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PubMed1992

Categorical replies to categorical questions by cross-fostered chimpanzees.

The chimpanzees Washoe, Moja, Tatu, and Dar were reared under human cross-fostering conditions that included the use of American Sign Language (ASL) as the medium of two-way communication. In the course of everyday conversation they were asked, in signs, the Wh-questions that are typically asked of young children. In earlier studies, extensive samples showed a pattern of replies, most significantly a developmental sequence, that closely matched the pattern found in the replies of young children. Part 1 of this report is based on a special sample taken when Tatu was 63 months old and Dar was 56 months old, in which experimenters used a large pool of nameable objects, and asked a naming question and at least one descriptive question about the same object in the same context. Tatu and Dar replied to naming questions (WHAT THAT? or WHAT NAME THAT?) with signs that were nouns and to descriptive questions with signs that were modifiers: possessive pronouns for WHOSE THAT?, colors for WHAT COLOR THAT?, and materials for WHAT THAT MAKE FROM? Part 2 is a reanalysis of the Part 1 sample and several other samples of replies, demonstrating that even when their reply was incorrect, these chimpanzees usually replied with a sign from the category specified by the question. The continuities that biologists seek are continuities of laws, patterns of resemblance rather than overlapping data points. Results reported here add depth to the patterns demonstrated in earlier studies.

Animal Communication↗
PubMed1993

Hemispheric specialization for ASL signs and English words: differences between imageable and abstract forms.

American Sign Language (ASL) exhibits properties for which both hemispheres in hearing people show specialized functioning (linguistic vs spatial). To determine the laterality of processing ASL in the normal intact brain, ASL signs and nonsigns were presented to each visual half field of deaf signers for lexical decision. The English glosses for these signs were presented to hearing English speakers along with nonwords. Deaf ASL signers and hearing English speakers both showed a left hemisphere advantage for abstract lexical items. ASL signers showed a significant right hemisphere advantage for imageable signs, whereas English speakers exhibited no visual field effect for imageable words. This difference in brain laterality may reflect differences in the role of imagery in the two languages.

Adult↗
PubMed1982

Signs as pictures and signs as words: effect of language knowledge on memory for new vocabulary.

The role of sensory attributes in a vocabulary learning task was investigated for a non-oral language. Deaf and hearing individuals, more or less skilled in the use of sign language, were asked to learn the English meanings of 22 invented signs which followed the rules of formation for signs in American Sign Language. Each sign stimulus was highly similar in formation to another sign in the set. It was expected that skilled signers would be less affected by this formational similarity because of their greater familiarity with the linguistic structure of sign language. Furthermore, it was suggested that skilled signers would form a visual-linguistic code for the signs while unskilled signers would produce a code from general visual-pictorial processes. These representation differences were expected to lead to qualitatively different error patterns in response to sign similarity. All expectations were confirmed. Skilled signers encoded invented signs in terms of linguistic structure, while unskilled individuals approached the signs as visual-pictorial events. Although both codes are sensory, one reflects linguistic abstraction, and the other does not.

Deafness↗
PubMed1995

Aphasic and parkinsonian signing: differences in phonological disruption.

Since movements of the articulators in sign, unlike in speech, are directly observable, we can investigate signing not only as linguistic behavior but also as motor behavior and directly contrast linguistic-representational and motor-execution disorders of signing. We compared the temporal sequencing characteristics (duration of segments, pausing, periods of change in handshape posture), intactness of distinctive features, and correct use of prosodic templates in three pairs of signers--two Deaf aphasic signers with posterior damage in the left hemisphere, two signers with Parkinson's disease, and two gender- and age-matched control signers. With respect to distinctive features, the aphasic signers exhibited selection errors in the American Sign Language (ASL) distinctive features system, while the Parkinsonian signers showed an intact distinctive feature inventory, but with disturbances in executing these features. The Parkinsonian signers, unlike the aphasic and control signers, showed marked disturbances in the temporal organization and coordination of what we argue are the two subsystems of the ASL sign stream--handshape and movement. The findings demonstrate a phonetic deficit in Parkinsonian signers, in contrast with aphasic signers who showed a disruption in the underlying representation and syllabification processes in the language.

Aged↗
PubMed1996

Competition on the face: affect and language in ASL motherese.

Research on early mother-child interaction has documented the crucial role affect plays in the content and modulation of early interactions. For hearing mothers, voice quality is considered to be the single most informative channel for affective expression. For deaf caregivers who use American Sign Language (ASL), the vocal channel is unavailable, and facial expression is critically important. Not only do facial behaviours signal affective and communicative information, but specific facial behaviours also function as obligatory grammatical markers. This multifunctionality of facial expression presents a dilemma for deaf parents signing to their toddlers as these two systems potentially compete for expression on the face. This study addresses how affective facial expression interacts with the linguistic forms in ASL motherese. To address this issue, we present data from both cross-sectional and longitudinal videotaped interaction from a total of 15 deaf mothers signing with their deaf toddlers (ages 0;9-2;8). Using Ekman & Friesen's Facial Action Coding System (FACS) (1978) we analysed child-directed maternal wh- questions. Because they are frequent in early discourse, and they require furrowed brows which also signal anger and puzzlement, wh- questions represent an ideal context to address the potential conflict of grammatical and affective facial expression in ASL motherese. Our studies indicate a shift from affect to grammar at about the child's second birthday. These findings shed new insight on the nature and possible role of input on the language acquisition process.

Affect↗
PubMed1984

An alternating treatments comparison of oral and total communication training with minimally verbal retarded children.

This study was a comparison of the effects of oral speech with total communication (speech plus sign language) training on the ability of mentally retarded children to repeat 4-word sentences. Three children were chosen who used single words to communicate but who did not combine words into complete sentences. Three sentence pairs were trained, with each pair having one sentence trained using oral methods and an equivalent one trained using the total communication approach. Both training procedures involved chaining sentence parts, reinforcement, and prompting. Oral methods involved presenting vocal stimuli and requiring vocal responses whereas total communication methods involved presenting vocal and signed stimuli and requiring vocal and signed responses. For the initial sentence pair with each child, an alternating treatments design was used to determine the relative efficacy of the two language training approaches. This was repeated with a second and third sentence pair using a multiprobe technique within a multiple baseline design. Results pointed to the superiority of the total communication approach in facilitating sentence repetition. Possible explanations of these results are offered and the utility of the alternating treatments experimental design is discussed.

Child↗
PubMed1993

Linguistic characteristics of neurotic, borderline and psychotic personality organization.

Thirty patients were subjected to a Structural Interview by means of which 10 of them received the diagnosis NPO (Neurotic Personality Organization), 10 BPO (Borderline Personality Organization) and 10 PPO (Psychotic Personality Organization). About 2500 words and groups of words were extracted from the patients' utterances for analysis. The word-frequencies thus found were analyzed by a PLS discriminant analysis which yielded two significant principal components (main dimensions) explaining 57% of the variance. This analysis showed that the three groups of patients are well separated from one another and that there is a definite correlation between personality organization and linguistic variables. The main features of the BPO-patients in this study seem to be that they refer to positions outside themselves and their language is impersonal; we see this as an example of a vacillating identity. The NPO-group is characterized by an intense and rich language, signs of a more advanced symbolizing ability, deixis and high level defenses. The language of the PPO-patients is poor and its predominant feature is a lack of words; in our interpretation this indicates foreclosure and a lack of identity.

Adult↗
PubMed1989

Adult follow-up of the acquired aphasia-epilepsy syndrome in childhood. Report of 7 cases.

The authors report at adult age 7 patients (6 men, one woman) with the syndrome of "acquired aphasia-epilepsy", 6 of which had been previously studied as children. The results of the language, neuropsychological and socio-educational evaluation detailed many years after the onset of the aphasia are the subject of this report. One man has recovered completely, one has a normal oral language but is severely dyslexic, one has recovered normal comprehension but has severe expressive language problems. Four have absent language comprehension and lack of expressive speech, and only one of them has learned and is using sign language with some efficiency. None has developed functional written language. Attempts to offer a substitutive language to children with prolonged inability to understand and use oral language appears important but is fraught with problems. Although there are no conclusive data about the role of the continuous paroxysmal EEG discharges and the effect of their suppression with drug treatment on the prognosis of the aphasia, the definite fluctuations of the aphasia in some cases, the isolated recent case reports of definitive improvement with drug treatment justify further trials in this potentially severe and chronic condition.

Adolescent↗
PubMed1983

Late language development in a child unable to recognize or produce speech sounds.

A boy with severe quadriplegia who neither recognized nor uttered speech sounds acquired language. Until the age of 6 years he was considered to be of severely subnormal intelligence. At age 6 years 9 months he was introduced to a manual sign system. Subsequently he was able to read, write, converse, and produce imaginative stories. Attention and memory were unimpaired and affective and social responsiveness developed appropriately. The case history demonstrates the selective effects of brain lesions that, despite extensive damage, may spare functional systems necessary for cognitive and linguistic development. It highlights the difficulty in diagnosing and evaluating the intellectual and affective potential of a multihandicapped child without functional hearing or speech and emphasizes the importance of sign language as a communication channel and prerequisite for the acquisition of reading and writing skills.

Aphasia↗
PubMed1981

Hearing loss.

Defective hearing is the most prevalent chronic health problem in the United States, making it a primary concern of the physician. Failure to diagnose, misdiagnose, and delay of diagnosis of hearing loss are common errors that have serious implications. However, they can be avoided. If children exhibiting the symptoms of delayed language, articulation defects, and academic problems (especially with reading or a medical history of certain diseases) are referred for audiological testing, most cases of hearing impairment will be promptly detected. With adults the implications of hearing loss are different, both medically and psychosocially. After 30 years of age the prevalence of hearing defects increases rapidly. Some major causes are noise, otosclerosis, otitis media, and presbycusis. Surgery and amplification are the principle treatments. Management of nonmedical aspects should involve programs such as the Division of Vocational Rehabilitation, state schools for the deaf, and sign language classes.

Adult↗
PubMed1981

Community mental health center readiness to comply with Section 504 of the Rehabilitation Act.

The purpose of this study was to assess the state of CMHC readiness for compliance with the provisions of Section 504 of the rehabilitation Act of 1973, and as amended. Data reported are responses to a mailed survey to 80% of the CMHCs nationally; 26% of the CMHCs in the sample responded. The survey was done six months prior to the time in which full compliance was required by regulation. The findings were (a) only 14% of all respondent CMHCs completed the compliance steps required by Section 504; (b) site accessibility and program accessibility generally were better for mobility impaired than for hearing or vision impaired consumers; (c) 87% of respondent CMHCs had no equipment for telephone access by deaf persons, but 35.4% reported clinical personnel with sign language ability; and (d) for those few (N = 24) CMHCs who reported being threatened by DHEW with sanctions for non-compliance, positive steps towards compliance were in most instances twice as likely as for the majority of CMHCs that were not so threatened.

Architectural Accessibility↗
PubMed1995

Improvements in preventive care and communication for deaf patients: results of a novel primary health care program.

OBJECTIVE: To test the hypothesis that profoundly deaf persons would have better preventive care compliance and improved physician communication if enrolled in a primary care program providing American Sign Language (ASL) interpreters. DESIGN: A case-cohort community-based study. The authors had ASL-fluent research assistants interview 90 randomly selected patients (the cases) enrolled in a unique primary care program for the deaf (Deaf Services Program), which provided full-time ASL interpreters and subsidized health care costs for some patients. Eighty-five deaf controls were friends of the cases drawn from the community. RESULTS: The cases were poorer and less often married than were the controls, but other baseline characteristics were similar. The cases were more likely (p < 0.05) to report receiving within the preceding three years Pap tests (90% vs 72%), mammography (86% vs 53%), and rectal examinations (72% vs 25%), but not breast examinations (76% vs 71%, p = 0.7). The cases were more likely than the controls to report receiving counseling in ASL for psychiatric and substance abuse problems (49% vs 5%, p < 0.001). Although only 18% of the controls were fluent in written English, 67% of them used written notes to communicate with their physicians. Twenty percent of the controls used ASL interpreters compared with 84% of the cases (p < 0.001). More cases than controls were moderately or extremely satisfied with communication with their physicians (92% vs 42%, p < 0.001). CONCLUSION: Deaf persons enrolled in a primary care program that included full-time interpreters were more likely to use ASL, were more satisfied with physician communications, and had improved preventive care outcomes.

Adult↗
PubMedDate not supplied

A new concept in blepharoplasty.

Apart from what may be considered complications, the intervention of any aesthetic surgery can have undesired effects (scar sequelae, normal regional dynamic disorders, edema, iatrogenic acceleration of the aging process in the area). The orbital region is particularly sensitive to these undesirable effects due to its situation and the importance of the eyelids in facial sign language. The sum of these undesirable effects and not infrequent complications often place the plastic surgeon in a compromising situation. It is for this reason that in recent years we have made a special effort to analyze causes, to design new techniques, and to evaluate the combination of different techniques in an attempt to minimize these undesirable effects, so as to be able to offer patients more natural and safer results. It is with this intention that this paper records some anatomical and functional details of the eyelids, analyzes the physiology of the aging process, and examines some classic and modern techniques.

Eyelids↗
PubMed1980

Psychomotor development in 65 home-reared children with cri-du-chat syndrome.

The psychomotor development of 65 noninstitutionalized individuals with cri-du-chat syndrome was examined through parental questionnaire responses and supporting medical records. Social quotients determined by a Vineland Maturity Scale ranged from 6 to 85, the ages at which developmental milestones were attained varied from the upper limits of normal to six years delayed. Achievement levels were influenced favorably by the early introduction of special education, and were affected adversely by the presence of an unbalanced translocation. This study suggests that many children with cri-du-chat syndrome can attain developmental and social skills normally seen in 5- to 6-year-old children, although their linguistic abilities are seldom as advanced. Contrary to the commonly portrayed clinical picture of severe mental retardation and bedridden debilitation, the older home-reared cri-du-chat child was usually ambulatory, had a moderate degree of independence in self-care skills, and was able to communicate either verbally or through gestural sign language. Physicians and parents should be aware of the full range of psychomotor potential of the child with cri-du-chat syndrome in order to make informed decisions concerning institutional placement.

Achievement↗
PubMed1983

A method to break the cognitive barrier between a deaf child and a hearing parent.

A deaf child actively uses about 1000 concepts in common with the hearing world. The rest of his up to 10,000 concepts belong to sign language and cannot be accurately translated into written language. This makes it difficult for the deaf to understand a normal written text, especially its abstractions. We have developed a new communication system in order to break the barrier between the hearing and the deaf. In this system a deaf child speaks with a writing hand-piece terminal through an FM route to a small unlimited text-to-speech synthesizer carried by the parent. The parent answers similarly to a 48-grapheme alphanumerical display carried by the child on a rack in front of him. The parent's unit with a speech synthesizer weighs about 2 kg and its size is about 7 X 20 X 25 cm; the size of the child's unit is one half of that and it weighs, with the display, 2 kg. Even a 4-year-old child carries the apparatus easily; nevertheless a still lighter unit is under construction. The system takes the learning process to everyday situations and makes it possible for a deaf child to converse in the normal written and spoken language. Thus, his concept capacity in the spoken language can be increased.

Adult↗
PubMed1978

Inflectional morphemes in the manual English of young hearing-impaired children and their mothers.

Spontaneous sign-language samples were collected in a controlled interactive situation from 20 young hearing-impaired children and their mothers. Inflectional morphemes in the samples were described by cher attributes and classified for syntactic function within utterances. Inflectional morpheme productivity did not increase significantly with age; mean manual English morphemes per utterance did increase with age. The first six inflectional morphemes used by the children studied were the same as those used by normal-hearing children. A good predictor of the child's use of inflectional morphemes was the mother's use of these morphemes.

Child↗