I just had such an affirming experience. On my 8hr intl flight back from a conference, I sat next to a father/son. In broken English, the father began to apologize/warn me that his ~10 yr-old son had severe nonverbal autism, and that this would like be a difficult journey. 1/
I told him not to worry, I was a speech-language pathologist with lots of experience with minimally verbal kiddos. Challenging behaviors began even before take off: screaming, hitting me, and grabbing for my things. The father repeatedly apologized, but did little else. 2/
I asked him how his son preferred to communicate. He didn’t seem to understand. Perhaps this was a language barrier, but I think instead the child had very little experience with communication therapy. I put away the talk I was working on & asked if I could try. He nodded. 3/
I tried to see if he was stimulable for a communication board. I started by pulling up some standard images for basic nouns on my computer but I could tell that screens really bothered him. So I summoned my god-awful drawing skills and tried to create a (very!) low-tech board. 4/
And by god, it clicked. I made symbols for the things he was grabbing, for his favorite stuffed penguin, and for his dad. He took to it very quickly. I introduced way more symbols that I normally would, but hey, how often do we get an 8-hour session?! 5/
By the end of the flight, he had made several requests, initiated several times, & his behaviors had reduced quite a bit. The father was astounded – clearly no one had ever tried an AAC approach with him. I gave him the paper & showed him how to use it, and he nearly cried. 6/
This was the human desire for communication, pure and simple. To connect with another person and share a thought. Communication is a basic human right, and I was overjoyed to help someone find it. What a privilege and a gift. 7/
As I face the upcoming job cycle and the nearly endless imposter syndrome of academia, this was precisely the reminder I needed about why I love studying language/communication development. It was a good day to be an #SLP! 8/8
I am floored by all this attention— any SLP would have done this! I appreciate all the kind words, but please PLEASE give this family their privacy and don’t try to identify them. I was purposely vague. Their story is their own and their right to share as they do/don’t wish.

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More from @RachelRRomeo

Sep 16, 2021
@Heino1Olli @gabrieli_john Hi! Thanks for the interest in our work! However, I feel the need to correct an inaccurate and potentially harmful narrative in your phrasing, and how our study relates to it, if you’ll allow me. This will take a few tweets.
@Heino1Olli @gabrieli_john First is the phrase “30 million word gap.” This term has gotten a lot of mileage, and I confess to having used it earlier in my career without fully understanding its impact – that’s on me. But it’s not accurate or helpful, and I have work to do to correct it.
@Heino1Olli @gabrieli_john First, it’s not accurate. The research that popularized this term was based on an extrapolation of a small slice of life, and @davidjpurpura has shown that it’s scientifically implausible for a gap that large to arise in a few short years doi.org/10.1111/cdev.1…
Read 12 tweets
Sep 30, 2020
THREAD. Ok, this must be said. To everyone who is down on Joe Biden for sounding, slow, old, confused last night -- let's put things in perspective. Biden has been managing his fluency disorder (also called stuttering) his whole life. #WeSpeechies #SLPeeps #StutteringAwareness
Stuttering is exacerbated by stress, and Trump knows this. He was trying to fluster Biden, to make him stutter so that he sounds "dumb." Despite the circumstances, Biden did a REMARKABLE job managing the stress and using the exact strategies we as SLPs often teach.
Many of these strategies, to the naive person, may make him sound slow or confused. For example: 1) Speak slowly, and especially ease into the first word -- to the naive person this can make you sound slow, but in fact it's strategic.
Read 7 tweets
May 19, 2020
Thread: Allow me a *potentially controversial* soapbox for a moment. I just attended @DaniSBassett’s amazing virtual talk at #UConnBIRC about her excellent new paper on quantifying citation bias (btw this is an absolute must read: doi.org/10.1101/2020.0…). 1/
Her team elegantly shows how neuroscience papers w/ a female first and/or last author are systematically undercited, primarily driven by papers w/ male first & last authors. Not explained by subfield, impact, historical underrepresentation of women in science, etc. 2/
She made a concerted point that this is a group effect, and that **not all** men in science do this. She specifically highlighted one male scientist who showed the opposite trend of that expected. Kudos, sir! 3/
Read 12 tweets
May 13, 2019
Pausing #academictwitter to brag on my wife Jess Romeo today for becoming a Psychiatric Nurse Practitioner from @MGHInstitute to add to her degrees in psych &social work! While I study poverty from behind the scenes, she’s on the front lines directly treating the underserved. 1/ Image
The darker side of poverty that no one wants to acknowledge is that it is a direct contributor to massive disparities in mental health and access to care. Jess specializes in treating addiction, major mental illness, dual diagnoses, and corrections/offender rehabilitation. 2/
Nearly all of her patients are on Medicaid and many are LGBT, as we are at a drastically increased risk of mental illness and addiction. Most importantly, she treats the forgotten and stigmatized with compassion and humanity. 3/
Read 5 tweets
Nov 19, 2018
I'm reflecting on my notes from various sessions at ASHA, and encountering one of my enduring pet peeves over and over: When researchers consider cognitive scores as stable traits, exact measures, or worse, indicative solely of some sort of inherent, native ability. 1/5
Having personally assessed many hundreds of children, the child’s state on test day can bias an individual score dramatically, and from a clinical standpoint, rarely does a single test encompass someone’s true potential. 2/5
Plus, we know how malleable these scores are through natural experience or experimental procedures. So I got squirmy when I heard a presentation that referred to cognitive scores as “something we can’t change.” 3/5
Read 5 tweets

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