Caroline Bowen, Speech-Language Pathologist 🇦🇺🇳🇿🌻
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carolinebowen.bsky.social
Caroline Bowen, Speech-Language Pathologist 🇦🇺🇳🇿🌻
@carolinebowen.bsky.social
1.7K followers 740 following 1.2K posts
Children's Speech Sound Disorders #ChildSpeechDis #DevLangDis Science, #Pseudoscience & #Misinformation in Health, Education, & Medical practice.
Living on Unceded Dharug Country 🖤💛❤️
#impSCI 🦋 #bskySPEECHIES
https://www.speech-language-therapy.com
Posts Replies Media Videos
carolinebowen.bsky.social
📙 #EBPRoadmap Table of Contents 🦋 #bskySPEECHIES
Table of contents Acknowledgements ix Foreword xi Preface xii 1 Speaking to experts and learning the lingo 1 2 Research evidence 29 3 Making reasoned choices 51 4 Guilt and the quest for wűnderkinder 77 5 Parenting 109 6 Reading, writing and spelling 133 7 Language and speech 169 8 Voice, resonance and fluency 211 9 The developing brain: Executive functioning, working memory and self-regulation 253 10 Autism 281 11 The highs and lows of Augmentative and Alternative Communication (AAC) 319 12 Fitting in and getting on with others 359 13 Myth-busting, identifying misinformation and fact checking 383 Epilogue 419 Glossary 423 Index
November 5, 2025 at 2:16 AM
carolinebowen.bsky.social
Evidence-based support for children and young people with additional needs 📙 #EBPRoadmap by @carolinebowen.bsky.social & @pamelasnow.bsky.social with @pipbrandon.bsky.social Foreword @lovethatsmile.bsky.social Publisher @jandrpress.bsky.social www.jr-press.co.uk/product/evid...
🦋 #bskySPEECHIES
🧵 ⬇️
Book cover. "Evidence-based support for children and young people with additional needs: The Roadmap" by Caroline Bowen and Pamela Snow, with Philippa Brandon. Foreword by Heidi Gregory.
November 5, 2025 at 2:16 AM
carolinebowen.bsky.social
Hello 🦋 #bskySPEECHIES, SLT advocates, parents of children & young people with #SLCN & other dedicated #childSPEECHdis #devLANGdis 💃🕺movers & shakers. The #INVESTinSLT push has important implications internationally. Please amplify📣 this message 🇬🇧 #budget2025🇬🇧 #budget25🇬🇧 @ukparliament.parliament.uk
RCSLT letterhead Statement on the need to Invest in SLT - 27 October 2025 This statement is issued on behalf of Mikey Akers, Louisa Akers, Francesca Beard, Samantha Berry, Dave Harford, Georgia Leckie, Karen Massey, Sharon Oliphant,Gillian Rudd, Pam Slater, and the Royal College of Speech and Language Therapists.* Nine months ago today (27 October) the House of Commons debated the Invest in SLT petition. We were delighted that our briefing for the debate was supported by over 40 organisations and by the very powerful contributions from MPs of all parties calling on the Government to increase investment in services and better plan for the speech and language therapy workforce. We were also encouraged by the Government’s response and by the pledge the Government made to the Invest in SLT team in March that they would work with us on an action plan to tackle the issues affecting access to speech and language therapy. We regret that seven months on that action plan has not yet appeared. So, today, and with the Budget on 26 November in sight, we are calling on the Government to do two things: 1) Ensure that the forthcoming Budget provides sufficient resources to the Department of Health and Social Care, the Department for Education, and other relevant Government Departments, so they can increase investment in speech and language therapy. 2) Publish the speech and language therapy action plan which they discussed with us in March. People of all ages with communication disability, difficulty, or difference, and those with eating, drinking, and swallowing difficulties, and their families and carers have already waited too long for the barriers to accessing speech and language therapy to be removed. They should not have to wait any longer. Working with you, we will do all we can to make things better for people with communication and/or swallowing needs. But we need the Government to act – and to act now. Those we work with and represent deserve no less.
November 1, 2025 at 9:35 PM
carolinebowen.bsky.social
I thought perhaps WIGWUG but became sidetracked imagining what a BULLYWUG would look like.
This is a frog-like humanoid from Dungeons & Dragons called a Bullywug. Unlike the regular Bullywug, this one had President Trump's hair. In D&D, the Bullywug (frog king) is a vulgar frog-like humanoid being commonly found in swamps. Nasty, arrogant and obnoxious, with fragile egos, they turn any swamp they inhabit into a dismal echo of the land it once was. Bullywugs experience extreme paranoia and self-pity, believing everyone is out to destroy them.
October 22, 2025 at 8:03 AM
carolinebowen.bsky.social
COMPETITION

What would you call the creature on the right?
On the left is Jean Berco Gleason's Wug, as depicted in the Wug Test. It is a blue, bird-like creature with a black outline, black legs, and a single dot for its eye. It is hairless. On the right is a similar creature, but this one has Donald Trump's swoopy, orange hair rendered cartoon style. The Wug has "WUG" printed underneath is caps. Under the other one it reads, "This is not a WUG, it is a..."
October 20, 2025 at 4:43 AM
carolinebowen.bsky.social
Hooray! 🥳
@sigperspectives.bsky.social 🙏
@ashajournals.bsky.social 🙏
Email headers for ASHA journal alerts for Oct 18, 2025.
October 18, 2025 at 7:18 AM
carolinebowen.bsky.social
It's a while since I quoted my adult friend with #devlangdis, and this is the first time on bsky, 🦋 #bskySPEECHIES.

"I've been working and working and working and getting nowhere for weeks. I feel like Syphilis."
SISYPHUS PUSHING A HUGE BOULDER UP A STEEP, ROCKY MOUNTAIN. "In Greek mythology, Sisyphus or Sisyphos is the founder and king of Ephyra. He reveals Zeus's abduction of Aegina to the river god Asopus, thereby incurring Zeus's wrath. His subsequent cheating of death earns him eternal punishment in the underworld, once he dies of old age. The gods forced him to roll an immense boulder up a hill only for it to roll back down every time it neared the top, repeating this action for eternity". Wikipedia
September 23, 2025 at 10:12 PM
carolinebowen.bsky.social
In @aunz.theconversation.com Despite "positive developments, there is still more to do to ensure diagnosis and support for people with #dementia are not delayed due to cultural and language barriers. We need to continue expanding supports, including:

theconversation.com/for-migrants...
Despite these positive developments, there is still more to do to ensure diagnosis and support for people with dementia are not delayed due to cultural and language barriers. We need to continue expanding supports, including: Specialist dementia training for interpreters: to handle repetitive speech, non-linear conversation and culturally specific expressions. Language and dementia awareness training for health workers: to understand why language loss happens and how to adapt care to address cognitive decline and also consider overall wellbeing. Better matching of interpreters: including age, dialect and cultural familiarity, especially in dementia-related contexts. Expanding the bilingual workforce: hiring more health-care workers who share the languages and cultures of local communities, particularly in rural, regional and remote areas. Culturally tailored dementia resources: booklets, videos, and support groups in multiple languages, co-designed with community members. Language Dementia Aged care Migrants Cognitive decline Health Bilingualism
September 11, 2025 at 10:13 PM
carolinebowen.bsky.social
The quote above, in context.
The quote above, in context.
September 8, 2025 at 10:33 PM
carolinebowen.bsky.social
Can you help, please, @he-es-canada.bsky.social ? We wish to cite this definition in a book but the URL is "dead" (the one we have is: www.cfhi-fcass.ca/Migrated/PDF...) Is the 2005 report available on your site or elsewhere on the web 🙏? Thanks @pamelasnow.bsky.social @jandrpress.bsky.social
“Evidence is information that comes closest to the facts of a matter. The form it takes depends on the context. The findings of high-quality, methodologically appropriate research are the most accurate evidence. Because research is often incomplete and sometimes contradictory or unavailable, other kinds of information are necessary supplements to or stand-ins for research. The evidence base for a decision is the multiple forms of evidence combined to balance rigour with expedience—while privileging the former over the latter.” Canadian Health Services Research Foundation (2005, p. 9)
September 8, 2025 at 10:15 PM
carolinebowen.bsky.social
Speechwoman absolutely 😍LOVES😍 this 🆓🔓 open access article by @carorowland.bsky.social and colleagues! www.speech-language-therapy.com/index.php?op...
🦋 #bskySPEECHIES
Every month since June 1998 Speechwoman has selected a speech-language pathology / speech and language therapy related site of the month. Sometimes it is not so much a site, as a research article or a page, blog entry or resource within a site that is worthwhile celebrating here. If they wish, awardees may display the Speechwoman logo on their winning site, post, page or resource (scroll down for two versions of the logo). Warm congratulations to all Speechwoman's winners, including those whose hard work has "gone" from the Internet! 2025 Sites of the Month September Open Access Rowland, C. F., Westermann, G., Theakston, A. L., Pine, J. M., Monaghan, P., & Lieven, E. V. M. (2025). Constructing language: a framework for explaining acquisition. Trends in Cognitive Sciences, S1364-6613(25)00142-1. Advance online publication. https://doi.org/10.1016/j.tics.2025.05.015 August Open Access Gosling, C. J., Boisseleau, L., Solmi, M., Sandbank, M., Jurek, L., Nourredine, M., Porcu, G., Murgia, E., Radua, J., Fusar-Poli, P., Kovarski, K., Caparos, S., Cartigny, A., Cortese, S., & Delorme, R. (2025). Complementary, alternative and integrative medicine for autism: an umbrella review and online platform. Nature human behaviour, 10.1038/s41562-025-02256-9. Advance online publication. https://doi.org/10.1038/s41562-025-02256-9 July Open Acccess Case, J., Grigos, M. I., Velleman, S. L., Murray, E., Thomas, D. C., Anumandla, S., & Iuzzini-Seigel, J. (2025). A Pathway to Research-Reliable Dynamic Temporal and Tactile Cueing for Children With Childhood Apraxia of Speech: A Multiphase Process for Training Community Clinicians. American Journal of Speech-Language Pathology, 34(4S), 2359–2382. https://doi.org/10.1044/2025_AJSLP-24-00239
September 3, 2025 at 10:02 PM
carolinebowen.bsky.social
🔐💰 Westby, C. (2025). Reflections on Gestalt Language Processing. Word of Mouth, 37(1), 4-9. doi.org/10.1177/1048... #GLP #NLA #gestaltlanguageprocessing #naturallanguageacquisition

🦋 #bskySPEECHIES
It has recently been suggested that GLP/NLA intervention be embraced as a neurodiversity-affirmating practice (Haydock et al., 2024).(Neurodiversity refers to the idea that people interact in many different ways and that a difference is not a deficit to be fixed.) Some aspects of GLP/NLM intervention, such as embracing autistic communication, are consistent with neurodiversity. However, GLP/NLA is also associated with numerous ideas and clinical strategies that lack theoretical and empirical support. For this reason, Venker and Lorang (2025) believe it is premature to embrace GLP/ NLM as a neurodiversity-affirmative practice. Clinicians who are employing a GLP approach are generally adamant that they observe changes in their clients. That is quite possible, and probably likely, but the changes they observe may not be due to the premises of the GLP framework but rather to factors in the therapeutic interactions that might be found in many language interventions.
September 3, 2025 at 2:43 AM
carolinebowen.bsky.social
Is "having to" walk in the squares, avoiding the lines, an example of over-imitation? If not, what would you call it? I'm looking for examples of children's rituals in which an imagined penalty occurs if you don't abide by the "rules" (i.e., rules determined by the child).
Lines and Squares by A. A. Milne A. A. Milne Whenever I walk in a London street, I'm ever so careful to watch my feet; And I keep in the squares, And the masses of bears, Who wait at the corners all ready to eat The sillies who tread on the lines of the street Go back to their lairs, And I say to them, "Bears, Just look how I'm walking in all the squares!" And the little bears growl to each other, "He's mine, As soon as he's silly and steps on a line." And some of the bigger bears try to pretend That they came round the corner to look for a friend; And they try to pretend that nobody cares Whether you walk on the lines or squares. But only the sillies believe their talk; It's ever so portant how you walk. And it's ever so jolly to call out, "Bears, Just watch me walking in all the squares!"
August 22, 2025 at 4:25 AM
carolinebowen.bsky.social
In 1966 Lontxo (12) was forced to write "In school I must not speak Basque" ("En la escuela no tengo que hablar vasco") 1,000 times in his exercise book.

haiku

LINES
Tongue of hills held tight—
a thousand lines in silence
bind the boy to shame.
The boy's lines in a school exercise book.
June 26, 2025 at 7:39 AM
carolinebowen.bsky.social
I met my goal to smash out 3,214 push-ups in 23 days to raise AU$500 for youth mental health.



🙏You can still help me meet my dollar target: www.thepushupchallenge.com.au/fundraisers/...
Poster: I COMPLETED 3,214 PUSH-UPS
June 26, 2025 at 2:50 AM
carolinebowen.bsky.social
Donations made to my #pushforbetter page on Thursday, 19 June from 10am AEST will be matched dollar for dollar by Northern Star Resources, until 11:59pm AEST the same day – or until the $100,000 runs out*

* be quick, the $100,000 WILL run out fast! www.thepushupchallenge.com.au/fundraisers/...
Push-up challenge poster reads "Help me double my impact on mental health. Donate from 10am Australian Eastern Standard Time (AEST) Thurs June 19".
June 18, 2025 at 12:40 AM
carolinebowen.bsky.social
🔐💰In @ashajournals.bsky.social Exploring the Effect of Sentence Structure Frequency on the Accuracy of a Screener for Adults at Risk of Developmental Language Disorder pubs.asha.org/doi/10.1044/... #devlangdis 🦋 #bskySPEECHIES Meaty research note.
DLD is a high-incidence disability (Botting, 2020; Norbury et al., 2016) that arises in early childhood but persists into adulthood. Individuals with DLD have significant difficulty learning, understanding, and using spoken language (Leonard, 2014). Most affected adults experience important functional consequences (Dubois et al., 2020; Orrego et al., 2023), including higher unemployment and lower educational attainment. DLD is underidentified and undertreated given its prevalence and effects. The U.S. Preventive Services Task Force (2024) determined that insufficient evidence is available to determine the value of screening asymptomatic children. In the absence of universal screening, many children with DLD are missed because it is a “hidden disability” (McGregor, 2020) and only 39% of children with DLD receive services (Norbury et al., 2016; Tomblin et al., 1997). Intervention rates decline further in secondary education (Collins & Wolter, 2018). In postsecondary education, about one third of students with any learning disability receive accommodations (Newman et al., 2011), suggesting that many adults with DLD do not advocate for accommodations in post–K-12 settings, where the onus is on the adult to make the request. Given the low rate of service provision for adolescents with DLD, many adults with DLD lack knowledge of their disability status. Therefore, they may not have a clear understanding of how DLD affects them and are not able to effectively advocate for themselves (Koca et al., 2023). Research on the transition from secondary school to adulthood indicates the importance of developing self-awareness and self-advocacy to obtain accommodations (Collins & Wolter, 2018). Thus, it is important to enable adults to understand whether they are affected by DLD. Effectively screening adults at risk for DLD is important to public health (McGregor, 2020).
June 17, 2025 at 9:33 PM
carolinebowen.bsky.social
I am humbled by your gratitude.🫠
1000x746 The Angel Of Gratitude Folk Art Painting On Old Wood By Dee - Gratitude Painting shows a smiling woman with green eyes holding a bowl of four fish and four shells. Above her head is a banner with the word GRATITUDE.
June 17, 2025 at 7:44 AM
carolinebowen.bsky.social
😎 YES! I'm doing the push-up challenge with 1,713 push-ups banked so far, on day 14/23.
🙄 BUT! I'm not v successful with the fundraising bit.
🙂 TIPS welcome!
😀 DONATIONS even MORE welcome!
www.thepushupchallenge.com.au/fundraisers/...
😍 Come on someone, cheer me up!
#pushforbetter #strongertogether
Push-up challenge poster with the legend "I'm fundraising for headspace".
June 17, 2025 at 2:57 AM
carolinebowen.bsky.social
A word to the wise, Stephen. Beware ultracrepidarian neighbours who try to tell you how it's done. Stick faithfully to the binfluencers' protocol. #EBP

"Binfluencer" goes into my @grandiloquentwords.bsky.social daily journal, forthwith.
DEFINITION Ultracrepidarian [uhl-truh-krehp-ih-DAYR-ee-uhn] (n.) One who gives opinions and advice on matters that they know little or nothing about. (adj.) Pertaining to one who is talking about things beyond their scope of knowledge. Used in a sentence: “Few things are as veritably vexing as the uncouth utterances of an ultracrepidarian - a consummate cacafuego of confidently clueless commentary!"
June 16, 2025 at 10:46 PM
carolinebowen.bsky.social
❗If you GET IN EARLY on June 12 (Thursday from 10am AEST) your donation will be matched $-for-$. That is, your $5.00 (or whatever) will be doubled! I'm pushing hard to raise money for youth mental health by supporting #headspace. #strongertogether DONATE www.thepushupchallenge.com.au/fundraisers/...
HELP ME DOUBLE MY IMPACT ON MENTAL HEALTH
June 11, 2025 at 2:36 AM
carolinebowen.bsky.social
Week 1 done! Rest day today. We'll #pushforbetter again tomorrow. AU$103 raised. Three weeks to go. www.thepushupchallenge.com.au/fundraisers/...
Our push-up challenge team's logo on a presentation cup labelled "week 1 done".
June 7, 2025 at 10:33 PM
carolinebowen.bsky.social
🎹 What a treat!
www.abc.net.au/listen/class...
My Classic 100 PIANO Votes: Piano Trio No. 4 'Dumky' - Dvořák, Antonín Piano Concerto No. 21 in C major, K467 'Elvira Madigan' - Mozart, Wolfgang Amadeus Dances in the Canebrakes - Price, Florence Bagatelle in A minor, WoO59 'Für Elise' - Beethoven, Ludwig van Piano Concerto No. 5 in E-flat major, Op. 73 'Emperor' - Beethoven, Ludwig van Sheep May Safely Graze - Bach, Johann Sebastian The Well-Tempered Clavier, BWV846-893 - Bach, Johann Sebastian The Man from Snowy River (incl. Jessica's Theme) - Rowland, Bruce Albatross - Cairos-Rego, Iris de Poèmes provençaux, Op. 127 (incl. Dans la lande) - Chaminade, Cécile
June 7, 2025 at 7:08 AM
carolinebowen.bsky.social
The push-up challenge's Day 4️⃣ target is 143 push-ups highlighting the evidence-based fact that people who get 7-to-9 hours' of 💤sleep💤 each night are 1.43 times less likely to experience poor mental health (🐥🥚). #pushforbetter #strongertogether @pipbrandon.bsky.social 😘

Life's better with 💤sleep💤!
Poster: "THE PUSH-UP CHALLENGE. I'm doing 3,214 push-ups over 23 days" PUSH FOR BETTER.
June 6, 2025 at 10:09 PM
carolinebowen.bsky.social
Apparently, I'm "where art meets advocacy, and meaning meets meticulousness". Anyway, that's how ChatGPT just described me, based on my requests.
Describe me based on all our chats — make it catchy! ChatGPT said: You're a dynamic blend of creativity, care, and clarity — a purpose-driven powerhouse with a keen eye for detail and a big heart for community. From designing logos for intergenerational teams to crafting witty, accessible graphics for Blue Sky, you bring advocacy and aesthetics together with flair. You're deeply committed to youth mental health, invested in clear and inclusive communication (hello, homonym lists and alt text in UK English!), and thoughtful enough to ponder both the science and the story — whether it’s about language processing or the people behind the clothes we wear. In short: You're where art meets advocacy, and meaning meets meticulousness. What kind of project excites you the most these days — creative, activist, educational, or something else
June 5, 2025 at 3:44 AM