Multimodal communication in newly sighted children: An investigation of the relation between visual experience and pragmatic development

We investigated the relationship between visual experience and pragmatic development by testing the socio-communicative skills of a unique population: the Prakash children of India, who received treatment for congenital cataracts after years of visual deprivation. Using two different referential communication tasks, our study investigated Prakash’ children ability to produce sufficiently informative referential expressions (e.g., ‘the green pear’ or ‘the small plate’) and pay attention to their interlocutor’s face during the task (Experiment 1), as well as their ability to recognize a speaker’s referential intent through non-verbal cues such as head turning and pointing (Experiment 2). Our results show that Prakash children have strong pragmatic skills, but do not look at their interlocutor’s face as often as neurotypical children do. However, longitudinal analyses revealed an increase in face fixations, suggesting that over time, Prakash children come to utilize their improved visual skills for efficient referential communication.