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Infants with hearing loss (HL) are being diagnosed and fitted with amplification earlier than ever before. In order to acquire speech and language abilities that are on par with their normal-hearing (NH) peers, hearing-impaired (HI) infants require amplification that provides appropriate exposure to the sounds of their native language. To date, no research has addressed this issue and thus, there is a need to examine the type of amplification that is most suitable for infants during the early stages of language acquisition. In this thesis, three different amplification types were compared: one that preserves the natural spectral shape of speech (unmodified speech); a second that emphasises high-frequency speech information (positive spectral tilt); and a third that emphasises low-frequency information (negative spectral tilt). NH infants were tested to examine how each of these amplification types affects speech perception and to explore whether infants at different stages of language acquisition find modified spectral tilt a help or hindrance in perceiving native-language speech contrasts. A visual habituation (VH) procedure was used to test 288 6- and 9-month-old NH infants on their ability to discriminate the high-frequency fricative contrast /f/- /s/; the mid-frequency approximant contrast /l/-/r/; and the low-frequency vowel contrast /5/-/N/ under modified spectral tilt conditions. For each speech contrast, 96 infants were tested in one of three conditions: (a) unmodified spectral tilt (n = 32); (b) with a positive 6 dB/octave spectral tilt (n = 32); or (c) with a negative 6 dB/octave spectral tilt (n = 32). The results showed that both 6- and 9-month-olds discriminated the three speech contrasts in the unmodified condition. However, when the contrasts were spectrally modified, a consistent developmental trend emerged. Six-month-olds’ discrimination performance improved when the spectral tilt modification amplified the relevant frequency information. That is, for the consonant contrasts (fricatives /f/-/s/ and approximants /l/-/r/) 6-month-olds performed best when high-frequency information was emphasised, whereas for the vowel contrast (/5/-/N/) the best discrimination performance was found when low-frequency information was enhanced. Nine-month-olds, on the other hand, showed no evidence of discriminating any of the contrasts when spectral tilt was modified. For all three contrasts, the older infants’ best discrimination performance was in the unmodified spectral tilt condition. The findings reflect the early stages of linguistic development. Six-month olds, whose acoustically driven speech perception operates in a language-general mode, demonstrated a broad-based ability to discriminate speech sounds. They not only accommodated speech with positive or negative spectral tilt, but a facilitation effect was observed when relevant frequency information was amplified. In contrast, 9-month-olds, whose perception is linguistically driven, found that spectral tilt modifications hinder speech perception. It seems that because older infants are attuning to native phonemic categories, their attention is constrained to native language spectral profiles only. Thus, even those spectral tilt modifications that should have been beneficial for perception were eschewed by 9-month-olds because they were incompatible with the older infants���� narrow focus on spectrally intact native speech sounds. Only NH infants were tested in this study, so it is not possible draw firm conclusions about amplification schemes until HI infants are tested too. Nevertheless, the results have a number of implications for infants with HL. The demonstration that spectral tilt modifications interfere with older NH infants’ speech perception suggests that future research should investigate whether HI infants also show this developmental pattern. That is, do HI infants progressively attune to the native language, and if so, does this affect their perception of spectrally modified speech sounds? Moreover, if HI infants are to attune to the native language and acquire speech and language in the same way as their NH peers, then the research reported here suggests that, throughout infancy, HI infants will need access to amplified speech that maintains the spectral shape of natural speech. Thus, the current research demonstrates, for the first time, a developmental difference in the way that infants perceive spectrally modified speech, one that is closely linked to the infant’s stage of native-language attunement. This research provides a solid foundation on which to conduct further research with HI infants and offers preliminary suggestions with regard to amplification and intervention to ensure that HI infants have the opportunity to emulate the native-language attunement process and subsequently achieve language development outcomes comparable with their NH peers. / Doctor of Philosophy (PhD)

Thesis (Ph. D.)--University of California, San Diego, 2008. / Title from first page of PDF file (viewed September 3, 2008). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references.

Research shows that maternal depression has adverse effects on mother-infant attachment and subsequent infant development (Cogill, Caplan, Alexandra, Robson & Kumar, 1986). The mechanisms through which this comes about are unclear. Murray & Cooper (1997) suggest an impaired pattern of mother-infant communication is responsible. Within this, Murray proposes that maternal speech may be a key factor. This study constitutes a preliminary exploration into the mechanisms through which maternal depression effects mother-infant interaction in South Africa. 147 predominantly Xhosa-speaking mother-infant dyads that took part in a broader epidemiological study on post-partum depression in Khayelitsha (Cooper, Tomlinson, Swartz, Woolgar, Murray & Molteno, 1999) made up the subjects. Maternal depression was assessed according to the Structured Clinical Interview for DSMIV (SCID). Maternal speech recorded from standard, five-minute, face-to -face mother-infant interactions was translated and analysed according to a coding system developed by Murray (Murray, Kempton, Woolgar & Hooper, 1993). The speech of depressed mothers to their two month old infants was compared to the speech of non-depressed mothers on dimensions of focus, affect and agency, and the role of infant gender was assessed. Results revealed no significant group differences for depression. Maternal speech to male infants was found to hold significantly less ascription of agency than to female infants. Findings suggest that maternal speech may be too narrow a marker of maternal depression in this context and that broader indices are needed. It is recommended that future research control for measures of social adversity, factor in cultural and language particularities, and consider contextual aspects of mother-infant interaction / attachment processes, in investigating the mechanisms through which post-partum depression leads to negative infant outcome in the developing world.