SLI is identified through a combination of standardized language tests, parental reports of language difficulties, and clinical judgement. Bishop (2004, 2009) and Bishop & Norbury (2008) discuss the diagnostic dilemmas of SLI and how combining test scores and parental reports can help with identification. Tomblin et al. (1996, 1997) developed systems for diagnosing SLI in kindergarten-aged children using standardized tests. Cohen (1996) notes that language impairments are sometimes unsuspected in psychiatrically disturbed children.