Late Childhood Essays - Speech Impediments, Language Acquisition

Arch Dis Child 2009; 94:42-46 doi:10.1136/adc.2007.134114 ?Original article ?The effects of bilingualism on stuttering during late childhood + Author Affiliations 1.1 Division of Psychology and Language Sciences, University College London, London, UK 2.2 Department of Language and Communication Science, City University, London, UK 1.Peter Howell, Division of Psychology and Language Sciences, University College London, Gower Street, London WC1E 6BT, UK; [emailprotected] ?Accepted 24 June 2008 ?Published Online First 9 September 2008 Abstract Objectives: To examine stuttering by children speaking an alternative language exclusively (LE) or with English (BIL) and to study onset of stuttering, school performance and recovery rate relative to monolingual speakers who stutter (MONO). Design: Clinical referral sample with supplementary data obtained from speech recordings and interviews. Setting: South-East England, 1999?2007. Participants: Children aged 8?12 plus who stuttered (monolingual and bilingual) and fluent bilingual controls (FB). Main outcome measures: Participants? stuttering history, SATS scores, measures of recovery or persistence of stuttering. Results: 69 (21.8%) of 317 children were bilingual. Of 38 children who used a language other than English at home, 36 (94.7%) stuttered in both languages. Fewer LE (15/38, 39.5%) than BIL (23/38, 60.5%) children stuttered at first referral to clinic, but more children in the fluent control sample were LE (28/38, 73.7%) than BIL (10/38, 26.3%). The association between stuttering and bilingual group (LE/BIL) was significant by 2 test; BIL speakers have more chance of stuttering than LE speakers. Ages at stuttering onset and male/female ratio for LE, BIL and MONO speakers were similar (4 years 9 months, 4 years 10 months and 4 years 3 months, and 4.1:1, 4.75:1 and 4.43:1, respectively). Educational achievement was not affected by bilingualism relative to the MONO and FB groups. The recovery rate for the LE and MONO controls together (55%) was significantly higher by 2 test than for the BIL group (25%). Conclusions: BIL children had an increased risk of stuttering and a lower chance of recovery from stuttering than LE and MONO speakers. Bilingualism has been regarded as a risk factor for stuttering.1 2 However, there is little information about how a second language affects the chances of stuttering onset and of recovery. Consequently, a study was conducted on all referrals for stuttering for children first seen when they were between 8 and 10 years of age who attended clinics that specialized in the diagnosis and treatment of stuttering. Children who used a second language in the pre-school years either (a) exclusively (these learned English at school, termed LE) or (b) along with English in the home (bilingual from birth, termed BIL) were selected. The majority of the children were seen again when they were aged 12 plus. Prevalence rates of stuttering for LE and BIL children as compared with all referrals were examined to determine if a disproportionate number of speakers of a language other than English is referred to stuttering clinics. Checks were made to verify that the LE and BIL children were stuttering by c omparing age at stuttering onset and gender ratio for these speaker groups against monolingual speakers from a referral sample who stuttered (MONO). Early school performance of LE and BIL children who stuttered was compared with that of a MONO group and bilingual children who were fluent (the fluent bilingual group, termed FB). The patterns of onset and recovery in the LE, BIL and MONO groups were compared. METHODS Participants and sub-groups A total of 317 children who stuttered participated. They all (a) started school in the UK at age 4 or 5, (b) first presented at a clinic when aged between 8 and 10 years and (c) lived in the greater London area. Stuttering was confirmed by a specialist speech-language therapist at the clinic. Reported onset of stuttering usually occurs before age 6. The attendance at clinic 2 or more years later is partly due to the time needed to process children in the health system; these are secondary referrals to the specialist clinic and devolved budgets to local area health authorities can cause delay. Recordings were taken to estimate the percentage of stuttered syllables and to allow the stuttering severity instrument measure SSI-33 to be applied (see below for details of how SSI-3 was calculated). When each child was seen initially, all 317 caregivers were asked whether they used a language

Hamlet Essays (732 words) - Characters In Hamlet, Free Essays

Hamlet Essays (732 words) - Characters In Hamlet, Free Essays Hamlet Prince Hamlet devotes himself to avenging his father's death, but, because he is contemplative and thoughtful by nature, he delays, entering into a deep melancholy and even apparent madness. Claudius and Gertrude worry about the prince's erratic behavior and attempt to discover its cause. They employ a pair of Hamlet's friends, Rosencrantz and Guildenstern, to watch him. When Polonius, the pompous Lord Chamberlain, suggests that Hamlet may be mad with love for his daughter, Ophelia, Claudius agrees to spy on Hamlet in conversation with the girl. But though Hamlet certainly seems mad, he does not seem to love Ophelia: he orders her to enter a nunnery and declares that he wishes to ban marriages. A group of traveling actors comes to Elsinore, and Hamlet seizes upon an idea to test his uncle's guilt. He will have the players perform a scene closely resembling the sequence by which Hamlet imagines his uncle to have murdered his father, so that if Claudius is guilty, he will surely react. When the moment of the murder arrives in the theater, Claudius leaps up and leaves the room. Hamlet and Horatio agree that this proves his guilt. Hamlet goes to kill Claudius but finds him praying. Since he believes that killing Claudius while in prayer would send Claudius's soul to heaven, Hamlet considers that it would be an inadequate revenge and decides to wait. Claudius, now frightened of Hamlet's madness and fearing for his own safety, orders that Hamlet be sent to England at once. Hamlet goes to confront his mother, in whose bedchamber Polonius has hidden behind a tapestry. Hearing a noise from behind the tapestry, Hamlet believes the king is hiding there. He draws his sword and stabs through the fabric, killing Polonius. For this crime, he is immediately dispatched to England with Rosencrantz and Guildenstern. However, Claudius's plan for Hamlet includes more than banishment, as he has given Rosencrantz and Guildenstern sealed orders for the King of England demanding that Hamlet be put to death. In the aftermath of her father's death, Ophelia goes mad with grief and drowns in the river. Polonius's son, Laertes, who has been staying in France, returns to Denmark in a rage. Claudius convinces him that Hamlet is to blame for his father's and sister's deaths. When Horatio and the king receive letters from Hamlet indicating that the prince has returned to Denmark after pirates attacked his ship en route to England, Claudius concocts a plan to use Laertes' desire for revenge to secure Hamlet's death. Laertes will fence with Hamlet in innocent sport, but Claudius will poison Laertes' blade so that if he draws blood, Hamlet will die. As a backup plan, the king decides to poison a goblet, which he will give Hamlet to drink should Hamlet score the first or second hits of the match. Hamlet returns to the vicinity of Elsinore just as Ophelia's funeral is taking place. Stricken with grief, he attacks Laertes and declares that he had in fact always loved Ophelia. Back at the castle, he te lls Horatio that he believes one must be prepared to die, since death can come at any moment. A foolish courtier named Osric arrives on Claudius's orders to arrange the fencing match between Hamlet and Laertes. The sword-fighting begins. Hamlet scores the first hit, but declines to drink from the king's proffered goblet. Instead, Gertrude takes a drink from it and is swiftly killed by the poison. Laertes succeeds in wounding Hamlet, though Hamlet does not die of the poison immediately. First, Laertes is cut by his own sword's blade, and, after revealing to Hamlet that Claudius is responsible for the queen's death, he dies from the blade's poison. Hamlet then stabs Claudius through with the poisoned sword and forces him to drink down the rest of the poisoned wine. Claudius dies, and Hamlet dies immediately after achieving his revenge. At this moment, a Norwegian prince named Fortinbras, who has led an army to Denmark and attacked Poland earlier in the play, enters with ambassadors from England, who report that Rosencrantz and Guildenstern are dead. Fortinbras is stunned by the gruesome sight of the entire royal family lying sprawled on the floor dead. He moves