Treatment of Deaf Clients: Ethical Considerations for Professionals in Psychology

Providing therapy to deaf clients raises important ethical considerations for psychologists related to competence; multiple relationships and boundary issues; confidentiality; assessment, diagnosis, and evaluation; and communication and using interpreters. In evaluating and addressing these, psychologists must consider the American Psychological Association’s Ethics Code and other relevant issues (e.g., Americans with Disabilities Act) necessary to provide ethical treatment. The current article provides background, ethical considerations, principles and standards relevant to the treatment of deaf clients, and recommendations to support psychologists, training programs, and the field. Psychologists have the responsibility to guarantee that the benefits of mental health treatment are fairly and justly provided to this traditionally underserved population.     

听障大学生汉语阅读中的绕口令效应：口语经验和阅读能力的影响

听障者阅读时是否激活语音信息是听障者阅读研究领域的热点问题之一。本研究使用眼动技术,采用绕口令材料,考察口语经验和阅读能力对听障大学生汉语阅读中语音激活的影响。结果发现,口语经验较多且阅读能力较高(OHRH)的听障大学生的绕口令效应大于口语经验较少但阅读能力较高(OLRH)的听障大学生,OLRH组的绕口令效应大于口语经验较少且阅读能力较低(OLRL)的听障大学生。局部指标分析发现OHRH和OLRH组在早期和晚期指标上均存在绕口令效应,OLRL组只在晚期指标上才出现绕口令效应。结果表明,口语经验和阅读能力影响听障大学生汉语阅读中的语音激活。     

Frequency and predictability effects in eye fixations for skilled and less-skilled deaf readers

The illiteracy rate in the deaf population has been alarmingly high for several decades, despite the fact that deaf children go through the standard stages of schooling. Much research addressing this issue has focused on word-level processes, but in the recent years, little research has focused on sentence-levels processes. Previous research (Fischler, 1985) investigated word integration within context in college-level deaf and hearing readers in a lexical decision task following incomplete sentences with targets that were congruous or incongruous relative to the preceding context; it was found that deaf readers, as a group, were more dependent on contextual information than their hearing counterparts. The present experiment extended Fischler's results and investigated the relationship between frequency, predictability, and reading skill in skilled hearing, skilled deaf, and less-skilled deaf readers. Results suggest that only less-skilled deaf readers, and not all deaf readers, rely more on contextual cues to boost word processing. Additionally, early effects of frequency and predictability were found for all three groups of readers, without any evidence for an interaction between frequency and predictability.     

Adapting Parent–Child Interaction Therapy for Deaf Families That Communicate via American Sign Language: A Formal Adaptation Approach

While our field has made positive strides in adapting psychotherapeutic interventions for diverse groups of people, considerable work is still needed in this area. We present our formal adaptation procedure for parent–child interaction therapy (PCIT) with Deaf persons. This includes a review of the cultural adaptation process for psychological interventions, including PCIT, as well as an introduction to Deaf culture. Details regarding the specific adaptation of PCIT for Deaf persons are outlined. We found that the utilization of a clear framework to guide the cultural adaptation process facilitated careful consideration of the numerous linguistic and cultural variables involved, while maintaining integrity of the treatment model. While the current focus was on adapting PCIT for Deaf families who communicate via American Sign Language, this framework can also be applied to other populations and/or interventions.     

听障者语音编码的研究范式述评

对于健听者而言,语音编码在阅读中具有重要作用。听障者在阅读中是否存在语音编码？对于拼音文字而言,这个问题目前国际上存在很大的争议。中国听障者在阅读中是否使用了语音编码也逐渐开始受到重视。为了给国内研究听障者语音编码的学者提供参考,本文介绍了考察听障者语音编码研究中常用的研究范式,包括实验程序、逻辑及相应的研究成果。最后,对今后我国听障者语音编码的研究进行了展望。     

听障人群的工作记忆机制

听障人群听觉通道受损,使用手语交流,提供了独特的切入点来探讨工作记忆的结构和功能。研究表明,听障人群具备在功能上与正常人的语音环路平行的手语复述机制。通过发声训练,听障人群也可采用语音编码,即语音环路可被通达。听障人群具有与正常人相当的语言工作记忆资源,但是这种资源在具体使用时受视觉通道处理特性的限制。越来越多的研究支持互补理论,认为手语的使用增强了听障人群非语言的视空间处理能力。     

聋人副中央凹字N+1预视效益的眼动研究

聋人听觉受损后,在低水平的视觉认知任务中,表现出副中央凹注意增强效应。这种增强效应是否也会发生在高水平的汉语认知加工任务中？本研究采用边界范式,探究副中央凹注意增强效应对聋人读者合体字N+1预视效益的影响。研究发现,高技能聋人读者,可以获得合体字N+1语音和语义预视效益。研究表明,副中央凹注意增强促进了高技能聋人读者N+1预视信息的获得。     

工作记忆中注意焦点转换的代偿机制—— 来自聋生和发音抑制的证据

注意焦点转换是工作记忆中一项重要的执行功能。前人的研究提示视空间画板可能参与言语工作记忆中的注意转换。通过聋生和发音抑制方式探索语音回路子系统受损或受阻后, 视空间画板子系统完成注意转换任务的反应模式。采用“三计数”任务, 实验一比较了极重度耳聋学生和健听学生在工作记忆中的注意焦点转换效应。结果表明聋生与健听被试在不同记忆子项中转换的反应时间均长于不转换时间。但与健听被试相比, 聋生完成注意转换任务的正确率降低, 在转换和不转换之间的反应时差别减小, 且转换方向对反应时无影响, 转换方向和转换距离表现出显著的交互作用。下行转换时近转换快于远转换, 上行转换时近转换慢于远转换。实验二比较了发音抑制和无抑制条件下的注意转换效应, 发音抑制组在注意焦点转换中表现出与聋生组既类似又存在区别的反应模式。这些结果提示工作记忆的中枢执行系统具有高度的灵活性。当语音回路功能受阻后, 注意转换仍能借助视空间画板子系统得以完成。与暂时性抑制相比, 语音回路功能长期受损后表现出一定的功能代偿。     

中央线索化对听觉障碍人群辨别任务返回抑制的影响

选取一组先天聋被试和与之匹配的听力正常被试,采用线索提示范式考察中央线索化对听觉障碍被试在辨别任务中基于位置返回抑制的影响。实验结果发现,在有中央线索化的任务实验中,听力正常和听觉障碍被试都出现了返回抑制,但是听觉障碍被试消失得比听力正常被试早。无中央线索化的辨别任务实验中,听力正常被试组仅在SOA=650ms时,听觉障碍被试没有发现返回抑制现象。结果表明听觉障碍被试辨别任务的返回抑制更易受中央线索化条件的影响,听障被试的空间注意调节机制更具策略性和有效性。