Tuesday, 11 September 2012 DCAL Deaf Children Development Conference NEW SPEAKER: Hello everybody, good morning, thank you so much for coming, we are so proud that everybody said would come has come, they are all here we are so proud to be able to present all our research to you today. I just wanted to say a few words about where the ideas for this conference came from. The ideas came from this person, Lilli Risner who works in our research centre, she coordinates all our activity that means research and community, research and people outside of the university. She is the bridge between people who need to read research, need to find out about research for their work, families, their lives and the researchers themselves who sometimes forget about the people outside of the university, what they need to know and Lilli Risner keeps us on our toes. She thought this would be a good opportunity to present our research in an accessible, easy to understand digestive form, so you can take it away and use it in every day life, practice, policy making etcetera. I just wanted to say thank you first of all to Lilli for pushing this forward and getting us here to this point today. Unfortunately Lilli has got to do all the organising outside of this room so she is disappearing now. She didn't want to stay and help me present the conference this morning. So thank you. Okay, thank you again for coming. I just want to, before we start off, give some thanks to people who have made the conference possible. First of all, I want to thank City University, this is where you are now, they provided us with lots of support, audio visual support, with technical support, catering support later on, all these things that take a lot of time, a lot of different people from the university helping us. Secondly I want to thank UCL, that's another university, University College London, that's their symbol on the screen there. UCL helped us in a big way because they have a public engagement fund, money to pay for events like this and it's called the beacon, like a lighthouse, the beacon fund, and it enables researchers to organise events like this and get their message across to people who may not normally come to university events. The last big thank you is probably the biggest contribution to today and to all of our research at the DCAL centre, the ESRC, that's their symbol there, you may have seen their logo outside in the foyer. The Economic and Social Research Council have put consistent funding into our research for 10 plus years. For many years they have funded our research and they also provide very rigorous evaluation of what we do - is our research doing what it's supposed to be doing, are our messages getting across to people out there. The ESRC take care in making sure that researchers don't go off on their own on a long lonely journey, that they stay on the path of the public, engaging the social scientists around the country, the community, children, teachers, all of these people. So thank you again to the ESRC. We have a person from the ESRC here so if anybody wants to hear more about what ESRC do I'm sure Tim Wright - where are you, Tim, right at the back - he is the ESRC. Now, the event isn't just today, it's not just happening today it's happening in all these new and wonderful ways. It's happening as a blog, so if you are all bloggers you can today log on to your computers and your phones and you can take part in blogging. You can take part in twitter as well and here is the hash tag for the conference on twitter as well. This will continue after the event. It will continue in the days following the event where people will probably want to discuss things that they have heard today, but didn't have an opportunity to get those ideas out, those disagreements, those agreements, all that lovely debate. We will be using our electronic sites to host that debate as the conference begins to finish today and into tomorrow and the following days. Hopefully you can all access that information. Now, we also have the opportunity in this room to have everything filmed. At the back of the room there is a recording device that records all the presentations, all the discussion, all the debate etcetera and we are able to put that on the web in chat to format. If you want to tell your colleagues who couldn't come they can get on to the website and download or watch the presentations that they weren't able to see today. If you want to see the presentations again, go through things again, we've got all of that as well. We are very modern at City University and at DCAL. Thank you again to everybody and looking around lots of people I recognise, old students, old researchers, teachers who I have had contact with, we are all very pleased that you've taken the time to come here. It's a big chunk of your time, a full day, and we really are pleased you've decided it's worth it. Hopefully we will give you the information you need, but you must ask us, you must feel brave to be able to come and talk to us today and get more out of what we are telling you, if you need more questions, more answers. I just wanted to talk a little bit about the aims of today. This is really people who I have worked with in the past, especially deaf researchers, deaf teachers. They say to me “what are you doing to change things? It's okay you doing all of this research at the university about theoretical questions, but also what's happening with practical policy questions?” I think this is a virtuous circle, not a vicious circle. A lot of our research can be accessible, relevant and useful. Of course some research needs to be done that's maybe more pure science, it needs to be done first before it can be rolled out for practical implications, but a lot of our research, as soon as we are doing it, can be made accessible, relevant and useful. Why is that important? Of course anybody here who is involved in policy or practice, so who work with deaf children or have family members or are associated with deaf children, you need to know what kind of research should inform and give evidence to your practice and we talk a lot about this, evidence based practice, that's really difficult if the information isn't accessible and relevant for your practice, so I think that research really would benefit by this circle and this is the sort of aim of today. If we hear about what are you doing, what you need to know, that will benefit how we do our research and how we do our research hopefully should benefit your practice. You know, we can keep this debate and discussion going, at least we are talking to each other. So I just want to tell you a little bit, if you don't know, about DCAL. DCAL stands for deafness cognition, that's all the thinking, the things that go on in your head, the cognition and the language. So really we are a research centre funded by the ESRC to carry out research in the broader sense related to deafness. Everything that you could research that relates to deafness, language and cognition and thinking, that includes literacy, esteem, positive esteem, social and emotional development, interaction with the web, the internet, lots and lots of different research topics are happening at DCAL. Only a proportion of that research is relevant for children. A lot of the research we do is relevant for other deaf people, adults, interpreters, people learning sign language and today is all about the deaf children research that we do at our centre. No organisation is anything without people and we are very fortunate that we have a really good mix of people who have got research expertise in a wide area, in languages, psychology, clinical research, in neuroscience, all the sort of areas of research that will contribute, social linguistics, interpreters, all the things we do, we have researchers who themselves are experts in those fields. A constant thought for us that we are always trying to keep at the forefront of our thinking is that we research with deaf people. We are not a research centre that does research on deaf people, on the deaf community. We constantly try and train and have active members, deaf people, in our research centre, deaf people with PhDs, with post docs, international research experience. They are working as colleagues and collaborators with us in our research centre. What are the aims of today? To get across to you in an accessible way what kind of research we are doing. We've prepared a summary of all our research in hopefully a really accessible way to read about research. Rather than go away and say I have got to read those 15 research papers and never have the time to do it, we've made a booklet and we'll be giving this to you at the end of today so that you don't take it away and then don't listen to us, we want you to stay for as long as you can. This is summarised; 6 years of research in take home messages. Three things that you need to know about each of the presentations this morning. We've worked with our researchers to get them to put down in an accessible, relevant, useful way, what the research means for practice and policy, the take home messages, and this is what we'll be giving to you at the end of today. This is the dissemination of our research in a way that you should be able to understand and tell all your colleagues about tomorrow without having to say I need to go to the library. We really want to consult with you about what we are doing next in our research. We've got lots of things in the afternoon planned that you can engage with us and provoke us and get us thinking about new ideas. So this morning we are doing research briefings, these are short presentations that hopefully give you bang bang bang, the take home message in an easy to understand way and then lots of time for questions. These are the take home messages that you will have later on today. We are going to go through those this morning and in the afternoon we've decided to do a new thing, we haven't tried it before. Hopefully we need your help to make it work, it's question time, like any questions on the TV, the radio. We've got a panel of experts and we've asked you for questions, you've sent us all your questions, we've selected the best, the most relevant. People are going to stand up and ask those questions to a panel of experts and we are going to get a wide view of views and opinions from those experts this afternoon and finally if we can make it to the end of the day with full energy, we've got tea and coffee to give us some caffeine and get us going, then we are going to work on some future research plans. We want you to listen to us and we want to listen to you about that. Hopefully that's an exciting day, I'm really excited, I hope everybody gets something out of this. Please remember that this conference is about you talking to us and us talking to you. There is lots of time for networking, we haven't got a coffee break this morning, we've got a networking break. So I'm going to pass over to my colleague Mairead MacSweeney. Mairead MacSweeney is going to present her research, team of researchers, who have been working on areas to do with how the brain processes language and speech and lipreading, speech reading. Thank you. MAIREAD: Hopefully we manage to live up to this big build up of how exciting the day is going to be. Let's see if we can make a good start. I, as many of you know, many of you here have been involved in some of the research I have done, I have done a lot of work in looking at how the brain processes language in deaf adults. We are about to use some of this work to deaf children. Today I'm going to focus very specifically on the issue of reading and the research that I have done that may provide some insights into how deaf children learn to read and what we may gain from scientific research about how to inform the reading education of deaf children. So as everybody in this room knows, I'm sure, despite the fact that the majority of deaf children have non verbal IQ, the vast majority of children born severely profoundly deaf do find reading to be an incredibly difficult task. This is what I'm concerned with and of course reading is an incredibly important skill because poor literacy not only affects educational outcomes it ultimately affects employment, wellbeing and mental health. If I wasn't talking to this audience at this point I would say that often people find it surprising that deaf children find it difficult to read, because many people think reading is a visual task, their eyes work fine, what's the problem. You all know there is a lot more to it than that. Why it's so difficult is because we read a spoken language, and if you have limited access to that spoken language then you are going to face challenges. So you all know all that. What do we know from research about what are the key factors to success in reading for deaf children. Well, we do know across a range of studies that rich early language experience is critical, is important, so whether it is in speech or sign and I'm just presenting a sub set of data from one of my studies with deaf adults here and on the left we have data from deaf people with hearing impairments, so non native signers, these are adults, and here on the right deaf native signers, using British Sign Language and reading age. What's important to look at here is the solid bar across the middle, that shows the average performance of the group, what we see in these data and many other data sets that have been published, you see deaf native signers, brought up using BSL, are on average better readers than non native signers. It suggests then that this rich early experience is really important in this case for this later learning of a second language, English. So although the first language is BSL, learning English later, this rich early language experience is giving them a boost over their deaf peers who haven't had this rich language experience. Now, that is maybe quite a glib statement. The reason I have presented the data in this way with the spread of scores is to show there's massive variability within these two groups and actually if we took this group of deaf adults here, the best readers are actually on the left hand side and don't have this rich early experience. So there is this massive spread of ability but the important thing is when we look at a group, and group contrast, that we see this early experience of language and any language it seems is important to reading, giving you that robust language foundation. Nevertheless, I am going to focus on how important spoken language is to reading, because of course when we read we read a spoken language. You have to have some knowledge of spoken language to access the writing on the page. So for a deaf child born using sign language at their first language, they have this really robust first language base upon which to build then their spoken language knowledge. The research I'm going to talk about in the first part of my talk addresses whether there is a role for lip reading in reading development in deaf children. So I will actually be calling lip reading "speech reading" through this talk because this is the term we more commonly use in the literature and this is more simply because when you are getting information from the face about speech you are not only looking at the lips, you are getting information from all of the rest of the face as well, the jaw and everything else, so we more commonly term it speech reading. Okay so I'm not sure how many people have had your coffee yet but I'm going to give you some examples from a test we developed in collaboration with a number of speech and language therapists, some of whom are here, to test deaf children's speech reading skills. So children sit at the computer and they see a video and in the first test, the first phase of the test, they have to see single lexical items and they have to choose from this array what they saw. So if you have a look ... any suggestions? Absolutely, nice and easy. So now the test has three different phases, so you have single lexical items and then you have single sentences and then we have what we call stories, and these are two or three connected sentences and then you are asked questions at the end. It is presented here in English, in written English, but we also had it in BSL for the children. So I'm going to show this now, if everybody watches (screen). So the question is where was Ben going? FROM THE FLOOR: School. MAIREAD: School! You are all very good, you all have had your coffee this morning. So maybe I don't need to show it again. What did he buy is the second question? There we go, so everybody is very good at this thing. So I've shown you a relatively easy one ‑‑ remember this is designed for children ‑‑ I'm going to show you that we have designed a similar assessment for adults which is slightly more difficult. So what do we find when we use this test, when we validated this test with deaf and hearing kids? So Fiona Kyle was the researcher had a worked on this project which is now in press about to be published and she tested nearly 100 deaf and 100 hearing children ranging from 5 to 14 and interestingly she found no difference in lip reading skill between deaf and hearing children on this test. What she did find as well, is that in both of the groups, both the deaf and hearing children, that lip reading skill positively correlated with reading ability. And this was even after we controlled for ‑‑ which means we took into account ‑‑ the age of the children and the non‑verbal IQ of the children. So what I'm showing you in this plot is if you look at the green dots there, all the dots for the hearing children and then the open circles for the deaf kids, you can see that the two lines are slightly separated because the deaf children are poorer readers than the hearing children, but there is significant and strong positive correlation between how well you read and how well you speech read. Now, speech reading, Fiona Kyle has also shown in a previous study that speech reading not only correlates with reading ‑‑ so if we show that two things correlate with each other, it doesn't actually tell us much about causality, it doesn't tell us what is influencing the other, it doesn't tell us one is driving the other, because the measurements are taken at the same point in time. So Fiona Kyle and Mark Harris in a previous study have conducted a longitudinal study, so they measured children's reading and speech reading skill when they were around 7 years old and then they looked at them again 3 years later and they showed that speech reading, so lip reading skill in young deaf children, was a very strong predicter of their later reading ability. So there seems to be a very important relationship between how well you can derive speech information from the lips and then reading ‑‑ so sorry, let me say that again. How well you can derive English information from the lips and then reading that English information written down. I'm going to give you another little piece of data before I kind of put this together and what this might mean and where we might go with these findings. I mentioned a moment ago we have a similar test of speech reading ability for deaf adults, developed by Tara Mohammed a few years ago now, and interestingly in her study with adults she repeatedly found that deaf adults were better speech readers, better lip readers, that hearing adults. So here we have this conundrum, but remember what I told you a minute ago, that in our five to 14 years old there is no difference in lip reading ability between deaf and hearing kids, but then when we look at adults from 18 onwards deaf people are better then at lip reading than hearing adults. So we are missing this bit in the middle, we are missing these 14 to 18 years old, we don't know what's happening there, we need to do some longitudinal studies perhaps to look at the trajectory of speech reading development in deaf and in hearing children, because it could be that hearing children really rely on ‑‑ not rely on it, but use speech reading information when they are young to develop their spoken language and their reading as well and actually we have quite a lot of data suggesting that this is the case, that speech reading is important for hearing kids, not just for deaf kids, and maybe even very important for hearing children who have reading difficulties. But then it could be that hearing adults, their reliance on visual speech drops away; or it could be that, as deaf adults, you maybe go through adolescence and into adulthood you have more and more lip reading experience, and perhaps that's what this data means. At this point I could say, after showing you the data I have showed, I could say, right so we think speech reading is important, we think you should go out and train deaf children in speech reading: that's not what I'm saying. We need to test this properly. So I'm applying at the moment for funding to test whether ‑‑ let me get this right, whether ‑‑ I've just been told I have five minutes. Really? That was very quick! I must have been rambling a lot, I'm sorry! Okay, so what we are planning to do is testing deaf kids on training speech reading, so getting kids on the computer and giving them games to do on their own and then testing them in a proper controlled trial in school, whether training them on speech reading boosts their awareness of the internal structure of words, which is what we think is going on. Boosts their understanding that, for example, "cat" breaks down into C‑A‑T and that this is what's important for reading. We know that phonological awareness plays an important role in hearing for hearing children and also for deaf children and so this is what we are proposing to do in the future. I can talk more about that in questions. I feel like I've gone over that, but I do very quickly want to measure another angle on phonology that I'm interested in at the moment and that our research is leading us into, which is that of course of course words have a phonological structure, a structure of things that we can break an item down into smaller parts that don't mean anything like K‑A‑T and the and the same for signs, the name word can be broken down into the word the hand shape and the movement. In one of our studies we asked deaf adults in a scanner here are two pictures, chair, bear, do the English words rhymes and here are two pictures, beard, nut, do the BSL signs share the same location? And we see extremely similar networks in the brain, this is the left side of the brain, I'm showing you activation in the frontal part of the brain, in broker's area, that part here and what is called the parietal part back here so very similar activation when deaf people make decisions about BSL structure, the location in this case, and when hearing people make decisions about the sound in English words. And then we have data from other neuro‑imaging studies with data suggesting the same thing so another idea I'm thinking about is whether, if we could boost deaf children's phonological awareness of speech, by first thinking about their phonological awareness of signs and playing games with them and training them and trying to make them aware that we can have signs like "cat" and that they are made up of things that can be broken down into elements that you can change the hand shape, for example, and you make a different sign, or you change the location. So we can have "sister" and we just change the location and we can have "chocolate", you know, those kinds of games to show them that things can be broken down and re‑combined into new lexical items, maybe playing these kinds of games might get this infrastructure in the brain, if you like, up and running which might enable them to get a handle on phonological awareness of spoken words which is so important for reading. This is a little bit of a mad idea and I would be very interested to hear about whether teachers or any speech and language therapists in the audience have tried that kind of approach before. So just to acknowledge all the people involved in the team, Fiona Kyle, Margaret Harris, and Tara Mohammed, and I have been told I have one minute left for questions, so I've rushed the last bit but thank you. [applause]. GARY: What we decided to do was to save time if anybody wants to ask a question if they just stand up and ask it in sign or speech the interpreters will cope, they have said they can. We trust their ability. Normally people used to come down using sign language, but that might take a bit too much time. We've got 10 minutes for questions, please. NEW SPEAKER: Hi, I was interested to know whether, given that things that seem to be important for reading are early language, lipreading and chronological awareness, whether in your research into adults or children you've looked at adults or children who had access to English through speech, which gives all those three things. NEW SPEAKER: That's a great question and we haven't because I think in this country we just haven't got access to the numbers of children at the moment, maybe you can tell me this is changing, but up until now anyway it seems as though we haven't got access to the number of deaf children, we would need to do a proper study to look at that but you are probably aware of the research from Belgium from Jacqueline Labear’s(?) group which has looked at children who have used cued speech and your data suggests excellent outcomes when deaf children have used cued speech. Maybe it's a bit early for me to be pinning my colours to the mast, but I'm a very strong opponent of investigating using cued speech in a bilingual setting, which has been used in France successfully. The evidence is there to suggest that would be really beneficial to deaf children. NEW SPEAKER: Just by way of going on from that, and I'm not particularly familiar with cued speech, is there a difference in terms of the results, outcomes for those who speak English and Belgian? Can we transfer Belgian results and apply them here or French results and apply them here? I'm not familiar with it. NEW SPEAKER: So there are issues about how regular a language is and by regular I mean for example that C would always be pronounced at CA, but English is not like that at all. That's why it's incredibly difficult to learn to read. So the cross linguistic comparisons are tricky, but I think with the French, that we can make the contrast, I think we can say that there would be benefits, similar benefits to deaf children reading English, yes, but a lot of those cross linguistics studies haven't been done. NEW SPEAKER: You were talking about the phonological awareness of cat with sign language, looking at location and with speech, but where is the value in spelling and visual rhyme, not sound rhyme, but seeing visual patterns? I just wondered what the comparison there was. NEW SPEAKER: You are absolutely right. So in a lot of our studies we will take what you are calling visual rhyme, the letter pattern, into account and it's been repeatedly shown by us and many others that deaf people are much better to say that. Even if you present words as pictures, they are much better to say cat and mat rhyme because the ‘at’ is spelt the same, than chair and bear, where the spelling is different. It's incredibly useful. We all use it. Even hearing adults it affects in behavioural data, not inaccuracy, but sometimes in the action time you can see those visual rhymes. We factor that into our studies by accounting for it and controlling for it. NEW SPEAKER: Have we got time for one more question? NEW SPEAKER: Where I worked some schools use the ruthless scheme for reading - are you aware of that? NEW SPEAKER: Yes. NEW SPEAKER: That actually looks at the written form like chair, bear in the way it's used, I just wanted to know if you are aware of it and how it can support deaf children, the visual written word. NEW SPEAKER: Yeah, I am aware of it from my own child. I'm not aware of how it may be applied or used specifically with deaf children. For example, I'm talking about speech reading training. One of the ideas we have there, if we get the funding, is to have the visual speech face and then to have the matching, when you can see -- to have timing of the letters appear, not single letters, but as they match the phonology of what they see, that's where this mapping of the visual patterns and the visual patterns on the face really draw on that to help develop those links, but thank you, I will look at that scheme. GARY: Thank you. NEW SPEAKER: Moving swiftly on. GARY: The next presentation is some work we've been doing on what happens when children don't learn sign language like they should be learning and this is a big project that had deaf and hearing people working. We are lucky today, we've got both a deaf researcher and Ros Herman from City University, so Kate Rowley and Ros Herman presenting today. NEW SPEAKER: I want to acknowledge this is research completed as part of a team which Gary led very effectively and to acknowledge Chloe and Katie's work. This is looking at deaf children who have some difficulties learning a sign language, something that certainly interested me, but I know also interests other sorts of people. From a researcher point of view it's always interesting to know how something that happens in a different language and modality compares, so it gives you an opportunity to compare something that we know about quite a lot in the spoken language, we know hearing children have specific language impairments, but we didn't know whether deaf children had something like this as well. Practitioners are particularly interested in this because I think many of you will know there are children in the classrooms you've worked in who do have really, really difficult times learning a language, it's not the same as other deaf children. Sometimes there is a child in your class who doesn't seem to be moving forward. We know that with hearing children this is something that is possible to identify early. We can offer hearing children support for this sort of difficulty, but if we are not spotting it effectively in deaf children then deaf children might be missing out. It is the area we wanted to look at. I mentioned before that specific language impairment – SLI, I'm going to call it - occurs in 7 per cent of hearing children and it occurs in children who haven't got other sorts of problems that might explain it. These are not children who have got delayed development or social communication problems or any other neurological problems. One of the challenges though is that in order to be diagnosed as a hearing child with a specific language impairment, deafness is the exclusion in the criteria because of course if you are deaf you are also likely to have an impact on your spoken language acquisition. This means historically we haven't really identified SLI in a deaf child, but logically it could exist. We know in some cases SLI in hearing children is inherited, deaf children might also have that hereditary pattern. Language impairment can be caused by difficulties at birth and deaf children have the same sort of early difficulties at birth, we thought looking into the sign language would allow us to, if you like, move away from the problems that we know some deaf children have learning a spoken language. If deaf children are getting access to sign language then the access is (inaudible) so the question really that we were looking at was does it exist? Does it look like SLI spoken language? How are we actually going to find out about it because there really are not the measures that there are to look at spoken language SLI for sign language. Who are we going to compare these children to? These are sign language learners; you can't compare the hearing children with SLI because the language is different. Who can we compare them to? Now many of you, I think, will know that the majority, the vast majority of deaf children have hearing parents and in this group language delay is really the norm. That gives us another problem. If we are looking at a child who might have a language impairment when the group as a whole has language delay it's going to be difficult to tease those things apart. Another factor is when you are using sign language you are communicating a visual medium. There are other things you can do to help you communicate. You can use things like gesture. You are allowed, if you like, to compensate in some cases, using things like gesture and in fact the community as a whole is very tolerant of people with different levels of skill in sign language. This makes it difficult to identify children who have this persistent, very specific type of difficulty. The other challenge was that until recently there weren't any measures of sign language to be able to say whether children were having particular problems or not, but luckily in recent years we have had some views and in this project we did a test that Kate is going to tell you about in a minute. I'm going to start off by telling you about a child we met very early on, Gary and I, in the clinical facility in the university who sparked our interest. We are going to call him Paul. He was 5 years old and born deaf to a deaf family, in other words he had had really good language input in BSL from birth and there were no worries about his other aspects of development, his problems with development, but there were concerns about his language. He was at the time attending a mainstream school with some support and a very good level of support, I have to say. Sometimes deaf children don't always get such good support, but he had very little language. He actually asked for repetitions and regularly misunderstood classroom instructions when they were delivered through his interpreter. We had opportunities to assess him and we found out his vocabulary was pretty good. He had a reasonable vocabulary and the way he produced signs was fine. He signed clearly, but his understanding of sentences in BSL and grammatical aspects was poor. When we tested it over a period of time it seemed to deteriorate. It was below what you would expect from a child of this sort of background with good input from birth. He also had quite an unusual pattern of errors, some of the things we thought he would understand, because they were easier, he found more difficult and some of the difficult things seemed easy to him. His expressive signing was very, very poor - he used single signs, no grammar. He had very good facial expression and used a lot of gesture, again more gesture than you would expect a native signer to use, and also imitated a lot of what people said to him. When you gave him a story to tell he actually got out of his chair and acted it out. In conversation he would often look away; he couldn't cope really with any more language. If you changed topic, he couldn't cope with that and he would carry on talking. These were very unusual sort of patterns, so this is what sparked our interest and made us think we were going to look at this more broadly and we set about a UK study to see whether there were other cases like this and to find out a little bit more about it. So in this study we sent questionnaires to teachers and speech and language therapists in schools working with deaf children who use sign language to see if there were any children causing cause for concern, we had a check list of features they might identify, that made us think they were children under performing, regardless of the sort of language input they got. So we were looking for children who had impoverished English language, but children who had a reasonable input but weren't doing well. We screened these children to make sure any problems weren't down to verbal ability or motor skills and used standardised BSL measures and then developed some new test to begin to characterise the nature of these difficulties. We actually looked at research carried out on spoken language SLI and the sorts of tests that we used there and tests similar in BSL. Kate? Kate? KATE: Okay? Can everybody see me okay? Can you see my sign? Okay, for people that are hearing I'm being voiced over. Okay I wanted to talk about this new BSL test that we developed for SLI research. Sorry, are we okay with the mics? GARY: Can people hear at the back? (Pause). KATE: Can you hear now? GARY: Thumbs up! KATE: Okay, I will go back to where I started. We were talking about the new BSL tests. Previous tests had been developed, but we wanted to look in more detail, in more depth. There had been productive and receptive tests but we wanted to look at grammar, et cetera, so we actually developed specific tests. So we had the nonsense sign to test memory, so a sign would be made that wasn't BSL, not a proper BSL sign, and we would see if the child could copy it. In spoken language, they do a test with non‑words to see if the child can repeat the non‑words and if they have SLI there they are poor at that, so we expected a similar result, that the children with SLI would be not able to repeat. So we would do a longer sentence as well and see whether or not they could repeat that in the same way that they do the test with hearing children. And from the research that has been done with spoken language, we would expect the similar sort of results with deaf children reproducing sentences. We had vocabulary, definition and again we would expect, as with hearing children, that it would be poor. Also semantic fluency. What we would do is say: in one minute can you give us as many, say, examples of food, different foods or different animals or different colours and some children with spoken language SLI, that varies, so we expected a similar result. Okay, because they were new tests we needed to get normative data. We needed to make sure that we had data to compare with. Obviously, it wasn't a big number, but we needed to match for age and similarities in terms of school and so on. So the deaf children with SLI, or potentially with SLI, we looked at their peers within the school and did some comparisons, so that we could look at the children potentially with SLI compared to their peers. Also, in terms of a similar background. I think Ros has explained the phases. The initial phase with the 49 children, we had sent out the questionnaire and altogether we assessed 30 children; 17 of whom we felt had SLI. We also had 19 children in the control group so that gave us the comparison. Some of this is from tests that were developed previously, receptive and productive tests. If we look at the second column ‑‑ sorry, the first column, verbal IQ, BAS. All of them were within the normal range, so their language problems were not linked to cognitive difficulties, it was something separate, a different problem. The third column, which was BSL receptive, that's the orange cells there, and then the last ones are productive and again you can see the orange that shows the children that had the poor scores in productive. We had two assessments. The first assessment we had already developed and piloted but we needed more research from that in order to develop the second assessment. So it was almost like a two‑step process. In the sign repetition tests, the hearing children with SLI are very poor at repeating the individual words, so we created a new test looking at the sign repetition. We had collected norms throughout the UK and there were 40 signs in this which the children had to copy and that was a test by Wolfgang Mann. You can see from the chart behind me the light blue means that they were within the norm on range. The red means poor. Different from spoken language, because spoken language with nonsense words, most children are quite low, whereas with BSL it was a little lower. I think the difference ‑‑ it was different from what we were expecting before we started the research. This was the second repetition. We had a range of different signs: some easier, some more difficult. Again, the child had to watch and then when it was finished they had to sign. That's the whole sentence, so as you see, the list here shows the different scoring system that we used, giving points for the different aspects. The maximum score for that was 90. The dark columns there are the control group and the light are the SLI group, and you can see very different scores, the control group being much higher than the SLI group. So this shows that the sentence repetition task may actually be a useful diagnostic tool that we could use going forwards. In the fluency task, which I described before, we gave the children one minute to be able to think of all of the signs in a specific category. It didn't seem to be diagnostic per se, although the children with suspected SLI did appear to start slower, so be able to retrieve those words slower, but they caught up, as it were, by the end of that minute. So, what do our findings mean? Firstly, we have quite conclusive evidence that there is SLI in sign language users and that some of the specific language impairments are similar to what we find in hearing populations, but some of them are different. For hearing populations, mostly with the repetition there were problems but this didn't seem to be problematic for the deaf children in our groups. And that may be, I suppose, a modality effect, when you are using speech sounds with many syllables, that's something which we see in a speech stream or in spoken language, but it is not something we see emulated in sign language or in that visual modality. The sentence repetition task seems to be sensitive to predicted SLI or diagnosing SLI and seems to be useful and the fluency task appears to identify some of the difficulties children have, because they find it difficult to find the appropriate sign. We are still actually analysing the data from the vocabulary task, so I won't be talking about that any further here. This is just my last slide. So thinking about what the implications might be for all of us. Some deaf children who struggle to acquire sign language may be better ‑‑ it maybe better for them to be in a strong sign language environment and this seems to be critically important for people with SLI, so they have strong BSL role models, they have peers with whom they can sign, and this can help develop their language fluency. If you have SLI children within an unit where they don't necessarily have a strong language model, they will struggle to acquire a first language because the language environment won't suit their needs. Similarly, if they have SLI, they will need to have specific interventions from speech and language therapy. We know that many deaf children have speech and language intervention, but if a child is diagnosed with SLI they will need much further intervention than is often made and it is important that this child has the right support through education, because this is something that will persist throughout their life. So now that we have found that SLI does manifest in sign language users we need to think about how we can have a good intervention. So now we know there is a problem how do we improve their lives and their language skills? That is the next question. Thank you very much for your attention. [applause]. GARY: Okay, we have some time for some questions. Okay, we have a signing question here, just hold on a sec. SPEAKER: So you said 7 per cent of hearing children have SLI and in the statistics for deaf children you said 17 of the 49 children had SLI, so does that mean you are saying 35 per cent of deaf children have SLI? I wasn't sure on your figures, could you just clarify that please? KATE: That is a very good question. We found 6.4 per cent. So it is a similar occurrence to what we see in hearing populations. GARY: A quick response. Any questions? Right at the back there. Is it a signing question? Oh speaking, okay. SPEAKER: Hi. My question is, is there a link between deaf kids with SLI and behaviour? Do the kids present at cams surgeries, et cetera? Was there any indication during the research about that? ROS: Shall I answer that one? Yes, that is a very good question, because we certainly know that some hearing children with SLI do have behavioural problems and our screening questionnaire did ask a little bit about that to do with particularly distractibility and things like that, but we didn't really look at that in any more scientific way and I think that is research still waiting to be done. Also I didn't also mention our age group range was between 7 and 14 years so some of these children, of course, may go on to have more social behavioural problems, but we didn't investigate that in this study. SPEAKER: I'm interested you started with 49 children. What about the other 32 that were sort of picked out? What's going on with them? That seems to be an interesting group, because clearly there is concern in some way about their difficulties. KATE: Some of the children were excluded because the school was worried about their reading ability, and we were specifically looking at the sign language ability so in the questionnaire responses that we got, that's what was highlighted and others of the children who we tested, they did very well on the BSL receptive and productive test and so we didn't see any problems with their language which is what we were specifically trying to address so we felt that within our assessments they didn't necessarily fit the focus of this specific study. ROS: Can I just also add that in fact we only ruled one child out on motor difficulties as we did have a test which looked at their motor skills because that could have been a factor and also a very small number of children for cognitive reasons, because their non‑verbal development was delayed and could have accounted for the problems that they had. So that's how we managed to tease the group down. And also there were a number of children, I should say, that we weren't able to get permission to test, either from the families or someone else, so that's how we ended up with that group. SPEAKER: Hi, I just wondered if you could give us an example of some of sentence repetition task items that you used? What kind of things were you asking the children to repeat? ROS: Okay, I need to make sure I'm thinking of the appropriate one. The easy one for the children was ‘girl right’ and then that was further complexity to ‘the girl was walking outside, it rained, she got soaked’. So we start with the shorter sentences which are simple and go to longer sentences with more complex information. NEW SPEAKER: Hi, I just wanted to clarify how you separated out those who had specific language impairment and those who did poorly in the BSL test because they were poor in their sign language or poor parental sign language - what was the screening process for making sure (inaudible) different language impairment? NEW SPEAKER: That's a very good question, many children do get late exposure to sign language. That was a question we also asked as part of the screening questionnaire we sent out. Some children we didn't carry on testing because we felt their problems were because they had only had limited exposure. One springs to mind who was 7, he only had a year of exposure, you clearly couldn't say that was the cause of his problem at that stage. We asked parents to give us information about children's language exposure. We looked to include children who had access to BSL before the age of 5 and our control group were matched similarly. On the whole they were also children with hearing families who had exposure to BSL before the age of 5. GARY: I can see people are warming up now. I'm sorry but we have to try and stick to the timetable. We are going to take a pause now. You've got time to ask questions in the break. Can you come back at quarter to 12, please. (Break) GARY: We are ready to start again. So just as a little taster, we've got two more presentations, brief presentations, before lunch and then after lunch it's your turn. We've got question time, interaction, your view on things. So we are taking this in turns, we are giving you some information now, but hopefully you are going to give us back lots of information after lunch. We are thinking about food for thought, thought for food at lunchtime. I'm going to pass over to Gabriella Vigliocco, who is going to talk about how people learn sign language and how they understand sign languages and this is really relevant for people who are perhaps learning sign language as an adult or perhaps children in school who need to learn sign language. Over to you Gabriella. GABRIELLA: Thank you, can you hear me okay? So first of all I would like to thank Lilli for organising this because it's a great opportunity, also for someone like me who used to work mostly with academics, to indeed see to what extent what we are doing might have a relevance in the real world. So what I'm going to do is of course after I have introduced the people with whom this work has been done, that is the group I'm working with at DCAL, which includes some more senior people like Dave Vinson, Robin Thompson and Pamela Perniss, who is here today, and more junior people, Rob Skinner and Neil Fox, who is working with us currently. What I would like to do is to talk about 2 aspects of language and communication that are common between sign languages and what I would like to do is to ask whether and to what extent we can learn something about spoken language from sign language and to ask to what extent does the implications from looking at sign language in the way we theorise about language, the way in which we think about it, important issues like language revolution, language development and how the brain processes language. I will do this focusing on these 2 areas. The first one is iconicity, in terms of to what extent properties of a form, of a sign language, of a word in spoken language and sentences do resemble, have some visual link with properties of reference in the world, objects and actions in the world, and then I'll look at integrating to articulators, the hands and the mouth in language and what that tells us about sign language and what are the implications for the spoken language. So starting from iconicity; now sign languages have plenty of instances of iconicity, this is true in single signs and I'm giving you some examples of the sign for camera, of the sign for eating and also for more somewhat abstract domains like the sign for thinking in BSL and we see this across sign languages and I'm also illustrating here some examples in ASL. Now it is usually believed and usually argued that spoken language is iconicity challenged, but really that may not be completely the case and in fact in languages we do have cases where we can -where the actual form of the word resembles the actual noise made by the animal for example. But turning some languages -- going with the languages we know best like English and maybe Italian in my case -- but looking at Japanese for example there are more transparent links between some properties of the linguistic form of the word and some properties of the reference in the word and I'm giving you here the example for one word in Japanese that seems to capture, if you look up the definition, a very specific type of sensory sensation. In Japanese you have a very, very large repertoire of words that have this more kind of sensory feel to it. But then there's another fundamental property ‑‑ a couple of other fundamental properties of spoken languages that appear to be a lot more iconic. These are the fact that people when they speak they gesture as well and these oftentimes reflect the properties of what they are talking about and also what is called in literature prosody which is the musicality in the language, how is the information ‑‑ the envelope, the actual pattern ‑‑ that is there. That also may reflect more closely and more vividly aspects of the visual experience, of the acoustic experience and so forth. So in a sense, although this has been neglected, iconicity is there quite present in spoken languages too. Nonetheless, because I regarded most theories of language has looked at spoken languages only, these are phenomena that are less common in spoken language, they are more clear in sign language. Now, what we did in our work was then to begin to look at whether indeed ‑‑ so there is iconicity across language: does it matter? Does it have an impact in processing? Does it have an impact in development? Well, before I get to that, the other thing that I wanted to mention is that there are elements of iconicity that of course leaps along arbitrariness and it's not the case that in different languages you would see the same word or the same sign for a given reference. So, for example, Italian and English speakers use remarkably different onomatopoeic words to refer to the animals up there and likewise, if you look across sign languages ‑‑ and here I am illustrating it in ASL and BSL ‑‑ here you have the sign ‑‑ although iconic the sign for "cat" is very different in those two languages as well, nonetheless it is iconic. Now, how did we start looking at the processing? Well we looked in one experiment I would like to present here at how fast the signers produce signs for given pictures. So they were presented in this case very simply with a picture, they were asked to keep their finger on a computer keyboard until they were ready to sign and then produce the sign corresponding to the picture and we measured how long it was taking them to produce the sign and the idea behind the study here is that signers would have been faster at producing signs that were more iconic, where there was more of this transparency for words that were more iconic. In the study we also looked at people who started signing earlier and people who started signing later. In the results that I will present, when I talk about iconicity, I will refer to ratings, judgments, that native signers have provided us on a scale from 1 to 7 where one is, it doesn't resemble any property of the reference at all, to 7 this implies, yes, it does resemble a lot of properties of the objections and of the action. So the basic results here ‑‑ well, first of all, the basic result with respect to iconicity is that what we did observe is that signers were faster at producing iconic signs than non‑iconic signs. So what we have here is that increasing how iconic the sign was, people were actually faster in producing that sign. And that suggests that indeed it is somewhat ‑‑ there is something about iconicity that makes the sign easier to retrieve. We further found that ‑‑ and probably intuitively, this is precisely what you would expect ‑‑ that people who learn sign language, people who learn it as their native language, were faster than people who learned BSL later. What is interesting, however, is that iconicity facilitated, helped, for both groups. There was no difference. It is not the case that only those who learn BSL later would show the effect of iconicity or vice versa: both groups did. So next what we asked this ‑‑ sorry, I'm going to skip through this slide because of technical issues. Next, what we asked was, okay, we are seeing here that it seems like to help a little bit the production, but is this a case that indeed has any impact on development whatsoever and the way we asked this question is, well, if iconicity is having an impact on language processing, well perhaps then what we should observe is that children who are acquiring BSL as their native tongue, their native language, they would learn iconic signs earlier than non‑iconic signs. In order to address this question, what we did was to use really wonderful data that was collected some time ago by a number of colleagues, some of whom are here, that consisted of questionnaires that were given to parents and where parents were asked to tick a box for a list of signs as to whether their children comprehended, understood, those signs and produced those signs at different ages. Here, I'm just giving you some examples of the signs that were included in there. Now, what we would expect is that if, indeed, iconicity is playing a role in development, as I said, then we should observe that children are understanding and producing iconic signs earlier than less iconic signs. And here is the results for this work. Let me walk you through. We have in the first graph corresponded to the comprehension, understood signs, and the second one corresponds to production, to produced signs, and what we are looking at is the proportion of signs that are understood or comprehended depending upon the iconicity. What we found particularly interesting is that indeed children tend to understand and produce iconic signs earlier than non‑iconic ones and, moreover, there is a trend such that the younger ‑‑ this is true especially for the older children, what we see here at "late", which is the dotted line, which seemed to show more of an effect of iconicity. So indeed we have that more iconic signs are understood and produced earlier than non‑ iconic signs and this is particularly so for the older children. Now, what are the overall implications of these results from our perspective? Well, I mean, it seems like overall this data ‑ ‑ and we do have a number of other studies that have looked at BSL as well as ASL ‑ ‑ indeed showed that iconicity makes signs easier to produce and understand and to learn. One possible implication is that indeed perhaps we could take more advantage of iconicity in the learning of both sign languages and spoken languages as a L1 and L2 whereby for spoken languages I believe the very critical implication is that we should look at these aspects like the musicality and the gesture much more closely than what we have done so far with respect to, indeed, whether these other aspects that have been classified and considered as linguistic only may play a crucial role in processing and may help both the development as well as the rehabilitation perhaps. From my perspective, another fundamental implication of this work is that it forces us to re‑ think our theories of language. It has been considered up until now that arbitrariness, the fact that language and the word are only arbitrarily linked one to the other has been considered a fundamental principle of language and the only fundamental principle of language, but now perhaps what we see here is that we came to this conclusion because we looked at some specific spoken languages. Perhaps if we would have looked more broadly to other spoken languages as well as sign languages, we would have seen that perhaps iconicity also may be considered as a fundamental principle that may help in making language meaningful, in linking language to our activities and to the world. Okay, let me move now in my very little time remaining to the second area that I would like to discuss today with you, which is the integration between two articulators: the hand and the mouth in sign language and their implications. So when we produce signs, what we do have is the hand pattern are combined with English mouthings and I cannot show it because of technical difficulties, but when signers are producing a sentence like this one, they would integrate the different signs with producing on the mouth at different points aspects of the phonology of English, which is a very interesting phenomena and sometimes it is necessary to disambiguate what is being talked about but nonetheless it is being done all the same. So what we asked in this study is, what is the impact of this mouthing and, in particular, to what extent they are part of the sign lexicon, they are an integral part of the sign itself or to what extent they are in a sense showing us how signers are bilinguals, they are bringing together their two languages, from one articulator, a mouth and with the other articulator, a hand pattern. Now how do we go about trying to investigate this issue? Well what we did was to get signers to slip, to make mistakes, as we would do for speakers as well, when we want to see the processes that are engaged in production. In particular, what we were very much interested here was to see whether, when signers were making mistakes, so presented with a picture of a flower, say, they would produce the sign for "free", whether the mistake involved both the hand or the mouth, could involve only the mouth or could involve only the hand, and the idea here was that if they always go together, the hand and the mouth, well then it would appear that indeed that the hand and the mouth, although the mouthing are English patterns, they are integrated with the manual production within the mental representation for the sign. If no, well then mouthing and hand pattern might be taken as simultaneous bilingual productions. Here I'm presenting the critical results for this study. Let me walk you through because it's not immediate how to look at this. So what we have here is what was produced in the hand and what we have here is what was produced in the mouth in this experiment. So what is critical is when there were errors, the same error in both hand and mouth, and these are relatively few cases, if you look there are many more cases, 72 here, where there was an error in the hand but no error in the mouth. Now, even more striking is that well these errors were really, really few. Yes, of course, all language producers are very skilled and these errors, although we design experiments that try to induce them, occur only rarely, so that in fact for the vast majority of cases people were just correct across the board. Of course there were also a very large number of cases in which the manual pattern was not accompanied by mouthing, which may well be just because the test was actually remarkably boring. What is critical here is that they don't go together. It's not the case that when there is an error on the hand there is an error on the mouth. So it seemed to be clearly suggesting that what signers are doing is that they are combining their 2 languages, the English on the mouth and BSL on the hand. So indeed they reflect bilingual production rather than being an integral part of the sign and then indeed I guess one implication of this finding is that learning BSL in childhood does not interfere with learning English; they are independent. Okay so I'm going to stop here and I just want to thank you for listening to my presentation. Thank you. (Applause) GARY: I just want to emphasise, that trying to do this for Gabriella is like running a marathon, there is lots and lots of information that Gabriella has got across to you in a few minutes. I want to congratulate you, you did a great job. I'll open the floor for questions. Any questions, clarifications? NEW SPEAKER: I have read somewhere that you if you get a group of speakers together and they speak different languages it's going to take a lot longer for them to come up with a kind of inter language, whereas if it was 2 groups of signers with very different languages they would take something like 3 days to come up with some kind of inter language. I'm wondering if the process they go through is grouped to this. GABRIELLA: Very interesting, very nice question. Deaf people are much more common of poor signing, more used to having to cope with communication in a variety of ways in the sense they are recruiting their thinking abilities in a different way than speakers who would be in a sense more fixed on what their language should be. An example of this, the speakers take some time to adjust to people who have a different accent in a way that I don't think would be the case for signers. I think signers have the ability to adjust more quickly. Now, you may wonder to what extent is this related to their bilingual status, as bilinguals perhaps are more used to having to deal with different languages and so this helps in the adaptability. That's what they have to cope with on a daily basis or to what extent iconicity may play a role in this. You may ask, well if we were to look at Japanese and Korean people where both languages have a lot more in terms of onomatopoeia and words that more sound symbolic, more iconic, then perhaps for them it would be easier, but it's a great question. NEW SPEAKER: There is a question right at the back. NEW SPEAKER: Forgive me if I missed this detail, your definition of iconicity. A lot of people talk about iconical not iconic, it's disputed a little bit, some things seem iconic and as you become more fluent (inaudible) things might not be, signs like this for monkey is interesting because no-one has ever seen a monkey do this, do you know what I mean? Define iconicity. NEW SPEAKER: What we have been using so far is a rather intuitive notion of iconicity, related to native signers, what they see as more or less iconic on a scale. The first answer to your question is even this is not so agreeable. If you want a measure of iconicity, the fact that it's not one or nothing, it's already improving on the idea. It's not the case obviously that signs or words can be fully iconic or not iconic at all. In the spoken domain people have been looking at different types of consonants as related to spiky or more rounded, so that's a very subtle type of iconicity which you might be able to capture more given a scale, a rating, that is not all or nothing. So this is where we stand right now. It's not very scientific, not very precise, but it gives us already some insight, well at least it's a phenomenon worth studying across languages and then to what extent we might one day link properties of signs, words and visual, actual visual properties of stimuli, it's for the future. GARY: We've got time for one short question and one short answer. The person over that way. NEW SPEAKER: I was just wondering, when you talk about iconic signs, that people had a quicker reaction time when they were signing something that was iconic. Do you have any data where if you have any -- when people reach older age issues, like Alzheimer's or senility, are they able to react to iconic signs quicker than those who speak? NEW SPEAKER: We don't know. There is some data by Jo Atkinson, right here, who has shown that not necessarily iconic signs in one patient are produced more easily than non iconic signs. But to what extent these results generalise, to what extent there are conditions that clearly implies iconicity is not playing a role any more because all that iconicity does is to make a stronger link between meaning and form, but if this link is broken you cannot do very much. GARY: Thank you Gabriella. (Applause) NEW SPEAKER: Thank you everybody. This is the last presentation of the morning. I'll be presenting with my colleague, talking about language repetition task and age effect and then she will hand over to me and I'll be talking about children's language, cognition and delayed abilities. Thank you very much. NEW SPEAKER: Thank you. I just want to clarify we are not necessarily talking about repetition today, we are talking about judgment and I will explain that. First of all I think it's important to think about why the early learning of a language is important. We've already talked about this earlier this morning so again I'm going to be covering some of the same issues. We know how hearing children develop, they learn their language primarily from the family they grow up in, but for deaf children the situation is different. As Ros said earlier this morning, we know that only 5 per cent of deaf children are born into a deaf family who have sign language as their main form of communication, so it's a very small amount. The rest are from hearing families. Their sign language acquisition is similar to those of a hearing person, it's the same process. Deaf children with deaf families, their progress is the same as hearing children in hearing families - a very small number of deaf children. The remaining 95 per cent of deaf children, they are born into hearing families, most of whom use sign language. So for those children the acquisition of language could start earlier in life, later in life and realistically sometimes never and it very much depends on what their exposure is to other deaf people who do sign. We know that the later a child learns a language that can have a dramatic effect, so we want to look into that and that affects many, many children. So we were trying to develop this task, the idea was to test understanding and the fact of the age of the acquisition of language. So we asked deaf people if they could watch a signed sentence and judge if that was a possible sentence in BSL or something impossible in BSL. I'll give you an example. Actually this will test if you are paying attention, so have a look. This should be familiar because we had this example shown earlier by Gabriella. So we've got 2 different BSL orders of the sentence, number 1 at the top and number 2 below. Only one is possible in BSL, so which is it, 1 or 2? Correct. Very good. So only one of those structures is possible in BSL. So we created 120 of these sentences and they were presented in a video format and asked people to watch them and to judge which of them were possible or impossible. It wasn't a question of deciding about whether it was between 1 and 2, there were different orders presented. Actually the statistics are a little bit complicated, but one thing is very clear, deaf children from deaf families performed better in this task compared to those who were deaf people from hearing families, and I'm talking about deaf adults for a moment. So what you see in the graph, at the bottom you have the age they acquired BSL, so starting at zero, which is basically those children born deaf to deaf families, where they are exposed from zero. If we go from zero to 8 the accuracy goes down the later the BSL is applied. So that was one very clear finding, that the age of acquisition does have an affect. So what does this mean? Well it's one study and there have been a number of other studies that have had the same result and there have been a number of studies into American sign language and the findings were similar. We are starting the same findings in BSL. Where is Mairead - some of her research is starting to find these similar cases for BSL. The difference between those born into deaf families and those born into hearing families supports this idea that there is this critical period, sensitive period of language acquisition, and when that needs to happen and it should be as early as possible. So this evidence from the deaf adults and the research that we did with them, means that deaf children need to be learning sign language as early as possible in terms of the effects. Sometimes people think with a deaf child, "oh let's wait and see if they acquire spoken language and then we will introduce sign language later". The problem with that is, if you wait it actually might be too late and there is a risk there that you are denying the child access to a language in the early stages. They need to have an accessible language as early as possible in their life. So this is really I'm talking about a linguistic effect and I'm now going to hand over to Gary who is going to talk about how that affects a child in terms of the cognitive skills. GARY: So, we've already had a presentation from Kate Rowley this morning who talked about the repetition of a nonsense sign, which hopefully you can all remember. But some of you may not know why that is important. Well, when children learn a spoken or signed language, they have to be able to see or hear a word, bring it into their system, work out what that word means. So, for example, if the child sees a sign like this (indicates) "dog" or they see "rabbit" or they see "pig", they have to work out how do they know what that means. So they have to have that repeated somewhere in their cognitive system and then relate that sound or that sign to the animal, and they make that connection in their head. So when you are learning vocabulary, it is important that you do it well and it is a very important skill in life. It is the way that you understand the world, it is a way that you understand other people, you know what they are thinking, and it's also the way we access education, you need to know what words are, we need to understand what those words are, to be able to learn things. So we decided to create a test which we could administer to deaf children, we were giving them a new sign, something which we knew they had never seen before, and the reason we knew they had never seen it before is because we created them, they weren't actually signs that existed, and we asked those children to watch the screen where they were seeing the sign and then try and remember what that sign was and when the screen faded to black, to repeat the sign that they had seen. Then we filmed them and we looked at the mistakes that they made and that showed us how they started to process that vocabulary and what was happening in their brain when they were trying to repeat the sign that they had seen. This is a test which is very similar to normal language development: every day you hear new words, you see new signs, and you have to retain them and remember how you can then reproduce them and the better you are able to do that, the better you are able to develop your language. If there is some problem with your mental system and you are forgetting them, then it makes a ‑ ‑ it is difficult for you to then understand the world that you live in. So this is an example of one of our nonsense signs that we created. So what did we find? Looking at deaf children, at the age of 4 they made quite a lot of mistakes or errors: they would drop things, they would repeat the wrong aspect of a sign, they would confuse the order that things should happen in. So about 40 per cent of what they did were mistakes. By the age of 7 they had improved and by the age of 10 they were a lot better, as one would expect. If you remember earlier, Mairead talked about correlations and this skill seems to be correlated with grammatical ability so if you are good at grammar and how bits of language are related to each other, this seems to be related to vocabulary. So these are different areas of language skills that are related to each other. Good grammar correlated to the repetition of these nonsense signs. It also correlated with motor ability. We tested them again with bead threading, so threading beads onto a string, and if the children were able to do that quickly they were better able to repeat their nonsense signs. So this again seemed to be related to sign language learning ability. The next part of our story was that we wanted to look at cognition and that's what I will focus on now. So if you imagine you are at home and your daughter says, "oh I've finished making a really lovely cake", so obviously that tempts your appetite. If somebody was watching as we can see there that boy is looking at the cake from his computer going "yum". Now I have a sad story to tell you. Your daughter was lying. She definitely made a cake, it just wasn't edible. So that is an interesting problem because the daughter needs to think about your thinking. When she is saying "I've made a cake", she needs to be able to think about cognitively that she is using the word "cake" in a metaphorical sense and that you may understand that. What about this little boy? How do you get into his thinking world? Would he understand when you used the word "cake" that you mean something which is inedible, do you think he would understand that in that interaction? Most people are saying no in the audience. So they haven't yet developed that way of thinking about other people's thought worlds. When psychologists were trying to test this ability, this able to think about somebody else's world, they used this, this experiment, which is an explicit false belief task. One of the problems with this test which has been noted in the literature is that there is language in the test, there is quite a lot of language to explain the test, you have to explain the story, the children have to explain the words, the sentences, and lots of things. So we wanted to create a test which was suitable for very young children, deaf children, and we also wanted to make it language‑ independent, so we were testing their cognitive skills rather than their language ability in understanding the task. There has been quite a lot of research within psychology which states that if you show pictures to mothers normally, and you explain the picture and you ask them to explain the picture to their baby who is one, two or three years old, about Father Christmas and thinking about what this girl would want for Christmas, you can actually see how the mother presents that information to their children, you can look at that language. Specifically thinking about how you go into somebody else's thought world, how you can predict what people will be ‑ ‑ what your children will be able to understand, so in that mother talk, or mother‑ ese, if the mother is using lots of things like "think", words like: think, no, remember, know, don't know, understand, dream, wonder and these kinds of cognitive words in relation to thought, then the children quickly develop that kind of ability to empathise with other people and they understand that other people in the world have a different experience to them. But if the mother talks about physical things like, "oh he is chubby in a red suit and he has a beard and has a hood", although that is interesting it doesn't seem to enable the children to develop this ability to think of somebody else's thought world. It is not predictive of that. So we wanted to create a new test to explore this phenomena, that something that would be suitable for two year old children, so this used ‑ ‑ we were able to use an eye tracking device, which actually looked at where the 2‑ year old children were looking when we showed them this stimuli. So in this video you see a mouse and it either hides in the yellow box or the red box. Then in the next scene, you see the cat and it either sees where the mouse has gone or it doesn't see where the mouse has gone. So if the cat then sees that the mouse is in the yellow box the cat then disappears from the scene and then that pesky little mouse goes to the red box, so you know that the mouse is in the red box, but we know that because the cat isn't there the cat doesn't know that the mouse is in the red box. So then we see the cat entering the scene again and you are interested to know whether you can predict where the cat will go. If the child understands that, because the cat has disappeared, the cat will not have seen that the mouse has moved and they will know that the cat will go to the yellow box. It means that that child will tend to look at the yellow box because that's where they expect the cat to go. If, however, the child looks at the red box, it means that they are not able to climb into the thought world of the cat, because they haven't realised that the cat is not there, so they don't know what the child knows themselves. So with this task they are exploring this idea of the children being able to understand other people's thought worlds, but we are not using any language. So in that way we are able to just look at that cognitive skill, rather than it be a language‑ dependent test. When we first started researching this, I thought, "well, it may be that deaf children will have a problem with meta language, with the cake story, that kind of thing", if you are from a hearing family you are quite good at developing this whereas if not it is not so good but with this task we should be able to capture whether it is possible for deaf children to do this or not. I was really shocked to find this result, which was that deaf children of the age of 2 from hearing families were not able to go into the thought world of the cat at all. At the age of 2. So already that seems to be identifying an early cognitive problem. So I was then interested, we know as I have said before, if a mother uses lots of cognitive words like "think, know, remember", then that can facilitate a 2‑ year old child being able to understand other people's thought worlds. So I was interested in the type of language that the deaf children were exposed to. The dark columns are hearing mothers using spoken language with their hearing babies, so lots of words which are about think, know, for example, you can see in this column here. Hearing mothers with deaf babies, however, change their language. They don't tend to use these types of words, these reflective words or cognitive words, they tend to describe physical attributes. So the red coat of Santa Claus, for example. So it seems that parents really need to ‑ ‑ what I was interested in was where do parents gain information about how they should interact with their child? Do they read about that? Do they learn about that? Who tells them how they should communicate with their kids? That is an open question which I'm kind of throwing over to you, but I think I'm out of time so I will stop there. [applause]. GARY: I think we have time for 2 questions, maybe one for Kearsy and one for me or we can hold those questions for later, after lunch, you will have time for interaction. Any thoughts? NEW SPEAKER: If a child's deaf and the parents are hearing, if the child has information from school, about thinking about other people, how can we achieve that? How can we benefit the parents in that way? GARY: I think that happens quite a lot. It may be that there is quite a lot of information that is clearly explained at school, but communication is more problematic at home. So if you are learning something at school then most people want to have the opportunity to practice talking about that at home and that's how you really solidify what you've learnt at school. If you are not having that reinforced at home often you will forget that and we know often when kids come back to school after 6 weeks holiday they have forgotten what they learnt last time, so you have to start that thinking process again. That's a good point. NEW SPEAKER: Looking at the results you've got there, you've got deaf children of hearing parents and hearing children with hearing parents. What about deaf with deaf parents, where are the statistics for those? GARY: We haven't carried out research on deaf with deaf yet. We know that deaf from deaf families at the age of 5 do have this ability to go into other people's thought worlds, that's not a problem for deaf and deaf families, but we know that it's more problematic for deaf children from hearing families. So one of the reasons why we haven't actually looked at the population of deaf from deaf families is because it's quite hard to actually find participants at the age of 2, from a deaf family, so at the moment we've collected the data which is easier and also where we know there may be a problem, but in the future we would like to collect some comparative data. I think I'll hand over to Lilli. LILLI: So we've had all these presentations this morning. You've got all the information about what research has taken place and this afternoon is your opportunity to talk about whether deaf children and education and the experience has improved. We know it hasn't. We need to think about the future and we need your feedback, we want lots of questions from you, maybe you can talk about your own research or own experience, so please do ask questions. In terms of networking, we want to encourage you to do that, you have your name badges and if you look behind the email addresses are in there, you don't need to write them down. Please use that opportunity to network. There are 5 interpreters present this afternoon, please grab one if you need one for any communication reasons. Just to let you know we do have Wi-Fi available and the passwords are up on the wall, so if you do want to twitter or blog about the event and tell people what your thoughts are so far then do. So during lunch I hope that you will be thinking about the questions and ideas that you may have for future research. I look forward to your questions. We are back at 2 ready for our panel discussion, each of which will have some very interesting and different views and will be fascinating. Those of you who are part of the panel could you actually come down here and we'll have a brief meeting. Everyone else enjoy your lunch. (Lunch break) GARY: Good afternoon, I hope you had lots of food and lots of thought and we are going to start off this afternoon with question time and we are very lucky to have a chair, they are not in the Dimbleby family, I'm sorry, but we are very fortunate to have Simonetta Agnello-Hornby. If Shakespeare were here he would say she is a woman of many parts. She is a lawyer, Anglo Italian, has worked for many years in Brixton in London and has worked a lot, when I say a lot, I mean she has had a big impact in the human rights of children around the world. She has pushed for different aspects to be put into European and World law, conventions on human rights and she has many deaf connections, which she will maybe explain later on at coffee. She is going to look after us this afternoon. Now I'm going to pass over to Simonetta and she is going to introduce all of the panel members. SIMONETTA: Thank you very much for inviting me and it is so wonderful to see so many. We have questions already to ask and we have a wonderful panel so I shall be quick. As any chair that is good, I should say very little about me. The only thing I will tell you is that my cousin was deaf, she is now dead, she would have been 90. Italian deaf language is completely different, that's another thing that separates and unites people in the world. We have to think of that as well, particularly with immigrants who may know how to read people here, but may not be able to know how to read and understand people back home, but what you are doing in England is fantastic. I have a deaf client and I have learnt how to communicate with her somehow. For all my sins I did 2 bicycle rides for the Deaf Children's Society, the first day I rode the saddle the wrong way, to this day I have never forgotten it. That's why I'm here, thank you. Now I will introduce the members of the panel, which is incredibly impressive and I shall ask each of them if they could wave to identify themselves and, in my fantastic organisation, I can't find the paper. Ian Noon. You know who he is. He works at the ministry of -- I have lost you. Oh here we are, Ian he works at the National Deaf Children's Society on policy issues, an active campaigner for deaf children's issues, politics, family, education provisions. Dr Hilary Sutherland, you do know about her, she is a deaf academic and researcher and focuses on research about development and bilingualism. Robin Ash is not here. Katherine(?) is here, you know her, she's a manager of the Children and Family Services and she has a tremendous amount of experience in working with children and families. Dr Archbold, Sue Archbold doctors in Italy never have a name, just the surname. Dr Sue Archbold, director of the Ear Foundation is interested in how to best use and manage cochlear implants. Gwen Carr. She worked for many years as a Teacher of the Deaf and is deputy director of the Newborn Screening Programme and Brigitte McWhinney, last but not least, she works in interpreting and media and I would give a big applause to the panel for coming and being here. Now we start with the questions. The questions have been carefully made and the person who is going to make it will stand up and give it and then it will be read by me again, I think, and translated. GARY: Our first question. MARK NELSON: I can see there are a lot of people here. Okay, let's see where my voice is coming from. There’s about 15 years experience and research and academia going on, but when it comes to education for the deaf it doesn't seem to have been improving over the last years, what do you see we need to do to improve the quality of education for deaf children? SIMONETTA: Excellent question. This is a fundamental question, profound. It will be the first but I would like it to be also the last at the end of the contribution of all the persons on the panel or some of them, now I will start with Ian Noon. IAN NOON: I think I'm speaking with my campaigns hat on and I think part of the answer has to be about money, I think initially there has been a lack of investment in specialist educational support services for deaf children. There's something called the Consortium for Research Into Deaf Education, or CRIDE, and they do an annual survey and last year they found that at least 18 services teachers of the deaf were working on average with around 80 deaf children each and in a worst case scenario they deal with about 140. In some areas it is 140 children. And it's really hard to believe that in those areas deaf children are getting the help that they need. And of course with all the spending cuts happening right now I think our big worry is that a bad situation is going to get worse. Which is why at NDCS we've launched our saving futures campaign and we are trying to highlight that as an issue. But unfortunately it's not just about money, it's about how you spend it. I think one of the things I'm really interested in is whether funding is being invested properly in the early years. We know that newborn hearing screening programmes were rolled out about six years ago, we know that there has been a fair amount of research about what support is meant to happen and yet we still know that too many deaf children are starting school without age appropriate language. So what's going on? Is the help wrong or is it not being applied properly or is the right support being given but not enough of it or is it something else that we don't really understand? I think trying to work out what's happening in the early years needs to be a priority, I think, for me, for future research and deaf education. [applause]. NEW SPEAKER: Thank you very much. I think I would like to hear also from Katherine please. SPEAKER: Okay, the BDA have two campaigns, one is about bilingual education for deaf children which is in BSL and English. The other thing the BDA wants to do is to continue to make sure that bilingual education can continue to develop through deaf professionals and hearing professionals working in collaboration together with those deaf children and with the educators to make sure that education is of a high standard. If that doesn't happen the level will remain as the plateau it is at and it needs to continue to develop. SPEAKER: I thought of two speakers but I would like other members of the panel to answer if they want to, and give their own side of their own profession. SPEAKER: I think what you said in your question was really important and the answer is, we don't know how deaf children are doing really. There are a lot of teachers of the deaf in this audience who would say: I know many deaf children who are doing fantastically well. I know many deaf children who are doing fantastically well and I'm sure others do. Equally, we know of many deaf children who continue to under‑ achieve. I think two things: we have to be more honest and open about evidence and I'm saying that really to teachers of the deaf, who quite often don't feel comfortable in talking about their children's outcomes and being really honest and until we are properly open and honest and then we can look at what is it that helps deaf children do well? What are the circumstances in which deaf children thrive educationally, but also socially and emotionally because that is part of your education as well, and begin to identify what works, for whom and when. Because deaf children are different. I use the term "deaf" obviously fed through from my NDCS background to mean that full spectrum of hearing level and different children may need different things. Different children thrive with different inputs. And we need to work with researchers to honestly look at what are the things that work for deaf children and families in what circumstances. So I would make a plea for more evidence to come from the field and really address what the needs are, rather than saying that one‑ size‑ fits‑ all. [applause]. SPEAKER: I think that's an excellent question. And it is not possible, I think, as I said previously, there is not one‑ size‑ fits‑ all and there is not one answer that is going to answer the question, but something that is undeniable is that it is important to have a deaf community involved more, that deaf education historically has always put deaf people to the side, not had them involved, and deaf children historically and still today do not know that there are deaf adults in the world. They don't know that these things are happening and deaf children then don't know that if we have deaf adults around more then we are going to see that, there is going to be more collaboration and in addition to that, I think there needs to be a big attitude change. Within deaf education I think we need to focus not on the ears and audiology, and I think that is what it has been, I think maybe audiology ‑ ‑ I think within itself it is worthwhile and valuable, but it should not have anything to do with deaf education and unfortunately it has become merged together. For a lot of deaf people they were trained ‑ ‑ teachers of the deaf, sorry, have been trained how to use audiological equipment and what to do and they become qualified teachers of the deaf but they can't communicate with deaf children and I don't understand that. I think focusing on the ear a lot less ‑ ‑ I mean I have four children and my youngest child does use hearing aids so I'm not saying throw away the hearing aids, don't use audiological happen, I'm not saying that but I'm saying within education there shouldn't be such a focus on what hearing is and ‑ ‑ [applause] NEW SPEAKER: Thank you very much, Brigette, for what you say and also I have learned something else that the French speak so fast that the interpreters had difficulty but they did it but I couldn't at one stage but that is my fault because I don't know your language and I should have learned it. But thank you very much indeed. I wonder what an Italian would have done. [laughter]. SPEAKER: Okay, I don't know if you can see me signing, shall I stand? No, okay. So my question I guess in response to what Mark has said, I think there needs to be a better collaboration. Historically, I think the same question has come up time and time again, but what we are missing out on is training for deaf people to become educators and I think that's really appropriate, and even this morning when we were talking about issues to do with linguistics and, you know, in regards to access and intervention, I mean why aren't deaf people working in training in those areas? Having teachers of the deaf who are hearing, they grow up with their own life experience, but when you have a teacher of the deaf who has grown up deaf and who can understand the deaf experience, that's going to make a whole different framework for the teacher who is working with the deaf children and I think that's really important. I do think there needs to be more research in regards to that, to see how we can make education better for deaf children, particularly in regards to the issue of learning English, I think that is really important in teaching deaf people English. For me personally I struggled with that and I have a PhD and yet I still struggle with English and so I think that is imperative and I think we need to be able to find a way how to pass that learning over to deaf children so that they can learn. [applause]. SPEAKER: Thank you. I will be brief because much of what I want to say has been said by other members of the team. I would just like to say that although I was introduced with my cochlear implant hat on, as a teacher of the deaf for many years including before the advent of implants I would like to say I think this is one of the most important questions about deaf education and I would defend the right for every deaf child, as Gwen said, at whatever level of deafness, let's not forget the diversity of deafness, and the diversity of the deaf experience and the diversity of children and their families, and the right for them to have the best and most appropriate education. So, as Gwen said, we cannot put them in a box, people say to me: what sort of education does a child with a cochlear implant need? How do I know? It isn't one‑ size‑ fits‑ all. There is such a diversity and as Gwen has said there has been a lot of rhetoric about deaf education and it has got in the way of us providing an evidence base, of us providing and developing proper assessments for children so that we know what each individual needs and then we might be able to provide it. So thank you for the question, and I will stop there because I don't want to repeat what other people have said. Thank you. [applause]. SPEAKER: Now, there is question number two, which is to be read by Enid Hitton. Enid, there you are. GARY: Enid where are you? Catch! SPEAKER: What are the issues of bilingualism in deaf education with regards to deaf babies acquiring their first language? SPEAKER: If the interpreters forget to give me the thumbs up, it will go very quiet! That is a very profound and difficult question and I'm going to ask Hilary Sutherland to start the answers. SPEAKER: I think there's two issues here. One is for the child's acquiring of the language, and one is also in providing a language‑ rich environment and I think the issue is how to provide that. We know that a lot of ‑ ‑ most deaf children born to hearing families where they are not using sign language in the home so the parents then have to learn BSL and to become confident in using that. At the same time that that may be going on, there's learning going on for the child, there's playing, there is learning some single signs and I think learning to make mistakes and all of those things, that helps a child to learn grammar. Now, for hearing children, they may say words, pick up information, hear that they might have said something wrong, pick it up incidentally, all that sort of thing will affect and help their speech. With a deaf child with hearing families, when they are learning their behaviour, they are learning all the language, sometimes the first time that they are going to learn any signs at all, the parents might at that point intervene and so what it means is that they are not making normal grammatical errors as a hearing child would. Now, when you have a deaf child from a deaf family, for example, they are going to have that normal interaction as a hearing child with hearing parents would, where they make mistakes, learn what they are doing and they are watching other people develop. So it is that kind of intervention that affects natural development. Now, when the hearing parents are learning sign language, I mean that's fantastic, but if they are learning at the same time, almost at the same pace as the child, in a way that's unhelpful and they should be, as any other parent, in advance of the child, so that they can emulate the appropriate use of language. So, for example, you may have a child that say, you know, "mummy, look there is a car" or "mummy, look there is a cow" and the mother might then say "oh don't worry we are nearly there" and they are at cross‑ purposes because the mother doesn't have the rich availability of language which is what a parent should have so that their child can learn from that. I think that that can be complicated and I think we have to accept that that is the case, but a lot of, you know, children will say, "oh you know, my parents, they try to sign, bless them" and there will be others who say "oh my parents are really good at signing", but what it does mean is that for that deaf child, it is important to them that their parents have learned sign language because it means that you are valuable to them and they want to learn your language, and what I think is important is how we are working together so that the parents are working together and seeing what the difficulties are, understanding each other and dealing with those roles. SIMONETTA: Now I shall ask Brigitte to be slower and shorter. BRIGITTE: Okay, I think bilingualism is a difficult dynamic anyway. For me, I have been quite lucky as I have grown up in a deaf environment so I don't have to think about these things, it just happens quite naturally for me. I now have deaf children and for me that's natural, but I appreciate for hearing parents who have a deaf child there does need to be encouragement, something provided, something introduced like communication. It doesn't mean necessarily they will know about SL from the day the child is born, but allowing them the right environment where no-one is saying you must do this and you must do the other, because what's really important, and as a mother myself I appreciate that as parents you know communication is important, that rapport with your child is important and you are already dealing with a stigma. From the child's perspective -- I'll say it in English, effortless. Language acquisition needs to be effortless for a deaf child. I'll carry on in English sorry. My mind is a little bit complicated, but what I'm thinking is crucial for a deaf child's perspective is to be able to be in a good environment full of communication and for hearing parents to be encouraged by professionals to embrace the visual, it doesn't have to be from day 1 BSL; it can just be embracing actually their family, becoming a deaf family, if one member of the family is deaf then the family is deaf. SIMONETTA: Now I wonder if any others want to contribute, if they feel that they don't have to please feel you don't have to. NEW SPEAKER: I think it's pretty outrageous that in some places the families need to learn sign language to be able to communicate with their child, costing hundreds of thousands of pounds. It’s disappointing from a campaigns point of view that the Government recognises this problem but won't do anything about it. NEW SPEAKER: I wasn't going to say anything because I think Hilary and Brigitte said it very eloquently, but just to go back to what you said, it's about babies and we have now tiny babies with parents, hearing parents as well as deaf parents, who obviously know their tiny baby is deaf at 4 to 6 weeks old. We don't expect when we have a hearing baby for that hearing baby to be wonderful in our expression with them. Many hearing parents struggle to think about how to communicate with their hearing baby. As professionals giving advice we should be saying maximise the auditory environment, but I couldn't agree more about maximising the visual environment because who knows which direction that baby will take later. If you really are thinking bilingualism you want every opportunity for the visual skills in that visual environment to develop as well as any auditory skills you might be focusing on. For me that's where having access to a range of deaf adults can help you maximise your story telling, your play and all sorts of things in that environment. Even if your child goes on to be oral or have implants, but give every possible chance to maximise those visual skills that will underpin bilingualism from the beginning, back both and ride both. SIMONETTA: Any more contributions? NEW SPEAKER: Just very quickly, communication is essentially auditory visual and the early communication skills within a relaxed family environment are hugely important. That's a fundamental way in which the baby and family develops self esteem and self esteem is the most important thing you can give a child, that's rooted in the first few days and weeks and months, so those early days of good communication are hugely important. It's about the family feeling comfortable and relaxed about that, dare I say it, whatever professionals tell them to do. NEW SPEAKER: Could I make one last point. The BBA has seen that deaf children's education has declined, deaf schools are closing down, opportunities for children to be exposed to sign language are limited. The issue of education has a lot to do with, I guess, deaf children and hearing children. For those that receive BSL from birth it seems to be fine, but what we do need to remember is the parents themselves, both deaf and non hearing parents, should have opportunities to teach BSL with their deaf children as well so that together their communication can improve. We've seen that on the international field as well, we've heard of parents who use sign language to their hearing children, we know that's happening. Why isn't that happening with deaf children as well? We need to be thinking about that and making sure there is education and that will continue. Can I add one more thing? NEW SPEAKER: I just wanted to say that there has never been a case, I don't think, of a deaf child suffering bad consequences from having sign language when young, but we have seen cases of deaf children suffering in adulthood by sort of failed oral education, for example by being too focused on that. So I think that there is something to be learnt here. It's question number 3 now. Sophie Roberts. Can I just say something? I wonder if somebody could write the names of the persons on the panel so that we have the names of the speakers when it comes up there. NEW SPEAKER: Another big question - what has been the impact of cochlear implantation on deaf children's lives up until now? NEW SPEAKER: I would say that deaf children with cochlear implants rightly or wrongly are one of the most researched groups of children that there has ever been, because of the challenges of introducing cochlear implantation for this country or any country, but quite rightly because we do need an evidence based and quite rightly the introduction was challenged, one of the big problems about cochlear implantation having been introduced in clinical settings, medical models, is the great danger as seeing deaf children as a pair of ears on legs, not in a holistic sense. One of the advantages was that a lot of research was carried out and very tight research because I learnt as a Teacher of the Deaf in medical situations the research is ongoing, typed and evidence based, so that was there from the beginning. Another problem about it is that much of that research is not published in journals that are accessible to Teachers of the Deaf, to psychologists, often being published in medical journals, audiological journals and it seems to me we need researchers in all of them working much more closely together so that we actually then can get a holistic picture of how these children are doing. I think that is happening. I don't see it much in the UK, but I see it in Scandinavia and in the USA. They are working closely with Linguists, psychologists and so on, looking at the outcomes, so a very brief summary about what I think we know, but there is an awful lot of course that we don't know. We do know 200,000 children world-wide have cochlear implants now. We do know children with cochlear implants can now hear spoken language at very quiet levels right across the speech frequency range. What they do with that is dependent of course on a huge number of other issues, some of which have been touched on already. We do know they are developing communication skills and early language skills, it couldn't be on a par with normal hearing children. We do know that their reading levels are improved compared with matched groups in the past, but - there is always a but in life - when you come to it, we do know that reading for them, for example, and educational issues are more complex as we get to secondary schools where acoustic conditions are dreadful, we have changes of teachers and there are complex structures, so nothing is straight forward. Apart from the fact that we've had a lot of quantitative research going on, which actually bears a huge scrutiny, as many people like Harry (inaudible) from Holland who has done so much research suggests, and he also suggests bilingualism could learn from some of the rigour of the research. We do know there is now a lot of qualitative research going on. We've got a big group world wide with people who have grown up with cochlear implants, who know what the experience is like, they have the diversity of experience and at last we've done studies with the National Deaf Children's Society, and what we are hearing from them is a flexible view of life. If you say to them “are you deaf or hearing?” they say, “I'm deaf, but I can hear with my implant. I'm hearing and I'm deaf”. People that have discussed this at the World Federation for the Deaf have said to me I have never thought before, maybe you can be deaf and hearing in different situations. So there is a huge diversity of outcomes from cochlear implantation. We need to bring them together, from the psychology fields, educational fields and linguistic fields so much more, but we need to actually ask the people who really know what is happening and that's these young people and the children themselves and the families of course. Thank you. CHAIR: I'm actually taking my position as a chair and saying, I won't ask other members to comment at this stage, because we are so late, otherwise we shall miss other questions. But when we finish early, if anybody wants to make a comment, with great pleasure. Question four, Mandy Robins. SPEAKER: Mandy Robins, clinical psychologist is not able to be here today, so as a member of staff of DCAL, I'm going to pose a question for her. The question is: for a child who hasn't yet acquired any language, signed or spoken, at a certain age do you think there will be ongoing problems for that child? CHAIR: Ian, would you like to answer to that? IAN NOON: I think the answer to that is they are more likely to have problems. I think everything we have heard this morning signifies that. I think that failure to provide support from early years will have long‑ term costs as well, I think that is a real false economy. I think it's really important that we are not too defeatist and not too absolute in our messages, there have been cases in the past where the parents of deaf children who has been diagnosed late is basically doomed and that is the wrong message to be sending out to parents. I think it is the role of the teacher of the deaf to help the child overcome those disadvantages and there is a lot that can be done to help deaf children. CHAIR: Thank you. Anybody else who would like to say something? Can I ask you to do third and can I have a second one? Yes. BRIGITTE MCWHINNEY: I just wanted to say that there is a redeeming strength in the unity of the deaf community. When a child joins the deaf community when they reach adulthood after what is labelled as a failed education or they don't sign well or speak well or whatever, gentlemen join the deaf community and that's where they find a bit of sanity and a lot of support. CHAIR: Thank you. GWEN CARR: I think it's about communication rather than speech or sign and whether a child has developed an internal language. We know, through research on a wide range of children, not necessarily deaf, that if you don't develop an internal language, a receptive language, early on, yes, it is likely that you will not develop your full capability, full potential, linguistically later. So I think if parents ask me that, I often say: concentrate on communicating, get that communication in and you can unlock the expression, whether through sign or through speech, at a later date. But we have many children, you know, my background is in hearing children as well, who aren't speaking very early on. But if they are understanding and they have developed language and a communication mode, you can develop that expression later on. So I actually think it's about quality of interaction early on and don't get too hung up about the mode of expression but really look for quality interaction. [applause] CHAIR: Is there anybody else on the panel that would like to add anything? I see that they say no. SPEAKER: Well may I ‑ ‑ well some of them ‑ ‑ first of all, are we allowed? GARY: Yes, if the chair ‑ ‑ you can ... SPEAKER: Okay, I just wanted to remind people of the data that was presented this morning by Kearsy showing how, in fact, with respect to one aspect of language that is appreciating the order of words in sentences, which is critical, indeed age seems to matter, the age at which language is being acquired and to keep that in mind, and just ‑ ‑ so there is in fact an evidence base ‑ ‑ I fully agree you shouldn't be fatalistic in any way, but there is evidence that suggests that indeed it is a problem. CHAIR: Thank you very much. We shall have the possibility of comments from the floor, professors or not professors, if we finish on time, or if we decide to stay on, which I'm quite happy to do. Can I please now move to the next question, which is from Lara Casca. SPEAKER: Hello, I'm doing a Masters research project on play therapy as a really effective intervention for young deaf children who struggle with a secure attachment or lack of secure attachment to their hearing parents. From that point of view I'm just wanting to ask, what do you consider are the immediate and also the long‑ term implications of early identification on this development of a secure attachment of deaf children born to hearing parents? CHAIR: I will ask Hilary Sutherland to answer. HILARY SUTHERLAND: What is so imperative is the issue of bonding. I think it's like we said earlier, it is important that a parent is comfortable and able to bond with their child, to have quality interactions with their children whether or not that is with BSL speech or otherwise is relevant. What is important at this point is an able to communicate and that everybody is comfortable, parents and child, and that they have a way of relating and in that they are able to develop the bonds, because if that is interfered with, they will never be comfortable. My feeling is that there has been a lot of emphasis on making choice as to how to communicate, which method to take, and I think that's not where the focus should be. It should remain fluid. My concern is that they have access to language, they have access to interaction, and the child in time will gradually choose ‑ ‑ my PhD involved me approaching children and asking them what they would choose, what language they would want to choose, sign language or speech, and a lot of those children said, well it depends who I am with and that will allow me to feel comfortable whether I'm going to sign with this person or write with this person or whatever. But for a child to answer that way, for a child to respond that way, needs them to feel confident and where they get their confidence from is how they were brought up with their parents and if their parents are not confident that creates a child who is also not confident. So it is really important that the way that the parents interact with the child allows the child to feel comfortable, to feel confident, to communicate in whichever method feels appropriate at that time. And as was mentioned earlier, I think what's important is that that is just natural and we need to see a lot more of that and that comes from having a good, bonded relationship. [applause] BRIGITTE MCWHINNEY: Okay, I'm thinking again as a mother and I'm quite lucky, I've enjoyed the honour of raising four children and they are all deaf and one of them wears hearing aids and speaks for himself and another one of them is severely ‑ ‑ hearing! So for me obviously it is a lot of work but in our family we all sign and as Hilary mentioned before that, the issue of comfort and confidence means that we never miss opportunities to laugh and to play around, and I think too often what I have seen with other families, where they have a deaf child, is that it becomes very serious, and every conversation is a lesson, and I think: that's not fun. I think it needs to go back to not worrying about English and speech or whatever, you know, those things will come, it is just important to be able to explore and to see and, you know, there is enough opportunities to be exposed to English, but relationship is only going to come in that environment for them to be able to go out and about and see and learn and those things will come, and it doesn't matter if you are using sign language or pulling faces and gestures or whatever, because when there is a child you are feeding them all of it and it can all happen. What is important is that there is a huge element of fun. [applause]. CHAIR: If I could make a comment, really what matters is love without any feeling of guilt or wanting to improve too much. Any more comments? SUE ARCHBOLD: Just a very quick one. You chose the word effortless before, about effortless communication and I think for hearing parents of deaf children so often things in the early days can be such an effort. We have appointments, we have people that we've never heard of coming into our lives, we have the teacher of the deaf, or the speech and language therapist, an audiologist, we have all of these appointments and we are advised to do different things and I think we need to support parents in those early days for communication to be effortless and to be fun, because unless we get the communication right the rest will not follow. And sometimes we get the technology and they are just too early in lives really and it can interfere with that communication unless it is handled in very sensitive ways. With love. SPEAKER: We just had a very strong hand here. It is up to you to ‑ ‑ CHAIR: I think I'm delighted to follow what you suggest! SPEAKER: Thank you very much. I would really like to comment on Lara's question myself. I'm a parent of a deaf child myself, I stand here today on the basis that my daughter was born deaf. I left the mining industry and became a teacher of the deaf based on the fact that I was worried about how my daughter was going to manager in school. I can actually stand here now talking about the early identification. I was very lucky, as Katherine was born prior to newborn hearing screening, and you know, we had the grief elements and all of the angst that came when we were diagnosed and it was late, it was about 18 months and so we felt more guilty. However, that 18 months was so crucial of me getting on the floor and doing the playing and doing all the stuff that I was doing with my other boys and it was ‑ ‑ I actually look back on that and think to myself: that really set the actual foundations for everything. We went ‑ ‑ myself and my wife ‑ ‑ we paid ‑ ‑ and I agree with the gentleman earlier it is disgusting that we have to have a teacher of the deaf and audiologist now and I think it's disgusting we have to ask parents to spend ridiculous amounts of money to learn sign language, I paid myself to learn sign language, the family learned to do sign language, I do not profess to be the best sign language user in the world and when we talk about the 59 per cent I am concerned that hearing people we are not native sign language signers, we are learning with the children but we tried our best and brought her on. I know Sue very well, she had a cochlear implant and then she had a second cochlear implant years later and she uses them both and I'm very proud to say that she is actually going into sixth form, she has had one A star and seven C grades at school in a mainstream education. [applause]. And that is (inaudible). And I know that I do a lot of work and I support her as well at home but actually it's about the child, she does have concerns about where she is and I agree, is she deaf, is she hearing or is she cochlear implanted? That is an issue that she has, but she moves beautifully in both circles. She has deaf friends and she has hearing friends and thank you to the Ear Foundation for doing that as well because they set up a lot of good things. Thank you. [applause]. CHAIR: Shall we go to the questions? GARY: You go Simonetta, you go. CHAIR: Very difficult now, re difficult! We are going to call question number six now, which is Malcolm Sinclair. SPEAKER: Okay, hi I'm a teacher of the deaf and what I've noticed is that a lot of the children that have a cochlear implant who I've seen speaking very well and seem to use their hearing very well but as they got older actually I notice that a lot are very keen on learning sign language and I'm interested in that. Do you know why? CHAIR: Who is going to answer that? I think each of you has to! Let's start from the far end. Could you do that Ian? IAN NOON: I think there are a wide range of reasons for children who want to learn sign language. I don't think cochlear implants are a cure for deafness, I know some children struggle to make sense of the world around them and in school in the canteen it can be hard work to try and follow what is going on so it really doesn't surprise me that they would want to use sign language in a playground atmosphere or in difficult situations and I think it is a really positive thing for deaf children to be able to use different communication strategies in different circumstances according to what works for them. HILARY SUTHERLAND: I think it is a process, too. I think in some environments you will find it easier to communicate in one way or another and I think it also allows you a chance to learn more about yourself, where you function well, where you are weak, where you hear better in certain environments; so I just think it helps you to have a better understanding of yourself along your own life's journey. I think it also allows you the chance to exclude certain things as you grow up. I think it's important for younger children to be exposed to every opportunity and every chance to communicate and expose themselves to how they feel in certain environments, what they are seeing, what they feel exposed to and by having those various exposures they are not being limited but be able to limit themselves if they want to. But to be able to do that you need opportunities open to you so you can approach each thing with an open mind and decide what is for you or not for you and when you are an adult you can make decisions or change your mind, but if you haven't had that you grow up feeling like you've always missed out or you were prevented from experiencing different things. I think it's important to get that exposure. NEW SPEAKER: For me I think I agree with Hilary's point actually. For deaf children, I mean we know that there is a large number of deaf children who use sign language or speak, but when they leave school, they may find the deaf community, once they have left school, and it's like they have got a passport suddenly into the deaf world, but when they are younger what's important is that they are encouraged and that's one of the main points today, that opportunity is there now while they are young so they can see the deaf community and can see all opportunities and can make the decisions for themselves when the time is right, where they want to be, when they want to be and I think it's important. It can become quite a crisis for a person's identity if you've not had a chance to be exposed to something as a child, then when you find it as a teenager or suddenly a crisis hits because you are rediscovering your identity you wish you had been exposed to as a young child, that can lead to issues of mental illness or a general unwell being. This is a big problem that happens to deaf children anyway, this is irrespective of whether you are signing, speaking or have an implant. What is important is we make sure those that have implants are exposed to the opportunities and they can make those choices. BRIGITTE McWHINNEY: It's a good example of what's called deaf gain. You should stop thinking of hearing loss. Gain - that was a phrase coined at world federation of the deaf congress, someone presented a paper saying that the richness of deaf community was nothing to do with loss, it's not hearing loss, it's deaf gain. That's quite good. GWEN CARR: I was at an NDCS newly diagnosed weekend not so long ago. I always start by asking the parents to tell me a little bit about them and their child. They went round, my child is called so and so and he is profoundly deaf, always described in audiological terms. Then one parent said “I used to have a deaf child but now he has had a cochlear implant” and that rang alarm bells with me and I think we need to be really careful and make sure that identity isn't sacrificed, take it out of the equation because children with an implant are still deaf children. To me it's going to be a bit controversial – but it really upsets me that we still have to ask that question, why should they prefer to sign - why shouldn't they? We talked about effortless early on. As professionals, deaf role models, anybody in the field, we need to stop making deaf parents and children feel they can't do it. We take the skills away from parents and take normal expectations, I don't mean typically hearing I mean expectations of a good life and successful career away by assuming it's all going to be so hard. Half the audience here is living proof that success is available to everybody. We should accept everybody is entitled to their personal identity, whatever they are comfortable with and in whatever circumstances. I couldn't agree more with what Hilary said, it's about what you are doing and the time and where you feel comfortable. We have to make sure when we make choices for our children we are making choices that keep their choices for the future open. SUE ARCHBOLD: I'm getting instructions. Thank you Hilary for what you said. I think that old question of to sign or not to sign is that question - maybe it's not a question any more - that should be asked and people -- the question that we were asked was about cochlear implantation, but it's not just about cochlear implantation, it's about newborn hearing screening, changing expectations, digital aids, all this technology that's getting into lives, there is nothing about a cochlear implant that stops anybody signing. It's about communication and what I see is vast numbers of young people round the world with implants, digital aids, with nothing, they are growing up and in some ways finding almost new ways, flexible ways of being deaf, hearing youngsters are growing up in different ways. These deaf young people are finding different ways forward. It's not just about hearing technology use, it's about skype, all the rest of it, opportunities. I see many of these young people just speaking and signing and changing modality easily and with confidence and we need them to grow up to be confident in their own communication capabilities and making their own choices, we have just had a European team camp and we have a more diverse group of young people than we've ever had before, which makes research even more complicated, but European teams of deaf teenagers and one young person from Norway who said to me, I have Norwegian, Swedish, Danish, English, sign. It was one of his languages and he was confident in them all and changed happily between one and the other. We have to find ways of finding this diverse group to move forward confident in their communication skills, whatever they choose and to give them real choices. Maybe cochlear implants helps us with true bilingualism and have real choices for both. SIMONETTA AGNELLO-HORNBY: Did your boy know all the sign languages in the different languages? SUE ARCHBOLD: No, he knew Norwegian sign language, but by the time he left the UK he knew quite a bit of English sign language. SIMONETTA AGNELLO-HORNBY: Any more comments from the panel? NEW SPEAKER: Can I just ask a question, sorry to interrupt. SIMONETTA AGNELLOHORNBY: Do you want to ask it now or at the end? Do ask it now. GARY: Simonetta, is he allowed? SIMONETTA AGNELLO-HORNBY: He is allowed to ask the question, he can ask it now or later, but he can ask the question. NEW SPEAKER: It's for Sue, what you were just talking about, I'm a Teacher of the Deaf and I have been for 10 years, one thing I have noticed is that audiologists in implantation, one thing they often say to parents when talking about influence and communication is if you want your children to have an implantation ordinarily the best place would be a non signing environment. As a Teacher of the Deaf, from my point of view, the attempt to have a sign working environment where we see implantation and why is it you can't change the attitude from children with implants and BSL to actually – (too fast) -- sorry I apologise, I will go, slower, sorry. So you were saying about the fact that children with implantation, there is no reason why they shouldn't want to learn BSL, but I think it should be the other way round; if you use BSL they won't notice, and I think we need to think about both sides of that aptitude really. SUE ARCHBOLD: Sorry, a quick answer - anybody who gives you a quick answer to these difficult questions, it's too simple. You know that old saying, there is a quick and easy answer to every difficult question and it will be wrong. So I think we need to be very careful about terminology too, whether we are using British Sign Language or sign supported English. If the child has cochlear implants and hearing spoken language and acquiring spoken language and like many of these children are acquiring language through their hearing they need to hear spoken language, that's self evident. We did a research study that we've tried to use at cochlear implant centre and supported by the NDCS in Gwen's time looking at communication possibilities. We have many examples of video at the Ear Foundation we use on our training courses showing children going through communication journeys, using sign support, maybe British Sign Language, early communication and maybe developing spoken language, maybe with signed support but also the possibility of learning sign language too. But we need to be extremely careful because cochlear implant centres, it isn't helpful if somebody says if you sign with your child they will never talk, because there is evidence that that is not the case. But equally true of course is if you don't talk to your child and if you use British Sign Language as your main mode of communication your child is never going to learn to use that new hearing effectively. So it's a long and complicated issue. I would also reiterate what's been said throughout, every child and every family is different and we have to look at each individual family. HILARY SUTHERLAND: When the child has an implant in itself that's fine. My concern is when every element is about the hearing, about their speech and actually the signing, the access to the signing, is of equal importance. In their home life they are likely to have a hearing family and at school amongst hearing teachers and friends, where is their opportunity for them to get exposure to genuine quality BSL, British Sign Language, and so they are already at a disadvantage because they are not being exposed to it every day. We hear stories time and time again that if people fail within the system, if they are too difficult then you will teach them sign language as a back up and actually it should never have been a back up, it should have been from the very beginning. I think what's important for these children is that we just continue to give them lots and lots of opportunities and don't just focus on speech, but actually we can give them both and that way the child can make those decisions and have that equal footing. (Applause) SUE ARCHBOLD: Can I just say one thing. The best thing in the research one father said to us, he said: won't somebody let me communicate with my child? CHAIR: I will come to the point where I stop other comments and we go ahead to the last question and then we can have the floor open to questions because I'm told we have to finish in 15 minutes, unless we can change it. I think I have to ask you really to be really quick, otherwise it would not be fair to the public and to the others. BRIGITTE MCWHINNEY: Well actually my comment might lead on to the final question, I believe, which is just to say that although I agree with a lot of what you said, Sue, when you reinforce the concept of diversity and that each child is different, I think that that very word is a very dangerous term and it's a double‑ edged sword and my reason for saying that is that I think that the educational establishments mainly constituted of hearing professionals is actually using that diversity and "every child is different" to keep the deaf community at bay and to not involve that deaf community so easily, so I think we need to keep our eyes open about it and to really be aware that there is a clash of culture and there are very different values held by hearing people and held by deaf people. Hearing matters to hearing people. It doesn't matter so much to deaf people. CHAIR: Thank you very much. [applause]. Question 7, please, Julie Halden. SPEAKER: Okay, I would just like to say as well, as a practitioner I have really valued today, it is fantastic, so to those who have organised it and for those who have contributed, I've just learned so much which I hope I'm going to be able to take away today and which relates to my last question which is: how can we ensure that practitioners and researchers work better together in order to support evidence‑ based practice which is so important, as we have we've heard to? CHAIR: Who is going to start first? GWEN CARR: I think one of the things we can do is to stop ‑ ‑ I'm saying this with my researcher hat on, okay? I think we need to stop trying to prove what we want to prove for the benefit of our own biases or interests and actually start asking parents and older deaf children who have experience through our system and in their lives these days, what are the big issues for them, and what are the things we want to see evidence about? Because when you look at, you know, I have just been doing a piece of work actually for NDCS reviewing some of the current research in early intervention and I'm weeping at the end of my first week of looking because so much is setting out a hypothesis that the researcher wants to be true and then they try their very best to prove they were right all along and, you know, for every one I find over here I find another one that is the opposite. So instead of researchers going into practice and going into families and saying, "I'm researching on this and I would like you to be my subject", why don't we ask families and young deaf people and those working with deaf people and deaf people themselves, what are the big questions that we actually want our researchers to engage with us on? So I would like to turn it on its head a little bit I think and almost start again. [applause]. SUE ARCHBOLD: Thank you, Gwen, you are absolutely right, and I go back to the days when I ‑ ‑ when I was in the classroom researchers used to come in and do their bit of research and yes, you would read their research report and it would have absolutely nothing to do with the children that I was teaching every day because they had misinterpreted and they had their own agenda to start with. It comes back to this old argument of quantitative research and the hard science and the qualitative research not being valued and the qualitative research where we are really exploring the issues and listening to parents, listening to families, seeing what the issues are without our pre‑ conceived ideas and without thinking that having your research hypothesis is the only way to carry out research, because it is not. But recently, things are moving, I feel. The international journal of audiology recently, which is a really hard science journal and difficult to get published in, it recently had a great long article about the value of qualitative research and how important it is to do rigorous qualitative research and to do it well to get to the heart of the matter. So I thought, well there is a little lightbulb to move on, so you are absolutely right, Gwen, we need to move on in new ways for research. CHAIR: Hilly? HILARY SUTHERLAND: I grew up and attended a deaf school, my son is deaf and what I've seen over the years is there have been some phenomenal changes. Back then there were no cochlear implants there was no mainstreaming but what I have seen for the second generation, if you like, is more challenges. I think for the parents they will be paying out of their own personal budgets for their own support, it is going to create a great impact on deaf children. People will be making choices without really knowing exactly what they want and I think the issue of research is important. For the last ten years, any research had been considered out of date anyway, so we need to be looking at the current pool of children that we have now and we need to be learning from them now, finding out what is helpful and what is not helpful and finding out what we can design so that we can create a new way forward, rather than thinking what we think may be the best thing. Because actually we've made a lot of mistakes over the last many years and I think now is the time that we really crucially need to let the parents have some element or have more knowledge, more power. Where are they getting the information from? Because obviously information is a powerful thing and the information can come from researchers, it might come from education, it might come from the cochlear implant people, it might come from various organisations who are all competing for air time, and that's not healthy. I think the last question is that we need to stop. I think we have been fighting for air time, fighting for ‑ ‑ and what is the point? I think really we need to be thinking: okay, historically we've not worked together, we never have, and so you know, like think about islands, you know, fighting, fighting, there continues to be fighting but actually now is the time for a ceasefire, now is the time to stop and say: how can we work together on this very important issue and put the children first? And then maybe let them tell us. We could be led by them rather than us trying to reinvent the wheel and think about how do we do things, but actually collaborate for them. [applause]. SPEAKER: I mean looking at the last 20 years or so ‑ ‑ 120 years, deaf children over those years have been diagnosed later, which meant it was difficult to repair issues of language. I think what we know now, though, gives us an opportunity to make changes. We've got this new research that we have heard this morning, we know that there is information out there, we can use that to forward ourselves, we can give better examples and share better experiences and we can get people moving rather than going back to the Milan conference where slang was thrown out of the window. I think we really do need to be moving forward. I think today's questions ‑ ‑ we've heard a lot about what research has been conducted but looking at bilingual education I think my question that I want us to be asking ourselves really is maybe we need more than a pilot, so we can compare, so I think it's really important that we make sure we look to the past and collate different people's experiences, we collate the professional's experiences and then whether it is through education or employment or whatever, we can use that to show role models to the young people so that they can see and there will be changes as of today because if we get people involved, deaf professionals and hearing professionals of course, as well as the families of deaf children as well, I think that will be the way forward. I think that will affect the education for deaf children and that will allow us to have a far better of quality of education from now. [applause]. BRIGITTE MCWHINNEY: Okay I have two points ‑ ‑ well, I have lots but I'm only going to talk about two. First of all I actually agree with this point. I know what you have just said about trying different things and I think, yes, from me ‑ ‑ I mean, you know, we already know what works in a high path for many deaf people we know, but please to those hearing professionals, please listen more to the deaf people. There's scientific research and that's so useful but we have seen time and time again what is successful, we know what is successful and we know what hasn't worked from our own experiences so please don't be backing your own interests thinking about what works but actually get experiences, get people's opinions and find out, put money behind investing in the deaf community to help you to change things so that the deaf children will be taught well. That's my first point. My second point is, when my first child was born we were at the hospital and I suspected he was deaf and the doctors said, well, I'm very sad to tell you that we have something really awful to tell you and he couldn't say that my child was deaf. And we talked about hearing problems and I said: are you saying my child is deaf? And he said "oh, yes, well". Anyway, I think for professionals there needs to be some collaboration working with deaf people because some have a fear of deaf people and that's not going to help at all, so whether it is doctors, teachers, whether it is whoever, get working with deaf people so you know more about deaf people, so you know more about how to deal with a deaf child and get those deaf children exposed to deaf adults, get the parents exposed to deaf adults because that way those deaf children when they grow up they are not traumatised, it doesn't traumatise the parents. [applause] CHAIR: Unless anyone is desperate to add anything else? I would like to open, actually, the floor to any of you who wants to ask some questions. I think we learn by hearing you, and that's why I have been rushing like mad, actually, and I apologise for that. If you could ‑ ‑ so we have one person there, two persons here, and then I shall be kicked out of the building I think! GARY: That is the first at the back, Simonetta. CHAIR: Yes. SPEAKER: Okay, there has been a lot of talk about hearing parents with deaf children and needing to encourage the use of sign language, education choices, et cetera, but if we are looking at deaf children with hearing parents that's fine, but what about deaf children with deaf parents? Now my two children are both deaf and their support and language is helping but if they have professionals working around them who are only level 1 I want them to be able to valuable as well but how can they be if they are teachers and support staff can barely sign? You know a very, very basic level of sign language, they are not exposing my children to a good level of sign language. So that means that it is on us to encourage that but also they do need that within the school environment so that they can be bilingual. CHAIR: Who wants to answer that question? Who is more competent to do that? BRIGITTE MCWHINNEY: I think we just agree with you! HILARY SUTHERLAND: Yes, I agree, I think we do all agree with you. I mean it comes back to, I guess your rights as a mother and in ensuring that it is happening, ensuring that the system is working so that you can achieve what is right and what you would want for your child. My experience with my deaf child was I had to fight for what I wanted in the same way that my parents had to fight for what they wanted for me and I'm sure my son, if he has a deaf child, he will be fighting for that child too. It shouldn't be such a fight, though, should it? It should be an actual right, anyone would expect their child to be able to go to whatever school or to be able to do what is right for them and yet that is a major issue and I think that is a big stress for any parent who has a deaf child is this fighting, and it takes a lot of energy to do so and yet there is some good research there about the level of stress and frustrations for parents. [applause] CHAIR: Next question. SPEAKER: My question is about hearing parents of deaf children, if a child has deaf that has a cochlear implant and they are told that they need to speak at home so that they can learn to use the implant at home as well, how are they going to be able to be bilingual if their environment is entirely hearing and then parents must talk or if they are using both then how does that work? What is the way forward there so we can make best use the both methods of communication? SIMONETTA AGNELLOHORNBY: Who is best to answer this question. BRIGITTE McWHINNEY: I mean I'm not experienced in the issue of cochlear implant because nobody in my family has one, however the issue of bilingualism, I think you've got part of a family signing and part of a family speaking. I grew up speaking French, it was treated as another language within the family, I couldn't be all romantic or sensitive about loving French more than any other. You know if you are born deaf you don't worry about French, you just get on and learn to sign, do you know what I mean, it's just whatever is the crucial language and I think when you are talking about sort of the main need for communication, I mean I love French, I love reading and writing French, but I mean that's me and that's for my pleasure, but I wouldn't be that selfish as a parent, for me I would say what is going to best meet my child's need for the most valuable kind of communication, so that then is a firm foundation on which you can build on. Once you have a firm foundation or language then you are exposed to things, all sorts of attitude, you've got that with BSL, then being exposed to a lot of English and reading and writing so I think in a hearing family maybe their foundation language is going to be spoken English, but second language on top could be BSL, but it does require work, you can romanticise speech, it may well be you need to find out what need is. SIMONETTA AGNELLO-HORNBY: Any more questions? There was somebody, 2 hands were raised there. NEW SPEAKER: My question is a lot of the Teachers of the Deaf can't sign and so how are they communicating with the children then? You know, how are the parents feeling when they see a professional who is supposed to be teaching their child who can't even communicate with them or if you are deaf parents and have a Teacher of the Deaf that comes and asks you if you need an interpreter, surely they should be able to sign, that's a breakdown of a relationship from the beginning, they are supposed to be the way to help you get what you need, if a Teacher of the Deaf can't sign then what? SIMONETTA AGNELLO-HORNBY: Ian Noon, can you reply to that IAN NOON: I'm baffled, a Teacher of the Deaf that doesn't sign, I agree with you completely. SIMONETTA AGNELLO-HORNBY: There was another question there or no longer. GARY: It’s our tea break now. SIMONETTA AGNELLO-HORNBY: We did start late, but we shall break then. I shall comply. I am afraid there are no more questions. Just give me a chance, I'm trying to round up and I think what we have learnt is that we've got to follow common sense and give a tremendous amount of love to the children and remind, not ask, the Government to provide communication that our children deserve, there is a difference between demanding and asking. Can I just finish by saying once I had a client who had a child who had a disability, which was not hearing it was Downs Syndrome, the social services were involved and the grandmother came, nobody wanted to tell her what it was, she looked at the baby and understood and said this is going to be the best Down Syndrome baby in the world and the most loved, that child grew into a lovely young girl. It's your work as educationalists and parents that will make the big change for your children. Thank you very much and I want to thank the 4 interpreters who have been extraordinary and helpful to me. GARY: Just before we all dash off for tea or coffee outside, please hold a on a second. I just want to thank Simonetta the excellent chair who has been able to do all the work and get everybody answering questions and working together as a team, what she has been saying at the end there is common sense. Thank you again Simonetta. Just two things, when you go outside if you want, and you want to give people your email address you have a networking card in your name card, whip it out and give it to the person you want to keep in contact with. There are 5 sign language interpreters in that room. If you want to talk to a deaf person, like Brigitte McWhinney said, and you feel uneasy or a deaf person wants to talk to a hearing person etcetera, please grab the sign language interpreter and they will work with you thank you very much, we'll see you after the tea break. (Break) GARY: Okay everybody we need to start, we are running late. This is the last part of the day where we want to turn things over to you. We planned a couple of things; we are going to talk just little bit about what is involved in doing research because a lot of people maybe think that research is about having a great idea one day in the bath and then writing it down and sending it off to a journal and everything happens. We wanted to explain a little bit what are the factors that limit our work. I know that sounds a bit negative, but we want people to be aware of what we can do and can't do within the research framework. Then I'm going to pass over to a DCAL researcher, Kate Rowley, who is going to talk about some brand new research she is doing on deaf children's changing identity and then we've got hopefully 30 minutes at the end where we would like to hear any ideas about what you've got buzzing in your heads about new research projects. We've heard lots of things this morning already - why don't you do this, this would be a good thing for research. A lot of people have asked me today where can I get all this information, as soon as we've finished the conference we'll send you all an email that says here's all the information, all the presentations, all the talks, videos, background on the speakers, all of those things will be sent to you and links to blogs and twits. So we talked about this this morning. How do practitioners, professionals, families use research and how do researchers do accessible relevant and useful research. I really enjoyed the idea of cultural differences between deaf and hearing that was in the panel today, but there is also interesting cultural differences between universities and the rest of the world and the way university does research, the way it expects people to behave, act and carry out their work sometimes isn't as easy to be as flexible and adaptable as many people want us to be. There are lots of pressures that come to bear on the research process, so we've got all these new ideas in our heads. One of the important things that people often ask us is well has anybody done this research before? Is it innovative? This is really important for research that we are breaking ground, that we are doing new things but at the same time it means we don't have anything to help us where we should start. Maybe people who read research think why aren't they solving these problems, why are they always starting a new problem, a new idea, why don't they stick to one thing, sort it out and solve it. That's because researchers come up with innovative new topics to research and it’s got to be data driven research. I'm sorry Gwen. Sometimes we are trained to do research based on hypotheses we test out. We are trying to falsify, see that things are not the way we think they are, there is a whole training that goes into researcher's background, their PhD, and it's what the research community expects us to do. It gets frustrating when people are trying to read about research: Why are there all these hypotheses, why don't they all agree on the same thing and sort it all out. I think one of the major things for researchers to think about is your idea that you propose feasible, are we able to do it in 100 hours a week. Do we need 15 researchers to do it or do we need a million pounds to do this how feasible is your idea. Also the people, who is involved in our research team? Have they got the expertise? Are they the right people at the right time? Sometimes people change in the research project and the research has to change with it. We have people from the ESRC today who give us our research funding they have very strict ideas about what they expect to get from us, sometimes there is a clash between what they expect, what we can do, what the community needs, sometimes everything goes well and we are all in agreement, these are all things that limit or play a role in the research process. Here's a couple of ideas for you, if you want to propose, come on DCAL, why don't you sort this problem out, why don't you improve how deaf children learn mathematics, that's your project for the next 2 years. That will be a really relevant useful project to do, also an impossible project for a research centre, there is too many ideas in that one question, it's too big, people think there is just one idea, learning mathematics, but there is lots of questions there. The researcher would immediately get goose pimples and not be able to sleep at night with what do they mean by mathematics, what do they mean by improvement, how can we measure improvement, what example, is it longitudinal - all these questions limit the researcher's ability to solve your problem. Here is a better question: has deaf children's reading ability changed since 1979. That's something we could do, given a lot of money, a lot of people, time and experts, we could give you a definitive answer, yes it's changed for these deaf people with these life experiences and this is how it's changed. We could do that but it would be very difficult for us to try and solve the first question because it would have to be broken down into 10 different questions with 10 different projects. This is maybe demystifying research. There are questions that are important, relevant and useful, but very difficult for us to achieve. Great, I'm going to pass over now to Kate Rowley who is going to talk about some new research that she has been doing, I think it's interesting because it's trying to look at the way deaf children are changing in society. NEW SPEAKER: Before I actually start talking about my project I just wanted to make a comment about something that came up earlier, about working together. I know we've got a lot of practitioners in the audience working with deaf children and I think it's probably important that you publish or you share the work that you are doing, you know, you are working with deaf colleagues, with children, it's really important that you are publishing case studies and getting that out to other people, otherwise people are working in a very isolated way without sharing information and I think maybe you could have specialist interest groups and then publish from that. So I guess it's just a suggestion I wanted to throw out to you. They can't find my presentation so we'll just hold on. Okay I'll make a start, you are just going to have to watch me sign. In looking at changing language and identity I have been working with NC Woll(?) and NDJ(?), the three of us have worked together on this project, the aim of the project is to look at different groups of deaf children in different situations with mainstream CFWs and oral deaf hearing children in hearing schools and oral deaf children. We were looking at their language, sign, English and also identity and self esteem. So the reason for the research -- well I mean the history of education, there has been many changes compared with our parents generation. Most deaf schools now -sorry most deaf children are mainstream now and there are questions about their identity within and whether they are having the right support to access the education. The age of the participants was 16 to 20, so sort of 6th form college age, so after GCSE's had finished. We interviewed 11 from oral school, 7 from mainstream with CSWs and 3 from a deaf school, sign language, all of them then moved on to college and because there is not a 6th form college that has sign, so at the point of doing GCSE's finishing that they then move on to a college. Obviously the numbers are very different and the smaller 2 groups we really do need more participants. It's an ongoing piece of research that's not yet finished. We've been doing qualitative and quantitative research. We've been doing interviews, but also been doing some assessments. KATE: We have been doing qualitative and quantitative research so quantitative we have been doing interviews but we've also been doing some assessments. We have had background information about families, hearing, when they learned to sign, was it earlier, was it later, there is a whole series of questions that we've asked. Also their educational experience: did they feel that was positive or negative? Was it oral? Was it sign? Did they get access with subtitles? So lots of questions arson their education access. We also do a self‑ esteem questionnaire so assess their confidence and self‑ esteem and we will talk more about the questionnaires later, the identity questionnaire later. The questionnaires were in both English and BSL and they were cognitive assessments as well. The self‑ esteem, there didn't seem to be much difference between the three groups. The deaf signers who were in school, the results were higher, but there weren't any significant differences. So deaf acculturation, we did questions linked to deaf culture, hearing culture and we questioned in two different ways. There were four possibilities. A person who felt really linked to the deaf culture or hearing culture or possibly both, had both and could switch between, or felt there was no culture, they didn't feel part of the deaf or hearing communities and they were marginalised as a result. Now ‑ ‑ and this is ongoing research and we've not finished all the analysis yet, so please don't take this as the final research. We looked at the different groups ‑ ‑ the deaf oral group and the deaf mainstream group and the deaf signers ‑ ‑ and it seemed the results with the deaf culture and hearing culture and both didn't seem to be much different. With the signing group we only had three, so that's quite a small number, so we need to be very careful with interpreting the results from that. But if you look at the last two groups in terms of hearing family and deaf family, it would seem that those from a deaf family were more linked into the deaf culture or 2 said they were bi‑ culture, they were deaf and hearing. From a hearing family it seemed that they were a little bit more attuned to hearing culture, but it was only a little bit, it wasn't significant. Obviously we need more participants in the project. The deaf oral group, there were a large number from deaf families, so we do need to be careful how we interpret the results. Okay, so we did language and cognitive assessments. We did the repeating test, we did semantic fluency and reading tests and also cognitive assessment for verbal IQ and there were low language scores ‑ ‑ we were interested to see whether there was a correlation between low language scores and lower IQ. I want you to ignore the dark blue for the moment and focus on the BSL/SRT and the repeated tests first. So the repeating tests, the sentence repetition was delivering a sentence in sign and then copying it back, it was to look at fluency in BSL. The first column of scores ‑ ‑ sorry, there are the scores on the bottom of the different groups. We have deaf oral group on the far side and then deaf signing group and then deaf mainstream. The scores seem to vary with the BSL/SRT results and I've not yet analysed the different results in detail but in the DO1, 2, 3 and 4 it seems high and DM4 as well. They are mostly coming from deaf families who have used sign language from an early age, so they would score highly in the BSL/SRT. But DS2 and DS3 in the middle are deaf families as well but have scored low in the BSL/SRT and I don't yet know what the problem is, why from deaf families the scores should be lower, so that needs investigating. The two from the deaf signing school had low English scores as well compared with the others, so it was low English and low BSL/SRT. So I'm wondering if there is a correlation between those, you know, low ability skills in English and in the BSL/SRT test. We have been talking about breeding a foundation of a strong first language so that children coming from a sign language environment using sign language you would expect a higher score. Talking about reading age, the ceiling is 15. You go above 16/17, that was the ceiling. So 15/16 was the ceiling score and only four from the 17 reached that. Bearing in mind they are 16 to 20 years old in terms of their age, only four reached that ceiling, so were at the appropriate reading age. The rest were lower, significantly lower. They were assessed through the course of the year and remembering that they had all come from different school settings, so they are not having age‑ appropriate English. The semantic fluency I mentioned in the earlier talk is giving people a minute to come up with as many animals or foods that they can think of. There was not really any difference. Some observations though. The mainstreamers used more finger spelling, a little more. The oral group seemed to use, say, if they were saying broccoli would initialise the B or they wouldn't give the full sign, they could just start the word and obviously the deaf signing group would sign. But the numbers of items of vocabulary was very much the same. If you would just like to have a read of this ‑ ‑ oh, sorry, no, before you do that, the interviewer asked questions about their feelings linked with their education and these are the responses that we got. This mainstreamer seemed quite happy with the deaf‑ hearing mix, but didn't want to be on their own, was concerned that university may well be a place where they were on their own. They wanted to be in a mixed group, or group of other deaf people. We asked about their views and their experience of friendship and most of them said that they have deaf friends more than hearing friends. Some of them did have hearing friends, but only within the same college. So maybe they were studying the same subject. Outside, after school finished, whether they would maintain those friendships is unclear because they didn't seem to from the previous schools. A lot of them did their communication with friends through mobile phones, writing, et cetera, and some natural communication in terms ‑ ‑ I would question whether that was natural communication, but they did use gesture as well. I mean in terms of access, it would seem that it was difficult to get access to the full content, even though some of it would be signed to them. We asked the different groups a variety of questions and the mainstreamers were saying they didn't have access to subtitles. Those who went to deaf schools did have subtitles most of the time. If they didn't, the teacher would pause and explain and then it could be shown again and then pause and explain. Rather than CSWs signing it all the way through. In terms of group discussion, this was difficult for the mainstream because the CSWs were not qualified interpreters and trying to keep up with the speed of discussions was a problem. It did mean that information would be missed because of this. This is another comment. The students wanted that high level of sign, level 3 or 4, and they weren't getting it. They are having to rely on hearing friends when something isn't clear, ask for the clarification, and I would question whether that was real access. It is not all problems. There were some problems about, you know, enjoying working with CSWs, feeling supported both in and outside the classroom. So, in conclusion, there are some patterns emerging, particularly with deaf and hearing families, as I've already outlined. But so far the research ‑ ‑ the numbers have been small, and we need to look at it with more participants. Some people have said that mainstream school and CSWs is good and there has been some evidence, but I'm wondering whether in five years' time they would still maintain that view. I mean now, having left school, I look back, you know, you may be see things as different. If young people are in school this is all they know and they may well feel that what they are receiving is good and they accept it, but having different experiences post‑ school, they may well feel differently about what happened in school. The obvious statement to make is that there needs to be improvement both in schools and colleges. I have been looking at reading age and, as I said, only four out of 17 had reached the appropriate reading age and we are talking about now, today, not years ago, so we are still failing the children and we need to improve. [applause]. GARY: I think it might be worth having one or two minutes for any questions, questions or clarifications or questions or comments based on Kate's presentation. If we take this opportunity now? SPEAKER: I will stand so people can see me should they need to. I have two points or questions. Well, one is a point, a comment, and one is a question. In the mid to late 90's I know that the Department of Education at that time supported a system to be able to track deaf children within education and actually look at their development, so I'm wondering what happened to that data, those data or that system. I think the NDCS was actually involved in that so what's happened to that data? It may be useful to look into that and see what it tells us about that situation. I know that within mainstreaming often the support that's provided is a CSW and it may be problematic because it could be for example in a classroom you have 3 deaf children and they are of different abilities so you need to ensure you are providing support to the different abilities in this group and whether that's something that's problematic or not. NEW SPEAKER: The project is linked with that, looking at actual CSWs following their work in education. I mean it depends who they are working for. Sometimes the student or child will need to alter their capabilities. If you've got two or three of different levels they will pick the lowest and a child with a higher capability is missing out on information as a result. What was the other thing? Oh yes. I don't want to condemn CSWs, they need more support and at the moment there is insufficient support for CSWs and training and again it needs more money from Government to provide that training, which means the Government policy needs to change in order to supply that to make it happen. NEW SPEAKER: Ian Noon, you may have a response as a representative of NDCS. IAN NOON: I'm not sure that you are talking about the -- the Government do (inaudible) on children with a lot of special educational needs. Unfortunately that only applies to about 60 per cent of all deaf children. What we need the Government to do is start collecting data of all disabled children, including deaf children. I'll have a chat with you chaps later. NEW SPEAKER: It's interesting, the Government often encourages research to occur, but we don't know what happens to the data attached to that research. I think we are now going to change the focus of the discussion that we have now to actually think about research ideas. Do we have any ideas about what would be usefully researched? I think Kate and I are going to try and manage this Q&A or comments and questions. It's also important to say that if you feel that you don't want to raise an issue now there are other possibilities, of course. As I mentioned before, there is the blog via the website and you can also tweet the information, so please do make sure that you pass on any thoughts you have for us, whether now or later. I think we'll look at questions that we want to be party to future research. I think what might be better for this session is to actually ask people to come down to the front and a queue of no more than 5. So that's 5 for now, please everybody else do stay in your seats. Remember that Gary did talk about research that's feasible, so we also want something which is a potential discreet project, which we can actually do research on, rather than the 64 million dollar question. I think we are just going to take responses from the floor. I believe the first one goes to you. NEW SPEAKER: I work within education and I know that for deaf children, 14 to 16, when they are transitioning into further education often people coming in from mainstream have a variety of different language skills and there is no necessary evidence of whether they have dyslexia or other problems that they have. I was just wondering if we have any way of actually being able to assess or measure things like dyslexia to see whether we have the same occurrence of dyslexia in deaf people as we do in the mainstream population. It seems there is not much information about deaf people in dyslexia and whenever I have tried to look into that area it doesn't seem to be particularly focused or concise. I'm just wondering whether we could look into dyslexia of deaf children. NEW SPEAKER: I don't know if you want to talk about that. NEW SPEAKER: I think maybe if we take all of the 5 questions and then allow the panel to field answers. NEW SPEAKER: I know a lot of valuable research has been done looking at -- I know there has been lots of useful research on families of learnt BSL and children that have learnt English as a second language as a consequence of being fluent in BSL as a first language, also some deaf children with very good English, but never learnt BSL, mainly through lipreading, that's inconvenient to some people, people don't like to acknowledge that, people feel you have to learn BSL, but I'm just wondering whether we should be looking at why those people, what was successful for them in using lipreading to be able to learn English. Why do they have good English? Maybe it's been researched already, I don't know, but I haven't seen it. NEW SPEAKER: Hello everybody. I'm really interested in SLI, specific language impairment. My daughter has SLI and I'm interested to know more and then also whether that also manifests with dyslexia as well, which appears to be what my daughter experiences. I would also like to see greater awareness of SLI. Often people say your child has SLI but it's not clear what I can do as a mother to support my daughter with her language needs. It's a little bit similar to dyslexia, but just thinking about how you can work with parents in supporting their children. NEW SPEAKER: I have two issues which I think are overlapped. I have worked for many years in college with deaf people who are learning English and it seems that there are two issues, one is focusing on deaf young people who arrive from overseas and perhaps have learnt English via deaf education to see how that can then influence the practices that we see occurring within college. I don't know how much research, evidence, has actually influenced the Government to change the goal posts that they are setting for further educational colleges. It would be great to work with kids through primary school and to prevent the damage we then have to rectify within FE. I would be fascinated if there was any research that could be done within further educational institutions to stop the local education authorities implementing their own agendas, which seem to be causing problems for deaf people who are wanting to gain good literacy. I think it's about protecting our deaf children now as they get older. I know that Winston Churchill travelling fund has funded some people and I was fortunate to benefit from that and I looked at deaf people's access to literacy, but I haven't seen everything, so that would be great. NEW SPEAKER: I know that there are many deaf children whose education and experience has not improved within FE, so I'm just wondering why don't we actually research how deaf children learn because often the national curriculum is on hearing children and we try to adapt that to meet the needs of deaf children. Why don't we do it a different way and look at how deaf children learn and then develop a national deaf curriculum which suits their learning needs. NEW SPEAKER: Those are 5 really interesting well made points. Lots of big questions too. I'll hand over to Ros Herman who is an expert on dyslexia. ROS: I'll try and keep it short, I know people do want to leave. Just to say that’s a very good question, there is not really any research on dyslexia in deaf people and that's one of the reasons we are doing some of that research right now because we've got a hearing child. There are lots of diagnostic tests. We know many deaf children have problems reading anyway, so trying to find out if there is dyslexia on top of that is difficult. A lot of psychologists are really uneasy about labelling deaf children as dyslexic. What we are doing at the moment is we've completed part 1 of a 2 phase study, looking at oral deaf children and signing children separately because we think they read differently, therefore the patterns might look different. So we've got already some information, some data we've collected on 80 oral deaf children aged 10, we've looked at their reading, speech reading and their language and phonological awareness. Our preliminary findings look like the same sorts of factors are associated with oral deaf children's reading as hearing deaf children's reading. Now the next phase is to look at signing deaf children and we really don't know what we are going to find, so ask me that question in a couple of years time. I think it's really important because I think we do know there are deaf children out there who do struggle beyond what we expect because they are deaf children. NEW SPEAKER: The second question is related to those who haven't learnt BSL, but are still able to have good reading via speech. NEW SPEAKER: There is lots of research out there. The first slide I put up this morning showed trend in the data set that I have, that showed that people who are native signers on average are better readers than non native signers, but you could see in that graph there was a great spread in ability in both groups and in fact if you took the group as a whole the better readers were those people that didn't have BSL as their native language. There is this great variability in the language background and it's hard as researchers to take that into account. The easiest research to do is with native signers. They are a clean cut group to look at and we know essentially what we are dealing with, but they are a tiny population and the vast majority of children born deaf are not in that situation. As researchers we are asking basic science questions, because if we do want to test hypotheses that's the key group to work with, but we have to take into account the whole population. I'm hoping to look at speech reading and oral speech reading. We will be looking across the board at deaf kids with a range of backgrounds, hearing parents, deaf parents. I don't know if Kearsy wants to mention anything there in relation to hearing people, deaf people with hearing parents learning sign language later on. NEW SPEAKER: I can say something briefly about that. In the study I talked about this morning where we looked at deaf adults from deaf families and deaf adults from hearing families and we find a decrease in accuracy. We find a decrease in accuracy in their performance in that task from those early learners at aged 8. You remember I mentioned the results from that study were complicated. One of the other parts of it is that we also look at later learners, deaf adults who learned BSL after aged 8 up until aged around 17 or so. In their accuracy on the task we didn't see a significant difference between those late learners and native signers. One thing we did find was that they were slower in the task, the late learners were slower in doing the task. The one thing that supports what Mairead has been saying as well is the late learners were overall better readers of English than the early learners. We think what was happening is those late learners, supporting what you said, seem to have been able to learn English to a degree to use it as a first language. The reason why that happens we are not really sure about, but you are right, it would be interesting to know a bit more about why. The huge amount of variability is an issue for research. NEW SPEAKER: There was also a question with respect to SLI intervention. I think the question was about SLI. The project that I described actually identified that SLI does manifest within deaf language populations too, there were sign language users but of course the next step is once we know that what interventions can there be to improve the children's language? We know that hearing children who have SLI need support throughout their lives, so our expectation is that deaf children will also need to have support throughout their lives, if somebody is diagnosed with SLI. Within the project I'm not a ‑ ‑ I'm not a language therapist I have to say, I'm not a qualified language therapist, so although I'm a researcher, I work together with a speech and language therapist when we are assessing the children and also in terms of the interventions that we are going to do and then hopefully we will be able to measure the effectiveness and then publish what seems to work. So similarly, we will follow a standard research idea where we have one group where we do some kind of intervention, another group where we do no intervention and then we compare to see whether there's some improvements for the children that had the intervention and that then proves that it works, that it is successful. I mean that is our aim. This again relates to what I said to you earlier: you are the people who are working with deaf children, so in terms of practitioners working with children, maybe if we try an intervention, you can try that intervention to see if it works, many of us don't work at therapists but we are happy to work in collaboration with practitioners so we can have better interventions in the future. So that's another way of looking at it. So I hope that answers the question raised, thank you. GARY: I don't know if there are any more questions? Please do come to the front. SPEAKER: Whilst people are coming down, can I just add ‑ ‑ SPEAKER: One moment we don't have an interpreter. Now you can. SPEAKER: Just to say about the interventions, to reinforce what Kate has said, you working with children out there, we would also like to collaborate with you and turn some of the work you are doing into the research by looking at individual cases of children where, you know, you are devising interventions perhaps hopefully which we can help to begin to look at and see if they can begin to be effective with other children. So let's get that interchange going on with people out there. GARY: Maybe one more person to ask a question? SPEAKER: Hi, I'm a parent of a hearing impaired child who has unilateral deafness ‑ ‑ SPEAKER: Sorry, can I come here, thank you. SPEAKER: I have been here all day and looking for research to interest the parents in my parent support group, most of whom have children with either mild or unilateral losses, so none of them ‑ ‑ or one of them had a 15 uses BSL, one with a 15 that uses a cochlear implant and all research presented to relates to either sign language or cochlear implants, which is not ‑ ‑ sorry? So I was wondering first of all as a general suggestion, could researchers relate to all of the deaf children be encouraged because the NDCS covers a barely broad swathe of children in its definition and there is very little research done relevant to this and I know I've searched and searched and searched for certain types of research and it doesn't exist at the moment now. One of the areas, which is my specific point, one of the areas of research I have been told about relates to fatigue, cognitive fatigue for deaf children and listening effort and how that impacts them in their schooling and in their lives and I don't know if anybody knows anything about that, and I'm the lady in the pink jumper if you do! But if there isn't any research about that, could you do some? Because in every pamphlet it says "deaf children suffer from fatigue in school" and everyone knows it and all the teachers of the deaf say I know these children are exhausted after school but there's no quantitative data that you can go and present to somebody that says: this is the impact that has. So, please. SPEAKER: It has been an interesting day about language and speech and sign and cognition and literacy and reading abilities and writing, so lots of interesting information has been presented. I used to work at DCAL, five and a half years ago, I left because I thought that the area that I was interested in couldn't be researched, but maybe it can be, maybe I am wrong. So what am I interested in? I think it's important that, you know, my experiences working with the NDCS with a variety of deaf children from a variety of backgrounds, it seems that those children who do well are the ones that can think for themselves. They have the ability to introspect, they have the ability to form their own views, they have their own skills and can evaluate things, they can think for themselves and don't need to be spoon‑ fed. They have some kind of resilience, I don't know whether that is the most appropriate word or not, but these children who are able to think to themselves, either maybe talk to themselves or sign to themselves, and they have that ability to think to themselves, and it seems to me that that is a strong predicter for good life skills, self‑ esteem, et cetera. So I'm just wondering, is there any way that we could develop some kind of assessment which is not about whether people can sign well or speak well or use their audition, but just in terms of seeing whether they can introspect or think for themselves? [applause]. SPEAKER: Sorry, I will face in the right direction. I was hoping to raise this with the panel, but maybe this is another opportunity to do that. I know that many deaf families with deaf parents with deaf children, maybe multiple generations or whatever are able to grow up in houses where nobody speaks. But some deaf parents do wish that their children learned to speak, because they appreciate that that is a good life skill and they want them to be able to sign well, speak well, read well, write well, but in the home environment we know that there is no speech and often parents wonder about whether it is good to bring friends or relatives or turn on the radio or use the television to actually develop the speech. I know somebody from the Ear Foundation previously said that if BSL is the main communicative language, then the deaf child won't use their audition to speak, but I know that there are many ‑ ‑ when I asked many erudite doctors who perform cochlear implant surgery, their explanation is always about, if you learn to sign then it means you are not giving the brain exposure to speech and developing those pathways. So I'm just wondering what this theory is based on? What evidence there is for that? So I'm just wondering, it could be that DCAL could potentially do some research into children with implants to see whether they can acquire sign language without damaging their speech and actually see whether the ideas that are explained are correct, or give an evidence base. SPEAKER: I was just wondering, I was thinking maybe there could be some research looking at deaf children, what their life communication support needs are, so with CSWs, subtitles in a variety of things ‑ ‑ within education and schools ‑ ‑ what actual support do they need and maybe potentially to ask for funding to ensure that deaf children within schools can have appropriate access. So often there's lots of campaigning that goes on to ensure that older people have access, but what about the needs of deaf children and that will significantly impact on their lives and their education for the future, I feel that's very important to get funding for that. BRIGITTE MCWHINNEY: I'm wondering whether we should research the relationship ‑ ‑ we know that there has been lots of changes in education and deaf schools are closing and many of the children who would have gone into deaf schools are now going to mainstream schools and I'm just wondering whether anyone has looked into the impact of that not just academically but in terms of mental health and contributing to society and a broader range of metrics for thinking about the actual achievements that that deaf person can have in their life. Personally, I think that I'm suspicious of the success of mainstreaming, but you know, maybe there are some very valid achievements. I'm still wondering ‑ ‑ it still feels to me like many deaf children are lonely and suffer in ways through being mainstreamed and what happens to these ex‑ mainstreamers? Are they well? Do they have a good life? [applause] SPEAKER: Tania I don't know whether you would want to say something about the first and second question? SPEAKER: What are they? SPEAKER: So introspection. SPEAKER: I think what Gary is trying to say is in relation to your question, Tyron ‑ ‑ sorry, Tyron is making me laugh. And cognitive fatigue. Oh yes you want to know who are the deaf children who are able to think for themselves and have self‑ esteem and maybe have life successes. I think it's kind of related to the new project that we are doing at the moment, where we are actually assessing deaf children who are oral, who are sign language users and also hearing children, we are giving them tasks, visual tasks, thinking, planning their thinking and which language do they use for those tasks. Some deaf children do sign to themselves before they get on with the tasks and oral children talk to themselves, and so we are starting to explore how they cope with ‑ ‑ well, kind of ‑ ‑ well what strategies they have for their inner thoughts. It may be to do with language and to do with cognition, so we do have a project that's doing that. So it is a good starting point, I think. But of course we've only just started in March which means we have a long way to go and we will see what happens. But I think it is on the right track, as it were, and it will be interesting to see, as you said, to see what styles of thinking there are and how languages are relating to cognition and how they are able to then think about being competent and getting on well in their lives. SPEAKER: I think Kate wants to add something as well in relation to CSWs? Yes, the impacts of mainstream education. KATE: First of all, just in relation to Brigitte, your question. Part of the project I'm involved in is actually to look at the impact of mainstream effects on their identity and self‑ esteem for example. We have involved some mainstreamers within the project, who have deaf peers so many of them attend an unit where there are deaf peers and they have that within the mainstream school and see they have a good sense of self so I think it's important to compare those who are isolated from a mainstream context and don't have that access. Over 80 per cent of deaf children are mainstream without being in a unit, but they are invisible to a certain extent; they are invisible to researchers. Of course we know it will have a big effect on their identity and potentially on their self esteem, being fully immersed where you are the only deaf person within a hearing environment. We are trying to find them, but the question is where we find them. NEW SPEAKER: I also wanted to say it's not just about emotional and social wellbeing, but also in terms of how the child accesses education via a CSW, which means it's indirect education and not direct access to the curriculum. One of my participants has said in interview, “My CSW translates the group discussions, but she doesn't show my personality. So how do I show my personality to these people?” So in terms of social wellbeing and interacting with peers they find that problematic because the CSW seems to translate what's relevant to the subject, what the teacher says in relation to the subject, what the pupils say in relation to the subject. You don't have the general chit chat, they don't have access to it. So yeah, that's an interesting point. NEW SPEAKER: I think this might be the last comment from Mairead. NEW SPEAKER: I just wanted to comment on the first question from the lady in the pink jacket. The research that we do at DCAL does focus at one end of the spectrum primarily at the moment. But you are right there is a lot of research looking at glue ear, influences of that on cognition and so on, but the group you are talking about, permanent losses, mild to moderate, are really under research group and you are right we need to focus more on that in the future. NEW SPEAKER: I think we'll maybe draw that to a close now. Okay, so I will pass on to Lilli, but firstly I would like to thank all of our panel. LILLI: So the conference is now complete, I would like to thank all of our speakers, our panel, the staff who have assisted, a huge thank you to them for their hard work and to our interpreters and speech to text operators and most importantly a huge thank you to you because everything that you fed back is vital to our work and we can think about our future research. That's what we need. When we were talking this morning about research in isolation, we need you to work with us so you can use that research and influence you as practitioners. Please give feedback on the blog or via twitter and we will email you a link. There will be an evaluation form as well. NEW SPEAKER: Can we thank Lilli for her hard work in organising this conference. -- (end) --