This diary study describes early phonological and lexical development
in a child with chronic otitis media with effusion. Equipped with the
tools of a referential/analytic language-learner, the child solved the
problem of reduced and fluctuating auditory input with phonological s
election and avoidance strategies that capitalized on prosodic cues. T
his 'tone-language' approach resulted in a lexical inventory that woul
d be categorized as an extreme expressive style. Having 'boot-strapped
' her lexical learning, the child continued to rely on phonological co
nstraints and selection strategies to fuel lexical and syntactic growt
h, i.e. cross-domain interactions leading to a vocabulary spurt and th
e onset of two-word utterances. These findings illustrate the need to
consider interactions among performance, input and linguistic constrai
nts in order to explain individual variation in language learning.