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Speech-language pathology is a field of expertise practiced by a clinician known as a speech-

language pathologist (SLP)[1] or a speech therapist. SLP is considered a "related health


profession" or "allied health profession" along with audiology, behavior
analysis, optometry, occupational therapy, rehabilitation psychology, physical therapy, and others.
SLPs specialize in the evaluation, diagnosis, and treatment of communication disorders (speech
disorders and language disorders), cognitive-communication disorders, voice disorders,
and swallowing disorders. SLPs also play an important role in the diagnosis and treatment of autism
spectrum disorder (often in a team with pediatricians and psychologists).
A common misconception is that speech-language pathology is restricted treatment of articulation
disorders (e.g. helping English speaking individuals enunciate the traditionally difficult "r") and/or the
treatment of individuals who stutter. In fact, speech-language pathology is concerned with a broad
scope of speech, language, swallowing, and voice issues involved in communication,[2] some of
which include:

 Word-finding and other semantic issues, either as a result of a specific language impairment
(SLI) such as a language delay or as a secondary characteristic of a more general issue such as
dementia.
 Social communication difficulties involving how people communicate or interact with others
(pragmatics).
 Language impairments, including difficulties creating sentences that are grammatical (syntax)
and modifying word meaning (morphology).
 Literacy impairments (reading and writing) related to the letter-to-sound relationship (phonics),
the word-to-meaning relationship (semantics), and understanding the ideas presented in a text
(reading comprehension).
 Voice difficulties, such as a raspy voice, a voice that is too soft, or other voice difficulties that
negatively impact a person's social or professional performance.
 Cognitive impairments (e.g., attention, memory, executive function) to the extent that they
interfere with communication.
The components of speech production include:

 phonation (producing sound)


 resonance
 fluency
 Intonation
 Pitch variance;
 Voice (including aeromechanical components of respiration)
The components of language include:

 Phonology (manipulating sound according to the rules of a language);


 Morphology (understanding components of words and how they can modify meaning);
 Syntax (constructing sentences according to the grammatical rules of a target language);
 Semantics (interpreting signs or symbols of communication such as words or signs to construct
meaning);
 Pragmatics (social aspects of communication).[3]
Primary pediatric speech and language disorders include: receptive and expressive language
disorders, speech sound disorders, childhood apraxia of speech (CAS), stuttering, and language-
based learning disabilities.[4] Speech pathologist not only work with adolescents with speech and
language impediments, but also those that are elderly.[5]
Swallowing disorders include difficulties in any system of the swallowing process (i.e. oral,
pharyngeal, esophageal), as well as functional dysphagia and feeding disorders. Swallowing
disorders can occur at any age and can stem from multiple causes.[6]

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