Children with sensorineural hearing loss may (re)gain hearing with a cochlear implant—a device that transforms sounds into electric pulses and bypasses the dysfunctioning inner ear by stimulating the auditory nerve directly with an electrode array. Many implanted children master the acquisition of spoken language successfully, yet we still have little knowledge of the actual input they receive with the implant and specifically which language sensitive cues they hear. This would be important however, both for understanding the flexibility of the auditory system when presented with stimuli after a (life-) long phase of deprivation and for planning therapeutic intervention. In rhythmic languages the general stress pattern conveys important information about word boundaries. Infant language acquisition relies on such cues and can be severely hampered when this information is missing, as seen for dyslexic children and children with specific language impairment. Here we ask whether children with a cochlear implant perceive differences in stress patterns during their language acquisition phase and if they do, whether it is present directly following implant stimulation or if and how much time is needed for the auditory system to adapt to the new sensory modality. We performed a longitudinal ERP study, testing in bimonthly intervals the stress pattern perception of 17 young hearing impaired children (age range: 9–50 months; mean: 22 months) during their first 6 months of implant use. An additional session before the implantation served as control baseline. During a session they passively listened to an oddball paradigm featuring the disyllable “baba,” which was stressed either on the first or second syllable (trochaic vs. iambic stress pattern). A group of age-matched normal hearing children participated as controls. Our results show, that within the first 6 months of implant use the implanted children develop a negative mismatch response for iambic but not for trochaic deviants, thus showing the same result as the normal hearing controls. Even congenitally deaf children show the same developing pattern. We therefore conclude (a) that young implanted children have early access to stress pattern information and (b) that they develop ERP responses similar to those of normal hearing children.

Le interazioni sociali richiedono che un agente sia in grado di selezionare ed elaborare informazioni ambientali rilevanti, che sia situato in un contesto complesso, e che interagisca con altri agenti, rispettando le opportunità e i vincoli di contesto. Riconoscere noi stessi e gli altri come agenti intenzionali è un passaggio cruciale per il processo generale di comprensione sociale e, in particolare, per la nostra capacità di percepire le intenzioni e gli scopi altrui. Tali competenze sociali sostengono il nostro sviluppo fisico, cognitivo e affettivo promuovendo interazioni adattive. Di conseguenza, una disfunzione di tali competenze può compromettere gravemente l’autonomia e la qualità di vita. Si ritiene che un sistema distribuito medi la percezione di agentività e degli stati mentali altrui, ma la struttura interna dei processi che costituiscono la nostra capacità di comprendere i nostri simili e di interagire adeguatamente è tuttora per buona parte sconosciuta. Il progetto ha come obiettivo indagare le fasi iniziali di tali processi e, in particolare, l’elaborazione precoce di cues sociali (social affordances) per la detezione di agentività e opportunità d’interazione in contesti sociali. È strutturato in tre studi principali: il primo mira a esplorare i correlati elettrofisiologici (ERPs e dati di source localization) dell’elaborazione di informazioni visive per la detezione di agentività in interazione; il secondo mira a indagare possibili marcatori (ERPs) del profilo delle competenze di comprensione sociale associate alla sindrome di Williams; il terzo ha testato, tramite TMS, il ruolo causale di rTPJ nel mediare l’elaborazione pre-riflessiva di agentività e intenzionalità nel comportamento osservato. / Social interactions require an agent to be able to select and process relevant environmental information, to be situated in a complex context and to interact with other agents, according to the opportunities and boundaries of that context. Sensing ourselves and detecting others as intentional agents is a crucial step for the overall social understanding process and, in particular, for our ability to perceive others’ intentions and goals. Those social skills foster our physical, cognitive and affective development by promoting adaptive interactions. Consequently, a dysfunction of such skills can seriously affect the autonomy and quality of life. A distributed system is thought to subserve the perception of agency and others’ mental states, but the internal structure of processes that constitute our ability to understand our similars and interact adequately is still largely unknown. This project aimed at investigating early stages of those processes and, in particular, the initial elaboration of social cues (social affordances) for the detection of agentivity and opportunities for interaction in social situations. It is structured in three main empirical studies: the first one aimed at looking electrophysiological correlates (ERPs and source localization data) of visual information processing for the detection of agency in interactions; the second one aimed at looking for possible markers (ERPs) of the uneven profile of basic WS social understanding; the third one tested the causal role of rTPJ in mediating pre-reflective processing of agency and intentionality from observed behaviour by means of TMS.

Children with sensorineural hearing loss may (re)gain hearing with a cochlear implant—a device that transforms sounds into electric pulses and bypasses the dysfunctioning inner ear by stimulating the auditory nerve directly with an electrode array. Many implanted children master the acquisition of spoken language successfully, yet we still have little knowledge of the actual input they receive with the implant and specifically which language sensitive cues they hear. This would be important however, both for understanding the flexibility of the auditory system when presented with stimuli after a (life-) long phase of deprivation and for planning therapeutic intervention. In rhythmic languages the general stress pattern conveys important information about word boundaries. Infant language acquisition relies on such cues and can be severely hampered when this information is missing, as seen for dyslexic children and children with specific language impairment. Here we ask whether children with a cochlear implant perceive differences in stress patterns during their language acquisition phase and if they do, whether it is present directly following implant stimulation or if and how much time is needed for the auditory system to adapt to the new sensory modality. We performed a longitudinal ERP study, testing in bimonthly intervals the stress pattern perception of 17 young hearing impaired children (age range: 9–50 months; mean: 22 months) during their first 6 months of implant use. An additional session before the implantation served as control baseline. During a session they passively listened to an oddball paradigm featuring the disyllable “baba,” which was stressed either on the first or second syllable (trochaic vs. iambic stress pattern). A group of age-matched normal hearing children participated as controls. Our results show, that within the first 6 months of implant use the implanted children develop a negative mismatch response for iambic but not for trochaic deviants, thus showing the same result as the normal hearing controls. Even congenitally deaf children show the same developing pattern. We therefore conclude (a) that young implanted children have early access to stress pattern information and (b) that they develop ERP responses similar to those of normal hearing children.