Spoken Language Processing Model: Bridging Auditory and Language Processing to Guide Assessment and Intervention Purpose This article outlines the author’s conceptualization of the key mechanisms that are engaged in the processing of spoken language, referred to as the spoken language processing model. The act of processing what is heard is very complex and involves the successful intertwining of auditory, cognitive, and language mechanisms. Spoken ... Clinical Forum
Clinical Forum  |   July 01, 2011
Spoken Language Processing Model: Bridging Auditory and Language Processing to Guide Assessment and Intervention
 
Author Affiliations & Notes
  • Larry Medwetsky
    Rochester Hearing and Speech Center, Rochester, NY
  • Correspondence to Larry Medwetsky: lmedwetsky@rhsc.org
  • Editor: Marilyn Nippold
    Editor: Marilyn Nippold×
  • Associate Editor: Ilsa Schwarz
    Associate Editor: Ilsa Schwarz×
Article Information
Hearing & Speech Perception / Acoustics / Hearing Disorders / Normal Language Processing / Speech, Voice & Prosody / Clinical Forum: The Role of the Speech-Language Pathologist in Identifying and Treating Children With Auditory Processing Disorder
Clinical Forum   |   July 01, 2011
Spoken Language Processing Model: Bridging Auditory and Language Processing to Guide Assessment and Intervention
Language, Speech, and Hearing Services in Schools, July 2011, Vol. 42, 286-296. doi:10.1044/0161-1461(2011/10-0036)
History: Received May 15, 2010 , Revised November 15, 2010 , Accepted May 3, 2011
 
Language, Speech, and Hearing Services in Schools, July 2011, Vol. 42, 286-296. doi:10.1044/0161-1461(2011/10-0036)
History: Received May 15, 2010; Revised November 15, 2010; Accepted May 3, 2011
Web of Science® Times Cited: 7

Purpose This article outlines the author’s conceptualization of the key mechanisms that are engaged in the processing of spoken language, referred to as the spoken language processing model. The act of processing what is heard is very complex and involves the successful intertwining of auditory, cognitive, and language mechanisms. Spoken language processing disorders occur when a breakdown in any of these mechanisms impacts an individual’s ability to effectively process and use the information that is heard. The symptoms vary depending on the underlying deficit(s). The primary purpose of this article is to provide the reader with a basic understanding of these mechanisms, and, in turn, enable readers to (a) review the literature concerning processing disorders with discernment and (b) have a foundation for developing a test battery to derive composite profiles of individuals' processing abilities.

Method A review of the literature, overview of the spoken language processing model, and suggested approach to diagnostic assessment are presented.

Conclusion Spoken language processing can break down due to a myriad of underlying causes. Central auditory nervous system deficits can impact not only the initial processing of stimuli but possibly the development of effective language skills. On the other hand, deficits in various cognitive and language mechanisms can similarly impact the auditory processing of speech stimuli. Therefore, it is critical to understand how these mechanisms interact and contribute to the processing of speech stimuli.

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