This is the first stage of communication development and we can observe the childâs communication emerging from birth as the baby cries to âsignalâ they are hungry, tired, or need a cuddle.
Stage 1 â Looking, Listening, and Attention
You may have heard the phrase âpre-requisites for communication development,â but what does this really mean?
Well, we know that talking doesnât just happen and that it is in fact a very complex process.
Pre-requisite skills are the foundations that are needed to support later language learning, and children develop these skills from birth.
Hearing is an important part of this process. Language is typically learned through exposure to sounds, and it is vital to identify any hearing difficulties as soon as possible to ensure that support can be put in place. In the United Kingdom, the Newborn Hearing Screening Programme helps to identify babies with moderate, severe, or profound hearing loss as soon as possible. Children may pass this test but go on to experience glue ear at a later stage.
For ears to work properly, the middle ear needs to be kept full of air. The air travels through the eustachian tube, which runs from the back of the throat to the middle ear. If the eustachian tube becomes blocked, air canât enter the middle ear. When this happens, the cells lining the middle ear begin to produce fluid.
With fluid blocking the middle ear, it becomes harder for sound to pass through to the inner ear â making quieter sounds difficult to hear. It can be like listening to the world with your fingers stuck in your ears. This is glue ear.
The following are common signs of glue ear: changes in behaviour, becoming tired and frustrated, a lack of concentration, preferring to play alone, and not responding when called. These signs can often be mistaken for rudeness or being ânaughty.â As a result, children with glue ear may be misunderstood or labelled as âdifficult.â
Glue ear will often resolve on its own, but prolonged episodes of glue ear can result in speech and language difficulties. If you have any concerns about hearing, speak to the childâs parents and request a referral for a hearing test.
Listening is a skill to be developed. We all know of people with good hearing who struggle to listen. Babies are learning how to listen from birth; they learn to listen to voices and they learn which voices are important to them.
Listening and attention are skills which are often referred to together and âlookingâ is another skill which fits well in this group.
In this first stage, a baby is learning to look and focus their attention. From birth, a baby will watch their parentâs face and again will learn to discriminate between faces and work out which faces are important to them. This skill of looking will enable the baby to develop eye contact and provide them with the opportunity to gain information from the parentâs/adultâs face.
A child who has difficulty looking at and attending to their parentâs face when they are talking will have fewer opportunities to hear language and words and it will be more difficult for the child to attach meaning to those words.
Listening and attention skills emerge at this stage, but they will continue to develop throughout the other stages.
Stage 2 â Making Sounds and Taking Turns
Children start to make sounds and noises before they learn to say words.
At this stage a child is experimenting with sounds, moving their lips and tongue (articulators). As they continue to experiment and play with sounds, they will eventually attach meaning to these sounds.
Early turn-taking skills emerge at this stage, with parents/carers noticing the childâs smiles, vocalisations, and movements and then imitating the action or adding a word to the interaction. By waiting/pausing after the adultâs response, the child is given the opportunity to repeat their smile, vocalisation, and movement, creating a shared interaction and an early turn-taking experience.
This is an important stage for communication development as the child is learning that when they do something (make a noise, move, smile), an adult responds. The child is learning early âcause and effectâ and most importantly, in that moment the child knows that they matter.
Reflection Point
Just think for a momentâŚwhat could happen if the childâs vocalisations, movements, and smiles went unnoticed?
What might happen if the child doesnât get positive feedback at this stage?
The role of the adult in this stage is so crucial. A child at this stage needs the adults around them to be observant and responsive as they develop these early yet fundamental skills for communication development.
Making Sounds
During this stage, ...