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SLI is determined by applying exclusionary criteria, so that it is defined by what it is not rather than by what it is. The recent decision to not include SLI in DSM\u20105 provoked much debate and concern from researchers and clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To explore how the term \u2018specific language impairment\u2019 emerged, to consider how disorders, including SLI, are generally defined and to explore how societal changes might impact on use the term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods &amp; Procedures<\/jats:title>\n                    <jats:p>We reviewed the literature to explore the origins of the term \u2018specific language impairment\u2019 and present published evidence, as well as new analyses of population data, to explore the validity of continuing to use the term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes &amp; Results and Conclusions &amp; Implications<\/jats:title>\n                    <jats:p>We support the decision to exclude the term \u2018specific language impairment\u2019 from DSM\u20105 and conclude that the term has been a convenient label for researchers, but that the current classification is unacceptably arbitrary. Furthermore, we argue there is no empirical evidence to support the continued use of the term SLI and limited evidence that it has provided any real benefits for children and their families. In fact, the term may be disadvantageous to some due to the use of exclusionary criteria to determine eligibility for and access to speech pathology services. We propose the following recommendations. First, that the word \u2018specific\u2019 be removed and the label \u2018language impairment\u2019 be used. Second, that the exclusionary criteria be relaxed and in their place inclusionary criteria be adopted that take into account the fluid nature of language development particularly in the preschool period. Building on the goodwill and collaborations between the clinical and research communities we propose the establishment of an international consensus panel to develop an agreed definition and set of criteria for language impairment. Given the rich data now available in population studies it is possible to test the validity of these definitions and criteria. Consultation with service users and policy\u2010makers should be incorporated into the decision\u2010making process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.12102","type":"journal-article","created":{"date-parts":[[2014,8,20]],"date-time":"2014-08-20T12:10:50Z","timestamp":1408536650000},"page":"416-451","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":216,"title":["Specific language impairment: a convenient label for whom?"],"prefix":"10.1111","volume":"49","author":[{"given":"Sheena","family":"Reilly","sequence":"first","affiliation":[{"name":"Murdoch Children's Research Institute Royal Children's Hospital  Parkville VIC Australia"},{"name":"Department of Paediatrics University of Melbourne  Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Tomblin","sequence":"additional","affiliation":[{"name":"University of Iowa  Iowa City IA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Law","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute Royal Children's Hospital  Parkville VIC Australia"},{"name":"Newcastle University Newcastle upon Tyne  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"McKean","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute Royal Children's Hospital  Parkville VIC Australia"},{"name":"Newcastle University Newcastle upon Tyne  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona K.","family":"Mensah","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute Royal Children's Hospital  Parkville VIC Australia"},{"name":"Department of Paediatrics University of Melbourne  Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Morgan","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute Royal Children's Hospital  Parkville VIC Australia"},{"name":"Department of Paediatrics University of Melbourne  Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Goldfeld","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute Royal Children's Hospital  Parkville VIC Australia"},{"name":"Department of Paediatrics University of Melbourne  Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan M.","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Parenting Research Centre Victoria Parade  East Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Wake","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute Royal Children's Hospital  Parkville VIC Australia"},{"name":"Department of Paediatrics University of Melbourne  Parkville VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-6984.2011.00146.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_4_1","volume-title":"ASHA's Recommended Revisions to the DSM\u20105","author":"American Speech\u2013Language\u2013Hearing Association (ASHA)","year":"2012"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.1802.229"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2009\/08-0099)"},{"key":"e_1_2_10_7_1","volume-title":"Year book Australia: Fifty Years of Labour Force","author":"Australian Bureau of Statistics","year":"2013"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bandl.2011.10.006"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2008.01878.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.5102.98"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.1994.0134"},{"key":"e_1_2_10_12_1","first-page":"99","volume-title":"Speech and Language Impairments in Children. 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