Elsevier

Brain and Language

Volume 88, Issue 2, February 2004, Pages 229-247
Brain and Language

“Frog, where are you?” Narratives in children with specific language impairment, early focal brain injury, and Williams syndrome

https://doi.org/10.1016/S0093-934X(03)00101-9Get rights and content

Abstract

In this cross-population study, we use narratives as a context to investigate language development in children from 4 to 12 years of age from three experimental groups: children with early unilateral focal brain damage (FL; N=52); children with specific language impairment (SLI; N=44); children with Williams syndrome (WMS; N=36), and typically developing controls. We compare the developmental trajectories of these groups in the following domains: morphological errors, use of complex syntax, complexity of narrative structure, and types and frequency of evaluative devices. For the children with early unilateral brain damage, there is initial delay. However, by age 10, they are generally within the normal range of performance for all narrative measures. Interestingly, there are few, if any, side specific differences. Children with SLI, who have no frank neurological damage and show no cognitive impairment demonstrate significantly more delay on all morphosyntactic measures than the FL group. Quantitatively, on morphosyntactic measures, the SLI group clusters with those children with WMS who are moderately retarded. Together these data help us to understand the extent and nature of brain plasticity for language development and those aspects of language and discourse that are dissociable.

Introduction

The overall goal of this special issue is to use the behavior of special groups of children to enhance our understanding of the brain bases of language and language development, and to this end, in this paper we examine narratives from four groups of school-aged children: children with early brain injury, children with specific language impairment, children with Williams syndrome and typically developing comparison children. Each population provides a different perspective on language acquisition and narrative development as well as their components. By comparing the performance of these groups of children we can directly address three critical issues in developmental neuroscience:

  • 1.

    the nature and extent of neuroplasticity;

  • 2.

    how general intellectual impairment with a specific genetic basis may affect the process of language acquisition and narrative development;

  • 3.

    the nature of the language acquisition process itself.

Study I addresses the issue of neuroplasticity by comparing morphosyntactic development in the narratives of children with early brain damage (FL), children with specific language impairment (SLI), and typically developing comparison children (TD). To evaluate the role of a genetically based cognitive impairment, Study II juxtaposes the stories of children with Williams syndrome (WMS) with those of children with SLI as well as chronological age matched typically developing children in an attempt to distinguish those aspects of narratives that are cognitively based from those that are specifically linguistic. Finally, to the degree we can identify processes and milestones that are common to all our populations, we can begin to uncover core aspects of the language acquisition process itself.

Narratives are found across different contexts, cultures, and times. From stories at the dinner table (Ochs, Smith, & Taylor, 1989) to some of our very oldest records (e.g., the Old Testament stories in the Bible and Aesop’s fables), narratives continue to serve as a means to convey culturally significant information. In part due to their pervasiveness, narratives, as a discourse form, are accessible to even the youngest in society: children have some notion of “what a story is” by age 3 (Appleby, 1978). Given their frequency and ‘everyday’ nature, narratives provide an excellent quasi-naturalistic measure of children’s spontaneous language, and reflect distinctive structural and linguistic changes through childhood and adolescence. Although, researchers agree that children are generally proficient with the majority of the morphosyntactic structures of their language by age 5 (e.g., Brown, 1973; Slobin, 1985), understanding how and when to use these structures fluently and flexibly in particular discourse genres continues to develop well into adolescence. Thus, narratives provide a rich context for evaluating multiple aspects of linguistic development in school-aged children. Indeed, numerous researchers have exploited this goldmine in both typically developing children (e.g., Bamberg, 1987; Bamberg & Reilly, 1996; Berman & Slobin, 1994; Peterson & McCabe, 1983; Reilly, 1992), as well as in atypical populations (Anderson, 1998; Bamberg & Damrad-Frye, 1991; Capps, Kehres, & Sigman, 1998; Capps, Losh, & Thurber, 2000; Dennis, Jacennik, & Barnes, 1992; Liles, 1993; Losh, Bellugi, Reilly, & Anderson, 2001; Losh & Capps, in press; Loveland, McEvoy, & Tunali, 1990; Reilly, Bates, & Marchman, 1998; Reilly, Klima, & Bellugi, 1990; Tager-Flusberg & Sullivan, 1995).

In their seminal paper on narratives, Labov and Waletzky (1967) characterized a narrative as a sequence of temporally related clauses rendered from a particular point of view. That is, narratives include both information about the characters and events of the story, i.e., the plot or referential aspect, as well as comments that relate the narrator’s perspective on their significance to the story, the evaluative aspect of narratives.

Thus, the requisite skills for producing a good narrative involve complex, linguistic, cognitive, and affective/social abilities. Linguistically, children must lexically encode information about the characters and events of the story using the appropriate morphosyntactic devices to articulate the sequence of events and their temporal relations. Cognitively, children must infer the motivation for protagonists’ actions, the logical relations between events and the theme of the story. These inferences might be considered one aspect of the evaluative function as they all reflect the narrator’s assessment of the meaning or significance of the events of the story. Finally, telling a story is a social activity, and an additional type of evaluation concerns the relationship of the narrator to the audience. These elements in a story we have termed social evaluative devices as they serve to engage and maintain the listener’s attention. Given the range of skills required to produce a good narrative, analyzing children’s stories permits us to address questions regarding not only complex language development and its use in school-aged children, but also the relationship of language development to other cognitive and affective abilities. By comparing the narratives of our special populations to those of chronologically matched typically developing children, we can begin to identify which aspects are vulnerable or more resilient in different conditions, as well as those abilities which are closely interrelated versus those which are dissociable from one another.

Section snippets

Narratives of children with focal lesions and children with specific language impairment

Since the studies of Basser (1962) on children with hemiplegia, and the observations of Lenneberg (1967) noting that children with brain damage did not suffer the same irreparable damage as adults with comparable damage, the question of cerebral plasticity has intrigued scientists. From the extensive work on both neurologically healthy adults and those who have suffered unilateral strokes, (e.g., Goodglass, 1993), 150 years of research has confirmed the findings of Paul Broca: the left

Study II: Language and cognition

At first glance, children with Williams syndrome present a reciprocally opposing profile to children with SLI. As noted earlier, the children with SLI have normal intelligence (all PIQs are 80 or above), but have language scores significantly below their cognitive levels (CELF scores are at least 1.5 SD below the mean). In contrast, children with Williams meet diagnostic criteria for a particular genetically based syndrome [e.g., a specific heart defect, distinctive facial features, as well as

Overall discussion and conclusion

In these studies of narrative development we have compared several groups of school-aged children as a means to reveal new insights into brain–language relationships. Our findings have been somewhat unexpected and together now allow us to return to our original three issues:

1. The nature and extent of neuroplasticity in the developing brain. In Study I we saw that by age 10, children with early focal brain injury performed within the normal range. In contrast, children with SLI performed below

Acknowledgements

The research reported here was supported in part by funding from NIH-NINDS Grant P50 NS22343 and NIDCD PO1 1289. We thank the children and parents who participated in this study.

References (62)

  • M. Bamberg et al.

    On the ability to provide evaluative comments: Further explorations of children’s narrative competencies

    Journal of Child Language

    (1991)
  • M. Bamberg et al.

    What holds a narrative together. The linguistic encoding of episode boundaries

    Papers in Pragmatics

    (1990)
  • M. Bamberg et al.

    Emotion, Narrative and Affect

  • L. Basser

    Hemiplegia of early onset and the faculty of speech with special reference to the effects of hemispherectomy

    Brain

    (1962)
  • E. Bates et al.

    From first words to grammar in children with focal brain injury

    Developmental Neuropsychology

    (1997)
  • E. Bates et al.

    Neural mediation of language development: Perspectives from lesion studies of infants and children

  • U. Bellugi et al.

    Towards the neural basis for hypersociability in a genetic syndrome

    NeuroReport

    (1999)
  • U. Bellugi et al.

    Genes, brains and behavior: What genetic disorders reveal about behavior

  • Bellugi, U., Lai, Z.C., & Wang, P. (1997). Language, communication and neural systems in Williams syndrome. In: T....
  • Bellugi, U., Lichtenberger, L., Jones, W., Lai, Z., & St. George, M. (2000). The neurocognitive profile of Williams...
  • U. Bellugi et al.

    Bridging cognition, brain and molecular genetics: Evidence from Williams syndrome

    Trends in Neurosciences

    (1999)
  • Bellugi, U., & St. George, M., (Eds.) (2000). Linking cognitive neuroscience and molecular genetics: New perspectives...
  • U. Bellugi et al.

    Williams syndrome: From cognition to brain to gene

  • R. Berman et al.

    Relating events in narrative: A crosslinguistic developmental study

    (1994)
  • D. Bishop

    Language development after focal brain damage

  • D.V.M. Bishop

    Uncommon understanding: Development and disorders of language comprehension in children

    (1997)
  • R. Brown

    A first language: The early stages

    (1973)
  • L. Capps et al.

    Conversational abilities among children with autism and developmental delay

    Autism

    (1998)
  • L. Capps et al.

    The frog ate a bug and made his mouth sad: Narrative competence in children with autism

    Journal of Abnormal Child Psychology

    (2000)
  • M. Dennis et al.

    The content of narrative and discourse in children and adolescents after early-onset hydrocephalus and in normally-developing age peers

    Brain and Language

    (1992)
  • J. Eisele et al.

    Lexical and grammatical development in children with early hemisphere damage: A cross-sectional view from birth to adolescence

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