Genetic counseling for deaf adults: Communication/language and cultural considerations

It has been estimated that at least 50% of congenital or early onset deafness loss has a genetic etiology. Genetic services have traditionally been utilized by hearing parents of deaf children. Deaf adults could also greatly benefit from genetic counseling services. However, many deaf adults do not seek genetic services due in part to the communication/language and cultural differences of this group. Deaf people communicate in various ways including the use of sign language, oral communication, writing, or a combination of these modes. Also, while some deaf individuals are part of the hearing culture, others are part of the Deaf culture which has its own language, values, and traditions. Culturally Deaf individuals do not see themselves as handicapped or disabled. The genetic professional's awareness of the communication/language and cultural needs of this group, as well as their agency's responsibilities under section 504 of the Rehabilitation Act of 1973, may increase the accessibility of genetic services and contribute to the provision of successful genetic counseling for deaf adults.Throughout this paper, the term deaf will be used to denote a person who audiologically has a hearing loss which may range from mild to profound and may be sensorineural, conductive, or mixed. However, the term Deaf is used to denote cultural deafness.     

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.     

Apocalyptic Argument and the Anticipation of Catastrophe: the Prediction of Risk and the Risks of Prediction

This essay proposes to extend the model of apocalyptic argument developedin my recent book Arguing the Apocalypse (OLeary, 1994) beyond the study ofreligious discourse, by applying this model to the debate over awell-publicized earthquake prediction that caused a widespread panic in theAmerican midwest in December, 1990. The first section of the essay willsummarize the essential elements of apocalyptic argument as I have earlierdefined them; the second section will apply the model to the case of the NewMadrid, Missouri, earthquake prediction, in order to demonstrate thatcertain patterns of reasoning characteristic of religious apocalyptic arepresent in the discourse over an anticipated local disaster. My ultimatepurpose is to show that predictions of global and local catastrophe mayserve as extreme cases that will illuminate the dynamics of predictiveargument in general. Thus my argument will seek to undercut Daniel Bellsdistinction between prophecy and prediction (Bell, 1973) by establishingthat these discourses share identifiable formal and substantivecharacteristics, and depend for their rhetorical effect on anxiety, hope,far, and excitement as modes of temporal anticipation.     

Autoshaping in the rat: The effects of localizable visual and auditory signals for food

Two experiments investigated autoshaping in rats to localizable visual and auditory conditioned stimuli predicting response-independent food. In Experiment 1 considerable conditioned-stimulus approach behavior was generated by a localizable visual conditioned stimulus that was situated approximately 35 cm from the food tray. Using the same apparatus in Experiment 2 we found that the conditioned-stimulus approach was generated only to a visual conditioned stimulus and not to a localizable auditory conditioned stimulus even though subjects (1) could discriminate presentations of the auditory conditioned stimulus, (2) had associated it with food, (3) could localize it, and (4) would approach the auditory stimulus if this behavior constituted an instrumental response to food. The predominant conditioned responses to the auditory stimuli were goal tracking (entering the food tray) and orienting towards the food-paired conditioned stimulus by head turning and rearing and turning. These results imply that rats do not invariably approach a localizable appetitive Pavlovian conditioned stimulus but that stimulus-approach responses depend on the nature and modality of the conditioned stimulus.     

Effects of speed feedback signs and law enforcement on driver speed

This study analyzes the effects of implementing three speed management strategies, namely speed feedback signs, periodic law enforcement, and speed feedback sign supported with periodic law enforcement on driver speed behavior and compliance. To analyze the effectiveness of each strategy, nine locations in Pima County, Arizona, were studied in a cross-sectional framework. For each study site, the driver’s speed, date, time, and vehicle’s length were collected at a location prior to the speed management zone as the baseline, at the speed management zone, and downstream of the speed management zone. The general effect showed that all the strategies were effective in reducing average speed and the proportion of drivers exceeding the speed limit. In addition, the results of the robust heteroscedastic ANOVA test showed that among all the strategies, the speed feedback sign supported with periodic law enforcement was the most effective one. Moreover, it was shown that by supporting the speed feedback sign with periodic law enforcement, the reduction in average speed and proportion of drivers exceeding the speed limit would last, even after passing the speed management strategy. In other words, the existence of periodic law enforcement could potentially modify drivers’ behaviors and increase the spatial effectiveness of speed feedback signs. Comparing the behavior of truck and passenger car drivers also revealed similar results. That is, both truck and passenger car drivers tend to slow down after observing the speed management strategy. The experimental evidence indicates positive benefits for reducing excessive speeding behaviors at the sites.     

Examining generalization of motorist yielding at an adjacent crosswalk with variations of the gateway sign configuration

The gateway sign configuration has been effective at increasing motorist yielding and reducing speeds at crosswalks. A gateway configuration uses in-street signs at a crosswalk on each edge of the roadway and on each lane line. Although this intervention is effective at increasing motorist yielding at uncontrolled crosswalks, the limits of the intervention have yet to be tested. The present study examined if 1) the effects of the gateway intervention on one crosswalk would generalize to an untreated adjacent crosswalk, and 2) if the effects of an offset configuration of signs which partially treated each crosswalk could maximize the effects of that generalization. Experiment 1 showed that less yielding occurred at the untreated crosswalk than at the treated crosswalk, though yielding was higher than baseline. In Experiment 2, results showed that an offset gateway configuration could produce comparable levels of yielding at both crosswalks.     

Enhanced gaze‐following behavior in Deaf infants of Deaf parents

Gaze following plays a role in parent–infant communication and is a key mechanism by which infants acquire information about the world from social input. Gaze following in Deaf infants has been understudied. Twelve Deaf infants of Deaf parents (DoD) who had native exposure to American Sign Language (ASL) were gender‐matched and age‐matched (±7 days) to 60 spoken‐language hearing control infants. Results showed that the DoD infants had significantly higher gaze‐following scores than the hearing infants. We hypothesize that in the absence of auditory input, and with support from ASL‐fluent Deaf parents, infants become attuned to visual‐communicative signals from other people, which engenders increased gaze following. These findings underscore the need to revise the ‘deficit model’ of deafness. Deaf infants immersed in natural sign language from birth are better at understanding the signals and identifying the referential meaning of adults’ gaze behavior compared to hearing infants not exposed to sign language. Broader implications for theories of social‐cognitive development are discussed. A video abstract of this article can be viewed at https://youtu.be/QXCDK_CUmAI     

The safety and conspicuity of pedestrian crossing at roundabouts: The effect of median refuge island and zebra markings

Roundabouts are one of the most used road intersections because, compared to signalized ones, they reduce conflict points between traffic flows and moderate driving speed. Great attention should also be paid to vulnerable road users at roundabouts. According to accident statistics, in fact, accessibility of pedestrians and cyclists is not always ensured.This paper has evaluated the effects on the visibility of pedestrian crossing before and after the displacement of zebra markings, moved before intersections, and the introduction of media refuge islands and “Yield here to pedestrians” vertical signs. The above effects have been assessed by before-after analysis of speed and visual behaviour of drivers approaching the crosswalk.Moreover, the analysis of the drivers’ eye movements has highlighted the most salient elements of the pedestrian crossing. The relation between the drivers’ visual behaviour and the vehicle speed have also been calculated. Results have confirmed that the intervention carried out has increased both visibility and safety of the studied pedestrian crosswalks.Zebra markings and the median refuge island have turned out to be the most glanced elements, respectively seen by 93.75% and 56.25% of the drivers, followed by the “Yield here to pedestrians” vertical sign. The mean distance of first fixation of the crosswalk increased from 21.98 m before the intervention, to 40.69 m after it. The drivers perceived the pedestrian crossings from a longer distance after the intervention, and they continued to glance at the crosswalk while approaching it, enhancing their visual attention.     

Art, dreams and active imagination: a post-Jungian approach to transference and the image

The term active imagination is sometimes applied rather uncritically to describe all forms of creative activity that take place in depth psychology. Whilst there are many forms of expression that evoke or are evoked by active imagination, they cannot automatically be classed as active imagination. In this article investigation of visualized mental imagery, dreams and art reveals three distinct forms of image-based psychological activity. Integrated and mediated within the transference and countertransference dynamic, it is proposed that the engagement in active imagination reflects and is influenced by the transference. Distinctions between sign and symbol, simple and big dreams as well as diagrammatic and embodied imagery clarify the differences. Examples from clinical practice demonstrate each mode in action within the analytic frame.     

Reducing conflicts between motor vehicles and pedestrians: the separate and combined effects of pavement markings and a sign prompt

The effects of a symbolic "yield here to pedestrians" sign and advance yield pavement markings on pedestrian/motor vehicle conflicts, motorists' yielding behavior, and the distance motorists' yield in advance of crosswalks were evaluated at multilane crosswalks at uncontrolled T intersections. In Experiment 1, the sign, when used alone, reduced pedestrian/motor vehicle conflicts and increased motorist yielding distance. The use of fluorescent yellow-green sheeting as the background of the sign did not increase the effectiveness of the sign. Further reductions in pedestrian/motor vehicle conflicts and further increases in yielding distance were associated with the addition of advance yield pavement markings. In Experiment 2, advance yield pavement markings, when used alone, were as effective in reducing pedestrian/motor vehicle conflicts and increasing yielding distance as the sign combined with pavement markings. These data suggest that the pavement markings were the essential component for reducing conflicts and increasing yielding distance.