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.
In the Early Modern English period (1500–1700), steps were taken toward Standard English, and this was also the time when Shakespeare wrote, but these perspectives are only part of the bigger picture. This chapter looks at Early Modern English as a variable and changing language not unlike English today. Standardization is found particularly in spelling, and new vocabulary was created as a result of the spread of English into various professional and occupational specializations. New research using digital corpora, dictionaries, and databases reveals the gradual nature of these processes. Ongoing developments were no less gradual in pronunciation, with processes such as the Great Vowel Shift, or in grammar, where many changes resulted in new means of expression and greater transparency. Word order was also subject to gradual change, becoming more fixed over time.
The phonology of Italian is subject to considerable variability both at the segmental and at the prosodic level. Changes affect different features of the phonological system such as the composition of the inventory of phonemes and allophones, the phonotactic patterning of phonemes, and their lexical distribution. On the prosodic level, the variability takes the form of a composite collection of intonational patterns. In fact, the classification of intonational contours in geographical varieties appears fuzzier and less precise than the traditional division into geographical areas based on segmental features.
The reasons for the high variability must be traced back, on the one hand, to the rapid and recent standardization and, on the other hand, to the prolonged contact with Romance dialects of Italy. Variation in Italian phonology can be traced back to two main dimensions: A geographic dimension, accounting for a large proportion of the total variability, and a social dimension that regulates variety-internal variation.
The overall picture can be understood as a combination of vertical and horizontal sociolinguistic forces. Horizontal dynamics is responsible for the creation of a pluricentric standard, that is, a multiplicity of models of pronunciation that could be considered as geographical versions of the standard. Vertical dynamics brings about the formation of new norms at a local level and, most important, it generates a continuum of dialects ranging from the (regional) standard to the most local variety. Moving along this vertical continuum from the standard down to the local variety, there is an increasing of variability that represents a source for the emergence of social and stylistic values.