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Language acquisition for deaf children
Reducing the harms of zero tolerance to the use of alternative approaches
Children acquire language without instruction as long as they are regularly and meaningfully engaged with an accessible human language. Today, 80% of children born deaf in the developed world are implanted with cochlear devices that allow some of them access to sound in their early years, which helps them to develop speech.
However, through early childhood, brain plasticity changes and children who have not acquired a first language in the early years might never be completely fluent in any language. If they miss this critical period for exposure to a natural language, their subsequent development of the cognitive activities that rely on a solid first language might be underdeveloped, such as literacy, memory organization, and number manipulation.
An alternative to speech-exclusive approaches to language acquisition exists in the use of sign languages such as American Sign Language (ASL), where acquiring a sign language is subject to the same time constraints of spoken language development. Unfortunately, so far, these alternatives are caught up in an "either-or" dilemma, leading to a highly polarized conflict about which system families should choose for their children, with little tolerance for alternatives by either side of the debate and widespread misinformation about the evidence and implications for or against either approach.
The success rate with cochlear implants is highly variable. This issue is still debated, and as far as we know, there are no reliable predictors for success with implants.
Yet families are often advised not to expose their child to sign language. Here absolute positions based on ideology create pressures for parents that might jeopardize the real developmental needs of deaf children.
What we do know is that cochlear implants do not offer accessible language to many deaf children. By the time it is clear that the deaf child is not acquiring spoken language with cochlear devices, it might already be past the critical period, and the child runs the risk of becoming linguistically deprived.
Linguistic deprivation constitutes multiple personal harms as well as harms to society (in terms of costs to our medical systems and in loss of potential productive societal participation).
Copyright by the authors: Tom Humphries, Poorna Kushalnagar, Gaurav Mathur, Donna Jo Napoli, Carol Padden, Christian Rathmann, Scott R Smith.
Credits/Source: Harm Reduction Journal 2012, 9:16. Published: 2 April 2012. http://www.harmreductionjournal.com/content/9/1/16/abstractASL milestones (L1)
- 0;0,0: Raising a bilingual child
- 0;0,1: Making first eye contact
- 0;0,2: Imitating movements and cooing
- 0;0,3: Using senses and technology
- 0;0,4: Acquiring language via interaction
- 0;1,1: Manual cooing
- 0;1,2: Following objects or people with eyes
- 0;1,3: First smiles
- 0;1,4: Using ASL nursery rhymes
- 0;2,1: Gaining more control over her body
- 0;2,2: Observing and listening to parentese
- 0;2,3: Exploring the world
- 0;2,4: Eye-hand coordination beginning; Exploring hands and objects
- 0;2,5: Communicating through body language
- 0;3,1: Gaze shifting between picture and ASL word
- 0;3,2: Communicating with eyes; Visually tracking 180 degrees
- 0;3,3: Bringing hands together
- 0;3,4: Grabbing objects within reach; gaze shifting
- 0;4,1: Gaze shifting between face and fingerspelling
- 0;4;2: Bringing hands to mouth; turn-taking
- 0;4,3: Playing contact eye game
- 0;4,4: Playing with hands, the precursor to babbling
- 0;5,1: Communicating by patting or tapping
- 0;5,2: The emergence of marginal babbling
- 0;5,3: Gaze-following turn-taking conversation
- 0;5,4: Distinguishing ASL words from animal visues
- 0;5,5: Paying attention to details
- 0;6,1: Learning the concept of object permanence
- 0;6,2: Beginning to understand what is being said
- 0;6,3: The emergence of razzy visues
- 0;6,4: The emergence of canonical babbling
- 0;7,1: Developing intentional communication
- 0;7,2: Developing an association of concept with word
- 0;7,3: Manipulating objects back and forth
- 0;7,4: The emergence of other syllabic babbles
- 0;8,1: Demonstrating constraints in syllabic babbling
- 0;8,2: The emergence of variegated babbling
- 0;8,3: Waving bye-bye
- 0;8,4: The emergence of pointing for direction
- 0;8,5: Connecting word to object or picture
- 0;9,1: The emergence of pointing for names
- 0;9,2: The emergence of finger babbling
- 0;9,3: Pointing at pictures for names
- 0;9,4: The early emergence of recognizable words
- 0;10,1: Emerging referential words: finish + music
- 0;10,2: Emerging ASL words: mother + music
- 0;10,3: Emerging ASL words: eat + more
- 0;10,4: Categorizing a group of referents
- 0;11,1: Responding to simple requests
- 0;11,2: Recognizing an ASL word in the video
- 0;11,3: Producing ASL words on torso; multipointing
- 0;11,4: Combining gestural pointing with ASL words
- 0;11,5: Combining an ASL word with razzy

