GPS: Guide to Providing Services
A workshop for Early Intervention Providers
Communication
Considerations…. One Child at
a Time
The Learning Center
for the Deaf
June 10, 2013
Mary Koch Cline,
M.A.,
Auditory Education Consultant
Hamilton, MT
maryekoch@gmail.com
Communication Considerations...
One child at a time.
Communication Considerations...
One child at a time.
Precision
Modality
Language
Communication
Cognition
Connection
Communication Priority Pyramid
ideas
concepts
names
conversations
relationships
friends
stories
thoughts
humor
LANGUAGE
words
symbols
education
poetry
books
literature
history
internet
movies
employment
In an environment that meets the needs of the individual child.
Communication Considerations...
One child at a time.
Where do we hear?
Communication Considerations...
One child at a time.
mm oo
ee ah ah oo
sh
ee
The “Speech Banana”
Communication Considerations...
One child at a time.
• Any sounds ABOVE the recorded
thresholds CANNOT be detected.
• Any sounds BELOW the recorded
thresholds CAN be detected.
Speech “Submarine”
Communication Considerations...
One child at a time.
What CAN be
heard
Communication Considerations...
One child at a time.
What CAN’T be
heard
Communication Considerations...
One child at a time.
Normal Hearing
Moderate
Hearing Loss
Severe
Severe-to-Profound
Unaided
Aided
Cochlear Implant
Communication Considerations...
One child at a time.
Listen in…
Can you identify the meaning of 3 Afrikaans words in
the following clip:
1. _________________
2. _________________
3. _________________
Communication Considerations...
One child at a time.
Listen and look...
Can you identify the meaning of 3 Afrikaans words in
the following clip:
1. _________________
2. _________________
3. _________________
Communication Considerations...
One child at a time.
At birth, the human brain is still preparing for full
operation. The brain's neurons exist mostly
apart from one another.
Nature, Nurture and Early Brain Development Sara Gable, University of Missouri, 2004
Communication Considerations...
One child at a time.
• These connections are
formed when impulses
are sent and received
between neurons.
Nature, Nurture &Early Brain Development Sara Gable, University of Missouri, 2004;
paulnussbaum.com/gettoknow.html
Communication Considerations...
One child at a time.
• It is the creation of
these synapses that
account for learning.
• Through meaningful
repetition, sounds and
words become
encoded in the auditory
memory.
Nature, Nurture &Early Brain Development Sara Gable, University of Missouri, 2004;
paulnussbaum.com/gettoknow.html
Communication Considerations...
One child at a time.
• New: Language and concepts being
presented for the first or second time.
• Review: language and concepts that have
been presented repeatedly over a period of at
least 2 weeks.
• Routine: The language of the daily activities
of the classroom: transition, snack,
instructional routines, etc.
Communication Considerations...
One child at a time.
Vision
The Stronger
Sense
Hearing
The Weaker
Sense
Listening and “The Lazy Eye”
Communication Considerations...
One child at a time.
The Auditory “Sandwich”
Auditory
Visual Clarifier
Auditory
Communication Considerations...
One child at a time.
Use of Visual Clarifiers
Speechreading
Sign
Gesture
Picture
Representational Object
Actual Object
Fish only as “deeply” as is needed to clarify.
Communication Considerations...
One child at a time.
Continuum Navigation Guidelines
A
New
Review
Routine
AV
VA
V
kӑt
(cat)
gŎtō
(gato)
cat
ʃŎ
(chat)
Symbolic representations of “cat”
Communication Considerations...
One child at a time.
...languages with radically different sensory modalities such
as speech and sign are processed at similar brain sites.”
Petitto et al
22
Communication Considerations...
One child at a time.
Traditional Communication Continuum
AuditoryVerbal
AUDITORY
AuditoryOral
Cued
Speech
Language
Communication
Cognition
Simultaneous
Communication
ASL
VISUAL
Robbins 2001
Communication Considerations...
One child at a time.
Communication “choices”
Traditionally viewed as a “parking lot”…
AuditoryVerbal
AUDITORY
AuditoryOral
Cued
Speech
Simultaneous
Communication
Language
Communication
Cognition
ASL
VISUAL
Communication Considerations...
One child at a time.
Communication Continuum
More like a “skating rink.”
Fully
Auditory
Mostly
Auditory
Mostly
Visual
Fully
Visual
Communicator
Communicator
Communicator
Communicator
A
Av AV VA
* [Adapted source:Robbins 2000
V
Communication Considerations...
One child at a time.
Continuum Navigation Guidelines
A
New
Review
Routine
AV
VA
V
EQUIPMENT
ha
ci
fm
LING 6 SOUND TEST
m
oo
ah
ee
sh
ss
AUDITORY
ACCESS
Checklist
Noise
Communication
ER Considerations...
One child at a time.
ACADEMIC
Role of STUDENT in COMMUNICATION
OS
AV
EXPECTATION INDICATORS
Attention
3
AUDITORY
EXPRESSIVE
Modality
RECEPTIVE
Modality
AUDITORY ACCESS & ATTENTION
Boys Town National
Research Hospital
3
Familiarity
Context
CONTENT and CONTEXT
Degree of
CHALLENGE
Sign System
Interpreter Use
SIGN LANGUAGE INPUT
AUDITORY COMMUNICATION DASHBOARD
ACoRN ©
272007
Thank you!