Development of Pre-Word-Learning Skills in Infants with Cochlear Implants

Families of infants who are congenitally deaf now have the option of cochlear implantation at a very young age. In order to assess the effectiveness of early cochlear implantation, however, new behavioral procedures are needed to measure speech perception and language skills during infancy. One important component of language development is word learning-a complex skill that involves learning arbitrary relations between words and their referents. A precursor to word learning is the ability to perceive and encode intersensory relations between co-occurring auditory and visual events. Recent studies in infants with normal hearing have shown that intersensory redundancies, such as temporal synchrony, can facilitate the ability to learn arbitrary pairings between speech sounds and objects (Gogate & Bahrick, 1998). To investigate the early stages of learning arbitrary pairings of sounds and objects after cochlear implantation, we used the Preferential Looking Paradigm (PLP) to assess infants' ability to associate speech sounds to objects that moved in temporal synchrony with the onset and offsets of the signals. Children with normal hearing ranging in age from 6, 9, 18, and 30 months served as controls and demonstrated the ability to learn arbitrary pairings between temporally synchronous speech sounds and dynamic visual events. Infants who received their cochlear implants (CIs) at earlier ages (7-15 months of age) performed similarly to the infants with normal hearing after about 2-6 months of CI experience. In contrast, infants who received their implants at later ages (16-25 months of age) did not demonstrate learning of the associations within the context of this experiment. Possible implications of these findings are discussed.     

Mothers' Speech to Hearing‐Impaired Infants and Children With Cochlear Implants

This study investigated the effects of age, hearing loss, and cochlear implantation on mothers' speech to infants and children. We recorded normal‐hearing (NH) mothers speaking to their children as they typically would do at home and speaking to an adult experimenter. Nine infants (10–37 months) were hearing‐impaired and had used a cochlear implant (CI) for 3 to 18 months. Eighteen NH infants and children were matched either by chronological age (10–37 months) or hearing experience (3–18 months) to the CI children. Prosodic characteristics such as fundamental frequency, utterance duration, and pause duration were measured across utterances in the speech samples. The results revealed that mothers use a typical infant‐directed speech style when speaking to hearing‐impaired children with CIs. The results also suggested that NH mothers speak with more similar vocal styles to NH children and hearing‐impaired children with CIs when matched by hearing experience rather than chronological age. Thus, mothers are sensitive to hearing experience and linguistic abilities of their NH children as well as hearing‐impaired children with CIs.     

Individual Differences in Effectiveness of Cochlear Implants in Children Who Are Prelingually Deaf: New Process Measures of Performance

The efficacy of cochlear implants in children who are deaf has been firmly established in the literature. However, the effectiveness of cochlear implants varies widely and is influenced by demographic and experiential factors. Several key findings suggest new directions for research on central auditory factors that underlie the effectiveness of cochlear implants. First, enormous individual differences have been observed in both adults and children on a wide range of audiological outcome measures. Some patients show large increases in speech perception scores after implantation, whereas others display only modest gains on standardized tests. Second, age of implantation and length of deafness affect all outcome measures. Children implanted at younger ages do better than children implanted at older ages, and children who have been deaf for shorter periods do better than children who have been deaf for longer periods. Third, communication mode affects outcome measures. Children from "oral-only" environments do much better on standardized tests that assess phonological processing skills than children who use Total Communication. Fourth, at the present time there are no preimplant predictors of outcome performance in young children. The underlying perceptual, cognitive, and linguistic abilities and skills emerge after implantation and improve over time. Finally, there are no significant differences in audiological outcome measures among current implant devices or processing strategies. This finding suggests that the major source of variance in outcome measures lies in the neural and cognitive information processing operations that the user applies to the signal provided by the implant. Taken together, this overall pattern of results suggests that higher-level central processes such as perception, attention, learning, and memory may play important roles in explaining the large individual differences observed among users of cochlear implants. Investigations of the content and flow of information in the central nervous system and interactions between sensory input and stored knowledge may provide important new insights into the basis of individual differences. Knowledge about the underlying basis of individual differences may also help in developing new intervention strategies to improve the effectiveness of cochlear implants in children who show relatively poor development of oral/aural language skills.     

Age‐Related Changes in Prosodic Features of Maternal Speech to Prelingually Deaf Infants with Cochlear Implants

This study investigated prosodic and structural characteristics of infant‐directed speech to hearing‐impaired infants as they gain hearing experience with a cochlear implant over a 12‐month period of time. Mothers were recorded during a play interaction with their HI infants (N = 27, mean age 18.4 months) at 3, 6, and 12 months postimplantation. Two separate control groups of mothers with age‐matched normal‐hearing infants (NH‐AM) (N = 21, mean age 18.1 months) and hearing experience‐matched normal‐hearing infants (NH‐EM) (N = 24, mean age 3.1 months) were recorded at three testing sessions. Mothers produced less exaggerated pitch characteristics, a larger number of syllables per utterance, and faster speaking rate when interacting with NH‐AM as compared to HI infants. Mothers also produced more syllables and demonstrated a trend suggesting faster speaking rate in speech to NH‐EM relative to HI infants. Age‐related modifications included decreased pitch standard deviation and increased number of syllables in speech to NH‐AM infants and increased number of syllables in speech to HI and NH‐EM infants across the 12‐month period. These results suggest that mothers are sensitive to the hearing status of their infants and modify characteristics of infant‐directed speech over time.     

A Longitudinal Study of Audiovisual Speech Perception by Children with Hearing Loss Who have Cochlear Implants

The present study investigated the development of audiovisual speech perception skills in children who are prelingually deaf and received cochlear implants. We analyzed results from the Pediatric Speech Intelligibility (Jerger, Lewis, Hawkins, & Jerger, 1980) test of audiovisual spoken word and sentence recognition skills obtained from a large group of young children with cochlear implants enrolled in a longitudinal study, from pre-implantation to 3 years post-implantation. The results revealed better performance under the audiovisual presentation condition compared with auditory-alone and visual-alone conditions. Performance in all three conditions improved over time following implantation. The results also revealed differential effects of early sensory and linguistic experience. Children from oral communication (OC) education backgrounds performed better overall than children from total communication (TC backgrounds. Finally, children in the early-implanted group performed better than children in the late-implanted group in the auditory-alone presentation condition after 2 years of cochlear implant use, whereas children in the late-implanted group performed better than children in the early-implanted group in the visual-alone condition. The results of the present study suggest that measures of audiovisual speech perception may provide new methods to assess hearing, speech, and language development in young children with cochlear implants.     

Resolving the (Apparent) Talker Recognition Paradox in Developmental Speech Perception

The infant literature suggests that humans enter the world with impressive built‐in talker processing abilities. For example, newborns prefer the sound of their mother's voice over the sound of another woman's voice, and well before their first birthday, infants tune in to language‐specific speech cues for distinguishing between unfamiliar talkers. The early childhood literature, however, suggests that preschoolers are unable to learn to identify the voices of two unfamiliar talkers unless these voices are highly distinct from one another, and that adult‐level talker recognition does not emerge until children near adolescence. How can we reconcile these apparently paradoxical messages conveyed by the infant and early childhood literatures? Here, we address this question by testing 16.5‐month‐old infants (N = 80) in three talker recognition experiments. Our results demonstrate that infants at this age have difficulty recognizing unfamiliar talkers, suggesting that talker recognition (associating voices with people) is mastered later in life than talker discrimination (telling voices apart). We conclude that methodological differences across the infant and early childhood literatures—rather than a true developmental discontinuity—account for the performance differences in talker processing between these two age groups. Related findings in other areas of developmental psychology are discussed.     

Posture Development in Infants at Heightened versus Low Risk for Autism Spectrum Disorders

Evidence suggests that children and adults diagnosed with autism spectrum disorders (ASD) exhibit difficulties with postural control. Retrospective video studies of infants later diagnosed with ASD indicate that infants who eventually receive an ASD diagnosis exhibit delays in postural development. This study investigates early posture development prospectively and longitudinally in 22 infants at heightened biological risk for ASD (HR) and 18 infants with no such risk (Low Risk; LR). Four HR infants received an autism diagnosis (AD infants) at 36 months. Infants were videotaped at home at 6, 9, 12, and 14 months during everyday activities and play. All infant postures were coded and classified as to whether or not they were infant‐initiated. Relative to LR infants, HR infants were slower to develop skill in sitting and standing postures. AD infants exhibited substantial delays in the emergence of more advanced postures and initiated fewer posture changes. Because posture advances create opportunities for infants to interact with objects and people in new and progressively more sophisticated ways, postural delays may have cascading effects on opportunities for infant exploration and learning. These effects may be greater for infants with ASD, for whom posture delays are more significant.     

Learning Stimulus‐Location Associations in 8‐ and 11‐Month‐Old Infants: Multimodal Versus Unimodal Information

Research on the influence of multimodal information on infants' learning is inconclusive. While one line of research finds that multimodal input has a negative effect on learning, another finds positive effects. The present study aims to shed some new light on this discussion by studying the influence of multimodal information and accompanying stimulus complexity on the learning process. We assessed the influence of multimodal input on the trial‐by‐trial learning of 8‐ and 11‐month‐old infants. Using an anticipatory eye movement paradigm, we measured how infants learn to anticipate the correct stimulus–location associations when exposed to visual‐only, auditory‐only (unimodal), or auditory and visual (multimodal) information. Our results show that infants in both the multimodal and visual‐only conditions learned the stimulus–location associations. Although infants in the visual‐only condition appeared to learn in fewer trials, infants in the multimodal condition showed better anticipating behavior: as a group, they had a higher chance of anticipating correctly on more consecutive trials than infants in the visual‐only condition. These findings suggest that effects of multimodal information on infant learning operate chiefly through effects on infants' attention.     

Families by Adoption and Birth: II. Mother-Infant Cognitive Interactions

Adopted children are more likely to develop learning and school adjustment problems than are their nonadopted peers, despite that learning potential appears to be comparable in the two groups. In an effort to explain this phenomenon, the present study examined cognitive behavior repertoires in mothers and their healthy 5-month-old first infants during their normal daily routine in families by adoption and by birth. Two areas of functioning, vocal/verbal communication and exploration, were examined. Infants and mothers in both groups were similar in the frequency and ranking of a full array of age-appropriate cognitive behaviors. Both groups of babies experienced rich and comparable opportunities for the development of language competence. In the exploratory realm, group differences emerged for some infant measures; infants by birth were in an alert state and mouthed objects more than infants by adoption. Examination of the linkages among infant behaviors and between mothers and infants suggested that while mothers by birth and adoption provided comparable opportunities for exploration, infants by birth were engaging in exploratory behavior to a somewhat greater extent.     

The Salience of Multimodal Sensory Stimulation in Early Development: Implications for the Issue of Ecological Validity

Studies of infant development concerned with the emergence of specific perceptual or cognitive abilities have typically focused on responsiveness in only one sensory modality. Research on infant perception, learning, and memory often attempts to reduce multimodal stimulation to “noise” and to control or omit stimulation from other sensory modalities in experimental designs. This type of unimodal research, although important, may not generalize well to the behavior of infants in the multimodal context of the everyday world. Research from animal and human development is reviewed that documents that significant differences in infants' perceptual skills and abilities can be observed under conditions of unimodal versus multimodal stimulation. These studies provide converging evidence for a functional distinction between unimodal and multimodal stimulation during early development and suggest that ecological validity can be enhanced when research findings are generalized appropriately to the natural environment and are not overgeneralized across stimulus properties, tasks, or contexts.     

Gaze Behaviors of Preterm and Full‐Term Infants in Nonsocial and Social Contexts of Increasing Dynamics: Visual Recognition,Attention Regulation,and Gaze Synchrony

Although research has demonstrated poor visual skills in premature infants, few studies assessed infants’ gaze behaviors across several domains of functioning in a single study. Thirty premature and 30 full‐term 3‐month‐old infants were tested in three social and nonsocial tasks of increasing complexity and their gaze behavior was micro‐coded. In a one‐trial version of the visual recognition paradigm, where novel stimuli were paired with familiar stimuli, preterm infants showed longer first looks to novel stimuli. In the behavior response paradigm, which presented infants with 17 stimuli of increasing complexity in a predetermined “on‐off” sequence, premature infants tended to look away from toys more during presentation. Finally, during mother–infant face‐to‐face interaction, the most dynamic interpersonal context, preterm infants and their mothers displayed short, frequent episodes of gaze synchrony, and lag‐sequential analysis indicated that both mother and infant broke moments of mutual gaze within 2 sec of its initiation. The propotion of look away during the behavior response paradigm was related to lower gaze synchrony and more gaze breaks during mother–infant interactions. Results are discussed in terms of the unique and adaptive gaze patterns typical of low‐risk premature infants.     

Effects of Maternal Responsiveness on Infant Responsiveness and Behavior in the Still‐Face Task

The effects of maternal responsiveness on infant responsiveness and behavior in the Still‐Face Task were longitudinally examined through infants' first 3 months. Maternal vocal responsiveness and infant vocal and smiling responsiveness significantly increased when infants were 2 months of age. Mothers showed continuity of individual differences in vocal responsiveness from the infants' newborn period. Maternal responsiveness predicted infant responsiveness within and across sessions. Compared with infants with low‐responsive mothers, infants with high‐responsive mothers were more attentive and affectively engaged during the Still‐Face Task from 1 month of age. Infants with high‐responsive mothers discriminated between the task phases with their smiling at 1 month, a month before infants with low‐responsive mothers did so. Infants in both groups discriminated between the phases with their attention and nondistress vocalizations throughout their first 3 months. Results suggest that maternal responsiveness influences infant responsiveness and facilitates infants' engagement and expectations for social interaction.     

A transactional model of infant still‐face response and maternal behavior during the first year

The present study takes a transactional approach to extend understanding of temporal relations between parenting behaviors and infant response to the face‐to‐face still‐face, a widely used method assessing infants’ affective and behavioral response to a violation of social expectations. A low‐income, urban sample of 180 mothers and infants participated when infants were 4 and 6 months old. Directional relations between infants’ still‐face response (i.e., change in affect and gaze from interaction to still face) and three parenting dimensions were examined using cross‐lagged structural equation models. Infant still‐face response predicted later parenting behavior, while the reverse association was not significant. Specifically, infants with a greater reduction in positive affect from interaction to still face had parents with more positive parenting and less negative parenting behaviors 2 months later, controlling for prior parenting and concurrent infant behavior. Furthermore, infants who increased gaze to mother from interaction to still face had mothers who used more mental state talk 2 months later. Findings underscore the importance of examining transactional relations between infant and parent behaviors, and in particular highlight the influence of infants on parents. Acknowledging these infant‐effects is critical to the development and implementation of interventions targeting parent‐infant interactions.     

A Privileged Status for Male Infant‐Directed Speech in Infants of Depressed Mothers? Role of Father Involvement

Prior research showed that 5‐ to 13‐month‐old infants of chronically depressed mothers did not learn to associate a segment of infant‐directed speech produced by their own mothers or an unfamiliar nondepressed mother with a smiling female face, but showed better‐than‐normal learning when a segment of infant‐directed speech produced by an unfamiliar nondepressed father signaled the face. Here, learning in response to an unfamiliar nondepressed father’s infant‐directed speech was studied as a function both of the mother’s depression and marital status, a proxy measure of father involvement. Infants of unmarried mothers on average did not show significant learning in response to the unfamiliar nondepressed father’s infant‐directed speech. Infants of married mothers showed significant learning in response to male infant‐directed speech, and infants of depressed, married mothers showed significantly stronger learning in response to that stimulus than did infants of nondepressed, married mothers. Several ways in which father involvement may positively or negatively affect infant responsiveness to male infant‐directed speech are discussed.     

Just Before I Recognize Myself: The Role of Featural and Multisensory Cues Leading up to Explicit Mirror Self‐Recognition

Leading up to explicit mirror self‐recognition, infants rely on two crucial sources of information: the continuous integration of sensorimotor and multisensory signals, as when seeing one's movements reflected in the mirror, and the unique facial features associated with the self. While visual appearance and multisensory contingent cues may be two likely candidates of the processes that enable self‐recognition, their respective contribution remains poorly understood. In this study, 18‐month‐old infants saw side‐by‐side pictures of themselves and a peer, which were systematically and simultaneously touched on the face with a hand. While watching the stimuli, the infant's own face was touched either in synchrony or out of synchrony and their preferential looking behavior was measured. Subsequently, the infants underwent the mirror‐test task. We demonstrated that infants who were coded as nonrecognizers at the mirror test spent significantly more time looking at the picture of their own face compared to the other‐face, irrespective of whether the multisensory input was synchronous or asynchronous. Our results suggest that right before the onset of mirror self‐recognition, featural information about the self might be more relevant in the process of recognizing one's face, compared to multisensory cues.     

Selectivity in Infant Social Referencing

In laboratory studies of social referencing, infants as young as 12 months have been reported to prefer looking at the experimenter over the caregiver for clarifying information. From an expertise perspective, such behavior could be interpreted as if the infant seeks information from others and can discriminate between persons who have or do not have relevant information to provide in the laboratory. If this is the case, higher order cognitive capacities might be involved in infant selectivity in looking in social referencing situations. However, it has also been proposed that associative learning processes might account for infant preferences in such studies. To examine whether an expertise perspective or if more basic learning processes best explain infant selectivity in looking, 40 12‐month‐old infants were assigned to 1 of 2 comparable conditions. The experimenter versus the caregiver presented an ambiguous toy and delivered positive information about the toy. The infants preferred to look at the experimenter and they regulated their behavior more in accordance with information coming from the experimenter. Thus, an associative learning account cannot explain infant preferences in looking. The results are discussed in terms of an expertise perspective.     

Postural Position Constrains Multimodal Object Exploration in Infants

Recent research has revealed the important role of multimodal object exploration in infants' cognitive and social development. Yet, the real‐time effects of postural position on infants' object exploration have been largely ignored. In the current study, 5‐ to 7‐month‐old infants (N = 29) handled objects while placed in supported sitting, supine, and prone postures, and their spontaneous exploratory behaviors were observed. Infants produced more manual, oral, and visual exploration in sitting compared to lying supine and prone. Moreover, while sitting, infants more often coupled manual exploration with mouthing and visual examination. Infants' opportunities for learning from object exploration are embedded within a real‐time postural context that constrains the quantity and quality of exploratory behavior.     

Consequences of Eye Color,Positioning, and Head Movement for Eye‐Tracking Data Quality in Infant Research

Eye tracking has become a valuable tool for investigating infant looking behavior over the last decades. However, where eye‐tracking methodology and achieving high data quality have received a much attention for adult participants, it is unclear how these results generalize to infant research. This is particularly important as infants behave different from adults in front of the eye tracker. In this study, we investigated whether eye physiology, positioning, and infant behavior affect measures of eye‐tracking data quality: accuracy, precision, and data loss. We report that accuracy and precision are lower, and more data loss occurs for infants with bluish eye color compared to infants with brownish eye color. Moreover, accuracy was lower for infants positioned in a high chair or in the parents' lap compared to infants positioned in a baby seat. Finally, precision decreased and data loss increased as a function of time. We highlight the importance of data quality when comparing multiple groups, as differences in data quality can affect eye‐tracking measures. In addition, we investigate how two different measures to quantify infant movement influence eye‐tracker data quality. These findings might help researchers with data collection and help manufacturers develop better eye‐tracking systems for infants.     

Early Word Segmentation in Naturalistic Environments: Limited Effects of Speech Register

We examined 7.5‐month‐old infants' ability to segment words from infant‐ and adult‐directed speech (IDS and ADS). In particular, we extended the standard design of most segmentation studies by including a phase where infants were repeatedly exposed to target word recordings at their own home (extended exposure) in addition to a laboratory‐based familiarization. This enabled us to examine infants' segmentation of words from speech input in their naturalistic environment, extending current findings to learning outside the laboratory. Results of a modified preferential‐listening task show that infants listened longer to isolated tokens of familiarized words from home relative to novel control words regardless of register. However, infants showed no recognition of words exposed to during purely laboratory‐based familiarization. This indicates that infants succeed in retaining words in long‐term memory following extended exposure and recognizing them later on with considerable flexibility. In addition, infants segmented words from both IDS and ADS, suggesting limited effects of speech register on learning from extended exposure in naturalistic environments. Moreover, there was a significant correlation between segmentation success and infants' attention to ADS, but not to IDS, during the extended exposure phase. This finding speaks to current language acquisition models assuming that infants' individual attention to language stimuli drives successful learning.     

Emotion Regulation in Context: Situational Effects on Infant and Caregiver Behavior

Emotion regulation is an important developmental task of the early years of life. However, situational effects are rarely examined. In this study, we evaluated situational effects on 7‐month‐olds' and their mothers' emotional expression and interactive regulation behavior, individual differences across situations, and intercorrelations within situations. Mother‐infant dyads (N = 225) were observed interacting during episodes from play, teaching, and still‐face situations that varied along 2 developmentally salient dimensions: emotional challenge (low vs. high), and attentional focus (face‐to‐face vs. object). Attentional focus affected mothers' behavior, whereas both challenge and attentional focus affected infants. Associations between mother and infant behaviors varied in each situation. High‐challenge situations provided more consistent individual differences in infants and more negative behavior from mothers. Findings have implications for appropriate assessment of emotion regulation in infancy.