Bilingual Multilingual Considerations in the Assessment and Management of Communication Disorders

Short Communication | DOI: https://doi.org/10.31579/2637-8892/313

Bilingual Multilingual Considerations in the Assessment and Management of Communication Disorders

  • Hima Jacob
  • Irfana Thahani
  • Abhishek BP *

1Student, MSc. Clinical Psychology, Dept. of Psychology, AIBAS.

2Assistant Professor, Dept. of Psychology, Amity University, Bengaluru.

*Corresponding Author: Abhishek BP, Assistant Professor in Language Pathology, Centre of SLS, AIISH Mysore.

Citation: Hima Jacob, Irfana Thahani, Abhishek BP, (2025), Bilingual Multilingual Considerations in the Assessment and Management of Communication Disorders, Psychology and Mental Health Care, 9(2): DOI:10.31579/2637-8892/313

Copyright: © 2025, Abhishek BP. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 24 January 2025 | Accepted: 07 February 2025 | Published: 14 February 2025

Keywords: psychology; phonological; syntactic

Abstract

Bilingual and multilingual people are becoming more common in a society that is becoming more interconnected by the day. In contrast to the 2011 census, which found that 26% of Indians are bilingual and 7% are multilingual, the 2001 census found that 24.8% of the population was bilingual (Census, 2011). According to a study 

Introduction

Bilingual and multilingual people are becoming more common in a society that is becoming more interconnected by the day. In contrast to the 2011 census, which found that 26% of Indians are bilingual and 7% are multilingual, the 2001 census found that 24.8% of the population was bilingual (Census, 2011). According to a study [1], the majority of people on the planet speak multiple languages, which creates both possibilities and difficulties for the study of communication impairments. Nuanced methods that take language and cultural variation into consideration are necessary for the diagnosis and treatment of communication issues in bilingual and multilingual populations. Addressing these issues and emphasising the value of linguistically and culturally sensitive approaches in the area are the goals of this letter. According to a study [2], multilingualism and bilingualism are intricate phenomena that go beyond mere proficiency in multiple languages. In order to choose the target language and avoid interruptions from the nontarget language, multilingual people can activate brain areas linked to domain-general executive control [3]. Based on ASHA (2004), these people frequently toggle between many language systems, each of which has its own phonological, syntactic, and semantic norms. Understanding that a single-language emphasis could not fully convey the complexities of their language use is essential when assessing communication problems. Because bilingual and multilingual language processing is dynamic and flexible, assessment techniques and tools must be amended accordingly. Cultural sensitivity, dual-language assessments, narrative-based evaluations, and integrating language inputs should all be a part of this [4] Studies are necessary to recognise Speech-Language Pathologists' (SLPs') understanding in this area due to the growing number of bilingual and multilingual populations as well as the rising challenges in bilingual evaluation. In their study of the difficulties faced by Singaporean SLPs working with the bilingual population, Teoh et al. (2017b) [5] found that SLPs have been using standardised tests that were not intended for use with the population because they lack appropriate local assessment tools, data on the developmental trajectories of the host languages, and, practice guidelines for bilingual assessment. Additionally, the adoption of alternate evaluation measures was insufficient, despite the literature-based recommendations. As per Mulgrew et al. (2021) [6], speech-language therapists (SLTs) are realising steadily how important it is to have thorough training and resources in order to properly assess bilingual and multilingual children. Bilingual educators are now equipping themselves with sufficient tools that are validated and studied in bilingual populations rather than using adapted test materials. SLP's are also learning on how bilingual children acquire and employ a language differently from their monolingual classmates. Traditional methods and instruments for evaluation are frequently created with monolingual populations in mind. One of the difficulties that may result from this is the accuracy of the diagnosis [7]. Standardized assessments could not take into consideration the subtleties of language used by bilingual or multilingual speakers, which could result in incorrect severity ratings or misdiagnosis. For instance, a test designed for monolingual English speakers could not adequately assess a Spanish-English bilingual person's language proficiency [7]. Misunderstandings of the person's actual language skills and maybe inappropriate treatments may result from this mismatch. The performance of bilingual and multilingual people on assessment tools may be impacted by their varying levels of abilities in each of their languages [8]. It is critical to distinguish between true language disorders and typical disparities in language proficiency. Cultural sensitivity is another crucial thing to consider. Communication norms and expectations differ greatly between cultures, influencing how people respond to evaluation tools [8]. To solve these issues, multiple approaches could potentially be used. Dynamic evaluation is one key means of evaluating an individual's learning capacity and progress rather than depending simply on standard static measures. It aids in the distinction between language disorders and linguistic differences by assessing how people react to treatments and instructional support. Cross-linguistic comparison is an approach in which we analyse skills in all of an individual's languages in order to present a more complete picture of their communicative ability. This entails employing techniques that are culturally and linguistically relevant to each language [9] Information on the child's communication skills and difficulties may also be obtained by interviewing others who are acquainted with the child's language usage in various circumstances. An accurate picture of the child's linguistic abilities and areas in need of support may be painted with the use of contextual information from instructors and family members, allowing for interventions that have been tailored to meet their specifications (Antón, 2019) [10].When Valliappan et al. (2023b) [11]  surveyed student clinicians in India, they discovered a number of problems related to multilingualism, such as the parents' educational background, the absence of adequate evaluation tools, a shortfall of translators and interpreters, and the relatively poor linguistic proficiency of clinicians. In similar lines, Wang and Li (2020) [12] examined the assessment literature on multilingualism over the previous 15 years in order to investigate the issues, challenges, and future directions. He discovered that the majority of bilingual evaluations were conducted in classrooms and that large-scale, standardized testing is extremely atypical. The lack of instructors' multilingual competency, the resources needed to create, administer, and score dynamic tests, and resistance from the prevailing monolingual mindset are some of the difficulties in conducting multilingual assessments. Tailored treatment options that target the language or languages most pertinent to the person's everyday requirements and communication style are necessary for the effective treatment of communication problems in bilingual and multilingual people. This might entail combining strategies across languages or concentrating on one language at a time. Therapeutic methods must be considerate of the patient's history and should be suitable for their culture. This involves taking into account cultural norms about family participation in treatment and communication. It is essential to involve families in the intervention process. Therapy results can be improved by giving families the resources and strategies they need to aid their kids in communicating in all pertinent languages. It is crucial to develop and validate assessment tools and interventions tailored to bilingual and multilingual populations as the area of communication disorders evolves further Research should concentrate on developing measures that are appropriate both culturally and linguistically as well as can investigate successfully cross-linguistic intervention techniques In conclusion, addressing bilingual and multilingual considerations in the assessment and management of communication disorders is imperative for ensuring precise diagnosis and effective intervention. By adopting culturally and linguistically informed practices, professionals can better support the diverse needs of individuals in our increasingly multilingual world.

References

Dear Editorial Team, Clinical Medical Reviews and Reports. My experience with the journal was highly positive. The peer-review process was rigorous, constructive, and completed in a timely manner. The reviewers provided valuable comments that helped improve the quality and clarity of our manuscript. The editorial office was professional, responsive, and supportive throughout all stages of the publication process. Communication was clear and efficient, and any questions were addressed promptly. Overall, I found the journal to maintain high scientific standards and an excellent publication workflow. I would be pleased to consider submitting future work to this journal. Best wishes from, Elena Popa.

img

Dr Elena Popa

It was my pleasure to submit my testimonial concerning the Reviewer Board of our Scientific Journal “Brain and Neurological Disorders”. The Reviewers focused on some modifications and their contribution was helpful. The ladies of our Editorial Office were also supported my efforts. It was my honor to have such a co-operation and I am looking forward for more collaboration.

img

Dr Nikolaos Andreas Chrysanthakopoulos

Dear Grace Pierce, Editorial Coordinator of Journal of Clinical Research and Reports, Thank you for the speedy and efficient peer review process. I appreciate the fact that your peer reviewers do not take months to respond like with some other journals. I would also like to thank the editorial office for responding quickly to my questions. It is an excellent journal. I plan to submit more manuscripts in the future. Best wishes from, Robert W. McGee

img

Robert W McGee

Dear Grace Pierce, Editorial Coordinator of Journal of Clinical Research and Reports, Working with you and your team on our recent publication in JCRR has been a truly wonderful and enjoyable experience. The responses were prompt, and the reviewers were patient, constructive, and highly professional. One reviewer in particular gave me the feeling that a professor was carefully reading and commenting on my coursework, which was deeply touching. The entire process was straightforward and hassle‑free, with no tedious online forms to complete. I highly recommend this journal. Best wishes from, DR Aibing Rao, Head of R&D

img

Aibing Rao

I Appreciate the Opportunity to Share my Experience with the Journal of Clinical Research and Reports. The peer review process was timely and constructive, and the feedback provided helped improve the quality of our manuscript. The editorial office was professional, responsive, and supportive throughout the process, ensuring smooth communication and efficient handling of the submission. Overall, it was a positive experience collaborating with your team.

img

Kashani Mehdi

Dear Mercy Grace, Editorial Coordinator of Obstetrics Gynecology and Reproductive Sciences, We would like to express our gratitude for your help at all stages of publishing and editing the article. The editors of the magazine answer all the necessary questions and help at every stage. We will definitely continue to cooperate and publish other works in the Obstetrics Gynecology and Reproductive Sciences! Best wishes from, Alla Konstantinovna Politova,

img

Alla Konstantinovna Politova