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The ability to communicate using speech is one of the most effortless, taken-for-granted human faculties. Its importance, however, becomes readily apparent when an individual fails to acquire the skill, loses the skill, or cannot use it effectively. Hearing and speech are inextricably connected: Development of language and speech depends on the exposure to spoken language during the early years of life. The range of speech communication disorders that arise during a lifespan are many, and they fall in the province of the field of speech-language pathology and audiology. Speech communication is the major focus of these fields. However, speech-language pathologists also give due importance to other modalities of expression—writing and signing—in their work.

Speech communication can be viewed as transmission of a message from a speaker to a listener. The linguistic encoding and transmission of a message by a speaker is a complex process; the reception and recovery of the message by a listener is an equally complex process. The field of communication sciences (speech and hearing sciences) provides empirical and theoretical underpinnings for the field of communication disorders. These fields are truly interdisciplinary in nature, drawing on wide-ranging fields in the physical, biological, and psychosocial sciences. Speech-language pathologists (SLPs) and audiologists diagnose and treat (manage) a variety of speech communication disorders in multiple settings, such as hospitals, schools, and nursing homes. To get a brief introduction to a sample of communication disorders that a certified SLP and audiologist is called upon to diagnose and treat (manage), the communication process must be considered in some detail.

Speech Production Process

Generally, three stages in the central brain processes are posited prior to production of speech. Each stage can be conceived of as a neural activation pattern that evolves and morphs at a fast pace into a pattern associated with the succeeding stage. The foregoing description suggests that the stages are organized serially, that is, processing in one stage is completed before the processing in the succeeding stage begins. However, there is evidence to suggest that processes in the stages and within each stage are part serial and part parallel. Thus, for example, fitting words in proper grammatical slots in a sentence does not occur one word at a time from beginning to the end but in parallel. This view is supported by a variety of slips of tongue data (e.g., Intended: The map is in the car.Produced: The car is in the map).

The first stage is thought processes leading to message formulation. Thought is language-neutral and, by symbolically representing thought using the vehicle of language, the message is made available to the conscious mind. This prelinguistic stage is generally conceived to be beyond the purview of communication sciences.

In the second stage, the message undergoes linguistic formulation. Linguistic formulation involves multiple processes such as selection of language to be used (if a speaker knows more than one language and the listener is equally competent in that language), the retrieval of words from the lexicon—long-term storage—to be fitted in a preselected sentence structure (syntactic frame) that specifies the linear order of parts of speech (grammatical categories) and phonological structure (i.e., how the sentence will sound).

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