Semin Hear 2011; 32(2): 172-181
DOI: 10.1055/s-0031-1277239
© Thieme Medical Publishers

Language Development: New Insights and Persistent Puzzles

Mary Pat Moeller1
  • 1Boys Town National Research Hospital, Omaha, Nebraska
Further Information

Publication History

Publication Date:
18 July 2011 (online)

ABSTRACT

A primary goal of early intervention is to prevent or minimize communication delays that typically accompany childhood hearing loss. This article describes recent insights about language development that are based on studies of this new generation of early-identified infants with hearing loss. Also discussed are persistent challenges that need to be addressed to optimize the promise of early identification. Three main premises are addressed, including: (1) early intervention provides developmental advantages not just for the child, but for the family; (2) recent developmental findings provide audiologists with benchmarks for monitoring outcomes; and (3) language learning is supported by auditory experience, which is influenced by consistent device use and access to incidental learning. The first premise supports the need to broaden the ways we characterize the benefits of early identification to include family outcomes. The second premise includes a summary of vocal and verbal landmarks that are helpful in determining progress and identifying children who may be at risk. The final premise explores issues that may impact language access, along with strategies to address them.

REFERENCES

  • 1 Calderon R, Greenberg M. The effectiveness of early intervention for deaf children and children with hearing loss. In: Guralnick M, ed. The Effectiveness of Early Intervention. Baltimore, MD: Paul H. Brookes; 1997: 455-483
  • 2 Jusczyk P. The Discovery of Spoken Language. Cambridge, MA: MIT Press; 2000
  • 3 Calderon R, Naidu S. Further support for the benefits of early identification and intervention for children with hearing loss.  Volta Rev. 2000;  100 53-84
  • 4 Kennedy CR, McCann DC, Campbell MJ et al. Language ability after early detection of permanent childhood hearing impairment.  N Engl J Med. 2006;  354 (20) 2131-2141
  • 5 Moeller MP. Early intervention and language development in children who are deaf and hard of hearing.  Pediatrics. 2000;  106 (3) E43
  • 6 Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early- and later-identified children with hearing loss.  Pediatrics. 1998;  102 (5) 1161-1171
  • 7 Fitzpatrick E, Durieux-Smith A, Eriks-Brophy A, Olds J, Gaines R. The impact of newborn hearing screening on communication development.  J Med Screen. 2007;  14 (3) 123-131
  • 8 Nittrouer S. Early Development of Children with Hearing Loss. San Diego, CA: Plural Publishing; 2009
  • 9 Wake M, Hughes EK, Poulakis Z, Collins C, Rickards FW. Outcomes of children with mild-profound congenital hearing loss at 7 to 8 years: a population study.  Ear Hear. 2004;  25 (1) 1-8
  • 10 Nicholas JG, Geers AE. Effects of early auditory experience on the spoken language of deaf children at 3 years of age.  Ear Hear. 2006;  27 (3) 286-298
  • 11 Mace AL, Wallace KL, Whan MQ, Stelmachowicz PG. Relevant factors in the identification of hearing loss.  Ear Hear. 1991;  12 (4) 287-293
  • 12 Fitzpatrick E, Graham ID, Durieux-Smith A, Angus D, Coyle D. Parents' perspectives on the impact of the early diagnosis of childhood hearing loss.  Int J Audiol. 2007;  46 (2) 97-106
  • 13 Young A. The impact of early identification of deafness on hearing parents. In: Marschark M, Spencer P, eds. The Oxford Handbook of Deaf Studies, Language and Education, Vol. 2. New York, NY: Oxford University Press; 2010: 241-250
  • 14 Calderon R, Bargones J, Sidman S. Characteristics of hearing families and their young deaf and hard of hearing children. Early intervention follow-up.  Am Ann Deaf. 1998;  143 (4) 347-362
  • 15 Moeller M. Intervention and outcomes for young children who are deaf and hard of hearing and their families. In: Kurtzer-White E, Luterman D, eds. Early Childhood Deafness. Baltimore, MD: York Press; 2001: 109-138
  • 16 Moeller MP. Current state of knowledge: psychosocial development in children with hearing impairment.  Ear Hear. 2007;  28 (6) 729-739
  • 17 Guralnick M. Second generation research in the field of early intervention. In: Guralnick M, ed. The Effectiveness of Early Intervention. Baltimore, MD: Paul H. Brookes; 1997: 3-20
  • 18 Ertmer D, Nathani Iyer S. Prelinguistic vocalizations in infants and toddlers with hearing loss: Identifying and stimulating auditory-guided speech development. In: Marschark M, Spencer P, eds. The Oxford Handbook of Deaf Studies, Language and Education, Vol. 2. New York, NY: Oxford University Press; 2010: 360-375
  • 19 Nathani S, Ertmer DJ, Stark RE. Assessing vocal development in infants and toddlers.  Clin Linguist Phon. 2006;  20 (5) 351-369
  • 20 Oller DK. The Emergence of the Speech Capacity. Mahwah, NJ: Laurence Erlbaum Associates; 2000
  • 21 Stoel-Gammon C. Sounds and words in early language acquisition: the relationship between lexical and phonological development. In: Paul R, ed. Exploring the Speech-Language Connection. Baltimore, MD: Paul H. Brookes; 1998: 25-52
  • 22 Kishon-Rabin L, Taitelbaum-Swead R, Ezrati-Vinacour R, Kronenberg J, Hildesheimer M. Pre first-word vocalizations of infants with normal hearing and cochlear implants using the PRISE (PRoduction Infant Scale Evaluation). In: Cochlear Implants, Proceedings of the VIII Cochlear Implant Conference Amsterdam, The Netherlands: Elsevier; 2004: 360-363
  • 23 Cantle-Moore R. Infant Monitor of Vocal Production. RIDBC Renwick Centre for Research and Professional Education Available at: http://ridbcrenwickeentre.com/imp 2008
  • 24 Moeller M, Hoover B, Putman C et al. Vocalizations of infants with hearing loss compared with infants with normal hearing. Part II: Transition to words.  Ear Hear. 2007;  28 628-642
  • 25 Nott P, Cowan R, Brown PM, Wigglesworth G. Early language development in children with profound hearing loss fitted with a device at a young age: part I—the time period taken to acquire first words and first word combinations.  Ear Hear. 2009;  30 (5) 526-540
  • 26 Moeller MP, Hoover B, Peterson B, Stelmachowicz P. Consistency of hearing aid use in infants with early-identified hearing loss.  Am J Audiol. 2009;  18 (1) 14-23
  • 27 Humes LE, Halling D, Coughlin M. Reliability and stability of various hearing-aid outcome measures in a group of elderly hearing-aid wearers.  J Speech Hear Res. 1996;  39 (5) 923-935
  • 28 Taubman LB, Palmer CV, Durrant JD, Pratt S. Accuracy of hearing aid use time as reported by experienced hearing aid wearers.  Ear Hear. 1999;  20 (4) 299-305
  • 29 Thomas A, Chess S, Birch HG. The origin of personality.  Sci Am. 1970;  223 (2) 102-109
  • 30 Dunn J, Shatz M. Becoming a conversationalist despite (or because of) having an older sibling.  Child Development. 1989;  60 399-410
  • 31 Akhtar N, Jipson J, Callanan MA. Learning words through overhearing.  Child Dev. 2001;  72 (2) 416-430
  • 32 Moeller M. Optimizing early word learning in infants with hearing loss: Summary of 2010 Marion Downs Lecture.  Audiology Today. 2010;  22 19-27
  • 33 Watt N, Wetherby A, Shumway S. Prelinguistic predictors of language outcome at 3 years of age.  J Speech Lang Hear Res. 2006;  49 (6) 1224-1237
  • 34 Wetherby AM, Woods J, Allen L, Cleary J, Dickinson H, Lord C. Early indicators of autism spectrum disorders in the second year of life.  J Autism Dev Disord. 2004;  34 (5) 473-493
  • 35 Locke J. The Emergence of the Speech Capacity. Cambridge, MA: Harvard University Press; 1993
  • 36 Nathani S, Oller DK, Neal AR. On the robustness of vocal development: an examination of infants with moderate-to-severe hearing loss and additional risk factors.  J Speech Lang Hear Res. 2007;  50 (6) 1425-1444
  • 37 Fenson L, Marchman V, Thal D, Dale P, Reznick J, Bates E. The MacArthur-Bates Communicative Development Inventories: User's Guide and Technical Manual, 2nd ed. Baltimore, MD: Paul H. Brookes; 2007
  • 38 Robb M, Bauer H, Tyler A. A quantitative analysis of the single-word stage.  First Lang. 1994;  14 37-48

Mary Pat MoellerPh.D. 

Boys Town National Research Hospital

555 N. 30th Street, Omaha, NE 68131

Email: marypat.moeller@boystown.org

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