title: Spoken language processing model: bridging auditory and language processing to guide assessment and intervention.
abstract: OBJECTIVE
  This article outlines the author's conceptualization of the key mechanisms that are engaged in the processing of spoken language, referred to as the spoken language processing model. The act of processing what is heard is very complex and involves the successful intertwining of auditory, cognitive, and language mechanisms. Spoken language processing disorders occur when a breakdown in any of these mechanisms impacts an individual's ability to effectively process and use the information that is heard. The symptoms vary depending on the underlying deficit(s). The primary purpose of this article is to provide the reader with a basic understanding of these mechanisms, and, in turn, enable readers to (a) review the literature concerning processing disorders with discernment and (b) have a foundation for developing a test battery to derive composite profiles of individuals' processing abilities.
  
  
  METHODS
  A review of the literature, overview of the spoken language processing model, and suggested approach to diagnostic assessment are presented.
  
  
  CONCLUSIONS
  Spoken language processing can break down due to a myriad of underlying causes. Central auditory nervous system deficits can impact not only the initial processing of stimuli but possibly the development of effective language skills. On the other hand, deficits in various cognitive and language mechanisms can similarly impact the auditory processing of speech stimuli. Therefore, it is critical to understand how these mechanisms interact and contribute to the processing of speech stimuli.
authors.affiliation: Rochester Hearing and Speech Center, Rochester, NY, USA. lmedwetsky@rhsc.org
authors.forename: Larry
authors.initials: L
authors.lastname: Medwetsky
mesh_terms: D001288:Attention; D001308:Auditory Perceptual Disorders / Q000175:diagnosis* / Q000628:therapy; D002648:Child; D003299:Cooperative Behavior; D003937:Diagnosis, Differential; D006801:Humans; D033183:Interdisciplinary Communication; D007805:Language Development Disorders / Q000175:diagnosis* / Q000628:therapy; D007859:Learning Disabilities / Q000175:diagnosis / Q000628:therapy; D008570:Memory, Short-Term; D010700:Phonetics; D012153:Retention, Psychology; D012572:School Health Services; D013018:Sound Spectrography; D013066:Speech-Language Pathology