If you can suspect a delay in your child's language developmentDr. Gowoon Lim

Today, I would like to talk about what are the normal stages of language development in young children, what cases should be examined, and the spoken language and higher language of young children.

1. Language development in infancy

Basic language development should be observed from the age of 4 months, when babbling begins. At 4 or 6 months, you should look for problems with your child's oral structure rather than their verbal and cognitive development. If you have a cleft palate, this is because you can't vocalize well.

9~12 months, around the age of 12 months, you should start to make consonant sounds. ', , ' You have to see if you can pronounce these easy pronunciations well. This is the time when children's language development begins to be noticeable in earnest. So, when I do an infant check-up after a stone, I ask them if they can make a sound of one or two syllables or say "mommy, daddy, mamma" without meaning to.

Then, at about 18 months of age, they begin to understand speech. Even if it's not complicated, the 'receptive language' that is understood when given simple instructions develops in earnest. Around 18 months, there should be a "name response" that responds when a name is called. When you call your child's name, you should be able to look at him even if you call him from behind. Also, from the age of 18 to the age of 18, you have to use imitative language, where you repeat words with similar vowels, and between the ages of 18 and the two stones, you have to move on to sentences.

It has been said that how quickly children are given verbal interventions can make a huge difference in their future progress and quality of life. So, if you say that your horse seems to be a little slow before and after two stones, you definitely need to evaluate it. It takes a lot of time to go from one word to 10 words, but 10 to 100 words is faster, and 100 to 1000 words is faster. If you don't see yourself speaking a sentence after two stones with such a burst of language, you should think about evaluating it.

When the language explosion begins in earnest, around two and a half to three stones, the grammar begins to appear in children's speech. Now you can change the word order, and you can say it again. Even when we do Bailey tests, developmental tests, we need to be able to clearly distinguish colors, and we need to have a concept of big and small. And around the age of three, there is also an interest in letters. You start to take an interest in things you used to see, such as roadside signs, letter cards, and so on.For example, when we look at the character Pororo, we recognize the whole character as a picture, and we recognize that the letters refer to an object other than the picture. This is the age when you should also pay a little attention to the written word. And that's when the use begins.

2. Language development in infancy

From the fourth stone, I start to pay attention to the 'articulation'. By the age of three, fine motor skills are not developed, so there are many cases where the pronunciation is very poor. That's why I tell you not to point it out too much unless it's a very basic pronunciation until you're four stones. When parents and teachers start pointing out pronunciation, children tend to stop talking. At this time, it is more important to increase the amount of horses.

Instead, there are children who can't articulate from the age of four and don't know the difference between what they hear and what comes out of their mouth. The perception of these sounds may be a little sluggish and dull, or it may be that the articulation is not possible because it is underdeveloped. Therefore, if you are not able to pronounce very easily or if you are confused about vowels, you should evaluate the articulation as well.

Some people think that pronunciation will improve when it is bigger, but articulation is very difficult to correct from elementary school. This is because there are some parts of the way you speak that become fixed. Usually, just before school, your articulation should be 100% accurate at the level of an adult. Therefore, if the articulation is not clear at the age of 4~6, it is important to get an evaluation.

3. What is a pragmatic language?

The reason why I say that two stones are important in speech therapy is because from the third stone onwards, children start playing with their friends. They begin to relate to their friends through language and accept the rules of society. So when the teacher gives you verbal instructions, you need to be able to understand them.

Also, you need to be able to understand the 'pragmatic language' of waiting for others to speak. You can think of pragmatic language as contextual language. For example, "A child went to the market because he was hungry, and there was a shoe store, a bread store, and a clothing store. Where do we go first?" and children with well-developed pragmatic language say, "I'm hungry, so I'm going to the bakery," but children with less developed pragmatic language don't understand the context and give their own distant-fashioned answers. In this case, it's hard to learn, but sometimes you don't mix well with your friends. As a result, children may have secondary psychological problems, such as feeling alienated. It means the same thing, but it is necessary to develop around the age of three to begin to accept various linguistic expressions.

And many children with ADHD have difficulty listening to what others are saying and grasping what they mean. Especially in children with auditory perception ADHD, they don't really know what this person is talking about, so they just joke around and get over the situation, or they don't give the other person a chance to talk. Also, 6~7-year-old children are talking, and they are constantly interrupting the way, which is also a case of a problem with pragmatic language.

4. What is a parent language?

And then there's the parent language. High-level languages are one of the most important things to think about, especially when it comes to learning. There are children who speak well, play with their friends, and have no problem with their daily lives, but they are not good at deducing hidden meanings. I don't understand proverbs in particular.

The high-level language is incomplete in two or three stones, but when you say "What is this?" you should be able to say "apology." From the fourth stone onwards, you need to know the higher concepts. For example, if you ask, "What do dogs and cats have in common?" and you say, "Animals," you should have a certain amount of higher-level concepts in your head by the time you're four stones.

By the time they enter elementary school, they need to be able to understand things like figurative humor, and even if they are not grammatically clear, they should be able to infer meaning from context. That's the top language. And now, after the age of 10, you should be able to understand poetry and understand proverbs. Therefore, if your child is in elementary school and has poor vocabulary or sentences, and when he reads a book, and he has difficulty understanding the content when you ask him something, it is a good idea to check it out.

A child's language ability and higher language skills are not necessarily the same. There are many cases where I speak well but my top language is not good. So if you speak well logically, but you can't keep up with a text or dialogue that requires a little more contextual understanding, you can think of it as a high-level language delay. So, just because you speak well doesn't mean it's all over.