Aural Rehab SLP401
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Help!
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| Deaf vs HH | Deaf: bilateral profound hearing loss. HH: 90% of all HL
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| Difficulties of growing up HL (5) | -Vocabulary and language -Self-concept -Emotional development -Family concerns -Social competence
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| 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.
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| Child emotional development | -Less accurate ID of emotional states. -Poorer understanding of affective words. -Decreased empathy affects friendship development
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| Child family concerns | -95% have at least one hearing parent. Parents experience sadness/relief (confirming suspicions). -Grief Cycle
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| Child family concerns - Grief Cycle | Shock - Denial - Depressed - Acceptance
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| 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
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| 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.
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| Social competence skills | -Independent thinking. -Self-direction and self-control. -Understanding feelings, motivations, needs of self and others. -Flexibility. -Frustration tolerance. -Reliability. -Healthy relationships.
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| Adolescence | -usual teen struggles exacerbated. -fewer emotional ties with friends. -prefer time alone. -prefer company of other’s with HL. -reject amplification for conformity.
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| Acquired HL due to... | Aging, medication, injury, noise
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| 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.
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| Adult HA effect | Subjects absorb perceptions as less confident, friendly, attractive or intelligent then project negative self-image.
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| Adult psychoemotional reactions | Avoidance, worry about cosmetics, full range of emotions - anger, anxiety, insecurity, stress, grief, etc. Paranoia due to conversational exclusion.
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| 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.
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| Adult social trends | Social withdrawal and avoidance techniques of fave activities (religious, family, leisure). Gradual change of lifestyle not connected w/ HL
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| Being deaf | Limited language input reduces coping skills. Trouble expressing frustration and worries. Impulsive behaviors or depression. Psychological issues may arise from communicative challenges,
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| 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
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| Deaf culture | 1 million. Shared experiences, frustrations, language (ASL), traditions, values, mores. Deaf theater/poetry, Gallaudet Univ. Horizontal transference of culture.
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Created by:
ashea01
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