Clinical linguistics is the branch of linguistics that applies linguistic concepts and theories to the study of language disorders. As the name suggests, clinical linguistics is a dual-facing discipline. Although the conceptual roots of this field are in linguistics, its domain of application is the vast array of clinical disorders that may compromise the use and understanding of language. Both dimensions of clinical linguistics can be addressed through an examination of specific linguistic deficits in individuals with neurodevelopmental disorders, craniofacial anomalies, adult-onset neurological impairments, psychiatric disorders, and neurodegenerative disorders. Clinical linguists are interested in the full range of linguistic deficits in these conditions, including phonetic deficits of children with cleft lip and palate, morphosyntactic errors in children with specific language impairment, and pragmatic language impairments in adults with schizophrenia.
Like many applied disciplines in linguistics, clinical linguistics sits at the intersection of a number of areas. The relationship of clinical linguistics to the study of communication disorders and to speech-language pathology (speech and language therapy in the United Kingdom) are two particularly important points of intersection. Speech-language pathology is the area of clinical practice that assesses and treats children and adults with communication disorders. All language disorders restrict an individual’s ability to communicate freely with others in a range of contexts and settings. So language disorders are first and foremost communication disorders. To understand language disorders, it is useful to think of them in terms of points of breakdown on a communication cycle that tracks the progress of a linguistic utterance from its conception in the mind of a speaker to its comprehension by a hearer. This cycle permits the introduction of a number of important distinctions in language pathology, such as the distinction between a receptive and an expressive language disorder, and between a developmental and an acquired language disorder. The cycle is also a useful model with which to conceptualize a range of communication disorders other than language disorders. These other disorders, which include hearing, voice, and fluency disorders, are also relevant to clinical linguistics.
Clinical linguistics draws on the conceptual resources of the full range of linguistic disciplines to describe and explain language disorders. These disciplines include phonetics, phonology, morphology, syntax, semantics, pragmatics, and discourse. Each of these linguistic disciplines contributes concepts and theories that can shed light on the nature of language disorder. A wide range of tools and approaches are used by clinical linguists and speech-language pathologists to assess, diagnose, and treat language disorders. They include the use of standardized and norm-referenced tests, communication checklists and profiles (some administered by clinicians, others by parents, teachers, and caregivers), and qualitative methods such as conversation analysis and discourse analysis. Finally, clinical linguists can contribute to debates about the nosology of language disorders. In order to do so, however, they must have an understanding of the place of language disorders in internationally recognized classification systems such as the 2013 Diagnostic and Statistical Manual of Mental Disorders (DSM-5) of the American Psychiatric Association.
Holger Diessel and Martin Hilpert
Until recently, theoretical linguists have paid little attention to the frequency of linguistic elements in grammar and grammatical development. It is a standard assumption of (most) grammatical theories that the study of grammar (or competence) must be separated from the study of language use (or performance). However, this view of language has been called into question by various strands of research that have emphasized the importance of frequency for the analysis of linguistic structure. In this research, linguistic structure is often characterized as an emergent phenomenon shaped by general cognitive processes such as analogy, categorization, and automatization, which are crucially influenced by frequency of occurrence.
There are many different ways in which frequency affects the processing and development of linguistic structure. Historical linguists have shown that frequent strings of linguistic elements are prone to undergo phonetic reduction and coalescence, and that frequent expressions and constructions are more resistant to structure mapping and analogical leveling than infrequent ones. Cognitive linguists have argued that the organization of constituent structure and embedding is based on the language users’ experience with linguistic sequences, and that the productivity of grammatical schemas or rules is determined by the combined effect of frequency and similarity. Child language researchers have demonstrated that frequency of occurrence plays an important role in the segmentation of the speech stream and the acquisition of syntactic categories, and that the statistical properties of the ambient language are much more regular than commonly assumed. And finally, psycholinguists have shown that structural ambiguities in sentence processing can often be resolved by lexical and structural frequencies, and that speakers’ choices between alternative constructions in language production are related to their experience with particular linguistic forms and meanings. Taken together, this research suggests that our knowledge of grammar is grounded in experience.
Young-mee Yu Cho
Due to a number of unusual and interesting properties, Korean phonetics and phonology have been generating productive discussion within modern linguistic theories, starting from structuralism, moving to classical generative grammar, and more recently to post-generative frameworks of Autosegmental Theory, Government Phonology, Optimality Theory, and others. In addition, it has been discovered that a description of important issues of phonology cannot be properly made without referring to the interface between phonetics and phonology on the one hand, and phonology and morpho-syntax on the other. Some phonological issues from Standard Korean are still under debate and will likely be of value in helping to elucidate universal phonological properties with regard to phonation contrast, vowel and consonant inventories, consonantal markedness, and the motivation for prosodic organization in the lexicon.