Examining the communication skills of a young cochlear implant pioneer

The purpose of this longitudinal case study was to closely examine one deaf child's experience with a cochlear implant and his speech, language, and communication skills from kindergarten through middle and high school using both developmental and sociocultural frameworks. The target child was one of the first children to receive a cochlear implant in the United States in 1988, when he was 5 years of age. The developmental analysis revealed that prior to receiving a cochlear implant the child demonstrated profound delays in speech and language skill development. His speech and language skills grew slowly during the first 3-4 years following implantation, very rapidly from about 5 through 7 years postimplantation, then slowed to rates that were highly similar to same-age peers with normal hearing. The sociocultural analysis revealed that the child's communicative competence improved; that he used sign language but use of sign language decreased as his oral communication skills improved; that as his oral communication skills improved, the adults talked and directed the topic of conversation less frequently; and that topics became less concrete and more personal over time. The results of this study indicate that we may learn more about how to support children who use cochlear implants by examining what they are saying as well as how they are saying it.     

The role of private speech in the transition from collaborative to independent task performance in young children

This study was designed to examine the following central Vygotskian hypotheses about the functions of preschool children's private speech: (1) that private speech facilitates the transition from collaborative to independent task performance, and (2) that children's use of private speech is conducive to task success. Age-related changes in children's use of private speech were also examined. Forty preschoolers, ranging in age from three to five, completed a selective attention task with scaffolded assistance given from an experimenter when needed. In an effort to overcome several methodological limitations found in previous research, a new microgenetic method of analyzing speech-performance relations based on assigning task items to discrete categories reflecting six possible co-occurrences between private speech (item-relevant speech, item-irrelevant speech, silence) and performance (success, failure) was introduced. Results were that (1) item-relevant speech was used more often during successful than during failed items while the opposite was true for item-irrelevant speech; (2) children were more likely to use private speech on successful items after scaffolding than they were on similar items not following scaffolding; (3) after scaffolding, children were more likely to succeed on the next item if they talked to themselves than if they were silent; and (4) hypothesized curvilinear, age-related patterns in children's item-relevant private speech and silence were found, however, only when analyzing speech during successful items. Implications of this research for preschool teachers and parents are discussed.     

Cerebral laterality in dyslexic children: Implications for phonological word decoding deficits

The study evaluated a substantially updated version of Orton's (1937) classical idea of a significant relatonship in dyslexic children between cerebral lateralization and their word decoding deficits. Attentional lateralization was examined under the assumption that covert spatial attention when directed contralaterally interacts with ageinvariant cerebral asymmetries for receptive speech. Thirty dysphonetic dyslexic children were compared to 30 younger normal readers who were matched to the dyslexics in reading comprehension. The children were tested in left ear (LE) and right ear (RE) directed attention dichotic listening (DAD), and in pseudoword decoding, word recognition, reading comprehension, spelling, arithmetic, and in general intelligence (IQ). Group comparisons in DAD failed to show any differences, confirming the mounting evidence that dyslexia is not related to incomplete lateralization. Entering the DAD scores of the dyslexics (LE first, LE second, RE first, RE second) as predictors of achievement revealed that, independently of chronological age (CA) and IQ, their ability to recall items from the LE first produced a negative regression which predicted 42 percent of the variance in pseudoword decoding. Selective report from the LE also produced small but significant negative correlations with visual recognition of real words and spelling; but no relationship to reading comprehension. IQ was related to reading comprehension and to the ability to shift attention from the LE to the RE. Eventhough the dyslexics were lateralized normally, weak lateralization was related specifically to phonological word decoding, a core deficit in dyslexia. However, unlike Orton's concept, these findings suggest that dyslexics suffer from exuberant right hemisphere processing in response to spatial attentional demands that, in turn, interferes transcallosally with the development of the sound-symbol representations that are required for fluent reading. Lateralization, per se, is unaffected by the disorder.     

Fathers' Infant‐Directed Speech in a Small‐Scale Society

When speaking to infants, mothers often alter their speech compared to how they speak to adults, but findings for fathers are mixed. This study examined interactions (N = 30) between fathers and infants (M_age ± SD = 7.8 ± 4.3 months) in a small‐scale society in Vanuatu and two urban societies in North America. Fundamental frequency (F₀) and speech rate were measured in infant‐directed and adult‐directed speech. When speaking to infants, fathers in both groups increased their F₀ range, yet only Vanuatu fathers increased their average F₀. Conversely, North American fathers slowed down their speech rate to infants, whereas Vanuatu fathers did not. Behavioral traits can vary across distant cultures while still potentially solving similar communicative problems.     

Universal newborn hearing screening and early identification of deafness: parents' responses to knowing early and their expectations of child communication development

This article presents results from an interview study of 45 parents/caregivers (representing 27 families) whose infants were correctly identified as deaf during the first phase of the implementation of the national universal Newborn Hearing Screening Programme in England. Average age of children when parents were interviewed was 25 weeks. Two issues are explored: (a) how parents talk about significance of knowing early that their child is deaf and (b) parents' expectations of their child's development in light of early identification. Although results demonstrate clear support from parents' perspective of knowing early, they also identify the psychological complexities of recognizing both the grief and reassurance that early knowledge brings; the risks of early knowledge-inducing timetables of expectations that create distress when not met speedily; the extent to which parental models of the developmental advantages of early identification are underpinned by notions of normal speech and the possibility of being like hearing children; and the pervasiveness of deficit and illness models associated with having identified deafness early. Implications for parental support and professional responses are also discussed.     

Understanding the role of private speech in children's emotion regulation

Self-regulation includes both cognitive and affective components, but few researchers have investigated how these components interact to better explain self-regulation. The purpose of this study was to investigate how children's private speech, which is typically related to cognitive ability, was utilized during an emotion-eliciting task. By examining the social and private speech that occurred as children coped with a frustration task, a better understanding of how children regulate their emotional displays can be achieved. Children's speech, emotional expressions (sadness and anger), and emotion regulation strategies (distraction and self-comforting) were coded during a frustration task completed by preschool-aged children (N = 116). Children's social speech to mothers and private speech were transcribed. Children's private speech was categorized according to five mutually exclusive categories: vocalizations, inaudible muttering, task-irrelevant, negatively valenced task-relevant, or facilitative task-relevant. Sadness was associated with more social speech and negatively valenced task-relevant private speech, whereas anger was associated with less distraction and facilitative task-relevant private speech and more vocalizations and negatively valenced task-relevant private speech. Additionally, private speech predicted unique variance beyond that explained by the emotion regulation strategies and moderated the relations of emotion regulation strategies to both anger and sadness. These empirical findings support theoretical propositions that language is a factor in children's emotion regulation. The implications of these findings include support for the encouragement of private speech in the classroom because of its relation to emotional, in addition to cognitive, regulatory functions.     

Letter knowledge in parent–child conversations

Learning about letters is an important component of emergent literacy. We explored the possibility that parent speech provides information about letters, and also that children’s speech reflects their own letter knowledge. By studying conversations transcribed in CHILDES (MacWhinney, 2000) between parents and children aged one to five, we found that alphabetic order influenced use of individual letters and letter sequences. The frequency of letters in children’s books influenced parent utterances throughout the age range studied, but children’s utterances only after age two. Conversations emphasized some literacy-relevant features of letters, such as their shapes and association with words, but not letters’ sounds. Describing these patterns and how they change over the preschool years offers important insight into the home literacy environment.     

Can Children With Autism Spectrum Disorders “Hear” a Speaking Face?

This study used eye-tracking methodology to assess audiovisual speech perception in 26 children ranging in age from 5 to 15 years, half with autism spectrum disorders (ASD) and half with typical development. Given the characteristic reduction in gaze to the faces of others in children with ASD, it was hypothesized that they would show reduced influence of visual information on heard speech. Responses were compared on a set of auditory, visual, and audiovisual speech perception tasks. Even when fixated on the face of the speaker, children with ASD were less visually influenced than typical development controls. This indicates fundamental differences in the processing of audiovisual speech in children with ASD, which may contribute to their language and communication impairments.     

Unpacking the Ontogeny of Gesture Understanding: How Movement Becomes Meaningful Across Development

Gestures, hand movements that accompany speech, affect children's learning, memory, and thinking (e.g., Goldin‐Meadow, 2003). However, it remains unknown how children distinguish gestures from other kinds of actions. In this study, 4‐ to 9‐year‐olds (n = 339) and adults (n = 50) described one of three scenes: (a) an actor moving objects, (b) an actor moving her hands in the presence of objects (but not touching them), or (c) an actor moving her hands in the absence of objects. Participants across all ages were equally able to identify actions on objects as goal directed, but the ability to identify empty‐handed movements as representational actions (i.e., as gestures) increased with age and was influenced by the presence of objects, especially in older children.     

Speech production deficits in early readers: predictors of risk

Speech problems and reading disorders are linked, suggesting that speech problems may potentially be an early marker of later difficulty in associating graphemes with phonemes. Current norms suggest that complete mastery of the production of the consonant phonemes in English occurs in most children at around 6–7 years. Many children enter formal schooling (kindergarten) around 5 years of age with near-adult levels of speech production. Given that previous research has shown that speech production abilities and phonological awareness skills are linked in preschool children, we set out to examine whether this pattern also holds for children just beginning to learn to read, as suggested by the critical age hypothesis. In the present study, using a diverse sample, we explored whether expressive phonological skills in 92 5-year-old children at the beginning and end of kindergarten were associated with early reading skills. Speech errors were coded according to whether they were developmentally appropriate, position within the syllable, manner of production of the target sounds, and whether the error involved a substitution, omission, or addition of a speech sound. At the beginning of the school year, children with significant early reading deficits on a predictively normed test (DIBELS) made more speech errors than children who were at grade level. Most of these errors were typical of kindergarten children (e.g., substitutions involving fricatives), but reading-delayed children made more of these errors than children who entered kindergarten with grade level skills. The reading-delayed children also made more atypical errors, consistent with our previous findings about preschoolers. Children who made no speech errors at the beginning of kindergarten had superior early reading abilities, and improvements in speech errors over the course of the year were significantly correlated with year-end reading skills. The role of expressive vocabulary and working memory were also explored, and appear to account for some of these findings.     

Private speech in children with ADHD and their typically developing peers during problem-solving and inhibition tasks

This study compared private speech of children with ADHD and normal controls during problem solving and inhibition tasks. Thirty-two children (16 children with ADHD and 16 matched controls) aged 6–11 years participated. Consistent with previous studies, children with ADHD produced more task-irrelevant and task-relevant external private speech than control children during problem-solving tasks, but did not differ in their use of task-relevant internal private speech. During the inhibition/attention task (Continuous Performance Test-II), children with ADHD produced more task-relevant external and more task-relevant internal private speech, suggesting that they may have employed a less mature strategy to aid in self-regulation. The educational implications of the current study are that there should be an increased awareness of the developmental nature and functional significance of private speech and how private speech usage may differ in children with ADHD.     

Speech and Gesture Production Provide Unique Insights Into Young Children’s Spatial Reasoning

This study took a novel approach to understanding the role of language in spatial development by combining approaches from spatial language and gesture research. It analyzed forty-three 4.5- to 6-year-old’s speech and gesture production during explanations of reasoning behind performance on Spatial Analogies and Children’s Mental Transformation Tasks. Results showed that speech and gesture relevant for solving the trials (disambiguating correct choices) predicted spatial performance when controlling for age, gender, and spatial words and gestures produced. Children performed the spatial tasks well if they produced relevant information either verbally through speech or nonverbally through gesture. These results highlight the importance of not only focusing on concepts children can reference but also on how such concepts are used in spatial tasks.     

Private Speech Moderates the Effects of Effortful Control on Emotionality

Research Findings: In addition to being a regulatory strategy, children’s private speech may enhance or interfere with their effortful control used to regulate emotion. The goal of the current study was to investigate whether children’s private speech during a selective attention task moderated the relations of their effortful control to their anger and sadness. The private speech of 156 preschoolers (age in months: M = 52.10, SD = 9.24, min = 36.20, max = 69.50) was transcribed and coded during a selective attention task. Effortful control was observed and reported by parents. Anger and sadness were reported by parents and observed in a frustration task. Children who used more inaudible muttering had higher levels of sadness. Effortful control interacted with private speech to explain anger. The negative relation of effortful control to anger was significant for children who used low and moderate but not high levels of task-irrelevant private speech. Practice or Policy: The presence of private speech, although it may support regulatory abilities within a task, may be an additional form of evaluation that might help teachers and caregivers decide how best to support children’s learning. These findings suggest that private speech can be used as an indicator of how well children use other regulatory abilities, such as effortful control.     

Anthropomorphically speaking: on communication between teachers and children in early childhood biology education

In this study a particular kind of figurative language, so‐called anthropomorphic speech, is analysed in the context of science activities in a preschool setting. Anthropomorphism means speaking about something non‐human in human terms. Can any systematic pattern be seen with regard to when such speech is used? Do children and/or teachers introduce this kind of talking and how is it responded to by the interlocutor(s)? Of 128 instances of anthropomorphism found, 24 were made by the children and 104 by the teachers. Children sometimes respond in line with the introduction of such speech but they also at times reject this way of speaking. Anthropomorphic speech is discussed as a strategy for the teachers in handling the dilemma of how to connect with children’s experiences and terms, on the one hand, and developing children’s understanding, on the other hand.     

Language Matters: Denying the Existence of the 30-Million-Word Gap Has Serious Consequences

Sperry, Sperry, and Miller (2018) aim to debunk what is called the 30-million-word gap by claiming that children from lower income households hear more speech than Hart and Risley (1995) reported. We address why the 30-million-word gap should not be abandoned, and the importance of retaining focus on the vital ingredient to language learning—quality speech directed to children rather than overheard speech, the focus of Sperry et al.'s argument. Three issues are addressed: Whether there is a language gap; the characteristics of speech that promote language development; and the importance of language in school achievement. There are serious risks to claims that low-income children, on average, hear sufficient, high-quality language relative to peers from higher income homes.     

Parent–child conversations about letters and pictures

Learning about letters, and how they differ from pictures, is one important aspect of a young child??s print awareness. To test the hypothesis that parent speech provides children with information about these differences, we studied parent?Cchild conversations in CHILDES (MacWhinney, 2000). We found that parents talk to their young children about letters, differentiating them from pictures, by 1?C2?years of age and that some of these conversational patterns change across the preschool years in ways that emphasize important features of letters, such as their shape. We also found that children talk about letters and pictures in distinct ways, suggesting an implicit understanding of some of the differences between letters and pictures at an early age. Some differences in parent?Cchild conversations about letters were found as a function of socioeconomic status: Lower SES families appeared to focus more on alphabetic order than higher SES families. The general letter knowledge expressed in these conversations suggests that everyday interactions are an important component of the home literacy environment and that they differ, in some respects, as a function of child age and family background.     

Talking in class: a study of socio‐economic difference in the primary school classroom

In this paper, I consider the relationship between socio‐economic background and the school experience of two groups of children. I seek to establish whether or not there are identifiable differences in the language of primary school children living in two demographically contrasting geographical areas and, if there are differences, how these differences might impact upon a child's capacity to access learning. In investigating these relationships, I conducted semi‐structured interviews with the two groups using the work of Bernstein as a starting point. I found that while the children in the first school, located in a largely less affluent area of Bristol, appeared to lack confidence, extended vocabulary and often clarity in their speech, the children in the second school, located in a middle class, affluent area of the city appeared articulate, self‐ confident and in possession of a varied and extended vocabulary. While it is not appropriate to generalise from this small scale study, these findings raise questions about the language children experience from an early age both in the home environment and at school and suggest that there is a significant part for schools to play in ensuring that they are not excluding some groups of children from participation.     

Critical Reflections on the Cultural Influences in Identification and Habilitation of Children with Speech and Language Difficulties

This paper analyses how and why cultural diversity is relevant to children with speech and language difficulties and the professionals who work with them. The relevance of various aspects of culture including the development of communication skills, language socialisation, adult-child interaction, child care, attitudes, beliefs, and the epidemiology of speech and language difficulties is described and illustrated with examples from the literature in a number of fields. The author encourages all professionals who work with children who have speech and language difficulties to increase their cultural awareness and for training establishments to consider how they may contribute to raising cultural awareness. Further research is needed in this area. A further challenge is to consider whether and how practice should be adapted to take account of cultural diversity.     

Profile of Australian preschool children with speech sound disorders at risk for literacy difficulties

Abstract

Speech sound disorders are a common communication difficulty in preschool children. Teachers indicate difficulty identifying and supporting these children. The aim of this research was to describe speech and language characteristics of children identified by their parents and/or teachers as having possible communication concerns. 275 Australian 4- to 5-year-old children from 45 preschools whose parents and teachers were concerned about their talking participated in speech-language pathology assessments to examine speech, language, literacy, non-verbal intelligence, oromotor skills and hearing. The majority (71.3%) of children demonstrated lower consonant accuracy than expected for their age, 63.9% did not pass the language-screening task, 65.5% had not been assessed and 72.4% had not received intervention from a speech-language pathologist. The 132 children who were identified with speech sound disorder (phonological impairment) were more likely to be male (62.9%) who were unintelligible to unfamiliar listeners, and had poor emergent literacy and phonological processing skills, despite having typical hearing, oral structures, and intelligence. Children identified by parents and teachers with concerns may have a range of speech, language and communication needs requiring professional support.     

Hearing Status, Language Modality, and Young Children's Communicative and Linguistic Behavior

This study examined early pragmatic skill development in a group of 38 children with severe or profound hearing loss between 1 and 4 years of age who were enrolled in a simultaneous communication (SC) approach to language learning. Both their use of intentionally communicative acts and their use of language were studied in an analysis of 30-min play sessions between a child and the primary caregiver. Results were compared with previously published data from two age-matched groups: 38 deaf children who were enrolled in oral communication (OC) programs and 84 normally hearing (NH) children. All groups showed a significant improvement with age in the communicative behaviors measured; therefore, the overall trend was toward growth-in all age groups-even when the rates of growth differed. By age 3 years, a pattern of communicative function use had emerged in all three groups. Patterns exhibited by deaf children in the SC and OC groups were similar to each other and to younger NH children but dissimilar to NH age mates. Although the use of signed input by normally hearing parents and teachers did not serve to ameliorate the profound effects of hearing loss on communication development in SC children, it did provide some early advantages. The children in SC groups did not exhibit an advantage over children in OC groups in their overall frequency of communication or the breadth of their vocabulary but they began using words earlier and used mature communicative functions significantly more often. Although children in the OC groups did not exhibit a significant advantage in the overall amount of speech used, they showed an advantage in the breadth of their spoken vocabulary in a conversational setting. Implications for early intervention programming are discussed.