Journal of Communication Disorders, Deaf Studies & Hearing Aids
Open Access

Communication Disorders: Types, Causes, and Treatment Options

Browning Gendler^{* *}Correspondence: Browning Gendler, Department of Communication Sciences and Disorders, Sapienza University of Rome, Rome, Italy, Email:

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Description

Communication disorders can significantly impact an individual’s ability to express themselves and comprehend others, affecting their social interactions, academic performance, and overall quality of life. This article aims to provide a detailed analysis of communication disorders, including their types, causes, assessment methods and treatment options.

The role of communication disorders

Communication disorders refer to a range of conditions that affect a person’s ability to communicate effectively. These disorders can manifest in various forms, impacting speech, language, and social communication skills. They can occur in individuals of all ages and may vary in severity [1].

Types of communication disorders

Communication disorders includes a variety of conditions that affect an individual's ability to understand, produce, or effectively use spoken, written, or nonverbal language, including speech delays, stuttering, aphasia, and hearing impairments [2].

Speech disorders: Speech disorders involve difficulties with the physical production of sounds. The common types of speech disorder may involve, articulation disorders, difficulty pronouncing sounds correctly, leading to unclear speech. For example, a child may substitute one sound for another (e.g., saying "wabbit" instead of "rabbit"). Fluency disorders, interruptions in the flow of speech, such as stuttering, which may include repetitions or prolongations of sounds. Voice disorders, abnormalities in the pitch, volume, or quality of the voice, which may make it difficult to communicate effectively. This can include conditions like hoarseness or loss of voice [3].

Language disorders: Language disorders affect a person’s ability to understand and use language appropriately. They can be divided into 2 types. Expressive language disorders, difficulty expressing thoughts and ideas verbally. Individuals may struggle to form sentences or find the right words. Receptive language disorders, difficulty understanding spoken or written language. This may manifest as challenges in following directions or comprehending stories [4].

Social communication disorders: Also known as pragmatic language disorders, these involve difficulties with the social aspects of communication, such as, understanding social cues, difficulty interpreting nonverbal signals, such as body language and facial expressions. Turn-taking in conversations, challenges in maintaining a conversation, including knowing when to speak and how to respond appropriately [5].

Cognitive-communication disorders: These disorders affect communication as a result of cognitive impairments, often seen in conditions like traumatic brain injury, stroke, or dementia. Individuals may have difficulties with, attention, staying focused during conversations. Memory, remembering names or details shared in discussions. Executive functioning, planning and organizing thoughts before speaking.

Causes of communication disorders

Communication disorders can arise from a variety of factors, including:

Genetic factors: Some disorders, such as Specific Language Impairment (SLI), may have a hereditary component [6].

Neurological conditions: Brain injuries, strokes, and developmental disorders like Autism Spectrum Disorder (ASD) can effect communication skills.

Environmental factors: Lack of exposure to language-rich environments during important developmental periods can prevent language acquisition [7].

Hearing loss: Hearing impairments can affect speech and language development, as individuals may struggle to hear sounds and patterns.

Medical conditions: Conditions like cerebral palsy, down syndrome, or cleft palate can also lead to communication challenges.

Assessing communication disorders

Proper assessment of communication disorders typically involves a multi-faceted approach, including:

Screening tools: Initial screenings can help identify individuals who may require further evaluation.

Comprehensive evaluation: A licensed Speech-Language Pathologist (SLP) conducts in-depth assessments, including standardized tests, observational assessments, and parent/ teacher interviews [8].

Hearing assessments: Audiologists may conduct hearing tests to determine if hearing loss contributes to communication difficulties [9].

Behavioral assessments: Evaluating social communication skills can provide insights into pragmatic language abilities.

Treatment options for communication disorders

The treatment for communication disorders varies based on the type and severity of the disorder. Here are some common approaches:

Speech therapy: Speech therapy is the primary treatment for many communication disorders. An SLP will develop personalized treatment plans that may include, articulation therapy, exercises to improve the correct pronunciation of sounds. Fluency therapy, techniques to enhance smooth speech and reduce stuttering. voice therapy, strategies to improve voice quality and reduce strain.

Language intervention: Language intervention strategies may involve, expanding vocabulary: teaching new words and concepts through interactive activities. Sentence structure, helping individuals construct grammatically correct sentences. Storytelling techniques, encouraging narrative skills through reading and retelling stories.

Social skills training: Social skills training focuses on improving pragmatic language skills and social interactions. Techniques may include, role-playing, practicing social scenarios to enhance conversational skills. Understanding nonverbal cues, teaching individuals to recognize and respond to body language and facial expressions.

Assistive technology: In some cases, technology can support communication efforts. Tools may include, Augmentative and Alternative Communication (AAC), devices or applications that help individuals communicate using symbols, pictures, or text- to-speech functions. Speech generating devices, technology that produces speech, allowing non-verbal individuals to express themselves.

Family involvement: Family involvement is essential in the treatment process. SLPs often work with families to, educate, provide information about the disorder and effective communication strategies. Support practice, encourage family members to practice skills learned during therapy in everyday situations.

The role of early intervention

Early intervention is vital for improving outcomes in children with communication disorders. Research shows that addressing issues as early as possible can lead to more favorable long-term results. Parents and caregivers should be vigilant for signs of communication difficulties and seek professional help if concerns arise [10].

Conclusion

Communication disorders involves a range of challenges that can significantly affect individuals' lives. Understanding the types, causes and available treatment options is important for promoting effective communication skills. With early intervention and appropriate therapy, individuals with communication disorders can improve their abilities and enhance their quality of life. By creating awareness and support, we can help those affected guide their communication challenges successfully.

References

1. Adedeji TO, Tobih JE, Sogebi OA, Daniel AD. Management challenges of congenital & early onset childhood hearing loss in a sub-Saharan African country. Int Journal of Pediatr Otorhinolaryngol. 2015;79(10):1625-1629.

   [Crossref] [Google Scholar] [PubMed]

2. Bell D, Carl A, Swart E. Students with hearing impairment at a South African university: Self-identity and disclosure. Afr J Disabil. 2016;5(1):229.

   [Crossref] [Google Scholar] [PubMed]

3. Clark JG, English KM, Montano JJ. Heightening our vigilance towards patient well-being. Int J Audiol. 2021;60(sup2):4-11.

   [Crossref] [Google Scholar] [PubMed]

4. Goering S. Rethinking disability: the social model of disability and chronic disease. Curr Rev Musculoskelet Med. 2015;8(2):134-138.

   [Crossref] [Google Scholar] [PubMed] 

5. Holcomb TK. Development of deaf bicultural identity. Am Ann Deaf. 1997;142(2):89-93.

   [Crossref] [Google Scholar] [PubMed] 

6. Israelite N, Ower J, Goldstein G. Hard-of-hearing adolescents and identity construction: Influences of school experiences, peers, and teachers. J Deaf Stud Deaf Educ. 2002;7(2):134-148.

   [Crossref] [Google Scholar] [PubMed]

7. Kent BA. Identity issues for hard-of-hearing adolescents aged 11, 13, and 15 in mainstream setting. J Deaf Stud Deaf Educ. 2003;8(3):315-324.

   [Crossref] [Google Scholar] [PubMed] 

8. Kroger J, Martinussen M, Marcia JE. Identity status change during adolescence and young adulthood: A meta-analysis. J Adolesc. 2010;33(5):683-698.

   [Crossref] [Google Scholar] [PubMed] 

9. Kunnen ES. Identity development in deaf adolescents. J Deaf Stud Deaf Educ. 2014;19(4):496-507.

   [Crossref] [Google Scholar] [PubMed] 

10. Marcia JE. Development and validation of ego-identity status. J Pers Soc Psychol. 1966;3(5):551-558.

    [Crossref] [Google Scholar] [PubMed]