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@ 1992 Association for Child Psychology and Psychiatry 
J Child Psychol Psychial Vol. 33, No. I, pp. 3-66, 1992 
Prioted in Great Britain 
D V. M. Bishop 
Introduction 
Specific language impairment is diagnosed where there is a failure of normal language 
development that cannot be explained in terms of mental or physical handicap, hearing 
loss, emotional disorder or environmental deprivation. In the past, "developmental 
dysphasia" or "developmental aphasia" were widely used to refer to this condition, 
but these terms have fallen into disfavour in the U.K. and U.S.A., largely because 
they misleadingly imply that we are dealing with a single condition with a known 
neurological basis. These me<;iical terms are, however, still popular in continental 
Europe, and among some paediatric neurologists inEnglish-sp~aking countries (e.g. 
Rapin, 1987). Most specialists in the U.K. and U.S.A. prefer the more neutral terms 
"developmental language disorder", or "specific language impairment" (SLI), and 
it is the latter that will be adopted here. 
Much of the extensive literature on SLI is concerned with documenting the 
difficulties experienced by these children with different aspects of language. A smaller 
body of work has concentrated on formulating psychological models that explain SLI 
in terms of impairment in a particular aspect of cognitive processing. This paper aims 
to bring together these approaches and to assess how far specific linguistic deficits 
can be explained in terms of particular cognitive impairments. Each of the following 
hypotheses will be reviewed and evaluated in turn. 
Hypothesis 1. Underlying linguistic competence is intact, but there is an impairment 
in the processes that are involved in converting this underlying knowledge into a speech 
signal, i.e. the problem is an output disorder. 
Hypothesis 2. SLI results from impairment of auditory perception, which influences 
the course of language acquisition. 
Keywords: Language impairment, child cognition, linguistics 
Acceptedm anuscript received5 July 1991 
Requestsjroerp rintsto : Dr Dorothy Bishop,M RC Applied PsychologyU nit, 15 ChaucerR oad, Cambridge 
CB2 2EF, U.K. 
'J,
4 D. V. M. Bishop 
Hypothesis3 . There is an isolated impairment of the specializedli nguistic mechanisms 
that have evolved to handle language processing. 
Hypothes,s4 . There is a generalized deficit in conceptuadl evelopmentht at affects, but 
is not restricted to, language processing. 
Hypothesis5 . Learning strategiesa re abnormal, with a failure to apply appropriate 
hypothesis-testing procedures. 
Hypothesis6 . The problem is not with handling particular types of mental operation, 
but rather arises becauseo f limitations in the speeda nd capaciryo j thei nformation-processing 
system. 
The paper will conclude by considering some general principles for future research 
that are suggested by this review. 
1. Language Impairment as Output Disorder 
Information-processing accounts for cognitive functions draw a distinction between 
mental representationosf information, and the cognitive operationsth at are involved in 
transforming information from one representation to another. 
Associated with any language stimulus will be a range of different representations. 
A spoken utterance impinging on the ear is initially encoded in the auditory system 
in terms of the acoustic characteristics of the stimulus. This representation must then 
be converted into a more abstract representation in terms of a seq~ence of speech 
sounds. This will not contain information about superficial acoustic details, such as 
those characteristics specific to a particular speaker: the sound /b/ will be treated the 
same irrespective of incidental features such as pitch or presence of background noise. 
Familiar sequences of sounds are then matched against existing lexical representations 
which are maintained in a long-term store. If we hear an unfamiliar word then no 
lexical representation will be activated. A representation of the abstract grammatical 
structure of the utterance will be derived from an analysis of the pattern of content 
words and grammatical morphemes, and this information will be combined with 
knowledge of meaning of lexical items to derive a representation of the propositional 
content of the utterance. 
A similar hierachy of levels of representation is implicated in the process of speech 
production which starts with a representation of the meaning of the intended message, 
and ends with a specification of motor commands to the articulators. The process 
of producing meaningful speech involves generating representations of the grammatical 
structure needed to convey the relations expressed in the message, accessing appropriate 
lexical representations that specify the sequence of speech sounds corresponding to 
words with relevant meanings, and computing the articulatory correlates of a particular 
sequence of sounds and the motor movements necessary to produce these. 
If we adopt this kind of model, we are led naturally to the question of where in 
the language processing chain the deficit of SLI children is located. For instance, 
when a child produces a grammatically simplified utterance, is this because the 
underlying representation of grammatical structure is inadequate, or is the problem 
somewhere in the chain of processes that are involved in converting an abstract 
grammatical representation into speech output? Note that an output disorder is distinct
Specific language impairment 5 
from a peripheral impairment of motor control. The distinction may be clarified by 
drawing an analogy with the situation where a person is asked to draw a bicycle and 
ends up producing a woefully inadequate picture (as many adults do). Logically, one 
can see that the poor drawing could indicate that the person had only a vague idea 
of what a bicycle looked like (a disorder of a central representation), or it could be 
that they had a perfect mental image of a bicycle, but lacked the ability to transform 
this image into appropriate motor movements. This would correspond to an output 
disorder. Contrast this with the person who is unable to execute a drawing because 
of some peripheral problem such as paralysis or tremor. 
Early accounts of SLI did not use this conceptual framework, but they implied 
that many expressive language problems could be regarded as output disorders. Most 
children were thought to have an "expressive" form of "developmental aphasia", 
where the difficulties were not explicable in terms of peripheral motor problems (e.g. 
dysarthria), nor in terms of defective understanding. This view ofSLI may be evaluated 
with regard to the different components of language that are affected. 
Output explanations of abnormal speech 
Virtually all children with SLI have some abnormality of speech production (Haynes 
& Naidoo, 1991) and any theory of the disorder should be able to account for this. 
In some children, problems with speech sound production are the only obvious 
signs of disorder. Traditionally, such cases were diagnosed as "functional articulation 
disorders", and treated as quite distinct from more pervasive language disorders. 
However, there is some evidence that this might be a false dichotomy, and that 
disorders restricted to speech output are on a continuum with more severe conditions 
where a wider range of language functions is affected. Evidence for continuity is of 
two kinds. First, many children whose problems appear confined to speech sound 
production do prove to have more widespread impairments when standardized 
language tests are administered (Shriner, Holloway & Daniloff, 1969; Whitacre, 
Luper & Pollio, 1970; Marquardt & Saxman, 1972; Saxman & Miller, 1973). Second, 
if children are followed over time, the picture often changes from a child having general 
difficulties with grammar and speech production, to one with isolated speech problems 
(Bishop & Edmundson, 1987a; Scarborough & Dobrich, 1990). 
The term "functional articulation disorder" implies that control of the articulatory 
apparatus is defective either because of poor motor skills or inadequate oral sensory 
feedback. However, in recent years, the emphasis has moved from articulatory 
processes to consider other explanations of speech problems. 
In terms of the framework introduced here, an output explanation of' 'functional 
articulation disorders" maintains that the child has an adequate representation of 
the phonological system of the language, and normal control of the articulatory 
apparatus. What is lacking is the ability to convert an abstract phonological 
representation into a set of motor commands to the articulators. Before we can evaluate 
this hypothesis, we must consider alternative explanations. 
One view, that will be considered in greater detail below, maintains that the 
underlying problem affects input rather than output processes: abnormal speech is 
seen as a secondary consequence of inadequate auditory perception. If children do
6 D. V. M. Bishop 
not distinguish between two sounds perceptually, then it would be expected that they 
could not learn to produce them distinctively. 
Another possibility is that input processes are unimpaired, but the child fails to 
develop a normal representation of the phonological system of the native language. 
The problem is in abstracting the underlying structure from speech input. Those 
without training in linguistics tend to assume that language contains a finite number 
of speech sounds and the child's task is to learn the articulatory configuration 
corresponding to each sound. This is not so. Languages vary in the ways in which 
they partition the domain of possible speech sounds into sets that contrast differences 
in meaning. The task confronting the child is not just leaming how to articulate sounds, 
but also discovering which sounds signal a change in meaning and which do not. 
For instance, French distinguishes the vowel sounds in the words "doux" and 'du", 
whereas English does not (both sound like renderings of English "do"). Conversely, 
English contrasts the initial consonant in "then" and "zen", whereas French does 
not. English speakers of French frequently make errors on the doux/du contrast, 
whereas French speakers of English confuse then/zen; not because of any inherent 
perceptual or articulatory limitations, but because they do not have an adequate 
knowledge of the phonological system of the language. It is possible that children 
with SLI have a similar difficulty; they fail to learn which sounds are contrastive 
in their language. This will be termed the learning hypothesis. 
We can see, then, that output explanations for speech disorders in SLI are not 
the only possible account: the problem could arise from auditory perceptual deficits, 
or it might reflect difficulty in learning how to partition the universe of possible speech 
sounds into a set of phonemes that can signal contrasts in meaning. Let us consider 
what types of evidence may be used to choose between these competing hypotheses. 
Circumstantial evidencefr om associatedm otor deficits. One line of evidence comes 
from studies investigating other areas of motor function in children with SLI. Few 
children with SLI have hard neurological signs, but several studies have found that 
they are often immature on tests of motor skill (Stark & Tallal, 1981; Bishop & 
Edmundson, 1987b; Robinson, 1987). While this evidence is only correlational, it 
does give credence to the notion that speech difficulties may be but one indication 
of general difficulties in programming coordinated sequences of motor movements. 
Analysiso f speeche rrors.A seconda pproacht o distinguishing explanationso f speech 
difficulties involves analysing the errors themselves. The traditional approach was 
to classify" articulation errors" in terms of substitutions and omissions of particular 
sounds. The involvement of linguists in the study of language impairments led to 
radical changes in how abnormalities of speech production were assessed and 
conceptualized. Grunwell (1982) noted that traditional error analysis failed to 
distinguish between phonetic deviations and phonological disorders. A speech disorder 
is appropriately described as a phonetic deviation when the child marks all the contrasts 
that are used to signal differences in meaning in the adult system, but production 
of particular sounds is distorted. A common example is where /r/ is produced as a
Specific language impairment 7 
labiodental approximant lpJ (so that it sounds intermediate between a normal Irl and 
Iw/). Although one perceives such speech as abnormal, the production of Irl and Iwl 
is clearly contrasted, so that "ride" and "wide" are produced differently. In such 
cases, the underlying phonological system is intact: the abnormality is in how 
articulatory correlates of specific sounds are represented. One might wonder whether 
the distorted production of particular sounds could be a consequence of distorted 
perception: however, this seems implausible because any perceptual impairment should 
apply when monitoring one's own speech output as well as when listening to the speech 
of others, so should not result in a mismatch between perception and production. 
(One is reminded of the claim that Modigliani's elongated figures may be attributed 
to astigmatism. The fallacy is apparent when one considers how Modigliani's figures 
would appear to the artist: if normal figures look elongated to him then his own 
elongated drawings should appear even more abnormal). 
Although there is a lack of systematic data on this point, most children with SLI 
appear to have difficulties that go beyond phonetic distortions, in that they do not 
make all the contrasts between phonemes that are required by the adult system and 
so, for instance, many not distinguish Idl and Ig/. In such cases all three of the 
hypotheses considered above are plausible: the difficulty could be in perceiving the 
distinction between the speech sounds, in learning which sounds are distinctive in 
the language, or in motor output process. Leonard (1982) found close similarities 
between phon910gical errors of SLI children and those seen in normal development. 
Analyses of the phonological production of normal young children indicates that their 
errors are systematic in two respects. First, they involve entire classes of speech sounds. 
To take a common example, if the child tends to produce "cat" as "tat", "goat" 
as "doat" and "sing" as "sin" we may account for all these changes by specifying 
that velar sounds are produced at the alveolar place of articulation. Second, many 
changes operate in one direction only: e.g. "k" is produced as "t", but not vice 
versa. Stampe (1969), who was interested in explaining patterns of phonological 
development across different languages, termed these systematic patterns "phonological 
processes" and argued that they operated to simplify speech output by merging 
contrastive pairs of phonemes to the more easily articulated form. This, then, is an 
output explanation of phonological errors which assumes that the child's lexical 
repr~sentations of the phonological forms of words are accurate, but simplification 
occurs at the articulatory stage. Stampe's account is attractive because it can explain 
certain of the characteristics of common processes that are not easily accounted for 
in terms of perceptual or learning hypotheses. One of these is the fact that substitutions 
tend to be undirectional. If the child treated Ik/ and It I as different exemplars of the 
same phoneme one might expect either form to be produced interchangeably, but 
this is not observed; Ikl is often produced as It/, but one seldom finds It I produced 
as Ik/. Also, many processes operate at the suprasegmentallevel; thus children tend 
to delete final consonants (e.g. "bag" becomes "ba"), reduced consonant clusters 
(e.g. "string" becomes "ting") and omit weak syllables in polysyllabic words (e.g. 
"banana" becomes "nana"). Furthermore, there may be consonant harmony, 
whereby the production of a sound is influenced by other sounds earlier or later in 
the word (e.g. "daddy" is pronounced correctly but "doggie" becomes "goggie").
8 D. V. M. Bishop 
Such patterns are not easily explicable in terms of difficulty in perceiving certain 
consonant distinctions, or as the consequence of a phonological system that collapses 
certain categories. However, they are readily explained in terms of simplification of 
articulation. 
Grunwell (1981) has argued against applying this type of output explanation to 
phonological disorders on the grounds that children with such difficulties are usually 
able to imitate speech sounds in isolation, but this is not incompatible with an output 
explanation. If motor movements were slow, clumsy or poorly coordinated, one can 
see that a child might succeed on the simple task of imitating one sound, but reveal 
problems on more taxing tasks which involve integrating a sequence of sounds into 
a fluent word form. 
There is a third pattern of speech error that has been described in SLI children, 
which is not readily categorized as either phonetic or phonological. This is where 
the child's speech production is unpredictable, both in terms of whether a particular 
word will be pronounced correctly, and in terms of which sound will be substituted 
if an error is made. Accuracy of speech production is more a function of length of 
the utterance than of its phonological constitution. A common way of identifying this 
type of speech problem in children is to contrast ability to repeat isolated speech sounds 
(p - p - p, t - t - t - , or k - k - k -), with ability to repeat a sequence of different 
sounds (e.g. p - t - k). Many children who are able to repeat isolated sounds have 
difficulty with the p - t - k sequence. By analogy with acquired neurological disorders, 
this has been termed "developmental verbal dyspraxia" (Edwards, 1973), but the 
diagnosis remains controversial, and defining criteria are inconsistently applied. 
Evidencefr om perceptuatl asks. The evidence reviewed so far indicates that many of 
the phonological problems observed in SLI children are compatible with an explanation 
in terms of output processes and are hard to explain in terms of a simple perceptual 
or learning theory that maintained that the child simply collapsed certain phonemic 
contrasts into a single category. However, as we shall see in the next section, there 
is one set of evidence that is difficult to reconcile with an output explanation, namely 
the finding that most SLI children, including those regarded as having dyspraxic 
disorders of motor programming, are impaired on a range of phonological processing 
tasks ~hat do not involve any speech output. 
One way of explaining such findings is to propose a new version of a perceptual 
or learning theory, in! which the problem is not viewed as failure to distinguish between 
contrastive phonemes, but as a more basic inability to segment the speech stream 
into phonemes. This hypothesis will be considered more fully below. An alternative 
approach is to retain an explanation in terms of defective speech output and to explain 
perceptual problems as a consequencoef the output difficulties. Winitz (1969), for 
example, suggested that repeated mispronunciation of words affected the child's 
perceptual system so that contrasts which were misproduced would eventually also 
be misperceived. One way of testing this idea is to consider speech perception in 
children whose speech production is impaired for physical reasons, i.e. dysarthric 
children, where one would expect a similar effect to be observed. Bishop, Byers Brown
Specific language impairment 9 
and Robson (1990) carried out such a study, comparing two groups of people with 
cerebral palsy, matched on age and non-verbal ability: a group with speech difficulties 
(dysarthria or anarthria) and a control group with normal speech. Speech-impaired 
individuals were impaired relative to controls on speech discrimination when assessed 
using a task that involved judging whether minimal pairs of non-words were the same 
or different, but they were not impaired when the same contrasts were tested using 
Locke's (1980) procedure (see below), which does not require the child to retain 
unfamiliar strings of sounds. This study indicated that speech difficulties can influence 
performance on speech discrimination tests, depending on which assessment method 
is used. 
Grammatical impairment as a secondary consequenceo f phonological disorder 
Phonological and grammatical errors do tend to co-occur in the expressive language 
of SLI children and Leonard, Sabbadini, Leonard and Volterra (1987) considered 
whether failure to produce certain grammatical morphemes might reflect the operation 
of common phonological processes in the speech of children with SLI. It could be 
argued that their tendency to omit grammatical morphemes that form phonologically 
complex clusters (e.g. Itsl in "cats", Iptl in "helped") reflects a process of cluster 
reduction, and that omission of unstressed sylables (e. g. "is" in "he is big") arises 
through a process of weak syllable deletion. In support of this view, Panagos and 
Prelock (1982) found that syntactic errors increased with syllabic complexity in a 
sentence repetition task, and Paul and Shriberg (1982) noted that in some SLI children 
omissions of grammatical morphemes could be totally accounted for in terms of 
phonological processes such as final consonant deletion. 
However, data collected by Leonard et al. (1987) showed very clearly that expressive 
phonological limitations alone cannot explain the range of morphological deficits in 
English-speaking children with SLI. The children were much more likely to produce 
the regular noun plural (e. g. dog - dogs, cat - cats) in obligatory contexts than the third 
person singular verb (e.g. go -goes, kick -kz'cks) or the contracted copula ('s) although 
all these grammatical forms involve adding Isl or Izl to the stem. 
Another re~son for rejecting an explanation of grammatical deficits in terms purely 
of output processes is that this could not account for the comprehension problems 
seen in these children. Bishop (1979) found that most children with expressive 
grammatical disorders were impaired on a test of grammatical comprehension, even 
though their deficits might not be obvious in casual conversation when they could 
rely on context and redundancy to decode language. 
Output explanations of vocabulary deficits 
SLI children do poorly on tasks of naming vocabulary, raising the question of 
whether the child's long-term store of words (the "mental lexicon") is impoverished 
or whether the child has adequate lexical representations but cannot retrieve these. 
Problems of lexical access are common in acquired aphasia, where the patient knows 
the word, and may be able to generate it if provided with a cue such as the first sound, 
but suffers from a severe form of the "tip of the tongue" phenomenon that may affect 
even the commonest words (see Lesser, 1978, for a review). Inability to access an
10 D. V. M. Bishop 
intact lexical representation corresponds to an output deficit in the conceptual 
framework adopted here. 
Dollaghan (1987) argued that vocabulary deficits in SLI children reflect problems 
in retrieval rather than perception or storage of words. However, the evidence for 
this conclusion was ambiguous. She studied a group of 4 - 5-year old SLI children, 
none of whom had major phonological problems that might interfere with the ability 
to pronounce novel words, but all of whom had significant limitations of expressive 
syntax. Subjects were exposed to a novel word in a game. They were asked to hide 
a pen and fork, before being asked to hide the "koob", which was the term used 
to refer to an oddly shaped white plastic ring. The novel word was presented once 
only. Comprehension was then assessed by placing these three objects on the table 
together with two unfamiliar objects, to discover whether the child could select the 
correct item when asked for fork, pen and koob. They were then asked to name all 
three items. SLI and control children did not differ on the comprehension task, but 
there was a striking difference on the production task. Only one of the 11 SLI children 
produced the word "koob" compared with seven out of 11 control children. Also, 
the control children were more likely to produce some of the phonemes of the novel 
word correctly, even if they did not produce the whole word. The mismatch between 
the successful performance by SLI children on the comprehension task and their poor 
performance on production led Dollaghan to conclude that the problem was one of 
retrieval rather than storage. However, children could have succeeded on the 
comprehension task without retaining any phonological information about the novel 
word, simply by selecting the funny object that they had seen before when presented 
with a novel word. A proper test between explanations in terms of perception, storage 
and retrieval would require that children be taught more than one novel word and/or 
that they be given "catch trials" on a comprehension test in which they were asked 
to select an object to correspond to a novel word that they had not previously 
encountered. 
If the main difficulty for SLI children is in retrieval of adequately stored lexical 
representations, then it should be possible to improve performance dramatically by 
providing retrieval cues. Kail, Hale, Leonard and Nippold (1984) studied the 
effectiveness of retrieval cues on the free recall of word names by SLI children. They 
found that SLI children were poor at free recall overall, but they did not improve 
any more than control children when retrieval cues were provided. They concluded 
that the problem for SLI children is in the initial storage of lexical representations, 
rather than in lexical access. 
Output explanations of memory deficits 
One striking deficit seen in most SLI children is limitation of immediate memory 
span (see, e.g. Haynes & Naidoo, 1991). Contemporary models of working memory 
(Baddeley, 1986) stress the importance of an "articulatory loop" that is used to maintain 
items in memory by a process of rehearsal and to translate material from visual to 
verbal form. According to this model, people who speak slowly rehearse fewer words, 
so speech rate will be a limiting factor in memory span. It is therefore predicted that 
individuals with expressive phonological problems would have reduced spans. Kamhi,
Specific language impairment 1 
Catts, Mauer, Apel and Gentry (1988) found that SLI children were poor at short-tenn 
memory tasks and favoured this form of explanation for their findings, suggesting 
that the problem lay in planning an articulatory program for a complex phonological 
sequence. Gathercole and Baddeley (1990), however, in a similar study found that 
SLI children's performance was affected by the number of syllables in the non-words, 
but not by articulatory complexity. They included non-words that incorporated 
consonant clusters as well as others that used only single consonants, and they found 
that this had no effect on performance by SLI children. 
If slow speech rate causes memory limitations, then we should find memory deficits 
in children whose speech is impaired for purely physical reasons, i.e. cerebral palsied 
children with dysarthria or anarthria. There is some disagreement on whether this 
is the case. Bishop and Robson (1989) found no differences in memory function 
between cerebral palsied individuals with nonnal speech and those who were dysarthric 
or anarthric, and they concluded that rehearsal does not depend on covert articulation. 
However, in a study by Raine, Hulme, Chadderton and Bailey (1991) speech-disordered 
children were found to be impaired on tests of short-term memory, 
regardless of whether there was a physical basis for the speech difficulties. 
Evaluation: output explanationso f SLI 
A major problem for output explanations of language difficulties is that most SLI 
children have deficits in phonology, vocabulary and grammar even when these abilities 
are tested receptively without requiring any speech production. The only way such 
results could be accounted for in terms of theory of output disorder would be by 
maintaining that limited ability to speak leads to restricted receptive language 
development. Studies of children who are unable to speak because of physical handicaps 
allow us to assess the validity of such an explanation. There is some evidence that 
suggests that expressive speech difficulties can restrict short-term memory for verbal 
materials, and this could lead to receptive deficits on tasks where there is a heavy 
memory load. However, many children with total anarthria develop normal receptive 
language skills well in excess of those seen in children with SLI (Bishop et al., 1990). 
Although output difficulties may lead to secondary impairments in how children handle 
language processing tasks, it does not seem feasible to treat all receptive difficulties 
as secondary consequences of expressive problems. We need to consider alternative 
explanations. 
2. Language Impairment as an Auditory Disorder 
Eisenson (1972) was one of the first to popularize the notion that auditory 
impairments were the cause ofSLI. He maintained: "The use of the term developmental 
aphasia, or one of its synonyms, implies that the child's perceptual abilities for auditory 
(speech) events underlies his impairment for the acquisition of auditory symbols. His 
expressive disturbances are a manifestation of his intake or decoding impairment" 
(p. 69). He regarded SLI as a unitary disorder, ranging in severity from profound 
receptive aphasia at one end, to mild syntactic and phonological deficits at the other. 
He proposed that all disorders on this spectrum had the same underlying cause:
12 D.V. M. Bishop 
auditory perceptual impairment. The evidence for auditory deficits in SLI will first 
be reviewed before going on to consider how well this theory can account for the 
range of different language impairments seen in this condition. 
Evidencefo r impairment in processingr apid transients timuli 
By far the most comprehensive investigations of auditory processing in SLI have 
been carried out by T~l~ and her colleagues in a series of studies conducted over 
the past two decades. On the basis of initi~ studies of a group of 12 SLI children 
recruited from a British residenti~ school, T~l~ and Piercy (1973a,b) concluded 
that language-impaired children had a selective deficit in processing rapid or brief 
sign~s in the auditory mod~ity. Later work, however, using larger samples of 
American children suggested that auditory perceptu~ problems are but one indication 
of a more gener~ized impairment in perception and production of rapid sequences. 
In ~l these studies care was taken to devise experiment~ tasks that could be 
performed with no verb~ instructions and which involved contrasting only two stimuli. 
The child is presented with a box which has two response panels. First he or she is 
trained to press panel A in response to stimulus 1. Then stimulus 2 is presented on 
sever~ occasions, and the child trained to press panel B. Once this has been mastered, 
random sequences of stimuli are given, and the child presses the appropriate panel 
for each one. The aim of the test procedure up to this point is to establish that the 
child can discriminate the stimuli adequately. Various manipulations may then be 
introduced, either by reducing the duration of each stimulus, curtailing the interv~ 
between stimuli, or increasing the length of the sequence of stimuli. Using this 
procedure, Tall~ and Piercy (1973a,b) demonstrated that performance ofSLI children 
with non-verb~ auditory stimuli was cruci~ly dependent on timing. When stimuli 
were of brief duration or when the interv~ between them was very short, performance 
declined dramatic~ly. In contrast, no deficit was found when visu~ stimuli were 
presented in an~ogous tasks. This study provided experiment~ support for Eisensons's 
(1972) claim that "the aphasic child's basic perceptu~ impairment (is) one for auditory 
perception for speech at the rate at which speed is normally presented" (p. 66, my it~ics). 
Tall~ (1976) argued that the observed deficits were not simply a consequenocfe im mature 
language skills, because the pattern of performance seen in SLI children did not 
resemble that ofnorm~ children at any age. When the interv~ between stimuli was 
long, SLI children performed better than younger control children, but they did 
substanti~ly worse than this group when the interv~ was less than 305 msec (see 
Fig. 1). 
T~l~ and Stark (1981). conducted a larger investigation of 35 SLI children aged 
from 5 to 9 years, selected by stringent and objective criteria. In this study 
discrimination of auditory and visu~ stimuli was explicitly compared. The auditory 
stimuli included complex tones, as used by T~l~ and Piercy (1973a,b), as well 
as synthesized speech sounds (ba and da). The visu~ stimuli were letter-like 
forms. 
The results agreed in many respects with those from the British sample, but there 
were ~so points of difference. As in the earlier studies, there were striking differences 
between SLI and control children in their ability to discriminate tone pairs when 
a variable inter-stimulus interv~ was used (T~l~, Stark, K~lman & Mellits, 1981).
Specific language impairment 13 
40 
30 
20 
10 
0 
III 
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GI 
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~ 
III 
G; 
> 
0 
"0 
GI 
E 
E~ 
III 
~ 
~ 
GI 
ca 
§ ~-, ,ll 
LnOOOLnCX)t'-WLnMMCJ 
~MWLnOCJVWcx)CJvW 
~MvOlvOlOLnO 
~~MMv 
Inter-stimulus Interval (msec) 
Fig. 1. Relationship between inter-stimulus interval and perception of brief tone pairs by SLI children 
compared to younger normal controls (based on Tallal, 1976). 
The SLI group was also significantly impaired in ability to process sequences of more 
than two stimuli, even when the interval between stimuli was relatively long. 
There were, however, some interesting differences from previous work. Some SLI 
children performed poorly with auditory stimuli that were neither transient nor rapid. 
Two children failed to reach criterion on a task that sim~y required them to learn 
to associate a different response with each tone. A further seven children performed 
at chance level with auditory sequences of two tones even when there was a long interval 
between stimuli. 
Another striking difference from earlier work was that the SLI group was deficient 
relative to controls with visual as well as auditory stimuli on tests of sequencing, rate 
processing and serial memory. Post hoc analysis indicated that this finding was a function 
of the age of the subjects: the younger SLI children were impaired in visual and 
auditory modalities, whereas the older ones were impaired with the auditory stimuli 
only. 
~his age effect could reflect sampling factors, but it could also indicate that the 
profile of impairment changes as the child grows older. To investigate this possibility, 
Bernstein and Stark (1985) traced 29 children from the original Stark and Tallal (1981) 
study and retested then on perception of synthetic ba - da contrasts 4 years after the 
initial testing, at which time 23 children still met criteria for SLI. Overall, there was 
a substantial improvement in children's performance. When first tested, 19 of the 
SLI children had failed to discriminate reliably between these synthetic speech sounds, 
whereas on retest 24 of them reached criterion, and there was no overall difference 
between the SLI group and controls. When presented with sequences of stimuli at 
a fixed inter-stimulus interval, performance of SLI children was variable. Many of
D. V. M. Bishop 
them did very well, but a few made many errors. All those who did pass this subtest 
were able to reach criterion on a rate processing subtest that included trials with brief 
inter-stimulus intervals. Furthermore, most of the SLI and control children could 
repeat sequences of four or five items on a serial memory subtest. 
Bernstein and Stark (1985) noted: "Considering time 2 results alone, we could 
not conclude that specific language impairment in older children is caused by perceptual 
deficits in rapid rate processing of phonemes" (p. 28). However, there are two points 
to note when interpreting these results. First, performance was near ceiling levels 
on retest, so it could be the case that SLI children still had an auditory perceptual 
deficit, but the tests were too insensitive to detect this. The second point is that it 
would be erroneous to conclude that the language disorder was not caused by perceptual 
impairments just because no perceptual impairment was evident at time 2. As Bernstein 
and Stark concluded: "Language disabilities may result when inadequate processing 
of sensory information occurs during early childhood although the original processing 
deficit may no longer exist" (p. 28). 
Auditory deficit as the explanationfo r phonologicapl roblemsi n SLI 
A crucial question is whether the perceptual deficit described by Tallal and colleagues 
can account for the types of phonological problems observed in SLI children. One 
approach to studying the relationship between auditory perception and phonological 
impairment is to consider whether phonological errors are made on the sounds the 
child has difficulty discriminating. On the basis offmdings with non-verbal tone stimuli, 
Tallal and colleagues made predictions about the types of speech sounds that SLI 
children should find difficult to discriminate and produce. These were broadly 
confirmed (Tallal & Piercy, 1974; Tallal, Stark & Curtiss, 1976; Tallal & Stark, 1981), 
with poor discrimination found for stop consonants, such as ba and ga and relatively 
good performance with vowels, which are characterized by steady-state rather than 
transient acoustic features. Tallal and Piercy (1975) went on to show that the advantage 
for vowels over consonants could be reversed by altering temporal characteristics of 
synthetic speech stimuli, i.e. stretching formant transitions of consonants or truncating 
vowels. However, it was found that the perceptual deficit of SLI children was not 
limited to discrimination of temporal cues. They also did poorly when asked to 
discriminate sa and sha, which differ on spectral cues. 
Another way of investigating the relationship between auditory perception and 
phonological production is to consider whether individual differences in phonological 
status are related to auditory perceptual processing. Frumkin and Rapin (1980) 
subdivided a group of SLI children according to whether they had any phonological 
impairment at the time of testing. Children with phonological disorders showed the 
characteristic deficit described by Tallal and Piercy. They had difficulty in 
discriminating between synthetic ba and da, but their performance improved when 
the duration of the formant transition was increased from 40 to 80 msec. In contrast, 
SLI children with normal phonology were unimpaired on this task, but they were 
poor at discriminating between brief vowel sounds, and had difficulty in reporting 
the order of pairs of consonants presented in quick succession. This intriguing study 
suggested that auditory perceptual problems may underlie several distinct varieties~
Specific language impairment 15 
of SLI, but impairment in processing rapid transitional information is the deficit that 
is most clearly linked to phonological competence. 
Auditory deficit as the explanationfo r phonologicali mpairmentsi n milder disorders 
Much of the research relating phonological impairment to auditory perception has 
been conducted on children diagnosed as having" phonological disorders", who do 
not have the broader range of linguistic impairments that characterize SLI. As noted 
above, however,. a case can be made for treating such disorders as on a continuum 
with SLI, representing a mild form of the disorder. If this characterization is correct, 
we should expect to find similar underlying causes, and it is interesting therefore to 
consider how far an auditory deficit theory can account for phonological difficulties 
in children with no other obvious language problems. 
A substantial body of work has been concerned with the question of whether 
expressive phonological problems can be explained in terms of deficits in auditory 
discrimination of speech sounds, but results from such studies have been contradictory, 
with some researchers reporting auditory discrimination deficits and others failing 
to confirm these. To some extent these discrepancies may reflect population differences. 
Some studies concentrated on children whose problems appear to have been restricted 
to phonetic distortions, whereas others included children with limited or abnormal 
phonological systems. Some investigations excluded children with more widespread 
language difficulties whilst others did not. Stark and Tallal (1988) did include a 
subgroup of children with isolated articulation disorders in their study, but they 
reported that these children were unimpaired on tests of rapid auditory processing, 
unlike the SI..I subgroup. 
Locke (1980) and Seymour, Baran and Peaper (1981) pointed out that another 
reason for discrepant results lay in the unsatisfactory procedures used to test auditory 
discrimination. Most tests used in research settings adopted one of two paradigms. 
The first involves presenting the child with words that constitute" minimal pairs", 
i.e. they differ by one phoneme, e.g. goat - coat. The child is shown a set of pictures 
and has to select the one whose name is spoken. A major disadvantage of this approach 
is that it is difficult to find a vocabulary of minimal pairs of words that are pictureable 
and familiar to young children. This limits the phoneme contrasts that can be assessed, 
and many tests adopting this format include many contrasts that are seldom confused 
in children's speech. 
An alternative approach is to use non-words, in a same - different paradigm. The 
child hears a minimal pair, such as gub - guv and must say if they are the same or 
different. However, this type of task is often impracticable with young children, who 
may quickly tire attending to pairs of meaningless verbal stimuli. Given that there 
is a 50% chance of giving a correct answer by guessing, it is necessary to use a long 
sequence of items to get a sensitive index of performance. 
Locke (1980) proposed a novel approach in which the child is shown a picture with 
a familiar name (e.g. dog) and has merely to judge whether or not the tester says 
the name correctly (e.g. "is this a gog?"). This procedure overcomes the major 
problems of other test methods, and also has the advantage that one can design a 
test individually for a child so as to assess whether contrasts that are not distinguished 
in the child's speech are also misperceived. Bird and Bishop (1991) included a
D. V. M. Bishop 
test based on Locke's procedure in a study of 14 children with phonological disorders 
but normal receptive vocabulary. They found that this group performed significantly 
less well than control children, individually matched on age and non-verbal ability. 
However, there was wide individual variation, and several children had no difficulty 
in discriminating phonological contrasts that they did not produce distinctively in 
their speech. There are two possible ways of viewing this result. One is to conclude 
that children with phonological impairments are heterogenous, with some having 
perceptual deficits and others not. If this is so, one would expect to find other 
characteristics correlated with presence of perceptual deficit, e.g. the type of 
phonological problem or its prognosis. An alternative interpretation is suggested by 
the longitudinal study by Bernstein and Stark (1985) described above. They found 
that many SLI children who demonstrated perceptual impairments when young no 
longer did so when seen a few years later. It may be that a perceptual impairment 
early in life is sufficient to cause a phonological disorder, which persists even after 
the perceptual impairment has resolved. Thus to demonstrate a link between expressive 
phonological problems and perceptual impairment it may be necessary to study children 
at an early age. 
Bird and Bishop (1991) found that, whereas some of their subjects did have 
difficulty discriminating between phonemes, many more of them had a different type 
of problem, namely a difficulty in perceiving phoneme constancy across different word 
contexts. Consider the sound Isl when saying "soup" or "see". In "soup" the lips 
are rounded, whereas in "see" they are spread, in each case anticipating the following 
vowel. There are both acoustic and articulatory differences between these sounds, 
yet in English they are classified as exemplars of the same phoneme. To test ability 
to perceive such constancy a task was devised in which children were shown a puppet 
who liked things that began with the first sound of his name, "Sam". They were 
then required to judge, e.g., whether the puppet liked the "sock" or the "ball". 
The contrasting sounds (in this case, Ibl and Is/) were selected to be perceptually 
distinctive, avoiding sounds that children had difficulty in producing contrastively. 
In another task, children were given training in rhyme generation and then asked 
to produce rhyming words (e.g. "tell me something that rhymes with cat"). These 
tasks revealed substantial deficits in children with phonological problems. They could 
not judge that the initial sound of Sam was the same as the initial sound in sock, and 
hence match Sam with sock rather than ball, despite the substantial differences between 
the sounds Isl and Ib/. Also, they were very poor at rhyme generation. Such results 
are hard to explain in terms of poor discrimination. If the child had difficulty in 
distinguishing two phonemes, then certain classes of sounds would be collapsed 
together. For instance, if the child treated It I and Ik/ as instances of the same sound, 
we might then expect that when asked for a rhyme for cat, the response "back" would 
be given. However, this was not the type of error that was observed. When asked 
to generate rhymes, the commonest type of response seen in phonologically impaired 
children was for the child to give a semantic associate (e.g. replying "dog" or 
"hamster" to "cat"). These children seemed to have no idea of what was required 
of them, despite repeated demonstration. Bird and Bishop (1991) explained these 
findings by arguing that children with phonological problems failed to segment words 
into phonemes. jusczyk (1986) proposed that young children in the early stages of
Specific language impairment 17 
language acquisition do not operate at the level of the phoneme. Rather they make 
distinctions between larger, un-analysed chunks of sound. Only gradually do they 
learn to recognize common elements in the words that they have mastered, and this 
helps them to organize their growing vocabulary and to imitate new words that they 
hear on the basis of production rules for particular phonemes. Bird and Bishop (1991) 
proposed that children with phonological problems continue to analyse speech 
in this immature manner, learning each new word as an entire unsegmented pattern. 
Consequently, they do not appreciate that words are composed of a small number 
of building blocks, and their language learning is inefficient and protracted. 
It remains open to question whether this failure to learn phonological principles 
is a consequence of auditory perceptual limitations. This could arise, perhaps, if slow 
and inefficient processing of auditory signals led to masking of later phonemes by 
earlier ones. What is clear is that the problems go beyond failing to discriminate 
between similar sounds: rather there is a failure to identify the basic units necessary 
for efficient perception and storage of the sounds of words.
18 D. V. M. Bishop 
and Piercy (1974, 1975), with adequate discrimination of steady-state vowels but very 
poor performance with consonants. When the formant transitions of consonants were 
extended, performance of these two children improved. The study was of interest 
in demonstrating that children with severe comprehension problems do not appear 
to be qualitatively different from those with milder forms of SLI: rather they have 
the same types of auditory perceptual impairment, but in more pronounced form. 
If, as Rapin et at.'s (1977) diagnostic label implies, the impairment in these children 
is restricted to the processing of speech sounds, one should find normal perception 
of non-verbal auditory stimuli. The tone stimuli used by Tallal and colleagues have 
not been systematically applied to children diagnosed as having verbal auditory agnosia. 
In most cases the only evidence against a more general auditory deficit is that perception 
of environmental sounds is unimpaired. This, however, is not very satisfactory. Often 
the child is offered choices between environmental sounds that differ substantially 
in acoustic characteristics and performance is near ceiling level. It may prove more 
accurate to speak of a general" auditory agnosia" in these children, rather than a 
specifically verbal impairment. 
What if one bypasses the postulated auditory perceptual deficit and presents children 
with visual forms of language? If an auditory processing problem were responsible 
for comprehension failure, then it seems reasonable to predict that one should observe 
much better understanding for written or signed language, provided the child had 
had adequate opportunity to learn these. Denes, Balliello, Volterra and Pellegrini 
(1986) presented a detailed case study of a child who had little speech and virtually 
no understanding of spoken language, but could communicate adequately through 
reading and writing. However, he did have a tendency to make grammatical errors 
in written language. Grammatical deficits in comprehending visual language were 
also found by Bishop (1982), who compared children with severe receptive language 
disorders withYQunger normal children. Several of the children studied by Bishop 
had been taught using an artificial sign system that mapped directly on to English, 
so that one could sign any English sentence, complete with inflectional endings, and 
so directly compare comprehension across modalities for similar materials. The results 
were clear-cut: modality of sentence presentation had no effect on performance of 
a group of children with receptive language disorders, whereas grammatical complexity 
did. Thus, most children misinterpreted reversible passive sentences, regardless of 
whether these were spoken, written or signed. At first glance, this looks like strong 
evidence against an explanation in terms of auditory processing deficit. However, in 
a study which will be described in greater detail below, Bishop (1982) demonstrated 
that congenitally deaf children performed just like the SLI children, demonstrating 
major problems in comprehending complex sentences, regardless of whether these 
were spoken (and hence perceived by lip-reading), written or signed. This study 
demonstrated that it is quite wrong to assume that an auditory deficit will affect 
comprehension only in the auditory modality. 
Most children with SLI do not have the severe comprehension problems described 
in children with' 'verbal auditory agnosia", but nevertheless their understanding is 
typically below age level. Several studies have investigated the nature of their difficulties 
and found that SLI children do have distinctive problems in comprehending 
grammatically complex sentences. Bishop (1979) found that SLI children had major
Specific language impairment 19 
difficulties with reversible passive sentences, although they performed better with 
reversible active sentences, whereas Van der Lely and Harris (1990), studying slightly 
younger children selected on the basis of poor understanding, found poor performance 
by SLI subjects on all items where word order was used to express thematic relations. 
Leonard (1989) suggested that such impairments are consistent with an interpretation 
in terms of perceptual deficit. To perceive the contrasts between' 'the man chases 
the dog" and' 'the man is chased by the dog", the child must detect the -ed ending 
on the verb and the preposition by, neither of which is strongly stressed. If the child 
perceives both sentences as "man chase dog", then there will be problems in learning 
how grammatical variants in word order alter meaning. * Note that one does not need 
to maintain that the child never perceives the weakly stressed morphemes; even if the 
child sometimes processes them, learning will be impeded because the relationship 
between syntax and meaning becomes opaque. 
Auditory deficit as the explanationfo r expressivger ammaticalp roblems 
It is relatively straightforward to predict that an auditory perceptual impairment 
will result in problems in comprehension, but it is less clear how the structure of 
expressive language might be affected. Leonard et al. (1987) noted that the grammatical 
errors made by SLI children tended to be concentrated on verb inflections, auxiliaries 
and the copula (i.e. that part of the verb to be that connects subjects to predicate, 
as in "he is rich"). Several explanations may be offered for this finding. 
(i) The grammatical problems might be a consequence of expressive phonological 
limitations. Evidence against this explanation has been reviewed above when 
considering the "output disorder" hypothesis. 
(ii) SLI children might be regarded as normal language learners confronted with 
a systematically altered input, i.e. an auditory perceptual deficit. 
(iii) There might be impairment of an innate module specialized for learning 
grammar. 
Leonard et al. (1987) and Leonard, Sabbadini, Volterra and Leonard (1988) 
attempted to dissociate predictions made from these different hypotheses by comparing 
expressive difficulties in two different languages, English and Italian. Eight English-speaking 
children were contrasted with eight Italian-speaking children, all diagnosed 
as cases of SLI. The English children all used word final Isl, Izl, It I and Id/ in singular 
nouns such as bus and bed, so any failure to produce plural or past tense morphemes 
could not be attributed to difficulty in producing these phonemes. The two groups 
of children were matched in terms of mean length of utterance in words. Samples 
of their language were collected, using pictures to elicit examples of grammatical forms 
of interest. As can be seen from Table 1, Italian children did not show striking 
differences between regular noun plurals and third person singular verb inflections, 
both were produced in obligatory contexts at a much higher rate than was observed 
in English children. While there was no overall difference between Italian and English 
children in the production of articles, the Italian children used the feminine forms 
-However, recent unpublished data by Vander Lely (1990) suggest that SLI children can discriminate 
different grammatical forms. Her subjects performed consistently correctly on truncated passives, such 
as "the man is chased".
20 D. V.M. Bishop 
Table 1. Use of grammatical morphemes in obligatory contexts by English and Italian SLI children 
book/books 
ball/balls 
dog/dogs 
key/keys 
libro/libri 
palla/palle 
cane/cani 
chiave/chiavi 
mean = 94.4% 
S.D. = 9.8 
range 71 - 100 
mean = 79.3% 
S.D = 27.1 
range 18 - 100 
Third person 
singular 
to buy/buys 
to sell/sells 
to open/opens 
comprare/compra 
vendere/vende 
aprire/apre 
mean = 7.9% 
S.D. = 17.6 
range 0 - 50 
mean = 92.0% 
S.D. = 11.3 
range 68 - 100 
Uncontracted 
copula 
the book is red il libro e' rosso mean = 51.9% 
S.D. =27.0 
range 0 - 78 
mean = 76.5% 
S.D. = 16.5 
range 51 - 100 
Contracted 
copula 
the book's red mean = 26.0% 
S.D. = 20 
range 0 - 53 
mean = 6.8% 
S.D. = 10.3 
Range 0 - 26 
mean 64.5% 
S.D. = 36.8 
range 16 - 100 
provare/provato 
vestire/vestito 
to try/tried 
to dress/dressed 
Regular past 
tense, not 
involving 
number/gender 
agreement 
he returned 
she returned 
mean = 61.8% 
S.D. = 30.5 
range 20 - 100 
Regular past 
tense involving 
number/gender 
agreement 
lui eo tornato 
lei eo tornata 
Third person 
plural 
to see/they see vedere/vedono mean = 31.8% 
S.D. = 34.3 
range 0 - 75 
Articles ending 
in vowels 
the, a la, una, i, Ie median = 55% 
range 12 - 64 
median = 74% 
range 15 - 100 
Articles ending 
in consonants 
median =7% 
range 0 - 50 
iI, un 
of the definite and indefinite articles, la and una, significantly more often than the 
corresponding masculine forms, il and un. Given that the number of obligatory contexts 
for il and un was as high for la and una, it is difficult to explain this difference except 
in terms of phonological structure: i.e. whether or not the article ends in a vowel. 
Most errors with articles involved omission of the article rather than substitution of 
an alternative. Finally, Leonard et al. (1987) also noted that Italian SLI children 
correctly marked gender agreement of possessive pronouns and adjectives in nearly 
all instances where this was required.
Specific language impairment 
Leonard (1989) argued that many of the errors made by SLI children could be 
accounted for by assuming that perceptual limitations impair the learning of specific 
features. These include those represented by non-syllabic consonant segments (e.g. 
in English, plural, possessive or third person singular -s, past -ed and contracted forms 
of to be) and those represented by unstressed syllables (e.g. a, the, infinitive particle 
to, complementizer that). On this interpretation, Italian SLI children find it easier 
to learn verb inflections because most of these consist of stressed syllabic affiXes. Their 
ability to handle gender agreement is attributed to the fact that the relevant affixes 
have a clear relationship to one another; in most cases the final vowels of adjectives 
match those of the nouns they modify. 
One might ask why a perceptual problem should have such a selective effect on 
morphological development. If children have problems learning that -ed marks the 
past tense of a verb (e. g. played), why don't they have similar difficulty in perceiving 
the final consonant in other contexts, e.g. in single words such as raid? Leonard argued 
that, first, there is some evidence that SLI children do indeed have difficulty in 
perceiving unstressed final consonants in single words, and second that when learning 
the significance of the ed morpheme children must not only perceive /d/, they must 
also relate played to play, hypothesize that /d/ is a morpheme, and work out its 
grammatical function and semantic correlates. 
Although a perceptual deficit explanation can account for many of the results, some 
puzzles remain. English children were much more likely to produce the regular noun 
plural -s than they were to produce third person singular -so This indicates that factors 
other than perceptual salience are important. One possibility is that the semantic 
correlate of the morpheme is easier to deduce for the plural than the third person. 
However, if this were the explanation, one would expect a similar difference between 
these two types of morpheme in Italian children, and this was not found. Parameter 
setting theory, considered in more detail below, provides some clues as to how such 
differences may be explained. 
Perceptual impairment or memory impairment? 
It was noted above that most children with SLI do poorly on tests of auditory-verbal 
short-term memory, such as the digit span subtest of the Wechsler Intelligence Scale 
for Children (Wechsler, 1974). Tallal and Piercy (1937b) included tests of memory 
using non-verbal tone stimuli in their assessment of auditory processing by SLI 
children. They found that, even where auditory stimuli were adequately discriminated, 
SLI children frequently had difficulty in retaining sequences of more than three or 
four items. One way of accounting for this result in terms of their theory is to suppose 
that while perceptual processing is adequate to discriminate between pairs of speech 
sounds, it is slow and inefficient. If the child were still processing stimulus 1 when 
stimulus 2 arrived then stimulus 2 would be inadequately processed, and hence poorly 
remembered. The critical question that remains to be answered is whether SLI children 
have memory deficits over and above those that would be expected on the basis of 
their perceptual impairment. 
One way in which a perceptual deficit might affect memory processing would be 
by influencing the way in which memorized material was encoded. Kirchner and 
Klatzky (1985) carried out a study of free recall by SLI children that supported the
22 D. V. M. Bishop 
idea that they encode material in terms of meaning rather than phonological 
characteristics. The children were presented with pictorial stimuli to remember and 
were explicitly instructed to rehearse the picture names aloud. Their rehearsal and 
overall recall was less efficient than that of age-matched control children. Most 
strikingly, and unlike control children, the SLI children made many intrusion errors 
that involved giving the name of a semantic associate of an item from the list. This 
would be consistent with the view that the pictures were remembered in terms of 
meaning rather than sound. More recently, however, Gathercole and Baddeley (1990) 
conducted a study that indicated that SLI children can and do encode words in 
phonological form. Their subjects showed the normal sensitivity to phonological 
characteristics of memorized materials, with poorer recall of similar word sets such 
as bat, cap, cat than of distinctive sets such as bus, clock, hand. They were also poorer 
at remembering pictures with long names (e.g. banana, elephant, ladybird) than those 
with short names (e.g. boat,c at, egg),ju st like control children. This observation provides 
evidence that children did rehearse the names of pictures rather than just forming 
a semantic or pictorial representation of materials. However, the authors noted that 
effects of phonological similarity were not found for lists of more than four items. 
They suggested SLI children might switch to an alternative encoding strategy when 
lists exceed their storage capacity. This would be consistent with the findings of 
Kirchner and Klatzky (1985), who used a free recall procedure with lists of 12 
items. 
Gathercole and Baddeley (1990) challenged the view that memory limitations in 
SLI children are a secondary consequence of auditory perceptual deficits. They found 
that SLI children were extremely poor at repeating non-words. If this reflected a 
perceptual problem, one might expect poor performance even on monosyllables, but 
Gathercole and Baddeley showed that performance depended on the number of 
syllables in the non-word, with much greater impairment on polysyllabic items. The 
repetition scores of SLI children fell below even those of younger children matched 
on receptive vocabulary. Similar results were reported by Kamhi and Catts (1986) 
and Kamhi et al. (1988), who noted that SLI children were impaired at repeating 
polysyllabic non-words when compared to reading retarded children as well as control 
children. (On several other tasks that they used, reading retarded and SLI children 
showed similar levels of impairment.) Another piece of evidence against an explanation 
in terms of perceptual deficit was that the SLI children studied by Gathercole and 
Baddeley (1990) were unimpaired on a phoneme discrimination task that involved 
making same - different judgements about pairs of words and non-words. However, 
this evidence is not conclusive, because performance of all groups was near ceiling 
and the sound contrasts they tested were not chosen to reflect the types of phonological 
errors made in the memory task. Gathercole and Baddeley suggested that the memory 
difficulties they observed might arise because of limitations in storage capacity, leading 
to fewer items being stored, or because phonological representations in memory are 
less richly specified, leading to a less adequate memory trace. Although they did not 
think that problems in distinguishing individual phonemes were responsible, they 
did suggest that impairment of phonemic segmentation might be a factor that led 
to degraded phonological representations in memory. This interpretation would mesh 
well with the findings of Bird and Bishop (1991), discussed above (p. 14).
Specific language impairment 23 
Regardless of whether or not the non ..word repetition deficit is explicable in terms 
of a more basic perceptual deficit, it does have implications for vocabulary acquisition 
in SLI children. The processes involved in repeating a non-word resemble those 
implicated in forming a lexical representation of a new vocabulary item, and Gathercole 
and Baddeley (1989) confirmed that in normal children, ability to repeat non-words 
is strongly predictive of vocabulary growth. Limited vocabulary is common in SLI 
(Haynes & Naidoo, 1991), and Gathercole and Baddeley's analysis provides a simple 
explanation for this in terms of difficulty in retaining unfamiliar phonological strings. 
A stringent test of this hypothesis would involve teaching SLI children novel words 
varying in length. The prediction is that they should be disproportionately poor at 
learning polysyllabic words. 
Evaluation: the auditory deficit theory of SLI 
The view of SLI as the consequence of auditory perceptual impairments has stood 
the test of time remarkably well. The work ofTallal and colleagues has demonstrated 
that these children do have problems in discriminating non-verbal auditory stimuli 
when these are brief or rapid. It has sometimes been argued that the auditory deficit 
hypothesis cannot account for the specific types of grammatical impairment seen in 
many SLI children. For instance, Leonard (1979) concluded a review of the area 
by stating that' 'The very nature of the restricted speech used by language impaired 
children seems to suggest that auditory processing deficits may be a corollary to, rather 
than a cause of language difficulties" (p. 227). However, more recent work by Leonard 
and colleagues has revised that opinion and studies of receptive language function 
by Bishop (1982) illustrate the dangers of assuming that one can specify precisely 
how auditory impairment will affect grammatical development. The problems for 
the future are not so much to test whether auditory limitations can hinder language 
acquisition - they undoubtedly can and do - but rather to consider how wide a 
range of the linguistic and non-verbal deficits seen in SLI children can be attributed 
to this cause. One crucial question is whether the observed memory deficits are 
secondary consequences of perceptual abnormalities or whether there is a primary 
impairment in the memory system itself. 
3. Linguistic Interpretations of SLI 
One way of studying normal language acquisition is to attempt to simulate the 
process by computer, but to date all attempts to do so have foundered. No-one has 
succeeded in formulating a learning algorithm that will derive the grammar of any 
language when provided with input from that language. This has been termed the 
"learnability" problem and has led to the conclusion that humans must come to the 
language learning task with some innate system specialized for grammatical processing. 
The problem is then to discover what type of innate knowledge would constrain 
learning to make it possible to master a grammar, while at the same time being flexible 
enough to allow one to learn anyone of the diverse languages that might be 
encountered. Given that grammatical difficulties are a hallmark of SLI, it may be 
asked whether these children lack the postulated language-learning module and are
24 D. V. M. Bishop 
therefore confronted with the same problem as the computers that are programmed 
to extract grammatical regularities from language input. 
In a review of the literature, Cromer (1978) noted that most theories of SLI 
attributed the children's language problems to some underlying deficit in non-linguistic 
processing, such as defective auditory perception, poor short-term memory, or 
confusion in sequencing. Cromer argued that we had ignored the most obvious 
explanation of SLI, which was that these children were unable to master those 
grammatical relations that Chomsky (1965) had proposed were processed by an innate 
"language acquisition device". Clearly, there is a danger of circular reasoning in 
arguing that the child fails to learn language because of lack of a language acquisition 
device, unless one can be more specific about what this device does, and hence predict 
the nature of language errors that should occur. Recently, several accounts have been 
proposed that make specific predictions about the types of language difficulty that 
should be observed. 
Failure to appreciate underlying hierarchical structure 
Cromer (1978) noted that language learning involves extracting underlying 
hierarchical structure from a temporal sequence. Consider the sentence: "The cheese 
in the refrigerator is green". If language were interpreted by relating each word to 
those nearest to it in the sentence, we would conclude that the refrigerator rather 
than the cheese was green. Because we can utter only one word at a time, when 
expressing complex relationships we need a grammar that allows us to keep track 
of underlying relationships between sentence elements that are separated in the surface 
structure. This involves appreciation of hierarchical structure, recognizing that some 
components of the sentence are subordinate modifiers of other elements. If one lacked 
the ability to extract hierarchical structure, this would have profound implications 
for language learning. Some progress might be made by learning sentence frames 
and sequential dependencies between word classes, but there would be severe difficulties 
in understanding constructions where processes such as subordination were involved. 
Cromer carried out two studies with a small group of SLI children with severe 
comprehension problems ("receptive aphasics"). In both these studies he compared 
children with receptive language disorders and deaf children. This is a potentially 
powerful method, as the deaf children can indicate how far language limitations can 
reasonably be attributed to auditory perceptual problems. However, these studies 
were flawed by lack of comparability of deaf and SLI children on crucial variables. 
In the first study, Cromer (1978) gathered samples of written language from children 
with receptive language disorders and contrasted these with samples produced by 
deaf children. He concluded that the written language of SLI children was characterized 
by use of simple sentence patterns that could be interpreted in terms of sequential 
dependencies. The deaf children attempted many more complex constructions, 
although they frequently made errors with these. This exploratory study, was, however, 
ambiguous. The differences between SLI and deaf children could have reflected 
educational method rather than genuine differences in underlying disorder. The SLI 
children came from a school where language was taught using a structured approach 
through written sentences and they were explicitly trained to produce certain simple 
sentence forms.
Specific language impairment 25 
Setting aside for the moment such objections, it may be asked whether, if a 
hierarchical planning deficit is implicated in SLI, this is a language-specific impairment 
or a more general inability. In a subsequent study, Cromer (1983) investigated this 
question using a task that involved extraction of hierarchical structure, but which 
did not involve any language. Children were required to copy either two-dimensional 
or three-dimensional patterns of the kind shown in Fig. 2. Previous work showed 
Fig. 2. Two-dimensional stimulus for copying used in Cromer's (1983) study of hierarchical processing. 
that normal young children use a chain strategy, starting their construction at one 
side and working sequentially up the figure, across the middle and down the other 
side (Greenfield & Schneider, 1977). Older children, however, usually start their 
construction with the superordinate connecting level, and work down through the 
hierarchy of levels. This involves interrupting the chain. Cromer scored children's 
reproductions in terms of how far they followed the underlying hierarchical structure 
of the pattern, and demonstrated that SLI children obtained low scores on a measure 
of hierarchical organization compared to a control group of deaf children. 
Unfortunately, in this study too the matching of SLI and deaf children was inadequate. 
The deaf children came from a selective grammar school, entry to which was 
determined by written examination, and their mean non-verbal IQ was 114. The 
average non-verbal IQ of the SLI children was 99, and it seems probable that their 
verbal skills were also lower than those of deaf children. The possibility cannot be 
excluded that the differences in the model-copying task were simply a function of 
language level and non-verbal ability. 
Bishop (1982) noted that Cromer's theory predicted specific types of comprehension 
problem in SLI children. Given a sentence such as "the book on the table is brown" 
children should not make random sequencing errors, such as selecting a table on a 
book rather than a book on a table, because they can appreciate sequential order. 
They should, however, wrongly attribute the colour adjective to the nearest noun, 
i.e. the table. Bishop devised a set of items designed to test this hypothesis, an example 
of which is shown in Fig. 3.
26 D. V. M. Bishop 
1 2 
~ 
 
3 
Fig. 3. Test item used by Bishop (1982) to assess comprehension of hierarchical relationships in complex 
sentences. The child must select the item corresponding to "the circle on the star is black." 
All had the structure "The X inion/under/behind the Y is Z", where X and Y 
were nouns and Z a colour term. Understanding of all nouns and colours was first 
established in a pretest. Test items were presented in three modalities: spoken, written 
and signed using the Paget Gorman Sign System (a version of signed English). Results 
with nine children with severe receptive language problems gave support to Cromer's 
hypothesis that these children interpreted sentences sequentially without extracting 
deeper hierarchical structure. Performance was very poor but errors were not random. 
Instead, irrespective of modality of presentation, there was a tendency to attach the 
adjective, Z, to the nearest noun, Y. Thus for the item in Fig. 3, they wo;lld select 
picture 4 rather than the correct picture 2. This tendency was most marked when 
the test was given using written presentation, where the child did not have to remember 
the sentences. 
However, when these same materials were given to profoundly deaf children, the 
same pattern of performance was observed. Thus these results supported Cromer's 
hypothesis as a descriptive account of the nature of the grammatical problems 
experienced by children with receptive language disorders, but they challenged the 
view that these problems arose because of a primary impairment affecting the language 
acquisition device. In ;ddition, Bishop noted that studies of written language of 
hearing-impaired children carried out in the U.S.A. yielded findings that were
Specific language impairment 27 
strikingly similar to those obtained by Cromer (1983) with SLI children. Quigley, 
Wilbur, Power, Montanelli and Steinkamp (1976) noted that deaf children tended 
to impose a subject - verb - object pattern on sentences, and would connect the nearest 
noun phrase and verb phrase, apparently treating English as if it had linear rather 
than hierarchical structure. No-one would maintain that deaf children are born without 
a language acquisition device: their language problems arise because the main input 
to the language processor is visual rather than auditory. Bishop concluded that the 
visual system is not well suited to processing temporal information, so that merely 
presenting an auditory language in visual form will not overcome the language-learning 
problems of those who cannot perceive aural input adequately. 
In sum, Cromer's account of defective hierarchical processing in SLI makes accurate 
predictions about the types of expressive and receptive problems these children 
experience with grammatical structure. However, it is unlikely that inability to analyse 
hierarchical structure is the primary problem. Rather, it seems that this difficulty 
arises as a secondary consequence of auditory processing deficits that force children 
to rely on the visual modality for language learning. 
Semantic relations and the acquisition of argument structure 
Recent theories of language acquisition have focused on the ways in which meaning 
relationships are encoded in grammatical structure. When we produce a sentence, 
we are describing relationships between properties, things, places and actions. The 
verb is vital for expressing such relationships. Verb definitions may be regarded as 
composed of a small set of basic semantic categories (thing, event, state, place, path, 
property and manner) that form a scaffolding of grammatically relevant meaning 
to which are added specific pieces of conceptual information (Pinker, 1989). 
Note that a verb does not simply specify a particular type of action. It also entails the 
existence of other sentence elements. Thus, the verb to fall entails that there is a noUn 
acting in the role of theme, which is the grammatical subject of the verb. Other verbs 
have more complex entailments. Consider the following examples. 
Acceptable 
John fell. 
John smashed the egg. 
John put the egg on the table. 
Unacceptable 
John smashed. 
John put. 
John fell the egg. 
John put the egg. 
John put on the table 
These examples illustrate the different argument structures of the verbs. Fall (an 
intransitive verb) has only a theme expressed as a subject, smash (a transitive verb) 
requires an agent and a theme, expressed grammatically as subject and object. Put 
entails an agent, theme and location, expressed grammatically as subject, object and 
oblique object. 
Knowledge of verb argument structure is crucial for grammatical language 
production. Suppose the child relied solely on abstract rules, such as one stating that 
subject-verb-object is a grammatical string. Such a rule would generate sentences
28 D. V. M. Bishop 
such asJohnfell the egg orJohnput the egg. To be grammatical, a sentence must contain 
the obligatory arguments specified by the verb's argument structure. 
It follows that if the child has not learned adequate verb definitions, then 
ungrammatical utterances will result. According to Pinker (1989), many 
overgeneralization errors produced by normal young children arise for precisely this 
reason. Utterances such as he get died, don't say me that are not the consequence of failure 
to learn grammatical rules, but errors in learning verb semantics. Of course, knowledge 
of verb semantics is not sufficient for grammatical language, it is necessary also to 
map argument structure on to grammatical functions. For instance, there is a rule 
mapping agents on to subjects and patients on to objects. According to Pinker (1989), 
normal children do not have difficulty learning these linking rules, which he suggests 
are innate. 
Pinker's theory has barely been applied to the study of normal language acquisition, 
let alone to children with disordered development. Nevertheless, it generates some 
interesting predictions. Suppose that SLI children did indeed lack the innate component 
of grammar: they might then have no knowledge of linking rules, but in other respects 
be cognitively normal. On this view the child with SLI might have perfectly adequate 
semantic representations of verbs, but be unable to work out how to express the 
underlying argument structure grammatically. 
This hypothesis is of interest because it predicts that the grammatical errors observed 
in SLI children should differ from those seen in normal development. According to 
Pinker, underspecified representations of verb meaning are the main cause of 
overgeneralization errors in normal young children, and the progression to adult 
sentence constructions develops as verb meanings become more finely tuned. 
One way of evaluating this hypothesis is to compare different ways that children 
learn word meanings. Pinker proposed that the child first deduces information about 
argument structure from perceptual and conceptual analysis of the context in which 
the word is used. Suppose the adult produces a bear who is punching the air and 
moving forward, and tells the child "this iskaboozling". A probable deduction would 
be that kaboozlew as an intransitive verb describing the action the bear performed. 
Contrast this with the situation where the bear performs an identical action, but this 
time in doing so hits a giraffe and makes it move forward. Here the natural deduction 
would be that kaboozlew as a transitive verb describing the action of an agent (bear) 
on a patient (giraffe). Pinker argues that by using contextual information to deduce 
the meaning of words, the child can take the first steps to acquiring grammar. This 
is termed semantic bootstrapping. * If SLI children are unimpaired in their ability 
to learn verb meanings and argument structure from context, then we would predict 
that they should perform normally on tasks designed to test semantic bootstrapping. 
There is, however, another route to language learning, Landau and Glietman (1985) 
noted that if the visual context was an important cue to meaning and structure, then 
congenitally blind children should have major difficulties in language acquisition. 
They reported a case study demonstrating this need not be so. To explain how a 
.The tenD "bootstrapping" is borrowed from computer science, which likened the process of starting 
a system from scratch to the operation of pulling oneself up by one's bootstraps.
Specific language impairment 29 
blind child can learn to use verbs like "look" and "see" they proposed that, once 
some grammatical knowledge is available, a child may perform a syntactic analysis 
on an input sentence containing an unfamiliar word, and deduce the meaning of the 
word from its syntactic characteristics. For instance, if an adult describing a cartoon 
to a blind child says: "Tom really walloped Jerry", the blind child can deduce that 
the word wallop refers to an action in which Tom was agent and Jerry was patient. 
In effect, the child uses linking rules in reverse, to work out argument structure on 
the basis of syntactic structure, i.e. syntactic bootstrapping. If SLI children have 
difficulty in using linking rules, then they should find it hard to learn language this way. 
An early study relevant to this issue was carried out by Leonard et al. (1982) who 
contrasted vocabulary learning in 14 SLI children and 14 normal control children. 
These children were exposed to novel words depicting objects or actions in a play 
session. For instance, the adult would say "Here's the gourd" (object word) or "Watch 
the baby kneel" (action word). Each word was produced five times in each of 10 
sessions, and the child's comprehension was tested at the end of each session with 
the command "give me the. . . " or "make the baby. . . ". Comprehension and 
production of the words was then tested in the final session. Leonard et al. (1982) 
were surprised to find that, overall, there were close similarities between SLI children 
and control children in comprehension and production of the experimental words. 
We know that SLI children do have weak vocabularies, and it had been anticipated 
that this study would reveal that they were slow at learning new words. Leonard (1989), 
however, pointed out that an analysis in terms of bootstrapping processes could clarify 
these findings. He argued that the apparent ease of learning new words could be 
a consequence of the fact that the new words were presented in an inflectionally bare 
context, e.g. "Here's the gourd"; "Watch the baby kneel", and thus the main factor 
determining learning was the child's ability to perform a conceptual analysis of the 
object or action from which a semantic representation could be formed, i.e. semantic 
bootstrapping. However, he suggested that in other situations where novel words 
are presented in a range of grammatical contexts, syntactic bootstrapping assumes 
importance and slower lexical acquisition would be anticipated. 
Van der Lely (1990) carried out a study designed to compare semantic and syntactic 
bootstrapping processes. Six children with SLI were compared with 17 younger 
children who were matched on "language age". In the semantic bootstrapping task, 
the child was shown toys performing novel actions, accompanied by novel words, 
e.g. toy A jumps up and down on the back of toy B and the experimenter says "this 
is voozing". The child's ability to infer grammatical relations was then tested by 
asking him or her to (i) describe the behaviour of new toys carrying out the same 
actions; and (ii) act out sentences such as "the horse voozes the lion" or "the lion 
is voozed by the horse". In contrast, in the syntactic bootstrapping task no semantic 
information or contextual cues were provided. The child was simply asked to make 
up a meaning for a new word, and to show this to the experimenter by acting out 
what he or she thought was meant by sentences such as "the lorry yols the car". 
Responses were scored in terms of the semantic relationships between the toys. In 
the example given, a child who appreciated the way in which syntactic structure usually 
encodes thematic roles should make the lorry perform some action on the car, i.e. 
lorry is agent and car is patient. Van der Lely (1990) found that SLI children did
30 D. V. M. Bishop 
not differ from language-matched controls on the semantic bootstrapping task, but 
they were significantly impaired on the syntactic bootstrapping task. 
These results indicate that SLI children could form a semantic representation of 
verb argument structure on the basis of contextual information. However, they seemed 
unable to deduce thematic roles from syntactic functions. It is possible that they lacked 
linking rules altogether, and succeeded on the semantic bootstrapping task simply 
by using response strategies based on their knowledge of thematic roles. Van der 
Lely (1990) favoured an alternative explanation, which was that SLI children could 
use linking rules, but only in one direction: linking from a cognitive semantic 
representation to a grammatical structure, but not vice versa. On either view, the 
fundamental deficit in SLI is grammatical rather than semantic. However, this primary 
grammatical deficit will lead to semantic deficits, because the child is unable to use 
syntactic bootstrapping to deduce word meanings. 
As with the work conducted by Cromer (1978), it cannot be assumed that, because 
SLI children behave as if they are impaired in using linking rules, there is an innate 
deficiency in a central language module. It is possible that inadequate auditory 
perception could lead them to misperceive crucial grammatical features. An explanation 
in terms of primary auditory deficit would be strengthened if similar deficiencies on 
bootstrapping tasks were found in children with hearing loss. 
"Feature blindness" 
Current linguistic theories have proposed that marking of grammatical features 
on lexical items is an independent component of grammar. Syntactico-semantic 
features, which mark information such as number, gender and animacy, have two 
main effects on surface structure: they influence the morphological form of the feature-marked 
word, and they constrain the form of other items in the sentence. Thus in 
English a plural noun is marked by a plural morpheme (/s/, Izl or hz/, depending 
of the phonological form of the word). Plural marking on a noun constrains the form 
of the verb of which it is subject, and the form of preceding determiners (some, or 
two would be permissible preceding dogs but not dog, whereas a, one or this would be 
allowable before dog but not dogs). 
Clahsen (1989) studied grammatical errors produced by German children with SLI 
and concluded that the grammatical problems of his subjects were confined to 
morphology. Gender and number agreement in the noun phrase were often in error, 
and subject - verb agreement caused great difficulty. Verbs were restricted lar,gely 
to uninflected stem forms, infinitive forms and those suffiXed with -to However, some 
kinds of verb morphology (e.g. rules for participles) were unimpaired. The children 
were able to use word order to express thematic relations, but they were impaired 
at using morphological case markers for accusative, genitive and dative. Clahsen 
concluded that the German children he studied had some ability to use grammatical 
morphology, but were selectively impaired in marking grammatical agreement. 
Gopnik (1990a, b) and Gopnik & Crago (1991) also argued that the grammatical 
impairment in SLI is confined to grammatical morphology, but they proposed a 
more pervasive problem, which they termed "feature blindness", indicating a total 
failure to master syntactico-semantic features. Gopnik and Crago (1991) reported striking 
deficits shown by English-speaking individuals with SLI in using features such as
Specific language impairment 31 
number, gender, animacy, mass/count distinction, proper names, tense and aspect. 
Extracts from notebooks kept by some of the subjects illustrate their problems with 
features such as number ("All the children got present"), aspect ("Carol is cry in 
the church' '), and proper names ("A Patrick is naughty' '). It was noted that while 
many utterances produced by SLI individuals may use such features in apparently 
grammatical fashion, they do not apply the features systematically to mark contrasts 
in meaning, and so may say "a boys", "a boy", "two boy" or "two boys". Rather 
than concluding that they have a shaky knowledge of the adult grammatical system, 
it was argued that it is more reasonable to say that their grammar lacks features. A 
form such as final /s/ is regarded as a phonological variant with no associated meaning. 
Thus grammatically correct utterances are generated by the same defective grammatical 
processor as the incor;rect ones. 
To investigate mastery of the plural feature, Gopnik and Crago (1991) 
administered an experimental task in which subjects were shown a nonsense creature 
and told, for example, "this is a zoop". They were then shown several such creatures 
and asked: "These are. . . ?" It was found that subjects with SLI were poor at this 
task and did not appear to have an internalized, unconscious set of rules for forming 
plurals. 
Another test assessed ability to use tense features. A sentence was presented in 
one tense, and the subject then prompted to produce an analogous sentence in a 
different tense. For example, the tester would say, "Every day the man walks eight 
miles. Yesterday he. . . (walked eight miles)". The SLI individuals gave semantically 
relevant answers but seldom made appropriate changes to verb tense. They also had 
difficulty with a related test in which sentences were given to elicit similar forms with 
different morphological endings, e.g. "There is a lot of sun. It is very. . . (sunny)". 
In another test, subjects were asked to judge whether a sentence was grammatical, 
and, if not, to correct it. The SLI subjects could judge which sentences were correct. 
Gopnik and Crago pointed out that this is to be expected as their grammar does 
generate such sentences. However, they were poor at detecting ungrammaticality 
in sentences that had errors in feature-marking, and if they did detect the error they 
had difficulty in correcting it. 
Gopnik and Crago (1991) did not find any deficit in SLI subjects on comprehension 
tests requiring understanding of such distinctions as reflexive/non-reflexive (" she 
washes herself" vs "she washes her"), pronoun gender ("he holds him" vs "he holds 
her"), passives and negatives ("the truck does not pull the car" vs "the truck is not 
pulled by the car") and reversible possessives ("the mother's baby" vs "the baby's 
mother"). They found that individuals whom they studied were able to produce some 
complex sentences such as "I know how to play basketball", could detect the 
ungrammaticality of sentences that did not represent obligatory verb argument 
structure (e.g. "he puts"), and did not make such errors in their spontaneous speech. 
It was therefore concluded that their grammatical impairment was specific to syntactico-semantic 
features and did not affect mastery of thematic relations. 
The feature-blindness hypothesis provides an interesting perspective on grammatical 
problems in SLI, but the current evidence produced in its support is sparse, and may 
be open to alternative interpretation. Gopnik and Crago (1991) themselves found
32 D. V. M. Bishop 
several aspects of feature-marking to which SLI subjects did appear to be sensitive. 
For instance, they performed correctly on a comprehension task that involved 
responding to commands such as "Point to the book" vs "Point to the books". If 
they regarded the plural inflection as a meaningless phonological variant, performance 
should be at chance. This discrepant result was explained by suggesting that noun 
plurals such as "books" were learned as complete lexical items referring to groups 
of objects, so would have a separate lexical representation, rather than being generated 
by applying a rule of adding a plural marker to "book". A similar explanation was 
proposed for the fmding that some past tense forms were produced correctly, by arguing 
that each one is learned as a new item, but the child does not generalize to new forms. 
While this is an interesting possibility, it should be subjected to further testing. This 
could be done by presenting SLI individuals with plural markers attached to novel 
forms, e.g. by showing a nonsense animal and saying "this a zoop", and then 
presenting a picture of a girl chasing a zoop and another of a girl chasing several 
zoops, to see whether the subject could respond differentially to the instruction' 'the 
girl chases the zoop" vs "the girl chases the zoops". Since the item "zoops" is novel 
it cannot have a pre-existing lexical representation~ and so if correct performance 
were achieved, this would provide evidence that SLI individuals do have some 
awareness of the feature of number, even if they are poor at using it productively. 
Gopnik and Crago (1991) make a bold claim that the deficit they have identified 
indicates that a separate, innate component of the grammar is absent in these 
individuals. If so, then the error pattern observed in SLI subjects should not be seen 
in the course of normal development. This prediction needs to be tested by comparing 
SLI subjects with younger normal children. 
Another claim that requires more stringent testing is the assertion that the feature 
problems shown by these subjects could not be explained in terms of an auditory 
deficit of the kind proposed by Tallal and colleagues. Two lines of evidence have 
been put forward to support this statement. First, Gopnik (1990a) noted that the deficits 
are apparent in spontaneous speech, grammaticality judgements, writing and 
repetition, and she concluded' 'because the deficits are apparent in all aspects of 
language their roots probably lie in the underlying grammar rather than in a peripheral 
processing system" (p. 715). The unsoundness of this argument is demonstrated by 
Bishop's (1982) study, which found that peripheral hearing loss resulted in grammatical 
deficits in comprehension of written and signed language. Second Gopnik and Crago 
(1991) noted that SLI individuals do produce instances of phonological forms 
involving rapid acoustic transitions (e.g. past tense Id/), but sometimes omit other 
forms that are acoustically salient, ~.g. subject pronouns. However, as is apparent 
from the studies of Leonard et at. (1987), a perceptual deficit theory can be adopted 
without making the extreme prediction that children will omit all low phonetic 
substance morphemes; instead it can be argued that contrasts signalled by such 
morphemes will be especially difficult to learn, and this may have repercussions on 
development of the entire grammatical system. It would be most interesting to see 
how children with mild to moderate hearing loss would perform on Gopnik's tasks. 
There are major discrepancies between the feature-blindness theory and other 
explanations of grammatical impairments, not just at the theoretical level, but also 
in terms of the empirical data cited in support. Gopnik (1990b) described a bilingual
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Underlying nature of specific language impairment

  • 1. ~, y 0021-9630/92 $500 + 0.00 Pergamon Press pic @ 1992 Association for Child Psychology and Psychiatry J Child Psychol Psychial Vol. 33, No. I, pp. 3-66, 1992 Prioted in Great Britain D V. M. Bishop Introduction Specific language impairment is diagnosed where there is a failure of normal language development that cannot be explained in terms of mental or physical handicap, hearing loss, emotional disorder or environmental deprivation. In the past, "developmental dysphasia" or "developmental aphasia" were widely used to refer to this condition, but these terms have fallen into disfavour in the U.K. and U.S.A., largely because they misleadingly imply that we are dealing with a single condition with a known neurological basis. These me<;iical terms are, however, still popular in continental Europe, and among some paediatric neurologists inEnglish-sp~aking countries (e.g. Rapin, 1987). Most specialists in the U.K. and U.S.A. prefer the more neutral terms "developmental language disorder", or "specific language impairment" (SLI), and it is the latter that will be adopted here. Much of the extensive literature on SLI is concerned with documenting the difficulties experienced by these children with different aspects of language. A smaller body of work has concentrated on formulating psychological models that explain SLI in terms of impairment in a particular aspect of cognitive processing. This paper aims to bring together these approaches and to assess how far specific linguistic deficits can be explained in terms of particular cognitive impairments. Each of the following hypotheses will be reviewed and evaluated in turn. Hypothesis 1. Underlying linguistic competence is intact, but there is an impairment in the processes that are involved in converting this underlying knowledge into a speech signal, i.e. the problem is an output disorder. Hypothesis 2. SLI results from impairment of auditory perception, which influences the course of language acquisition. Keywords: Language impairment, child cognition, linguistics Acceptedm anuscript received5 July 1991 Requestsjroerp rintsto : Dr Dorothy Bishop,M RC Applied PsychologyU nit, 15 ChaucerR oad, Cambridge CB2 2EF, U.K. 'J,
  • 2. 4 D. V. M. Bishop Hypothesis3 . There is an isolated impairment of the specializedli nguistic mechanisms that have evolved to handle language processing. Hypothes,s4 . There is a generalized deficit in conceptuadl evelopmentht at affects, but is not restricted to, language processing. Hypothesis5 . Learning strategiesa re abnormal, with a failure to apply appropriate hypothesis-testing procedures. Hypothesis6 . The problem is not with handling particular types of mental operation, but rather arises becauseo f limitations in the speeda nd capaciryo j thei nformation-processing system. The paper will conclude by considering some general principles for future research that are suggested by this review. 1. Language Impairment as Output Disorder Information-processing accounts for cognitive functions draw a distinction between mental representationosf information, and the cognitive operationsth at are involved in transforming information from one representation to another. Associated with any language stimulus will be a range of different representations. A spoken utterance impinging on the ear is initially encoded in the auditory system in terms of the acoustic characteristics of the stimulus. This representation must then be converted into a more abstract representation in terms of a seq~ence of speech sounds. This will not contain information about superficial acoustic details, such as those characteristics specific to a particular speaker: the sound /b/ will be treated the same irrespective of incidental features such as pitch or presence of background noise. Familiar sequences of sounds are then matched against existing lexical representations which are maintained in a long-term store. If we hear an unfamiliar word then no lexical representation will be activated. A representation of the abstract grammatical structure of the utterance will be derived from an analysis of the pattern of content words and grammatical morphemes, and this information will be combined with knowledge of meaning of lexical items to derive a representation of the propositional content of the utterance. A similar hierachy of levels of representation is implicated in the process of speech production which starts with a representation of the meaning of the intended message, and ends with a specification of motor commands to the articulators. The process of producing meaningful speech involves generating representations of the grammatical structure needed to convey the relations expressed in the message, accessing appropriate lexical representations that specify the sequence of speech sounds corresponding to words with relevant meanings, and computing the articulatory correlates of a particular sequence of sounds and the motor movements necessary to produce these. If we adopt this kind of model, we are led naturally to the question of where in the language processing chain the deficit of SLI children is located. For instance, when a child produces a grammatically simplified utterance, is this because the underlying representation of grammatical structure is inadequate, or is the problem somewhere in the chain of processes that are involved in converting an abstract grammatical representation into speech output? Note that an output disorder is distinct
  • 3. Specific language impairment 5 from a peripheral impairment of motor control. The distinction may be clarified by drawing an analogy with the situation where a person is asked to draw a bicycle and ends up producing a woefully inadequate picture (as many adults do). Logically, one can see that the poor drawing could indicate that the person had only a vague idea of what a bicycle looked like (a disorder of a central representation), or it could be that they had a perfect mental image of a bicycle, but lacked the ability to transform this image into appropriate motor movements. This would correspond to an output disorder. Contrast this with the person who is unable to execute a drawing because of some peripheral problem such as paralysis or tremor. Early accounts of SLI did not use this conceptual framework, but they implied that many expressive language problems could be regarded as output disorders. Most children were thought to have an "expressive" form of "developmental aphasia", where the difficulties were not explicable in terms of peripheral motor problems (e.g. dysarthria), nor in terms of defective understanding. This view ofSLI may be evaluated with regard to the different components of language that are affected. Output explanations of abnormal speech Virtually all children with SLI have some abnormality of speech production (Haynes & Naidoo, 1991) and any theory of the disorder should be able to account for this. In some children, problems with speech sound production are the only obvious signs of disorder. Traditionally, such cases were diagnosed as "functional articulation disorders", and treated as quite distinct from more pervasive language disorders. However, there is some evidence that this might be a false dichotomy, and that disorders restricted to speech output are on a continuum with more severe conditions where a wider range of language functions is affected. Evidence for continuity is of two kinds. First, many children whose problems appear confined to speech sound production do prove to have more widespread impairments when standardized language tests are administered (Shriner, Holloway & Daniloff, 1969; Whitacre, Luper & Pollio, 1970; Marquardt & Saxman, 1972; Saxman & Miller, 1973). Second, if children are followed over time, the picture often changes from a child having general difficulties with grammar and speech production, to one with isolated speech problems (Bishop & Edmundson, 1987a; Scarborough & Dobrich, 1990). The term "functional articulation disorder" implies that control of the articulatory apparatus is defective either because of poor motor skills or inadequate oral sensory feedback. However, in recent years, the emphasis has moved from articulatory processes to consider other explanations of speech problems. In terms of the framework introduced here, an output explanation of' 'functional articulation disorders" maintains that the child has an adequate representation of the phonological system of the language, and normal control of the articulatory apparatus. What is lacking is the ability to convert an abstract phonological representation into a set of motor commands to the articulators. Before we can evaluate this hypothesis, we must consider alternative explanations. One view, that will be considered in greater detail below, maintains that the underlying problem affects input rather than output processes: abnormal speech is seen as a secondary consequence of inadequate auditory perception. If children do
  • 4. 6 D. V. M. Bishop not distinguish between two sounds perceptually, then it would be expected that they could not learn to produce them distinctively. Another possibility is that input processes are unimpaired, but the child fails to develop a normal representation of the phonological system of the native language. The problem is in abstracting the underlying structure from speech input. Those without training in linguistics tend to assume that language contains a finite number of speech sounds and the child's task is to learn the articulatory configuration corresponding to each sound. This is not so. Languages vary in the ways in which they partition the domain of possible speech sounds into sets that contrast differences in meaning. The task confronting the child is not just leaming how to articulate sounds, but also discovering which sounds signal a change in meaning and which do not. For instance, French distinguishes the vowel sounds in the words "doux" and 'du", whereas English does not (both sound like renderings of English "do"). Conversely, English contrasts the initial consonant in "then" and "zen", whereas French does not. English speakers of French frequently make errors on the doux/du contrast, whereas French speakers of English confuse then/zen; not because of any inherent perceptual or articulatory limitations, but because they do not have an adequate knowledge of the phonological system of the language. It is possible that children with SLI have a similar difficulty; they fail to learn which sounds are contrastive in their language. This will be termed the learning hypothesis. We can see, then, that output explanations for speech disorders in SLI are not the only possible account: the problem could arise from auditory perceptual deficits, or it might reflect difficulty in learning how to partition the universe of possible speech sounds into a set of phonemes that can signal contrasts in meaning. Let us consider what types of evidence may be used to choose between these competing hypotheses. Circumstantial evidencefr om associatedm otor deficits. One line of evidence comes from studies investigating other areas of motor function in children with SLI. Few children with SLI have hard neurological signs, but several studies have found that they are often immature on tests of motor skill (Stark & Tallal, 1981; Bishop & Edmundson, 1987b; Robinson, 1987). While this evidence is only correlational, it does give credence to the notion that speech difficulties may be but one indication of general difficulties in programming coordinated sequences of motor movements. Analysiso f speeche rrors.A seconda pproacht o distinguishing explanationso f speech difficulties involves analysing the errors themselves. The traditional approach was to classify" articulation errors" in terms of substitutions and omissions of particular sounds. The involvement of linguists in the study of language impairments led to radical changes in how abnormalities of speech production were assessed and conceptualized. Grunwell (1982) noted that traditional error analysis failed to distinguish between phonetic deviations and phonological disorders. A speech disorder is appropriately described as a phonetic deviation when the child marks all the contrasts that are used to signal differences in meaning in the adult system, but production of particular sounds is distorted. A common example is where /r/ is produced as a
  • 5. Specific language impairment 7 labiodental approximant lpJ (so that it sounds intermediate between a normal Irl and Iw/). Although one perceives such speech as abnormal, the production of Irl and Iwl is clearly contrasted, so that "ride" and "wide" are produced differently. In such cases, the underlying phonological system is intact: the abnormality is in how articulatory correlates of specific sounds are represented. One might wonder whether the distorted production of particular sounds could be a consequence of distorted perception: however, this seems implausible because any perceptual impairment should apply when monitoring one's own speech output as well as when listening to the speech of others, so should not result in a mismatch between perception and production. (One is reminded of the claim that Modigliani's elongated figures may be attributed to astigmatism. The fallacy is apparent when one considers how Modigliani's figures would appear to the artist: if normal figures look elongated to him then his own elongated drawings should appear even more abnormal). Although there is a lack of systematic data on this point, most children with SLI appear to have difficulties that go beyond phonetic distortions, in that they do not make all the contrasts between phonemes that are required by the adult system and so, for instance, many not distinguish Idl and Ig/. In such cases all three of the hypotheses considered above are plausible: the difficulty could be in perceiving the distinction between the speech sounds, in learning which sounds are distinctive in the language, or in motor output process. Leonard (1982) found close similarities between phon910gical errors of SLI children and those seen in normal development. Analyses of the phonological production of normal young children indicates that their errors are systematic in two respects. First, they involve entire classes of speech sounds. To take a common example, if the child tends to produce "cat" as "tat", "goat" as "doat" and "sing" as "sin" we may account for all these changes by specifying that velar sounds are produced at the alveolar place of articulation. Second, many changes operate in one direction only: e.g. "k" is produced as "t", but not vice versa. Stampe (1969), who was interested in explaining patterns of phonological development across different languages, termed these systematic patterns "phonological processes" and argued that they operated to simplify speech output by merging contrastive pairs of phonemes to the more easily articulated form. This, then, is an output explanation of phonological errors which assumes that the child's lexical repr~sentations of the phonological forms of words are accurate, but simplification occurs at the articulatory stage. Stampe's account is attractive because it can explain certain of the characteristics of common processes that are not easily accounted for in terms of perceptual or learning hypotheses. One of these is the fact that substitutions tend to be undirectional. If the child treated Ik/ and It I as different exemplars of the same phoneme one might expect either form to be produced interchangeably, but this is not observed; Ikl is often produced as It/, but one seldom finds It I produced as Ik/. Also, many processes operate at the suprasegmentallevel; thus children tend to delete final consonants (e.g. "bag" becomes "ba"), reduced consonant clusters (e.g. "string" becomes "ting") and omit weak syllables in polysyllabic words (e.g. "banana" becomes "nana"). Furthermore, there may be consonant harmony, whereby the production of a sound is influenced by other sounds earlier or later in the word (e.g. "daddy" is pronounced correctly but "doggie" becomes "goggie").
  • 6. 8 D. V. M. Bishop Such patterns are not easily explicable in terms of difficulty in perceiving certain consonant distinctions, or as the consequence of a phonological system that collapses certain categories. However, they are readily explained in terms of simplification of articulation. Grunwell (1981) has argued against applying this type of output explanation to phonological disorders on the grounds that children with such difficulties are usually able to imitate speech sounds in isolation, but this is not incompatible with an output explanation. If motor movements were slow, clumsy or poorly coordinated, one can see that a child might succeed on the simple task of imitating one sound, but reveal problems on more taxing tasks which involve integrating a sequence of sounds into a fluent word form. There is a third pattern of speech error that has been described in SLI children, which is not readily categorized as either phonetic or phonological. This is where the child's speech production is unpredictable, both in terms of whether a particular word will be pronounced correctly, and in terms of which sound will be substituted if an error is made. Accuracy of speech production is more a function of length of the utterance than of its phonological constitution. A common way of identifying this type of speech problem in children is to contrast ability to repeat isolated speech sounds (p - p - p, t - t - t - , or k - k - k -), with ability to repeat a sequence of different sounds (e.g. p - t - k). Many children who are able to repeat isolated sounds have difficulty with the p - t - k sequence. By analogy with acquired neurological disorders, this has been termed "developmental verbal dyspraxia" (Edwards, 1973), but the diagnosis remains controversial, and defining criteria are inconsistently applied. Evidencefr om perceptuatl asks. The evidence reviewed so far indicates that many of the phonological problems observed in SLI children are compatible with an explanation in terms of output processes and are hard to explain in terms of a simple perceptual or learning theory that maintained that the child simply collapsed certain phonemic contrasts into a single category. However, as we shall see in the next section, there is one set of evidence that is difficult to reconcile with an output explanation, namely the finding that most SLI children, including those regarded as having dyspraxic disorders of motor programming, are impaired on a range of phonological processing tasks ~hat do not involve any speech output. One way of explaining such findings is to propose a new version of a perceptual or learning theory, in! which the problem is not viewed as failure to distinguish between contrastive phonemes, but as a more basic inability to segment the speech stream into phonemes. This hypothesis will be considered more fully below. An alternative approach is to retain an explanation in terms of defective speech output and to explain perceptual problems as a consequencoef the output difficulties. Winitz (1969), for example, suggested that repeated mispronunciation of words affected the child's perceptual system so that contrasts which were misproduced would eventually also be misperceived. One way of testing this idea is to consider speech perception in children whose speech production is impaired for physical reasons, i.e. dysarthric children, where one would expect a similar effect to be observed. Bishop, Byers Brown
  • 7. Specific language impairment 9 and Robson (1990) carried out such a study, comparing two groups of people with cerebral palsy, matched on age and non-verbal ability: a group with speech difficulties (dysarthria or anarthria) and a control group with normal speech. Speech-impaired individuals were impaired relative to controls on speech discrimination when assessed using a task that involved judging whether minimal pairs of non-words were the same or different, but they were not impaired when the same contrasts were tested using Locke's (1980) procedure (see below), which does not require the child to retain unfamiliar strings of sounds. This study indicated that speech difficulties can influence performance on speech discrimination tests, depending on which assessment method is used. Grammatical impairment as a secondary consequenceo f phonological disorder Phonological and grammatical errors do tend to co-occur in the expressive language of SLI children and Leonard, Sabbadini, Leonard and Volterra (1987) considered whether failure to produce certain grammatical morphemes might reflect the operation of common phonological processes in the speech of children with SLI. It could be argued that their tendency to omit grammatical morphemes that form phonologically complex clusters (e.g. Itsl in "cats", Iptl in "helped") reflects a process of cluster reduction, and that omission of unstressed sylables (e. g. "is" in "he is big") arises through a process of weak syllable deletion. In support of this view, Panagos and Prelock (1982) found that syntactic errors increased with syllabic complexity in a sentence repetition task, and Paul and Shriberg (1982) noted that in some SLI children omissions of grammatical morphemes could be totally accounted for in terms of phonological processes such as final consonant deletion. However, data collected by Leonard et al. (1987) showed very clearly that expressive phonological limitations alone cannot explain the range of morphological deficits in English-speaking children with SLI. The children were much more likely to produce the regular noun plural (e. g. dog - dogs, cat - cats) in obligatory contexts than the third person singular verb (e.g. go -goes, kick -kz'cks) or the contracted copula ('s) although all these grammatical forms involve adding Isl or Izl to the stem. Another re~son for rejecting an explanation of grammatical deficits in terms purely of output processes is that this could not account for the comprehension problems seen in these children. Bishop (1979) found that most children with expressive grammatical disorders were impaired on a test of grammatical comprehension, even though their deficits might not be obvious in casual conversation when they could rely on context and redundancy to decode language. Output explanations of vocabulary deficits SLI children do poorly on tasks of naming vocabulary, raising the question of whether the child's long-term store of words (the "mental lexicon") is impoverished or whether the child has adequate lexical representations but cannot retrieve these. Problems of lexical access are common in acquired aphasia, where the patient knows the word, and may be able to generate it if provided with a cue such as the first sound, but suffers from a severe form of the "tip of the tongue" phenomenon that may affect even the commonest words (see Lesser, 1978, for a review). Inability to access an
  • 8. 10 D. V. M. Bishop intact lexical representation corresponds to an output deficit in the conceptual framework adopted here. Dollaghan (1987) argued that vocabulary deficits in SLI children reflect problems in retrieval rather than perception or storage of words. However, the evidence for this conclusion was ambiguous. She studied a group of 4 - 5-year old SLI children, none of whom had major phonological problems that might interfere with the ability to pronounce novel words, but all of whom had significant limitations of expressive syntax. Subjects were exposed to a novel word in a game. They were asked to hide a pen and fork, before being asked to hide the "koob", which was the term used to refer to an oddly shaped white plastic ring. The novel word was presented once only. Comprehension was then assessed by placing these three objects on the table together with two unfamiliar objects, to discover whether the child could select the correct item when asked for fork, pen and koob. They were then asked to name all three items. SLI and control children did not differ on the comprehension task, but there was a striking difference on the production task. Only one of the 11 SLI children produced the word "koob" compared with seven out of 11 control children. Also, the control children were more likely to produce some of the phonemes of the novel word correctly, even if they did not produce the whole word. The mismatch between the successful performance by SLI children on the comprehension task and their poor performance on production led Dollaghan to conclude that the problem was one of retrieval rather than storage. However, children could have succeeded on the comprehension task without retaining any phonological information about the novel word, simply by selecting the funny object that they had seen before when presented with a novel word. A proper test between explanations in terms of perception, storage and retrieval would require that children be taught more than one novel word and/or that they be given "catch trials" on a comprehension test in which they were asked to select an object to correspond to a novel word that they had not previously encountered. If the main difficulty for SLI children is in retrieval of adequately stored lexical representations, then it should be possible to improve performance dramatically by providing retrieval cues. Kail, Hale, Leonard and Nippold (1984) studied the effectiveness of retrieval cues on the free recall of word names by SLI children. They found that SLI children were poor at free recall overall, but they did not improve any more than control children when retrieval cues were provided. They concluded that the problem for SLI children is in the initial storage of lexical representations, rather than in lexical access. Output explanations of memory deficits One striking deficit seen in most SLI children is limitation of immediate memory span (see, e.g. Haynes & Naidoo, 1991). Contemporary models of working memory (Baddeley, 1986) stress the importance of an "articulatory loop" that is used to maintain items in memory by a process of rehearsal and to translate material from visual to verbal form. According to this model, people who speak slowly rehearse fewer words, so speech rate will be a limiting factor in memory span. It is therefore predicted that individuals with expressive phonological problems would have reduced spans. Kamhi,
  • 9. Specific language impairment 1 Catts, Mauer, Apel and Gentry (1988) found that SLI children were poor at short-tenn memory tasks and favoured this form of explanation for their findings, suggesting that the problem lay in planning an articulatory program for a complex phonological sequence. Gathercole and Baddeley (1990), however, in a similar study found that SLI children's performance was affected by the number of syllables in the non-words, but not by articulatory complexity. They included non-words that incorporated consonant clusters as well as others that used only single consonants, and they found that this had no effect on performance by SLI children. If slow speech rate causes memory limitations, then we should find memory deficits in children whose speech is impaired for purely physical reasons, i.e. cerebral palsied children with dysarthria or anarthria. There is some disagreement on whether this is the case. Bishop and Robson (1989) found no differences in memory function between cerebral palsied individuals with nonnal speech and those who were dysarthric or anarthric, and they concluded that rehearsal does not depend on covert articulation. However, in a study by Raine, Hulme, Chadderton and Bailey (1991) speech-disordered children were found to be impaired on tests of short-term memory, regardless of whether there was a physical basis for the speech difficulties. Evaluation: output explanationso f SLI A major problem for output explanations of language difficulties is that most SLI children have deficits in phonology, vocabulary and grammar even when these abilities are tested receptively without requiring any speech production. The only way such results could be accounted for in terms of theory of output disorder would be by maintaining that limited ability to speak leads to restricted receptive language development. Studies of children who are unable to speak because of physical handicaps allow us to assess the validity of such an explanation. There is some evidence that suggests that expressive speech difficulties can restrict short-term memory for verbal materials, and this could lead to receptive deficits on tasks where there is a heavy memory load. However, many children with total anarthria develop normal receptive language skills well in excess of those seen in children with SLI (Bishop et al., 1990). Although output difficulties may lead to secondary impairments in how children handle language processing tasks, it does not seem feasible to treat all receptive difficulties as secondary consequences of expressive problems. We need to consider alternative explanations. 2. Language Impairment as an Auditory Disorder Eisenson (1972) was one of the first to popularize the notion that auditory impairments were the cause ofSLI. He maintained: "The use of the term developmental aphasia, or one of its synonyms, implies that the child's perceptual abilities for auditory (speech) events underlies his impairment for the acquisition of auditory symbols. His expressive disturbances are a manifestation of his intake or decoding impairment" (p. 69). He regarded SLI as a unitary disorder, ranging in severity from profound receptive aphasia at one end, to mild syntactic and phonological deficits at the other. He proposed that all disorders on this spectrum had the same underlying cause:
  • 10. 12 D.V. M. Bishop auditory perceptual impairment. The evidence for auditory deficits in SLI will first be reviewed before going on to consider how well this theory can account for the range of different language impairments seen in this condition. Evidencefo r impairment in processingr apid transients timuli By far the most comprehensive investigations of auditory processing in SLI have been carried out by T~l~ and her colleagues in a series of studies conducted over the past two decades. On the basis of initi~ studies of a group of 12 SLI children recruited from a British residenti~ school, T~l~ and Piercy (1973a,b) concluded that language-impaired children had a selective deficit in processing rapid or brief sign~s in the auditory mod~ity. Later work, however, using larger samples of American children suggested that auditory perceptu~ problems are but one indication of a more gener~ized impairment in perception and production of rapid sequences. In ~l these studies care was taken to devise experiment~ tasks that could be performed with no verb~ instructions and which involved contrasting only two stimuli. The child is presented with a box which has two response panels. First he or she is trained to press panel A in response to stimulus 1. Then stimulus 2 is presented on sever~ occasions, and the child trained to press panel B. Once this has been mastered, random sequences of stimuli are given, and the child presses the appropriate panel for each one. The aim of the test procedure up to this point is to establish that the child can discriminate the stimuli adequately. Various manipulations may then be introduced, either by reducing the duration of each stimulus, curtailing the interv~ between stimuli, or increasing the length of the sequence of stimuli. Using this procedure, Tall~ and Piercy (1973a,b) demonstrated that performance ofSLI children with non-verb~ auditory stimuli was cruci~ly dependent on timing. When stimuli were of brief duration or when the interv~ between them was very short, performance declined dramatic~ly. In contrast, no deficit was found when visu~ stimuli were presented in an~ogous tasks. This study provided experiment~ support for Eisensons's (1972) claim that "the aphasic child's basic perceptu~ impairment (is) one for auditory perception for speech at the rate at which speed is normally presented" (p. 66, my it~ics). Tall~ (1976) argued that the observed deficits were not simply a consequenocfe im mature language skills, because the pattern of performance seen in SLI children did not resemble that ofnorm~ children at any age. When the interv~ between stimuli was long, SLI children performed better than younger control children, but they did substanti~ly worse than this group when the interv~ was less than 305 msec (see Fig. 1). T~l~ and Stark (1981). conducted a larger investigation of 35 SLI children aged from 5 to 9 years, selected by stringent and objective criteria. In this study discrimination of auditory and visu~ stimuli was explicitly compared. The auditory stimuli included complex tones, as used by T~l~ and Piercy (1973a,b), as well as synthesized speech sounds (ba and da). The visu~ stimuli were letter-like forms. The results agreed in many respects with those from the British sample, but there were ~so points of difference. As in the earlier studies, there were striking differences between SLI and control children in their ability to discriminate tone pairs when a variable inter-stimulus interv~ was used (T~l~, Stark, K~lman & Mellits, 1981).
  • 11. Specific language impairment 13 40 30 20 10 0 III U GI :!i ~ III G; > 0 "0 GI E E~ III ~ ~ GI ca § ~-, ,ll LnOOOLnCX)t'-WLnMMCJ ~MWLnOCJVWcx)CJvW ~MvOlvOlOLnO ~~MMv Inter-stimulus Interval (msec) Fig. 1. Relationship between inter-stimulus interval and perception of brief tone pairs by SLI children compared to younger normal controls (based on Tallal, 1976). The SLI group was also significantly impaired in ability to process sequences of more than two stimuli, even when the interval between stimuli was relatively long. There were, however, some interesting differences from previous work. Some SLI children performed poorly with auditory stimuli that were neither transient nor rapid. Two children failed to reach criterion on a task that sim~y required them to learn to associate a different response with each tone. A further seven children performed at chance level with auditory sequences of two tones even when there was a long interval between stimuli. Another striking difference from earlier work was that the SLI group was deficient relative to controls with visual as well as auditory stimuli on tests of sequencing, rate processing and serial memory. Post hoc analysis indicated that this finding was a function of the age of the subjects: the younger SLI children were impaired in visual and auditory modalities, whereas the older ones were impaired with the auditory stimuli only. ~his age effect could reflect sampling factors, but it could also indicate that the profile of impairment changes as the child grows older. To investigate this possibility, Bernstein and Stark (1985) traced 29 children from the original Stark and Tallal (1981) study and retested then on perception of synthetic ba - da contrasts 4 years after the initial testing, at which time 23 children still met criteria for SLI. Overall, there was a substantial improvement in children's performance. When first tested, 19 of the SLI children had failed to discriminate reliably between these synthetic speech sounds, whereas on retest 24 of them reached criterion, and there was no overall difference between the SLI group and controls. When presented with sequences of stimuli at a fixed inter-stimulus interval, performance of SLI children was variable. Many of
  • 12. D. V. M. Bishop them did very well, but a few made many errors. All those who did pass this subtest were able to reach criterion on a rate processing subtest that included trials with brief inter-stimulus intervals. Furthermore, most of the SLI and control children could repeat sequences of four or five items on a serial memory subtest. Bernstein and Stark (1985) noted: "Considering time 2 results alone, we could not conclude that specific language impairment in older children is caused by perceptual deficits in rapid rate processing of phonemes" (p. 28). However, there are two points to note when interpreting these results. First, performance was near ceiling levels on retest, so it could be the case that SLI children still had an auditory perceptual deficit, but the tests were too insensitive to detect this. The second point is that it would be erroneous to conclude that the language disorder was not caused by perceptual impairments just because no perceptual impairment was evident at time 2. As Bernstein and Stark concluded: "Language disabilities may result when inadequate processing of sensory information occurs during early childhood although the original processing deficit may no longer exist" (p. 28). Auditory deficit as the explanationfo r phonologicapl roblemsi n SLI A crucial question is whether the perceptual deficit described by Tallal and colleagues can account for the types of phonological problems observed in SLI children. One approach to studying the relationship between auditory perception and phonological impairment is to consider whether phonological errors are made on the sounds the child has difficulty discriminating. On the basis offmdings with non-verbal tone stimuli, Tallal and colleagues made predictions about the types of speech sounds that SLI children should find difficult to discriminate and produce. These were broadly confirmed (Tallal & Piercy, 1974; Tallal, Stark & Curtiss, 1976; Tallal & Stark, 1981), with poor discrimination found for stop consonants, such as ba and ga and relatively good performance with vowels, which are characterized by steady-state rather than transient acoustic features. Tallal and Piercy (1975) went on to show that the advantage for vowels over consonants could be reversed by altering temporal characteristics of synthetic speech stimuli, i.e. stretching formant transitions of consonants or truncating vowels. However, it was found that the perceptual deficit of SLI children was not limited to discrimination of temporal cues. They also did poorly when asked to discriminate sa and sha, which differ on spectral cues. Another way of investigating the relationship between auditory perception and phonological production is to consider whether individual differences in phonological status are related to auditory perceptual processing. Frumkin and Rapin (1980) subdivided a group of SLI children according to whether they had any phonological impairment at the time of testing. Children with phonological disorders showed the characteristic deficit described by Tallal and Piercy. They had difficulty in discriminating between synthetic ba and da, but their performance improved when the duration of the formant transition was increased from 40 to 80 msec. In contrast, SLI children with normal phonology were unimpaired on this task, but they were poor at discriminating between brief vowel sounds, and had difficulty in reporting the order of pairs of consonants presented in quick succession. This intriguing study suggested that auditory perceptual problems may underlie several distinct varieties~
  • 13. Specific language impairment 15 of SLI, but impairment in processing rapid transitional information is the deficit that is most clearly linked to phonological competence. Auditory deficit as the explanationfo r phonologicali mpairmentsi n milder disorders Much of the research relating phonological impairment to auditory perception has been conducted on children diagnosed as having" phonological disorders", who do not have the broader range of linguistic impairments that characterize SLI. As noted above, however,. a case can be made for treating such disorders as on a continuum with SLI, representing a mild form of the disorder. If this characterization is correct, we should expect to find similar underlying causes, and it is interesting therefore to consider how far an auditory deficit theory can account for phonological difficulties in children with no other obvious language problems. A substantial body of work has been concerned with the question of whether expressive phonological problems can be explained in terms of deficits in auditory discrimination of speech sounds, but results from such studies have been contradictory, with some researchers reporting auditory discrimination deficits and others failing to confirm these. To some extent these discrepancies may reflect population differences. Some studies concentrated on children whose problems appear to have been restricted to phonetic distortions, whereas others included children with limited or abnormal phonological systems. Some investigations excluded children with more widespread language difficulties whilst others did not. Stark and Tallal (1988) did include a subgroup of children with isolated articulation disorders in their study, but they reported that these children were unimpaired on tests of rapid auditory processing, unlike the SI..I subgroup. Locke (1980) and Seymour, Baran and Peaper (1981) pointed out that another reason for discrepant results lay in the unsatisfactory procedures used to test auditory discrimination. Most tests used in research settings adopted one of two paradigms. The first involves presenting the child with words that constitute" minimal pairs", i.e. they differ by one phoneme, e.g. goat - coat. The child is shown a set of pictures and has to select the one whose name is spoken. A major disadvantage of this approach is that it is difficult to find a vocabulary of minimal pairs of words that are pictureable and familiar to young children. This limits the phoneme contrasts that can be assessed, and many tests adopting this format include many contrasts that are seldom confused in children's speech. An alternative approach is to use non-words, in a same - different paradigm. The child hears a minimal pair, such as gub - guv and must say if they are the same or different. However, this type of task is often impracticable with young children, who may quickly tire attending to pairs of meaningless verbal stimuli. Given that there is a 50% chance of giving a correct answer by guessing, it is necessary to use a long sequence of items to get a sensitive index of performance. Locke (1980) proposed a novel approach in which the child is shown a picture with a familiar name (e.g. dog) and has merely to judge whether or not the tester says the name correctly (e.g. "is this a gog?"). This procedure overcomes the major problems of other test methods, and also has the advantage that one can design a test individually for a child so as to assess whether contrasts that are not distinguished in the child's speech are also misperceived. Bird and Bishop (1991) included a
  • 14. D. V. M. Bishop test based on Locke's procedure in a study of 14 children with phonological disorders but normal receptive vocabulary. They found that this group performed significantly less well than control children, individually matched on age and non-verbal ability. However, there was wide individual variation, and several children had no difficulty in discriminating phonological contrasts that they did not produce distinctively in their speech. There are two possible ways of viewing this result. One is to conclude that children with phonological impairments are heterogenous, with some having perceptual deficits and others not. If this is so, one would expect to find other characteristics correlated with presence of perceptual deficit, e.g. the type of phonological problem or its prognosis. An alternative interpretation is suggested by the longitudinal study by Bernstein and Stark (1985) described above. They found that many SLI children who demonstrated perceptual impairments when young no longer did so when seen a few years later. It may be that a perceptual impairment early in life is sufficient to cause a phonological disorder, which persists even after the perceptual impairment has resolved. Thus to demonstrate a link between expressive phonological problems and perceptual impairment it may be necessary to study children at an early age. Bird and Bishop (1991) found that, whereas some of their subjects did have difficulty discriminating between phonemes, many more of them had a different type of problem, namely a difficulty in perceiving phoneme constancy across different word contexts. Consider the sound Isl when saying "soup" or "see". In "soup" the lips are rounded, whereas in "see" they are spread, in each case anticipating the following vowel. There are both acoustic and articulatory differences between these sounds, yet in English they are classified as exemplars of the same phoneme. To test ability to perceive such constancy a task was devised in which children were shown a puppet who liked things that began with the first sound of his name, "Sam". They were then required to judge, e.g., whether the puppet liked the "sock" or the "ball". The contrasting sounds (in this case, Ibl and Is/) were selected to be perceptually distinctive, avoiding sounds that children had difficulty in producing contrastively. In another task, children were given training in rhyme generation and then asked to produce rhyming words (e.g. "tell me something that rhymes with cat"). These tasks revealed substantial deficits in children with phonological problems. They could not judge that the initial sound of Sam was the same as the initial sound in sock, and hence match Sam with sock rather than ball, despite the substantial differences between the sounds Isl and Ib/. Also, they were very poor at rhyme generation. Such results are hard to explain in terms of poor discrimination. If the child had difficulty in distinguishing two phonemes, then certain classes of sounds would be collapsed together. For instance, if the child treated It I and Ik/ as instances of the same sound, we might then expect that when asked for a rhyme for cat, the response "back" would be given. However, this was not the type of error that was observed. When asked to generate rhymes, the commonest type of response seen in phonologically impaired children was for the child to give a semantic associate (e.g. replying "dog" or "hamster" to "cat"). These children seemed to have no idea of what was required of them, despite repeated demonstration. Bird and Bishop (1991) explained these findings by arguing that children with phonological problems failed to segment words into phonemes. jusczyk (1986) proposed that young children in the early stages of
  • 15. Specific language impairment 17 language acquisition do not operate at the level of the phoneme. Rather they make distinctions between larger, un-analysed chunks of sound. Only gradually do they learn to recognize common elements in the words that they have mastered, and this helps them to organize their growing vocabulary and to imitate new words that they hear on the basis of production rules for particular phonemes. Bird and Bishop (1991) proposed that children with phonological problems continue to analyse speech in this immature manner, learning each new word as an entire unsegmented pattern. Consequently, they do not appreciate that words are composed of a small number of building blocks, and their language learning is inefficient and protracted. It remains open to question whether this failure to learn phonological principles is a consequence of auditory perceptual limitations. This could arise, perhaps, if slow and inefficient processing of auditory signals led to masking of later phonemes by earlier ones. What is clear is that the problems go beyond failing to discriminate between similar sounds: rather there is a failure to identify the basic units necessary for efficient perception and storage of the sounds of words.
  • 16. 18 D. V. M. Bishop and Piercy (1974, 1975), with adequate discrimination of steady-state vowels but very poor performance with consonants. When the formant transitions of consonants were extended, performance of these two children improved. The study was of interest in demonstrating that children with severe comprehension problems do not appear to be qualitatively different from those with milder forms of SLI: rather they have the same types of auditory perceptual impairment, but in more pronounced form. If, as Rapin et at.'s (1977) diagnostic label implies, the impairment in these children is restricted to the processing of speech sounds, one should find normal perception of non-verbal auditory stimuli. The tone stimuli used by Tallal and colleagues have not been systematically applied to children diagnosed as having verbal auditory agnosia. In most cases the only evidence against a more general auditory deficit is that perception of environmental sounds is unimpaired. This, however, is not very satisfactory. Often the child is offered choices between environmental sounds that differ substantially in acoustic characteristics and performance is near ceiling level. It may prove more accurate to speak of a general" auditory agnosia" in these children, rather than a specifically verbal impairment. What if one bypasses the postulated auditory perceptual deficit and presents children with visual forms of language? If an auditory processing problem were responsible for comprehension failure, then it seems reasonable to predict that one should observe much better understanding for written or signed language, provided the child had had adequate opportunity to learn these. Denes, Balliello, Volterra and Pellegrini (1986) presented a detailed case study of a child who had little speech and virtually no understanding of spoken language, but could communicate adequately through reading and writing. However, he did have a tendency to make grammatical errors in written language. Grammatical deficits in comprehending visual language were also found by Bishop (1982), who compared children with severe receptive language disorders withYQunger normal children. Several of the children studied by Bishop had been taught using an artificial sign system that mapped directly on to English, so that one could sign any English sentence, complete with inflectional endings, and so directly compare comprehension across modalities for similar materials. The results were clear-cut: modality of sentence presentation had no effect on performance of a group of children with receptive language disorders, whereas grammatical complexity did. Thus, most children misinterpreted reversible passive sentences, regardless of whether these were spoken, written or signed. At first glance, this looks like strong evidence against an explanation in terms of auditory processing deficit. However, in a study which will be described in greater detail below, Bishop (1982) demonstrated that congenitally deaf children performed just like the SLI children, demonstrating major problems in comprehending complex sentences, regardless of whether these were spoken (and hence perceived by lip-reading), written or signed. This study demonstrated that it is quite wrong to assume that an auditory deficit will affect comprehension only in the auditory modality. Most children with SLI do not have the severe comprehension problems described in children with' 'verbal auditory agnosia", but nevertheless their understanding is typically below age level. Several studies have investigated the nature of their difficulties and found that SLI children do have distinctive problems in comprehending grammatically complex sentences. Bishop (1979) found that SLI children had major
  • 17. Specific language impairment 19 difficulties with reversible passive sentences, although they performed better with reversible active sentences, whereas Van der Lely and Harris (1990), studying slightly younger children selected on the basis of poor understanding, found poor performance by SLI subjects on all items where word order was used to express thematic relations. Leonard (1989) suggested that such impairments are consistent with an interpretation in terms of perceptual deficit. To perceive the contrasts between' 'the man chases the dog" and' 'the man is chased by the dog", the child must detect the -ed ending on the verb and the preposition by, neither of which is strongly stressed. If the child perceives both sentences as "man chase dog", then there will be problems in learning how grammatical variants in word order alter meaning. * Note that one does not need to maintain that the child never perceives the weakly stressed morphemes; even if the child sometimes processes them, learning will be impeded because the relationship between syntax and meaning becomes opaque. Auditory deficit as the explanationfo r expressivger ammaticalp roblems It is relatively straightforward to predict that an auditory perceptual impairment will result in problems in comprehension, but it is less clear how the structure of expressive language might be affected. Leonard et al. (1987) noted that the grammatical errors made by SLI children tended to be concentrated on verb inflections, auxiliaries and the copula (i.e. that part of the verb to be that connects subjects to predicate, as in "he is rich"). Several explanations may be offered for this finding. (i) The grammatical problems might be a consequence of expressive phonological limitations. Evidence against this explanation has been reviewed above when considering the "output disorder" hypothesis. (ii) SLI children might be regarded as normal language learners confronted with a systematically altered input, i.e. an auditory perceptual deficit. (iii) There might be impairment of an innate module specialized for learning grammar. Leonard et al. (1987) and Leonard, Sabbadini, Volterra and Leonard (1988) attempted to dissociate predictions made from these different hypotheses by comparing expressive difficulties in two different languages, English and Italian. Eight English-speaking children were contrasted with eight Italian-speaking children, all diagnosed as cases of SLI. The English children all used word final Isl, Izl, It I and Id/ in singular nouns such as bus and bed, so any failure to produce plural or past tense morphemes could not be attributed to difficulty in producing these phonemes. The two groups of children were matched in terms of mean length of utterance in words. Samples of their language were collected, using pictures to elicit examples of grammatical forms of interest. As can be seen from Table 1, Italian children did not show striking differences between regular noun plurals and third person singular verb inflections, both were produced in obligatory contexts at a much higher rate than was observed in English children. While there was no overall difference between Italian and English children in the production of articles, the Italian children used the feminine forms -However, recent unpublished data by Vander Lely (1990) suggest that SLI children can discriminate different grammatical forms. Her subjects performed consistently correctly on truncated passives, such as "the man is chased".
  • 18. 20 D. V.M. Bishop Table 1. Use of grammatical morphemes in obligatory contexts by English and Italian SLI children book/books ball/balls dog/dogs key/keys libro/libri palla/palle cane/cani chiave/chiavi mean = 94.4% S.D. = 9.8 range 71 - 100 mean = 79.3% S.D = 27.1 range 18 - 100 Third person singular to buy/buys to sell/sells to open/opens comprare/compra vendere/vende aprire/apre mean = 7.9% S.D. = 17.6 range 0 - 50 mean = 92.0% S.D. = 11.3 range 68 - 100 Uncontracted copula the book is red il libro e' rosso mean = 51.9% S.D. =27.0 range 0 - 78 mean = 76.5% S.D. = 16.5 range 51 - 100 Contracted copula the book's red mean = 26.0% S.D. = 20 range 0 - 53 mean = 6.8% S.D. = 10.3 Range 0 - 26 mean 64.5% S.D. = 36.8 range 16 - 100 provare/provato vestire/vestito to try/tried to dress/dressed Regular past tense, not involving number/gender agreement he returned she returned mean = 61.8% S.D. = 30.5 range 20 - 100 Regular past tense involving number/gender agreement lui eo tornato lei eo tornata Third person plural to see/they see vedere/vedono mean = 31.8% S.D. = 34.3 range 0 - 75 Articles ending in vowels the, a la, una, i, Ie median = 55% range 12 - 64 median = 74% range 15 - 100 Articles ending in consonants median =7% range 0 - 50 iI, un of the definite and indefinite articles, la and una, significantly more often than the corresponding masculine forms, il and un. Given that the number of obligatory contexts for il and un was as high for la and una, it is difficult to explain this difference except in terms of phonological structure: i.e. whether or not the article ends in a vowel. Most errors with articles involved omission of the article rather than substitution of an alternative. Finally, Leonard et al. (1987) also noted that Italian SLI children correctly marked gender agreement of possessive pronouns and adjectives in nearly all instances where this was required.
  • 19. Specific language impairment Leonard (1989) argued that many of the errors made by SLI children could be accounted for by assuming that perceptual limitations impair the learning of specific features. These include those represented by non-syllabic consonant segments (e.g. in English, plural, possessive or third person singular -s, past -ed and contracted forms of to be) and those represented by unstressed syllables (e.g. a, the, infinitive particle to, complementizer that). On this interpretation, Italian SLI children find it easier to learn verb inflections because most of these consist of stressed syllabic affiXes. Their ability to handle gender agreement is attributed to the fact that the relevant affixes have a clear relationship to one another; in most cases the final vowels of adjectives match those of the nouns they modify. One might ask why a perceptual problem should have such a selective effect on morphological development. If children have problems learning that -ed marks the past tense of a verb (e. g. played), why don't they have similar difficulty in perceiving the final consonant in other contexts, e.g. in single words such as raid? Leonard argued that, first, there is some evidence that SLI children do indeed have difficulty in perceiving unstressed final consonants in single words, and second that when learning the significance of the ed morpheme children must not only perceive /d/, they must also relate played to play, hypothesize that /d/ is a morpheme, and work out its grammatical function and semantic correlates. Although a perceptual deficit explanation can account for many of the results, some puzzles remain. English children were much more likely to produce the regular noun plural -s than they were to produce third person singular -so This indicates that factors other than perceptual salience are important. One possibility is that the semantic correlate of the morpheme is easier to deduce for the plural than the third person. However, if this were the explanation, one would expect a similar difference between these two types of morpheme in Italian children, and this was not found. Parameter setting theory, considered in more detail below, provides some clues as to how such differences may be explained. Perceptual impairment or memory impairment? It was noted above that most children with SLI do poorly on tests of auditory-verbal short-term memory, such as the digit span subtest of the Wechsler Intelligence Scale for Children (Wechsler, 1974). Tallal and Piercy (1937b) included tests of memory using non-verbal tone stimuli in their assessment of auditory processing by SLI children. They found that, even where auditory stimuli were adequately discriminated, SLI children frequently had difficulty in retaining sequences of more than three or four items. One way of accounting for this result in terms of their theory is to suppose that while perceptual processing is adequate to discriminate between pairs of speech sounds, it is slow and inefficient. If the child were still processing stimulus 1 when stimulus 2 arrived then stimulus 2 would be inadequately processed, and hence poorly remembered. The critical question that remains to be answered is whether SLI children have memory deficits over and above those that would be expected on the basis of their perceptual impairment. One way in which a perceptual deficit might affect memory processing would be by influencing the way in which memorized material was encoded. Kirchner and Klatzky (1985) carried out a study of free recall by SLI children that supported the
  • 20. 22 D. V. M. Bishop idea that they encode material in terms of meaning rather than phonological characteristics. The children were presented with pictorial stimuli to remember and were explicitly instructed to rehearse the picture names aloud. Their rehearsal and overall recall was less efficient than that of age-matched control children. Most strikingly, and unlike control children, the SLI children made many intrusion errors that involved giving the name of a semantic associate of an item from the list. This would be consistent with the view that the pictures were remembered in terms of meaning rather than sound. More recently, however, Gathercole and Baddeley (1990) conducted a study that indicated that SLI children can and do encode words in phonological form. Their subjects showed the normal sensitivity to phonological characteristics of memorized materials, with poorer recall of similar word sets such as bat, cap, cat than of distinctive sets such as bus, clock, hand. They were also poorer at remembering pictures with long names (e.g. banana, elephant, ladybird) than those with short names (e.g. boat,c at, egg),ju st like control children. This observation provides evidence that children did rehearse the names of pictures rather than just forming a semantic or pictorial representation of materials. However, the authors noted that effects of phonological similarity were not found for lists of more than four items. They suggested SLI children might switch to an alternative encoding strategy when lists exceed their storage capacity. This would be consistent with the findings of Kirchner and Klatzky (1985), who used a free recall procedure with lists of 12 items. Gathercole and Baddeley (1990) challenged the view that memory limitations in SLI children are a secondary consequence of auditory perceptual deficits. They found that SLI children were extremely poor at repeating non-words. If this reflected a perceptual problem, one might expect poor performance even on monosyllables, but Gathercole and Baddeley showed that performance depended on the number of syllables in the non-word, with much greater impairment on polysyllabic items. The repetition scores of SLI children fell below even those of younger children matched on receptive vocabulary. Similar results were reported by Kamhi and Catts (1986) and Kamhi et al. (1988), who noted that SLI children were impaired at repeating polysyllabic non-words when compared to reading retarded children as well as control children. (On several other tasks that they used, reading retarded and SLI children showed similar levels of impairment.) Another piece of evidence against an explanation in terms of perceptual deficit was that the SLI children studied by Gathercole and Baddeley (1990) were unimpaired on a phoneme discrimination task that involved making same - different judgements about pairs of words and non-words. However, this evidence is not conclusive, because performance of all groups was near ceiling and the sound contrasts they tested were not chosen to reflect the types of phonological errors made in the memory task. Gathercole and Baddeley suggested that the memory difficulties they observed might arise because of limitations in storage capacity, leading to fewer items being stored, or because phonological representations in memory are less richly specified, leading to a less adequate memory trace. Although they did not think that problems in distinguishing individual phonemes were responsible, they did suggest that impairment of phonemic segmentation might be a factor that led to degraded phonological representations in memory. This interpretation would mesh well with the findings of Bird and Bishop (1991), discussed above (p. 14).
  • 21. Specific language impairment 23 Regardless of whether or not the non ..word repetition deficit is explicable in terms of a more basic perceptual deficit, it does have implications for vocabulary acquisition in SLI children. The processes involved in repeating a non-word resemble those implicated in forming a lexical representation of a new vocabulary item, and Gathercole and Baddeley (1989) confirmed that in normal children, ability to repeat non-words is strongly predictive of vocabulary growth. Limited vocabulary is common in SLI (Haynes & Naidoo, 1991), and Gathercole and Baddeley's analysis provides a simple explanation for this in terms of difficulty in retaining unfamiliar phonological strings. A stringent test of this hypothesis would involve teaching SLI children novel words varying in length. The prediction is that they should be disproportionately poor at learning polysyllabic words. Evaluation: the auditory deficit theory of SLI The view of SLI as the consequence of auditory perceptual impairments has stood the test of time remarkably well. The work ofTallal and colleagues has demonstrated that these children do have problems in discriminating non-verbal auditory stimuli when these are brief or rapid. It has sometimes been argued that the auditory deficit hypothesis cannot account for the specific types of grammatical impairment seen in many SLI children. For instance, Leonard (1979) concluded a review of the area by stating that' 'The very nature of the restricted speech used by language impaired children seems to suggest that auditory processing deficits may be a corollary to, rather than a cause of language difficulties" (p. 227). However, more recent work by Leonard and colleagues has revised that opinion and studies of receptive language function by Bishop (1982) illustrate the dangers of assuming that one can specify precisely how auditory impairment will affect grammatical development. The problems for the future are not so much to test whether auditory limitations can hinder language acquisition - they undoubtedly can and do - but rather to consider how wide a range of the linguistic and non-verbal deficits seen in SLI children can be attributed to this cause. One crucial question is whether the observed memory deficits are secondary consequences of perceptual abnormalities or whether there is a primary impairment in the memory system itself. 3. Linguistic Interpretations of SLI One way of studying normal language acquisition is to attempt to simulate the process by computer, but to date all attempts to do so have foundered. No-one has succeeded in formulating a learning algorithm that will derive the grammar of any language when provided with input from that language. This has been termed the "learnability" problem and has led to the conclusion that humans must come to the language learning task with some innate system specialized for grammatical processing. The problem is then to discover what type of innate knowledge would constrain learning to make it possible to master a grammar, while at the same time being flexible enough to allow one to learn anyone of the diverse languages that might be encountered. Given that grammatical difficulties are a hallmark of SLI, it may be asked whether these children lack the postulated language-learning module and are
  • 22. 24 D. V. M. Bishop therefore confronted with the same problem as the computers that are programmed to extract grammatical regularities from language input. In a review of the literature, Cromer (1978) noted that most theories of SLI attributed the children's language problems to some underlying deficit in non-linguistic processing, such as defective auditory perception, poor short-term memory, or confusion in sequencing. Cromer argued that we had ignored the most obvious explanation of SLI, which was that these children were unable to master those grammatical relations that Chomsky (1965) had proposed were processed by an innate "language acquisition device". Clearly, there is a danger of circular reasoning in arguing that the child fails to learn language because of lack of a language acquisition device, unless one can be more specific about what this device does, and hence predict the nature of language errors that should occur. Recently, several accounts have been proposed that make specific predictions about the types of language difficulty that should be observed. Failure to appreciate underlying hierarchical structure Cromer (1978) noted that language learning involves extracting underlying hierarchical structure from a temporal sequence. Consider the sentence: "The cheese in the refrigerator is green". If language were interpreted by relating each word to those nearest to it in the sentence, we would conclude that the refrigerator rather than the cheese was green. Because we can utter only one word at a time, when expressing complex relationships we need a grammar that allows us to keep track of underlying relationships between sentence elements that are separated in the surface structure. This involves appreciation of hierarchical structure, recognizing that some components of the sentence are subordinate modifiers of other elements. If one lacked the ability to extract hierarchical structure, this would have profound implications for language learning. Some progress might be made by learning sentence frames and sequential dependencies between word classes, but there would be severe difficulties in understanding constructions where processes such as subordination were involved. Cromer carried out two studies with a small group of SLI children with severe comprehension problems ("receptive aphasics"). In both these studies he compared children with receptive language disorders and deaf children. This is a potentially powerful method, as the deaf children can indicate how far language limitations can reasonably be attributed to auditory perceptual problems. However, these studies were flawed by lack of comparability of deaf and SLI children on crucial variables. In the first study, Cromer (1978) gathered samples of written language from children with receptive language disorders and contrasted these with samples produced by deaf children. He concluded that the written language of SLI children was characterized by use of simple sentence patterns that could be interpreted in terms of sequential dependencies. The deaf children attempted many more complex constructions, although they frequently made errors with these. This exploratory study, was, however, ambiguous. The differences between SLI and deaf children could have reflected educational method rather than genuine differences in underlying disorder. The SLI children came from a school where language was taught using a structured approach through written sentences and they were explicitly trained to produce certain simple sentence forms.
  • 23. Specific language impairment 25 Setting aside for the moment such objections, it may be asked whether, if a hierarchical planning deficit is implicated in SLI, this is a language-specific impairment or a more general inability. In a subsequent study, Cromer (1983) investigated this question using a task that involved extraction of hierarchical structure, but which did not involve any language. Children were required to copy either two-dimensional or three-dimensional patterns of the kind shown in Fig. 2. Previous work showed Fig. 2. Two-dimensional stimulus for copying used in Cromer's (1983) study of hierarchical processing. that normal young children use a chain strategy, starting their construction at one side and working sequentially up the figure, across the middle and down the other side (Greenfield & Schneider, 1977). Older children, however, usually start their construction with the superordinate connecting level, and work down through the hierarchy of levels. This involves interrupting the chain. Cromer scored children's reproductions in terms of how far they followed the underlying hierarchical structure of the pattern, and demonstrated that SLI children obtained low scores on a measure of hierarchical organization compared to a control group of deaf children. Unfortunately, in this study too the matching of SLI and deaf children was inadequate. The deaf children came from a selective grammar school, entry to which was determined by written examination, and their mean non-verbal IQ was 114. The average non-verbal IQ of the SLI children was 99, and it seems probable that their verbal skills were also lower than those of deaf children. The possibility cannot be excluded that the differences in the model-copying task were simply a function of language level and non-verbal ability. Bishop (1982) noted that Cromer's theory predicted specific types of comprehension problem in SLI children. Given a sentence such as "the book on the table is brown" children should not make random sequencing errors, such as selecting a table on a book rather than a book on a table, because they can appreciate sequential order. They should, however, wrongly attribute the colour adjective to the nearest noun, i.e. the table. Bishop devised a set of items designed to test this hypothesis, an example of which is shown in Fig. 3.
  • 24. 26 D. V. M. Bishop 1 2 ~ 3 Fig. 3. Test item used by Bishop (1982) to assess comprehension of hierarchical relationships in complex sentences. The child must select the item corresponding to "the circle on the star is black." All had the structure "The X inion/under/behind the Y is Z", where X and Y were nouns and Z a colour term. Understanding of all nouns and colours was first established in a pretest. Test items were presented in three modalities: spoken, written and signed using the Paget Gorman Sign System (a version of signed English). Results with nine children with severe receptive language problems gave support to Cromer's hypothesis that these children interpreted sentences sequentially without extracting deeper hierarchical structure. Performance was very poor but errors were not random. Instead, irrespective of modality of presentation, there was a tendency to attach the adjective, Z, to the nearest noun, Y. Thus for the item in Fig. 3, they wo;lld select picture 4 rather than the correct picture 2. This tendency was most marked when the test was given using written presentation, where the child did not have to remember the sentences. However, when these same materials were given to profoundly deaf children, the same pattern of performance was observed. Thus these results supported Cromer's hypothesis as a descriptive account of the nature of the grammatical problems experienced by children with receptive language disorders, but they challenged the view that these problems arose because of a primary impairment affecting the language acquisition device. In ;ddition, Bishop noted that studies of written language of hearing-impaired children carried out in the U.S.A. yielded findings that were
  • 25. Specific language impairment 27 strikingly similar to those obtained by Cromer (1983) with SLI children. Quigley, Wilbur, Power, Montanelli and Steinkamp (1976) noted that deaf children tended to impose a subject - verb - object pattern on sentences, and would connect the nearest noun phrase and verb phrase, apparently treating English as if it had linear rather than hierarchical structure. No-one would maintain that deaf children are born without a language acquisition device: their language problems arise because the main input to the language processor is visual rather than auditory. Bishop concluded that the visual system is not well suited to processing temporal information, so that merely presenting an auditory language in visual form will not overcome the language-learning problems of those who cannot perceive aural input adequately. In sum, Cromer's account of defective hierarchical processing in SLI makes accurate predictions about the types of expressive and receptive problems these children experience with grammatical structure. However, it is unlikely that inability to analyse hierarchical structure is the primary problem. Rather, it seems that this difficulty arises as a secondary consequence of auditory processing deficits that force children to rely on the visual modality for language learning. Semantic relations and the acquisition of argument structure Recent theories of language acquisition have focused on the ways in which meaning relationships are encoded in grammatical structure. When we produce a sentence, we are describing relationships between properties, things, places and actions. The verb is vital for expressing such relationships. Verb definitions may be regarded as composed of a small set of basic semantic categories (thing, event, state, place, path, property and manner) that form a scaffolding of grammatically relevant meaning to which are added specific pieces of conceptual information (Pinker, 1989). Note that a verb does not simply specify a particular type of action. It also entails the existence of other sentence elements. Thus, the verb to fall entails that there is a noUn acting in the role of theme, which is the grammatical subject of the verb. Other verbs have more complex entailments. Consider the following examples. Acceptable John fell. John smashed the egg. John put the egg on the table. Unacceptable John smashed. John put. John fell the egg. John put the egg. John put on the table These examples illustrate the different argument structures of the verbs. Fall (an intransitive verb) has only a theme expressed as a subject, smash (a transitive verb) requires an agent and a theme, expressed grammatically as subject and object. Put entails an agent, theme and location, expressed grammatically as subject, object and oblique object. Knowledge of verb argument structure is crucial for grammatical language production. Suppose the child relied solely on abstract rules, such as one stating that subject-verb-object is a grammatical string. Such a rule would generate sentences
  • 26. 28 D. V. M. Bishop such asJohnfell the egg orJohnput the egg. To be grammatical, a sentence must contain the obligatory arguments specified by the verb's argument structure. It follows that if the child has not learned adequate verb definitions, then ungrammatical utterances will result. According to Pinker (1989), many overgeneralization errors produced by normal young children arise for precisely this reason. Utterances such as he get died, don't say me that are not the consequence of failure to learn grammatical rules, but errors in learning verb semantics. Of course, knowledge of verb semantics is not sufficient for grammatical language, it is necessary also to map argument structure on to grammatical functions. For instance, there is a rule mapping agents on to subjects and patients on to objects. According to Pinker (1989), normal children do not have difficulty learning these linking rules, which he suggests are innate. Pinker's theory has barely been applied to the study of normal language acquisition, let alone to children with disordered development. Nevertheless, it generates some interesting predictions. Suppose that SLI children did indeed lack the innate component of grammar: they might then have no knowledge of linking rules, but in other respects be cognitively normal. On this view the child with SLI might have perfectly adequate semantic representations of verbs, but be unable to work out how to express the underlying argument structure grammatically. This hypothesis is of interest because it predicts that the grammatical errors observed in SLI children should differ from those seen in normal development. According to Pinker, underspecified representations of verb meaning are the main cause of overgeneralization errors in normal young children, and the progression to adult sentence constructions develops as verb meanings become more finely tuned. One way of evaluating this hypothesis is to compare different ways that children learn word meanings. Pinker proposed that the child first deduces information about argument structure from perceptual and conceptual analysis of the context in which the word is used. Suppose the adult produces a bear who is punching the air and moving forward, and tells the child "this iskaboozling". A probable deduction would be that kaboozlew as an intransitive verb describing the action the bear performed. Contrast this with the situation where the bear performs an identical action, but this time in doing so hits a giraffe and makes it move forward. Here the natural deduction would be that kaboozlew as a transitive verb describing the action of an agent (bear) on a patient (giraffe). Pinker argues that by using contextual information to deduce the meaning of words, the child can take the first steps to acquiring grammar. This is termed semantic bootstrapping. * If SLI children are unimpaired in their ability to learn verb meanings and argument structure from context, then we would predict that they should perform normally on tasks designed to test semantic bootstrapping. There is, however, another route to language learning, Landau and Glietman (1985) noted that if the visual context was an important cue to meaning and structure, then congenitally blind children should have major difficulties in language acquisition. They reported a case study demonstrating this need not be so. To explain how a .The tenD "bootstrapping" is borrowed from computer science, which likened the process of starting a system from scratch to the operation of pulling oneself up by one's bootstraps.
  • 27. Specific language impairment 29 blind child can learn to use verbs like "look" and "see" they proposed that, once some grammatical knowledge is available, a child may perform a syntactic analysis on an input sentence containing an unfamiliar word, and deduce the meaning of the word from its syntactic characteristics. For instance, if an adult describing a cartoon to a blind child says: "Tom really walloped Jerry", the blind child can deduce that the word wallop refers to an action in which Tom was agent and Jerry was patient. In effect, the child uses linking rules in reverse, to work out argument structure on the basis of syntactic structure, i.e. syntactic bootstrapping. If SLI children have difficulty in using linking rules, then they should find it hard to learn language this way. An early study relevant to this issue was carried out by Leonard et al. (1982) who contrasted vocabulary learning in 14 SLI children and 14 normal control children. These children were exposed to novel words depicting objects or actions in a play session. For instance, the adult would say "Here's the gourd" (object word) or "Watch the baby kneel" (action word). Each word was produced five times in each of 10 sessions, and the child's comprehension was tested at the end of each session with the command "give me the. . . " or "make the baby. . . ". Comprehension and production of the words was then tested in the final session. Leonard et al. (1982) were surprised to find that, overall, there were close similarities between SLI children and control children in comprehension and production of the experimental words. We know that SLI children do have weak vocabularies, and it had been anticipated that this study would reveal that they were slow at learning new words. Leonard (1989), however, pointed out that an analysis in terms of bootstrapping processes could clarify these findings. He argued that the apparent ease of learning new words could be a consequence of the fact that the new words were presented in an inflectionally bare context, e.g. "Here's the gourd"; "Watch the baby kneel", and thus the main factor determining learning was the child's ability to perform a conceptual analysis of the object or action from which a semantic representation could be formed, i.e. semantic bootstrapping. However, he suggested that in other situations where novel words are presented in a range of grammatical contexts, syntactic bootstrapping assumes importance and slower lexical acquisition would be anticipated. Van der Lely (1990) carried out a study designed to compare semantic and syntactic bootstrapping processes. Six children with SLI were compared with 17 younger children who were matched on "language age". In the semantic bootstrapping task, the child was shown toys performing novel actions, accompanied by novel words, e.g. toy A jumps up and down on the back of toy B and the experimenter says "this is voozing". The child's ability to infer grammatical relations was then tested by asking him or her to (i) describe the behaviour of new toys carrying out the same actions; and (ii) act out sentences such as "the horse voozes the lion" or "the lion is voozed by the horse". In contrast, in the syntactic bootstrapping task no semantic information or contextual cues were provided. The child was simply asked to make up a meaning for a new word, and to show this to the experimenter by acting out what he or she thought was meant by sentences such as "the lorry yols the car". Responses were scored in terms of the semantic relationships between the toys. In the example given, a child who appreciated the way in which syntactic structure usually encodes thematic roles should make the lorry perform some action on the car, i.e. lorry is agent and car is patient. Van der Lely (1990) found that SLI children did
  • 28. 30 D. V. M. Bishop not differ from language-matched controls on the semantic bootstrapping task, but they were significantly impaired on the syntactic bootstrapping task. These results indicate that SLI children could form a semantic representation of verb argument structure on the basis of contextual information. However, they seemed unable to deduce thematic roles from syntactic functions. It is possible that they lacked linking rules altogether, and succeeded on the semantic bootstrapping task simply by using response strategies based on their knowledge of thematic roles. Van der Lely (1990) favoured an alternative explanation, which was that SLI children could use linking rules, but only in one direction: linking from a cognitive semantic representation to a grammatical structure, but not vice versa. On either view, the fundamental deficit in SLI is grammatical rather than semantic. However, this primary grammatical deficit will lead to semantic deficits, because the child is unable to use syntactic bootstrapping to deduce word meanings. As with the work conducted by Cromer (1978), it cannot be assumed that, because SLI children behave as if they are impaired in using linking rules, there is an innate deficiency in a central language module. It is possible that inadequate auditory perception could lead them to misperceive crucial grammatical features. An explanation in terms of primary auditory deficit would be strengthened if similar deficiencies on bootstrapping tasks were found in children with hearing loss. "Feature blindness" Current linguistic theories have proposed that marking of grammatical features on lexical items is an independent component of grammar. Syntactico-semantic features, which mark information such as number, gender and animacy, have two main effects on surface structure: they influence the morphological form of the feature-marked word, and they constrain the form of other items in the sentence. Thus in English a plural noun is marked by a plural morpheme (/s/, Izl or hz/, depending of the phonological form of the word). Plural marking on a noun constrains the form of the verb of which it is subject, and the form of preceding determiners (some, or two would be permissible preceding dogs but not dog, whereas a, one or this would be allowable before dog but not dogs). Clahsen (1989) studied grammatical errors produced by German children with SLI and concluded that the grammatical problems of his subjects were confined to morphology. Gender and number agreement in the noun phrase were often in error, and subject - verb agreement caused great difficulty. Verbs were restricted lar,gely to uninflected stem forms, infinitive forms and those suffiXed with -to However, some kinds of verb morphology (e.g. rules for participles) were unimpaired. The children were able to use word order to express thematic relations, but they were impaired at using morphological case markers for accusative, genitive and dative. Clahsen concluded that the German children he studied had some ability to use grammatical morphology, but were selectively impaired in marking grammatical agreement. Gopnik (1990a, b) and Gopnik & Crago (1991) also argued that the grammatical impairment in SLI is confined to grammatical morphology, but they proposed a more pervasive problem, which they termed "feature blindness", indicating a total failure to master syntactico-semantic features. Gopnik and Crago (1991) reported striking deficits shown by English-speaking individuals with SLI in using features such as
  • 29. Specific language impairment 31 number, gender, animacy, mass/count distinction, proper names, tense and aspect. Extracts from notebooks kept by some of the subjects illustrate their problems with features such as number ("All the children got present"), aspect ("Carol is cry in the church' '), and proper names ("A Patrick is naughty' '). It was noted that while many utterances produced by SLI individuals may use such features in apparently grammatical fashion, they do not apply the features systematically to mark contrasts in meaning, and so may say "a boys", "a boy", "two boy" or "two boys". Rather than concluding that they have a shaky knowledge of the adult grammatical system, it was argued that it is more reasonable to say that their grammar lacks features. A form such as final /s/ is regarded as a phonological variant with no associated meaning. Thus grammatically correct utterances are generated by the same defective grammatical processor as the incor;rect ones. To investigate mastery of the plural feature, Gopnik and Crago (1991) administered an experimental task in which subjects were shown a nonsense creature and told, for example, "this is a zoop". They were then shown several such creatures and asked: "These are. . . ?" It was found that subjects with SLI were poor at this task and did not appear to have an internalized, unconscious set of rules for forming plurals. Another test assessed ability to use tense features. A sentence was presented in one tense, and the subject then prompted to produce an analogous sentence in a different tense. For example, the tester would say, "Every day the man walks eight miles. Yesterday he. . . (walked eight miles)". The SLI individuals gave semantically relevant answers but seldom made appropriate changes to verb tense. They also had difficulty with a related test in which sentences were given to elicit similar forms with different morphological endings, e.g. "There is a lot of sun. It is very. . . (sunny)". In another test, subjects were asked to judge whether a sentence was grammatical, and, if not, to correct it. The SLI subjects could judge which sentences were correct. Gopnik and Crago pointed out that this is to be expected as their grammar does generate such sentences. However, they were poor at detecting ungrammaticality in sentences that had errors in feature-marking, and if they did detect the error they had difficulty in correcting it. Gopnik and Crago (1991) did not find any deficit in SLI subjects on comprehension tests requiring understanding of such distinctions as reflexive/non-reflexive (" she washes herself" vs "she washes her"), pronoun gender ("he holds him" vs "he holds her"), passives and negatives ("the truck does not pull the car" vs "the truck is not pulled by the car") and reversible possessives ("the mother's baby" vs "the baby's mother"). They found that individuals whom they studied were able to produce some complex sentences such as "I know how to play basketball", could detect the ungrammaticality of sentences that did not represent obligatory verb argument structure (e.g. "he puts"), and did not make such errors in their spontaneous speech. It was therefore concluded that their grammatical impairment was specific to syntactico-semantic features and did not affect mastery of thematic relations. The feature-blindness hypothesis provides an interesting perspective on grammatical problems in SLI, but the current evidence produced in its support is sparse, and may be open to alternative interpretation. Gopnik and Crago (1991) themselves found
  • 30. 32 D. V. M. Bishop several aspects of feature-marking to which SLI subjects did appear to be sensitive. For instance, they performed correctly on a comprehension task that involved responding to commands such as "Point to the book" vs "Point to the books". If they regarded the plural inflection as a meaningless phonological variant, performance should be at chance. This discrepant result was explained by suggesting that noun plurals such as "books" were learned as complete lexical items referring to groups of objects, so would have a separate lexical representation, rather than being generated by applying a rule of adding a plural marker to "book". A similar explanation was proposed for the fmding that some past tense forms were produced correctly, by arguing that each one is learned as a new item, but the child does not generalize to new forms. While this is an interesting possibility, it should be subjected to further testing. This could be done by presenting SLI individuals with plural markers attached to novel forms, e.g. by showing a nonsense animal and saying "this a zoop", and then presenting a picture of a girl chasing a zoop and another of a girl chasing several zoops, to see whether the subject could respond differentially to the instruction' 'the girl chases the zoop" vs "the girl chases the zoops". Since the item "zoops" is novel it cannot have a pre-existing lexical representation~ and so if correct performance were achieved, this would provide evidence that SLI individuals do have some awareness of the feature of number, even if they are poor at using it productively. Gopnik and Crago (1991) make a bold claim that the deficit they have identified indicates that a separate, innate component of the grammar is absent in these individuals. If so, then the error pattern observed in SLI subjects should not be seen in the course of normal development. This prediction needs to be tested by comparing SLI subjects with younger normal children. Another claim that requires more stringent testing is the assertion that the feature problems shown by these subjects could not be explained in terms of an auditory deficit of the kind proposed by Tallal and colleagues. Two lines of evidence have been put forward to support this statement. First, Gopnik (1990a) noted that the deficits are apparent in spontaneous speech, grammaticality judgements, writing and repetition, and she concluded' 'because the deficits are apparent in all aspects of language their roots probably lie in the underlying grammar rather than in a peripheral processing system" (p. 715). The unsoundness of this argument is demonstrated by Bishop's (1982) study, which found that peripheral hearing loss resulted in grammatical deficits in comprehension of written and signed language. Second Gopnik and Crago (1991) noted that SLI individuals do produce instances of phonological forms involving rapid acoustic transitions (e.g. past tense Id/), but sometimes omit other forms that are acoustically salient, ~.g. subject pronouns. However, as is apparent from the studies of Leonard et at. (1987), a perceptual deficit theory can be adopted without making the extreme prediction that children will omit all low phonetic substance morphemes; instead it can be argued that contrasts signalled by such morphemes will be especially difficult to learn, and this may have repercussions on development of the entire grammatical system. It would be most interesting to see how children with mild to moderate hearing loss would perform on Gopnik's tasks. There are major discrepancies between the feature-blindness theory and other explanations of grammatical impairments, not just at the theoretical level, but also in terms of the empirical data cited in support. Gopnik (1990b) described a bilingual