Posted tagged ‘speech delay’

Should infants be raised bilingually?

December 9, 2013

The Pediatric Insider

© 2013 Roy Benaroch, MD

Carla wrote in, “I speak only English, and my husband speaks Spanish and English. Will it confuse our child to hear both languages? Or is it better to start speaking Spanish with him when he is young?”

In the past, some authorities had advised against speaking multiple languages in a household. The thinking was that two or more languages would confuse a child who was just learning to speak, causing frustrating and delayed speech skills. It turns out that this isn’t true at all.

Multiple good studies, like this one, have shown that simultaneous bilingualism—raising children to speak two languages at the same time—doesn’t cause or contribute to speech delays or speech-language problems. This seems to be true for studies done in many different countries looking at different combinations of languages. While some studies do show that at first, children may learn fewer individual words (or learn their first clear words more slowly), within just a few months these kids catch up, often surpassing the speech skills of their single-language peers by kindergarten.

Babies and toddlers have a unique gift for language. They can learn human speech just by listening and copying, without “practice” or translation. The best way to help young children learn to speak is to speak with them. Talk about what you’re doing, and what they’re doing; discuss what you see and what you hear. Give them a chance to answer back, and reflect clearly back at them what they just said. Speak just a little slower and a little more clearly, but don’t exaggerate your speech. It’s also very helpful to read books, over and over, pointing things out and talking about what’s happening. The more live, interactive human speech developing children hear, the better and faster their speech development is likely to be.

I recommend that bilingual couples (or couples with one bilingual member) embrace their second, or third, or even fourth language. Speak it just as much, if not more, than English. Kids growing up here in the USA, even kids who have two non-native-English-speaking parents, grow up speaking English well. If you want your kids to learn a second language as well as a native speaker, the time to “teach” is when they’re too young to know they’re being taught!

Subtle developmental clues

November 4, 2008

A post from Day: “Dr Roy, what is considered “normal range” for a one year old’s speaking ability? My 13 month old doesn’t speak yet and this concerns me. He might babble “gagaga” but it has no meaning. I stay at home with him and every day I try to teach him words such as momma, daddy, bye bye, cat etc and he isnt learning to say them. His pediatrician told me this would be something we would address at 15 months(my pediatrician was not worried at all that he wasn’t speaking) but as a mom who sees other 12 month old’s ability I am worried. Also, he 100% understands what I am saying. I can say simple commands such at ‘lets eat’ and he knows to go to his high chair so I know he understands me. Thank you!”

From my point of view, how many words a 13 month old is using really isn’t a useful marker of how well the child is developing. Some normal 13 month olds have 4 words, some fewer; some have no words at all. There’s a lot of variability there, and concentrating on word count at this age can create a lot of unnecessary worry.

A neurologically normal 13 month old should do all or almost all of these things:

  • Follow simple directions.
  • Use gestures like waving or nodding.
  • Point to things he wants, or point to things he wants you to look at.
  • Look at things you point at.
  • Bring things to show you.
  • Show off—that is, do cute things, then look to make sure you’re paying attention.
  • Combine sounds with a melodic quality, similar to speech. Even if words don’t make sense, the overall “sound” of his babbling should sound like a monologue, with pitch and speed changes and pauses.

The easiest “milestones” to talk about and compare between children are things like when they start walking, or how many words they say at a certain age. However, the subtle things like the ones I’ve listed are far more important, and offer far more insight into how a child is developing.