Abstract

This article concerns research and clinical issues in the provision of early intervention to young deaf children and their families. The existing outcome literature on the use of Oral-only and Total Communication approaches is reviewed. Then, the methodological and practical difficulties of outcome research are explored. The authors propose a developmental/transactional, clinically-based process model for evaluating the effectiveness of early intervention on the basis that we need to better understand how the interactions of both family and therapist/intervenor attributes relate to more or less beneficial outcomes of intervention.

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