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Neurodevelopmental Disorders. Changes in the Theoretical and Diagnostic Approach

100%
Jastrzębowska G.
Logopedia
|
2019
|
vol. 48 EN
|
issue 1
5-21
EN
For the sake of diagnosis and therapy, there were created medical typologies of worldwide range, among which the most recognized and commonly used are ICD (International Statistical Classification of Diseases and Related Health Problems) and DSM (Diagnostic and Statistical Manual of Mental Disorders) of which new editions are the subject of interest to the authors. This article points out the global trends and directions of changes that occur throughout the area of terminology and categorization of mental development disorders (neurodevelopmental) and associated with them Developmental Language Disorders (DLD). The work presents and refers to the proposals of changes, which are planned by WHO in the latest, eleventh edition of international classification of diseases and mental disorders ICD, that will be in force in Poland from 1 January 2022. There is also made an attempt to show how the terminology has been changing over the past 25 years and what changes are currently being made in this field; how the development of knowledge and social awareness impacted the revision of the theoretical approach and nomenclature. It was possible by the detailed analysis of the older and new editions of abovementioned ICD and DSM typologies, that is: DSM-IV from 1994 and 2000, DSM-5 (from 2013), ICD-10 (released in 1996) and ICD-11 (from 2019). In the table placed in the final part of the article (which is modified version of the table published by Jastrzębowska in 1999, supplemented with new changes proposed by WHO and the American Association of Psychiatrists) it is indicated how the theoretical approach has evolved in relation to mental disorders and behaviour, and as a consequence, how the names of speech and language development disorders created on this background have changed. This table compares the native terminology with the one that is currently in force in ICD-10, DSM-IV and DSM-5, and it refers to the names of categories and clinical units distinguished in the new, eleventh edition of ICD. In order to make comparison and accurately evaluate the described phenomena, this collation has been complemented with a detailed description of diagnostic criteria proposed in ICD-11 and DSM-5.
2
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Zaburzenia neurorozwojowe. Zmiany w podejściu teoretycznym i diagnostycznym

100%
Jastrzębowska G.
Logopedia
|
2019
|
vol. 48
|
issue 1
27-45
PL
Na potrzeby diagnozy i terapii powstały typologie medyczne o zasięgu ogólnoświatowym. Do najbardziej znanych i powszechnie stosowanych zalicza się ICD (ang. International Statistical Classification of Diseases and Related Health Problems) – Międzynarodową Statystyczną Klasyfikację Chorób i Problemów Zdrowotnych ICD oraz DSM (ang. Diagnostic and Statistical Manual of Mental Disorders) – Klasyfikację Zaburzeń Psychicznych DSM, których nowe edycje stanowią przedmiot zainteresowań autorek. W artykule wskazano światowe trendy i kierunki zmian, jakie się dokonują w obszarze terminologii i kategoryzowania zaburzeń rozwoju psychicznego (neurorozwojowych) i związanych z nimi rozwojowych zaburzeń języka (Developmental Language Disorders – DLD). Przedstawiono tu i odniesiono się do propozycji zmian, jakie WHO planuje w najnowszej, 11. edycji międzynarodowej klasyfikacji chorób i zaburzeń psychicznych ICD, która w Polsce zacznie obowiązywać od 1 stycznia 2022 roku. Podjęto też próbę ukazania, jak na przestrzeni 25 lat zmieniała się terminologia i jakie zmiany na tym polu obecnie się dokonują; jak rozwój wiedzy i świadomości społecznej wpływał na rewizję podejścia teoretycznego i nazewnictwa. Umożliwiły to szczegółowa analiza starszych i nowych edycji wzmiankowanych typologii ICD i DSM, tj.: DSM-IV (z 1994 i 2000 roku), DSM-5 (z roku 2013) oraz ICD-10 (rok wydania 1996) i ICD-11 (z 2019 roku). W tabeli zmieszczonej w końcowej części artykułu (zmodyfikowana wersja tabeli autorstwa G. Jastrzębowskiej z 1999 roku, uzupełniona o nowe propozycje zmian WHO i Amerykańskiego Stowarzyszenia Psychiatrów) zaprezentowano, jak ewoluowało podejście teoretyczne w odniesieniu do zaburzeń psychicznych i zachowania i, w konsekwencji, jak zmieniały się nazwy powstających na tym tle zaburzeń rozwoju mowy i języka. W tabeli tej zestawiono rodzimą terminologię z aktualnie obowiązującą w ICD-10 oraz DSM-IV, DSM-5 i odniesiono ją do nazw kategorii oraz jednostek klinicznych, wyróżnionych w nowej, 11. edycji ICD. W celu porównania i właściwej oceny opisywanych zjawisk zestawienie to zostało uzupełnione o szczegółowy opis kryteriów diagnostycznych proponowanych w ICD-11 i DSM-5.
EN
For the sake of diagnosis and therapy, there were created medical typologies of worldwide range, among which the most recognized and commonly used are ICD (International Statistical Classification of Diseases and Related Health Problems) and DSM (Diagnostic and Statistical Manual of Mental Disorders) whose new editions are of interest to the authors. This article points out the global trends and directions of changes that occur throughout the area of terminology and categorization of mental development disorders (neurodevelopmental) and associated with them Developmental Language Disorders (DLD). The work presents and refers to the proposals of changes, which are planned by WHO in the latest, eleventh edition of international classification of diseases and mental disorders ICD, that will be in force in Poland from the first of January 2022. There is also made an attempt to show how the terminology has been changing over the past 25 years and what changes are currently being made in this field; how the development of knowledge and social awareness impacted the revision of the theoretical approach and nomenclature. It was possible by the detailed analysis of the older and new editions of abovementioned ICD and DSM typologies, that is: DSM-IV from 1994 and 2000, DSM-5 (from 2013), ICD-10 (released in 1996) and ICD-11 (from 2019). The table placed in the final part of the article (which is a modified version of the table published by G. Jastrzębowska in 1999, supplemented with new changes proposed by WHO and the American Association of Psychiatrists) indicates how the theoretical approach has evolved in relation to mental disorders and behaviour, and as a consequence, how the names of speech and language development disorders created on this background have changed. This table compares the native terminology with the one that is currently in force in ICD-10 and DSM-IV, DSM-5, and it refers to the names of categories and clinical units distinguished in the new, eleventh edition of ICD. In order to make comparison and accurately evaluate the described phenomena, this collation has been complemented with a detailed description of diagnostic criteria proposed in ICD-11 and DSM-5.
3
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Opóźnienie rozwoju języka a ryzyko dysleksji rozwojowej

100%
Jastrzębowska G.
Logopedia Silesiana
|
2013
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issue Logoepdia Silesiana nr 2
51-59
EN
The author’s research focuses on specific speech and language disorders. Then, she pays attention to main difficulties and reasons of this phenomenon as well as relation between any developmental disorders, in particular developmental dyslexia. The main aim of the article is to show the research results in the area of dependency between developmental dyslexia and a low level of language abilities. The author answers two main questions. First of all, she wants to find an answer if each child with speech disorder is endangered with developmental dyslexia, and then, if a speed of speech development among all children with mental deficit belonging to a dyslexia risk group is shown. The results of the conducted research show the existing relation between children with speech disorder and a speed of language development. What is more, the author presents a closer correlation between slower language acquisition and dyslexia than in the opposite direction. In the case of the second group of children it is claimed that those children who are endangered by dyslexia had some problems with language acquisition in the past.
4
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The Course of Speech Development in Children with SLI-PE and LB. A Comparative Analysis

51%
Jastrzębowska G., Jastrzębowska-Tyczkowska A., Woś A., Stanek K.
Logopedia
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2017
|
vol. 46 EN
27-46
EN
This article presents the section of widespread research devoted to children with a severe delay in speech development; the delay which cannot be linked to any reachable etiological factors – as in case of late bloomers (LB) or children with specific language impairment (SLI). Making an accurate diagnosis, namely distinguishing late bloomers from late talkers before reaching the age of three is currently impossible because of the lack of research reports on LB. Late blooming is the borderline phenomenon of developmental norm, thus it is not in the subject of clinicians’ interest. However, after careful familiarising with the history of research on SLI and numerous reservations about its methodology – our attention was concentrated on late bloomers as a group that is much closer, in terms of development profile (not only linguistic), to SLI-PE (expressive form of this disorder) than younger, properly developing children, who constitute the main comparative group at most research carried out in the world. The study of detailed developmental profile of late bloomers and children with SLI may contribute to the refinement of methods and research tools which are at our disposal and to earlier diagnosis of SLI in the future.
5
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Przebieg rozwoju mowy u dzieci z SLI-PE i LB – analiza porównawcza

51%
Jastrzębowska G., Jastrzębowska-Tyczkowska A., Woś A., Stanek K.
Logopedia
|
2017
|
vol. 46
53-72
PL
W niniejszym artykule prezentujemy fragment szeroko zakrojonych badań poświęconych problematyce dzieci z poważnym opóźnieniem w rozwoju mowy; opóźnieniem, którego nie można wiązać z żadnym uchwytnym czynnikiem etiologicznym (jak w wypadku dzieci z późnym rozkwitem mowy LB – ang. late bloomers, czy dzieci ze specyficznym zaburzeniem językowym – SLI, ang. specific language impairment). Postawienie trafnej diagnozy przed ukończeniem 3. r.ż. dziecka, tj odróżnienie zjawiska late bloomers od late talkers, czyli dzieci później rozkwitających pod względem językowym od później mówiących jest obecnie niemożliwe ze względu na brak doniesień z badań poświęconych dzieciom z LB i analiz porównawczych. Późniejszy rozkwit mowy to zjawisko z pogranicza normy rozwojowej, dlatego nie stanowi ono przedmiotu zainteresowań klinicystów. Jednak po uważnym zapoznaniu się z historią badań nad SLI i licznymi zastrzeżeniami dotyczącymi ich metodologii – naszą uwagę skupiły dzieci z LB, jako znacznie bardziej zbliżone pod względem profilu rozwoju (nie tylko językowego) do SLI-PE (postać ekspresywna tego zaburzenia) niż młodsze, prawidłowo rozwijające się dzieci, które w większości badań prowadzonych na świecie stanowią główną grupę porównawczą dla SLI. Opracowanie szczegółowego profilu rozwojowego dzieci z SLI i LB może przyczynić się do udoskonalenia metod i narzędzi, jakimi dysponujemy i będziemy dysponować w przyszłości dla wcześniejszego rozpoznawania SLI.
EN
This article presents the section of widespread research devoted to children with a severe delay in speech development; the delay which cannot be linked to any reachable etiological factors – as in case of late bloomers (LB) or children with specific language impairment (SLI). Making an accurate diagnosis, namely distinguishing late bloomers from late talkers before reaching the age of three, is currently impossible because of the lack of research reports on LB. Late blooming is the borderline phenomenon of developmental norm, thus, it is not in the subject of clinicians’ interest. However, after careful familiarising with the history of research on SLI and numerous reservations about its methodology – our attention was concentrated on late bloomers as a group that is much closer, in terms of development profile (not only linguistic), to SLI-PE (expressive form of this disorder) than younger, properly developing children, who constitute the main comparative group at most research carried out in the world. The study of detailed developmental profile of late bloomers and children with SLI may contribute to the refinement of methods and research tools which are at our disposal and to earlier diagnosis of SLI in the future.
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