By Christine Temple
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No loss of language skills was reported but progress had become very slow. Speech was at the level of labelling with single words. In terms of general development, there was normal ability in some areas. Gross and fine motor skills were good. He was able to run, jump, and coordinate a tricycle. Vision and hearing were normal. Phobias of loud noises such as the vacuum cleaner were evident, although he did not turn away from speech. Other phobias included the sea which he had previously loved, and going out to play.
There was some use of gesture and an attempt was made to introduce Makarton signing but with little evident effect. Temper tantrums had stopped although there continued to be mood fluctuations. There was also an increase of odd behaviours and head jerking, considered by the clinical psychologist to be displacement activities rather than seizure activity. He enjoyed jigsaws and repeatedly placing things into containers and taking them out again. At the age of 5;1, MD had a productive vocabulary of words, some with clear articulation and some as phonemic approximations.
1 The language system. impairment which may have a selective effect upon auditory perception. Developmental disorders of phonological discrimination have also been discussed by Bird and Bishop (1992) and Tallal et al. (1980) and the hypothesised impact of such disorders upon grammatical understanding is articulated by Leonard (1989). Cases of developmental auditory agnosia are found in the Landau-Kleffner syndrome (Landau & Kleffner, 1957). In this syndrome it is believed that auditory perception is normal but that the speech sounds are no longer associated with the relevant meaning which provides the semantic content.
Developmental Cognitive Neuropsychology by Christine Temple