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Linguistics

Case 4: “Aiden”, male, 7 years, 1 month of age Background: Born at 37 weeks gest

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Case 4:
“Aiden”, male, 7 years, 1 month of age
Background:
Born at 37 weeks gestation with a low birth weight, Aiden had a history of asthma, environmental allergies, a diagnosis of ADD, and chronic serous otitis media (fluid in the ears) which required placement of bilateral pressure-equalization tubes three times. Aiden had previously received occupational therapy for fine motor delays.
Presenting Problem:
Aiden was referred due to concerns with delayed development of articulation and social communication skills. His parents reported he had difficulty with transitioning and would “get stuck” on an activity, struggled to keep up with peers and did not interact well with others. Aiden’s teachers reported he exhibited sadness/depression and social delays. Aiden presented with social communication deficits in the presence of average expressive and receptive language scores (Preschool Language Scale-5th Edition). The Test of Pragmatic Language was utilized to assess Aiden’s social language skills. Aiden had a standard score of 74 with an age equivalent of 4 years, 0 months. A standard score of 90 to 110 is considered to be normal limits for peers of his same age/gender. Difficulties presented included:
 Formulating questions (requests)
 Politely indicating or verbalizing dislikes
 Understanding sarcasm
 Verbalizing conflict resolution in an age-appropriate manner
 Heeding warning in various safety situations
 Interacting with less or unfamiliar individuals
 Making eye contact
 Joint play
 Impaired speech intelligibility, (/r/ distortions)
The school referred them for an Audiological evaluation.

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