The Science of Learning & Speaking Languages | Dr. Eddie Chang

Guest
Dr. Eddie Chang
Read time
~4 min
Uploaded
24 Oct 2022
Duration
2:34:24
Views
488.8K
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KEYPOINTS

  • 01

    The sounds of early life shape the hearing brain

    As a medical student working with Mike Merzenich at UCSF, Chang raised rat pups in continuous, moderate white noise that masked natural sounds. The critical period of the auditory cortex stayed open months longer than normal. That sounds like a benefit, but it actually meant delayed maturation. Humans have a similar window: within a couple of years, infants lose sensitivity to speech sounds outside their native language.

  • 02

    White noise machines for babies are an open question

    Asked whether white noise harms infants' hearing development, Chang says the studies haven't been done. He has used soothing tools himself with three kids. His caution is that continuous white noise doesn't occur in nature, and the developing brain seems to need structured, meaningful sounds.

  • 03

    Electrical stimulation of brain areas can switch anxiety on or off

    During awake brain mapping, stimulating the orbitofrontal cortex reduced stress, but only in patients who were already anxious. Stimulating the amygdala could cause sudden anxiety, and stimulating the insula could cause disgust. Chang suspects some psychiatric conditions reflect imbalances in electrical activity across these areas.

  • 04

    Epilepsy often resists medication

    About a third of people with epilepsy (defined here as three or more seizures) aren't controlled by modern drugs. If two or three medications have failed, a fourth or fifth rarely helps. A subset can benefit from surgery to remove the seizure source or from implanted stimulators.

  • 05

    The textbook map of language areas is partly wrong

    The textbooks still assign speaking to Broca's area (based on Broca's 19th-century patient 'Tan') and understanding to Wernicke's area in the left temporal lobe. In hundreds of patients, Chang's team found that surgery on the posterior frontal lobe often leaves speech intact. The speech-motor areas of the precentral gyrus, which control the lips, jaw and larynx, matter more for producing words. He estimates that about 50% of what's taught about the brain is accurate and the rest oversimplified.

  • 06

    Which side of the brain handles language depends partly on handedness

    In right-handed people, language is on the left side 99% of the time. In left-handed people it's about 70%, with 20–30% using both sides or the right. After a left-sided stroke, nearby tissue or even the right hemisphere can take over. Chang thinks both sides have the machinery but the brain specializes one.

  • 07

    Speech cortex has a 'salt-and-pepper' map of sound features

    Recording directly from the brain surface at millimeter and millisecond resolution, his lab finds sites tuned to features such as plosives (b, d, g, made by closing and releasing the mouth) and fricatives (sh, th, made by air turbulence). These sites are scattered rather than laid out in an orderly map. Speech may also reach the speech cortex by its own route, bypassing the primary auditory cortex, which is ordered by frequency.

  • 08

    About a dozen movements build every word

    Speech production comes down to roughly 12 movement features of the tongue, jaw, lips and larynx. Each is meaningless alone, but combined in sequence they generate every word, which Chang compares to DNA's four bases encoding life.

  • 09

    Reading is borrowed from older brain systems

    Writing is too recent to have evolved its own brain area. Instead, a visual word form area at the back of the temporal lobe is recruited and linked to the speech-sound system. Many cases of dyslexia stem from weak phonological awareness, a mismatch between seen words and their sounds, rather than purely a visual problem.

  • 10

    Bilingual speakers use overlapping circuits

    In Chang's ongoing lab study, the same speech areas respond to both languages, and the 'English' cortex even tries to parse an unfamiliar language. What differs is the stored memory of sound sequences that make up each language's words.

EXAMPLES

  • 01

    Anxiety that turned out to be seizures

    A young woman was treated for anxiety disorder for years. The clue was that her panic attacks came out of nowhere, with no trigger. Her MRI was normal, and only electrodes placed in the brain proved the attacks came from seizures in her amygdala. She needed awake surgery. Chang stresses that the vast majority of anxiety is not caused by seizures.

  • 02

    Pancho and the BRAVO trial

    The first participant was a man who'd had a brainstem stroke around age 20, days after a car accident, and had not spoken for 15 years. Electrodes over his speech-motor cortex were connected through a port in his skull. After weeks of training the decoder, he produced sentences from a 50-word vocabulary, helped by an autocorrect-style language model. When he giggled with excitement, it disrupted decoding of the next word.

  • 03

    Foreign accent syndrome is real; sudden fluency in a new language is not

    Chang has never seen or read of a stroke unlocking a language someone didn't know. He has seen foreign accent syndrome, where damage to vocal-tract control areas makes someone sound as if they have a foreign accent.

  • 04

    Decoding speech, then faces

    About six years before this conversation, his team could decode every English consonant and vowel from epilepsy patients' brain recordings. The next goal is an animated avatar that conveys a paralyzed person's facial expressions along with text.

OTHER RELEVANT

  • 01

    Watch for anxiety that has no trigger

    Panic that strikes with no trigger, especially if it doesn't respond to treatment, is worth raising with a neurologist. Seizures may only show up on electrodes, not on an MRI.

  • 02

    Stuttering is a coordination problem, often made worse by anxiety

    Language is intact, but the precise coordination of the larynx, lips and jaw breaks down at times. Anxiety triggers or worsens stuttering but isn't the cause. Speech therapy helps with starting words, and changing how people hear their own voice can alter stuttering for better or worse.

  • 03

    Chang's way of staying calm under pressure

    He exercises (running, swimming) mainly for his mind and notices the effect within a day or two of skipping it. He leaves his phone outside the operating room and prefers silence there, treating surgery's routine moments as a focused refuge from outside worries.