Diagnosis and Evaluation in Speech Pathology: Pearson New International Edition

William O. Haynes / Rebekah H. Pindzola  
Total pages
November 2013
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Diagnosis and Evaluation in Speech Pathology: Pearson New International Edition
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For students taking courses in speech pathology assessment and diagnosis or clinicians wishing to keep up to date on their constantly evolving field.  


A popular, practical, and comprehensive text that approaches the diagnosis and evaluation of speech and language with a special focus on the relationship between clinician and client. Diagnosis and Evaluation in Speech Pathology provides readers with a practical process approach to the diagnosis and evaluation of speech and language disorders. Equally helpful to students in training and practicing clinicians alike, this engaging resource develops a rationale for each type of assessment, including both standardized and non-standardized approaches. Each chapter highlights the most updated literature, clinical procedures and technological advances, while emphasizing diagnosis as an initial step in defining a communication disorder and  while focusing on evaluation as an ongoing assessment process to monitor progress on treatment goals. Organized by communication disorder, this text makes for a vital reference, while case examples and real-world vignettes help readers best understand clinical skills with interviewing, report writing, and multicultural issues in assessment. 



  • Introduces diagnosis and evaluation as a process conducted in the context of an interpersonal relationship between clinician and client.
  • Emphasis on diagnosis as an initial step in defining a communication disorder and evaluation as an ongoing assessment process to monitor progress on treatment goals.
  • Contains case examples that illustrate the concepts covered in the text and allows students to apply ideas in a real-world context.
  • Highlights the most updated and current literature, clinical procedures and technological advances in each chapter.
  • Provides resources that direct clinicians to additional information outside of the text.
  • Infuses non-standardized testing issues into every chapter.

New to this Edition

New To This Edition:


·   Expanded material on the concept of interviewing (Chapter 2) includes information on ethnographic interviewing and curriculum-based assessment which fosters sharper and on-going clinical interaction skills in readers.


·   Expanded content on child language assessment and language disorders (Chapters 4&5) develops readers’ insights into child language and literacy, the most widespread communication disorder.


·   Added material discusses how to use assessment measures to monitor treatment progress, making the reader more aware of probe techniques, reevaluation resources, and continuous assessment as an integral part of the intervention process.


·   New resources to assess quality of life in adult clients allow the reader to become more in tune with how communication disorders impact the lives of clients and gives them assessment tools for disorders of voice, resonance, aphasia/dementia, and fluency.


·   New information on adult and childhood apraxia of speech (Chapter 9) helps the reader develop a contemporary understanding of a disorder of increasing prevalence and perplexity, as well as an evolving appreciation of adolescent and adult motor speech disorders caused as a result of traumatic brain injury and stroke.


·   Major content and organizational changes to the chapter on fluency disorders (Chapter 7) provide the reader with a contemporary insight into developmental stuttering and other forms of disfluency, along with  the ability to assess and design intervention through analysis of fluent behaviors, speech naturalness, emotional aspects, and life impact.


·   Completely updated references offer the reader a discussion of new research and findings in all topic areas included in the text.


·   New and revised figures and tables are incorporated throughout the text to make material more accessible and easier to retrieve.

Table of Contents



Chapter 1: Introduction to Diagnosis and Evaluation: Philosopihcal Issues and General Guidelines


Diagnosis and Evaluation Defined

Broadening the Notion of Assessment

Illustrating the Importance of Measurement in Current Trends

The Importance of Functional Measurements: The World Health Organization, U.S. Department of Education, and ASHA

Diagnosis to Determine the Reality of the Problem

Diagnosis to Determine the Etiology of the Problem

Diagnosis to Provide Clinical Focus

Diagnosis: Science and Art

Diagnosis Versus Eligibility

The Diagnostician as a Factor

The Client-Clinician Relationship

The Client as a Factor: Children, Adolescents, and Adults

Putting the Diagnosis to Work

Precepts Regarding the Clinical Examination


Chapter 2: Interviewing

The Importance of Interviewing

The Nature of Interviewing

Common Interviewing Considerations

An Approach to Interviewing

Using Interviewing Skills Beyond the Diagnostic Evaluation

Improving Interviewing Skills


Chapter 3: Psychometric Considerations in Dianosis and Evaluation

Common Types of Tests

Validity: The Foundation of the Test or Measure


Some Quantitative Background for Test Interpretation

Central Tendency, Variation, and the Normal Curve

Sensitivity and Specificity: Key Concepts in Evidence-Based Practice

Criteria for Evaluatin Standardized Tests

Common Errors in the Use of Norm-Referenced Tests



Chapter 4: Assessment of Children with Limited Language

The Process of Becoming a Communicator: Getting the "Big Picture"

Focusing on the Child's Language Level: Nonverbal, Single-Word, and Early Multiword Communicators

Considering Etiology

Why is Early Language Assessment so Difficult?

Models to Consider in Language Assessment

Theoretical Considerations in Language Assessment

Assessment that Focuses on Early Communication and Variables that Predict Language Growth

Specific Assessment Areas: Procedures, Considerations, and Directions for Further Study

Concluding Remarks


Chapter 5: Assessment of School-Age and Adolescent Language Disorders

Use of Standardized Tests with Syntx-Level Children

Nonstandardized Testing

Language Sampling: A General Look at the Process

Later Language Development: Emerging Data

Testing Language Comprehension

Assessment of Syntax Using Analysis Packages

Assessment of Conversational Pragmatics

Issues of Memory and Processing Load

Evaluating LIteracy and School Curriculum



Chapter 6: Assessment of Speech Sound Disorders

Multiple Components Contributing to Sound Production

Seven Important Knowledge Areas for Evaluation of Articulation and Phonological Disorders

Overview of the Articulation/Phonology Assessment Process

Screening for Speech Sound Disorders

Traditional Assessment Procedures

Test Procedures that Evaluate Phonetic Context Effects

Assessment of Speech Sounds in Early Intervention

The Phonetic and Phonemic Inventories

Distinctive Feature Analysis

Phonological Analysis

Assessment of Phonological Knowledge

Other Testing

Integrating Data from the Assessment

Severity and Intelligibility

Computer-Assisted Analysis of Phonology

Long-Term Impact of Phonological Disorders


Chapter 7: Disorders of Fluency

Differential Diagnosis

The Appraisal of Stuttering

Evaluation at the Onset of Stuttering

Evaluation of the School-Aged Student

Assessment of the Adult Who Stutters


Chapter 8: Assessment of Aphasia and Adult Language Disorders

The Nature of Aphasia

Case History

Diagnosis and Formal Testing

The Art of the Informal Assessment

Summing up the Findings


Chapter 9: Motor Speech Disorders, Dysphagia, and the Oral Exam

The Oral Peripheral Examination

Apraxia of Speech in Adults

Childhood Apraxia of Speech

The Adult Dysarthrias

Cerebral Palsies and Dysarthria in Children




Chapter 10: Laryngeal and Alaryngeal Voice Disorders

The Nature of Vocal Disturbances

The Diagnostic Process

Perceptual, Acoustic, and Aerodynamic Assessment

Feature Assessment

visual Assessment

Informal Assessment Probes

Conclusion to Vocal (Laryngeal) Disorders

Assessment of the Laryngectomee

The counseling Process

Background and Current Status Information

Early Speech Attempts with a Tracheoesophageal Prosthesis

Ongoing Assessments: A Dynamic Process



Chapter 11: Assessment of Resonance Imbalance

Categories of Abnormal Resonance

Case History and General Voice Assessment

Assessment Techniques and Probes for Resonance Imbalance

Assessment Associated with Cleft Palate

Self-Esteem and Daily Impact

Prognosis Associated with Resonance Imbalance



Chapter 12: Multicultural Issues in Assessment

Population and Professional Trends

Cultural Differences in Perceptions of Disability and Communications

Interviewing and Counseling Issues

Cultural Differences in Incidence and Prevalence of Disorders

Language Assessment: The Most Problematic Area

Nonstandardized Approaches in Multicultural Assessment

Concluding Remarks


Chapter 13: The Diagnostic Report




The Writing Process




Appendix A

Early Child Language Assessment Interview Protocol

Appendix B

Coding Sheet for Early Multiword Analysis

Appendix C

Summary Sheet for Early Multiword Analysis

Appendix D

Data Consolidation in Limited Language Evaluations

Appendix E

Diagnostic and Procedural Codes