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Nonverbal Learning Disabilities: A Speech-Language Pathologist’s Perspective

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Abstract

Consider Sam, an 8-year-old who, in the middle of a task about describing geometric shapes, asks “Did you know that a zebra is something like a horse?” Or Melissa, a 20-year-old in the same situation, who describes a striped triangle as “a unilateral triangle with a black dot running straight along the point from the apex to the base, lined with vertical stripes”. Speakers like Sam and Melissa, whose communicative profile includes the production of fluent, grammatical sentences complete with sophisticated vocabulary, but who have difficulty in using language appropriately, are increasingly found on a speech-language pathologist’s caseload. Some of these individuals may be diagnosed with a nonverbal learning disability (NVLD). The purpose of this chapter is to explore the communicative characteristics associated with NVLD, to examine areas of overlap with other diagnostic categories and to discuss implications for communicative assessment, intervention and future research.

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References

  • Adams, C. (2002). Practitioner review: The assessment of language pragmatics. Journal of Child Psychology and Psychiatry, 43(8), 973–987.

    Article  PubMed  Google Scholar 

  • Adams, C. (2005). Social communication intervention for school-age children: Rationale and intervention. Seminars in Speech and Language, 26(3), 181–188.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association, (2011). http://www.dsm5.org/proposedrevision/:ages?NeurodevelopmentalDisorders.aspx. Downloaded August 5, 2011.

  • Anderson, D., Lord, C., & Heinz S. J., (2005). Growth in language abilities over time among children with ASD and other developmental disabilities, International Meeting for Autism Research—poster presentation, Boston, May 2005.

    Google Scholar 

  • Berko-Gleason, J., & Bernstein Ratner, N. (2009). The development of language (7th ed.). Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Bishop, D. (1989). Autism, Asperger’s syndrome and semantic-pragmatic disorder: Where are the boundaries? British Journal of Disorders of Communication, 24, 107–121.

    Article  PubMed  Google Scholar 

  • Bishop, D. (1998). Development of the children’s communication checklist (CCC): A method for assessing qualitative aspects of communicative impairment in children. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 39(6), 879–891.

    Article  PubMed  Google Scholar 

  • Bishop, D. (2000). Pragmatic language impairment: A correlate of SLI, a distinct subgroup, or part of the autistic continuum? In D. Bishop & L. Leonard (Eds.), Speech and language impairments in children: Causes, characteristics, intervention and outcome. Hove, East Sussex, UK: Psychology Press.

    Google Scholar 

  • Bishop, D. (2003). The children’s communication checklist, CCC-2 manual (2nd ed.). London: The Psychological Corporation.

    Google Scholar 

  • Bishop, D. (2006). The children’s communication checklist, CCC-2 manual (US edition) (2nd ed.). San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Bishop, D., & Baird, B. (2001). Parent and teacher report of pragmatic aspects of communication: Use of the children’s communication checklist in a clinical setting. Developmental Medicine and Child Neurology, 43, 809–818.

    Article  PubMed  Google Scholar 

  • Bishop, D., & Norbury, C. (2002). Exploring the borderlands of autistic disorder and specific language impairment: A study using standardised diagnostic instruments. Journal of Child Psychology and Psychiatry, 43(7), 917–929.

    Article  PubMed  Google Scholar 

  • Bishop, D., Whitehouse, A., & Sharp, H. (2009). Communication checklist-self report (CC-SR). San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Bloom, L. (1988). What is language? In M. Lahey (Ed.), Language disorders and language development. New York, NY: Macmillan.

    Google Scholar 

  • Brinton, B., & Fujiki, M. (1989). Conversational management with language-impaired children: Pragmatic assessment and intervention. Rockville, MD: Aspen.

    Google Scholar 

  • Brook, S. L., & Bowler, D. M. (1992). Autism by another name: Semantic and pragmatic impairments in children. Journal of Autism and Developmental Disorders, 22, 61–81.

    Article  PubMed  Google Scholar 

  • Charman, T. (2011). Commentary: Glass half full or half empty? Testing social communication interventions for young children with autism; reflections on Landa, Holman, O’Neill, and Stuart. Journal of Child Psychology and Psychiatry, 52(1), 22–23.

    Article  PubMed  Google Scholar 

  • Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The early start Denver model. Pediatrics, 125, 17–23.

    Article  Google Scholar 

  • Dore, J. (1974). A pragmatic description of early language development. Journal of Psycholinguistic Research, 4, 343–350.

    Article  Google Scholar 

  • Dorfman, C. (2000). Social language and theory of mind in children with nonverbal learning disability. Unpublished doctoral dissertation, University of California, Berkeley.

    Google Scholar 

  • Dunn, L. (1965). Expanded manual for the Peabody picture vocabulary test. Minneapolis, MN: American Guidance Service.

    Google Scholar 

  • Eigsti, I., Bennetto, L., & Dadlani, M. (2007). Beyond pragmatics: Morphosyntactic development in autism. Journal of Autism and Developmental Disorders, 37, 1007–1023.

    Article  PubMed  Google Scholar 

  • Forrest, B. (2004). The utility of math difficulties, internalized psychopathology, and visual-spatial deficits to identify children with the nonverbal learning disability syndrome: Evidence for a visualspatial disability. Child Neuropsychology, 10(2), 129–146.

    Article  PubMed  Google Scholar 

  • Gagnon, L., Mottron, L., & Joanette, Y. (1997). Questioning the validity of the semantic-pragmatic syndrome diagnosis. Autism, 1, 37–55.

    Article  Google Scholar 

  • Gillberg, C., & Billstedt, E. (2000). Autism and Asperger syndrome: Co-existence with other clinical disorders. Acta Psychiatrica Scandinavica, 102, 321–330.

    Article  PubMed  Google Scholar 

  • Green, J., Charman, T., McConachie, H., Aldred, C., Slonims, V., Howlin, P., et al., and the PACT Consortium. (2010). Parent mediated communication-focussed treatment in children with autism (PACT): A randomized controlled trial. The Lancet, 375, 2152–2160.

    Google Scholar 

  • Happe, F. (2011). Criteria, categories and continua: Autism and related disorders in DSM-5. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 540–542.

    Article  PubMed  Google Scholar 

  • Harnedek, M., & Rourke, B. (1994). Principal identifying features of the syndrome of nonverbal learning disabilities in children. Journal of Learning Disabilities, 27(3), 144–154.

    Article  Google Scholar 

  • Humphries, T., Cardy, J., Worling, D., & Peets, K. (2004). Narrative comprehension and retelling abilities of children with nonverbal learning disabilities. Brain and Cognition, 56, 77–88.

    Article  PubMed  Google Scholar 

  • Kamhi, A. (1998). Trying to make sense of developmental language disorders. Language, Speech, and Hearing Services in Schools, 29, 34–44.

    Google Scholar 

  • Kasari, C., Freeman, S., & Paparella, T. (2006). Joint attention and symbolic play in young children with autism. A randomized controlled intervention study. Journal of Child Psychology and Psychiatry, 47, 611–620.

    Article  PubMed  Google Scholar 

  • Klein, H., & Moses, N. (1994). Intervention planning for children with communication disorders. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Landa, R., Holman, K., O’Neill, A., & Stuart, E. (2011). Intervention targeting development of socially synchronous engagement in toddlers with autism spectrum disorders: A randomized controlled trial. Journal of Child Psychology and Psychiatry, 52, 13–21.

    Article  PubMed  Google Scholar 

  • McCabe, A. (1991). Preface: Structure as a way of understanding. In A. McCabe & C. Peterson (Eds.), Developing narrative structure (pp. ix–xvii). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Owens, R. (2007). Language development: An introduction. Boston, MA: Allyn & Bacon.

    Google Scholar 

  • Ozonoff, S. (2008). Presentation to autism and the pervasive developmental disorders conference, February 3–5, 2008. http://www.dsm5.org/research/pages/autismandthepervasivedevelopmentaldisordersconference/february. Downloaded July 18, 2011.

  • Paul, R. (2007). Language disorders from infancy through adolescence (3rd ed.). St. Louis, MO: Mosby.

    Google Scholar 

  • Paul, R., & Cohen, D. (1984). Responses to contingent queries in adults with mental retardation and pervasive developmental disorders. Applied PsychoLinguistics, 5, 349–357.

    Article  Google Scholar 

  • Pelletier, P., Ahmad, S., & Rourke, B. (2001). Classification rules for basic phonological processing disabilities and nonverbal learning disabilities: formulation and external validity. Child Neuropsychology, 7(2), 84–98.

    Article  PubMed  Google Scholar 

  • Phelps-Terasaki, D., & Phelps-Gunn, T. (1992). Test of pragmatic language. Austin, TX: Pro-Ed.

    Google Scholar 

  • Phelps-Terasaki, D., & Phelps-Gunn, T. (2007). Test of pragmatic language-2. Austin, TX: Pro-Ed.

    Google Scholar 

  • Prelock, P., Paul, R., & Allen, E. (2011). Evidence-based treatment in communication for children with autism spectrum disorders. In F. Volkmar & B. Reichow (Eds.), Evidence-based treatments for children with autism spectrum disorder (pp. 93–170). New York, NY: Springer.

    Chapter  Google Scholar 

  • Rapin, I. (2008). Classification issues in the milder developmental disorders: Asperger syndrome, the syndrome of nonverbal learning disability and “Einstein children”. In B. Shapiro & P. Accardo (Eds.), Autism frontiers: Clinical issues and innovations (pp. 29–47). Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Rapin, I., & Dunn, M. (2003). Update on the language disorder of individuals on the autism spectrum. Brain & Development, 25, 166–172.

    Article  Google Scholar 

  • Reichow, B., & Volkmar, F. (2010). Social skills interventions for individuals with autism: Evaluation for evidence-based practices within a best evidence synthesis framework. Journal of Autism and Developmental Disorders, 40, 149–166.

    Article  PubMed  Google Scholar 

  • Reichow, B., Volkmar, F., & Cicchetti, D. (2008). Development of the evaluative method for evaluating and determining evidence-based practices in autism. Journal of Autism and Developmental Disorders, 38(7), 1311–1319.

    Article  PubMed  Google Scholar 

  • Rogers, S. (2006). Evidence based interventions for language development in young children with autism. In T. Charman & W. Stone (Eds.), Social & communication development in autism spectrum disorder. New York, NY: Guildford Press.

    Google Scholar 

  • Rourke, B. (1987). Syndrome of nonverbal learning disabilities: The final common pathway of white-matter disease/dysfunction? The Clinical Neuropsychologist, 1(3), 209–234.

    Article  Google Scholar 

  • Rourke, B. (1989). Nonverbal learning disabilities: The syndrome and the model. New York, NY: Guildford Press.

    Google Scholar 

  • Rourke, B. (1993). Arithmetic disabilities, specific and otherwise: A neuropsychological perspective. Journal of Learning Disabilities, 26(4), 214–226.

    Article  PubMed  Google Scholar 

  • Rourke, B. (Ed.). (1995). Syndrome of nonverbal learning disabilities: Neurodevelopmental manifestations. New York, NY: Guilford Press.

    Google Scholar 

  • Rourke, B., Ahmad, S., Collins, D., Hayman-Abello, B., Sayman-Abello, S., & Warriner, E. (2002). Child clinical/pediatric neuropsychology: Some recent advances. Annual Review of Psychology, 53, 309–339.

    Article  PubMed  Google Scholar 

  • Rourke, B., & Finlayson, M. A. (1978). Neuropsychological significance of variations in patterns of academic performance: Verbal and visual-spatial abilities. Journal of Abnormal Child Psychology, 6(1), 121–133.

    Article  PubMed  Google Scholar 

  • Rourke, B., & Fuerst, D. (1992). Psychosocial dimensions of learning disability subtypes: Neuropsychological studies in the Windsor laboratory. School Psychology Review, 21(3), 361–375.

    Google Scholar 

  • Rourke, B., & Fuerst, D. (1995). Cognitive processing, academic achievement, and psychosocial functioning: A neurodevelopmental perspective. In D. Cicchetti & D. Cohen (Eds.), Developmental psychopathology (Theory and methods, Vol. 1). New York, NY: John Wiley and Sons.

    Google Scholar 

  • Rourke, B., & Strang, J. (1978). Neuropsychological significance of variations in patterns of academic performance: Motor, psychomotor and tactile-perceptual abilities. Journal of Pediatric Psychology, 3(2), 62–66.

    Article  Google Scholar 

  • Rourke, B., & Tsatsanis, K. (1996). Syndrome of nonverbal learning disabilities: Psycholinguistic assets and deficits. Topics in Language Disorders, 16(2), 30–44.

    Article  Google Scholar 

  • Rourke, B., Young, G., & Leenaars, A. (1989). A childhood learning disability that predisposes those afflicted to adolescent and adult depression and suicide risk. Journal of Learning Disabilities, 21, 169–175.

    Article  Google Scholar 

  • Russell, R., & Grizzle, K. (2008). Assessing child and adolescent pragmatic language competencies: Toward evidence-based assessments. Clinical Child and Family Psychology Review, 11, 59–73.

    Article  PubMed  Google Scholar 

  • Semel, E., Wiig, E., & Secord, W. (2003). Clinical evaluation of language fundamentals (CELF-4) (4th ed.). San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Semrud-Clikeman, M. (2007) Social Competence in Children, New York: Springer. Semrud-Clikeman, M., & Glass, K. (2008). Comprehension of humour in children with nonverbal learning disabilities, reading disabilities and without learning disabilities. Annals of Dyslexia, 58, 163–180.

    Article  PubMed  Google Scholar 

  • Semrud-Clikeman, M., & Glass, K. (2010). The relation of humour and child development: Social, adaptive and emotional aspects. Journal of Child Neurology, 25, 1248–1260.

    Article  PubMed  Google Scholar 

  • Semrud-Clikeman, M., Walkowiak, J., Wilkinson, A., & Christopher, G. (2010). Neuropsychological differences among children with Asperger syndrome, nonverbal learning disabilities, attention-deficit disorder and controls. Developmental Neuropsychology, 35(5), 582–600.

    Article  PubMed  Google Scholar 

  • Serra, M., Jackson, A., van Geert, P., & Minderaa, R. (1998). Brief report: Interpretation of facial expressions, postures and gestures in children with a pervasive developmental disorder not otherwise specified. Journal of Autism and Developmental Disorders, 28(3), 257–263.

    Article  PubMed  Google Scholar 

  • Shields, J., Varley, R., Broks, P., & Simpson, A. (1996a). Social cognition in developmental language disorders and high-level autism. Developmental Medicine and Child Neurology, 38, 487–495.

    Article  PubMed  Google Scholar 

  • Shields, J., Varley, R., Broks, P., & Simpson, A. (1996b). Hemispheric function in developmental language disorders and high-level autism. Developmental Medicine and Child Neurology, 38, 473–486.

    Article  PubMed  Google Scholar 

  • Spence, S., & Thurm, A. (2010). Testing autism interventions: Trials and tribulations. The Lancet, 375, 2124–2125.

    Article  Google Scholar 

  • Strang, J., & Rourke, B. (1983). Concept formation and non-verbal reasoning abilities of children who exhibit specific academic problems with arithmetic. Journal of Clinical Child Psychology, 12(1), 33–39.

    Article  Google Scholar 

  • Tager-Flusberg, H., Paul, R., & Lord, C. (2005). Language and communication in autism. In F. Volkmar, R. Paul, & A. Klin (Eds.), Handbook on autism and pervasive developmental disorders (3rd ed., pp. 335–364). New York, NY: John Wiley & Sons.

    Google Scholar 

  • Tsatsanis, K., & Rourke, B. (2008). Syndrome of nonverbal learning disabilities in adults. In L. Wolf, H. Schreiber, & J. Wasserstein (Eds.), Adult learning disorders contemporary issues. New York, NY: Taylor & Francis.

    Google Scholar 

  • Volden, J. (2002). Features leading to judgments of inappropriacy in the language of speakers with autism: A preliminary study. Journal of Speech-Language Pathology and Audiology, September, 26, 3, 138–146. Volden, J. (2004a). Nonverbal learning disability: A tutorial for speech-language pathologists. American Journal of Speech-Language Pathology, 13, 128–141.

    Article  PubMed  Google Scholar 

  • Volden, J. (2004b). Conversational repair in speakers with autism spectrum disorder. International Journal of Language & Communication Disorders, 39(2), 171–189.

    Article  Google Scholar 

  • Volden, J., & Johnston, J. (1999). Cognitive scripts in autistic children and adolescents. Journal of Autism and Developmental Disorders, 29(3), 203–212.

    Article  PubMed  Google Scholar 

  • Volden, J., & Lord, C. (1991). Neologisms and idiosyncratic language in autistic speakers. Journal of Autism and Developmental Disorders, 21(2), 109–130.

    Article  PubMed  Google Scholar 

  • Volden, J., Magill-Evans, J., Goulden, K., & Clarke, M. (2007). Varying language register according to listener needs in speakers with autism spectrum disorder. Journal of Autism and Developmental Disorders, 37(6), 1139–1154.

    Article  PubMed  Google Scholar 

  • Volden, J., & Phillips, L. (2010). Measuring pragmatic language in speakers with autism spectrum disorder: Comparing the CCC-2 and the TOPL. American Journal of Speech-Language Pathology, 19(3), 204–212.

    Article  PubMed  Google Scholar 

  • Volkmar, F., & Klin, A. (2001). Asperger’s disorder and higher functioning autism: Same or different? International Review of Research in Mental Retardation, 23, 83–110.

    Article  Google Scholar 

  • Wechsler, D. (1949). Wechsler intelligence scale for children. New York, NY: The Psychological Corporation.

    Google Scholar 

  • Wechsler, D. (1991). Wechsler intelligence scale for children—III. New York, NY: The Psychological Corporation.

    Google Scholar 

  • Whitehouse, A., & Bishop, D. (2009). Communication checklist—adult. London: The Psychological Corporation.

    Google Scholar 

  • Wiig, E., & Secord, W. (1989). Test of language competence—expanded edition. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Worling, D., Humphries, T., & Tannock, R. (1999). Spatial and emotional aspects of language inferencing in nonverbal learning disabilities. Brain and Language, 70(2), 220–239.

    Article  PubMed  Google Scholar 

  • Young, E., Diehl, J., Morris, D., Hyman, S., & Bennetto, L. (2005). The use of two language tests to identify pragmatic language problems in children with autism spectrum disorders. Language, Speech, and Hearing Services in Schools, 36, 62–72.

    Article  PubMed  Google Scholar 

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Correspondence to Joanne Volden Ph.D. .

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Volden, J. (2013). Nonverbal Learning Disabilities: A Speech-Language Pathologist’s Perspective. In: Broitman, J., Davis, J. (eds) Treating NVLD in Children. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6179-1_4

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