Bilingualism is the ability to communicate in more
than one language and is viewed as a continuum of language skills in which
fluency in any of the languages used may vary over time and across social
settings, conversational partners and topics [1]. It is a common phenomenon
seen in the society. Earlier views on bilingualism assumed the bilinguals to be
proficient in both the languages. However this view was diluted in the
following years with the introduction of the ‘competence’ factor also called as
proficiency. A bilingual is assumed to have great facility and competence in
the first language but this doesn’t mean that a person's first language is the
dominant language of the person; it is the language which the person is
comfortable with. A language which is necessarily not the native language of
the speaker but the language used in locality of that person is referred to as
second language or L2 and the second language proficiency may vary from basic
to advanced levels. Questionnaires, self-rating scales, fluency tests,
flexibility tests and dominance tests are used practically to estimate
proficiency in the second language. Out of these measures, the self-rating
scale is a time economy measure to rate proficiency and has extensive usage.
Rating scales such as International Second language Proficiency Rating Scale or
rating scales clubbed with questionnaires such as Language Experience and
Proficiency Questionnaire are commonly used [2,3]. Australian Second Language
Proficiency Ratings which is now widely known as the International Second
Language Proficiency Ratings (ISLPR), due to its increasing international use,
is a scale that can be used to rate the second or foreign language proficiency
in adolescent and adult learners. It consists comprises of four domains namely
speaking, listening, reading and writing. The development of the target
language is rated from 0 (no ability to communicate in the target language) to
5 (indistinguishable from a native speaker of the same sociocultural
background). It also has ‘intermediate’ ‘plus’ or ‘minus’ levels, accounting
for a total of 12 levels in each subscale. However the proficiency rated on
self-rating scale is subjected to bias and has to be compared with an objective
measure for clarity in measurement. Verbal fluency assessment is one such
objective measure. Verbal fluency skill is a short time test for verbal
functioning [4]. It is a cognitive function that facilitates information
retrieval from memory. Successful retrieval requires executive control over
cognitive processes such as selective attention, selective inhibition, mental
set shifting, internal response generation, and self-monitoring. In other
words, it is the ability to form and express words in accordance with a pre-set
criteria. Verbal perseverations or forming words that do not belong to a
required category is a characteristic feature of disorders of verbal fluency. A
normal level of verbal fluency is very much necessary for optimal communication
and, therefore, for normal social and occupational functioning.