Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

When babies cry, your tone matters

Christopher Johnson, MD
Conditions
October 24, 2018
Share
Tweet
Share

I first posted about this subject a couple of years ago but it’s so fascinating to me I’m writing about it again. I happened to run across this study containing some amazing information. It’s from a publication called The Journal of Voice. The link is to the abstract — the complete article is behind a paywall but I can get it for anybody who’s interested in reading the whole study in detail.

Its title is “Fundamental frequency variation in crying of Mandarin and German neonates.” I have always assumed, like most people I suspect, that babies cry the same the world over. When they’re uncomfortable or hungry they let us know by crying. It turns out this may not be the case. If so, then language development is pushed to the very first days of life — even before that, perhaps. There is actually previous work of a similar nature that studies what the authors termed the melody of an infant’s cry and how it varies with the mother’s native language. It’s long been known that from birth infants have a particular recognition of their mother’s voice, something that appears to be associated with the melodic contours of how the mother modulates her voice.

Some languages are tonal. This means the pitch of the speaker’s voice affects the meaning of the words; the same sound can mean something entirely different depending upon the pitch. Mandarin Chinese, spoken by over a billion people, is such a language. There are four pitches that must be mastered to speak Mandarin. I have a friend who spent three years in China and really struggled with this. I don’t recall the details, but as I recall she told me, as one example, the word for “fish” means something entirely different when uttered in a different pitch. There is a language spoken in Cameroon that is even more complicated, sound-wise. This language has eight different pitches that affect word meaning, and there are further modulations in pitch that complicate things even more.

The particular study cited above was a collaboration between investigators in China and Germany. German is not a tonal language, of course. The investigators recorded the vocalizations of 102 newborn infants, examining in particular pitch, fluctuation, and range. The results, in the words of the lead author, were clear:

The crying of neonates whose mothers speak a tonal language is characterized by a significantly higher melodic variation as compared to – for example – German neonates.

It’s even more interesting when you consider that these are newborns. They’ve only been out of the womb a couple of days. So the clear implication is that they heard their mothers speaking while still in utero and acquired patterns of vocalization that they begin to use immediately after they were born. That’s quite amazing, I think. It has implications even for those mothers who don’t speak tonal languages: that is, your baby can hear what you’re saying, especially during the last trimester of pregnancy, so be sensitive of your tone. So maybe if you are angry and yell a lot your infant may actually be impacted by that, and not in a good way. Something to think about.

Christopher Johnson is a pediatric intensive care physician and author of Keeping Your Kids Out of the Emergency Room: A Guide to Childhood Injuries and Illnesses, Your Critically Ill Child: Life and Death Choices Parents Must Face, How to Talk to Your Child’s Doctor: A Handbook for Parents, and How Your Child Heals: An Inside Look At Common Childhood Ailments. He blogs at his self-titled site, Christopher Johnson, MD.

Image credit: Shutterstock.com

Prev

Physicians have the skills to be entrepreneurs

October 24, 2018 Kevin 1
…
Next

When physicians order tests: a tale of 2 patients

October 25, 2018 Kevin 7
…

Tagged as: Pediatrics

< Previous Post
Physicians have the skills to be entrepreneurs
Next Post >
When physicians order tests: a tale of 2 patients

ADVERTISEMENT

More by Christopher Johnson, MD

  • The success of Australian firearms regulation: What it could mean for children

    Christopher Johnson, MD
  • Do protocols and pathways improve care?

    Christopher Johnson, MD
  • Why are so many community hospitals transferring children to larger facilities?

    Christopher Johnson, MD

Related Posts

  • Money matters to how you experience medical training. It matters a lot.

    Kristin Puhl, MD
  • What matters in an optimal consumer health care market

    Richard Reece, MD
  • Medical students: The work you do matters

    Justin Tiongson
  • Language matters: the not-so-innocuous provider effect

    Torie S. Sepah, MD
  • DO and MD: If perceptions matter, which one matters most?

    Colburn Yu
  • Sutter Health’s antitrust case matters. Here’s why.

    Justin Bullock

More in Conditions

  • How blood-based brain biomarkers predict Alzheimer’s progression

    Marc Arginteanu, MD
  • Why local care matters for peripheral arterial disease

    Devin Zarkowsky, MD
  • The hidden dangers of dental sedation and dental anesthesia in kids

    Irim Salik, MD
  • What a tiny dog taught me about the nervous system

    Carrie Friedman, NP
  • Rethinking nutrition policy on ultra-processed food

    Hana Kahleova, MD, PhD
  • How to treat chronic pain and depression together

    Kayvan Haddadan, MD
  • Most Popular

  • Past Week

    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
    • When shared decision making gives way to medical paternalism

      DeAnna Pollock, MD | Physician
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
    • The human side of medicine in quiet clinical moments

      Devina Maya Wadhwa, MD | Physician
    • Trusting clinical intuition to spot an atypical heart attack

      Anonymous | Physician
    • How rural health care access impacts maternal mortality

      Alyssa Sterner | Policy
  • Past 6 Months

    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why clinical listening skills outpace artificial intelligence

      Ryan Egeland, MD, PhD | Tech
    • Why Florida physician background checks are driving doctors away

      Tamzin A. Rosenwasser, MD | Physician
    • The hidden clinical cost of HCC coding in primary care

      Jeffrey H. Millstein, MD | Physician
  • Recent Posts

    • How blood-based brain biomarkers predict Alzheimer’s progression

      Marc Arginteanu, MD | Conditions
    • Overcoming the fear of health care AI in data abstraction

      Brandy Sue Greif | Tech
    • Why local care matters for peripheral arterial disease

      Devin Zarkowsky, MD | Conditions
    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
    • The urgent need for AI mental health regulation after Tumbler Ridge

      Sophie Nunnelley, JD | Tech
    • 13.1 reasons running a half marathon beats practicing medicine

      John Wei, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
    • When shared decision making gives way to medical paternalism

      DeAnna Pollock, MD | Physician
    • How xenotransplantation could finally solve organ shortages

      Rafael S. Garcia-Cortes, MD | Conditions
    • The human side of medicine in quiet clinical moments

      Devina Maya Wadhwa, MD | Physician
    • Trusting clinical intuition to spot an atypical heart attack

      Anonymous | Physician
    • How rural health care access impacts maternal mortality

      Alyssa Sterner | Policy
  • Past 6 Months

    • Why clinicians fail at writing expert reports

      Tracy Liberatore, Esq, PA | Conditions
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why clinical listening skills outpace artificial intelligence

      Ryan Egeland, MD, PhD | Tech
    • Why Florida physician background checks are driving doctors away

      Tamzin A. Rosenwasser, MD | Physician
    • The hidden clinical cost of HCC coding in primary care

      Jeffrey H. Millstein, MD | Physician
  • Recent Posts

    • How blood-based brain biomarkers predict Alzheimer’s progression

      Marc Arginteanu, MD | Conditions
    • Overcoming the fear of health care AI in data abstraction

      Brandy Sue Greif | Tech
    • Why local care matters for peripheral arterial disease

      Devin Zarkowsky, MD | Conditions
    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
    • The urgent need for AI mental health regulation after Tumbler Ridge

      Sophie Nunnelley, JD | Tech
    • 13.1 reasons running a half marathon beats practicing medicine

      John Wei, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

When babies cry, your tone matters
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...