EARLY EXPOSURE TO A VISUAL LANGUAGE FOR CHILDREN WHO ARE DEAF...WHY WAIT?

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1 EARLY EXPOSURE TO A VISUAL LANGUAGE FOR CHILDREN WHO ARE DEAF...WHY WAIT? PSHA Convention Seminar 35 Cassandra Lucas-Szumigala, M.S., CCC-SLP Cassandra Lucas-Szumigala is receiving an honorarium and travel support from PSHA for this presentation. What brought me here today Gallaudet University Virginia School for the Deaf and the Blind, Staunton, VA Early Intervention Project ACCESS Clinical Instructor in Communication Sciences and Disorders Department Edinboro University American Sign Language & English Bilingual Early Childhood Deaf Education: Birth to 5 Certificate Program Handmade Communication, LLC Western PA School for the Deaf

2 Today we will cover Terminology Medical perspective of being deaf Socio-cultural perspective of being Deaf Universal Newborn Hearing Screenings The epidemic of language deprivation The bimodal/bilingual approach By the end of this presentation you will Want to enroll in an ASL and Deaf Culture course right away (Just kidding! kind of ) Be able to 1. Identify the critical window for language acquisition. 2. List risks related to language deprivation. 3. List benefits of a visual language. 4. Provide a solution for the epidemic of language deprivation among deaf/hh children. First and foremost- Ally Hearing allies are valued in the Deaf community because of the dominance that hearing people have over the lives of deaf individuals. Despite protective laws such as the Americans with Disabilities Act, deaf individuals continue to experience discrimination in a variety of ways. Hearing allies can be valuable partners in this social justice work because they can combat chronic discrimination and oppression against deaf people. Hearing allies can provide support to their Deaf friends as appropriate. It is important to understand the difference between being supportive and taking over.

3 Let s start with the basics Little d deaf referring to the audiological condition of not hearing those who find themselves losing their hearing because of illness, trauma or age; they do not have access to the knowledge, beliefs, and practices that make up the culture of Deaf people. Big D Deaf referring to a particular group of deaf people who share a language (ASL), and a culture. inherited their sign language and use it as a primary means of communication among themselves hold a set of beliefs about themselves and their connection to the larger society ty-and-culture-frequently-asked-questions/ Let s start with the basics Hard of Hearing a person with a mild-to-moderate hearing loss, OR a deaf person who doesn t have/want any cultural affiliation with the Deaf community DO NOT USE THESE TERMS! Hearing impaired Deaf and dumb Deaf mute munity-and-culture-frequently-asked-questions/ Let s start with the basics Medical perspective of being deaf Pathological perspective Person is impaired and requires a cure Socio-Cultural perspective of being Deaf Not a disability Linguistic and cultural minority According to the National Association of the Deaf: Individuals can choose an audiological or cultural perspective. It s all about choices, comfort level, mode of communication, and acceptance. Whatever the decision, the NAD welcomes all Deaf, deaf, hard of hearing, late-deafened, and deaf-blind Americans, and the advocacy work that the NAD does is available to and intended to benefit everyone.

4 Let s start with the basics Language acquisition Occurs through a subconscious process during which language learners are unaware of grammatical rules. The emphasis is on the text of the communication and not on the form. In order to acquire language, the learner needs a source of natural communication. Language learning Is not communicative, but rather the result of direct instruction in the rules of language. Students have conscious knowledge of the new language and can talk about that knowledge. Research has shown that knowing grammar rules does not necessarily result in good speaking or writing. Haynes, J. ( ). Language Acquisition vs. Language Learning. An infant s brain Infants show discrimination between two languages very early (for hearing children this can occur in the fetal stage) Newborns can distinguish their parents native language from unfamiliar language Prior to 2 years of age, bilingual children have shown the ability to know which language to speak depending on whom they are talking to and in what situation Age of language acquisition-mayberry Has lifelong effects on the acquisition of a first language (L1) Small effect on second language (L2) acquisition, but only when learned after an L1 and early in life Delayed exposure to an accessible L1 results in incomplete acquisition of L2 (L3+) learned subsequently Mayberry, R. (2007). When timing is everything: Age of first-language acquisition effects on second-language learning. Applied Psycholinguistics 28, DOI: S

5 Hearing vs deaf/hard of hearing L1 and L2 HEARING INFANTS: Access to spoken language from birth Exposed to language all around them, all waking hours Access to more than 1 language in bilingual/multilingual homes and community environments due to normal hearing status Hearing vs deaf/hard of hearing L1 and L2 DEAF INFANTS: Auditory L1 Access is highly variable for children born with a severe or profound hearing status Age of identification and initiation of support is variable Typically focuses on listening and speech, overlooking exposure to sign language Listening to/ lipreading speech provide insufficient linguistic details for the child Visual L1 Access to visual language from identification Exposed to language all around them Strong L1 skills in a visual language can scaffold strong L2 skills in a visual/spoken language Mayberry, R. (2007). When timing is everything: Age of first-language acquisition effects on second-language learning. Applied Psycholinguistics 28, DOI: S ASL/ENGLISH BILINGUAL EDUCATION:MODELS, METHODOLOGIES, AND STRATEGIES Subtractive bilingualism language minority children are educated with the goal of shifting away from the native language to the exclusive use of the majority language Taken directly from Visual Language and Visual Learning Research Brief. June 2012 Written by: Maribel Gárate Ph.D. 1 of 8 Additive bilingualism builds upon research that shows that first language proficiency is a powerful predictor of second language development a common core of cognitive and linguistic proficiencies that are shared by two (or more) languages and benefit their development.

6 ASL/English Bilingualism Goal: develop social and academic proficiency in both ASL and English Stresses the importance of ASL and English in the lives of deaf children as well as their need to develop the expressive and receptive language abilities linked to each language Students abilities to fingerspell, read fingerspelling, lipread, and mouth English are also emphasized because these incorporate skills from both languages When provided with consistent exposure to an accessible language, deaf children acquire linguistic milestones at the same rate as their hearing peers Taken from Visual Language and Visual Learning Research Brief #8 ASL/ENGLISH BILINGUAL EDUCATION:MODELS, METHODOLOGIES, AND STRATEGIES June 2012 Written by: Maribel Gárate Ph.D. 1 of 8 Cognitive and linguistic benefits of bilingualism Cognitive skills such as divergent and creative thinking skills, improved attention, memory, symbolic thinking, and self-regulation have all been identified to be superior in balanced bilinguals when compared to monolinguals (Piper, 2007, p. 252) Studies on bilingualism show greater advantages in areas of cognitive benefits, metalinguistic awareness, and enhanced executive functions such as problem solving, attention control, and task switching (National Association of the Deaf). Bilingual children exhibit the same rates of lexical and morpho-syntactic development as monolingual children, at least in their dominant language Social emotional benefits of bilingualism Access to L1 and L2 allows learners to have communication options during their social interactions with both the majority and minority languages Aids in development of social skills Participating a 2 communities supports positive psychosocial skills Promotes positive identity and social-emotional development

7 Language learning around the globe Nationally recognized languages (of equal status) in the following countries: Canada: French and English Switzerland: French, German, Italian, and Romansh Central and Northern Europe: Danish, Dutch, English, German, Swedish Western and Southern European regions: French, Italian, Portugese, Romanian, Spanish China: Mandarin Chinese, Standard Mandarin India: Hindi, English Why is it ok for hearing babies?

8 but it s not ok for deaf/hard of hearing babies? DEAF/HARD OF HEARING CHILDREN: THEIR JOURNEY BEGINS AT IDENTIFICATION Newborn Hearing Screenings All states have established Early Hearing Detection and Intervention (EHDI) Forty-three states (plus D.C. and Puerto Rico) have mandated newborn hearing screening programs More than 95% of all newborns born in the United States are screened for hearing loss shortly after birth Many infants with hearing loss are identified at a few weeks of age Research Portfolio Online Reporting Tools.

9 Benefits of Newborn Hearing Screenings Centers for Disease Control and Prevention (CDC) report: 77% of children confirmed to have a permanent hearing loss were enrolled in *intervention programs by six months of age Early identified deaf and hard of hearing children perform significantly higher than late identified children in language, cognitive, and academic areas Research also confirms that children with highly involved parents perform significantly higher in language and cognition than children with less involved parents * See next slide for the Deaf perspective on what intervention means Intervention the other perspective The Deaf community views intervention as an opportunity for families: to be introduced to Deaf mentors to become educated about Deaf Culture and all that it entails (language, art, customs) to learn about accessible language models and how they can support their child s cognitive and language skills immediately, as opposed to waiting for medical intervention (i.e., amplification, surgery, etc.) APPROXIMATELY 95% OF DEAF CHILDREN ARE BORN TO HEARING PARENTS In a parent survey conducted by Decker, Johnson, and Vallotton (2012), medical professionals, audiologists, and speech language pathologists were listed as the primary sources of information (Conclusions and Implications section).

10 Medical Professionals medical professionals have historically been the first point of contact for parents of deaf children, and while their expertise is valuable, it is primarily limited only to their medical areas of expertise (NAD Position Statement on Cochlear Implants, 2000). Advice from medical professionals were typically in line with an audiological model as opposed to a sociocultural model, which impacted the parents decision between a speech only versus sign language approach to communication. (Decker, Johnson, & Vallotton, 2012; Eleweke & Rodda, 2000; Li et al., 2003; Meadows-Orlans et al., 2003; Young & Tattersall, 2007; Young et al., 2006) Guidance from medical professionals PRIORITY: To fix the hearing loss To provide early access to sound AFTER THOUGHT: Sign language Exposure to a visual language Many professionals will recommend sign language as last resort. (See Hintermair & Albertini, 2005; Knoors & Marschark, 2012; Lane, 2005; Percy-Smith, Cayé-Thomasen, Breinegaard, & Jensen, 2010) Parents can feel Scared Confused Helpless Desperate for answers Looking for direction So they may Accept one sided advice Think that they have to choose between 2 worlds Want to make their child hearing Choose against providing a visual language model

11 THE DEAF PERSPECTIVE EARLY INTERVENTION: THE MISSING LINK YouTube: Uploaded on Dec 8, 2011 Researched and signed by Rachel Benedict Produced by Elsie Stecker WHAT HAPPENS WITHOUT ACCESS TO A VISUAL LANGUAGE? Language Deprivation Lawrence Siegel - For deaf and hard-of-hearing children, the absence of communication and language has a crushing effect on the development of basic educational and life skills. (2006, p.3). That deaf and hard-of-hearing children continue to [have] high rates of under- and unemployment among deaf and hard-of-hearing adults, reveals the pragmatic consequences of a languageless environment. (2006, pp.3-4). Siegel, L. (2006). The Argument for a Constitutional Right to Communication and Language. Sign Language Studies, 6 (3), DOI: /sls

12 Effects of language deprivation When deprived of an accessible language in the first 3 years of life, deaf/hard of hearing children fail to meet linguistic and cognitive milestones Delayed language acquisition- may never catch up to hearing peers Underdeveloped Theory of Mind Poor literacy skills Pragmatic delays resulting in immature behavior and poor connections with peers, resulting in even less exposure to language in conversation Isolation, poor self-concept, depression Higher risk of being unemployed, incarcerated, and poor health Why is this happening? One school of thought Children cannot learn 2 languages simultaneously By teaching them ASL, we are taking away their ability to also learn English Parents aren t fluent ASL users, therefore the child does not have access to a fluent language model Children with hearing loss use sign language as a crutch and do not adequately develop their auditory skills If a brain does not have access to sound, their auditory cortex atrophies New research disproves old theories

13 New research disproves old theories Task-specific reorganization of the auditory cortex in deaf humans A recent study published in PNAS suggests that, in at least one case, these brain circuits are repurposed for a similar task. When deaf people were asked to interpret visual rhythms (represented by a flashing light), the same auditory processing regions used to listen to rhythms were activated. The proof is in the pudding Deaf Brothers Listen Without Sound In review We are wired from birth to acquire language It s time to shift our view of Deaf Culture Cultural sensitivity- medical professionals must educate themselves on the cultural perspective of being Deaf Deaf mentors must be made available to all families upon identification of being deaf or hard of hearing Parents should be provided with ALL of the information including: The socio-cultural perspective of being deaf Being in the deaf world doesn t mean you re losing your child- you are gaining a community The importance of visual language access during the critical window of language acquisition Realistic expectations for CIs and listening and spoken language approaches ONE way is not the BEST way

14 I LEAVE YOU WITH THIS Human Connection Ally Your problem is my problem. Your injustice is my injustice. Your desire to see change happen is my desire too. Thank you! Contact Information: Cassandra (Casie) Lucas-Szumigala

15 References Akamatsu, C.T., Andrews, J.F. (1993). It Takes Two to be Literate: Literacy interactions between parent & child. Sign Language Studies, 81, American Speech-Language-Hearing Association. (2004). Knowledge and Skills Needed by Speech-Language Pathologists and Audiologists to Provide Culturally and Linguistically Appropriate Services [Knowledge and Skills]. Available from Baker, Collin (2011). Foundations of Bilingual Education and Bilingualism (5 th ed.). Bristol, Buffalo, Toronto: Multilingual Matters. Bola, Lukasz, et al (2017). Task-specific reorganization of the auditory cortex in deaf humans. Proceedings of the National Academy of Sciences (4) E600-E609. DOI: /pnas Garate, Maribel. (2012) ASL/English Bilingual Education: Models, Methodologies, and Strategies. Visual Language and Visual Learning Research Brief #8. Genesee, F. H. (2009). Early Childhood Bilingualism: Perils and possibilities. Journal of Applied Research on Learning, 2, Article 2, Haynes, J. ( ). Language Acquisition vs. Language Learning. Humphries, T., Kushalnagar, P., Mathur, G., Napoli, D. J., Padden, C., Rathmann, C., & Smith, S. R. (2012). Language acquisition for deaf children: Reducing the harms of zero tolerance to the use of alternative approaches. Harm Reduction Journal, 9, Humphries, T., et al (2014). Bilingualism: A Peral to Overcome Certain Perils of Cochlear Implants. J Med Speech Lang Pathol., 21 (2), Kushalnagar, P., Mathur, G., Moreland, C.J., Napoli, D.J., Osterling, W., Padden, C., Rathmann, C. (2010). Infants and Children with Hearing Loss Need Early Language Access. J Clin Ethics ; 21(2): Lederberg, A.R., Spencer, P.E., Schick, B. (2013). Language and Literacy of Deaf and Hard-of-Hearing Children: Success and Challenges. American Psychological Association, 49, References Mitchiner, J.C. (2014). Deaf Parents of Cochlear-Implanted Children: Beliefs on Bimodal Bilingualism. Journal of Deaf Studies and Deaf Education. DOI: /deafed/enu028 Mounty, J.L., Pucci, C.T., Harmon, K.C. (2013). How Deaf American Sign Language/English Bilingual Children Become Proficient Readers: An Emic Perspective. Journal of Deaf Studies and Deaf Education, 19 (3), Piper, Terry (2007). Language and Learning; The home and school years (Fourth ed.). Upper Saddle River, NJ: Pearson Merrill Prentice Hall. National Association of the Deaf. (2000). NAD Position Statement on Cochlear Implants. Retrieved from National Association of the Deaf. (2014). NAD Position Statement On Early Cognitive and Language Development and Education of Deaf and Hard of Hearing Children. Retrieved from National Association of the Deaf. Community and Culture Frequently Asked Questions. Siegel, L. (2006). The Argument for a Constitutional Right to Communication and Language. Sign Language Studies, 6 (3), DOI: /sls

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