Theoretical Linguistics with Clinical Reach: Two Case Studies in Morphological Development in Children with Hearing Loss

Authors

DOI:

https://doi.org/10.7557/12.8243

Keywords:

language acquisition, hearing loss, morphology, prosody, clinical linguistics

Abstract

This paper examines how theoretical linguistics and clinical research can inform one another through the study of language acquisition in children with hearing loss. It focuses on how perceptual constraints, such as reduced auditory input, shape the development of grammatical systems.

The first case study investigates Dutch-speaking children with cochlear implants and their acquisition of past tense morphology. It compares the single-route model (a frequency-driven learning mechanism) and the dual-route model (a rule-based and memory-based system). Data from spontaneous speech and elicited production show that these children lag behind their hearing peers and display patterns not fully explained by either model. This suggests the need for approaches that integrate perceptual and morphosyntactic factors.

The second case study explores determiner acquisition at the prosody–morphology interface. While typically developing children use prosodic cues to acquire indefinite articles, children with cochlear implants show a reversed pattern, producing definite articles earlier due to limited access to pitch cues.

Together, the findings demonstrate that combining theoretical and clinical perspectives improves our understanding of grammar and supports more effective assessment and intervention strategies.

References

Avram, Larisa and Martine Coene. 2002. Genitive/Dative clitics as last resort. Balkanistica 15: 1–34.

Berko, Jean. 1958. The child’s learning of English morphology. WORD 14 2–3: 150–77. https://doi.org/10.1080/00437956.1958.11659661.

Bernstein, Jean. 2001. The DP hypothesis: Identifying clausal properties in the nominal domain. In The Handbook of Contemporary Syntactic Theory, edited by Mark Baltin and Chris Collins, pp. 536–61. Blackwell, Oxford. https://doi.org/10.1002/9780470756416.ch17.

Boersma, Paul and David Weenink. 2023. Praat: Doing phonetics by computer [Computer program]. Version 6.3.87. Available at http://www.praat.org/.

Booij, Geert and Ariane van Santen. 1998. Morfologie: De Woordstructuur van het Nederlands. Amsterdam University Press, Amsterdam.

Brown, Roger. 1973. A First Language: The Early Stages. Harvard University Press, Cambridge, Ma. https://doi.org/10.4159/harvard.9780674732469.

Cazden, Courtney B. 1968. The acquisition of noun and verb inflections. Child Development 39 2: 433–48. https://doi.org/10.2307/1126956.

Cinque, Guglielmo. 1993. A null theory of phrase and compound stress. Linguistic Inquiry 24 2: 239–97.

Coene, Martine. 2005. On the acquisition of the indefinite article: A cross-linguistic study of French, Italian, Romanian and Spanish child speech. Belgian Journal of Linguistics 19 1: 121–43. https://doi.org/10.1075/bjl.19.07coe.

Coene, Martine (Principal Investigator). 2005–2010. The Morphosyntactic Development of Children with Cochlear Implants. A Comparison with Children using Hearing Aids, Normally Hearing Children, and Children with Specific Language Impairment. VIDI project no. 276-75-004, Netherlands Organization for Scientific Research (NWO).

Coene, Martine, Paul Govaerts, Johan Rooryck, and Kristin Daemers. 2010. The role of low frequency hearing in the acquisition of morphology. Cochlear Implants International 11 Suppl. 1: 272–7. https://doi.org/10.1179/146701010X12671177989156.

Coene, Martine, Karen Schauwers, Steven Gillis, Johan Rooryck, and Paul Govaerts. 2011. Genetic predisposition and sensory experience in language development: Evidence from cochlear-implanted children. Language and Cognitive Processes 26 8: 1083–101. https://doi.org/10.1080/01690965.2010.520540.

Coene, Martine and Paul Govaerts. 2014. The development of oral language in children with bilateral hearing loss: From speech perception to morphosyntax. Lingua 139: 1–9. https://doi.org/10.1016/j.lingua.2013.12.005.

Cornilescu, Alexandra and Alexandru Nicolae. 2011. Nominal peripheries and phase structure in the Romanian DP. Revue roumaine de linguistique 56 1: 35–68.

Corver, Norbert and Marjo van Koppen. 2006. A focus projection in the left periphery of DP: Evidence from noun ellipsis. Paper presented at Edges in Syntax, Nicosia, Cyprus.

Davis, A., Davis, K., Mencher, G. 2009. Epidemiology of permanent childhood hearing impairment. In Paediatric Audiological Medicine, edited by Valerie E. Newton, pp. 1–28. John Wiley & Sons, Hoboken, NJ.

de Houwer, Annick. 1997. The role of input in the acquisition of past verb forms in English and Dutch: Evidence from a bilingual child. In Proceedings of the 28th Stanford Child Language Research Forum, edited by Eve Clark, pp. 153–62. CSLI Publication, Stanford, Ca.

de Jong, Jan. 1999. Specific Language Impairment in Dutch: Inflectional Morphology and Argument Structure. Ph.D. thesis, University of Groningen, Groningen. Available at https://hdl.handle.net/11370/d3055f3b-699d-41ef-88ca-fc56112ad303.

Giusti, Giuliana. 1996. Is there a Focus and a Topic in the noun phrase structure? University of Venice Working Papers in Linguistics 6 2: 105–28.

Gussenhoven, Carlos. 2004. The Phonology of Tone and Intonation. Cambridge University Press, Cambridge. https://doi.org/10.1017/CBO9780511616983.

Hammer, Annemiek. 2010. The Acquisition of Verbal Morphology in Cochlear-Implanted and Specific Language Impaired Children. Ph.D. thesis, Leiden University, Leiden. LOT, Utrecht. Available at https://www.lotpublications.nl/the-acquisition-of-verbal-morphology-in-cochlear-implanted-and-specifi-the-acquisition-of-verbal-morphology-in-cochlear-implanted-and-specific-language-impaired-children.

Hammer, Annemiek and Martine Coene. 2016. Finite verb morphology in the spontaneous speech of Dutch-speaking children with hearing loss. Ear and Hearing 37 1: 64–72. https://doi.org/10.1097/AUD.0000000000000205.

Heeren, Willemijn, Bart Vaerenberg, Martine Coene, Kristin Daemers, Kristin, Paul Govaerts, Andrei Avram, Anna Cardinaletti, Geert de Ceulaer, Luca Bo, Steven Gillis, Alexandru Pascu, Johan Rooryck, Karen Schauwers, Vincent van Heuven, and Francesca Volpato. 2010. Linguistic Assessment Tools for the Digisonic® Dual Electric-Acoustic Speech Processor. Cochlear Implants International 11 Suppl 1: 306–11. https://doi.org/10.1179/146701010X12671177989435.

Höhle, Barbara. 2009. Bootstrapping mechanisms in first language acquisition. Linguistics 47 1: 1–30. https://doi.org/10.1515/LING.2009.013.

Huysmans, Elke. 2017. Where Language and Hearing Meet: Consequences of Congenital Hearing Impairment on the Production and Reception of Language in Adults. Ph.D. thesis, Vrije Universiteit Amsterdam, Amsterdam. Available at https://hdl.handle.net/1871/55180.

Hyams, Nina. 1986. Language Acquisition and the Theory of Parameters. Reidel, Dordrecht.

Krok, Windi C. and Laurence B. Leonard. 2015. Past tense production in children with and without specific language impairment across Germanic languages: A meta-analysis. Journal of Speech, Language and Hearing Research 58: 1326–40. https://doi.org/10.1044/2015_JSLHR-L-14-0348.

Kuczaj, Stan II. 1977. The acquisition of regular and irregular past tense forms. Journal of Verbal Learning and Verbal Behavior 16 5: 589–600. https://doi.org/10.1016/S0022-5371(77)80021-2.

Leonard, Laurence B., Patricia Deevy, Carol A. Miller, Leila Rauf, Monique Charest, and Robert Kurtz. 2003. Surface forms and grammatical functions: Past tense and passive participle use by children with specific language impairment. Journal of Speech, Language, and Hearing Research 46 1: 43–55. https://doi.org/10.1044/1092-4388(2003/004).

MacWhinney, Brian. 2000. The CHILDES project: Tools for analyzing talk. Child Language Teaching and Therapy 16 2: 147–54. https://doi.org/10.1177/026565909200800211.

Marchman, Virginia A. and Elizabeth Bates. 1994. Continuity in lexical and morphological development: A test of the critical mass hypothesis. Journal of Child Language 21 2: 339–66. https://doi.org/10.1017/S0305000900009302.

Marcus, Gary F., Steven Pinker, Michael Ullman, Michelle Hollander, John Rosen, Fei Xu, and Harald Clahsen. 1992. Overregularization in language acquisition. Monographs of the Society for Research in Child Development 57 4. University of Chicago Press, Chicago, Il. https://doi.org/10.2307/1166115.

Nespor, Marina and Irene Vogel. 1986. Prosodic Phonology. Foris, Dordrecht.

Newman, Stanley. 1946. On the stress system of English. WORD 2 3: 171–87. https://doi.org/10.1080/00437956.1946.11659290.

Nicholas, Johanna and Ann Geers. 2007. Will they catch up? The role of age at cochlear implantation on the spoken language development of children with severe to profound hearing loss. Journal of Speech, Language and Hearing Research 50: 1048–62. https://doi.org/10.1044/1092-4388(2007/073).

Nittrouer, Susan and Joanna Lowenstein. 2021. When language outgrows them: Comprehension of ambiguous sentences in children with normal hearing and children with hearing loss. International Journal of Pediatric Otorhinolaryngology 141: 110514. https://doi.org/10.1016/j.ijporl.2020.110514.

Nittrouer, Susan and Joanna Lowenstein. 2023. Recognition of sentences with complex syntax in speech babble by adolescents with normal hearing or cochlear implants. Journal of Speech, Language, and Hearing Research 66 3: 1110–35. https://doi.org/10.1044/2022_JSLHR-22-00407.

Pesetsky, David. 1987. Wh-in-situ: Movement and unselective binding. In The Representation of (In)definiteness, edited by Eric J. Reuland and Alice ter Meulen, Current Studies in Linguistics, pp. 98–129. MIT Press, Cambridge, Ma.

Pinker, Steven. 1999. Words and Rules: The Ingredients of Language. Basic Books, New York, NY.

Rizzi, Luigi. 1994. Early null subjects and root null subjects. In Syntactic Theory and First Language Acquisition: Cross-Linguistic Perspectives, vol. 2: Binding, Dependencies, and Learnability, edited by Barbara Lust, Gabriella Hermon, and Jaklin Kornfilt, pp. 249–72. Lawrence Erlbaum Associates, Inc., Hillsdale, NJ. (Reprinted from Teun Hoekstra and Bonnie D. Schwartz (eds.). 1994. Language Acquisition Studies in Generative Grammar, no. 8 in Language Acquisition and Language Disorders, pp. 151–76. John Benjamins, Amsterdam. https://doi.org/10.1075/lald.8.09riz.)

Rizzi, Luigi. 1997. The fine structure of the left periphery. In Elements of Grammar: A Handbook of Generative Syntax, edited by Liliane Haegeman, pp. 281–337. Kluwer, Dordrecht. https://doi.org/10.1007/978-94-011-5420-8_7.

Rumelhart, David E. and James L. McClelland. 1986. On learning the past tenses of English verbs. In Parallel Distributed Processing: Explorations in the Microstructure of Cognition, vol. 2: Psychological and Biological Models, edited by James L. McClelland, David E. Rumelhart, and the PDP Research Group, pp. 216–71. MIT press, Cambridge, Ma. https://doi.org/10.7551/mitpress/5237.003.0008.

Sarant, Julia, David Harris, and Lisa Bennet. 2015. Academic outcomes for school-aged children with severe-profound hearing loss and early unilateral and bilateral cochlear implants. Journal of Speech, Language and Hearing Research 58: 1017–32. https://doi.org/10.1044/2015_JSLHR-H-14-0075.

Schauwers, Karen, Martine Coene, Willemijn Heeren, Luca Del Bo, Alexandru Pascu, Bart Vaerenberg, and Paul Govaerts. 2012. Perception of pitch changes in hearing-impaired adults with aided and unaided hearing loss. Journal of Hearing Science 2 3: 25–34. https://doi.org/10.17430/883510.

Selkirk, Elisabeth. 1984. Phonology and Syntax: The Relation between Sound and Structure. MIT Press, Cambridge, Ma.

Selkirk, Elisabeth. 1995. Sentence prosody: Intonation, stress, and phrasing. In The Handbook of Phonological Theory, edited by John A. Goldsmith, pp. 550–69. Blackwell, Oxford.

Szagun, Gisela. 2002. The acquisition of grammar in young German-speaking children with cochlear implants and with normal hearing. In Language Acquisition in Very Young Children with a Cochlear Implant, edited by Karen Schauwers, Paul J. Govaerts, and Steven Gillis, no. 102 in Antwerp Papers in Linguistics, pp. 41–60. University of Antwerp, Antwerp.

Szagun, Gisela. 2004. Learning by ear: On the acquisition of case and gender marking by German-speaking children with normal hearing and with cochlear implants. Journal of Child Language 31 1: 1–30. https://doi.org/10.1017/S0305000903005889.

Terken, J. and S. G. Noteboom. 1987. Opposite effects of accentuation and deaccentuation on verification latencies for given and new information. Language and Cognitive Processes 2 3: 145–63. https://doi.org/10.1080/01690968708406928.

Tomblin, Bruce, Melody Harrison, Sophie Ambrose, Elizabeth Walker, Jacob Oleson, and Mary Pat Moeller. 2015. Language outcomes in young children with mild to severe hearing loss. Ear and Hearing 36 Suppl 1: 76S–91S. https://doi.org/10.1097/AUD.0000000000000219.

van der Straaten, Tirza F. K., Jeroen J. Briaire, Evelien Dirks, Wim Soede, Carolien Rieffe, and Johan H. M. Frijns. 2021. The school career of children with hearing loss in different primary educational settings—A large longitudinal nationwide study. Journal of Deaf Studies and Deaf Education 26 3: 405–16. https://doi.org/10.1093/deafed/enab008.

Walker, Elizabeth, Alexandra Redfern, and Jacob Oleson. 2019. Linear mixed-model analysis to examine longitudinal trajectories in vocabulary depth and breadth in children who are hard of hearing. Journal of Speech, Language, and Hearing Research 62 3: 525–42. https://doi.org/10.1044/2018_JSLHR-L-ASTM-18-0250.

Werfel, Krystel, Gabriella Reynolds, Sarah Hudgins, Marissa Castaldo and Emily Lund. 2021. The production of complex syntax in spontaneous language by 4-year-old children with hearing loss. American Journal of Speech-Language Pathology 30 2: 609–21. https://doi.org/10.1044/2020_AJSLP-20-00178.

Zubizarreta, Maria. 1998. Prosody, Focus, and Word Order. MIT press, Cambridge, Ma.

Downloads

Published

2026-06-30

How to Cite

Hammer, A., & Coene, M. . (2026). Theoretical Linguistics with Clinical Reach: Two Case Studies in Morphological Development in Children with Hearing Loss. Nordlyd, 49(1), 55–70. https://doi.org/10.7557/12.8243