adminDr Sacrifice Chirisa Mental Health Matters
Speech and language disorders refer to problems in communication and related areas such as oral motor function. These delays and disorders range from simple sound substitutions to the inability to understand or use language or use the oral-motor mechanism for functional speech and feeding. Some causes of speech and language disorders include:
Hearing loss
Neurological disorders
Brain injury
Mental retardation,
Drug abuse
Physical impairments such as cleft lip or palate
Vocal abuse or misuse
Millions of the students in education have speech or language impairment. This estimate does not include children who have speech/language problems secondary to other conditions such as deafness. Language disorders may be related to other disabilities such as mental retardation, autism, or cerebral palsy. It is estimated that communication disorders including speech, language, and hearing disorders affect one of every 10 people in Zimbabwe.
A child’s communication is considered delayed when the child is notice- ably behind his or her peers in the acquisition of speech and/or language skills. Sometimes a child will have greater receptive understanding than expressive speaking language skills, but this is not always the case.
Speech disorders refer to difficulties producing speech sounds or problems with voice quality. They might be characterised by an interruption in the flow or rhythm of speech, such as stuttering, which is called dysfluency. Speech disorders may be problems with the way sounds are formed, called articulation or phonological disorders, or they may be difficulties with the pitch, volume or quality of the voice. There may be a combination of several problems. People with speech disorders have trouble using some speech sounds, which can also be a symptom of a delay. They may say “see” when they mean “ski” or they may have trouble using other sounds like “l” or “r.” Listeners may have trouble understanding what someone with a speech disorder is trying to say. People with voice disorders may have trouble with the way their voices sound.
A language disorder is impairment in the ability to understand and/or use words in context, both verbally and nonverbally. Some characteristics of language disorders include improper use of words and their meanings, inability to express ideas, inappropriate grammatical patterns, reduced vocabulary and inability to follow directions.
One or a combination of these characteristics may occur in children who are affected by language learning disabilities or developmental language delay. Children may hear or see a word but not be able to understand its meaning. They may have trouble getting others to understand what they are trying to communicate.
All communication disorders carry the potential to isolate individuals from their social and educational surroundings, it is essential to find appropriate timely intervention. While many speech and language patterns can be called “baby talk” and are part of a young child’s normal development, they can become problems if they are not outgrown as expected.
In this way an initial delay in speech and language or an initial speech pattern can become a disorder which can cause difficulties in learning. Because of the way the brain develops, it is easier to learn language and communication skills before the age of five.
Speech-language therapists assist children who have communication disorders in various ways. They provide individual therapy for the child; consult with the child’s teacher about the most effective ways to facilitate the child’s communication in the class setting; and work closely with the family to develop goals and techniques for effective therapy in class and at home.
There is need to develop more speech therapist to meet the demand.
Dr Sacrifice Chirisa is a passionate mental health expert at Parirenyatwa Hospital, one of the country’s major referral centres.
Online Reporter