| Neonatology
BUILDING ON LANGUAGE SKILLS
Maureen Mulligan LaRossa, R.N.
The following material is provided with the goal of helping you
build on your child's present language skills. The first step is
to determine what your child understands and what language concepts
they can use with ease. Once you know where your child is in mastering
language, you can help them expand their skills. We will start this
section with general principles for working with young children.
The next section will offer ideas for testing your child's understanding
of word concepts (up, down, big and small) and then offer suggestions
for helping children learn these concepts.
Tips for working with young children:
- Young children are very physical; they learn through their bodies.
Many young children learn best by physically carrying out an action,
rather than just talking about it.
- The more senses engaged in learning, the better some young children
will understand and remember what you are teaching them. Let them
hear about a concept as they see it, feel it, act it out, smell
it or taste it. It is important to note that for some children
the opposite is true. This is especially the case for children
with sensory issues. Children who are easily over stimulated or
become upset easily may need concepts introduced slowly through
one, or at most two, senses at a time. Try different approaches
and watch your child's reaction. The right approach is the one
that works for the individual child.
- Adults may get bored with repetition, but children love to do
things over and over again--it's how they learn.
- One way to test your child's understanding of what is said to
him/her is to shake things up and make a game of asking them to
do things for you. This can help you determine whether your child
is understanding or just not listening.
- When trying to determine if a child understands a verbal direction
watch your facial expression and eye gaze. Children read a lot
of meaning from an adult's face.
- When trying to figure out if your child understands different
words test them several times over a few days. At any one moment
a child may be tired, feel uncooperative or be focused on something,
resulting in the child tuning you out, not listening to what you
have just said.
- Keep verbal instructions short and stress the key words. For
very young children it may be best to say, "STOP, no touch"
or "stop, HOT" versus "Don't touch the stove."
A child may not focus on what you are saying for several beats
into your statement. This would mean the child hears "
touch
the stove."
- Find different ways to use an idea you are trying to teach a
young child. This makes it more likely the child will really understand
and be able to use the idea no matter who or how it is asked in
the future. A child who can only follow a direction if it is stated
an exact way or in a certain order does not really understand
the underlying idea. The child has just learned a response to
specific cue.
Conversations
Does your child hold a conversation with you?
Check it out: Adults sometimes use the time they spend
with children telling them what they should or should not be doing.
While this part of communication is important, we also need to engage
children in conversations. Talk to your child about what you are
doing or someplace you both have been. Does your child take turns
listening and "talking?" Even children who do not use
words can hold a conversation. The conversation may be jabbering
(baby talk) or jabbering with a few words sprinkled in, but they
should look at you and take turns "talking" and listening.
Teaching: You may find the best time to talk with your
child is during an activity. For example, taking a walk, mealtime,
playtime, bath-time, while doing chores or interspersed with reading
a story. Look at your child and say something, wait for a response
and then see how long you can keep the "conversation,"
i.e., turn taking (you talk, the child talks), going.
When your child brings you something, takes you to something, or
points to something s/he wants, state what it is you think your
child is trying to communicate. For example, Your child points to
the milk. You say, "You want milk?" Give your child the
milk while repeating the key word, "milk." If your child
responds by jabbering or using words, keep the "conversation"
going for as many rounds as you can. You are teaching your child
the structure of how people "talk" to each other. In addition,
you are letting your child know that what s/he has to say is important
to you and worth the effort it takes to communicate.
Prepositions and Directions
Does your child understand prepositions, for example, "in,"
"on," "under," "over" and "behind?"
Check it out: Ask your child to place an object "on"
a chair. Pick something that does not usually go "on"
a chair, maybe a slipper. Test for the understanding of other prepositions
the same way. Make sure you do not point where you want it to go.
Making the request silly can seem fun if the child understands the
preposition. It can also make it easier for you to determine if
he/she does not understand. When asking a child to place an object
in, on, under, over or behind something pick some place were the
object is not ordinarily used.
Ask your child to put the keys "in" a basket. Place the
cereal "in" a cup. Place a hat "under" a chair.
Place a toy "under" a plate. Place an orange "behind"
an apple. Go stand "behind" your brother. Place a book
"over" your head. Place a drawing "over" the
doorknob.
Teaching: If you discover your child does not understand
some prepositions here are some suggestions of ways to make a child
aware of these words:
Play "Follow the Leader." You or an older child can be
the leader. Pick two prepositions to work on at a time, for example
"under" and "on." The leader sits "under"
a table and then urges your child to follow, repeating "under
the table." Then the leader goes and sits "on" an
overturned bucket, having your child follow the leader and then
emphasizing the phrase again. Repeat this for several more rounds
sitting under and on various things in and outside your home. Always
emphasize the key words and encourage (but do not force) your child
to repeat the word or phrase. Keep it simple, lively and fun.
Stress prepositions while carrying out everyday chores and activities
around the house. For example, ask your child to help put the dirty
clothes "in" the clothesbasket (bag, pile wherever your
keep dirty clothes). For example, "Dee, put them "IN"
the basket" (if your child seems confused you may need to point
to the basket). When Dee puts a sock in the basket praise her: "Good,
you put it "IN." There are thousands of opportunities
each day to give your child practice with prepositions.
Does your child understand direction words, for example, "up,"
"down," "around," or "sideways?"
Check it out: While you are doing an everyday activity
with your child suddenly ask him/her to sit down, turn around or
get up. Be careful not to point, gaze or gesture in the direction
you want your child to go.
Teaching: If you discover your child does not
understand words that indicate a direction there are many ways you
can give him/her practice with these concepts.
When picking up your child emphasize "UP" as you lift
him/her. Likewise emphasize the word "DOWN" as you place
your child on the floor. Be aware of opportunities to point out
direction concepts to your child when you are with them during a
day.
Play "Simon Says." With the child facing you, say "Simon
says DOWN (or walk BACKWARDS or walk SIDEWAYS)." If your child
can not yet follow the verbal command, "Simon" should
do the action while saying what to do. If the child does what "Simon
Says," clap and praise your child while emphasizing the word
you are working on. For example, "Tarik, you sat DOWN!"
For younger children it is best to use this simple version of "Simon
Says." Getting them to follow what Simon says to do is the
goal. It may be too hard and frustrating for them if they are expected
to know when not to do something, which is the point of the traditional
"Simon Says" game. You can always work them up to that
later. Other games you remember from your childhood may work for
teaching directions as well.
Labeling Emotions
Does your child understand what a "sad," "happy,"
or "mad" face is? Does your child connect the expression
on a face with the feeling?
Check it out: Look in a mirror with your child
sitting beside you. Smile broadly and say "See my happy face?
You make a happy face!" If your child can copy you be sure
to praise her/his efforts. If your child does not get what you are
asking, you can help him/her learn about feelings.
Teaching: Playing in a mirror can be very useful
for teaching a child to recognize and label emotions. A good time
to try this may be while giving your child a bath (using a non-breakable
mirror of course). Most children love to look at themselves in the
mirror. Look in the mirror with your child and make faces, copying
each other. Name the expressions you and your child are making.
Ask your child to make a face. Whatever the expression, copy it
and label it. "You made a happy (silly, bored, sad) face. See
I can make one too!" Try to keep your child engaged for several
rounds.
Any time your child has a strong emotional response to something
you can label and talk about how s/he feels. For example, as your
child calms down from a temper tantrum you might say "You certainly
were mad (angry)." If your child is smiling and jumping up
and down because you are about to buy ice cream, you might say,
"You look very happy." There are many opportunities in
a week to talk about your child's or other family member's feelings.
If your child does not seem to understand what you are asking her/him
to do, or can make a face but not label it, do not worry, eventually
he/she will understand. For now it is important that the two of
you are talking together, enjoying the time spent together and that
your child is learning to strengthen the ability to join in shared
attention (two people together focusing on the same thing). In time
your child should have a vocabulary to talk about emotion.
Same and Different
Does your child understand the idea of "same" vs. "different?"
Check it out: Get two objects or pictures that
are exactly the same and two that are different. Line up three of
the pictures/objects. You keep one of the matched pair. Now ask
your child to point to the picture/object that looks the same as
the one you are holding. You can also ask which one is different
from the one you are holding.
Teaching: The board game, Memory, is a good way
for children to learn to match pictures that are the same. The principles
of this game can be used to teach children their colors, numbers
or letters when they are ready for those concepts.
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