This article describes the language abilities of 20 boys aged 10 to 13 1/2 years who were admitted to residential treatment because of their significant and persistent antisocial behavior. Primary DSM-III-R diagnoses included oppositional/defiant disorder and conduct disorder. Of these boys, 80% carried the additional diagnosis of attention deficit hyperactivity disorder. The majority of subjects were found to have significant language impairments that had not been identified when they entered residential treatment. Implications of the present findings for assessment and treatment are outlined.
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References
1.
AllenD. A., & RapinI. (1980). Language disorders in preschool children: Predictors of outcome.Brain and Development, 2, 73–80.
2.
BakerL., & CantwellD. P. (1982). Psychiatric disorders in children with different types of communication disorders.Journal of Communication Disorders, 15, 113–126.
3.
BeitchmanJ. H. (1985). Speech and language impairment and psychiatric risk.Psychiatric Clinics of North America, 8, 721–735.
4.
BerlinL., BlankM., & RoseS. (1980). The language of instruction: The hidden complexities.Topics in Language Disorders, 1, 47–58.
5.
BroderP., DunivantN., SmithE., & SuttonL. (1981). Further observations on the link between learning disabilities and juvenile delinquency.Journal of Educational Psychology, 73, 838–850.
6.
CamarataS., HughesC., & RuhlK. (1988). Mild/moderate behavior disordered students: A population at risk for language disorders.Language, Speech, and Hearing Services in Schools, 19, 191–200.
7.
CantwellD., & BakerL. (1987). Prevalence and type of psychiatric disorder and developmental disorders in three speech and language groups.Journal of Communication Disorders, 32, 129–154.
8.
CantwellD., & BakerL. (1991). Psychiatric and developmental disorders in children with communication disorder.Washington, DC: American Psychiatric Press.
9.
CarrE. G., & DurandV. M. (1985). The social communicative basis of severe behavior problems in children. In ReissS., & BootzinR. (Eds.), Theoretical issues in behavior therapy (pp. 219–254). New York: Academic Press.
10.
CasbyM. W. (1989). National data concerning communication disorders and special education.Language, Speech, and Hearing in the Schools, 20, 22–30.
11.
ChessS., & RosenbergM. (1974). Clinical differentiation among children with initial language complaints.Journal of Autism and Childhood Schizophrenia, 4, 99–109.
12.
ClarkH., & ClarkE. (1978). Psychology and language: An introduction to psycholinguistics.New York: Harcourt, Brace.
13.
CohenN. (1990, January 24–26). Patterns of psychopathology in disturbed children with unsuspected language disorders. Poster presented at the annual meeting of the Society for Research in Child and Adolescent Psychopathology, Toronto, ON, Canada.
14.
CohenN., DavineD., & Meloche-KellyM. (1989). Prevalence of unsuspected language disorders in a child psychiatric population.Journal of American Academy of Child and Adolescent Psychiatry, 28(1), 107–111.
15.
DonahueM., & BryanT. (1984). Communicative skills and peer relations of learning disabled adolescents.Topics in Language Disorders, 4(2), 10–12.
16.
DunkinJ., & BiddleB. (1974). The study of teaching.New York: Holt, Rinehart, & Winston.
17.
DunlapG., KernL., dePerczelM., ClarkeS., WilsonD., ChildsK. E., WhiteR., & FalkG. D. (1993). Functional analysis of classroom variables for students with emotional and behavioral disorders.Behavioral Disorders, 18, 275–291.
18.
DurandV. M. (1986). Self-injurious behavior as intentional communication. In GadowK. G. (Ed.), Advances in learning and behavioral disabilities (Vol. 5, pp. 141–155). Greenwich, CT: JAI Press.
19.
FlavellJ. (1985). Cognitive development (2nd. ed.). Englewood Cliffs, NJ: Prentice-Hall.
20.
GeorgeS., IkutaB., & MasonC. (1988). Psychometric characteristics of the test of adolescent language–2 (TOAL-2) for a southwestern Ontario population. Unpublished Master of Clinical Science research project, University of Western Ontario, London, ON, Canada.
21.
GiddanJ. (1991). School children with emotional problems and communication deficits: Implications for speech-language pathologists.Language, Speech, and Hearing Services in the Schools, 22, 291–295.
22.
GualtieriC., KoriathV., Van BourgondienM., & SeleebyN. (1983). Language disorders in children referred for psychiatric services.Journal of the American Academy of Child Psychiatry, 22, 165–171.
23.
HammillD., BrownV., LarsenS., & WiederholtJ. (1980). The Test of Adolescent Language (TOAL–2).Austin, TX: Pro-Ed.
24.
HechtmanL., & WeissG. (1986). Controlled prospective fifteen-year follow-up of hyperactives as adults: Nonmedical drug and alcohol use and antisocial behavior.Canadian Journal of Psychiatry, 31, 557–567.
25.
HullC., & NieN. (1981). SPSS-update 7–9: New procedures and facilities for releases 7–9.New York: McGraw-Hill.
26.
IwataB. A., DorseyM. S., SliferK. J., BaumanK. E., & RichmanG. S. (1982). Toward a functional analysis of self-injury.Analysis and Intervention in Developmental Disabilities, 2, 3–20.
27.
KamhiA. G., & CattsJ. W. (1989). Reading disabilities: A developmental language perspective.Toronto, ON: College-Hill.
28.
LakoffG., & JohnsonM. (1980). Metaphors we live by.Chicago: Chicago University Press.
29.
LazarR., Warr-LeeperG. A., NicholsonC., & JohnsonS. (1989). Use of multiple meaning expressions by teachers in the classroom.Language, Speech, and Hearing Services in the Schools, 20, 420–430.
30.
LoveA., & ThompsonM. (1988). Language disorders and attention deficit disorders in young children referred for psychiatric services.American Journal of Orthopsychiatry, 58(1), 52–64.
31.
MichelsonL., MannarinoA. P., MarchioneK. E., SternM., FigueroaJ., & BeckS. (1983). A comparative outcome study of behavioral social skills training, interpersonal problem solving, and nondirective control treatments with child psychiatric outpatients.Behavior Research Therapy, 21, 545–556.
32.
MiniuttiA. (1991). Language deficiencies in inner-city children with learning and behavioral problems.Language, Speech, and Hearing Services in the Schools, 22, 31–38.
33.
NelsonN. (1985). Teacher talk and child listening — Fostering a better match. In SimonC. (Ed.), Communicative skills and classroom success: Assessment of language-learning disabled students (pp. 65–104). San Diego, CA: College-Hill.
34.
NyeC., FosterS., & SeamanD. (1987). Effectiveness of language intervention with the language/learning disabled.Journal of Speech and Hearing Disorders, 52, 348–357.
35.
OffordD. R., BoyleM. C., & RacineY. A. (1991). The epidemiology of antisocial behavior in childhood and adolescence. In PeplerD. J., & RubinK. H. (Eds.), The development and treatment of childhood aggression (pp. 31–54). Hillsdale, NJ: Erlbaum.
36.
PearsonD. A., LaneD. M., & SwansonJ. M. (1991). Auditory attention switching in hyperactive children.Journal of Abnormal Child Psychology, 19, 479–492.
37.
Phelps-GunnT., & Phelps-TerasakiD. (1982). Written language instruction.Rockville, MD: Aspen Systems.
38.
RichardsJ. (1978). Classroom language. What sort?London: George Allen.
39.
SatterfieldJ. H., SatterfieldB. T., & SchellA. M. (1987). Therapeutic interventions to prevent delinquency in hyperactive boys.Journal of the American Academy of Child and Adolescent Psychiatry, 26(1), 56–64.
40.
ScruggsT., & MastropieriM. (1986). Academic characteristics of behaviorally disordered and learning disabled students.Behavioral Disorders, 11, 184–190.
41.
StevensonJ., RichmanN., & GrahamP. (1985). Behavior problems and language abilities at three years and behavioral deviance at eight years.Journal of Child Psychology and Psychiatry, 26, 215–230.
42.
VaccaJ., & VaccaR. (1987). Reading and learning to read.Boston: Scott, Foresman.
43.
WechslerD. (1974). Wechsler intelligence scale for children - revised.New York: Psychological Corp./Harcourt, Brace.
44.
WeinerP. (1985). The value of follow-up studies. Language impaired youths — The years between 10 and 18.Topics in Language Disorders, 5(3), 78–92.
45.
WiigE. H., & SecordW. (1985). Test of language competence.New York: Psychological Corp./Harcourt, Brace.
46.
WiigE. H., & SemelE. M. (1984). Language assessment and intervention for the learning disabled.Columbus, OH: Merrill.
47.
WilgoshL., & PaitichD. (1982). Delinquency and learning disabilities: More evidence.Journal of Learning Disabilities, 15, 278–279.
48.
ZinkusP., & GottliebM. (1983). Patterns of auditory processing and articulation deficits in academically deficient juvenile delinquents.Journal of Speech and Hearing Disorders, 48, 36–40.