Examining the Relationship Between Genetic Counselors’ Attitudes Toward Deaf People and the Genetic Counseling Session

Given the medical and cultural perspectives on deafness it is important to determine if genetic counselors’ attitudes toward deaf people can affect counseling sessions for deafness genes. One hundred fifty-eight genetic counselors recruited through the National Society of Genetic Counselors Listserv completed an online survey assessing attitudes toward deaf people and scenario-specific comfort levels discussing and offering genetic testing for deafness. Respondents with deaf/Deaf friends or who work in prenatal or pediatric settings had more positive attitudes toward deaf people than those without deaf/Deaf friends or those working in ‘other’ settings. More positive attitudes toward deaf people correlated with higher comfort level talking about genetic testing for the two scenarios involving culturally Deaf clients; and correlated with higher comfort level offering genetic testing to culturally Deaf clients wishing to have a deaf child. Attitudes and comfort level were not correlated in the scenarios involving hearing or non-culturally deaf clients. These results suggest that genetic counselors’ attitudes could affect information provision and the decision making process of culturally Deaf clients. Cultural sensitivity workshops in genetic counseling training programs that incorporate personal interactions with culturally Deaf individuals are recommended. Additional suggestions for fostering personal interactions are provided.     

Exploring the Relationship Between Deaf Identity Verification Processes and Self-Esteem

Past research has found that self-esteem in deaf individuals is predicted by variables such as the age they become deaf, the type of school they attend, whether they use sign language or another mode of communication, their parents’ hearing status, and their family’s socioeconomic status. This study applies identity control theory and examines the relationship between Deaf identity verification processes and self-esteem. The results show that, when controlling for variables known to relate to self-esteem, deaf individuals’ education and the degree of difficulty they have in verifying self-meanings in social situations are the only significant predictors of variance in self-esteem. The article discusses the study findings and considers the implications for identity control theorists and Deaf studies scholars.     

Consumer Motivations for Pursuing Genetic Testing and their Preferences for the Provision of Genetic Services for Hearing Loss

Genetic services for deafness are being increasingly sought due to the introduction of early hearing detection and intervention programs, as well as the rapid progress in the identification of deafness genes. This study aimed to assess the motivations of consumers for pursuing genetic testing as well as their preferences for provision of these services. We conducted 5 focus groups consisting of hearing parents of deaf children, deaf parents, and unmarried deaf adults. Motivations for pursuing genetic testing included determining the etiology, helping to alleviate the guilt associated with the diagnosis of hearing loss in a child, and acquiring information to help them and other family members prepare for the future. Most participants thought that a genetic counselor/geneticist would be the most appropriate professional to provide genetics services. For culturally Deaf individuals, the communication method was seen as more important than the type of professional. Parents preferred that genetic evaluation, including testing, occur either immediately at or a few months after the audiologic diagnosis of hearing loss.     

Cognitive consequences of congenital deafness

Comparing congenitally deaf children with hearing children on a variety of information processing tasks provides a natural test of the developmental consequences accompanying the long term loss of a particular sensory input. In this experiment, two sequential and two spatial tasks were used to evaluate the way deaf and hearing individuals process these different types of information. When deaf students were asked to recall the order of a string of lights, they performed as well as hearing students. Deaf students were at a significant disadvantage, however, when processing sequentially presented digits. Deaf students performed as well as hearing students on two complex, standardized spatial tasks. The loss of a major sensory modality had minimal effect on three of the four tasks investigated in the present study. Explanations for the single task with a performance differential are considered.     

Maternal Sensitivity and the Visual Attentiveness of Children Who Are Deaf

Maternal sensitivity may be even more important for the development of deaf infants' social and cognitive competence than previous research has shown it to be for hearing children. We report ratings of mothers' sensitivity and infants' time in coordinated joint attention (CJA) during play interactions video-taped in a laboratory at 9,12 and 18 months. Participants include 80 dyads in four groups: two matched for hearing status (Deaf or Hearing mothers with deaf or hearing babies), two unmatched for hearing status (Deaf mothers/hearing babies and Hearing mothers/deaf babies). Mothers in matched dyads were rated more sensitive than mothers in unmatched dyads. Deaf infants with Deaf mothers showed more time in CJA compared to infants in unmatched dyads. However, significant correlations of sensitivity and attention were found only for the two unmatched hearing status groups at 18 months. These results are discussed in terms of dyadic hearing status differences, intuitive parenting and developmental stage. © 1996 John Wiley & Sons, Ltd.     

Gaze patterns during identity and emotion judgments in hearing adults and deaf users of American Sign Language

Deaf individuals rely on facial expressions for emotional, social, and linguistic cues. In order to test the hypothesis that specialized experience with faces can alter typically observed gaze patterns, twelve hearing adults and twelve deaf, early-users of American Sign Language judged the emotion and identity of expressive faces (including whole faces, and isolated top and bottom halves), while accuracy and fixations were recorded. Both groups recognized individuals more accurately from top than bottom halves, and emotional expressions from bottom than top halves. Hearing adults directed the majority of fixations to the top halves of faces in both tasks, but fixated the bottom half slightly more often when judging emotion than identity. In contrast, deaf adults often split fixations evenly between the top and bottom halves regardless of task demands. These results suggest that deaf adults have habitual fixation patterns that may maximize their ability to gather information from expressive faces.     

From fancy to reason: Scaling deaf and hearing children's understanding of theory of mind and pretence

We examined deaf and hearing children's progression of steps in theory of mind (ToM) development including their understanding of social pretending. Ninety‐three children (33 deaf; 60 hearing) aged 3–13 years were tested on a set of six closely matched ToM tasks. Results showed that deaf children were delayed substantially behind hearing children in understanding pretending, false belief (FB) and other ToM concepts, in line with their delayed uptake of social pretend (SP) play. By using a scaling methodology, we confirmed previous evidence of a consistent five‐step developmental progression for both groups. Moreover, by including social pretence understanding, both deaf and hearing children's ToM sequences were shown to extend reliably to six sequential developmental steps. Finally and focally, even though both groups' sequences were six steps long, the placement of pretence relative to other ToM milestones varied with hearing status. Deaf children understood social pretending at an earlier step in the ToM sequence than hearing children, albeit at a later chronological age. Theoretically, the findings are relevant to questions about how universal developmental progressions come together along with culturally distinctive inputs and biological factors (such as hearing loss) to set the pace for ToM development.     

Deaf and hearing children: a comparison of peripheral vision development

This study investigated peripheral vision (at least 30° eccentric to fixation) development in profoundly deaf children without cochlear implantation, and compared this to age-matched hearing controls as well as to deaf and hearing adult data. Deaf and hearing children between the ages of 5 and 15 years were assessed using a new, specifically paediatric designed method of static perimetry. The deaf group (N = 25) were 14 females and 11 males, mean age 9.92 years (range 5-15 years). The hearing group (N = 64) were 34 females, 30 males, mean age 9.13 years (range 5-15 years). All participants had good visual acuity in both eyes (< 0.200 LogMAR). Accuracy of detection and reaction time to briefly presented LED stimuli of three light intensities, at eccentricities between 30° and 85° were measured while fixation was maintained to a central target. The study found reduced peripheral vision in deaf children between 5 and 10 years of age. Deaf children (aged 5-10 years) showed slower reaction times to all stimuli and reduced ability to detect and accurately report dim stimuli in the far periphery. Deaf children performed equally to hearing children aged 11-12 years. Deaf adolescents aged 13-15 years demonstrated faster reaction times to all peripheral stimuli in comparison to hearing controls. Adolescent results were consistent with deaf and hearing adult performances wherein deaf adults also showed significantly faster reaction times than hearing controls. Peripheral vision performance on this task was found to reach adult-like levels of maturity in deaf and hearing children, both in reaction time and accuracy of detection at the age of 11-12 years.     

听觉障碍人群检测任务基于位置的返回抑制

基于位置的返回抑制（IOR）是指对先前注意过的位置上靶子反应变慢的现象。探讨听觉障碍被试检测任务IOR的时程和量是否受听觉剥夺的影响。实验1中,听觉障碍被试和听力正常组被试具有相同的IOR时程和量;但在取消中央线索化的实验2中,当SOA为350ms时,听力正常被试没有出现IOR,听觉障碍被试出现了IOR,说明听觉障碍被试的注意脱离快于听力正常被试。听觉障碍被试对外周靶子的反应快于听力正常被试,表明听障人群外周注意资源增强。这些结果表明听觉障碍被试的空间注意更具有效性和策略性。     

THE IMPACT OF AUDITION ON THE DEVELOPMENT OF VISUAL ATTENTION

Interactions between audition and vision were investigated in two experiments In the first experiment, school-age hearing children, deaf children with cochlear implants, and deaf children without implants participated in a task in which they were to respond to some visual signals and not others This task did not involve sound at all Deaf children without implants performed much more poorly than hearing children Deaf children with cochlear implants performed considerably better than deaf children without implants The second experiment employed a longitudinal design and showed that the rate of development in visual selective attention was faster for deaf children with cochlear implants than deaf children without implants Moreover, the gams were rapid–occurring within 2 years post-implant surgery The results suggest that a history of experience with sounds matters in the development of visual attention The results are discussed in terms of multimodal developmental processes     

Deaf and hearing children's plural noun spelling

The present study examines deaf and hearing children's spelling of plural nouns. Severe literacy impairments are well documented in the deaf, which are believed to be a consequence of phonological awareness limitations. Fifty deaf (mean chronological age 13;10 years, mean reading age 7;5 years) and 50 reading-age-matched hearing children produced spellings of regular, semiregular, and irregular plural nouns in Experiment 1 and nonword plurals in Experiment 2. Deaf children performed reading-age appropriately on rule-based (regular and semiregular) plurals but were significantly less accurate at spelling irregular plurals. Spelling of plural nonwords and spelling error analyses revealed clear evidence for use of morphology. Deaf children used morphological generalization to a greater degree than their reading-age-matched hearing counterparts. Also, hearing children combined use of phonology and morphology to guide spelling, whereas deaf children appeared to use morphology without phonological mediation. Therefore, use of morphology in spelling can be independent of phonology and is available to the deaf despite limited experience with spoken language. Indeed, deaf children appear to be learning about morphology from the orthography. Education on more complex morphological generalization and exceptions may be highly beneficial not only for the deaf but also for other populations with phonological awareness limitations.     

WISC-R deaf norms reconsidered

Deaf norms have been published for the Wechsler Intelligence Scale for Children-Revised Performance Scale, (WISC-R PS). Argument requiring separate deaf norms are evaluated with data describing deaf and hearing children's performances on nonverbal IQ tests. It is concluded that deaf norms are not required for deaf children. The issue of which norms a psychologist should select for scoring WISC- R PS protocols is discussed with reference to the impact that deaf and hearing norms have upon inter- and intraindividual comparisons.     

Comparative study of verbal originality in deaf and hearing children.

Verbal originality scores were obtained from Onomatopoeia and Images, Form 1B, given to 181 deaf and 236 hearing Ss aged 10 to 19 yr. The hearing Ss scored significantly higher than the deaf Ss. Significant main effects for age were found but not for sex. The only significant interaction was found for hearing status and age. Deaf Ss became more productive as age increased, while performance of hearing Ss relative to age fluctuated.     

Short-term recall by deaf signers of American Sign Language: implications of encoding strategy for order recall

Two experiments were conducted on short-term recall of printed English words by deaf signers of American Sign Language (ASL). Compared with hearing subjects, deaf subjects recalled significantly fewer words when ordered recall of words was required, but not when free recall was required. Deaf subjects tended to use a speech-based code in probed recall for order, and the greater the reliance on a speech-based code, the more accurate the recall. These results are consistent with the hypothesis that a speech-based code facilitates the retention of order information.     

Attitudes to Genetic Testing for Deafness: The Importance of Informed Choice

With recent progress in the identification of genes for deafness, it is highly likely that genetic testing, including pre-natal testing, for deafness will become more widely available. In a context where there are concerns about pre-natal testing, and where many in the Deaf community contest the understanding of deafness as a disability, it is important to examine the attitudes of Deaf/deaf people toward genetic testing. This qualitative study employed in-depth interviews to investigate the views about genetic testing for deafness of 19 participants, who were identified as functionally deaf or hearing impaired, or as belonging to the Deaf community. The key findings are that participants were generally supportive of genetic testing for deafness but only when full information about all relevant aspects of deafness is given to prospective users of genetics services. Participants emphasized informed choice, stating that information about medical and technological options for deaf people should be provided, together with information about communication, education, and the experience of being deaf. Although there was less support for pre-natal diagnosis and termination of pregnancy for deafness, most participants nonetheless felt that individual choice was important and that pre-natal diagnosis should be made available to those who wanted to use it.     

Deafness, spelling and rhyme: How spelling supports written word and picture rhyming skills in deaf subjects

Orally trained, congenitally deaf adolescents and hearing, reading-age-matched control subjects made rhyme judgements for pictures and for written words. Hearing children performed the task accurately. By contrast, the deaf group were very poor at rhyme judgement for words and for pictures. For hearing children, word rhyme judgement was more accurate when the words were congruent in their spelling pattern (e.g. bat/hat), less accurate when the spelling pattern of the rhyming words was incongruent (hair/bear). Deaf subjects showed an even more pronounced effect of spelling congruence; their ability to match for rhyme when written words did not share the same spelling pattern was extremely poor. Moreover, spelling congruence predicted deaf subjects' picture rhyming skills.

We conclude that oral training for deaf people does not always permit them to achieve a reliable phonological representation of speech from lip-reading and residual hearing alone. Instead they use the written spelling of the word. This result is not predicted from some previous results that suggest that orally trained deaf people can make direct, spontaneous use of rhyme in the processing of visually presented material.     

Facial expressions and interpretation of emotion-arousing situations in deaf and hearing children

Deaf and hearing children were given two tasks: (a) sorting faces portraying nine emotions and (b) matching those faces with drawings of appropriate emotion-arousing situations. The deaf children performed as the hearing children did on the first task but did not match the faces to the situations as well as the hearing children. It appeared that the deaf children were unable to analyze and interpret emotion-arousing events adequately. Possible reasons for this finding are presented and discussed in detail.This research was supported, in part, by Social Rehabilitation Services Grant No. RD-2552.The authors are indebted to Dr. Lloyd Graunke, Delmas Young, and Warren Flower of the Tennessee School for the Deaf, Elizabeth Stallings of the Monroe Harding Children's Home, Rev. Lucius Hart and Rev. Hudlow of the Baptist Children's Home, Dr. Lloyd Funchess and Jerome Freeman of the Louisiana State School for the Deaf, W. W. Wallace, Milton Lillard, and Wilburn Kelley of the Williamson County Tennessee School System, and Charles Barham of Tennessee Preparatory School.     

Memory for Faces, Shoes, and Objects by Deaf and Hearing Signers and Hearing Nonsigners

The visual spatial memory of 15 deaf signers, 15 hearing signers, and 15 hearing nonsigners for shoes, faces, and verbalizable objects was measured using the game Concentration. It was hypothesized that the deaf and hearing signers would require fewer attempts than the hearing nonsigners on the shoes and faces tasks because of their experience of using a visual-spatial language; and, in the case of the Deaf, also possibly, due to a compensatory mechanism. It was also hypothesized that memory for shoes would be more like that for faces than for simple objects. It was also anticipated that there would be no difference between the three group's memories for verbalizable objects. Deaf signers were found to be similar to hearing signers, both of whom were better than hearing nonsigners on the faces and shoes tasks. Generally, performance on the faces and shoes tasks was similar and followed the same pattern for the three groups. The three groups performed at a similar level on the objects task. There were no gender differences.     

Signs of Resistance: Peer Learning of Sign Languages Within ‘Oral’ Schools for the Deaf

This article explores the role of the Deaf child as peer educator. In schools where sign languages were banned, Deaf children became the educators of their Deaf peers in a number of contexts worldwide. This paper analyses how this peer education of sign language worked in context by drawing on two examples from boarding schools for the deaf in Nicaragua and Thailand. The argument is advanced that these practices constituted a child-led oppositional pedagogy. A connection is drawn to Freire’s (1972) theory of critical pedagogy. Deaf children’s actions as peer educators are framed as an act of resistance towards the oppression of their language and culture. A contrast is drawn between oralist pedagogy that is historically associated with punitive practices and didactic methods and the experiential and dialogic interaction that characterised peer learning of sign languages. The argument is made that the peer teaching and learning processes enabled the self-actualisation of the Deaf children whereas the oralist methods were based on a deficit model that focused on modifying deaf children according to the norms of hearing society. The implications of this for current policy and practice are inferred to be about access to sign languages and the importance of Deaf communities in deaf children’s education. The argument is made that space needs to be created for deaf children to engage in peer learning.