On the clinical relevance of early deficits in critical linguistic functions
-
Upload
francisco-lacerda -
Category
Documents
-
view
212 -
download
0
Transcript of On the clinical relevance of early deficits in critical linguistic functions
children and adolescents, has to be considered. The
perspective of everyday pleasure has to take precedence
over the perspective of disciplined perfection.
References
[1] Batch JA, Baur LA. Management and prevention of obesity
and its complications in children and adolescents. Med J Aust
2005;182:130–5.
[2] Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity:
public-health crisis, common sense cure. Lancet 2002;360:
473–82.
[3] Robinson TN. Reducing children’s television viewing to pre-
vent obesity: a randomized controlled trial. JAMA 1999;282:
1561–7.
[4] Francis LA, Lee Y, Birch LL. Parental weight status and girls’
television viewing, snacking, and body mass indexes. Obes Res
2003;11:143–51.
[5] Socialstyrelsen [Swedish National Board of Health and
Welfare]. Matning av barns och ungdomars psykiska halsa –
forslag till nationella och aterkommande undersokningar.
[Measurement of the mental health of children and adoles-
cents – proposals of national and recurrent investigations.]
Author: Curt Hagquist. Stockholm: Socialstyrelsen; 2005.
[6] Prosser J, McArdle P. The changing mental health of children
and adolescents: evidence for a deterioration? Psychol Med
1996;26:715–25.
[7] Solantaus T, Leinonen J, Punamaki RL. Children’s mental
health in times of economic recession: replication and exten-
sion of the family economic stress model in Finland. Dev
Psychol 2004;40:412–29.
[8] Lewis O, Sargent J, Friedrich W, Chaffin M, Cunningham N,
Cantor PS. The impact of social change on child mental health
in Eastern Europe. Child Adolesc Psychiatr Clin N Am
2001;10:815–24.
[9] Cassidy K, Kotynia-English R, Acres J, Flicker L,
Lautenschlager NT, Almeida OP. Association between
lifestyle factors and mental health measures among commu-
nity-dwelling older women. Aust N Z J Psychiatry 2004;38:
940–7.
[10] Rohrer JE, Pierce JR Jr, Blackburn C. Lifestyle and mental
health. Prev Med 2005;40:438–43.
[11] Parfitt G, Eston RG. The relationship between children’s
habitual activity level and psychological well-being. Acta Pae-
diatr 2005;94:1790–6.
[12] Samhallsmedicin, Stockholms lans landsting och Statens
folkhalsoinstitut. [Unit of Community Medicine, Stockholm
County Council, and Swedish National Institute of Public
Health.] Rasmussen F, Eriksson M, Bokedal C, Schafer
Elinder L. Fysisk aktivitet, matvanor, overvikt och sjalvkansla
bland ungdomar. COMPASS – en studie i sydvastra Stor-
stockholm. [Physical activity, eating habits, overweight and
self-esteem in adolescents. COMPASS – a study in the
south west parts of larger Stockholm.] Rapport. Stockholm:
Samhallsmedicin, Stockholms lans landsting och Statens folk-
halsoinstitut; 2004. Rapport 2004 : 1.
On the clinical relevance of early deficits in critical linguistic functions
FRANCISCO LACERDA
Department of Linguistics, Stockholm University, Stockholm, Sweden
Abstract
The clinical significance of patterns of deficits in semantic and phonological representations observedby Miniscalco et al. is discussed in light of an ecological approach to language development.
Conclusion: Deficits in semantic representations reflect problems in capturing the core linguisticreferential function and should be taken as serious early warning signals for language delay.
Key Words: Early childhood, infants, language acquisition
This issue’s article by Miniscalco et al. [1] addresses
the important issue of detecting early signs of language
delay problems. Language acquisition is a life-long
process but, because its most dramatic phases unfold in
infancy and early childhood, the consensus is that
children who run the risk of language delay should be
treated as early as possible. Early intervention is not
really expected to cure language delay but is known
to significantly improve the child’s chances to adjust to
the demands of the linguistic environment, both as a
direct consequence of the child’s individual training
and as an indirect effect of educating the caregivers in
how to take into consideration the child’s handicap [2].
The problem, however, is early identification of the
Correspondence: Francisco Lacerda, Department of Linguistics, Stockholm University, SE-106 91 Stockholm, Sweden. Tel: +46 (0)8 162341. Fax:
+46 (0)8 155389. E-mail: [email protected]
(Received 10 October 2005; accepted 12 October 2005)
Commentaries 1701
ISSN 0803-5253 print/ISSN 1651-2227 online # 2005 Taylor & Francis
DOI: 10.1080/08035250500409522
children at risk for language delay. Extreme cases are
easy to spot, but more common ones may lack clear
indicators and therefore put high demands on clini-
cians who must recognize them with high enough
specificity and sensitivity. At the core of this problem
is the difficulty to capture and quantify the complex
dynamic process of language acquisition. From this
perspective Miniscalco et al.’s [1] retrospective study
points to some relevant early warning signals that
clinicians should be aware of. By relating children’s
language development status at 6 y of age with different
measures performed on the same children when they
were 212 y old, the authors contribute a general pattern
of relevant “early warnings” that make good sense
from a general theoretical perspective on language
development.
Humans have evolved a flexible and efficient speech
communication system (as well as non-speech
communication, like sign language) based on the
recursive use of sound strings and hierarchical struc-
tures of meaning by exploring combinatorial principles
that are fundamentally different from those used in
other intelligent species’ communication systems [3].
This combinatorial power allows humans to create
an unlimited number of utterances departing from a
rather small finite set of elements. But when adults
address language from the young language learner’s
perspective, coming to grips with the ambient language
often appears as a nearly impossible task. Since the
utterances that the learner has access to are only a
limited amount of particular exemplars of all
the utterances that might have been drawn from the
infinite set of possible utterances according to
the ambient language, inferring from these exemplars
the underlying linguistic structure of the ambient
language appears to be an insurmountable problem.
Yet, the overwhelming majority of young humans
discovers most of the basic linguistic principles of their
ambient language within the first couple of years of life
and typically engages in speech interaction with people
around them. How can infants solve this problem?
While avoiding debating directly on the relative
importance of genetic and ambient components for
the language-learning process, it is apparent that the
actual linguistic input available to the young language
learner is much more structured than the principled
theoretical approach sketched above would suggest.
Under typical circumstances, human infants are richly
exposed to the sounds of their ambient languages.
From the very beginning of postnatal life1, speech
is available in the infant’s immediate environment,
both as part of the acoustic background that the infant
may or may not attend to, and as infant-directed
speech.
Some key aspects of typical infant-directed speech
are that it is highly context bound, very repetitive and,
unsurprisingly, not very rich in terms of linguistic
content [5,6]. An adult addressing a 2- or 3-mo-old
infant tends, for instance, not use elaborate sentences.
The adult’s primary goal appears to be to maintain the
infant’s interest in the general speech communication
situation rather than attempting a peer-to-peer
conversation with the young infant [7,8]. Adding to
this the fact that the adult is often biased to speak
about objects or events that are available in the
infant’s visual field or directly linked to the infant’s
emotional state, it is compelling to recognize that
the potentially unlimited scope of possible utterances
within the ambient language is only barely explored
in actual speech directed to young infants. Yet,
experience with such a rather limited sample of
highly structured utterances is probably a very im-
portant factor to bootstrap the language acquisition
process because the utterances available to the infant
refer to salient objects in its immediate vicinity and
therefore richly demonstrate the core principle of
linguistic referential function [5]. In this way, the
initial small-scale discovery of linguistic relations
between utterances and objects, or events that go
along with them, quickly becomes the true trigger of
the language acquisition process that will unfold from
then on [9].
From the infant’s point of view, it is almost trivial to
point out that the young language learner’s interaction
with speakers of the ambient language rather
soon leaves language-specific traces in the child’s
speech perception and production [10,11], but this
convergence towards the ambient language clearly
exposes the underlying implication that the particu-
larities of a language learner’s linguistic environment
will impact on his/her individual linguistic strategies, at
least during the early stages of the language acquisition
process. Of course, the patterns of interaction between
language learners and their linguistic environments are
extremely complex and strongly influenced by learners’
biologically determined skills as well as by the linguistic
affordances of the ambient language. Adding to this
complexity, the language learner’s speech perception
and production skills are also developed as a con-
sequence of the very adaptation to the ambient
language, suggesting that the individual learning paths
during the language acquisition process may be
expected to be contingent on the learner’s personal
preferences and focus of interest as well as on the
particular characteristics of his/her immediate language
environment. With this language acquisition scenario
in mind, the amazingly large number of successful
1 Actually, the sounds of speech, presumably low-pass filtered by thewomb, can be heard by the fetus from about the 5th gestationalmonth, when the fetus’s auditory system has reached maturation.Indeed, the infant’s prenatal exposure to the rhythmic characteristicsof, mainly, its mother’s speech has been demonstratedexperimentally [4].
1702 Commentaries
language acquisition paths available to the normally
developing child becomes apparent. From the clinical
perspective, however, the problem is to distinguish
successful developmental paths that may be charac-
terized by individual preferences from deviant language
development that may be mistakenly interpreted as a
manifestation of the learner’s personal preference.
Miniscalco et al.’s article brings up aspects of early
language development that may be relevant for the
clinical assessment of potential language delays. One of
its clear messages is that low performance in semantic
aspects by 212 y of age should be taken as a serious
warning for language delay. Admittedly, a low score
on a semantics test is not, by itself, a definitive flag
for language delay problems, but it builds up to a
very strong warning signal if, in line with the reasoning
on the language development process sketched above,
it is associated with other problems such as grammat-
ical deficits or difficulties in non-word repetitions.
Indeed, low performance in semantic measures reflects
difficulties in grasping the language’s referential func-
tion, which is a fundamental component of the very
symbolic representation underlying speech communi-
cation, while difficulties in repetitions of non-words are
likely to be linked to the child’s immature phonological
representations [12,13]. But both semantics and
phonological representations are in a sense two aspects
of the same linguistic process that can be equated in
terms of current theories on the emergence of linguistic
structure during the language acquisition process. These
theoretical approaches propose phoneme- or syllable-
like representations as emergent consequences of
the increasing lexical pressure that is associated with
the child’s general cognitive maturation process and
augmenting representation needs [14,15]. The data
reported in Miniscalco et al.’s paper are well in line
with such an approach: their data strongly suggest
that a pattern of deficits in the establishment of critical
semantic and phonological representations by 212 y of
age is a strong early warning that has to be taken seriously
and engage carefully designed early intervention to
minimize the impact of very likely upcoming language
delay problems.
References
[1] Miniscalco, C, Westerlind M, Lohmander A. Language skills at
6 years in Swedish children screened for language delay at 212
years of age. Acta Paediatr 2005;94:1797–1805.
[2] Coplan J, Gleason JR. Quantifying language development from
birth to 3 years using the early language milestone scale.
Pediatrics 1990;86:963–71.
[3] Hauser MD, Chomsky N, Fitch WT. The faculty of language:
what is it, who has it, and how did it evolve? Science
2002;298:1569–79.
[4] De Casper A, Fifer W. Of human bonding: newborns prefer
their mothers’ voices. Science 1980;208:1174–6.
[5] Lacerda F,Klintfors E,GustavssonL,LagerkvistL,MarklundE,
Sundberg U. Ecological theory of language acquisition. Genova:
Epirob; 2004.
[6] Lacerda F,MarklundE,LagerkvistL,GustavssonL,Klintfors E,
Sundberg U. On the linguistic implications of context-bound
adult-infant interactions. Genova: Epirob; 2004.
[7] Fernald A. Intonation and communicative intent in mothers’
speech to infants: is the melody the message? Child Dev
1989;60:1497–510.
[8] Sundberg U, Lacerda F. Voice onset time in speech to infants
and adults. Phonetica 1999;56:186–99.
[9] Elman JL. Learning and development in neural networks: the
importance of starting small. Cognition 1993;48:71–99.
[10] Kuhl PK, Williams KA, Lacerda F, Stevens KN, Lindblom B.
Linguistic experience alters phonetic perception in infants by 6
months of age. Science 1992;255:606–8.
[11] Engstrand O, Williams KA, Lacerda F. Does babbling sound
native? Listener responses to vocalizations produced by
Swedish and American 12- and 18-month-olds. Phonetica
2003;60:17–44.
[12] Bishop DV, North T, Donlan C. Nonword repetition as a
behavioural marker for inherited language impairment:
evidence from a twin study. J Child Psychol Psychiatry
1996;37:391–403.
[13] Bishop DV, Adams CV, Norbury CF. Using nonword repeti-
tion to distinguish genetic and environmental influences
on early literacy development: a study of 6-year-old twins.
Am J Med Genet 2004;129B:94–6.
[14] Davis BL, Lindblom B. Phonetic variability in baby talk and
development of vowel categories. In: Lacerda F, von Hofsten
C, Heimann M, editors. Emerging cognitive abilities in early
infancy. Mahwah, New Jersey: Lawrence Erlbaum Associates;
2001. p 135–71.
[15] Lacerda F, Lindblom B. Some remarks on Tallal’s transform in
the light of emergent phonology. In: C. von Euler, editor. Basic
neural mechanisms in cognition and language – with special
reference to phonological problems in dyslexia. Oxford:
Wenner-Gren Foundations and Rodin Remediation Academy,
Elsevier Science; 1998. p 197–222.
Commentaries 1703