1. Framingham State University
Central
Auditory
Processing
Disorder
Geoffrey Klein
Framingham State University
Dr. John Marvelle
July 28th, 2011
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2. Making a Difference

3. Central Audio Processing Disorder (CAPD)
Audio processing is what happens when you brain recognizes and interprets the sound around you.
The sounds we hear through our ears are interpreted by the brain.
The “disorder” part of the auditory process means that the information received from the ears is negatively affected.

4. Audio Processing Disorder
Attention
Processing
Comprehension
Memory
Audio Processing Disorder
There is a break down in the area of processing
This breakdown in processing of information prevents accurate comprehension and recall

5. What Causes CAPD Middle ear infections
Auditory pathways and centers in the brain develop as a result of sound.
Genetic factors
Birth Trauma
Maturational Delays and imbalances in the Central Nervous System (CNS)

6. What do we Need to Know about CAPD
CAPD can occur with or without hearing loss
CAPD may run in families
CAPD can affect a person’s ability to interact socially
Children with CAPD usually have average intelligence
People with CAPD share many difficulties similar to people with ADD and hearing impaired

7. Common Symptoms of CAPD
Difficulty with expressive or receptive language
Weak reading comprehension, spelling, and vocabulary
An inability to follow long conversations
Problems understanding or remembering verbally presented information
Difficulty following verbal directions that have multi step directions
Inappropriate responses to “wh” questions
Problems with rhyming or identifying words that start with the same letter
Next extra time to process information
Frequently needs repetitions of directions
Difficulty taking notes
Difficulty with tasks requiring attention
Decrease concentration in noisy environments
Difficulty repeating words or numbers in sequence
Difficulty with phonics or speech sounds

8. Behavioral Indications of CAPD
Appearance of hypersensitivity to sound
Talks less than peers
Difficulty focusing during listening activities
Prefers puzzles or watching videos to listening to books
Uses “memorized” phrases and sentences
Repeats back a question before responding to it
Tunes out or seems to be in a world of there own
Difficulty carrying on telephone conversations
Less social because comprehension problems
Likes music but difficulty learning the words

9. Behavioral, Social, and Emotional Implications of CAPD
Feeling lost or overwhelmed can lead to losing interest and poor attention similar to ADHD.
Frustration can also lead to lowered self esteem, feeling of helplessness, and fear of failure, coupled with feeling “stupid.”
Feeling tired, stressed, or excited will lessen the ability to process spoken language.

10. CAPD and Language Processing
People with CAPD have difficulty with knowing where a sound has occurred in a space know as Sound Localization and Lateralization. They may encounter problems with:
Auditory Discrimination
Sound/Symbol Association
Temporal Auditory Processing
Auditory Figure Ground
Tolerance-Fading Memory
Sound blending
Auditory Closure
Decoding Problems

11. Making a Difference with a Student with CAPD
Differentiated Instruction = creating choice in the classroom
Pyramid – Content, Process, Product.
Building a learning environment that supports the needs of a child with CAPD
Have empathy for the child’s disorder - STAR
Building activities that focus on the child’s strengths and supports their weaknesses
6 Ways to adapt learning task.
TOADIS: Time – Outputs – Amount of work – level of Difficulty- Inputs – Support structures.
Differentiate Instruction = give choice to support st’s needs
Star – Empathize with your students and staff

12. A Team Approach The Teacher Audiologist Speech Pathologist
Psychologist
The Parents
The School Administration

13. They Can Help Themselves
Eye contact with the speaker
Use good listening behavior
Stop-Look-and-Listen
Speak up to let your teacher know what you need to succeed
When confused ask for clarification
Ask someone to explain what words mean
Repeat information quietly to themself

14. Education consists mainly of what we have unlearned. ~Mark Twain

15. References
Bellis, Teri J., When the brain can’t Hear: Unraveling the Mystery of Auditory Processing Disorder. Atria Books (2003)
Central Auditory Processing: Current Status of Research and Implications for Clinical Practice. Technical Report, (1996)".
Cacace, Anthony T.; Dennis J. McFarland ( ). "Central Auditory Processing Disorder in School-Aged Children A Critical Review". Journal of Speech, Language, and Hearing Research 41 (2): 355–373
Foli, Karen J. and Hallowell, Edward M. Like Sound Through Water: A Mother’s Journey Through Auditory Processing Disorder. Huffinton Publishing: 2003.
Moore DR (2007). "Auditory processing disorders: acquisition and treatment". J Commun Disord 40 (4): 295–304.
William O. Haynes, Rebekah Hand Pindzola, Michael J. Moran, Communication Disorders in the Classroom: An Introduction for Professionals in School Settings, Jones & Bartlett Publishers (2006)