Sentence comprehension and production in children with cochlear implants: Errorless procedures and equivalence-based instruction

Research supports equivalence-based instruction (EBI) and matrix training for increased listening and speaking skills in children with cochlear implants (CI). We incorporated errorless procedures to optimize the EBI and evaluated the effects on the auditory comprehension and verbal responding at-sentences level in six CI children who were readers and showed inaccurate tacting. Subject-verb-object sentences were arranged in two matrices; diagonal combinations were trained and evaluated non-diagonal combinations. EBI included stimulus fading and exclusion to directly teach the dictated sentence-picture matching; written-sentences construction upon dictation also was taught. Probes assessed the derived stimulus-stimulus and stimulus-response relations. All participants learned the auditory-visual discriminations and the exclusion resulted in fewer errors than on a stimulus fading procedure. Five participants formed equivalence classes and increased verbal responding to equivalent stimuli, especially pictures tacting. They also showed recombinative generalization for both matrices. Professionals can incorporate errorless procedures to EBI for improving sentence comprehension, tacting, and productivity in CI children.     

THE IMPACT OF AUDITION ON THE DEVELOPMENT OF VISUAL ATTENTION

Interactions between audition and vision were investigated in two experiments In the first experiment, school-age hearing children, deaf children with cochlear implants, and deaf children without implants participated in a task in which they were to respond to some visual signals and not others This task did not involve sound at all Deaf children without implants performed much more poorly than hearing children Deaf children with cochlear implants performed considerably better than deaf children without implants The second experiment employed a longitudinal design and showed that the rate of development in visual selective attention was faster for deaf children with cochlear implants than deaf children without implants Moreover, the gams were rapid–occurring within 2 years post-implant surgery The results suggest that a history of experience with sounds matters in the development of visual attention The results are discussed in terms of multimodal developmental processes     

Language development in profoundly deaf children with cochlear implants

Although cochlear implants improve the ability of profoundly deaf children to understand speech, critics claim that the published literature does not document even a single case of a child who has developed a linguistic system based on input from an implant. Thus, it is of clinical and scientific importance to determine whether cochlear implants facilitate the development of English language skills. The English language skills of prelingually deaf children with cochlear implants were measured before and after implantation. We found that the rate of language development after implantation exceeded that expected from unimplanted deaf children ( p < .001) and was similar to that of children with normal hearing. Despite a large amount of individual variability, the best performers in the implanted group seem to be developing an oral linguistic system based largely on auditory input obtained from a cochlear implant.     

Speech Accuracy and Reading in Children with Cochlear Implants

The Psychological Record - Research on relations between hearing through cochlear implants and accurate speech is still scarce. The present study used the stimulus equivalence paradigm to...     

Implicit sequence learning in deaf children with cochlear implants

Deaf children with cochlear implants (CIs) represent an intriguing opportunity to study neurocognitive plasticity and reorganization when sound is introduced following a period of auditory deprivation early in development. Although it is common to consider deafness as affecting hearing alone, it may be the case that auditory deprivation leads to more global changes in neurocognitive function. In this paper, we investigate implicit sequence learning abilities in deaf children with CIs using a novel task that measured learning through improvement to immediate serial recall for statistically consistent visual sequences. The results demonstrated two key findings. First, the deaf children with CIs showed disturbances in their visual sequence learning abilities relative to the typically developing normal-hearing children. Second, sequence learning was significantly correlated with a standardized measure of language outcome in the CI children. These findings suggest that a period of auditory deprivation has secondary effects related to general sequencing deficits, and that disturbances in sequence learning may at least partially explain why some deaf children still struggle with language following cochlear implantation.     

Word learning in deaf children with cochlear implants: effects of early auditory experience

Word-learning skills were tested in normal-hearing 12- to 40-month-olds and in deaf 22- to 40-month-olds 12 to 18 months after cochlear implantation. Using the Intermodal Preferential Looking Paradigm (IPLP), children were tested for their ability to learn two novel-word/novel-object pairings. Normal-hearing children demonstrated learning on this task at approximately 18 months of age and older. For deaf children, performance on this task was significantly correlated with early auditory experience: Children whose cochlear implants were switched on by 14 months of age or who had relatively more hearing before implantation demonstrated learning in this task, but later implanted profoundly deaf children did not. Performance on this task also correlated with later measures of vocabulary size. Taken together, these findings suggest that early auditory experience facilitates word learning and that the IPLP may be useful for identifying children who may be at high risk for poor vocabulary development.     

Language First: Deaf Children from Deaf Families Spontaneously Anticipate False Beliefs

ABSTRACT

Being connected to other people at the level of inner and unobservable mental states is one of the most essential aspects of a meaningful life, including psychological well-being and successful cooperation. The foundation for this kind of connectedness is our theory of mind (ToM), that is the ability to understand our own and others’ inner experiences in terms of mental states such as beliefs and desires. But how do we develop this ability? Forty-six 17- to 107-months-old children completed a non-verbal eye-tracker false-belief task. There were 9 signing deaf children from deaf families and two comparison groups, that is 13 deaf children with cochlear implants and 24 typically developing hearing children. We show that typically developing hearing children and deaf children from deaf families, but not deaf children with cochlear implants, succeeded on a non-verbal eye-tracking ToM task. The findings suggest that the ability to recognize others’ mental states is supported by very early, continuous and fluent language-based communication with caregivers.     

Cochlear implants and the claims of culture? A response to Lane and Grodin

Because I reject the notion that physical characteristics constitute cultural membership, I argue that, even if the claim were persuasive that deafness is a culture rather than a disability, there is no reason to fault hearing parents who choose cochlear implants for their deaf children.     

ALL STIMULI ARE EQUAL,BUT SOME ARE MORE EQUAL THAN OTHERS: MEASURING RELATIONAL PREFERENCES WITHIN AN EQUIVALENCE CLASS

Two experiments used post‐class formation within‐class relational assessment test performances to evaluate whether participants demonstrated preference for certain members of an equivalence class based on the type of relation that existed between class members. In Experiment 1, two 5‐node 7‐member equivalence classes, consisting entirely of nonsense syllables, were established using the simultaneous protocol. Only 1 of the 6 participants in Experiment 1 formed classes. After class formation, the effects of the different relations between stimuli were evaluated using within‐class relational assessment tests, and the 1 participant showed an absolute preference for transitive over equivalence relations, and for baseline over symmetrical relations. Experiment 2 was identical to Experiment 1, except that one of the nonsense syllable stimuli in each class was replaced by a pictorial stimulus. Under these conditions, classes were formed by 5 of 13 participants. During the relational assessment tests, the 5 participants who formed classes demonstrated almost exclusive preferences for transitive relations over equivalence relations and for trained baseline relations over symmetrical relations. Thus, this research demonstrates that the members of equivalence classes are differentially related to each other based on relational type.     

Emergence of symmetry in a visual conditional discrimination by chimpanzees (Pan troglodytes)

In Exp. 1, three young chimpanzees were trained to match red to a cross and green to a circle in an arbitrary matching-to-sample task. After acquisition of this task, they were tested for the emergence of associative symmetry of these conditional relations using the trials on which shapes were presented as samples and colors as comparisons. One of the three chimpanzees showed statistically significant accuracy on these test trials. This successful subject served in Exp. 2, in which an auditory-visual stimulus appeared contingent upon red and a cross while another auditory-visual stimulus was contingent upon green and a circle. This subject showed higher accuracies in symmetry tests than in Exp. 1, which suggested the facilitative effects of these events common to sample and correct comparison on the development of symmetry. In Exp. 3, subsequent tests in which only these stimuli were presented as samples indicated that these stimuli might have become the members of equivalence classes.     

Emergent equivalence relations between interoceptive (drug) and exteroceptive (visual) stimuli.

Conditional "if-then" relations between drug (interoceptive) stimuli and visual (exteroceptive) stimuli were taught to 4 normal humans. Interoceptive stimuli were the effects produced by 0.32 mg/70 kg triazolam (a prototypical benzodiazepine) and placebo (lactose-filled capsules); exteroceptive stimuli were black symbols on white flash cards. Following the training of the prerequisite conditional relations, tests of emergent relations were conducted between exteroceptive stimuli and between interoceptive and exteroceptive stimuli. Equivalence relations emerged immediately without explicit training for all 4 subjects. Accuracy of responding during the interoceptive-exteroceptive equivalence tests and subjects' self-reports showed consistent discrimination between the drug effects of triazolam and placebo. Finally, a generalization test assessed whether a novel visual stimulus presented in the context of the placebo (i.e., no drug) would generalize to visual stimuli belonging to the placebo stimulus class. All 3 subjects who completed this test reliably chose the visual stimuli belonging to the placebo class and not the visual stimuli belonging to the triazolam stimulus class. The development of equivalence relations between interoceptive and exteroceptive stimuli demonstrates that private and public stimulus events can emerge as members of the same equivalence class. Theoretical and clinical implications are discussed.     

Equivalence class formation in language-able and language-disabled children

Stimulus equivalence seems to have relevance to the study of semantics and of language more generally. If so, there may be a relation between language use and the demonstration of stimulus equivalence. This was examined in three groups of children ranging in chronological age and matched on a conventional measure of mental age: normally developing preschoolers, retarded children who used speech or signs spontaneously and appropriately, and retarded children who did not. All children were taught a series of four related discriminations and were then tested to determine if classes of equivalent stimuli had formed. All of the language-able children (retarded and normal) formed equivalence classes, whereas none of the language-disabled children did so. Although the exact nature of the relation between stimulus equivalence and language remains to be clarified, these results support the view that stimulus equivalence is a phenomenon with relevance to language.     

Speech timing and working memory in profoundly deaf children after cochlear implantation

Thirty-seven profoundly deaf children between 8- and 9-years-old with cochlear implants and a comparison group of normal-hearing children were studied to measure speaking rates, digit spans, and speech timing during digit span recall. The deaf children displayed longer sentence durations and pauses during recall and shorter digit spans compared to the normal-hearing children. Articulation rates, measured from sentence durations, were strongly correlated with immediate memory span in both normal-hearing and deaf children, indicating that both slower subvocal rehearsal and scanning processes may be factors that contribute to the deaf children's shorter digit spans. These findings demonstrate that subvocal verbal rehearsal speed and memory scanning processes are not only dependent on chronological age as suggested in earlier research by. Instead, in this clinical population the absence of early auditory experience and phonological processing activities before implantation appears to produce measurable effects on the working memory processes that rely on verbal rehearsal and serial scanning of phonological information in short-term memory.     

The relationship between differential stimulus relatedness and implicit measure effect sizes

Implicit measures have been hypothesized to allow researchers to ascertain the existence and strength of relations between stimuli, often in the context of research on attitudes. However, little controlled behavioral research has focused on whether stimulus relations, and the degree of relatedness within such relations, are indexed by implicit measures. The current study examined this issue using a behavior‐analytic implicit‐style stimulus relation indexing procedure known as the Function Acquisition Speed Test (FAST). Using a matching‐to‐sample (MTS) procedure to train stimulus equivalence relations between nonsense syllables, the number of iterations of the procedure was varied across groups of participants, hence controlling stimulus relatedness in the resulting equivalence relations. Following final exposure to the MTS procedure, participants completed a FAST. Another group of participants was exposed to a FAST procedure with word pairs of known relatedness. Results showed that increasing relatedness resulted in a linear increase in FAST effect size. These results provide the first direct empirical support for a key process‐level assumption of the implicit literature, and offer a behavior‐analytic paradigm within which to understand these effects. These results also suggest that the FAST may be a viable procedure for the quantification of emergent stimulus relations in stimulus equivalence training.     

The establishment of auditory–visual equivalence classes with a go/no-go successive matching-to-sample procedure

The current study evaluated the effectiveness of a go/no-go successive matching-to-sample procedure (S-MTS) to establish auditory–visual equivalence classes with college students. A sample and a comparison were presented, one at a time, in the same location. During training, after an auditory stimulus was presented, a green box appeared in the center of the screen for participants to touch to produce the comparison. Touching the visual comparison that was related to the auditory sample (e.g., A1B1) produced points, while touching or refraining from touching an unrelated comparison (e.g., A1B2) produced no consequences. Following AB/AC training, participants were tested on untrained relations (i.e., BA/CA and BC/CB), as well as tacting and sorting. During BA/CA relations tests, after touching the visual sample, the auditory stimulus was presented along with a white box for participants to respond. During BC/CB relations tests, after touching the visual sample, a visual comparison appeared. Across 2 experiments, all participants met emergence criterion for untrained relations and for sorting. Additionally, 14 out of 24 participants tacted all visual stimuli correctly. Results suggest the auditory–visual S-MTS procedure is an effective alternative to simultaneous MTS for establishing conditional relations and auditory-visual equivalence classes.     

Stimulus equivalence: testing Sidman's (2000) theory

Sidman's (2000) theory regarding the origin of equivalence relations predicts that a reinforcing stimulus common to distinct equivalence classes must drop out of the equivalence relations. This prediction was tested in the present study by arranging class-specific reinforcers, R1 and R2, following correct responding on the prerequisite conditional discriminations (Ax-Bx, Cx-Bx) for two stimulus classes, A1B1C1 and A2B2C2. A class-common reinforcer, R3, was presented following correct responding on the prerequisite conditional discriminations for a further two stimulus classes, A3B3C3 and A4B4C4. Sidman's theory predicts reinforcer inclusion within Classes 1 and 2 only, given this training arrangement. Experiment 1 tested for the emergence of four equivalence classes and of stimulus-reinforcer and reinforcer-stimulus relations in each class. Four of the 6 subjects demonstrated the reinforcer-based relations in all four equivalence classes, rather than in only those classes with a class-specific reinforcer, as Sidman's theory predicts. One of the remaining 2 subjects showed the reinforcer-based relations in three of the four classes. Experiment 2 extended these findings to document the emergence of interclass matching relations based on the common reinforcer R3, in 5 of 6 subjects, such that a Class 3 sample occasioned the selection of a Class 4 sample when the Class 3 comparison was absent, and similarly, a Class 4 sample occasioned the selection of a Class 3 comparison when the Class 4 comparison was absent. These interclass relations emerged despite the simultaneous maintenance of Class 3 and 4 baseline conditional discriminations, so that the Class 3 and 4 stimuli and reinforcer simultaneously were, and were not, part of a single larger equivalence class. These data are irreconcilable with Sidman's theory, and question the utility of the application of the equivalence relation in describing derived stimulus relations.     

Exploring Correlates and Predictors of Stress in Parents of Children Who are Deaf: Implications of Perceived Social Support and Mode of Communication

Parenting stress has been linked to negative outcomes for both parents and children, including poor attachment, behavior problems, less positive parent–child interactions, and marital dissatisfaction. Given that parents of special needs children often experience excess stress, they may be susceptible to negative outcomes, thus investigations of protective factors are needed. We explored relationships among parenting stress, social support, mode of communication, and child cochlear implant status in parents rearing a deaf child or child with hearing loss. Findings of our exploratory study indicated that parents of children who use sign language only reported more support, while parents of children who use total communication exhibited less self-reported stress. Also, parents with children who use implants did not differ on any of the measures compared to parents of children without implants. Additional findings suggested that higher levels of perceived social support corresponded with lower stress among parents, however, receipt of supportive behaviors did not correlate significantly with parenting stress. In an overall model, perceived social support and mode of communication were significant predictors of parenting stress. Finally, enacted support predicted significantly life satisfaction in parents. Implications and limitations, as well as suggestions for future research, will also be offered.     

The development of functional and equivalence classes in high-functioning autistic children: the role of naming.

The development of functional and equivalence classes was studied in four high-functioning, preschool-aged autistic children. Initially, all subjects failed to demonstrate match-to-sample relations indicative of stimulus equivalence among two three-member classes of visual stimuli. Then, 2 subjects showed emergence of those relations after they were taught to assign the same name to all members in each class. Next, subjects were taught names for new stimuli outside the match-to-sample format. On subsequent match-to-sample tests, 2 subjects demonstrated untrained conditional relations among the stimuli given a common name. New, unnamed stimuli were then related via match-to-sample training to stimuli from sets of named stimuli. Tests for emergent conditional relations between the new unnamed stimuli and the named stimuli yielded positive results for 1 subject and somewhat mixed results for 3 subjects. Finally, without naming, 2 subjects developed stimulus equivalence among two new three-member classes of visual stimuli. These data suggest that naming may remediate failures to develop untrained conditional relations, some of which are indicative of stimulus equivalence.     

Auditory access,language access,and implicit sequence learning in deaf children

Developmental psychology plays a central role in shaping evidence‐based best practices for prelingually deaf children. The Auditory Scaffolding Hypothesis (Conway et al., 2009) asserts that a lack of auditory stimulation in deaf children leads to impoverished implicit sequence learning abilities, measured via an artificial grammar learning (AGL) task. However, prior research is confounded by a lack of both auditory and language input. The current study examines implicit learning in deaf children who were (Deaf native signers) or were not (oral cochlear implant users) exposed to language from birth, and in hearing children, using both AGL and Serial Reaction Time (SRT) tasks. Neither deaf nor hearing children across the three groups show evidence of implicit learning on the AGL task, but all three groups show robust implicit learning on the SRT task. These findings argue against the Auditory Scaffolding Hypothesis, and suggest that implicit sequence learning may be resilient to both auditory and language deprivation, within the tested limits. A video abstract of this article can be viewed at: https://youtu.be/EeqfQqlVHLI [Correction added on 07 August 2017, after first online publication: The video abstract link was added.]     

Functional classes and equivalence relations

Three adult subjects were taught a set of two-choice simultaneous discriminations, with three positive and three negative stimuli; all possible combinations of positive and negative stimuli yielded nine different pairs. The discriminations were repeatedly reversed and rereversed, the former positive stimuli becoming negative and the former negative stimuli becoming positive. With all subjects, a reversal of the contingencies for one pair of stimuli became sufficient to change their responses to all of the other pairs. The reversals had produced functional stimulus classes. Then, all subjects showed conditional discriminations emerging between members of a functional class; given a sample from one class and comparisons from both classes, they selected the comparison that was in the same class as the sample. Next, 2 of the subjects showed that the within-class conditional relations possessed the symmetric and transitive properties of equivalence relations; after having been taught to relate new stimuli to existing class members, the subjects then matched other class members to the new stimuli. Subsequent tests of two-choice discriminations showed that the conditional discriminations had transferred functional class membership to the new stimuli. The 3rd subject, who did not show equivalence relations among functional class members, was also found to have lost the within-class conditional relations after the equivalence tests.