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In this study, our objective was to explore the impact of hearing loss on the conceptual system underlying word meaning. We collected perceptual strength norms for 200 Italian words from early deaf individuals with limited or no access to auditory information and compared them to existing norms from hearing individuals. For each word, participants provided perceptual strength ratings for each perceptual modality. Our results revealed a significant reduction of the auditory modality in the norms provided by deaf individuals compared to the hearing population. However, we did not observe an overall decrease in reported perceptual strength. Interestingly, we found a heightened involvement of other sensory modalities accompanied by reduced modality exclusivity in the conceptualization of words, indicating that deaf individuals heavily rely on information coming from the other perceptual modalities to form concepts. These findings suggest that hearing loss leads to a reorganisation of word conceptualization, characterised by increased multisensoriality. Importantly, although diminished, the auditory modality remains present, suggesting that deaf individuals can still infer auditory-associated knowledge about words to some extent.
Executive functions (EFs) in both regulatory and meta-cognitive contexts are important for a wide variety of children’s daily activities, including play and learning. Despite the growing literature supporting the relationship between EF and language, few studies have focused on these links during everyday behaviours. Data were collected on 208 children from 6 to 12 years old of whom 89 were deaf children (55% female; M = 8;8; SD = 1;9) and 119 were typically hearing children (56% female, M = 8;9; SD = 1;5). Parents completed two inventories: to assess EFs and language proficiency. Parents of deaf children reported greater difficulties with EFs in daily activities than those of hearing children. Correlation analysis between EFs and language showed significant levels only in the deaf group, especially in relation to meta-cognitive EFs. The results are discussed in terms of the role of early parent–child interaction and the relevance of EFs for everyday conversational situations.
Over the last 10 years or so, I have noticed increasing trouble understanding what people are saying to me, especially if there are several people speaking at the same time, such as at a family dinner, or worse, at a big party. It may be the main reason I find social occasions increasingly difficult and intimidating. When Lois speaks to me, I often have to ask her to repeat what she said. She has learned to say things twice if she wants me to get it. I know that is irritating for her. Often, I just nod or grunt, pretending I understand what she is saying. I have attributed this increasing problem to my Alzheimer’s disease interfering with my ability to understand language, particularly if I don’t hear every word clearly. Aphasias affecting language production (poor word finding) or reception (impaired understanding) are common in the mid-to-late stages of Alzheimer’s, but trouble finding the right word or name is often one of the earliest symptoms of Alzheimer’s.
Children who receive cochlear implants develop spoken language on a protracted timescale. The home environment facilitates speech-language development, yet it is relatively unknown how the environment differs between children with cochlear implants and typical hearing. We matched eighteen preschoolers with implants (31-65 months) to two groups of children with typical hearing: by chronological age and hearing age. Each child completed a long-form, naturalistic audio recording of their home environment (appx. 16 hours/child; >730 hours of observation) to measure adult speech input, child vocal productivity, and caregiver-child interaction. Results showed that children with cochlear implants and typical hearing were exposed to and engaged in similar amounts of spoken language with caregivers. However, the home environment did not reflect developmental stages as closely for children with implants, or predict their speech outcomes as strongly. Home-based speech-language interventions should focus on the unique input-outcome relationships for this group of children with hearing loss.
This chapter has three parts. In the first, the author concentrates on the deaf bilingual and explains what it means to be bilingual in sign language and the spoken (majority) language. Similarities with hearing bilinguals as well as differences are discussed. In the second part, he examines the biculturalism of deaf people: like hearing biculturals, they take part, to varying degrees, in the life of two worlds (the deaf world and the hearing world), they adapt, in part, their attitudes, behaviors, values, languages, and so onto both worlds, and they combine and blend aspects of the two. He also discusses cultural identity among deaf and hard-of-hearing persons. And in the third part, the author considers the deaf child and why it is so important for him/her to be able to grow up bilingual in sign language and the spoken language. He points to the role of both languages and argues that pursuing solely an auditory/oral approach puts the child at risk cognitively, linguistically, and personally. He ends by examining the reactions his writings have had on the field, and concludes with a few final remarks.
François Grosjean is one of the world's best-known scholars in the study of bilingualism. Over a career spanning two continents, his holistic approach has made groundbreaking contributions to many areas of the field. This book surveys this lifetime of work, from the start of his career, to where it stands today. The first chapter sets the stage with his personal experience as a bilingual, and the chapters that follow then deal with his holistic view of bilingualism, the bilingual's language modes, the Complementarity Principle, spoken language processing, cross-linguistic influence, biculturalism, the bilingualism and biculturalism of the Deaf, the statistics of bilingualism, and special bilinguals. In each chapter, he describes the concept, theory or findings that he proposed, adds follow-up comments, and discusses reactions, replications and extensions. The final chapter underlines the importance of informing the general public about bilingualism and biculturalism, and illustrates how this can be done.
With the United States’ entrance into the First World War, linguistic and cultural cohesiveness became imperative, compelling everyone—from immigrants with foreign accents to people with speech problems and hearing loss—to “sound American” by fluently speaking the language of their flag.
This article examines lip-reading, speech, and auricular training prescribed to deaf and hard-of-hearing children as well as for servicemen deafened in the war to demonstrate how World War I demanded all Americans to contribute to and participate in shared national soundscapes, regardless of their hearing status. Use of American Sign Language was considered a conspicuous sign of one’s failure to integrate into hearing society, and it shared parallels with immigrants who failed to learn English and fully assimilate into American culture. Indeed, rehabilitation of deafened soldiers of the First World War through speech training and lip-reading instruction at Hospital No. 11 at Cape May, New Jersey, coincided with broader national efforts to improve Americans’ speech and language use, and in turn, their patriotism and productivity.
This article discusses speech and hearing disabled Americans’ claims to citizenship during World War I, and the ways American policymakers sought to rehabilitate American soldiers treated in the U.S. Army Section of Defects of Hearing and Speech—or those classified after the Section’s closure as deaf, hard-of-hearing, or “speech defective.” Ultimately, I argue that one’s aural communication abilities were indicators of worthiness in American society and that this was especially the case during World War I, when tensions about speech and hearing heightened within and outside of the Deaf community due to significant pressures placed on Americans to show support for the war. Such pressures also shaped the experiences of American soldiers treated for speech and hearing disabilities after 1918, by suggesting that their service to the United States could not be complete until they were successfully rehabilitated through lip-reading training. To be able to aurally communicate signified the veterans’ sound citizenship in a literal and a metaphorical sense.
Hearing impairment in older adults may affect cognitive function and increase the risk of dementia. Most cognitive tests are delivered auditorily, and individuals with hearing loss may fail to hear verbal instructions. Greater listening difficulty and fatigue in acoustic conditions may impact test performance. This study aimed to examine the effect of decreased audibility on cognitive screening test performance in older adults.
Method
Older adults (n = 63) with different levels of hearing loss completed a standard auditory Mini-Mental State Examination test and a written version of the test.
Results
Individuals with moderate to moderately severe hearing loss (41–70 dB) performed significantly better on the written (24.34 ± 4.90) than on the standard test (22.55 ± 6.25), whereas scores were not impacted for mild hearing loss (less than 40 dB).
Conclusion
Hearing evaluations should be included in cognitive assessment, and test performance should be carefully interpreted in individuals with hearing loss to avoid overestimating cognitive decline.
This chapter considers grounds for hearing listening in The Tempest as a Jewish, and specifically Rabbinic, virtue, namely, the virtue of a “listening ear” (middat shmiat ha’ozen) described in Pirke Avot, a core text of Jewish ethical literature, published in Latin in 1541. I suggest that this publication witnesses a tension in the Reformation’s re-inscription of supersessionary tropes of Jewish otherness as spiritual deafness. I theorize this tension as sublimation of the memory of Jewish virtue ethics and ethical listening. I trace the oneiric distribution of signifiers of Jewish alterity in the figures of the vengeful, bookish, exiled Prospero and the dispossessed indigene alike, considering the implications of this reading of the spiritual subaltern as one who can hear but not access the spiritual bounty of their birthright. I suggest that the suppressed memory of Jewish virtue ethics in the Tempest surfaces in the memory of drowned books and fathers and in the play’s echoes of the Book of Jonah, particularly its auditory compulsion to mercy and its song of the deep. I demonstrate how the play bears witness to this sublimation in its “sounding” (plumbing and amplifying) of submerged memory and in the auditory virtue demonstrated by its percipients.
This chapter explores how one particular group of people defined as disabled, Deaf people, experienced and articulated that identity. Whilst deaf people were labelled ‘foreigners in their native land’, in this chapter I argue that deaf people came to inhabit distinct cultural identities, positively identifying with what they called the ‘deaf World’, or sometimes the ‘deaf nation’. Working from the twenty-first century backwards, there is good reason to focus on deafness as a particular case study here: contemporary theorists have argued that deaf identity is so strong that it operates as a form of ‘ethnicity’. Whilst, as I discuss, there continues to be disagreement about the utility of framing deaf people as an ethnic group, I use the idea of deafness as an ethnicity as a starting point to think about deaf community in the nineteenth and early twentieth centuries. In particular, I explore what deaf belonging means for the intersection of identities based around nationhood with those constructed around disability. The Chapter therefore explores, deaf communities in Britain (through the deaf press, deaf intermarriage etc), deaf plans for a separatist deaf state or colony, and deaf internationalism.
This chapter focuses on how working memory develops in children who are born deaf. It includes studies of deaf users of spoken and signed languages from within the medical and social models of deafness. It also reviews how differences in working memory capacity have been explained between deaf and hearing children. It reviews the role of auditory function in the establishment of working memory, as well as consideration of language as a mediator. It concludes with a proposal that deafness leads to disrupted early exposure to language and reduced subvocal rehearsal abilities, which both impact on the operation of the working memory system.
Cochlear implant is the standard treatment of choice for children and adults with severe to profound sensorineural hearing loss. The main objective of this study was to assess the knowledge, attitude and practices regarding cochlear implant among doctors other than otolaryngologists in a tertiary care academic institution.
Method
A 24-item knowledge, attitude and practices questionnaire was developed based on an extensive literature review and expert opinion and was administered to 100 non-otolaryngologists in a tertiary care academic institution to be completed in about 15 minutes. The data obtained was analysed to assess knowledge, attitude and practices regarding cochlear implant in this group.
Results
The results showed that awareness regarding the option of cochlear implants for elderly and unilateral deafness was deficient. Surgeons and doctors in higher specialties did better when it came to practice related to cochlear implant. The age and experience of doctors also improved knowledge and practice with regards to cochlear implant.
Conclusion
Improving awareness about cochlear implants and their benefits among non-otolaryngology colleagues can ensure that more people who could potentially benefit from cochlear implants will receive appropriate counselling and referral.
This article discusses hearing disability in early modern Europe, focusing on medical ideas to demonstrate a profound shift in thinking about deafness over the course of the eighteenth century. Scholars have previously described changes in the social status of the deaf in the eighteenth century, pointing at clerics’ sympathy for the deaf and philosophers’ fascination with gestures as the origin of language, but there is remarkably little scholarship on the growing interest in deafness and hardness of hearing by physicians. From the seventeenth century onwards, however, medical men investigated earwax and mucus in the Eustachian Tube and developed theories about the propagation of sound waves via fluid airs and nervous juices in relation to hearing and deafness. This article argues that this focus on fluids brought about a new medical understanding of auditory perception, which viewed hearing and deafness not as dichotomous but as states along a continuous spectrum. As such, this article offers a new perspective on the study and treatment of hearing difficulties in early modern Europe, arguing that there was no solid dividing line between deafness and hearing; if anything, it was permeable and unstable.
Deaf readers may have larger perceptual spans than ability-matched hearing native English readers, allowing them to read more efficiently (Belanger & Rayner, 2015). To further test the hypothesis that deaf and hearing readers have different perceptual spans, the current study uses eye-movement data from two experiments in which deaf American Sign Language–English bilinguals, hearing native English speakers, and hearing Chinese–English bilinguals read semantically unrelated sentences and answered comprehension questions after a proportion of them. We analyzed skip rates, fixation times, and accuracy on comprehension questions. In addition, we analyzed how lexical properties of words affected skipping behavior and fixation durations. Deaf readers skipped words more often than native English speakers, who skipped words more often than Chinese–English bilinguals. Deaf readers had shorter first-pass fixation times than the other two groups. All groups’ skipping behaviors were affected by lexical frequency. Deaf readers’ comprehension did not differ from hearing Chinese–English bilinguals, despite greater skipping and shorter fixation times. Overall, the eye-tracking findings align with Belanger’s word processing efficiency hypothesis. Effects of lexical frequency on skipping behavior indicated further that eye movements during reading remain under cognitive control in deaf readers.
Contending with Kei Miller’s declaration in ‘A Smaller Sound, A Lesser Fury: A Eulogy for Dub Poetry’ that the genre has died, this essay uses the lens of transition to demonstrate the continued vitality of this Jamaican-rooted performance and neoliterary genre that serves political and aesthetic needs of the variously disempowered. The essay suggests Miller misconceives what dubpoetry is, threatening its vital social work and doing a disservice to the older generation of dubpoets and their inheritors. Providing evidence that the majority of first-generation dubpoets continue to create new work, collaborate, develop new subgenres, and teach, the essay offers close readings of work by dubpoetry’s heirs. Jamaican dubpoetry band The No-Maddz, Jamaican-British spoken word poet Raymond Antrobus and Canadian dub inheritors Klyde Broox, d’bi.young anitafrika and Kaie Kellough are shown to effect presentational, generic, thematic/political and media transitions in and from dubpoetry.
This essay takes a practice-based approach to the relationship between Beethoven’s Broadwood piano and the aural world of the last three piano sonatas. In order to maximize his residual hearing Beethoven had a ‘hearing machine’ constructed by Stein that rested on top of the piano in front of the player. With colleagues Tom Beghin has re-created that ‘hearing machine’ to simulate Beethoven’s experience as a deaf player and composer. As well as detailing this process the author explores some of the expressive consequences of this hearing experience in the last three piano sonatas.
To determine the prevalence and distribution of inner-ear malformations in congenital single-sided deafness cases, as details of malformation type are crucial for disease prognosis and management.
Methods
A retrospective study was conducted of 90 patients aged under 16 years with congenital single-sided deafness. Radiological findings were evaluated using computed tomography and magnetic resonance imaging. Inner-ear malformations were identified and cochlear nerve status was determined in affected ears.
Results
Out of 90 ears, 42 (46.7 per cent) were found to have inner-ear malformation. Isolated cochlear aperture stenosis was the most common anomaly (n = 18, 20 per cent), followed by isolated cochlear aperture atresia (n = 11, 12.2 per cent) and cochlear hypoplasia (n = 7, 7.8 per cent). Cochlear nerve deficiency was encountered in 41 ears (45.6 per cent). The internal auditory canal was also stenotic in 49 ears (54.4 per cent).
Conclusion
Inner-ear malformations, especially cochlear aperture anomalies, are involved in the aetiology of single-sided deafness more than expected. The cause of single-sided deafness differs greatly between congenital and adult-onset cases. All children with single-sided deafness should undergo radiological evaluation, as the prognosis and management, as well as the aetiology, may be significantly influenced by inner-ear malformation type.