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Updated: Jul 15, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Issues in human auditory development
1Department of Speech and Hearing Sciences, University of Washington, 1417 N.E. 42nd Street, Seattle, WA 98105-6246, USA. lawerner@u.washington.edu
Insights
Basic auditory processing matures early, but higher-level functions like attention develop slowly. This impacts how children, especially those with hearing loss, process sounds.
Area of Science:
- Auditory Neuroscience
- Developmental Psychology
Background:
- Early auditory development shows rapid maturation of basic processing, appearing adult-like by 6 months.
- Higher-level auditory functions, including attention and sound localization, mature much later.
- Immature higher-level processes can hinder auditory perception in infants and children.
Purpose of the Study:
- To outline the developmental trajectory of the human auditory system.
- To emphasize the critical role of auditory experience in development.
- To elucidate the function of attention and other cognitive processes in early auditory perception.
Main Methods:
- Review of developmental psychology and auditory neuroscience literature.
- Analysis of studies on infant and child auditory processing.
- Synthesis of research on the impact of hearing impairment on auditory development.
Main Results:
- Basic auditory functions mature rapidly in the first year.
- Complex auditory skills, such as sound source determination and attention, require prolonged development.
- Children with impaired hearing face compounded challenges due to degraded auditory input and immature processing strategies.
Conclusions:
- Auditory development is a protracted process extending beyond basic sensory encoding.
- Experience is crucial for refining auditory skills and higher-level processing.
- Understanding these developmental aspects is vital for supporting children with hearing impairments.
Unlabelled:
The human auditory system is often portrayed as precocious in its development. In fact, many aspects of basic auditory processing appear to be adult-like by the middle of the first year of postnatal life. However, processes such as attention and sound source determination take much longer to develop. Immaturity of higher-level processes limits the processing of both simple and complex sounds by infants and children. Young listeners with impaired hearing may be at a particular disadvantage, in that they must make sense of sounds on the basis of a degraded representation using immature perceptual strategies.
Learning Outcomes:
(1) Readers will be able to describe three stages of human auditory development. (2) Readers will be able to describe how experience with sound is important in auditory development. (3) Readers will be able to describe the role of attention and other higher-level processes in early audition.
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