Executive skills and children
with SLCN
Summary of Article by
Lucy Henry, David Messer
and Gilly Nash
From: Afasic News Spring /
Summer 2012 (p6-7)
What are executive skills?
Used where well-learned way of doing
things no longer appropriate
Essential in novel / more demanding
situations
School is all about new learning – so
executive skills essential!
Remember recently learnt information
Generate new ways of responding
Change strategies flexibly
Plan new solutions
Avoid out-of-date / irrelevant responses
Executive skills
Working memory
Remembering relevant information while
carrying out other tasks
Needed for mental arithmetic, reading
comprehension many school-based
learning tasks
Fluency
Generating examples/solutions/ideas
Needed for creative writing,
mathematical problem-solving, etc
Executive skills
Inhibition
New learning - ignore previous, simpler ways of
understanding / responding
E.g. exceptions to spelling rules; higher level
science!
Switching
Shifting attention between activities / sources
and modes of information
Changing strategy in response to circumstances
Planning
Need to plan new solutions / new tasks
Essential for education – and life
Relevance to SLI
In school, children can’t avoid tasks
with high executive demands
Children with SLCN may already be at
a disadvantage:
Fewer well-learned responses for range
of situations
Find it difficult to change previously
learned responses
Everyday planning and organisation
difficult
Does this sound like any children
on your caseload…?
Research Project
Focus on children with SLI (6-7% of
all school-children in UK)
Hypothesis: novel tasks with high
executive load = challenging for
children with SLI
However, not clear if also true for
non-language-based tasks
Research Methods
Assessed 41 children with SLI aged 8-14
Referred by SLTs or Headteachers
Administered ‘executive’ tasks for all 5 aspects
of executive skill
One language-based measure and one not
requiring language for each area
Compared with 88 typically developing and 31
with SLCN (SLI criteria not met)
Group differences assessed after controlling for
age, nonverbal IQ and verbal ability in a series
of regression analyses.
Did children with SLI have
executive difficulties?
Yes - significantly lower performance than
typical children on 6 of the 10 tasks
Children with SLI had difficulties with:
Remembering information while carrying out
another task
Generating examples around a theme
Planning new solutions for novel tasks
Inhibiting ‘out of date’ responses
Children with both SLI & general SLCN had
just as many problems on executive tasks
which did not require language
Implications
The difficulties were clinically meaningful,
as two thirds of the children with SLI
showed at least three exectutive function
impairments
Is SLI as a disorder really ‘specific’? consider multiple deficit models (e.g.
Bishop 2006)
Considerable support for children with SLI
on learning tasks needed
Will need range of intervention strategies
beyond just those for language
What can we do to support…?
…working
memory?
…fluency
(generating
alternative
responses)?
…inhibition?
…switching?
…planning?
Strategies to use: Memory
Visual aids to support memory in
everyday life
Visual aids while engaged in
demanding tasks such as free writing
or mental arithmetic to help hold
relevant information in mind, e.g.:
Spellings for common / difficult words
Key facts
Table squares
Strategies: Generating ideas and
planning
Clear task structure
‘Hints’ to help generate and plan new
ideas for solving problems
Support needed as affects learning
and everyday living
Strategies to support inhibition
Reminders to inhibit responses if
getting in way of new learning, e.g.
flashcards of spelling rules and of
exceptions
Summary
Findings suggests difficulties of children
with SLI go beyond language – broader
cognitive difficulties
Children with ‘milder’ language difficulties
(SLCN group) showed similar pattern
Implications for learning and everyday life
as affect types of skills we all need to deal
with new situations and novel challenges
Learning of children with SLI may be
supported by strategies that help support
executive skills
Read the original! (available online)
Henry, L. A., Messer, D. J. and Nash,
G. (2012), Executive functioning in
children with specific language
impairment. Journal of Child
Psychology and Psychiatry, 53: 37–
45. doi: 10.1111/j.14697610.2011.02430.x