ernate between the languages irrespectively of the interlocutor's ability to understand. Her minimal listening skills (due to preoccupation with internal conflicts and to relatively low intellectual apprehension capability) make it hard to assess whether she has failed to hear or to understand. Her limited vocabulary in both languages limits her expressiveness. No specific speech pathology has been detected. Basic problem: Affective problems, cognitive limitations, and culturally poor home environment lead to asocial comportment with restricted ability and need to communicate verbally.
Academic achievements. Elizabeth has mastered most readiness skills, including the alphabet. Her sight vocabulary is limited to a few two/three letter words (Note that no vision tests were carried out). Word attack skills are weak. Reading comprehension is commensurate with her level of word recognition. In mathematics, she is able to add and subtract single digit number
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