The evidence base is too small and weak to provide clear guidance to speech-language pathologists faced with treating children with diagnosed APD, but some cautious skepticism is warranted until the record of evidence is more complete. Clinicians who decide to use auditory interventions should be aware of the limitations in the evidence and take special care to monitor the spoken and written language status of their young clients.

Auditory discrimination abilities of children with and without attention deficits were investigated to measure the variability due to different response modes (verbal [NU-6] and picture pointing [GFW]) and competing messages (GFW). Results showed no differences between response modes in quiet, but significant differences in noise between groups with children having ADD showing poorer speech discrimination. Additionally, differential effects between types of competing messages for the same task were not found in the ADD group. These results are discussed in relation to the clinical use of these tests, the relationships seen between results, and implications for educational management.

No abstract

Twenty-eight children identified with attention deficits and a comparison group of children without ADD were asked to judge the loudness of speech as comfortable (MCL) or tolerable (TL). Results indicated that children with attention deficits required a softer level to make both of these loudness judgements. Children with ADD had statistically significant differences in their choices of comfort levels (MCL = 51 dBHL) and choices of tolerance levels (TL = 95 dBHL) from their peers without ADD (MCL = 59 dBHL, TL = 100 dBHL). These findings are viewed in relation to perceptual differences between children with and without ADD. Additionally, implications for classroom management are discussed.

Four-year-old male and female children from low and middle socio-economic class (SEC) were presented a dichotic syllable task. Both low and middle SEC males evidenced significant right-ear advantages. Neither low nor middle SEC females evidenced a significant right-ear advantage. The similar ear advantage in the low and middle SEC populations replicates a previous study with six-year-olds and suggests that the variations in rearing conditions which occur in low and middle SEC classes does not affect hemispheric lateralization for speech perception.