Journal of Speech and Hearing Research, Volume 37, 841-851, August 1994
Facilitating Prelinguistic
Communication Skills in Young
Children With Developmental Delay
II: Systematic Replication and
Extension
Paul J. Yoder
Steven F. Warren
Kyoungran Kim
Gail E. Gazdag
John F. Kennedy Center
Vanderbilt University
Nashville, TN
Four children with mental retardation were studied in the context of a multiple baseline across
subjects design. Staff members used a modified version of the milieu teaching method to
facilitate intentional requesting. The results replicated the finding that a modified version of
milieu teaching was effective in facilitating the use of intentional requesting by children with
developmental delays in an intervention context (Warren, Yoder, Gazdag, Kim, & Jones, 1993).
This study also extended the Warren et al. (1993) work by (a) documenting that increased
intentional requesting generalized to sessions with the children's mothers, (b) demonstrating
that mothers who were naive to the purposes of the study were more likely to linguistically map
their children's prelinguistic communication after the intervention than before the treatment, and
(c) that mothers and teachers who were naive to the purposes of the study linguistically mapped
the children's intentional communication more than the children's preintentional communication.
We discuss implications of these results for early intervention, the transactional theory of
development, and the importance of the distinction between intentional versus preintentional
communication.
KEY WORDS: children with mental retardation, prellnguistlc communication, Interven-
tion, linguistic Input, mothers
The present study attempted to replicate the findings of Warren, Yoder, Gazdag,
Kim, and Jones (1993) that a modified form of milieu teaching facilitated increases in
children's prelinguistic requesting in intervention sessions with staff members. Addi-
tionally, the present study attempted to extend the existing support for modified milieu
teaching by demonstrating that child intentional requesting generalized to sessions
with the subjects' mothers, who had been kept naive of the details of the study. Data
were also collected to document the transactional effects of the intervention. This was
done by observing whether the subjects' mothers increased the frequency and
proportion of child communication that they linguistically mapped. Finally, we tested
whether linguistic mapping, one type of language-facilitating behavior, was used more
often after intentional prelinguistic communication acts than after preintentional acts.
The term linguistic mapping of child communication is used to refer to the adult
verbally marking what the child is communicating nonverbally (Warren et al., 1993).
For example, if a child reached for a cup and then looked at a teacher, the teacher's
verbal response of "You want the cup" is a linguistic map of what the child intended
to communicate. Linguistic mapping of child communication may be particularly likely
to facilitate vocabulary development because a child is already attending to the
© 1994, American Speech-Language-Hearing Association
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