Deterioration of the phonological processing skills in adults with an acquired severe hearing loss

Phonological processing was examined in a group of individuals with an acquired severe hearing loss and compared to a group of matched normal hearing individuals. The hearing-impaired group was significantly slower and less accurate when performing a visual rhyme-judgement task, and produced fewer rhyming word pairs on a rhyme-generation task than the normal hearing group. In contrast, the hearing-impaired group performed on a par with the normal hearing group on verbal working memory tasks. It is concluded that specific aspects of the phonological system deteriorate in this population as a function of auditory deprivation. In particular, the phonological representations are impaired and this impairment also affects the ability to rapidly perform phonological operations (i.e., analyse and compare). In contrast, phonological processing involved in verbal working memory is preserved in this population.     

Violence in deaf and hard-of-hearing people: A review of the literature

The few available studies on the relationship of hearing loss to violence indicate that the prevalence of brain damage, learning disability, communication disorders, educational retardation, unemployment, and underemployment in the deaf and hard-of-hearing population creates frustration which tends to manifest in disproportionate aggression, violence, and hostility. Relative to prevalence, hearing-impaired people are overly represented in the prison population, which is the major datum the literature on violence and hearing loss yields. Other than 12 studies and an American Speech and Hearing Association Committee report documenting the fact, there is an amazing paucity of literature on hearing loss and violence. The reasons for this deficit of information are discussed and ways to remediate the problem are suggested.     

Mainstreaming hearing-impaired students: the effect of effort in communicating on cooperation and interpersonal attraction

Cooperative and individualistic learning experiences were compared in terms of their effects on interaction and relationships between hearing and hearing-impaired students. Two contradictory hypotheses were tested--one stating that the effort required for hearing and hearing-impaired students to communicate would lead to frustration, withdrawal, exclusion, and rejection; the other stating that cooperative learning experiences would lead to cross-handicap interpersonal attraction regardless of communication difficulties. Thirty 3rd-grade students (20 hearing and 10 hearing impaired) were assigned to conditions on a stratified, random basis controlling for handicap, sex, and ability level. They participated in the study for 55 min a day for 15 instructional days. The results indicate that subjects involved in cooperative learning experiences performed higher on measures of interaction and interpersonal attraction between hearing and hearing-impaired students than did subjects involved in individualistic learning experiences.     

Relations of basic arithmetic and motor skills in deaf elementary school children

3 segregated groups of Arab and Jewish deaf children of CA 10;9 (n = 28) were compared with a group of hearing Arab first graders (CA = 6;10, n = 32) on tests of basic arithmetic, static balance control, and the ability to suppress synkinetic finger movements. The hearing-impaired performed as well on arithmetic tasks and on the tests of synkinetic control as their normal peers who were four years younger, while on static balance they were even inferior to the latter. Significant correlations were found between the basic arithmetic and motor skills, within the hearing as well as within the hearing-impaired groups; these remained significant even within the small subgroups of the latter. As these results cannot be accounted for by low intelligence and neurological disturbances, or by direct or indirect effects of deficient language development, the assumption is supported that some type of neurological immaturity, unrelated to hearing loss, interferes with the acquisition of numerical skills in deaf children.     

Family functioning and the social adaptation of hearing-impaired youths

This study examined the associations between important aspects of family functioning and the adjustment of hearing-impaired youths. Participants were 75 hearing-impaired youths and their hearing parents. The dependent variables were mothers' and fathers' ratings of child behavior problems and social competence. Independent variables included parental symptomatology, parental ratings of family stress, and family members' perceptions of family cohesion and family adaptability. Demographic characteristics and the youth's degree of hearing loss and mode of communication were used as control variables. Results from multiple regression analyses showed that parental ratings of the youths' behavior problems were linked with parental symptomatology, and that maternal ratings of the youths' behavior problems were associated with low family adaptability. Parental ratings of the youths' social competence were predicted by family stress. Overall, key aspects of family functioning accounted for considerably more variance than did the control variables. The methodological and conceptual implications of the findings are discussed.     

Hearing loss and perceptual effort: Downstream effects on older adults' memory for speech

A group of older adults with good hearing and a group with mild-to-moderate hearing loss were tested for recall of the final three words heard in a running memory task. Near perfect recall of the final words of the three-word sets by both good- and poor-hearing participants allowed the inference that all three words had been correctly identified. Nevertheless, the poor-hearing group recalled significantly fewer of the nonfinal words than did the better hearing group. This was true even though both groups were matched for age, education, and verbal ability. Results were taken as support for an effortfulness hypothesis: the notion that the extra effort that a hearing-impaired listener must expend to achieve perceptual success comes at the cost of processing resources that might otherwise be available for encoding the speech content in memory.     

Fears in hearing-impaired and normally hearing children and adolescents

In this study the Revised Fear Survey Schedule for Children was administered to 138 hearing-impaired and 134 normally hearing youths. Although both groups expressed fear of potentially dangerous stimuli, significant differences in responding were evident towards other kinds of stimuli. Whereas hearing children were more fearful of failure and criticism, the hearing-impaired children were more afraid of the unknown, injury and small animals. Girls reported significantly greater levels of fear than boys thus confirming a well established research finding. Further, significant interactions were found between hearing status and gender. In contrast to previous findings, age was not related to self-reports of fear.     

Serving Clients With Hearing Loss: Best Practices in Mental Health Counseling

This article examines the risk factors and characteristics of clients with hearing loss, including inequitable access to education and mental health care services, financial barriers, communication problems, and societal discrimination. Culturally specific counseling approaches and techniques for mental health counselors serving clients with hearing loss are presented, with a focus on building counselor competency and client employment skills. The use of interpreters in therapeutic settings is also discussed.     

Frequency selectivity for hearing-impaired and broadband-noise-masked normal listeners

When evaluating frequency selectivity, it is difficult to determine if the deviation from normal performance observed for hearing-impaired listeners reflects abnormal cochlear function or normal, level-dependent changes in frequency selectivity. This experiment was designed to investigate the dependence of frequency-selectivity measures on threshold and signal level. Auditory-filter characteristics, critical ratios, forward-masked psychophysical tuning curves, and narrowband-noise masking patterns were obtained from normal-hearing listeners in quiet and in the presence of broadband noise at five levels. These findings were then compared to previously obtained frequency-selectivity measurements for subjects with mild-to-moderate sensorineural hearing loss whose absolute thresholds are comparable to the normal-hearing listeners' masked thresholds. The results suggest that frequency selectivity deterioriates as threshold increases for all subjects. However, the poor frequency selectivity exhibited by hearing-impaired listeners may not be explained entirely by the effects of threshold and signal level. Nevertheless, because frequency selectivity is poorer in the normal auditory system at higher stimulus levels, the deviation from normal performance observed for hearing-impaired listeners may not be as large as previously suggested.     

Hearing-impaired children's rhythm perception and speech

The role of rhythm in the speech intelligibility of 18 hearing-impaired children, aged 15 years with hearing losses from 40 to 108 db, was investigated. Their perceptual judgement of visual rhythm sequences was superior to that of the hearing controls, but their scores were not correlated with their speech intelligibility.     

Effects of Sign Language Instruction on Social Interaction Between Hearing-Impaired and Normal-Hearing Children

This experiment investigated the efficacy of a practical intervention designed to improve the social integration of hearing-impaired students within the school environment. The study involved the development, implementation, and empirical evaluation of a sign language course offered to 16 normal-hearing students in a public elementary school in which 6 mainstreamed hearing-impaired students were enrolled. Sixteen additional normal-hearing students served as controls. A measure of acceptance attitudes on the part of the hearing subjects toward their hearing-impaired peers, as well as a sociometric index of social interaction, were administered pre-mid-, and post-intervention to all subjects. The results revealed no significant difference between the experimental and control subjects on the measure of acceptance attitudes toward the hearing-impaired students as a group. However, for both experimental and control groups, there were significant improvements over time in the scores of some subscales of the acceptance measure and significant increases in aspects of the sociometrically measured peer interaction. In addition, one hearing-impaired student was involved in significantly more social interaction with experimental subjects than with control subjects.     

Parental Narratives About Genetic Testing for Hearing Loss: A One Year Follow Up Study

Few studies examine whether and how parental attitudes towards genetic testing change over time. In this study we interviewed parents of 14 children with newly identified hearing loss at two time points: after referral to genetics and 1 year later. Qualitative analyses of parental narratives indicate that parental attitudes did not change significantly over this time. Parents who perceived genetic testing to be useful continued to value it after testing, while parents who did not perceive it as being useful for their child’s future held the same view a year later. The only parents who changed their views regarding the usefulness of genetic testing for hearing loss were those who reported that their children underwent significant changes in their hearing loss or were faced with other life threatening conditions. Parents were also often unaware of the role of the genetic counselor and how genetic counseling could help address many of their lingering questions and concerns. These emergent themes indicate the need for geneticists and genetic counselors to be aware of and sensitized to the questions and attitudes that bring parents to a genetic evaluation, as well as the reasons why parents may not follow up with genetic testing for hearing loss when recommended.     

Comparison of orosensory confusions of hearing and hearing-impaired adults

The relation between orosensory perception and articulation in 38 normal hearing adults (mean age = 20.1 yr.) with no articulation problems and 63 hearing-impaired adults (mean age = 21.2 yr.) with articulation disorders was investigated. All adults were asked to identify as a visual-matching task the 20 National Institute of Dental Research orosensory forms with handles. Comparison of number and types of orosensory confusions of the participants showed no significant differences between the groups. Results could have been influenced by the test, the response sought, or the origin and nature of the articulation disorders of the hearing-impaired participants. Implications for further research are discussed.     

Genetic Counseling in Southern Iran: Consanguinity and Reason for Referral

Population based genetic counseling that promotes public health goals is an appropriate health care service. The genetic counseling center in Shiraz, southern Iran serves most of the clients in the region. During a 4-year period, 2,686 couples presented for genetic counseling. Data files revealed that 85% had consanguineous relationships (1.5% double first cousin, 74% first cousin, 8% second cousin, 1.5% beyond second cousin). Most prevalent reasons for referral were premarital counseling (80%), with 89% consanguinity, followed by preconception (12%), postnatal (7%), and prenatal counseling (1%). The most common abnormalities in probands or relatives were intellectual and developmental disabilities, hearing loss/impairment, and neuromuscular dystrophies. Family history of medical problem(s) and/or consanguinity was the main indication for referral in nearly every family. Premarital consanguinity poses unique challenges and opportunities. There is considerable opportunity for genetic counseling and education for couples in this population. The tradition of consanguinity, which is likely to persist in Iran, requires multidisciplinary agreement regarding the appropriate process of genetic counseling. Effective genetic counseling in Iran hinges on inclusion of data from genetic counseling services in national genomic and epidemiologic research programs.     

Performance of hearing-impaired students on planning, attention, simultaneous, and successive (PASS) cognitive processing tasks

This study examined the relationships among planning, attention, simultaneous, and successive (PASS) cognitive processing tasks for a sample of hearing-impaired students. There were 96 students (51 girls, 45 boys), aged 8 years to 16 years 11 months (mean AGE = 12.4 years, SD = 2.5 years). Most of the subjects (59%) received instruction through total communication and the remaining 41% students were enrolled in oral educational programs. The sample students attended a public day school (73%) or a state residential school for the deaf (27%). The confirmatory factorial results demonstrate that the PASS model was supported for this hearing-impaired sample as it has been in previous investigations involving normally hearing samples. These results support other exploratory and confirmatory factorial studies that have shown PASS tasks to be consistent with expectations.     

Recognition of altered shapes by hearing and hearing-impaired subjects

In the present study, we explored whether mental transformation or feature detection is involved in visual processing of shape recognition; another purpose was to compare the visual processing of hearing subjects with that of hearing-impaired subjects. Deprivation of hearing, according to Myklebust (1964), impedes perceptual functioning in some respects and enhances such functioning in other respects. An experiment was conducted using two-dimensional random shapes under similarity transformations in Euclidean space. Reaction time served as the behavioral measure. The analysis of variance results showed significant main effects of orientations, isometries, and shapes, but not of groups and sizes. There were significant linear trends for orientations and sizes. Both groups demonstrated mental isometric transformation.     

Hearing Impairment, Coping Strategies, and Anxiety Sensitivity

The aim was to study coping strategies among hearing-impaired individuals by using a validated coping instrument—The Ways of Coping Questionnaire (WOCQ; S. Folkman & R. Lazarus, 1988)—and to relate the use of coping with anxiety sensitivity and experience of hearing impairment. A questionnaire booklet was sent out to the members of the local branch of the Swedish Hard of Hearing Association. Ninety-four members responded to the questionnaire, yielding a 53% response rate. Primary outcome measures were the WOCQ, the Anxiety Sensitivity Index, and visual analogue scale rating of discomfort from hearing impairment. Repeated measures analysis of WOCQ subscales showed that the participants used planful problem solving and self-controlling coping strategies whereas escape/avoidance responses were less frequently used than the other coping strategies. Anxiety sensitivity was associated with escape/avoidance coping (r = .63, p < .0001). In conclusion, hearing-impaired individuals do not use escape/avoidance coping more than other coping strategies. However, escape/avoidance coping is associated with anxiety sensitivity, suggesting that sensitivity to anxiety sensations is an important associated factor. Coping strategies were not associated with discomfort from hearing impairment in any meaningful way.     

Rational-emotive therapy: A discussion of its applicability for deaf clients

This review was conducted to explore the feasibility of Rational-Emotive therapy as an approach to addressing the problems of providing mental health services to persons who have a severe hearing impairment. Informational resources dealing with the topics of Rational-Emotive Therapy and counseling with persons who are hearing impaired were reviewed. References indicated that RET is reasonably well suited to the task of counseling with clients who are hearing impaired, provided that appropriate modifications are incorporated. Specific modifications of RET are recommended and discussed.     

早期听觉剥夺后的大脑可塑性：来自先天性听力障碍群体的证据

皮层功能的正常发展依赖于充分的外部感觉信息的输入。先天性听力障碍群体由于经历早期听觉剥夺, 皮层功能往往出现异常。具体表现为初级听皮层功能退化, 初级、次级听皮层的功能连接变弱, 次级听皮层出现跨通道功能重组; 在后天听力重建后听皮层功能重组仍然存在, 言语加工需要更多高级认知资源的补偿。已有研究在探讨听力重建后皮层的长期可塑性机制、复杂声学环境下言语加工机制、汉语言加工独特性等方面尚不深入, 值得进一步研究。     

Mommy, speak clearly: induced hearing loss shapes vowel hyperarticulation

Talkers hyperarticulate vowels when communicating with listeners that require increased speech intelligibility. Vowel hyperarticulation is said to be motivated by knowledge of the listener's linguistic needs because it typically occurs in speech to infants, foreigners and hearing-impaired listeners, but not to non-verbal pets. However, the degree to which vowel hyperarticulation is determined by feedback from the listener is surprisingly less well understood. This study examines whether mothers' speech input is driven by knowledge of the infant's linguistic competence, or by the infant's feedback cues. Specifically, we manipulated (i) mothers' knowledge of whether they believed their infants could hear them or not, and (ii) the audibility of the speech signal available to the infant (full or partial audibility, or inaudible). Remarkably, vowel hyperarticulation was completely unaffected by mothers' knowledge; instead, there was a reduction in the degree of hyperarticulation such that vowels were hyperarticulated to the greatest extent in the full audibility condition, there was reduced hyperarticulation in the partially audible condition, and no hyperarticulation in the inaudible condition. Thus, while it might be considered adaptive to hyperarticulate speech to the hearing-impaired adult or infant, when these two factors (infant and hearing difficulty) are coupled, vowel hyperarticulation is sacrificed. Our results imply that infant feedback drives talker behavior and raise implications for intervention strategies used with carers of hearing-impaired infants.