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Sarah Lee's teachers noticed her difficulty responding to questions, even when she knew the answers. |
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Sarah Lee's Story
Sarah Lee Harris grew up in Harlem, NY, the youngest child in an ambitious
and supportive family. From the beginning of her school career, she showed
remarkable promise. Sarah Lee's teachers described her as a strong student,
motivated, a natural leader, and highly verbal.
But in the fourth grade, something changed. The girl who had always been
responsive began to hold back in class. The first sign of a problem was
detected by Sarah Lee's history teacher, who noticed a dichotomy between her
in-class reticence and difficulty and her verbal ability outside of class.
Sarah Lee herself noticed that she was often tongue-tied in class; even when
she knew the answer and wanted to speak up, she had difficulty expressing
herself. Embarrassed by the struggle to speak in class, she withdrew.
Sarah Lee's mother requested an evaluation, and the school's resource teacher
brought Sarah Lee to the office of speech and language specialist Donna Orloff.
There, Sarah Lee was given a series of basic language skill tests that revealed
a strong command of single words, basic language, and concrete ideas. But
identifying more abstract ideas and using expressive language were harder. She
had difficulty developing her vocabulary and retrieving words. For students
like Sarah Lee, an expressive language deficiency often surfaces for the first
time in fourth grade, when reading and language requirements shift from the
concrete ideas and stories of the primary grades to more abstract ideas and
representations. One way in which Sarah Lee's difficulty with expressive
language manifested itself was in her problem answering questions in the
classroom, particularly when the question required her to make new mental
connections among abstract ideas.
A full and ongoing language immersion program was prescribed, giving Sarah Lee
the extra practice that she needed in reading, cultivating a stronger
vocabulary, developing abstract thinking skills, and expressing herself. Within
a year, she had made significant improvements, making regular contributions in
class and speaking more confidently. Sarah Lee's reading scores also showed a
dramatic increase in her understanding of abstract ideas.
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