NASET Q & A Corner
Questions and Answers About American Sign Language (ASL) and Cochlear Implants
Introduction
This edition of the NASET Q & A Corner will focus on two areas. The first will address questions pertaining to American Sign Language. American Sign Language (ASL) is a complete, complex language that employs signs made with the hands and other movements, including facial expressions and postures of the body. The second part of this edition will focus on cochlear implants. A cochlear implant is a small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing. The implant consists of an external portion that sits behind the ear and a second portion that is surgically placed under the skin.
What is American Sign Language?
American Sign Language (ASL) is a complete, complex language that employs signs made with the hands and other movements, including facial expressions and postures of the body. It is the first language of many deaf North Americans, and one of several communication options available to deaf people. ASL is said to be the fourth most commonly used language in the United States.
Is sign language the same around the globe?
No one form of sign language is universal. For example, British Sign Language (BSL) differs notably from ASL. Different sign languages are used in different countries or regions.
Where did ASL originate?
The exact beginnings of ASL are not clear. Many people believe that ASL came mostly from French Sign Language (FSL). Others claim that the foundation for ASL existed before FSL was introduced in America in 1817. It was in that year that a French teacher named Laurent Clerc, brought to the United States by Thomas Gallaudet, founded the first school for the deaf in Hartford, Connecticut. Clerc began teaching FSL to Americans, though many of his students were already fluent in their own forms of local, natural sign language. Today’s ASL likely contains some of this early American signing. Which language had more to do with the formation of modern ASL is difficult to prove. Modern ASL and FSL share some elements, including a substantial amount of vocabulary. However, they are not mutually comprehensible.
How does ASL compare with spoken language?
In spoken language, the different sounds created by words and tones of voice (intonation) are the most important devices used to communicate. Sign language is based on the idea that sight is the most useful tool a deaf person has to communicate and receive information. Thus, ASL uses hand shape, position, and movement; body movements; gestures; facial expressions; and other visual cues to form its words. Like any other language, fluency in ASL happens only after a long period of study and practice.
Even though ASL is used in America, it is a language completely separate from English. It contains all the fundamental features a language needs to function on its own–it has its own rules for grammar, punctuation, and sentence order. ASL evolves as its users do, and it also allows for regional usage and jargon. Every language expresses its features differently; ASL is no exception. Whereas English speakers often signal a question by using a particular tone of voice, ASL users do so by raising the eyebrows and widening the eyes. Sometimes, ASL users may ask a question by tilting their bodies forward while signaling with their eyes and eyebrows.
Just as with other languages, specific ways of expressing ideas in ASL vary as much as ASL users themselves do. ASL users may choose from synonyms to express common words. ASL also changes regionally, just as certain English words are spoken differently in different parts of the country. Ethnicity, age, and gender are a few more factors that affect ASL usage and contribute to its variety.
Why does ASL become a first language for many deaf people?
Parents are often the source of a child’s early acquisition of language. A deaf child who is born to deaf parents who already use ASL will begin to acquire ASL as naturally as a hearing child picks up spoken language from hearing parents. However, language is acquired differently by a deaf child with hearing parents who have no prior experience with ASL. Some hearing parents choose to introduce sign language to their deaf children. Hearing parents who choose to learn sign language often learn it along with their child. Nine out of every ten children who are born deaf are born to parents who hear. Other communication models, based in spoken English, exist apart from ASL, including oral, auditory-verbal, and cued speech. As with any language, interaction with other children and adults is also a significant factor in acquisition.
Why emphasize early language learning?
Parents should introduce deaf children to language as early as possible. The earlier any child is exposed to and begins to acquire language, the better that child’s communication skills will become. Research suggests that the first six months are the most crucial to a child’s development of language skills. All newborns should be screened for deafness or hearing loss before they leave the hospital or within the first month of life. Very early discovery of a child’s hearing loss or deafness provides parents with an opportunity to learn about communication options. Parents can then start their child’s language learning process during this important stage of development.
What does recent research say about ASL and other sign languages?
Some studies focus on the age of ASL acquisition. Age is a critical issue for people who acquire ASL, whether it is a first or second language. For a person to become fully competent in any language, exposure must begin as early as possible, preferably before school age. Other studies compare the skills of native signers and non-native signers to determine differences in language processing ability. Native signers of ASL consistently display more accomplished sign language ability than non-native signers, again emphasizing the importance of early exposure and acquisition.
Other studies focus on different ASL processing skills. Users of ASL have shown ability to process visual mental images differently than hearing users of English. Though English speakers possess the skills needed to process visual imagery, ASL users demonstrate faster processing ability–suggesting that sign language enhances certain processing functions of the human brain.
COCHLEAR IMPLANTS
What is a cochlear implant?
A cochlear implant is a small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing. The implant consists of an external portion that sits behind the ear and a second portion that is surgically placed under the skin. An implant has the following parts:
- A microphone, which picks up sound from the environment.
- A speech processor, which selects and arranges sounds picked up by the microphone.
- A transmitter and receiver/stimulator, which receive signals from the speech processor and convert them into electric impulses.
- An electrode array, which is a group of electrodes that collects the impulses from the stimulator and sends them to different regions of the auditory nerve.
An implant does not restore normal hearing. Instead, it can give a deaf person a useful representation of sounds in the environment and help him or her to understand speech.
How does a cochlear implant work?
A cochlear implant is very different from a hearing aid. Hearing aids amplify sounds so they may be detected by damaged ears. Cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. Signals generated by the implant are sent by way of the auditory nerve to the brain, which recognizes the signals as sound. Hearing through a cochlear implant is different from normal hearing and takes time to learn or relearn. However, it allows many people to recognize warning signals, understand other sounds in the environment, and enjoy a conversation in person or by telephone.
Who gets cochlear implants?
Children and adults who are deaf or severely hard-of-hearing can be fitted for cochlear implants. According to the Food and Drug Administration (FDA), as of April 2009, approximately 188,000 people worldwide have received implants. In the United States, roughly 41,500 adults and 25,500 children have received them.
Adults who have lost all or most of their hearing later in life often can benefit from cochlear implants. They learn to associate the signal provided by an implant with sounds they remember. This often provides recipients with the ability to understand speech solely by listening through the implant, without requiring any visual cues such as those provided by lipreading or sign language.
Cochlear implants, coupled with intensive postimplantation therapy, can help young children to acquire speech, language, and social skills. Most children who receive implants are between two and six years old. Early implantation provides exposure to sounds that can be helpful during the critical period when children learn speech and language skills. In 2000, the FDA lowered the age of eligibility to 12 months for one type of cochlear implant.
How does someone receive a cochlear implant?
Use of a cochlear implant requires both a surgical procedure and significant therapy to learn or relearn the sense of hearing. Not everyone performs at the same level with this device. The decision to receive an implant should involve discussions with medical specialists, including an experienced cochlear-implant surgeon. The process can be expensive. For example, a person’s health insurance may cover the expense, but not always. Some individuals may choose not to have a cochlear implant for a variety of personal reasons. Surgical implantations are almost always safe, although complications are a risk factor, just as with any kind of surgery. An additional consideration is learning to interpret the sounds created by an implant. This process takes time and practice. Speech-language pathologists and audiologists are frequently involved in this learning process. Prior to implantation, all of these factors need to be considered.
