phonak Savia to the HiPro box using the appropriate cords/cables -Open NOAH and recall your patient, enter a sloping audiogram of your choice -...
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Path: Washington >> SPHSC >> 582 Fall, 2008
Description: SPHSC 582 Winter 2004 Lab 7: Compression Definitions INPUT-OUTPUT (I/O) CHARACTERISTICAn input-output characteristic is a set of output levels, generated as a function of input level, for a fixed input frequency (or frequency band). For tolerance pur...
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Path: Washington >> SPHSC >> 582 Fall, 2008
Description: SPHSC 582: WINTER 2006 Lab 2 Hearing Aid Programming I To gain access to hearing aid programming, 5 main hardware/software components are necessary: 1) Hearing aid A hearing aid that can be programmed is either digitally programmable or digital. This...
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Path: Washington >> SPHSC >> 583 Spring, 2008
Description: SPHSC 583 Lab 6 Spring 2005 Verification I: Matching Target/Linear Aids *Be sure and bring your listening ear mold to lab* 1. Using either the FP40 or Verifit equipment, enter a hearing loss for your patient. It can be a flat, sloping or rising co...
lab_2cc_targets.doc
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Description: SPHSC 583 Hearing Aid Selection Lab #3 Topics: REUR, NAL-R 2cc target Part I: Enter the audiogram Suppose your patient has the following audiogram: 500 Hz: 30 dB HL, 1000 Hz: 30 dB HL, 2000 Hz: 40 dB HL, 3000 Hz: 50 dB HL, 4000 Hz: 50 dB HL. - Enter...
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Path: Washington >> STAT >> 322 Spring, 2008
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Path: Washington >> STAT >> 322 Spring, 2008
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hw3.pdf
Path: Washington >> STAT >> 322 Spring, 2008
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Path: Washington >> STAT >> 394 Fall, 2008
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Path: Washington >> STAT >> 486 Fall, 2008
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Path: Washington >> STAT >> 491 Fall, 2008
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Path: Washington >> STAT >> 498 Fall, 2008
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Path: Washington >> STAT >> 506 Spring, 2008
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Path: Washington >> STAT >> 506 Spring, 2008
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Path: Washington >> STAT >> 518 Spring, 2008
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Path: Washington >> STAT >> 524 Spring, 2008
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Path: Washington >> STAT >> 534 Fall, 2008
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Path: Washington >> STAT >> 534 Fall, 2008
Description: #-#-#Cathee Kneeling #STAT 534, Werner Stuetzle #Homework #5, Due 5/16/2006 #--#-#-#--# cost function calculates minimum total cost # and completes knowncost matrix # i = index of vector v1; j = index of vector v2 #-#--cost = function(i, j, v1, v2) {...
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Path: Washington >> STAT >> 535 Fall, 2008
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Path: Washington >> STAT >> 535 Fall, 2008
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Path: Washington >> STAT >> 538 Fall, 2008
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Path: Washington >> STAT >> 550 Fall, 2008
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Path: Washington >> STAT >> 560 Fall, 2008
Description: Preliminary Battle Plan CSSS/POLS/STAT 560: Hierarchical Modeling for the Social Sciences Professor: Kevin Quinn, Political Science and CSSS Winter Quarter 2002 Class Room Oce 2:30-4:00 PM Tuesday and Thursday 313 Savery C-14-C Padelford Hall Phone...
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Path: Washington >> STAT >> 560 Fall, 2008
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Path: Washington >> STAT >> 560 Fall, 2008
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Path: Washington >> STAT >> 567 Fall, 2008
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Path: Washington >> STAT >> 567 Fall, 2008
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Path: Washington >> STAT >> 567 Fall, 2008
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Path: Washington >> STAT >> 567 Fall, 2008
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Path: Washington >> STAT >> 570 Fall, 2008
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Path: Washington >> STAT >> 576 Fall, 2008
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Path: Washington >> STAT >> 579 Fall, 2008
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581.day1.08.pdf
Path: Washington >> STAT >> 581 Fall, 2008
Description: STATISTICS 581: Advanced Theory of Statistical Inference Fall, 2008 Time: Place: Professor: Oce: Phone: e-mail: Oce Hours: Texts: 10:30 - 11:20 MWF (lecture) MEB 245 Jon A. Wellner B320 Padelford 206-543-6207 jaw@stat.washington.edu 1:30 - 3:30 MWF...
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Path: Washington >> STAT >> 581 Fall, 2008
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Path: Washington >> STAT >> 581 Fall, 2008
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Path: Washington >> STAT >> 581 Fall, 2008
Description: Statistics 581, Midterm Exam Wellner; 11/06/2006 This exam is to be taken without any books or notes. 1. (24 points) Dene any three of the following ve terms. (a) A uniformly integrable sequence of random variables. (b) Convergence in rth mean of a...
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Path: Washington >> STAT >> 582 Fall, 2008
Description: Stat 582 W03 Midterm exam Please give as complete solutions as possible. More paper is available if needed. 1. Let (X,Y) be bivariate normal, mean zero, variance 1, correlation r. Find a minimal sufficient statistic for r. Is it complete? 2. Suppo...
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Path: Washington >> STAT >> 582 Fall, 2008
Description: STAT 582 FINAL EXAM 1. Let T (F) = m 2 = ( xdF(x)2 . Find, using the asymptotic theory for statistical functionals, the limiting F distribution of T (F n ) when m F 0. 2. Let (X 1 , Y 1 ), . . . , (X n , Y n ) be independent random variables with ...
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Path: Washington >> STAT >> 582 Fall, 2008
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hw1.sln.doc
Path: Washington >> STAT >> 583 Fall, 2008
Description: STAT583 Sp04 Homework1solution 1. (a)(c) E X i - m = 2 xdF(x) = d 2 2 s (1+ 2e) and (1- e)s + 3es ) = p p 0 E(X - m) 2 = s 2 (1+ 8e) .Standardasymptotictheoryhasthat n ( s2 - s 2 (1+ 8e) N(0,t 2 ) where 2 = E(X - m) 4 - E 2 (X - m) 2 = s 4 (3...
notes1.pdf
Path: Washington >> STAT >> 583 Fall, 2008
Description: STAT 583 SPRING 2008 Lecture Notes 1 Statistical Functionals The Gteux derivative of a statistical functional T(F) is the limit T (F + (G F ) T(F) . d1T(F;G F) = lim If Q( ) = T (F + (G F ) has a McLaurin expansion, we get an expansion (the von...
hw3.sln.pdf
Path: Washington >> STAT >> 583 Fall, 2008
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HW2.pdf
Path: Washington >> STAT >> 583 Fall, 2008
Description: STAT 583 Sp08 Homework 2 Due April 16. 1. Let F be a cdf on [0,1], and define for ! > 1 T (F) = x\"[0,1] # ( F(x) ! F(x!) $ . (a) Compute the Gateux derivative of T at the uniform distribution U on [0,1]. (b) Show that nR1,n = n(T (Fn ) ! T (U ...
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Path: Washington >> STAT >> 592 Fall, 2008
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Path: Washington >> STAT >> 592 Fall, 2008
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Path: Washington >> STAT >> 593 Fall, 2008
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Path: Washington >> HUM >> 202 Fall, 2008
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Path: Washington >> HUM >> 204 Fall, 2008
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Path: Washington >> HUM >> 207 Winter, 2008
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Path: Washington >> HUM >> 208 Fall, 2008
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