Tag: expressive language

One struggling parent recently described her son’s speech to me as sounding “like nothing more than a robot.” This description spoke volumes about what it must be like as a parent of a child with autism or similar disorder.  A child whose very personality is veiled by a mask of robotic speech — scripted sentences, drill-like productions, automated phrases to answer questions or label objects . As a mom, I can understand the ache that this mom was feeling for her child. She longed for a genuine conversation, a sweet moment to  glimpse into her child’s mind and hear him speak with intention and meaning. Working in the public school setting and my additional private practice, I encounter many families struggling with this issue. A large number of my students are children with autism or similar disorders that include significant expressive language impairments. Many of these students are somewhat verbal, but their expressive language appears limited to verbal imitations of given models or simple, scripted sentences following a visual. Often, the presence of echolalia and/or attention difficulties further compound the expressive language issues. ABA or structured expressive language trials often increase verbalization of targeted concepts and scripted sentences, but the spontaneous language may still be very limited.  As a trained speech therapist, I know that repetitive trials are often the key to skill acquisition, language memory and motor planning. But I also know that for students struggling with functional, spontaneous language, I need to move beyond the drills, repetitions and the neat sets of ten that convert easily into percentage scores. I need to create moments of intention and meaning that can be reinforced naturally, in the moment.  There are a few tricks I’ve acquired that I consider very effective tools to create spontaneous language opportunities. I am pleased to share them with you here in my first official “Top Five” post. Many of these ideas may come naturally to you as a parent or clinician; maybe not. Either way, I hope these ideas will inspire you to think and reflect, and to seek genuine, spontaneous moments of language with your child or student.

Top Five Ways to Encourage Spontaneous Language:

1. Use Communication Temptations – I previously posted about lots of ways to “tempt” children to communicate. Temptation is a very powerful motivator. Though you may be finely in tune with your student and know exactly what they want or think, be sure to encourage functional communication skills as you interact. Offer activities that require the student to be motivated by something they want, need, love or desire. In my post, you can read some of the tools I often use and how to effectively create communication temptations.

2.  Use Elements of Surprise – this tool is one of my favorites for increasing spontaneous language. Nothing is more rewarding than seeing a quiet, hard-working but rather disinterested child suddenly come to life with exclamations of excitement, laughter and delight. The surprises do need to be varied and presented infrequently or they become, well, not very surprising. And some surprises might be startling or even scary for students, so you should closely monitor students’ reactions. But the right balance  of surprise can be an extremely effective tool in fostering expressive language and meaningful connections with your student. Here are a few of my favorite surprises:

• Surprise idea #1: Motion sensor toys – I have had very good success with toys that come to life in song, dance moves or cascades of giggles. These toys can be found just about anywhere they sell toys. My latest find is animals that roll and erupt in side-splitting, contagious, can’t-catch-your-breath fits of giggles. My students have all loved my new roly-poly giggling guy, who I first introduced as “my very kind friend who sometimes gets a little silly.” We enjoyed lots of laughs as we practiced language concepts. I have the alligator version of this toy, but it does the same thing as this little pig:

• Surprise Idea #2: Planned “accidents” – Accidents catch people off-guard and create instant reactions. I love hearing students express their surprise,  pleasure, or even worry as a train drives right off the track or crashes into another train. When a puzzle is “accidentally” knocked off the table onto the floor, I often hear complete sentences like, “Oh no, what happened? It’s ok, I’ll help you!”  We work together to remedy the problem, and their spontaneous language is reinforced in a very real-word situation. (Photo courtesy of YummyDelicious.com.)

• Surprise Idea #3: Hidden objects – Yes, it’s true, I am known as the Bag Lady in some parts around here. I often bring bags of interesting objects, toys or theme accessories with me. Admittedly born with a somewhat dramatic flair, I take pride in my ability to create an atmosphere of anticipation, mystery and eventual excitement/awe with a mere “something” hidden in a bag. Before the big reveal, I encourage students to guess what might be in the bag, accepting and reinforcing virtually any answer but also calling attention to the bag size and shape. Students can reach in the bag and pull out  –whatever it is– which can be fun or even delightful to a curious child. Spontaneous language, as well as other targeted language concepts can be elicited as they react to what they have found. You can also hide objects buried in sand for students to discover as they dig,  use the computer or smartboard to reveal hide pictures that can be revealed with the click of a mouse or stylus. Hands-on, interactive activities like these create opportunities for spontaneous language that traditional flash card or picture stimuli do not.  (above photo courtesy of glamzzle.com.)

                                                                                                          (photo courtesy of Vappingo.com)   
 3.  Make Mistakes – Many times as I am working with a student, I purposefully insert mistakes to catch them off guard and create a reaction. Often, their reaction involves correcting my mistake, a task eliciting language targets without direct prompting. I may use the wrong word in my sentence and simply pause with a confused look on my face as I scratch my head and say, “Is that right?” Another mistake I often make is to hand them the wrong tool or object. If we have just decided to use a certain toy or game, I might hand them a puzzle instead, or maybe even the plant from my desk! A confused look from me usually elicits a reaction, and  possibly a clarification of what I was supposed to get. One of my favorite moments using this “purposeful mistake” strategy was when a student remembered what I had done and spontaneously made a similar mistake in our next session. Before I could respond to his mistake, he burst into laughter saying, “I didn’t make a mistake; I tricked you!” Yes, REAL language, without structured prompts; a glimpse into his mind and heart.

4. Use Humor – Closely related to using elements of surprise and making mistakes, there is another skill I am proud to exhibit– the ability to be silly and often make a fool of myself! Whether it be acting out silly animal actions, donning a ridiculous hat or mask, or getting goofy during some interactive play, the use of humor can elicit focused attention, interactive smiles, giggles and of course, spontaneous language. One trick I tried recently came from an idea I found on Pinterest, originally from I Love 2 Teach.  I modified the idea slightly and created a Boardmaker file of different voices to produce. I used the idea with a group of students working on following directions, and they each picked the voice they wanted me to use to give the direction. INSTANT engagement, amusement and focus on my verbal direction! I plan on using this tool in other types of activities very soon, encouraging the students to try out the different voices on their own. Here is the Boardmaker file for you to download:

5. Play – This Top 5 idea may sound obvious, as many clinicians, teachers and parents incorporate play into their time with language-impaired students. But play, REAL play, is essential for developing spontaneous language, social skills and creativity. Many children do not know how to play. They need experience and appropriate models. When I first began using play in therapy, I would bring out bins of fun toys and then initiate what I thought were interactions, but were actually play-based commands. “Okay, where’s the bear? That’s the bear! Ok, put the bear on the table. You say, ‘On the table!’ ” Sometimes my “play” more closely resembled correction…”No, that’s a chair;  I said on the table, put the bear on the table. ” Looking back, I am pretty sure that the children to whom these commands were directed during their “play” time did not really have very much fun. These directives involved toys, yes, but the activity could hardly be called interactive play. Now, I realize the things I wish my much younger self had known. Specifically, real play should involve letting the child explore and choose what he/she wants to do, with interactions built-in to the chosen activity. Interactions are encouraged during moments of play as the child discovers what they find intriguing, amusing or just plain fun. I watch their behavior, and join them in their exploration. As we play, I initiate dialogue using characters or toys as the “speakers” As we play, I also model language production and elicit responses through play behavior, but I stay away from the commands. Throughout the session, I might encourage them to verbalize requests or imitate words and language concepts, but our play is child-led and consists of much more than a series of commands. Using true interactive play is an engaging activity that sets the stage for spontaneous verbalizations, comments, requests and engaging time to connect.

Okay, so there it is…my first Top Five list. Thank you for reading, and if you use any of these ideas, please let me know how it works for you. Thanks for visiting LiveSpeakLove!

~Lisa