Chapter_10_aural_rehab

Chapter_10_aural_rehab - Communication Disorders of People...

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Unformatted text preview: Communication Disorders of People with Hearing Impairment Extent of adverse effects of hearing impairment on speech, language, and voice depends on: Age at which loss is sustained Degree of loss Presence of other disabling conditions (blindness, mental retardation, brain damage) Time and quality of intervention Communication disorders Articulation Sound omissions and substitutions Voice Harsh, breathy quality Problems with, prosody, pitch and loudness Flat, monotone voice Language Difficulty learning grammar and sentence structure Unless special measures are taken, the average deaf child will have only 50 60 words at the age of 5 or 6, whereas the average hearing child has 3,000. A terrible power, it would seem, lies with the mother: to communicate with her child properly or not; to introduce probing questions such as How? Why? and What if? or replace them with a mindless monologue of Whats this? Do that; to communicatelogic and causality, or to leave everything at the level of unaccountability; to introduce a vivid sense of place or time, or to refer only to the here and now;to challenge the mind and emotionsor leave everything at the level of the perceptual. Poor dialogue, communicative defeat, leads not only to intellectual constriction but to timidity and passivity; creative dialogueawakens the imagination and mind, leads to self-sufficiency, boldness, playfulness, and humor, that will be with the person for the rest of his life. Hearing rehabilitation Team approach Key members may include: Otologist: Provides surgical or pharmacological treatment Audiologist: Identifies degree and type of hearing loss, fits hearing aids, aural rehabilitation http://www.youtube.com/watch?v=wJlus6c2lAQ Educational spets: SLP, educator of the deaf Prosthetic Devices for the Hearing Impaired Hearing Aids Assistive Listening Devices Cochlear Implants Prosthetic Devices Aid in understanding of speech Aid in speech reading Help with environmental awareness Success depends on: Severity of the loss Age of onset Motivation of the user Support system Why do most people reject...
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Chapter_10_aural_rehab - Communication Disorders of People...

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