WEBVTT

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Hi, my name is Jordan. I am a special education

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teacher from the UK. I share my passion for everything

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communication, sensory regulation and fun lesson

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ideas for my classroom of disabled pupils aged

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4 to 11. Each week I am joined by experts in

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the field answering your questions and sharing

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our knowledge and experience working alongside

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our beautiful young people. Let's get started.

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Hello everybody and welcome to the Sensory Classroom

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podcast. My name is Jordan and today I'm joined

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by the wonderful Ali Bhatti. Ali is a speech

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and language therapist who specialises in autism

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and AAC. She is privileged to work with speaking

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and non -speaking children using a child -led

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play -based approach which values their neurodivergent

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patterns and preferences. And today I'm really

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excited to talk to Ali about gestalt language

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processing. Hello Ellie. Hi Jordan, lovely to

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be here. I'm so pleased to have you on. I love

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everything you share on social media and I have

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personally learnt so much from you. So I'm really

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excited to talk about this topic today. Can we

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start with... What is gestalt language processing?

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That is a very complex question. So I'll try

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and kind of put it as simply as possible. Gestalt

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language processing is an alternative entry point

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or a route into language for children. So in

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our profession in speech and language therapy,

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we were taught and have thought for many years

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that all children and language. using single

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words first and then building up from there.

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So then, you know, after they experimented with

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single words for a while, then they do two word

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combinations and then three word combinations

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and so on. And we were completely missing a huge

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piece of that in that actually some children

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don't build up language like that. Some children's

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entry point into language is longer chunks. So

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for some children, it might be phrases that they've

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heard from their family and that they reproduce.

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at another time that sort of triggers that memory

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of that piece of language that they've heard.

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They might also pick up language from their favourite

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TV shows or films or lines from songs. And it

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can be a varying lens. So for some children,

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it might just be a little phrase like, I love

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it or let's go. And for some children, it might

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be whole episodes of Peppa Pig. So I met a child

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yesterday for the first time and his parents

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told me that when he's in his room, he's replaying

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entire. episodes of Peppa Pig and it's not entirely

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clear because his speech motor coordination is

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not quite mature enough to have clear speech,

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but they can pick out the odd word. They can

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pick out Pepper and George and some other little

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chunks. And he's acting out at the same time.

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So for him and for some gestalt language processors,

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it's a whole embodied experience. Like they are,

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you know, they're there. They're back in that

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place where they first heard that language. So

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it can be a really joyful way of engaging with

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language. It really is. I shouldn't have favourites,

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but they absolutely are my favourite learners

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to work with because it's so much fun. I don't

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know if you can find the same, but often the

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phrases are really sing -songy and really quite

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emotive. And you really have to use your whole

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body to get behind it, which makes it really

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fun. Yes, yes. And I think a lot of gestalt language

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processors have a real reverence for language.

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And so they pick out these beautiful phrases,

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these really apt phrases. phrases so you know

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they can be really sensitive and just perfect

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for the moment or there's real humor like just

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you know in a way that you know when you find

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the perfect quotation or a meme it's just absolutely

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perfect for that situation so yes it is it's

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so it is a joyful way of practicing for me as

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a speech and language therapist because every

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child who walks through the door has their own

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unique ways of communicating and it's just a

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delight to sort of discover that it is I love

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how you were liking it to memes because that

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is often what it feels like it feels like you're

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being fed a feed of perfectly timed memes in

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the moment and maybe that is what makes it so

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fun and joyful actually. Yes because you know

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this moment is never going to happen again I

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guess so it's like a really special moment of

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connection. Absolutely and often it then gets

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repeated it becomes an in -joke if you will.

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Yes. I know often parents, you know, use their

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phrases, which is what we're going to talk about

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in a bit, but use their phrases to beat back

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at them because it's meaningful. But it does

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end up something like an in -joke. We both know

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what it means and there's something really lovely

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about it. Yes, absolutely. It seems astonishing,

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really, when we reflect that we haven't really

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recognised this as a mode of communication, because

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I think it is something that everybody uses.

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And every group of friends or every family do

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have, like you say, these in -jokes and these

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little sayings that just take you back to that

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situation. And everybody knows exactly what the

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meaning is, even if it wouldn't be transparent

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to somebody who is not in your group of friends.

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So, yes, it's just I'm so glad that we're discovering

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this now because we've really missed an important

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piece before. Totally. And when I look back from

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classes gone by, I totally missed it. I would

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use phrases like lost in their own world. I would

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say, oh, they're not saying hello. They're not

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answering hello. But they were using these perfect

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phrases that meant hello to them, to me. And

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they were really trying. And I look back. And

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it's really hard to feel like, oh, I could have

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done better, but we didn't know better. You know,

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you can only do better if you know better. But

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I do look back and think they were a gestalt

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language processor. I know so much more now about

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what they were trying to do and how they communicate.

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Yes. And for that generation, you know, if anybody's

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listening and they support adults or young people,

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what we seem to be finding is it's not too late

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to start supporting them with a supportive sort

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of with the natural language acquisition framework,

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which is a really useful framework for accompanying

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a child or a young person or an adult through

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their process of acquiring language. So, you

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know, there's now some really nice case studies

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coming. out of adults who have started to get

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this support in their 20s 30s and beyond and

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you know they are acquiring new language they're

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bringing back old gestalts that might have gone

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underground a long time ago but they're still

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there and as soon as they have a partner in communication

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who's listening and who knows what that is they

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all start coming back so yeah if any if anybody

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does work with older you know students or adults

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be heartened that all of these strategies you

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know there's no age limit to language acquisition

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that's really really good to know have you noticed

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a common theme in the phrases and the patterns

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of phrases that are often picked out from them?

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And where do you think that kind of comes from?

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They're often highly emotive phrases. So often,

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at least at first, I think, or early on in a

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child's language journey, it's snippets of language

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that are attached to a really meaningful situation

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for them. So it might have been when there was

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high emotion, whether that is excitement or fear

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or sadness, there's something about that moment

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that's made that language stick. So that's one

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theme. And I would say the musicality of language

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is another one that can help that language stick.

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Often for gestalt language processors, they're

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really drawn to music. They're often very naturally

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musical. Sometimes they have perfect pitch. And

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so snippets of songs or lyrics from songs can

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often really help that language stick. And we

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can help that by making our language musical.

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So I've certainly noticed in my practice that

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when I make my language more musical and, you

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know, like almost sing the phrases, they're more

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likely to be appealing for a child and, you know,

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be remembered for another time. And is it helpful

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to do the same tune every time, to be consistent

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with that sing -songy? really I would say but

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I would say I'm terrible at remembering what

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tune I said that in so I think it's probably

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helpful and I do find so I often support children

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with AAC and that might be a paper -based communication

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book or it might be on an app but certainly the

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communication book that I tend to use the most

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I think I have established tunes for those phrases

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that I'm modeling a lot but I would say it's

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not absolutely essential I don't you know we're

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still learning about this but I think a lot of

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our gestalt language processors have such good

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memories that they will remember the way we said

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it the first time and if we say it in a slightly

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different tune the second time that might essentially

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be what we call a mitigation for them so we've

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changed something in it but they might be able

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to recognize that that the language is still

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the same but the intonation has changed so I

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would say don't worry about being perfect if

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you're like me and you can't remember exactly

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how you said it the first time first time I don't

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think it matters too much what's better is that

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you're trying I suppose yeah absolutely and that

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we're you know we're observing what the effect

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of that is so I think a huge piece of learning

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for me in the last three years has been around

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providing a sense of safety for particularly

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autistic children that we're working with and

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really prioritising establishing trust and connection

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first. and doing a lot more sort of sitting back

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and observing, you know, in a natural way, not

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in a, I've got my clipboard and I'm watching

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you way, rather than jumping in too soon with,

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right, I'm going to model loads of language and

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I'm just going to like hurl this language at

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you. So experimenting with silence and just,

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you know. when the moment is right, offering

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some language and just seeing how that lands

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is really useful. I've learned a lot from an

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American speech language pathologist called Corinne

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Smoos, who is on Instagram. I think her Instagram

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is called Crescendo Communication. And the things

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that I've really sort of picked up from her include

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leaving silence at either end of what you're

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saying. so that you're just signaling this is

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the important bit to listen to. Because if we're

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constantly talking, if we're constantly narrating,

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then that's just sort of background noise. So

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I think I've got a bit better at timing what

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I say with silence before and after so that there

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is a clear sort of like, oh, listen to this.

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This is hopefully going to be interesting. Yeah,

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that makes so much sense, doesn't it? I guess

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it's like a muscle that we have to exercise.

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The more we're doing that, the more it will become

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natural to us. speak in a single way or to leave

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gaps I suppose yes and I think you know I find

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this easier than I used to when I'm working with

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parents and carers and teachers because they

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they kind of get it straight away so I think

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when as a speech and language therapist um I

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used to sort of advise keep your language really

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simple I'm not sure that I ever advised just

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keep to single words to be honest but I think

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we definitely advise keep it simple And in AAC,

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we definitely kept it to single words with things

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like core board. So you'd have single words like

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more and again. And I think people always felt

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that that was unnatural. And so they didn't really

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like doing it. Whereas using phrases with a communication

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book, I see everybody gets excited about it and

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they... they feel more natural doing it. And

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I hear parents immediately, you know, they've

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got the idea immediately. They walk out of my

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door saying, let's go find the car, where I don't

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think I got that before, before I discovered,

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like, let's model in phrase. Because, and I often

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get this when I'm doing trainings and things,

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I often get, oh, but we're talking to them like

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a dog. You know, when they're just using single

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words, I think it feels rude in a way. It feels

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disrespectful, especially maybe in English. But

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maybe that's where that uncomfortability comes

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in, whereas using the phrases and that singing

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song feels kind of fun, soft, playful, whereas

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more finished, again, maybe just feels a little

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bit harsh. Yes, I totally get it. I think that's

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probably right. It sounds abrupt, doesn't it?

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And I think the other thing is... It was a bit

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disrespectful and underestimating what children

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were able to understand. And throughout my career,

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I have to say, you know, parents have always

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said to me they understand everything. And this

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does shame me. I am ashamed of this. For a lot

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of my career, the culture in speech and language

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therapy was, oh, parents always say that, but

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are they really understanding? And we'd do this

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horrific assessment, which was a keyword assessment

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to see how many keywords. that child was understanding

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in a phrase, I don't do that anymore. I find,

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you know, I find the idea of that really insulting

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to the child. Because what I see is, you know,

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children are understanding. And particularly

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when we're providing that multimodal communication,

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which we used to withdraw when we were assessing

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them, you know, we just expect them to be able

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to understand from our spoken language. And we

00:14:19.379 --> 00:14:22.600
wouldn't do any natural eye pointing or pointing

00:14:22.600 --> 00:14:26.259
or showing. So, yes, that was a very, very long

00:14:26.259 --> 00:14:29.100
way of saying, I agree with you, Jordan. I think

00:14:29.100 --> 00:14:32.220
just using single words was a bit insulting to

00:14:32.220 --> 00:14:34.559
that child's intelligence. And I suppose with

00:14:34.559 --> 00:14:37.279
the gestalt, they might understand the whole

00:14:37.279 --> 00:14:40.259
meaning of the whole phrase, but they can't pick

00:14:40.259 --> 00:14:42.899
out the individual meanings of individual words

00:14:42.899 --> 00:14:45.700
yet. Because that can happen, can't it? Yes,

00:14:45.700 --> 00:14:48.059
it can. Are you okay talking through the phrases

00:14:48.059 --> 00:14:52.500
a little bit? Yes. Because I know language processing

00:14:52.500 --> 00:14:55.179
with echolalia and kind of is part of it, but

00:14:55.179 --> 00:14:57.539
it's not the whole picture. Yes, absolutely.

00:14:58.419 --> 00:15:00.779
And I would just begin with that to say that

00:15:00.779 --> 00:15:04.240
these are not rigid, discrete stages. So a child

00:15:04.240 --> 00:15:07.159
doesn't, you know, start in stage two and then

00:15:07.159 --> 00:15:09.779
move to stage two and sorry, start in stage one,

00:15:09.860 --> 00:15:12.399
then move to stage two and only use stage two

00:15:12.399 --> 00:15:14.779
language. As a child sort of moves through the

00:15:14.779 --> 00:15:16.639
stages, they just add to their repertoire. So

00:15:16.639 --> 00:15:19.509
they're always going to have. stage one gestalt

00:15:19.509 --> 00:15:23.070
and then they might start mitigating those gestalts

00:15:23.070 --> 00:15:25.490
so they might trim them down if they're long

00:15:25.490 --> 00:15:28.450
gestalts or they might start combining them with

00:15:28.450 --> 00:15:30.629
other chunks so if they've got a gestalt like

00:15:30.629 --> 00:15:34.590
let's go they might start varying that with let's

00:15:34.590 --> 00:15:38.330
jump let's play so stage two is about that sort

00:15:38.330 --> 00:15:41.309
of you notice that there's a change so if you

00:15:41.309 --> 00:15:43.710
know that child well you'll get to know what

00:15:43.710 --> 00:15:46.330
their gestalts are you hear them all the time

00:15:46.330 --> 00:15:48.710
and then one day you'll hear oh, that's changed

00:15:48.710 --> 00:15:51.289
a bit. Rather than saying, catch George, they

00:15:51.289 --> 00:15:53.690
said, catch mummy. And as soon as you note that

00:15:53.690 --> 00:15:56.129
change, that's an exciting step that, you know,

00:15:56.169 --> 00:15:59.789
they're moving along and they're adding stage

00:15:59.789 --> 00:16:02.549
two to their stage one language. And then stage

00:16:02.549 --> 00:16:06.110
three is that they break those longer gestalts

00:16:06.110 --> 00:16:09.950
down and they can pull out just a word from that.

00:16:10.090 --> 00:16:13.779
So if they've had something like let's all eat

00:16:13.779 --> 00:16:17.039
cupcakes. And then one day they pick up a toy

00:16:17.039 --> 00:16:21.539
cupcake and say, cupcake. They have recognised

00:16:21.539 --> 00:16:26.940
that that word alone refers to a cupcake. So,

00:16:27.059 --> 00:16:29.659
to use some speech and language therapy jargon,

00:16:29.759 --> 00:16:32.899
that is referential language. They're using a

00:16:32.899 --> 00:16:36.500
word to reference a thing. And that's quite exciting

00:16:36.500 --> 00:16:40.080
because, you know, they are understanding that

00:16:40.080 --> 00:16:43.379
a word has a specific meaning. And we might also

00:16:43.379 --> 00:16:46.019
see at the same time that they're able to point

00:16:46.019 --> 00:16:48.559
to something and describe an attribute of it.

00:16:48.600 --> 00:16:51.820
So they might point to it and say red. So I had

00:16:51.820 --> 00:16:53.159
a child the other day and she was just doing

00:16:53.159 --> 00:16:54.639
this beautifully. She was going through some

00:16:54.639 --> 00:16:56.620
fruit and vegetable toys that I've got and she

00:16:56.620 --> 00:17:03.240
was going red pepper, green pepper. green apple

00:17:03.240 --> 00:17:06.400
and doing it really sort of with understanding

00:17:06.400 --> 00:17:10.140
of what those words meant. So that's stage three

00:17:10.140 --> 00:17:12.900
when we start to see them referencing, pointing,

00:17:13.220 --> 00:17:16.299
showing and adding a label to that thing. And

00:17:16.299 --> 00:17:19.039
then very quickly after, if not simultaneously,

00:17:19.240 --> 00:17:22.599
we see stage four language. And I kind of see

00:17:22.599 --> 00:17:25.259
stage four language as stage three is very much

00:17:25.259 --> 00:17:28.400
about vocabulary development and concepts and

00:17:28.400 --> 00:17:31.380
understanding that we can modulate meaning by

00:17:31.500 --> 00:17:35.660
If we put two words together, you know, exploring

00:17:35.660 --> 00:17:38.359
how that, you know, slightly changes the meaning.

00:17:38.759 --> 00:17:41.500
And stage four is when we start seeing verbs

00:17:41.500 --> 00:17:47.160
come in. So we might see things like go there,

00:17:47.460 --> 00:17:54.130
go up, cup, me get cup, me not want cup. So it

00:17:54.130 --> 00:17:57.549
sounds different from stage two language because

00:17:57.549 --> 00:18:00.509
stage two language is often very melodic and

00:18:00.509 --> 00:18:03.309
flowing because it's got that original intonation

00:18:03.309 --> 00:18:06.670
pattern of the original gestalt. And stage four

00:18:06.670 --> 00:18:11.230
starts to sound more, I guess, purposeful, but

00:18:11.230 --> 00:18:13.690
a little bit labored as well because they've

00:18:13.690 --> 00:18:16.529
got to think of what word do I need to use next.

00:18:17.710 --> 00:18:20.549
Could they be grammatical error factors as well?

00:18:20.549 --> 00:18:23.019
Because they're kind of... Forming those sentences

00:18:23.019 --> 00:18:26.440
themselves rather than using pre -learned phrases,

00:18:26.619 --> 00:18:28.680
which are usually correctly correct if they're

00:18:28.680 --> 00:18:33.099
not using Peppa Pig, which are. Yes. Yes. Yes.

00:18:33.799 --> 00:18:37.900
That's fine, actually. It is a stage four construction.

00:18:38.059 --> 00:18:41.960
If you are seeing those grammatical errors, that's

00:18:41.960 --> 00:18:44.099
a really nice sort of indicator that that is

00:18:44.099 --> 00:18:46.720
stage four. Another indicator that it is stage

00:18:46.720 --> 00:18:49.160
four is if you're seeing that same word being

00:18:49.160 --> 00:18:52.539
used really flexibly across different constructions.

00:18:52.539 --> 00:18:55.160
So it's really helpful to start jotting down

00:18:55.160 --> 00:18:58.319
a child's language and really sort of looking,

00:18:58.500 --> 00:19:01.619
oh, I've just heard go. Am I seeing go in other

00:19:01.619 --> 00:19:05.210
phrases as well? with other words mixed in there.

00:19:05.509 --> 00:19:09.509
And if I am, I can be fairly confident that that's

00:19:09.509 --> 00:19:13.690
stage four language. Yeah, and it's good. If

00:19:13.690 --> 00:19:17.309
you're not aware of these stages, rather than

00:19:17.309 --> 00:19:19.089
getting, you don't want to get obsessed with

00:19:19.089 --> 00:19:20.869
it as a parent or a teacher, maybe. I mean, this

00:19:20.869 --> 00:19:22.490
is the speech and language therapist and all

00:19:22.490 --> 00:19:24.069
of our job, I suppose. But rather than becoming

00:19:24.069 --> 00:19:26.009
obsessed with it and writing it all down, it's

00:19:26.009 --> 00:19:28.690
just good to have a... brief awareness of these

00:19:28.690 --> 00:19:30.369
because otherwise it could look like a backward

00:19:30.369 --> 00:19:32.710
stare yeah and you could be thinking well hang

00:19:32.710 --> 00:19:35.450
on they used to be able to say that phrase beautifully

00:19:35.450 --> 00:19:38.130
and now they can't what's happened there is that

00:19:38.130 --> 00:19:41.750
we know they've moved on they're now forming

00:19:41.750 --> 00:19:44.210
their own sentences and exciting you don't have

00:19:44.210 --> 00:19:46.579
to be worried about that that's a real fighting

00:19:46.579 --> 00:19:50.339
next step for us yes and it does vary hugely

00:19:50.339 --> 00:19:53.500
between children so you know some children do

00:19:53.500 --> 00:19:57.440
get very quiet when they enter stage three stage

00:19:57.440 --> 00:20:01.400
four and it can look like in air quotes regression

00:20:01.400 --> 00:20:04.420
it's not and it's not regression as you say it's

00:20:04.420 --> 00:20:07.980
just a really important step where they are just

00:20:07.980 --> 00:20:12.619
needing to put a lot more cognitive effort into

00:20:12.619 --> 00:20:15.900
constructing the next word in that phrase um

00:20:15.900 --> 00:20:19.420
some children don't go so quiet i have to say

00:20:19.420 --> 00:20:22.779
so there's no hard and fast rules in this some

00:20:22.779 --> 00:20:25.700
children you know they carry on using a lot of

00:20:25.700 --> 00:20:28.579
their stage one stage two language and some children

00:20:28.579 --> 00:20:31.440
you know move through step the stages quite quickly

00:20:31.440 --> 00:20:33.980
so it's not a hard and fast rule that children

00:20:33.980 --> 00:20:37.190
will go through a really quiet, slow, stage three,

00:20:37.230 --> 00:20:40.230
stage four. But that is a tendency that we see.

00:20:40.309 --> 00:20:42.190
And I would completely agree with you. Don't

00:20:42.190 --> 00:20:44.710
panic if you are a parent or a professional,

00:20:44.769 --> 00:20:47.829
if you see that. Just have a, you know, be curious.

00:20:48.390 --> 00:20:50.490
What is the language that they're using? Has

00:20:50.490 --> 00:20:53.529
it become more referential? Are they sort of

00:20:53.529 --> 00:20:56.289
pointing and showing? And therefore, they're

00:20:56.289 --> 00:20:58.529
really thinking about the exact word that they

00:20:58.529 --> 00:21:00.710
need. And it can be celebrated and validated.

00:21:01.309 --> 00:21:04.690
Yes, absolutely. And the number one advice is,

00:21:04.809 --> 00:21:06.750
just talk naturally to your child so you know

00:21:06.750 --> 00:21:10.730
you really cannot go wrong by just talking naturally

00:21:10.730 --> 00:21:14.450
don't overthink it so you know if you are just

00:21:14.450 --> 00:21:17.049
joining that child in their play you're not trying

00:21:17.049 --> 00:21:20.329
to change anything just say what feels natural

00:21:20.329 --> 00:21:23.430
in that situation and honestly you won't go wrong

00:21:23.430 --> 00:21:25.769
with that. That's really good advice that's totally

00:21:25.769 --> 00:21:28.190
realistic isn't it and then what about stage

00:21:28.190 --> 00:21:33.130
five then? Yeah so stage five is when we just

00:21:33.130 --> 00:21:36.829
start to see more complex grammar coming in so

00:21:36.829 --> 00:21:39.849
this This is where you might, you know, benefit

00:21:39.849 --> 00:21:42.369
from a speech and language therapist to sort

00:21:42.369 --> 00:21:45.309
of roughly guide you through the process. Or

00:21:45.309 --> 00:21:48.069
if you are sort of like a grammar geek, you're

00:21:48.069 --> 00:21:49.630
not a speech and language therapist, but you're

00:21:49.630 --> 00:21:52.829
just curious, you can kind of use a tool which

00:21:52.829 --> 00:21:55.950
is very useful and called developmental sentence

00:21:55.950 --> 00:21:59.529
scoring. So I use that once a child reaches is

00:21:59.529 --> 00:22:02.650
comfortably in stage four and I'm hearing some

00:22:02.650 --> 00:22:05.250
really nice grammatical constructions like different

00:22:05.250 --> 00:22:08.259
verb forms. different pronouns. So pronouns are

00:22:08.259 --> 00:22:12.680
things like I, you, me, mine. Verb tenses might

00:22:12.680 --> 00:22:16.680
change. So we've not only got want, but wanted,

00:22:16.859 --> 00:22:20.329
want to do it. And then things like questions

00:22:20.329 --> 00:22:23.670
might come in and negatives might come in. So

00:22:23.670 --> 00:22:26.750
may not want it. You might start to see that.

00:22:26.890 --> 00:22:29.569
So at that stage, it's really useful to have

00:22:29.569 --> 00:22:32.670
this tool called DSS. And you can literally start

00:22:32.670 --> 00:22:35.410
marking off these grammatical constructions.

00:22:35.410 --> 00:22:39.650
So the DSS has eight levels, slightly confusingly,

00:22:39.650 --> 00:22:42.130
because there's six stages of natural language

00:22:42.130 --> 00:22:46.210
acquisition. And the DSS sort of maps on to stages

00:22:46.210 --> 00:22:48.569
four to six of natural language acquisition.

00:22:48.730 --> 00:22:52.049
But you can use the DSS to just see these constructions

00:22:52.049 --> 00:22:54.890
as they appear. And stage five is the slightly

00:22:54.890 --> 00:22:57.849
more complex grammar that's needed. You know,

00:22:57.869 --> 00:23:00.650
when we're talking about things that might happen

00:23:00.650 --> 00:23:03.930
or could happen, when we're talking more about

00:23:03.930 --> 00:23:07.809
our thought processes. And stage six is the most

00:23:07.809 --> 00:23:12.009
complicated grammar that we see in academic language.

00:23:12.839 --> 00:23:16.819
really sort of cerebral conversations. Like it

00:23:16.819 --> 00:23:21.480
could have been that I saw that on Tuesday, but

00:23:21.480 --> 00:23:25.940
I might be confusing that with Wednesday. I'm

00:23:25.940 --> 00:23:28.440
not really sure. So that, you know, that really

00:23:28.440 --> 00:23:31.740
complicated grammar. And then they, are they

00:23:31.740 --> 00:23:35.160
then at the stage where they... have mitigated

00:23:35.160 --> 00:23:37.940
the words they know the meanings of the individual

00:23:37.940 --> 00:23:41.920
words and they can speak as you and i do and

00:23:41.920 --> 00:23:43.839
they will always kind of bring those gestalt

00:23:43.839 --> 00:23:46.880
through that process until they get to that stage

00:23:46.880 --> 00:23:50.519
is that I think it varies enormously. And I'm

00:23:50.519 --> 00:23:53.880
always at pains to say that some children and

00:23:53.880 --> 00:23:58.799
adults will use stage two language so beautifully

00:23:58.799 --> 00:24:02.859
that that's a stopping off point for them. So

00:24:02.859 --> 00:24:06.220
I think there's a lot of autistic adults who

00:24:06.220 --> 00:24:09.579
just use stage two language so beautifully. It's

00:24:09.579 --> 00:24:12.819
almost like they've got a file or in the old

00:24:12.819 --> 00:24:16.759
terms, a Rolodex of phrase chunks and they can...

00:24:16.809 --> 00:24:21.049
Combine those so flexibly that, you know, they're

00:24:21.049 --> 00:24:24.710
perfectly eloquent and have beautiful language

00:24:24.710 --> 00:24:28.390
using stage two language. And other children

00:24:28.390 --> 00:24:32.589
and adults will kind of make more use of stage

00:24:32.589 --> 00:24:36.730
four, five and six language. And so I think it's

00:24:36.730 --> 00:24:40.230
really, really individual. I don't see that.

00:24:40.910 --> 00:24:43.690
Yes. Yeah. Yeah. So I'm just always at pains

00:24:43.690 --> 00:24:46.789
to say you can say so much with stage two language.

00:24:46.970 --> 00:24:50.230
Ideally, we want someone to have like super flexible

00:24:50.230 --> 00:24:53.109
stage four and beyond, but it's not necessary.

00:24:53.210 --> 00:24:57.390
And we'd always respect that that person's sort

00:24:57.390 --> 00:25:00.250
of most natural language. So I think, you know,

00:25:00.289 --> 00:25:02.769
a gestalt language processor, a pure gestalt

00:25:02.769 --> 00:25:05.450
language processor, they're always going to have.

00:25:05.960 --> 00:25:07.819
those stage one gestalts because they're just

00:25:07.819 --> 00:25:09.859
so beautiful and so perfect and they're going

00:25:09.859 --> 00:25:13.119
to carry on gathering them as well. So it's always

00:25:13.119 --> 00:25:16.500
going to be a part of their language. What about

00:25:16.500 --> 00:25:20.140
pre -stage one? Because I've definitely seen

00:25:20.140 --> 00:25:25.160
some learners that are repeating actions with

00:25:25.160 --> 00:25:29.039
their body or are a bit sing -songy in the tunes

00:25:29.039 --> 00:25:32.019
that they're making with their mouth. They hum

00:25:32.019 --> 00:25:35.640
maybe a tune. They're really excited about certain

00:25:35.640 --> 00:25:38.240
phrases. Maybe they keep watching them over and

00:25:38.240 --> 00:25:40.400
over again. Maybe in their play, they're quite

00:25:40.400 --> 00:25:43.299
repetitive in their play. And I can notice and

00:25:43.299 --> 00:25:47.039
recognize patterns in what they've seen to what

00:25:47.039 --> 00:25:49.299
they're playing and how their body is moving

00:25:49.299 --> 00:25:52.180
in play. Is that gestalt landing processing?

00:25:52.440 --> 00:25:54.759
Is that something different? Well, I think it's

00:25:54.759 --> 00:25:58.420
part of this whole gestaltiness of their processing.

00:25:58.640 --> 00:26:02.980
So, you know, we could call that gestalt. processing

00:26:02.980 --> 00:26:06.779
or gestalt cognitive processing. So Barry Prezant,

00:26:06.799 --> 00:26:11.059
who kind of did a lot of work around echolalia

00:26:11.059 --> 00:26:13.480
and helped us understand that it was meaningful,

00:26:13.720 --> 00:26:18.339
he has a lovely quote, which is, I will mangle

00:26:18.339 --> 00:26:20.900
quotes because I'm not great at quotes. It's

00:26:20.900 --> 00:26:22.559
something along the lines that gestalt language

00:26:22.559 --> 00:26:26.779
process is a manifestation of wider gestalt processing.

00:26:27.680 --> 00:26:31.099
So if you are a gestalt language processor, it's

00:26:31.099 --> 00:26:40.759
highly likely that you also carry out play routines

00:26:40.759 --> 00:26:45.640
in the same way, that you expect events to unfold

00:26:45.640 --> 00:26:48.960
in the same way when you're at that stage one.

00:26:49.480 --> 00:26:51.480
of Gestalt language processing particularly.

00:26:52.000 --> 00:26:55.259
So I would say there's not a stage zero. There's

00:26:55.259 --> 00:26:59.660
not one before stage one. But we will likely

00:26:59.660 --> 00:27:04.519
see echopraxis, which is when children act things

00:27:04.519 --> 00:27:07.500
out in their play in the same way. So it might

00:27:07.500 --> 00:27:10.220
be that they order things in the same way each

00:27:10.220 --> 00:27:12.819
time or arrange things in the same way each time,

00:27:12.859 --> 00:27:15.579
or that they're moving their body in a certain

00:27:15.579 --> 00:27:19.160
way in a lovely little routine. Or the first

00:27:19.160 --> 00:27:21.660
time they came into a room, they stood in a particular

00:27:21.660 --> 00:27:24.420
position and then they jumped across the room.

00:27:24.579 --> 00:27:26.920
And so the next time they do it, they'll do it

00:27:26.920 --> 00:27:29.759
in a... exactly the same way so I think that

00:27:29.759 --> 00:27:32.359
that's probably just another manifestation of

00:27:32.359 --> 00:27:35.519
their gestalt processing that makes perfect sense

00:27:35.519 --> 00:27:38.940
something I've also seen I've I've had it with

00:27:38.940 --> 00:27:42.619
two children actually that they did have some

00:27:42.619 --> 00:27:46.079
gestalts and some they were I mean gosh some

00:27:46.079 --> 00:27:47.960
of them have kind of gone to the yeah stage four

00:27:47.960 --> 00:27:51.579
stage five now but they still are I mean, they

00:27:51.579 --> 00:27:54.579
are just incredible at using the iPad. So they

00:27:54.579 --> 00:27:57.240
might find, go to BBC iPlay, for example, and

00:27:57.240 --> 00:28:00.119
find the exact episode in the exact point of

00:28:00.119 --> 00:28:02.880
second of something they wish to say. And it

00:28:02.880 --> 00:28:06.839
is always, mostly, there is meaning. There is

00:28:06.839 --> 00:28:11.339
meaning there. Yes, yes, yes. It might be, it's

00:28:11.339 --> 00:28:14.480
too loud in here, or I want a cup of coffee,

00:28:14.539 --> 00:28:18.329
or whatever it is. And I feel like that has to

00:28:18.329 --> 00:28:20.490
be linked too. It's those lovely phrases and

00:28:20.490 --> 00:28:24.549
maybe they haven't had that communication understanding

00:28:24.549 --> 00:28:26.650
there. Absolutely. So that's stage one language.

00:28:26.890 --> 00:28:32.089
So we know around 30 % of autistic children and

00:28:32.089 --> 00:28:36.509
people have an apraxia of speech. So they find

00:28:36.509 --> 00:28:41.180
it really difficult to access speech. So they've

00:28:41.180 --> 00:28:43.359
got lots of language in their head that they

00:28:43.359 --> 00:28:47.539
cannot reliably get out in mouth words. And so

00:28:47.539 --> 00:28:51.960
their stage one might manifest as rewinding and

00:28:51.960 --> 00:28:55.039
replaying or getting to that exact point in a

00:28:55.039 --> 00:28:57.960
YouTube clip. And that is stage one language.

00:28:58.099 --> 00:29:01.400
So they have internalized that phrase and it's

00:29:01.400 --> 00:29:03.779
a gestalt for them. It's a language gestalt for

00:29:03.779 --> 00:29:07.359
them. They just don't have the motor speech coordination

00:29:07.359 --> 00:29:11.130
to rely upon. get that out of their mouth as

00:29:11.130 --> 00:29:16.309
mouth words. They might occasionally say something

00:29:16.309 --> 00:29:19.930
and a whole phrase. So, you know, I work with

00:29:19.930 --> 00:29:23.769
one child and his mum will occasionally text

00:29:23.769 --> 00:29:27.430
me and say, I'm sure he just said, I've got you.

00:29:28.130 --> 00:29:31.630
Do you think he did say that? And I always say,

00:29:31.710 --> 00:29:34.289
yes, if you think you heard it, you did. Because

00:29:34.289 --> 00:29:38.430
children who have got, you know, apraxic bodies,

00:29:39.470 --> 00:29:42.170
They might be able to say something once in a

00:29:42.170 --> 00:29:45.289
blue moon, but they can't repeat it. And, you

00:29:45.289 --> 00:29:48.549
know, it must be hugely frustrating for them.

00:29:48.750 --> 00:29:51.009
But that's when we would be looking at supporting

00:29:51.009 --> 00:29:55.009
them with AAC and really honouring those language

00:29:55.009 --> 00:29:57.750
gestalts that they are pulling out from their

00:29:57.750 --> 00:30:01.150
media, from YouTube or their TV programmes or

00:30:01.150 --> 00:30:05.069
films and programming that into their AAC. So,

00:30:05.089 --> 00:30:07.710
yes, I've come across children who, exactly like

00:30:07.710 --> 00:30:09.529
you, they've got this amazing ability. to get

00:30:09.529 --> 00:30:12.289
to exactly the right point in a whole movie.

00:30:12.710 --> 00:30:16.049
It's incredible to watch, isn't it? It's incredible.

00:30:16.210 --> 00:30:19.630
I suppose that even it's just really important

00:30:19.630 --> 00:30:21.549
then that they have access to that because if

00:30:21.549 --> 00:30:23.509
that is their voice, if that's what they've got,

00:30:23.730 --> 00:30:26.759
if you're waiting for... boards to be made or

00:30:26.759 --> 00:30:28.400
whatever you know if you're at the stage where

00:30:28.400 --> 00:30:30.519
your child's got this ipad and they are talking

00:30:30.519 --> 00:30:32.759
through it please bring it everywhere please

00:30:32.759 --> 00:30:36.180
keep it charged yes please keep all their programs

00:30:36.180 --> 00:30:37.940
downloaded so you don't need internet and all

00:30:37.940 --> 00:30:40.000
of those things because that is at that point

00:30:40.000 --> 00:30:43.319
is their voice absolutely absolutely and i think

00:30:43.319 --> 00:30:47.579
i've widened my understanding of what aac is

00:30:47.579 --> 00:30:50.240
through working with gestalt language processors

00:30:50.240 --> 00:30:55.329
because for them youtube is an aac tool for them.

00:30:55.410 --> 00:30:59.750
And certainly one young person that I have...

00:30:59.930 --> 00:31:04.089
consulted for, she prefers that modality of communication

00:31:04.089 --> 00:31:08.730
to her AAC. So, you know, she would go to YouTube

00:31:08.730 --> 00:31:11.490
as her default or the Disney channel is for her.

00:31:11.690 --> 00:31:14.529
That's her preferred mode. She likes it in its

00:31:14.529 --> 00:31:17.650
original form. Yes, those phrases are programmed

00:31:17.650 --> 00:31:21.009
into her AAC as well, but there's just something

00:31:21.009 --> 00:31:23.750
beautiful and delightful to her about pulling

00:31:23.750 --> 00:31:26.690
it from its original source. Who are we to say

00:31:26.690 --> 00:31:29.400
what's easier? Yes. Just because it's easier

00:31:29.400 --> 00:31:31.660
for our brains to process that it's one button

00:31:31.660 --> 00:31:34.599
to press. Yeah. I work with a student who definitely,

00:31:34.619 --> 00:31:36.240
definitely, definitely doesn't find that easier.

00:31:36.759 --> 00:31:38.880
I also think it's really interesting that when

00:31:38.880 --> 00:31:42.140
people say, oh, I'm going to simplify the AAC

00:31:42.140 --> 00:31:43.700
because it's just so overwhelming. There's just

00:31:43.700 --> 00:31:45.700
so many folders to navigate. And I think, have

00:31:45.700 --> 00:31:47.900
you seen them on YouTube? They can't even spell

00:31:47.900 --> 00:31:50.359
and type and they always find the phrase and

00:31:50.359 --> 00:31:53.019
video that they need. And that is the whole of

00:31:53.019 --> 00:31:56.359
YouTube. It was at this point that we, the recording.

00:31:57.049 --> 00:32:00.410
messed up and I couldn't not include this episode

00:32:00.410 --> 00:32:02.769
because it's just so good and I love Ali so much

00:32:02.769 --> 00:32:04.789
but just so that you know that we then went on

00:32:04.789 --> 00:32:08.970
to speak about the importance of AAC and we spoke

00:32:08.970 --> 00:32:11.549
about her starting a podcast with Ruth Jones

00:32:11.549 --> 00:32:14.430
who has also been on my podcast and I'm really

00:32:14.430 --> 00:32:18.529
excited to see what they share on their podcast

00:32:18.529 --> 00:32:21.829
I hope to be a guest so that would have already

00:32:21.829 --> 00:32:24.470
started by the time this podcast comes out so

00:32:24.470 --> 00:32:26.369
I'll leave all of the links to that in the description

00:32:26.369 --> 00:32:28.869
below we also spoke about her book as well all

00:32:28.869 --> 00:32:30.670
about gestalt language processing and I'll leave

00:32:30.670 --> 00:32:33.410
that in the link below so I'm really sorry that

00:32:33.410 --> 00:32:36.009
you missed just the last few minutes of the podcast

00:32:36.009 --> 00:32:39.299
but I am so pleased that we did this I'm so pleased

00:32:39.299 --> 00:32:42.000
to record with Ali and I hope that you still

00:32:42.000 --> 00:32:44.680
got a lot out of this episode thank you so much

00:32:44.680 --> 00:32:47.660
Ali follow Ali over on oh god all social media

00:32:47.660 --> 00:32:49.940
left everything in the description below to find

00:32:49.940 --> 00:32:51.880
out all about her offers and her book and everything

00:32:51.880 --> 00:32:54.240
this has been an absolute joy it's my favorite

00:32:54.240 --> 00:32:56.420
topic to talk about and thank you so much for

00:32:56.420 --> 00:32:57.839
sharing your wisdom with us today
