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PubMed1997

"I want to talk like everyone": on the use of multiple means of communication.

This qualitative case study is a description of a young man with autism who communicated using speech, sign language, facilitated communication, body language, and his mother's conversational supports. Participant observation, interviews, and review of records were used to explore his current and past communication practices. These practices illustrate his preference for speaking and the complexity of choosing among communication means on an ongoing basis. Although the young man and his mother differed in their thinking about communication, they revealed a common goal: for Michael to participate in ordinary life activities as a member with a voice.

Adult↗
PubMed1998

Assessing substance abuse problems in deaf and hard of hearing individuals.

Professionals who provide services to deaf and hard of hearing individuals may encounter situations related to abuse of alcohol and other drugs. Getting access to an agency that can provide an appropriate chemical dependency assessment for a deaf or hard of hearing person is difficult because there are no formalized assessment tools normed or specifically designed to use with such individuals. Additionally, most assessors are unfamiliar with how to work with deaf and hard of hearing people, less likely to be fluent in American Sign Language, and unaware of appropriate treatment options. The present article provides an overview of chemical dependency, assessment issues, and considerations unique to the deaf and hard of hearing population. A chemical dependency assessment tool developed by the Minnesota Chemical Dependency Program for Deaf and Hard of Hearing Individuals is described, as well as a case study that illustrates application of the assessment process.

Adult↗
PubMed1998

Problem-solving strategies for teaching mathematics to deaf students.

Three teaching and learning strategies for problem solving were implemented with first- and second-year deaf college students enrolled in mathematics courses at the National Technical Institute for the Deaf (NTID), Rochester Institute of Technology. These strategies involved the students in (a) giving an explanation to a peer observer in sign language, after which they would put their understanding of a problem and its solution in writing; (b) visualizing the problem-solving process prior to starting to solve a problem; and (c) observing their teacher modeling the analytical process step by step for a sample problem prior to solving math word problems. The students were asked to solve two types of problems: typical word problems, and a visual/manipulative puzzle that would provide a problem-solving experience that would contrast with the experience of solving a problem presented in text format. The results showed that these kinds of instructional strategies can enhance the problem-solving performance of deaf and hard of hearing college students.

Adult↗
PubMed2001

Developments in cognitive socialization: implications for deaf education.

Over the past 2 to 3 decades, the cognitive socialization literature has advanced about 40 major issues that could have a major impact on the principles and procedures of deaf education. The article presents a conceptual model of the cognitive social bases of language that is derived from the philosophical view of constructionism and theoretical perspectives of speech act theory and relevance theory. With the cognitive socialization perspective and this conceptual model, 4 of the 40 issues are discussed: (a) the centrality of intent replacing reinforcement as a more viable account of language acquisition, (b) modality and core issues of language, (c) lack of construct validity in assessment, and (d) heterogeneity. Implications for the advancement of deaf education are discussed throughout.

Cognition↗
PubMed1999

Historical overview of inpatient care of mental patients who are deaf.

A review of published studies of deaf mentally ill inpatients is reported. While there are conflicts in the findings of some of the studies, several generalizations seem fairly universal across countries and time periods. For example, the data indicate a greater overall prevalence of mental illness in the deaf population than in the general population as a whole, based on the relative number of each group who are patients in psychiatric hospitals. In general, deaf patients have longer hospital stays. Characteristics symptoms leading to hospitalization of deaf people tend to be different from those of hearing patients. It was thought by most investigators that restriction of sign language use in schools was one reason for these differences. For both hearing and deaf inpatients, dual diagnosis (mental illness and substance abuse) is far more common today than in years past. All investigators found frequent misdiagnoses among deaf patients. The paucity of research on deaf inpatients over the last 2 decades is noted.

Deafness↗
PubMed2001

Successful students who are deaf in general education settings.

The study identified successful students who were deaf and were receiving most of their educational services in general education settings, in order to examine factors contributing to their success. Teachers in a western state were asked to nominate students who were deaf who were in the upper elementary through high school grades and were receiving most of their educational services in general education classrooms. Qualitative procedures were used to gather information on 20 successful students who were deaf. Inquiry focused on observation of the students in general education settings and interviews to gather perceptions of (a) the successful students themselves, (b) deaf education teachers, educational interpreters, and paraprofessional note takers serving these students, (c) general education teachers working with these students, and (d) parents. The students' primary communication modes were closely divided between sign language and spoken English; communication mode did not seem to be a salient factor in success. Results of the interviews with each group, a summary of observations, and themes that emerged across groups are provided.

Adult↗
PubMed2000

Deaf teacher candidates in hearing classrooms: a unique teacher preparation program.

An undergraduate teacher education program at Gallaudet University prepares deaf students in "regular" education. This includes a required full-time internship with hearing students (assisted by sign language interpreters). Graduates then continue in a master's degree program in deaf education, thus acquiring dual certification. Several studies indicate that these deaf candidates progress through the same developmental stages as hearing candidates and that they develop high expectations for deaf learners. Issues related to implementing such a program are discussed.

Deafness↗
PubMed1996

ENFI--an approach to teaching writing through computers.

An ongoing challenge for teachers of deaf students is to give these students a natural environment for writing English. Electronic Networks for Interaction (ENFI) provides a natural approach to teach writing skills to these students, making English more accessible. ENFI can be used in a variety of classroom activities giving opportunity to use writing for communicative purposes without struggling with the language.

Computer-Assisted Instruction↗
PubMed1996

Lipreading, reading and memory of hearing and hearing-impaired children.

The relationship between lipreading, reading and visual and sequential memory was investigated in hearing 10-year-olds and two groups of hearing-impaired 10-year-olds, one educated through the medium of English and the other through British Sign Language. The scores and the pattern of correlations between the variables were hypothesized to be different in the three groups and this was found to be the case. In the case of the hearing, visual memory for complex shapes was significantly correlated with lipreading. For the oral deaf, reading ability was significantly correlated with lipreading, but for the bilingual deaf the correlation was not significant. The possible implications of these findings for the relationships between the cognitive processes involved in lipreading and for the education of the deaf are discussed.

Child↗
PubMed1990

The costs and benefits of providing early intervention to very young, severely hearing-impaired children in the United States: the conceptual outline of a longitudinal research study and some preliminary findings.

This paper presents the conceptual framework for a newly instituted longitudinal research study into the costs and benefits of providing early intervention to very young, severely hearing-impaired children in the USA and the results of one of the studies after 2 years of intervention. The research design employs randomised procedures, blind assessment and treatment verification. The overall project is part of a 20 experiment national study that addresses specific questions about the effects of early intervention on the psychological development of hearing-impaired children. Those questions regard age-at-start, treatment intensity and programme variation. Two of the three experiments with hearing-impaired children are still in developmental stages, whilst the third, a communication methods comparison, has been started. The preliminary findings of the third experiment (which include 2 years of intervention effects) are presented. Two groups of young, severely hearing-impaired children between the ages of 18 months and 5 years (one an oral-aural group and one called an English sign language group) have received 20 months of intervention in one or other of the groups. Their developmental progress has been measured using the Battelle Developmental Inventory, several specific English language measures and two family measures. Whilst both groups showed significant progress over intervention time on all measures, the performance differences between the two groups were not statistically significant in any of the psychological domains tested.

Child Health Services↗
PubMed2001

The case for sensorimotor coding in working memory.

The highly influential Baddeley and Hitch model of working memory (Baddeley & Hitch, 1974; see also Baddeley, 1986) posited analogical forms of representation that can be broadly characterized as sensorimotor, both for verbal and for visuospatial material. However, difficulties with the model of verbal working memory in particular have led investigators to develop alternative models that avoid appealing either to sensory coding or to motoric coding, or to both. This paper examines the evidence for sensorimotor coding in working memory, including evidence from neuropsychology and from sign language research, as well as from standard working memory paradigms, and concludes that only a sensorimotor model can accommodate the broad range of effects that characterize verbal working memory. In addition, several findings that have been considered to speak against sensorimotor involvement are reexamined and are argued to be in fact compatible with sensorimotor coding. These conclusions have broad implications, in that they support the emerging theoretical viewpoint of embodied cognition.

Attention↗
PubMed1998

AIDS, Not Hearing Aids: Exploring the Link Between the Deaf Community and HIV/AIDS.

This article will address the reasons that the messages brought by massive HIV/AIDS prevention campaigns in several countries literally fell on deaf ears within the Deaf community, and how this in turn made it possible for Deaf people's health and human rights to be violated. Then it will show how the Deaf community has gradually geared up to protect itself against the spread of the HIV virus. Attention is given to the importance and meaning of "effective communication" and the role of Sign Language interpreters. Finally, recommendations are offered towards better protection of Deaf people's health and human rights.

Journal Article↗
PubMed1994

Health Care for Deaf Adolescents.

In an attempt to make up for a dearth of literature on deaf adolescents, the author offers a definition of "deafness" and "deaf culture" in the U.S., explains the social roles that people take depending on their audiologic and social characteristics, discusses controversies surrounding American Sign Language, and suggests ways for practitioners to approach and offer services to deaf adolescents.

Journal Article↗
PubMed1999

Parents' awareness and knowledge of the special needs of their hearing-impaired child.

We surveyed parents of school-aged hearing impaired children to investigate their awareness and knowledge of the special needs of their child, especially in the area of the usage of hearing aids and methods of communication. Questionnaires were distributed to parents of hearing impaired children at 13 special schools for the deaf in Malaysia. Out of 1,267 questionnaires given out, 787 (62.1%) were completed and returned. Results of the survey indicated the majority of parents (68.6%) suspected hearing loss late, that is after their child's first birthday, and there was a significant time lag before the suspicion was confirmed. Over 82.8% of the children were diagnosed only after 1 year of age, with 41.3% being diagnosed after 3 years of age. Hearing aids were fitted late (mean = 5.32 years; SD = 2.66). Hearing aid ownership was influenced by the factors of socio-economic level and ethnic group (p < 0.01) whereas knowledge of use and proper care of the aids was influenced by socio-economic level (p < 0.01). Communication methods were generally inappropriate with 41.3% of the mothers and 48.5% of the fathers reporting ignorance of Bahasa Malaysia Kod Tangan, the sign language that is commonly used by their children. The parents' choice of communication method was not significantly influenced by socio-economic level or ethnic group. The study revealed the present inadequate state of services available for the rehabilitation of children with congenital hearing impairment.

Adolescent↗
PubMed1981

The ethics of experiments on higher animals.

It has been demonstrated over the last decade that some higher animals can learn sign language and communicate with humans. This finding radically alters some earlier conceptions of animals as being non-sentient, and forces a re-evaluation of the use of higher animals in research. The ethics of using animals are examined in this paper in relation to postulated levels of consciousness, and in relation to experimental design and experimental goals. In particular, an attempt is made to classify experimental situations with regard to potential psychological trauma, and to examine in detail the ethics of using higher animals in psychological research and situations in which such use can be justified. Analysis concentrates on the scientific ramifications of ethical use of animals, and concludes that in the majority of cases, ethical treatment and scientific approach are synonymous.

Animal Care Committees↗
PubMed2000

Communication barriers for deaf employees: Needs assessment and problem-solving strategies.

Deaf people experience higher rates of unemployment and underemployment and earn lifetime wages that are between $356,000 and $609,000 less than their comparably educated normally hearing counterparts. This results in a substantial loss of earning power and career identity for members of this underutilized population of workers. This article examines how communication difficulties pose a major barrier to employment retention and advancement for deaf employees. These barriers exist (a) within the employee in terms of nonfluent use of English and reliance upon American Sign Language, (b) with the employment site, and (c) with agency service personnel. Primarily, these barriers reflect a lack of understanding of the cultural and communication needs of deaf people. Strategies to ameliorate these barriers include a model of long-term employment support using an ecological framework.

Journal Article↗