1. Communication Considerations…. One Child at a Time
GPS: Guide to Providing Services
A workshop for Early Intervention Providers
Communication Considerations…. One Child at a Time
The Learning Center
for the Deaf
June 10, 2013
Mary Koch Cline, M.A.,
Auditory Education Consultant
Hamilton, MT

3. Communication Priority Pyramid Connection
Cognition
Communication
Language
Modality
Precision

4. symbols
words
LANGUAGE
names
concepts
thoughts
literature
movies
humor
education
books
stories
employment
ideas
history
poetry
internet
conversations
relationships
friends
hearing
vision
In an environment that meets the needs of the individual child.

5. Where do we hear?

6. oo mm ah ee sh
The “Speech Banana”

7. Any sounds ABOVE the recorded thresholds CANNOT be detected.
Any sounds BELOW the recorded thresholds CAN be detected.
Speech “Submarine”

8. What CAN be heard

9. What CAN’T be heard

10. Unaided Aided Cochlear Implant
Moderate
Hearing Loss
Normal Hearing
Severe-to-Profound
Severe
Unaided Aided Cochlear Implant

11. Listen in… Can you identify the meaning of 3 Afrikaans words in the following clip: 1. _________________ 2. _________________ 3. _________________

12. Listen and look... Can you identify the meaning of 3 Afrikaans words in the following clip: 1. _________________ 2. _________________ 3. _________________

13. At birth, the human brain is still preparing for full operation
At birth, the human brain is still preparing for full operation. The brain's neurons exist mostly apart from one another.
Nature, Nurture and Early Brain Development Sara Gable, University of Missouri, 2004

14. These connections are formed when impulses are sent and received between neurons.
Nature, Nurture &Early Brain Development Sara Gable, University of Missouri, 2004; paulnussbaum.com/gettoknow.html

15. It is the creation of these synapses that account for learning.
Through meaningful repetition, sounds and words become encoded in the auditory memory.
Nature, Nurture &Early Brain Development Sara Gable, University of Missouri, 2004; paulnussbaum.com/gettoknow.html

16. New: Language and concepts being presented for the first or second time.
Review: language and concepts that have been presented repeatedly over a period of at least 2 weeks.
Routine: The language of the daily activities of the classroom: transition, snack, instructional routines, etc.

17. Listening and “The Lazy Eye”
Hearing
The Weaker
Sense
Vision
The Stronger
Sense
Listening and “The Lazy Eye”

18. The Auditory “Sandwich”
Visual Clarifier
Auditory

19. Use of Visual Clarifiers
Speechreading
Sign
Gesture
Picture
Representational Object
Actual Object
Fish only as “deeply” as is needed to clarify.

20. Continuum Navigation GuidelinesVA V
New
Review
Routine

21. kӑt gŎtō ʃŎ (cat) (gato) (chat) c a t
Symbolic representations of “cat”

22. Spoken language
Sign language
...languages with radically different sensory modalities such as speech and sign are processed at similar brain sites.”
Petitto et al

23. Traditional Communication Continuum
AUDITORY
VISUAL
Auditory-Verbal
Auditory-Oral
Cued Speech
Simultaneous
Communication
ASL
Language
Cognition
Robbins 2001

24. Communication “choices”
Traditionally viewed as a “parking lot”…
Auditory-Verbal
Auditory-Oral
Cued Speech
Simultaneous Communication
ASL
Language
Communication
Cognition
AUDITORY
VISUAL

25. A Av AV VA V Communication Continuum More like a “skating rink.” Fully
Auditory
Communicator
Mostly
Auditory
Communicator
Mostly
Visual
Communicator
Fully
Visual
Communicator A Av AV VA V
* [Adapted source:Robbins 2000

26. Continuum Navigation GuidelinesVA V
New
Review
Routine

27. EXPECTATION INDICATORS
AUDITORY ACCESS
Checklist m
oo
sh
ah
ee
ss
LING 6 SOUND TEST
ha
ci
fm
EQUIPMENT
RECEPTIVE Modality
Auditory
Visual A Av AV VA V
Role of STUDENT in COMMUNICATION
Expressive
Receptive E ER RE R
EXPRESSIVE Modality
Oral
Sign O Os OS So S
ACADEMIC 2 1 3 4 5
AUDITORY
Degree of CHALLENGE
EXPECTATION INDICATORS
AUDITORY ACCESS & ATTENTION
Noise
quiet
loud
Attention
none
good
Familiarity
routine
new
Context
Lots!
None
CONTENT and CONTEXT
SIGN LANGUAGE INPUT
Interpreter Use
Interpreter
Sign System
ASL
Key words
SEE
Teacher
CASE
ACoRN © 2007
Boys Town National Research Hospital
AUDITORY COMMUNICATION DASHBOARD

28. Thank you!