Hearing Parents Research Articles

Hearing parents' voices: A priority-setting workshop to inform a suite of psychological resources for parents of children with rare genetic epilepsies

To understand parents' of children with developmental and epileptic encephalopathies needs and preferences for psychological resources. Using a person-based approach, a multidisciplinary panel of clinician and researchers (n = 9) hosted a priority-setting workshop to 1) understand parents' needs and preferences for psychological resources and 2) to develop ‘guiding principles’ to inform a future suite of psychological resources. The multidisciplinary panel analysed the parent priority-setting workshop data, using a combination of thematic and lexical analysis. Thematic analysis identified six key domains wherein parents (n = 8) prioritised a need for psychological resources to support adaptation to their child's genetic DEE diagnosis. Lexical analysis revealed that connection to diagnosis-specific resources provided a pathway to promote enhanced psychological adaptation, by reducing social isolation and reorienting parents towards feelings of hope. Combination of both analyses generated six thematic informed ‘guiding principles’. Codesigned psychological resources may help parents to cope with the unique and complex interplay of stressors associated with their child's DEE diagnosis and treatment. Our ‘guiding principles’ will be translated to inform a future suite of tailored psychological resources. This study demonstrates an innovative codesign approach to inform tailored psychological resources for families of children with rare genetic conditions.

The Challenges Encountered by Conventional Hearing Aid and/or Cochlear Implant Users During the COVID-19 Pandemic.

The purpose of this study was to evaluate the stress, quality of life, and access to hearing health services experienced by adults and children who use hearing aid and/or cochlear implant and their families during the COVID-19 pandemic. Perceived Stress Scale, Personal Wellbeing Index, and World Health Organization Quality of Life questionnaires were applied online to 30 adults with hearing loss and parents of 61 children with hearing loss. Also, a survey was conducted to acquire more about the demographics of people who use cochlear implants and conventional hearing aids, as well as the difficulties they encountered during the COVID-19 period. Although child user families experienced more problems than adults during the COVID-19 period, the stress levels of child user families were higher than that of adult user families (p = .05). Even though there was no statistically significant difference, the families of pediatric users had lower quality of life than adult users. The stress/anxiety problems that arise as a result of this are coming to the forefront of both patients and their relatives. The findings indicate that creative strategies should be developed to give individuals with hearing loss efficient access to hearing health services.

Resources and Attitudes Influence Acculturation of Deaf Children with Cochlear Implants.

Early detection of hearing loss leads to early intervention-related decisions. Most children with cochlear implants (CIs) are born to hearing parents. Prior evidence suggests that this increased access to oral communication and the "hearing" world means oral communication is prioritized by hearing parents. Language plays a key role within culture and these communication decisions are likely to be associated with children's level of d/Deaf acculturation. This study was based on qualitative interviews. Thirty-two people associated with 14 children were interviewed; these were parents of children with CIs, four children over age 11years, and teachers of 13 of the children. The study aimed to investigate parental communication decisions on child/family d/Deaf acculturation and the role of access to resources on children's d/Deaf acculturation development. Findings indicate two profiles of family acculturation-oral and bicultural and point to a possible relationship between access to resources and parents' decision-making process.

Parent-to-Parent Advice: What Can We Learn by Listening to Parents of Deaf Children

Parent-to-parent support is an important component of early hearing detection and intervention (EHDI) programs for deaf and hard of hearing (DHH) children. In this study, we asked parents of DHH children what advice they would give to new parents in their situation. Seventy-one hearing parents of DDH children living in Canada, Switzerland, France, and Belgium participated in interviews that included the following question: “What advice you would give to parents who just learned that their child is deaf?”. We performed a thematic analysis and developed three overarching themes, revolving around the importance of trust, the need for reassurance, and finally, the quest for help. The findings allow to better understand how parental expertise can be used to improve early intervention services for DHH children.

Exploring the Stories of Parents' Experiences With Infant Hearing-Loss Screening and Diagnosis in the United States.

For the past 20 years, birthing hospitals in the United States have required newborns to undergo a hearing-loss screening before leaving the hospital. Since the initial newborn hearing screening mandates, there has been much outcome research documenting the successes and barriers of the programs. However, we know little about the experiences of their parents during the time between screening and diagnosis. We propose that elucidating the parents' experiences with newborn hearing-loss screening and diagnosis-via their own stories-is a first step toward understanding their varied experiences and has the potential to ultimately improve hearing healthcare for both children and their families. Thus, to better understand the early hearing screening and detection experience from hearing parents' perspectives, we asked the following research question: what are parents' experiences with their newborns' hearing-loss screening and diagnosis in the United States? The present study employed a prospective, cross-sectional qualitative design. Specifically, we gathered stories from 13 hearing parents who each have a child born in the United States and diagnosed with hearing loss no later than 14 mo of age between the years of 2016 and 2020. We used thematic analysis to uncover common themes across parent narratives. Saturation was reached at interview no. 4; thus no further sampling was needed. Two major themes emerged from the data: (1) hearing healthcare experiences and (2) parents' early experiences during the period between their child's newborn hearing-loss screening and diagnosis. Subthemes were also uncovered. Three emergent subthemes related to health-care experiences included: (1) downplayed newborn hearing screening referrals, (2) clinician-centered care, and (3) medical expenses and health coverage. The three subthemes of the second theme were as follows: (1) parent-to-parent support, (2) "mom guilt," and (3) a new reality. The present study's narrative accounts from parents about their infants' early hearing detection experiences revealed several, different subthemes that emerged from the same, mandated newborn experience in US families. These findings highlight important moments throughout the hearing-loss screening and detection process, which could benefit from more effective, family-centered hearing healthcare. This knowledge also facilitates the field's move toward improved education of future and current providers and regarding family-centered approach, which could address concerns and expectations of new parents at the very start of their newborns' hearing-loss journeys.

The socialization of modality capital in sign language ecologies: A classroom example.

Gaze behavior is an important component of children's language, cognitive, and sociocultural development. This is especially true for young deaf children acquiring a signed language-if they are not looking at the language model, they are not getting linguistic input. Deaf caregivers engage their deaf infants and toddlers using visual and tactile strategies to draw in, support, and promote their child's visual attention; we argue that these caregiver actions create a developmental niche that establishes the visual modality capital their child needs for successful sign language learning. But most deaf children do not have deaf signing parents (reportedly over 90%) and they will need to rely on adult signing teachers if they are to acquire a signed language at an early age. This study examines classroom interactions between a Deaf teacher, her teacher's aide, and six deaf preschoolers to document the teachers' "everyday practices" as they socialize the gaze behavior of these children. Utilizing a detailed behavioral and linguistic analysis of two video-recorded book-sharing contexts, we present data summarizing the teacher's attention-getting actions directed toward the children and the discourse-embedded cues that signal the teacher's expectations for student participation in the signed conversation. We observed that the teacher's behaviors differed according to the parent status of the deaf preschooler (Deaf parents vs. hearing parents) suggesting that Deaf children of Deaf parents arrive to the preschool classroom with well-developed self-regulation of their attention or gaze. The teachers also used more physical and explicit cueing with the deaf children of hearing parents-possibly to promote their ability to leverage the visual modality for sign language acquisition. We situate these socialization patterns within a framework that integrates notions of intuitive or indigenous practices, developmental niche, and modality capital. Implications for early childhood deaf education are also discussed.

Deaf Children Need Rich Language Input from the Start: Support in Advising Parents.

Bilingual bimodalism is a great benefit to deaf children at home and in schooling. Deaf signing children perform better overall than non-signing deaf children, regardless of whether they use a cochlear implant. Raising a deaf child in a speech-only environment can carry cognitive and psycho-social risks that may have lifelong adverse effects. For children born deaf, or who become deaf in early childhood, we recommend comprehensible multimodal language exposure and engagement in joint activity with parents and friends to assure age-appropriate first-language acquisition. Accessible visual language input should begin as close to birth as possible. Hearing parents will need timely and extensive support; thus, we propose that, upon the birth of a deaf child and through the preschool years, among other things, the family needs an adult deaf presence in the home for several hours every day to be a linguistic model, to guide the family in taking sign language lessons, to show the family how to make spoken language accessible to their deaf child, and to be an encouraging liaison to deaf communities. While such a support program will be complicated and challenging to implement, it is far less costly than the harm of linguistic deprivation.

CHALLENGING THE ORAL-ONLY NARRATIVE: ENHANCING EARLY SIGNED INPUT FOR DEAF CHILDREN WITH HEARING PARENTS.

Learning a language is, at its core, a process of noticing patterns in the language input surrounding the learner. Although many of these language patterns are complex and difficult for adult speakers/signers to recognize, infants are able to find and learn them from the youngest age, without explicit instruction. However, this impressive feat is dependent on children's early access to ample and well-formed input that displays the regular patterns of natural language. Such input is far from guaranteed for the great majority of deaf and hard of hearing (DHH) children, leading to well-documented difficulties and delays in linguistic development. Efforts to remedy this situation have focused disproportionately on amplifying DHH children's hearing levels, often through cochlear implants, as young as possible to facilitate early access to spoken language. Given the time required for cochlear implantation, its lack of guaranteed success, and the critical importance of exposing infants to quality language input as early as possible, a bimodal bilingual approach can optimize DHH infants' chances for on-time language development by providing them with both spoken and signed language input from the start. This paper addresses the common claim that signing with DHH children renders the task of learning spoken language more difficult, leading to delays and inferior language development, compared to DHH children in oral-only environments. That viewpoint has most recently been articulated by Geers et al. (2017a), which I will discuss as a representative of the many studies promoting an oral-only approach. Contrary to their claims that signing degrades the language input available to DHH children, recent research has demonstrated that the formidable pattern-finding skills of newborn infants extends to linguistic cues in both the spoken and signed modalities, and that the additional challenge of simultaneously acquiring two languages is offset by important "bilingual advantages." Of course, securing early access to high quality signed input for DHH children from hearing families requires considerable effort, especially since most hearing parents are still novice signers. This paper closes with some suggestions for how to address this challenge through partnerships between linguistics researchers and early intervention programs to support family-centered bimodal bilingual development for DHH children.

Raising Handshape Awareness

Although previous research shows that the use of rhyme in early language stimulation has a positive impact on children’s sign language development, this area of sign language acquisition has not been adequately researched. 90% of deaf children are born to hearing parents who barely know sign language before their child is born, and yet they are the primary language role models in their child’s life. As L2 sign language users, hearing parents of deaf children teach language skills in their L2 to their deaf child who acquires sign language as one of their L1s. In this article, we focus on the potential application of the Icelandic Sign Language (ÍTM) handshape inventory in both early language intervention with signing children and in teaching ÍTM as an L2. We argue that the handshape inventory can be used as a teaching tool when teaching sign language as M2L2 to hearing adults and as a visual language stimulation tool for signing children (M1L1 or M2L1). The main purpose of using the handshape inventory is to raise phonological awareness of signing children and adults learning sign language. This can be done by explicitly teaching handshapes to adult learners and using signed rhymes in early language stimulation.

Perceptions on Hearing Aid Use and Its Influence on Self-Esteem of Learners With Hearing Impairment in Integrated Settings in Nairobi City County, Kenya

Hearing impairment has been linked to low self-esteem in children. Many teachers have noted that a growing number of students are unwilling to wear hearing aids, even though non-governmental groups such as the Starkey Ear Foundation provide them free of charge. The study aimed to discover how learners with hearing impairment in integrated units in Nairobi City County, Kenya, felt about hearing aid use and how it affected their self-esteem. Peter Burke's Identity Control Theory directed the research. The study was conducted using a descriptive survey design. Headteachers, teachers in charge of learners with hearing impairment, parents, and learners with and without hearing impairment were the target population. A total of 90 participants were surveyed, including 8 headteachers, 15 parents, 8 teachers, 51 learners with hearing impairment who used hearing aids, and 8 learners who did not have hearing problems. Data was gathered by the distribution of questionnaires to learners, parents, and instructors, as well as a complementing interview with the headteachers. Pilot research was undertaken in a Nairobi primary school. Descriptive statistics were used to analyze the quantitative data. The computer programme SPSS version 22.0 was used to do inferential statistics. Thematic analysis was done on qualitative data. The study discovered that learners with hearing loss had generally positive attitudes concerning hearing aid use. Hearing aid use had a weak positive influence on the self-esteem of learners with hearing impairment as per the study's overall findings. The study recommends that the government provide schools with speech therapists/audiologists to follow up on language intervention of learners with hearing impairment who are wearing hearing aids, as well as encourage collaboration of a multi-disciplinary team that includes teachers, parents, headteachers, audiologists/speech therapists to ensure that they benefit from hearing aid use and improve their self-esteem.

Effects of Early ASL Exposure on Fingerspelling Accuracy in Deaf Adults

D/deaf children of Deaf parents reportedly begin learning finger-spelling as young as thirteen months old, but deaf children born to hearing, nonsigning parents lack natural access to the native (spoken) language of their families, often exhibiting later language development. Forty-four deaf adults participated in a fingerspelling test of decoding-encoding pseudowords. The participants offered self-reported demographic information, including age at initial American Sign Language (ASL) exposure and parent hearing status. Analysis of variance using post hoc grouping of participants revealed significantly higher scores on the fingerspelling test among participants with early ASL exposure (p = .000; ηp2 = 0.45), and those with two D/deaf parents (p = .002; ηp2 = 0.23). Development and refinement of a fingerspelling test to be used with both D/deaf and hearing, native, and developing signers should benefit professionals working with D/deaf and hearing children and their D/deaf or hearing parents.

175th Anniversary of the American Annals of the Deaf: Part III-1961 to the Present.

175th Anniversary of the American Annals of the Deaf: Part III—1961 to the Present Peter V. Paul The editorial for this issue is the third and final rendition of a celebration of the 175th anniversary of the American Annals of the Deaf. In this issue, I cover the period from 1961 to the present. Much as in the editorials in the two previous celebration issues (Paul, 2022a, 2022b), my initial primary focus was on articles covering various aspects of the development of language and literacy. However, here I have strayed from this original emphasis to discuss other interesting, perhaps groundbreaking articles. The time frame covered by this editorial, and by this special Annals issue, has been marked by stark economic and political events in America. These include the Cuban Missile Crisis, the assassinations of John and Robert Kennedy and Martin Luther King Jr., the emergence of the counterculture of the 1960s, the Vietnam War, the stock market crash of 1987, and the fighting in Iraq and Afghanistan—to name a few. Events that have affected the education and social welfare of individuals of color, those with disabilities, and others include the Civil Rights Act of 1964, the Education for All Handicapped Children Act, better known as Public Law 94-142 (and subsequently amended several times), the American With Disabilities Act, and Section 504 of the Rehabilitation Act. The period since 1961 has also seen the rise of inclusion and the disability rights movement, challenging the utility and effectiveness of special education programs and services and our long-standing perspectives on constructs such as disability and deafness. I could go on—think of the explosive impact of the Internet and the introduction of transformational digital devices (e.g., iPads, iPhones) and social media platforms. Oh yeah, Gallaudet University appointed its first deaf president in 1988. And I was proud to be selected the first deaf editor of the Annals in 2011. Range of topics There was no avoiding the challenge posed by the selection of articles for discussion and the few chosen for reprinting in this issue. Initially, I was intrigued by the titles and quick perusals of 146 articles. This was a smaller number than those I considered for the first celebration issue (194), and much smaller than the total contemplated for the second (338). Looking at issues from 1998 to about 2010, I was captivated by a few of the editorials by the previous Annals editor, Donald F. Moores, covering controversial and interesting topics such as demography (Moores, 2001a), teacher preparation (Moores, 2003), the No Child Left Behind Act (Moores, 2004), and residential schools (Moores, 2009). Several of his editorials on cochlear implants were also of interest (Moores, 2002, 2005, 2008–2009, 2010). Perhaps Moores’s approach and style of writing served as an inspiration for my editorials. [End Page 407] Looking at articles from the inception of my editorship in 2011 to the present, I found it difficult to select articles to read (again!) and discuss or to highlight as reprints. In fact, making selections for the 50 years from 1961 to 2011 was equally difficult because I had read and synthesized a number of articles on a range of topics—such as American Sign Language– English bilingualism, Cued Speech, the developmental differences between deaf children of deaf parents and deaf children of hearing parents, language and literacy development, lipreading/speechreading, signed systems, and vocabulary—in writing my own published works. I hope that some of my readers are familiar with my stances on these issues. Of course, I promise not to say anything more here about the qualitative similarity hypothesis (Wang & Andrews, 2014, 2015). As usual, the Annals contained information on a wide range of topics—not only the above-mentioned cochlear implants (pros and cons!), Cued Speech, inclusion, and digital technology, but also communication and signed systems, instructional television, intelligence (oh, the debates…), internal speech, locus of control, mainstreaming, mathematics, the purpose of science in the curriculum, signed language, speech and hearing issues, Visual Phonics, visual sequential memory, and on and on. Several issues of the Annals provided lists of speech and hearing centers, organizations and associations (National Association of the Deaf, etc...

The development of early numeracy in deaf and hard of hearing children acquiring spoken language.

Most deaf and hard-of-hearing (DHH) children are born to hearing parents and steered toward spoken rather than signed language, introducing a delay in language access. This study investigated the effects of this delay on number acquisition. DHH children (N=44, meanage =58 months, 21F, >50% White) and typically-hearing (TH) children (N=79, meanage =49 months, 51F, >50% White) were assessed on number and language in 2011-13. DHH children showed similar trajectories to TH children but delayed timing; a binary logistic regression showed that the odds of being a cardinal-principle (CP) knower were 17 times higher for TH children than DHH children, controlling for age (d=.69). Language fully mediated the association between deaf/hearing group and number knowledge, suggesting that language access sets the pace for number acquisition.

Hearing parents learning American Sign Language with their deaf children: a mixed-methods survey.

Hearing parents with deaf children face difficult decisions about what language(s) to use with their child. Sign languages such as American Sign Language (ASL) are fully accessible to deaf children, yet most hearing parents are not proficient in ASL prior to having a deaf child. Parents are often discouraged from learning ASL based in part on an assumption that it will be too difficult, yet there is little evidence supporting this claim. In this mixed-methods study, we surveyed hearing parents of deaf children (n=100) who had learned ASL to learn more about their experiences. In their survey responses, parents identified a range of resources that supported their ASL learning as well as frequent barriers. Parents identified strongly with belief statements indicating the importance of ASL and affirmed that learning ASL is attainable for hearing parents. We discuss the implications of this study for parents who are considering ASL as a language choice and for the professionals who guide them.

The Struggle to Fit in: A Qualitative Study on the Sense of Belonging and Well-being of Deaf People in Ipoh, Perak, Malaysia.

The sense of belonging plays an important role in a person’s well-being. It also acts as a protective factor against mental distress. Deaf people struggle to fit into the dominant hearing society due to communication barriers. The multi-languages used in Malaysian families add to this communication challenge. Communication breakdown leaves the deaf person socially excluded while a poor sense of belonging also increases their vulnerability to mental health issues. Hence, this study explored the deaf person’s sense of belonging and well-being through their social experiences in Malaysia. Baumeister’s need-to-belong theory served as the theoretical framework of this study. An Ethnographic approach with in-depth interviews and participant observation was used to explore the social experiences of six Chinese deaf adults, aged 20–37, residing in Ipoh. Their hearing parents were interviewed as well to obtain parents’ perspective of the child’s well-being in the earlier years. Participants were selected using the purposive and snowballing sampling method. Upon data saturation, thematic analysis was used to identify themes, patterns, and interpret its meanings. The main themes that emerged from the data was the “struggle to fit in”, “emotional effect”, and “quality social connections”. Findings of this study can be used in the formation of policies and strategies to ensure that deaf individuals are not excluded from their communities. Cultivating an inclusive community and developing the deaf community offers a better sense of belonging, which would help increase well-being of deaf people. Future research may focus on deaf identity and well-being of deaf youth in Malaysia.

Deaf children with spoken language bilingualism: Professional guidance to parents

ABSTRACT 13% of deaf children in the UK use more than one spoken language. Parents of deaf children from bilingual backgrounds must decide whether to communicate with their child using more than one spoken language, with or without a signed language(s) as well. As most deaf children are born to hearing parents with little or no knowledge of deafness, professional guidance received during this decision-making process is critical. This study examined the beliefs of professionals on the ability of a deaf child to acquire two spoken languages and the advice professionals give to parents considering spoken language bilingualism for their deaf child. 108 professionals who work with deaf children in the UK (50 Teachers of the Deaf [ToDs], 47 speech and language therapists [SLTs] and 11 audiologists) completed an online questionnaire between the 24th May 2019 and the 1st July 2019. Most participants believed deaf children can achieve spoken language bilingualism and would advise parents to speak in their home language, regardless of the parents’ English proficiency. However, audiologists were 11 times more likely than SLTs to report linguistic confusion, and ToDs at least 11 times more likely than SLTs to report reduced proficiency in English and the home language because of bilingualism. ToDs and SLTs were found to play a key role in bilingual parents’ decision-making process. Consequently, there is a need for specific training and interprofessional learning to ensure parents receive consistent evidence-based advice.

A Deep Learning-Based Approach to Classification of Baby Sign Language Images

Baby Sign Language is used by hearing parents to hearing infants as a preverbal communication which reduce frustration of parents and accelerated learning in babies, increases parent-child bonding, and lets babies communicate vital information, such as if they are hurt or hungry is known as a Baby Sign Language . In the current research work, a study of various existing sign language has been carried out as literature and then after realizing that there is no dataset available for Baby Sign Language, we have created a static dataset for 311 baby signs, which were classified using a MobileNet V1, pretrained Convolution Neural Network [CNN].The focus of the paper is to analyze the effect of Gradient Descent based optimizers, Adam and its variants, Rmsprop optimizers on fine-tuned pretrained CNN model MobileNet V1 that has been trained using customized dataset. The optimizers are used to train and test on MobileNet for 100 epochs on the dataset created for 311 baby Signs. These 10 optimizers Adadelta, Adam, Adamax, SGD, Adagrad, RMSProp were compared based on their processing time.

Building a foundation for reading success: early American Sign Language and academic literacy outcomes among deaf and hard of hearing adolescents

ABSTRACT Although there is evidence that academic registers of English are important for hearing monolingual and multilingual learners as they develop through adolescence, there has been less research in this area with deaf and hard of hearing students. The current study sought to determine whether students who were exposed to American Sign Language (ASL) before age 5 experienced a different relationship between language and literacy skills (e.g. reading comprehension, reading fluency, academic English, ASL proficiency) as compared to students who learned ASL after age 5. Findings suggested that academic English was a predictor of reading comprehension across all students, though differences in language development seemed to exist between those who had early ASL and deaf parents as compared to students with later ASL exposure and/or hearing parents. Findings indicate the need to continued research in these areas and for increased opportunities for language learning during the earliest years of life.

Moderators and predictors in a parent hearing aid management eHealth program

Objective Consistent hearing aid use is essential for spoken language development of children who are hard of hearing. A recent randomised controlled trial of an eHealth hearing aid management education program found the intervention increased knowledge, perceptions, confidence, and device monitoring among parents of young children. Yet, it is not known which variables can be a point of emphasis to improve treatment outcomes. The purpose of this study was to investigate potential moderators and predictors in the eHealth program. Design Randomised controlled trial Study Sample Parents (N = 78) of children (42 months or younger) were randomised to the intervention or treatment-as-usual (TAU) group. Results Results revealed that high psychological inflexibility, low parent activation, and low hours of hearing aid use may moderate device monitoring frequency and knowledge; parents in the intervention improved over time compared to the TAU group. Psychological inflexibility and parent activation also predicted treatment outcomes. Conclusion The findings suggest the need to address parent psychological inflexibility related to hearing loss management, parents’ role in their child’s hearing aid management, and reported hours of hearing aid use as part of hearing aid service delivery. Identification of barriers to hearing aid management can assist audiologists in adjusting support to improve outcomes.

The Influence of Parenting Styles Types on the Intelligence and Decision Making of the Deaf

Abstract This study aimed to investigate the effect of types of parenting styles on intelligence and decision-making among the deaf. The tools comprised the Wechsler Intelligence Scale-4th edition (WISC-4) for deaf, using sign language, was used to assess deaf students’ intelligence and a scale of professional decision-making. The sample of the study included 157 deaf students in deaf schools in Jordan whose ages ranged from 13 to 16.11 years. WISC-4 was administered using sign language. The results showed that the democratic pattern was high, the level of intelligence for deaf students was average, and the professional decision-making was of a medium level. Also, there was a negative relationship between the authoritarian style, the permissive pattern, and the overall intelligence. There were statistically significant differences in the permissive type and the intelligence of the deaf due to gender in favor of females. Significant differences in speech comprehension, working memory, and overall intelligence were found in favor of mild hearing impairment. There were significant differences in the IQ level of the age variable in favor of students aged 13 years. The study recommends more research regarding the effect of hearing impairment on the psychological aspects of professional decision-making and providing hearing parents with training in sign language and rules for communicating with their deaf children. Keywords: Sign language, Deaf, The family, Family upbringing, Wechsler Scale-4, Intelligence.