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What’s Going on in There?: How the Brain and Mind Develop in the First Five Years of Life

Neuroscientist Lise Eliot explains how a baby's brain and senses develop from the womb to age five. She shows how touch, talk, gentle challenge and play decide which of its many connections last.

Table of Content

Caring for a newborn can feel like looking after a small mystery, someone who sleeps, cries and stares but cannot say what is happening inside. In What’s Going on in There?, neuroscientist Lise Eliot opens that mystery with a striking fact: from the first year to the eighth, the brain of a child forms twice as many connections as it will need, and the ones that get used are the ones that last.

Genes lay out the route, from the order in which brain parts form to the timing of a first smile. Experience decides what grows along it. That is the argument running through every stage: biology sets the course, and a warm, stimulating, playful home steers where it leads.

Sense by sense, she shows what babies can feel, taste, hear and see. The practical side is just as specific: how much to talk, when to stop correcting, how hard to push a shy child, and why fun does more than drills.

Two groups of children in the 1940s had very different starts: one raised by their mothers inside a prison, one in a nearby nursery. Only one group grew up walking and talking on time, and it was not the one most people would guess.

Mice that lost their whiskers lost something they could never get back, even after the whiskers returned. The same clock is ticking in a baby, and it explains why cuddles count for more than comfort.

A fetus can taste sweetness weeks into pregnancy, yet some infants cannot detect salt for months. One hospital learned the cost of that gap in the worst way, and nursing mothers can use the other side of it.

Babies given a choice of stories, using nothing but a pacifier, picked one particular book. Their eyes, meanwhile, were being shaped by the shape of the walls around them.

A baby flailing its fists looks like it is shadowboxing, and a newborn held upright seems to try a step. Neither is random, and both show how readiness and opportunity work together.

Some babies are born watchful, with racing hearts at the first sign of stress. Their genes are not the whole story, and a measured kind of parental push changes the outcome for a large share of them.

Some children hear more than three times as many words an hour as others. Eliot shows what that gap does, what closes it, and the well-meant parental habit that slows word learning down.

A project that began in 1972 gave infants extra care and saw a sizeable IQ gap by age three. The kind of stimulation that helps most, though, looks less like school than many parents expect.

What Lise Eliot finally offers is a new way to see an ordinary day with a small child. The story read aloud, the gentle rocking, the garlic pill a nursing mother takes, the steady stream of everyday talk: each feeds a brain that is sorting out, very fast, which of its connections to keep. Genes tilt the slope, like the hill under Eliot’s rolling ball, and they set the timetable for smiles, reaching, steps and first words. What a child touches, hears, practices and is talked to decides how far that brain travels.

That puts real influence into plain habits. Hold and touch a baby often. Talk all day, precisely and warmly, and let small grammar slips correct themselves. Offer a shy child brave moments in doses it can handle. Reach for word games, music and play before formal lessons, and keep a small, rotating set of toys.

None of it requires special equipment or training. What separated the nursery babies in Spitz’s study from the ones raised in prison was contact and play, given by someone who cared. Every caregiver can give that.

About this book

What is this book about?

A newborn sleeps, cries and stares, and nobody remembers what those first years felt like from the inside. Neuroscientist Lise Eliot draws on child psychology and brain research to describe what is actually happening in a young child's head, from the first weeks after conception to the early school years. Her central picture is a ball rolling down a hill. Genes set its direction: the order in which brain parts form, and the age at which a child can smile, reach, walk or understand words. Experience nudges its path. Between ages one and eight, a child builds far more brain connections than it needs, and the ones that get used are the ones that stay. Eliot follows this pattern through touch, smell and taste, hearing and vision, movement, temperament, language and intelligence, using studies such as premature babies who thrived on daily massage and newborns who chose a Dr. Seuss story they had heard in the womb. Parents and caregivers get a clear sense of what infants can perceive at each stage. They also get concrete guidance: talk a lot and correct little, challenge shy children gently, and pick games and music over strict lessons.

Book Information

Rating:

Genre:

Parenting & Families, Science

Topics:

Neuroscience, Parenting

Publisher:

Penguin Random House

Language:

English

Narrator:

Cole

First published:

January 1, 1999

Pages:

544

Length:

16 min 14 sec

Get the book:

Amazon

Who it's for

  • Curious what babies sense

    New and expecting parents who want to know what their baby can actually sense and learn.

  • Grandparents, nannies and carers

    Grandparents, nannies and childcare workers looking for evidence behind everyday care.

  • Wondering how brains develop

    Curious readers who want a clear picture of how genes and experience build a young brain.

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About the Author

Lise Eliot

Lise Eliot is a neuroscientist who teaches at the Chicago Medical School, part of Rosalind Franklin University. She studied at Harvard and earned her Ph.D. at Columbia University. In What's Going on in There? she follows how the brain and mind develop from birth through the early years of childhood. She has also written for Slate, and she is the mother of two sons and a daughter.

Ratings & Reviews

Ratings at a glance

4.2

Overall score based on 72 ratings.

What people think

Listeners consider this an outstanding work packed with scientific study citations and very thorough explanations. They value how the content clarifies the mechanics of brain operation and childhood growth, viewing it as a superb guide for first-time parents. The prose remains easy to digest, with one listener observing that it is written by a scientist in layman’s terms.

Top reviews

Boss

As a new dad who loves data, I found this deep dive into infant brain development absolutely indispensable. Eliot manages to bridge the gap between heavy academic research and the everyday concerns of tired parents. The sections on how breast milk flavor influences later food preferences blew my mind and changed how we think about mealtime. Frankly, it’s refreshing to read something that respects the reader's intelligence instead of just offering fluff or platitudes. My only real gripe is that it feels a bit dated regarding technology—there's no mention of the modern 'screen time' debate. Even so, the foundational science about how synapses form and prune themselves is timeless. It’s the kind of book you keep on the nightstand and revisit as your child hits new phases.

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Phu

Ever wonder why your baby prefers looking at faces over everything else or how they start to recognize your voice? This book breaks down the nature versus nurture debate with incredible nuance and scientific backing. I loved the breakdown of developmental 'tracks' like motor skills and language, as it helped me understand my daughter's progress. It’s not just a dry textbook; Eliot writes with a clear passion for the subject that makes the complex biology feel accessible. Some of the recommendations on infant massage and conversational turn-taking are things we started implementing immediately. Not gonna lie, the chapter on how to make your baby 'smarter' felt a little like clickbait compared to the rest of the book. However, the overall wealth of knowledge regarding the first five years makes it a standout in a crowded field of parenting books.

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Charlotte

Fascinating doesn't even begin to cover it—I couldn't put this book down once I started the chapter on language. Knowing that babies are essentially 'citizens of the world' who can distinguish all sounds before they specialize in their native tongue is incredible. The author explains the complex pruning of synapses in a way that makes you realize how precious those early years are. I especially appreciated the specific tips on how to talk to your infant to encourage their future vocabulary and social skills. Look, it’s a big book, and some parts are definitely more interesting than others depending on your specific interests. But as a whole, it provides a panoramic view of human development that is both humbling and empowering. Every parent who wants to foster a nurturing environment should have a copy of this on their shelf.

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On

This book should be mandatory reading for anyone working with young children or expecting their first baby. It cuts through the noise of parenting trends and gets right into the hard-wired reality of how we grow. I found the section on how sensitive parenting can actually change a child's temperament to be incredibly hopeful and practical. It’s rare to find a scientist who can write with this much clarity and empathy for the challenges of raising a child. While I would have liked more info on baby sign language, the general advice on communication was still very helpful. The truth is, most parenting books are based on opinion, but this one is firmly rooted in laboratory evidence. It gave me a new level of respect for what's happening inside my little one's head every day.

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Jong

Picking this up as a first-time parent felt like the right move for my type-A personality. I wanted the hard science behind the milestones, and Eliot delivers an incredible amount of detail on neural pathways and sensory growth. The way she explains how a baby's vision and hearing develop month by month is truly eye-opening for someone without a biology degree. To be fair, it is a bit dense in the middle, and you might find yourself skimming the more technical anatomy parts. I particularly enjoyed the sections on how our interactions shape early emotional regulation. It’s a long read, but the knowledge gained makes you feel much more prepared for the chaos of the first few years. If you want a 'how-to' guide that actually explains the 'why,' this is your best bet.

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Aria

Lise Eliot does a fantastic job of taking a daunting subject like neurobiology and making it feel relevant to someone changing diapers. I appreciated the structured approach, moving from the physical formation of the brain to the more abstract concepts of memory and social bonding. It’s fascinating to learn how early experiences literally wire the brain for the rest of a person's life. The book is quite lengthy, and I'll admit to getting bogged down in the prenatal development chapters which lasted longer than expected. To be honest, I was hoping for more information on the preschool years since the title suggests a broader range. Despite that, the practical advice on encouraging language and emotional growth is top-notch and based on solid research. It’s a great resource for parents who want more than just anecdotal advice.

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Layla

Truth be told, this is a hefty commitment for a parent who is already sleep-deprived and short on time. I found myself reading it in small chunks over several months because there is just so much information to digest. The detail on how the senses develop in the womb is particularly strong and well-supported by various studies. I did find some of the conclusions about gender differences in the brain to be a bit controversial or perhaps just a product of the time it was written. Still, the core message about being a responsive and attentive parent resonates throughout every single chapter. It’s definitely more of a reference book than a casual weekend read, so keep a highlighter handy. If you enjoy knowing the 'how' behind your baby's smiles and babbles, you'll find this very rewarding.

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Komsan

While some sections felt a bit like a college textbook, the payoff for sticking with it is immense. I was especially intrigued by the 'Flynn Effect' and how each generation seems to be scoring higher on intelligence tests. The author takes a very balanced view on the nature versus nurture debate, showing how environment interacts with genetics. I did feel that the book focused heavily on the first two years, despite the title promising a look at the first five. If you're looking for advice on a four-year-old, you might be left wanting more. However, the foundations laid out in the earlier chapters are so thorough that they still feel relevant to later development. It’s a dense, high-quality piece of work that requires your full attention but offers a lot of 'aha' moments in return.

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Ratchanee

The information provided here is definitely a mixed bag for someone looking for the latest in child psychology. On one hand, the biology of brain growth is explained beautifully and provides a great foundation for understanding infant behavior. On the other hand, a lot of the studies cited are decades old and the field has moved on significantly since then. For instance, the lack of discussion on digital media's impact makes it feel like a relic of a different era. Personally, I found the chapters on intelligence and temperament to be a bit too reliant on questionable behavioral experiments. It’s not a bad book by any means, but it should probably be read alongside something more contemporary. It’s a 3-star read for me simply because the 'actionable' advice felt a bit buried under the weight of the technical details.

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Somchai

I was really disappointed by the tone regarding premature babies and certain delivery methods. The author makes some pretty bold claims about c-sections and brain development that felt more like fear-mongering than grounded science. If you have a preemie, you might want to skip this one because it paints a fairly bleak picture of their long-term potential. I also found the focus on older behavioral experiments to be less than convincing in the current era of neuroscience. While the writing itself is decent and easy to follow, I couldn't get past the speculative nature of the intelligence chapters. It’s a thick book, but I’m not sure the outdated information is worth the time it takes to get through it all. There are definitely more modern alternatives available that feel more inclusive and up-to-date.

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Questions about this book

Eliot argues that genes set the order and timing of brain development, while experience decides which connections survive. Between ages one and eight, children build twice as many brain connections as they need, and unused ones fade. Touch, sound, movement, talk and play therefore shape how a child’s senses, temperament, language and intelligence develop in the first years.

Eliot advises talking to children as much as possible, using precise words and encouraging their efforts. She cites studies in which children from families on welfare heard about 600 words an hour versus up to 2,100 in wealthier homes. She also warns that correcting children too often weakens their drive to learn new words, so small mistakes like gots can be left to fix themselves.

Partly, according to the book. Researchers estimate that about 15 percent of children are genetically inclined to shyness, with a stronger stress response. Yet around 40 percent of severely shy children handle stress better when parents challenge them gently, giving them safe chances to meet strangers and build social skills. Temperament starts in the genes but is shaped by upbringing.

Eliot favors playful stimulation such as simple word and number games and music lessons on an instrument, which train motor skills, spatial sense, timing and listening together. She warns that strict preschooling can make children fear school and cause academic problems later. She points to the Abecedarian project, where infants given 40 hours of weekly care scored 15 IQ points higher by age three.

It suits expecting and new parents, grandparents and childcare workers who want to understand what a baby can feel, taste, hear and see at each stage. It also fits anyone curious about how genes and experience combine to build a brain, with studies ranging from newborns choosing a Dr. Seuss story to premature babies thriving on daily massage.

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