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Hearing Loss and Perceptual Development

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Hearing Loss and Perceptual Development
By

Audrey Davies

due by

April, 6 2012

Psych 310

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Intro
Perceptual development is the way in which we use our senses to gather and organize information in order to understand and interpret the world around us. We gather information through sensory stimuli by hearing, seeing, touching, smelling, and tasting. Starting from infancy, perceptual development begins when babies begin to take the world in through these senses. They begin by giving meaning to the objects that they see and hear. According to
Mark K. Fagan and David B. Pisoni, “infants learn about their environment through sensory exploration, acquiring knowledge that is important for cognitive development...the fundamental information that infants obtain through sensory perception and exploration of their environment contributes to the learning and development of important cognitive concepts” (Fagan & Pisoni,
2009). Hearing is especially important and key to their brain development, and any deficiency can possibly lead to delays in speech, and language.

Hearing loss is a result of several reasons such as trauma, severe ear infections, in utero infections and a vast number of other diseases and disorders. In all actuality we hear with our brains and not our ears. However the ears play an important function which allows us to transmit sound. Before going into further details here is some basics of the auditory system.
The Cochlea is the is the most important structure of the ear. It is spiral shaped and located in the inner ear. According to Foley and Matlin, authors of Sensation and Perception (2010) ,the
Cochlea is the bony, fluid filled structure containing the reception for auditory stimuli” (Foley &
Matlin, 2010). There are two kinds of hair cells and they are both located in the Cochlea which is part of the Auditory system. There are about three thousand five hundred inner hair cells, and

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they stand in a single row along the inner side of the organ of Corti. Each inner hair cell has about forty tiny hairs protruding from it, which lie in a groove on the tectorial membrane.
Approximately twenty neurons innervate each inner hair cell. The inner hair cells are innervated mainly by afferent nerves which carry's signals towards the brain. There are about thirteen thousand outer hair cells and each one has around one hundred and forty tiny hairs protruding from it, which are thought to be attached to the tectorial membrane. There are three or four rows or the outer hair cells along the length of the organ of Corti which is also located within the basilar membrane. The outer hair cells are innervated by the efferent nerves, which carries signals away from the brain. Outer hair cells have a special function within the cochlea. They are shaped cylindrically, like a can, and have stereo cilia at the top of the cell, and a nucleus at the bottom. When the stereo cilia are bent in response to a sound wave, an electro motile response occurs. This means the cell changes in length. So, with every sound wave, the cell shortens and then elongates. This pushes against the tectorial membrane, selectively amplifying the vibration of the basilar membrane. This allows us to hear very quiet sounds. The inner hair cells transform the mechanical force of sound (cochlear fluid vibration) into the electrical impulses of hearing (action potentials sending auditory messages to the brain). They communicate with nerve fibers that make up the auditory nerve leading to the brain. When the rate of neurotransmitter (chemicals released by cells in response to stimuli) release from these hair cells is increased, the rate of firing in the nerve fibers is also increased. This occurs when the voltage of the hair cells becomes more positive. Conversely, when the voltage of the hair cells becomes more negative, the hair cells release less neurotransmitter and the firing rate in nerve fibers decreases.

Hearing loss: Speech Perception
Speech perception is the ability to hear and interpret sounds of language. Infants and toddlers

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who experience hearing loss develop speech at a much slower rate than those with normal hearing. In addition, they tend to have language impairments. Not only do they have difficulty hearing others speak but they also have difficulty hearing themselves speak. The effects of hearing loss in relation to speech can be found in a study titled Vocalizations of infants with hearing loss compared with infants with normal hearing: Part I--phonetic development, in which the authors state that “relative to age-matched, normal-hearing peers, children with hearing loss were delayed in the onset of consistent canonical babble. However, certain children with moderately-severe losses babbled on time, and infants with cochlear implants babbled within 2 to 6 mo of implantation. The infants with hearing loss had smaller consonantal inventories and were slower to increase syllable shape complexity than age-matched normal-hearing peers”
(Moeller et al, 2007).

Hearing Loss: Language
Fagan and Pisoni state that “for hearing infants, auditory perception is important not only for the development of linguistic awareness and language learning but also for sound localization, voice recognition, and establishing predictive relationships between sounds, objects, and events. For example, as early as 6 months of age, sound cues facilitated infants’ search for objects in the dark” (Fagan & Pisoni, 2009). However, Infants and/or toddlers with hearing loss, tend to have language impairments, which is the inability to understand and/or use words properly. For example, phonemes, which is the basic form of speech that makes a difference in sounds. Additionally, consonant sound may be affected which is determined by place of articulation and manner of articulation. A language impairment may result in a child not being able to express their needs or wants properly, reduced vocabulary, improper use of words and the inability to understand what others are saying.

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Conclusion
In conclusion, perceptual development is the process in which we learn from our environment through sensory stimuli. Through our senses we are able to take in the world around us and adapt, and gain knowledge through experience, which is essential for cognitive development.
Hearing is especially important; it allows us to to place meaning to objects, communicate our needs, give meaning to objects mentally, physically and emotionally. Starting from infancy, babies use hearing to recognize their mother’s voice from in utero bringing them comfort in her presence. Hearing loss can result in impairment is speech and language perception. Infants and babies with hearing loss have problems with pronunciation, use words improperly, develop words at a much lower rate than those with normal hearing. Delayed speech and language development can result in difficulties with communication, learning and knowledge attainment impairing their perceptual development and affecting their lives both socially and cognitively.

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Bibliography
1. Moeller, M., Hoover, B., Putman, C., Arbataitis, K., Bohnenkamp, G., Peterson, B., & ...
Stelmachowicz, P. (2007). Vocalizations of infants with hearing loss compared with infants with normal hearing: Part I--phonetic development. Ear & Hearing (01960202), 28(5), 605627.

2. Foley, H. J., & Matlin, M. W. (2010). Sensation and Perception. Upper Saddle River :
Pearson Education .

3. Fagan, M. K., & Pisoni, D. B. (2009). Perspectives on Multisensory Experience and
Cognitive Development in Infants with Cochlear Implants. NIH-PA Author Manuscript.

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