Yeditepe University Hospital Specialist Language and Speech Therapist Elçin Tadıhan Özkan stated that the speech follows a certain course since the birth of the child. “If 50 percent of the children are not understood when the child is 3 years old, an expert should be consulted,” he says.
What is the process of language development in children?
Children learn the language and speech by listening to the sounds and conversations around them. The first cry at birth can be considered the beginning of the conversation. Crying is his life preserver until he gets the speech. He uses this voice to tell him that he is hungry, that his sleep is coming, that his gold is getting wet, he is tired. In time, he discovers that he can make sounds other than crying, and starts playing with sounds. Babies are very sensitive to sounds. In fact, babies born with the ability to make a wide variety of sounds, gradually begin to mimic the sounds used only in their environment, do not use other sounds that adults are unresponsive. There is a rapid development from sounds to syllables, words and sentence structures.
What is the indication of whether there is a delay in the child's language development?
Generally, all children follow a certain sequence in language development. However, due to individual differences, some children may be left behind from their peers to complete this process. Sometimes the delay in language development can be caused by many reasons such as hearing impairment, autism, mental retardation, cerebral palsy. If the child does not perform certain skills during the language acquisition period, help should be sought from an expert.
What diagnostic methods do you use as a specialist in this case?
Children with delayed language and speech skills should first undergo an “audiological konuşma examination. Sometimes parents do not notice moderate hearing loss in their children. If there is a delay in the skills of sitting, crawling, walking as well as language development, if it often loses its balance and falls, does not make eye contact and reacts to touch, a “child neurologist görüş should be consulted. If no problem is identified in the child during the hearing and neurological examination, children who are concerned about their speech should be evaluated by a “specialist language and speech therapist.. It should not be acted with generalizations such as ir It improves as it grows up ”,“ His father spoke too late ”, düzel It improves when he starts school”.
The speech therapist assesses the child's receptive and expressive language skills and raises the family's awareness of what to do, either through a family support program or with the child. Early diagnosis and intervention is very important.
What advice would you give parents?
The social environment of the child, the quality and quantity of verbal stimuli provided to him, and especially the mother's communication with the child, significantly affect the language acquisition process. According to the research, the language development of children who grow up in nursing homes, frequently change caregivers, and grow up in a very crowded home environment is slow, while children who are spoken to, read books and grow up in different social settings are faster.
When breastfeeding, mothers should make eye contact and talk with them. Mothers who spoke with their babies observed that the baby reacted by making various sounds after a while. This is an important response in the baby's language acquisition.
Feeding, dressing, changing diapers and so on. In everyday activities, talking about the current activity is the most natural way to increase the child's vocabulary.
Parents should pay attention to simple words and short sentences when talking to their children. Children can invent new words for some words they cannot say. In such cases, it is important that the child does not repeat the word that the child invented, and that the child is the correct model by saying the actual word. For example, if a two-year-old child says “mute” instead of “car“, “yes it sounds üt, it should be modeled. However, the child should not be forced to say the correct word or should not be ignored. Some children try to repeat what they hear, while others may seem indifferent to the parents' persistent efforts. Parents should not interrupt communication, even if their children do not react to them, and maintain communication with their children in different ways. They should never reduce the communication with the child by commenting, iyor He doesn't listen to me, he's too indifferent, he doesn't understand me. Some children begin to imitate their parents after a certain period of time. Activities such as children's songs, puppets, toys, etc. can be used to communicate with the child. Another thing parents need to pay attention to is to give the child the opportunity to express himself. Instead of trying to understand the child's gestures and gestures by interpreting his own concocted words or crying behavior, a model should be used to express what he wants to say in words. If the child is able to achieve his wishes by crying or by means of signs, he will continue to use this method as a means of communication. If these behaviors are ignored by their parents and their speech efforts are rewarded, they will begin to use the conversation as a means of communication.
In which case should the specialist be consulted?
- for 3 months; does not respond to surrounding sounds or human voice,
-3-5 months; does not respond to the warm tone of the adult with a smile, and does not react to the angry tone by crying,
- 6-9 months; does not make meaningless syllable repetitions like bada / bagu, but does not react when he hears the voice of his mother even though he cannot see his face,
- 10-11 months; “No-no” does not understand, it does not mimic the adult when spoken with the sounds, can not repeat syllables such as ba ba ba, ma ma ma, does not use gestures and mimics, does not react to the name,
- 12 months; does not mimic speech sounds (kisses, tongue chanting), does not make sounds other than crying to get their wishes, and does not say at least one word such as father / mama,
- 18 months; cannot recognize and show family members, does not follow simple commands such as good-bye / buy-and
- 24 months; does not understand the 50 different words spoken to him, and does not say at least 4 different words except the names of family members such as parents or pet animals,
- 3 years old; if at least 50% of what he says cannot be understood by individuals other than family members, he cannot construct sentences of at least three words, he cannot speak about past events, he cannot answer simple questions, he cannot perform simple two-stage commands (give this to your father),
- 4 years old; if the person does not use pronouns, possessive / plural suffixes, cannot speak about past / future tenses, cannot answer questions about the functions of objects (which flies? etc.),
- 5 years old; if they cannot answer why / how, and cannot express what objects do (what we do with chairs, etc.), if most of their conversations are not understood by strangers, they cannot tell a simple story, then seek help from a specialist.