Pediatrics Flashcards
What is the most frequency psychological diagnosis for deaf children?
- Behavioral disorder
- Deaf children often exhibit impulsivity, immaturity, egocentricity, lack of empathy, lack of inner control, and self-awareness
Why might deaf children develop behavioral disorders?
- Learned behaviors vs. poor parent-child communication?
- When communication deficits are present, poor relational skills develop, therefore the child displays a lack of empathy or awareness of others at an older age and these behaviors are deemed “deviant”
- Hearing parents of deaf children generally experience greater frustration in child rearing which may cause a lack of awareness for affective cues from their child
What are the consequences of physical punishment between hearing parents and deaf children?
- Leads to poor self-monitoring by the child
- Little information provided to help understand broken rules
Describe language ability of deaf children.
- Language ability not modality is the best predictor of interpersonal communication in children
- Hearing parents who are adept in ASL can avoid developmental risks of inadequate communication (however, reliance on sign is significantly limiting the child’s options for communication partners)
- CI and oral education can add to the child’s experiential input by improving auditory access
- Additional encouragement to proceed to a CI from HAs?
What are the effects of deafness on motor function?
-Reaction time and speed of movement
What are the 4 categories of motor function affected by deafness?
1) Organic factors
2) Sensory deprivation
3) Language (verbal) deprivation
4) Emotional factors
Describe the effects of deafness on motor function: organic factors.
- Vestibular deficits
- EX: hand-eye coordination, balance, body coordination
Describe the effects of deafness on motor function: sensory deprivation.
- Vocal play and babbling are the infant’s way of practicing movement and motor control
- They learn that an action they initiate results in a target behavior
Describe the effects of deafness on motor function: language (verbal) deprivation.
-Deaf children lack the ability to internally rehearse/plan language before the activities become automatized
Describe the effects of deafness on motor function: emotional factors.
- Poor parent-child communication can result in overprotection or neglectful parenting behaviors which affects the child’s self-concept
- Ultimately, the deaf child may become shy, withdrawn, and have poor self-confidence
What are the effects of deafness on motor speech production?
- Motor learning for speech production relies on intact sensory receptor mechanisms and the subsequent integration of acoustic info with visual, proprioceptive, and kinesthetic feedback
- EX: praxis
- Connections of auditory and motor events develop between 3 and 12 months of age
- Acoustic patterns of speech contain cues for the motor actions required to generate these patterns
What are the effects of deafness on the acquisition of acoustic patterns of speech?
- Children with HL (even with CI) have access to a limited portion of these patterns
- Children with HL learn patterns for individual words but show difficulty breaking the patterns down into the syllable or phoneme level
- Implications for including more emphasis on motor skill and sensory-motor integration
What are the goals of the S/L evaluation?
- Provide a baseline of speech and language skills
- Uncover other obstacles to S/L acquisition
- Contribute to child’s overall profile to assist with candidacy
What are some measures of receptive/expressive language?
- PPVT
- CELF
What are some measures of articulation/intelligibility language?
- CID Phonetic Inventory
- Goldman-Fristoe
