Hard Of Hearing Individuals Research Articles

Psychotherapy with Deaf and Hard of Hearing Individuals

ABSTRACT This qualitative study explored the subjective experiences of deaf and hard-of-hearing individuals in psychotherapy. Which culturally syntonic considerations are necessary for effective psychotherapy with deaf and hard-of-hearing individuals? The findings support the literature on multiculturalism and deafness that entail effective communication, empowerment processes, cultural sensitivity, therapist role flexibility, the imparting of information, and the development of a positive therapeutic relationship. The data focuses on the experience of communicating rather than focusing solely on the acquisition of content as well as the understanding the clinical dynamics of the transcultural relationship in order to make effective use of the social work relationship in treatment. The findings of this study add richness and depth to the existing literature on psychotherapy, with emphasis on the experiential processes of treatment.

Integrated perspective of evolving intrapsychic and person-environment functions: implications for deaf and hard of hearing individuals.

The authors review and integrate certain diverse theories to explain and suggest appropriate interventions for difficulties in socioemotional functioning experienced by many deaf persons. These diverse perspectives include a hierarchical circular systems approach, psychosocial stage theory, social learning theory, and representational models, or evolving expectancies of others. These perspectives, which can facilitate understanding of social behaviors and development and lead to improved interventions, provide background for a 3-level model proposed in the article. The model focuses on the relationship between the deaf person and the proximal social environment. The model's first level takes into account intrapsychic processes such as self-concept; the second highlights reciprocal interactions between the person and the social environment. The third describes the resulting memories and expectancies that develop and evolve and that influence the person's previous intrapsychic thoughts, feelings, and perceptions. These, in turn, affect social interactions, in a recurrent, spiraling fashion. This hierarchical model can be used as a framework for concurrent or sequential interventions with Deaf people.

Hard-of-Hearing Adolescents and Identity Construction: Influences of School Experiences, Peers, and Teachers.

This qualitative study explored the identity construction of seven adolescents who attended special classes for hard-of-hearing (HH) students for part or all of their elementary school years. Results of open-ended group interviews and written questionnaires indicated that the students strongly identified as HH people. School experiences and interactions with teachers and HH peers appeared to be major influences on this choice. The findings support the position that a HH identity may exist separate from the culturally Deaf identity. The findings also suggest that HH students need to connect with other HH individuals whether or not they assimilate into the hearing world or decide to participate in both the hearing and Deaf worlds.

Clinical Approaches in Substance Abuse Treatment for Use with Deaf and Hard of Hearing Adolescents

This article discusses the situation faced by deaf and hard of hearing adolescents who are dealing with a substance abuse problem. The article looks at the impact of communication and Deaf Culture as well as barriers to treatment and recovery for this population. Methods for dealing with and overcoming these barriers are discussed. A model chemical dependency treatment program, the Minnesota Chemical Dependency Program for Deaf and Hard of Hearing Individuals, is described to the reader.