The boy who is four years of age, internationally adopted from China at three months of age, demonstrates an obvious speech disorder and expressive language delay noted at 8 and 20 months of age, respectively. Based on his records, his mother conceived him at age 30, and was not hospitalized or medicated during pregnancy. Therefore, factors such as gender, heredity, and environment (Norbury & Tomblin, 2008) may be considered as the roots of the problem. The surrogate mother of the child, who has taken care of the boy since birth, serves as the main source of information and child support. The mother is a housewife who never goes out except to do some grocery or pay bills. Although the surrogate father willingly provides support to his wife, he is the only one working for the family, is usually out, and comes home at night after office hours. Therefore, aside from the mother, the child has no one to interact with at home. Nevertheless, he is very fond of the television, and replies to people when expected.
Faced with a stranger or visitor, the child behaves normally. He interacts and replies with people of all ages, although like most kids, he interacts better with other children. Whenever a visitor comes in, the boy resumes his activity, and responds to the visitor whenever asked. However, he has a very notable speech defect. He does not demonstrate other symptoms of delay except for his speech. ...Show more