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Aural Rehab SLP401

Deaf vs HH Deaf: bilateral profound hearing loss. HH: 90% of all HL
Difficulties of growing up HL (5) -Vocabulary and language -Self-concept -Emotional development -Family concerns -Social competence
Child self-concept 1.Negative reactions of others to child's communication and to hearing aid. 2. HA effect: general perception as lower intel., personality, attractiveness, and capability.
Child emotional development -Less accurate ID of emotional states. -Poorer understanding of affective words. -Decreased empathy affects friendship development
Child family concerns -95% have at least one hearing parent. Parents experience sadness/relief (confirming suspicions). -Grief Cycle
Child family concerns - Grief Cycle Shock - Denial - Depressed - Acceptance
Child family concerns - Denial -appears to block efforts at intervention. -need time to build up inner strength and to gather information. -perceived as foolish or stubborn during this stage. -in actuality, just can’t accept the diagnosis for the time being
Child family concerns - Relationships -Tendency for mother–child interactions to be more rigid and more negative. -Briefer, more directive verbal exchanges. -Less praise. -Potential impact on parent-child attachment.
Social competence skills -Independent thinking. -Self-direction and self-control. -Understanding feelings, motivations, needs of self and others. -Flexibility. -Frustration tolerance. -Reliability. -Healthy relationships.
Adolescence -usual teen struggles exacerbated. -fewer emotional ties with friends. -prefer time alone. -prefer company of other’s with HL. -reject amplification for conformity.
Acquired HL due to... Aging, medication, injury, noise
Adult self-concept -Reluctant to admit HL or to take steps. -Average of 5 years before seeking assistance. -Blame others / avoidance. -25% of candidates will utilize HAs. -75% cite cost and cosmetic concerns. -Stigma and embarrassment.
Adult HA effect Subjects absorb perceptions as less confident, friendly, attractive or intelligent then project negative self-image.
Adult psychoemotional reactions Avoidance, worry about cosmetics, full range of emotions - anger, anxiety, insecurity, stress, grief, etc. Paranoia due to conversational exclusion.
Adult family concerns Families blamed for unclear speech and leaving out. May talk around the indiv. Spouses assume hearing responsibilities. Frustration & disappointment w/poor communication. Internalization of problems as rejection. Ever decreasing efforts.
Adult social trends Social withdrawal and avoidance techniques of fave activities (religious, family, leisure). Gradual change of lifestyle not connected w/ HL
Being deaf Limited language input reduces coping skills. Trouble expressing frustration and worries. Impulsive behaviors or depression. Psychological issues may arise from communicative challenges,
Being deafened -No Deaf community ties. -Diminished ties to hearing community. -Limited to writing notes or speechreading. -Isolation, anger, frustration, denial, or depression. -HAs and CIs provide much psychological relief
Deaf culture 1 million. Shared experiences, frustrations, language (ASL), traditions, values, mores. Deaf theater/poetry, Gallaudet Univ. Horizontal transference of culture.
Created by: ashea01