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.     

输入方式对学语前聋生语篇理解的影响：文本和测题类型的调节效应

为了考察信息输入方式、文本类型和测题类型对聋生语篇理解的影响,研究通过录像呈现,以口语、手语、书面语三种输入方式向学语前极重度七、八、九年级聋生呈现叙述性和描述性两种文本类型的语篇信息,并要求其完成理解测试。结果显示：输入方式对聋生语篇理解的效率存在影响,书面语成绩最高且速度最快,依次为手语、口语,文本类型和测题类型对该影响有调节作用。结果表明输入方式是聋生语篇理解的主要影响因素,文本和测题类型是调节因素。     

Deafness and Religiosity in Adolescence: An Occasional Study in the Greek School

This article attempts to understand the religiosity of 25 deaf and hard-of-hearing adolescents and students who attend a public special school for the deaf in Athens. The absence of a formal religious education orientated to the needs of a deaf community, combined with the presence of formal religion in Greek society devoted to hearing believers, makes the opinions of deaf students particularly important. Also, the social perceptions of their relationships with other people, both deaf and hearing, seems to indicate to a point the development of their religiosity.     

Change deafness for simultaneous voices

Apparent changes in auditory scenes are often unnoticed. This change deafness phenomenon was examined in auditory scenes that comprise human voices. In two experiments, listeners were required to detect changes between two auditory scenes comprising two, three, and four talkers who voiced four‐syllable words. One of the voices in the first scene was randomly selected and was replaced with a new word in change trials. The rationale was that higher stimulus familiarity conferred by human voices compared to other everyday sounds, together with encoding and memory advantages for verbal stimuli and the modular processing of speech in auditory processing, should positively influence the change detection efficiency, and the change deafness phenomenon should not be observed when listeners are explicitly required to detect the obvious changes. Contrary to the prediction, change deafness was significantly observed in three‐ and four‐talker conditions. This indicates that change deafness occurs in listeners even for highly familiar stimuli. This suggests the limited ability for perceptual organization of auditory scenes comprising even a relatively small number of voices (three or four).     

Consequences of Child and Adult Sexual and Physical Trauma among Deaf Adults

The purpose of this study was to evaluate the consequences of sexual and physical trauma among a sample of deaf adults. Thirty-two men and 45 women completed the Life Event Checklist (LEC), the Clinician Administered PTSD Scale (CAPS), the Trauma Symptom Inventory (TSI), the Somatoform Dissociation Questionnaire–20 (SDQ–20) and a sociodemographic questionnaire. In this sample, 40.6% of the male participants and 53.3% of the female participants had experienced some type of sexual trauma during their lifetimes. Physical trauma was reported by 75% of males and 71.1% of female participants. For those who had experienced childhood sexual trauma, the odds ratio of revictimization in adulthood was 6.69. Sexual trauma also rarely occurred by itself. Two thirds of all participants with sexual trauma histories also reported some type of physical abuse. Participants with sexual trauma histories displayed significantly more symptoms of PTSD and depression than people without such trauma history. Physical and sexual abuse represent significant problems in the deaf community. The authors include a call for the development of targeted intervention attempts to prevent further victimization in deaf child and adolescent populations.     

Processing of indexical information requires time: Evidence from change deafness

In three experiments, the efficiency in detecting fear-relevant and fear-irrelevant visual stimuli are compared. A visual search paradigm is used where participants are presented with matrices of different sizes (4 objects/9 objects) and must determine whether all objects are taken from the same category or whether there is a discrepant one. Results from all experiments were consistent with the threat-superiority effect. Participants were quicker when the target was threatening than when it was not. Other indicators confirmed that the detection of threatening targets involves more efficient processes (reduced slopes, absence of position effects). A crucial aspect of these experiments was the comparison of evolutionary-relevant (snakes, spiders, etc.) and modern (guns, syringes, etc.) threats. The threat-superiority effect was repeatedly found for both types of target. Stronger effects were sometimes observed for modern than for evolutionary-relevant threats. The implications for evolutionary explanations of the effect of fear on visual attention are discussed.     

Visual movement perception in deaf and hearing individuals

A number of studies have investigated changes in the perception of visual motion as a result of altered sensory experiences. An animal study has shown that auditory-deprived cats exhibit enhanced performance in a visual movement detection task compared to hearing cats (Lomber, Meredith, & Kral, 2010). In humans, the behavioural evidence regarding the perception of motion is less clear. The present study investigated deaf and hearing adult participants using a movement localization task and a direction of motion task employing coherently-moving and static visual dot patterns. Overall, deaf and hearing participants did not differ in their movement localization performance, although within the deaf group, a left visual field advantage was found. When discriminating the direction of motion, however, deaf participants responded faster and tended to be more accurate when detecting small differences in direction compared with the hearing controls. These results conform to the view that visual abilities are enhanced after auditory deprivation and extend previous findings regarding visual motion processing in deaf individuals.     

The Importance of Sound for Cognitive Sequencing Abilities: The Auditory Scaffolding Hypothesis

ABSTRACT— Sound is inherently a temporal and sequential signal. Experience with sound therefore may help bootstrap—that is, provide a kind of "scaffolding" for—the development of general cognitive abilities related to representing temporal or sequential patterns. Accordingly, the absence of sound early in development may result in disturbances to these sequencing skills. In support of this hypothesis, we present two types of findings. First, normal-hearing adults do best on sequencing tasks when the sense of hearing, rather than sight, can be used. Second, recent findings suggest that deaf children have disturbances on exactly these same kinds of tasks that involve learning and manipulation of serial-order information. We suggest that sound provides an "auditory scaffolding" for time and serial-order behavior, possibly mediated through neural connections between the temporal and frontal lobes of the brain. Under conditions of auditory deprivation, auditory scaffolding is absent, resulting in neural reorganization and a disturbance to cognitive sequencing abilities.     

Mental health professionals' attitudes towards people who are deaf

Mental health professionals' attitudes towards deaf people were examined in relation to their previous contact with deaf people and their knowledge of deafness. Data were gathered regarding different aspects of contact, including the number and type of relationships participants had had with deaf people. A cognitive-processing theory of attitude change following contact (Rothbart & John, 1985) was explored. Knowledge of deafness did not correlate with attitudes towards deaf people but a relationship was found between the amount of contact that professionals had with deaf people of equal or higher status and more positive attitudes.