Working memory and hearing impairment

Abstract

Some children, particularly those who are hearing impaired, experience difficulties in developing spoken language. Such difficulty typically results in reduced literacy skills and academic achievement. Research suggests that short‐term memory problems are a contributing factor to those language difficulties. Specific training strategies are discussed which may improve the short‐term memory ability of a child with impaired hearing.     

Parental cognitive impairment and child maltreatment in Canada

Objectives

The aim of this study was to determine the prevalence of parental cognitive impairment in cases opened for child maltreatment investigation in Canada, and to examine the relationship between parental cognitive impairment and maltreatment investigation outcomes including substantiation, case disposition and court application.

Methods

The method was secondary analysis of the Canadian Incidence Study of Child Abuse and Neglect (CIS-2003) core-data, which is derived from a multi-stage stratified cluster sample of 11,562 child maltreatment investigations.

Results

Parental cognitive impairment was noted in 10.1% of sampled cases that were opened for child maltreatment investigation in 2003, and in 27.3% of sampled cases that resulted in child welfare court application. Neglect was the most common cause of concern. With child and case characteristics held constant, parental cognitive impairment predicted investigation outcomes. The data further suggest that the relationship between parental cognitive impairment and investigation outcomes was partially mediated by perceived parent non-cooperation, mental health issues and low social support.

Conclusions

The number of children who are living with a parent with cognitive impairment and who are referred for protective services is thought to be increasing. Building systems capacity to support parents with cognitive impairment and promote child wellbeing is therefore essential to containing the human and economic costs of maltreatment and out-of-home care.

Practice implications

A broad-spectrum approach is needed to support parents with cognitive impairment and their children. Equipping services with the knowledge, skills, and mandate they need to deliver evidence-based parent training is vital. However, strategies are also needed to tackle discrimination, alleviate family poverty, strengthen the social ties of parents with cognitive impairment and in turn, improve the life chances of their children.     

Syntactic movement in orally trained children with hearing impairment

This study explored the comprehension and production of sentences derived by syntactic movement, in orally trained school-age Hebrew-speaking children with moderate to profound hearing impairment, aged 7;8-9;9 years. Experiments 1 and 2 tested the comprehension of relative clauses and topicalization sentences (with word orders of OVS [object, verb, subject] and OSV [object, subject, verb]) using a sentence-picture matching task. Experiments 3 and 4 tested the production of relative clauses using two elicitation tasks. Experiment 5 tested the comprehension of relative clauses with and without resumptive pronouns. As a group, the children with hearing loss failed to understand object relatives and OVS topicalization sentences. In the production tasks they either avoided producing a sentence with syntactic movement, by using a relative clauses with a resumptive pronoun instead of a gap or by producing a sentence without a relative clause, or produced ungrammatical sentences. They understood correctly object relatives with resumptive pronouns, which are not derived by movement. Both comprehension and production of the hearing-impaired group was significantly different from that of the hearing control group. Individual performance was strongly correlated with the age of intervention: only children who received hearing aids before the age of 8 months performed well in the comprehension tasks. Type of hearing aid, duration of use of a cochlear implant, and degree of hearing loss did not correlate with syntactic comprehension.     

The prevalence and characteristics of tinnitus with profound sensori-neural hearing impairment

This study investigated the prevalence and characteristics of tinnitus in 331 children with profound hearing impairment. Tinnitus implies an auditory perception of internal origin (noise) rarely heard by others. In view of the medical significance of tinnitus in adults, it is reasonable to believe that the same in children may have significant implications for medical and rehabilitative management. In the current study, one out of every three children had tinnitus. This finding raises some professional challenges regarding the effect of tinnitus on the affected children's behavior and performance in school.     

Parental distress: the initial phase of hearing aid and cochlear implant fitting

The results of previous cross-section studies suggest that childhood hearing impairment may lead to parental psychosocial stress. The present study investigated whether modifications in parental psychic state can be ascertained in connection with the child's treatment events and the child's hearing and speech status, in a prospective study design. Data were available on 116 fathers and mothers regarding the pre-cochlear implant examination or hearing aid fitting of their child. In the course of the child's treatment, parental quality of life improved from a low to a normal level. Among children who were at the stage of pre-examination for a cochlear implant, better hearing and speech capacity was linked to more severe impairment of the parental state. It is emphasized that the parents whose children showed comparatively good language development at the time of pre-examination for a cochlear implant were especially subjected to stress.     

Counselling clients with acquired hearing impairment: towards improved understanding and communication

This article seeks to bring to the attention of counsellors and counselling psychologists specific knowledge and awareness in working with clients with adult onset hearing loss. The need for improved awareness of the needs of these clients is argued, the experience of hearing loss explored, and psychological issues at the core of the disability discussed. Practical matters about communication that need consideration in the counselling setting are examined. It is presented from the vantage point of an experienced counselling psychologist who is herself hearing impaired.     

Embodied meaning-making: using literacy-as-event to explore a young child's small world play

This article uses the concept of literacy-as-event to explore the embodied meaning-making of a young child during small world play. Recent developments in literacy research, influenced by relational thinking, have led to a reconsideration of how meaning-making unfolds in home and school settings. The concept of literacy-as-event suggests that meaning-making is unpredictable and dynamic, responding to novel socio-material interactions between texts, people, objects and moments. This view suggests that there is a need to ensure children have opportunities to engage with embodied and material meaning-making beyond shared reading events. In this article, small world play after a shared reading event is positioned as enabling socio-material meaning-making through embodied and material encounters with people and objects. A single episode of small world play is presented for analysis. A multimodal analytical approach is used, drawing attention to the embodied interactions between a child, her adult and objects. Analysis of the data shows that the young child's meaning-making involved moments of physical and material almost-hiatus, followed by erratic movements. These often unexpected fluctuations, between stillness and motion, created generative tensions between the child and her adult, enabling creative swerves in engagement between narrative action, character traits and story themes.     

Parental resources, parental stress, and socioemotional development of deaf and hard of hearing children

In recent years, empowerment and resource orientation have become vital guidelines for many of the sciences. For the field of deaf education, it is also highly important to look carefully at these guidelines if we are to acquire a better understanding as regards both the situation of the parents involved and the development of the deaf and hard of hearing children themselves. A resource-oriented approach to deaf education has therefore proved especially helpful. If both the theoretical and practical aspects of educating deaf and hard of hearing children are to benefit, research on parental experience with deafness and research on the socioemotional development of the children must always be combined and studied in the context of resource availability. In a study of 213 mothers and 213 fathers of deaf and hard of hearing children, we used an array of different questionnaires (PSI, SDQ, SOC, F-SozU, etc.) to examine the correlation between parental resources, sociodemographic variables, parental stress experience, and child socioemotional problems by way of a path analysis model. The results show that high parental stress is associated with frequent socioemotional problems in the children, thus emphasizing the importance of a resource-oriented consulting and support strategy in early intervention, because parental access to personal and social resources is associated with significantly lower stress experience. Child development seems to profit enormously from a resource-oriented support concept. In addition, the results confirm two earlier findings: parents with additionally handicapped children are especially stressed and the child's communicative competence makes for a more sound prediction than its linguistic medium (spoken language or sign). The path models for mothers and fathers agree in all essential factors. The results are discussed with a view to their meaning for pedagogical practice, and recommendations for further research are given (longitudinal data, more representative samples, cochlear implant).     

Thought in the face of violence: a child's need

OBJECTIVE: This article provides a clinical perspective on the combined impacts on children of spousal violence in the home and the absence of attuned parental thought that accompanies it. METHODS: This article takes the form of a commentary, drawing on clinical case studies and research literature to illustrate the child's experience of "unthinking," nonreflective parental states of mind, from the point of witnessing violence through to contact arrangements post-separation. Parallel dynamics and impacts are discussed with caregiving and legislative systems. RESULTS: The article suggests that "unthinking" states of mind in parents can be as damaging for a child as the overt witnessing and experiencing of violence. CONCLUSIONS: The prevention or early overturning of unthinking states of mind, in and out of the home, greatly influences the nature of a child's recovery from domestic violence.     

Crisis intervention: Facilitating parental acceptance of a child's handicap

School psychologists consult with parents on many issues. One frequent task involves informing parents that their child is handicapped. The diagnosis of a handicap can bring on a situational life crisis for parents. This paper discusses various adjustment reactions displayed by some parents in the process of crisis resolution. Implications for the school psychologist's role with parents of exceptional children are presented within a crisis intervention framework.