Today, Sci-Ed is happy to welcome Rachel Wayne to the blog to discuss hearing impairment in higher education, and this is her third post on the topic (for the first post, click here, and her second post is available here). For more about Rachel, see the end of this post.
One of the biggest frustrations facing students with disability (or those with disability in general), I think, concerns our lack of familiarity within society as a whole with respect to the needs of individuals with disability. This isn’t taught in schools and some of us just simply are never exposed to the experiences that require us to educate ourselves about disabilities. Even worse, the general sentiment often seems that we may be afraid to even approach such individuals for fear of not knowing how to conduct ourselves or for fear of offending someone. The recommendations and suggestions below for communicating with hearing impaired individuals are by no means comprehensive, but they are a good place to start. Although they are written specifically with the educational system in mind, they are by no means circumscribed to a single context (I also encourage you to read Parts I and II before moving on).
Advice to Other Students and Colleagues
Remember that hearing impaired individuals need to see your lips. Always face them when you are speaking and ensure your lips are visible. Do not shout. Do not over enunciate. Be prepared to have to repeat yourself here and there. Remember that saying “Oh, don’t worry, it’s not important” can be considered rude or offensive; if it was important enough to say the first time, then it’s important enough to repeat. Not doing so may unintentionally make the individual feel left out or excluded. When possible, get the individual’s attention first; it’s the polite thing to do. In public, choose a place with adequate lighting and minimal background noise. In large groups, ask the individual where they would prefer to sit; I usually like to sit in the middle of a large table where possible so that I can see everyone. Please don’t ask us to turn up our hearing aids or suggest that we turn up the volume (reading Part I will help you understand why this may appear offensive). When going to the movies, be flexible to theatres and movies for which personalized closed captioning (e.g., CaptiView) is available (Atif Note: This information is often listed on their website). Most importantly, be curious and don’t hesitate to seek feedback on how you’re doing!
This is an example of CaptiView, which plugs into your cup holder, and provides subtitles (click link to learn more)
Advice to Hearing-Impaired Students
Accommodations are useful, but individual needs will vary. Some of these accommodations will be self-driven, such as sitting in the front of the classroom, or familiarization with the material beforehand where possible in order to facilitate comprehension. However, other accommodations require registration with campus disability services, and I do strongly recommend that individuals register as soon as possible to ensure that services can be supplied as soon as they are needed). Such accommodations might include note-takers, assistive listening devices (such as an FM system- the professor wears a microphone that transmits the sound directly to the student’s hearing aid, or transcriptions. I also recommend that students introduce themselves to the professors during the first week of class so that they know who you are, and be specific in telling them exactly what you need from them. It might help to write this down in a list or by email to ensure you’ve covered all of your bases. If you are shy, this medium can be helpful too, but remember that it is the responsibility of Disability Services to ensure that your needs are met.
The lady on the right is wearing an FM system and the one on the left is wearing “boots” on her hearing aid | Click link to go to Phonak website
One strategy I have used in the clinic is to mention my hearing impairment to clients as soon as I meet them. I let them know that I need to see their lips when they speak and that I may ask them to repeat themselves, and that this doesn’t mean I wasn’t paying attention. I will then give them the opportunity to have questions, if needed. This is a good educational opportunity for others, and it also gets any confusion out of the way. Excerpts from this also lend themselves easily to other professional (and even colloquial) introductions.
Advice to Professors or Teaching Assistants of Hearing Impaired Students
Ensure that you are facing the student wherever possible. If you write on the board, minimize the amount of information that you speak while your back is to the class. Avoid walking around the room where the student cannot see you. Repeat questions spoken by other individuals in the class, especially in large classrooms. Ensure that you provide subtitles or transcriptions for all videos shown in the classroom (even if they are non-essential!). The student may ask you to wear an FM system, so you may need to wear a microphone or a small device around your neck. Online lectures or Skype calls will require additional support, likely through real-time transcription.
If you are a conference organizer, please consider providing an audiovisual projection of the speaker onto a large screen if you are using a big room. This is helpful to everyone, especially when you have various accents in the room!
Advice to Educators and Clinical supervisors
You will need to discuss with the student what kind of accommodations they need. However, you need to be aware that the student may not necessarily know what they need, or in my case, how much help they actually do need. Use a recorder to verify a client’s responses on an assessment. Importantly, remember that this may be a touchy issue for your student. He or she will appreciate sensitivity and compassion in your approach (as I certainly did).
The Burden of Advocacy, and the Bigger Picture
Everyone has different ways of dealing with their disability. But the good news is that people are generally receptive to feedback and input. In one example, my Master’s defense involved all four faculty members on my committee being as spread out in the large boardroom as could be, and I knew that this wasn’t going to work for me when I was faced with a similar situation for my oral comprehensive examination. This time, I asked all the faculty members and evaluators to sit closer so that I could read their lips, which was a seemingly terrifying thing to do since they were all there to evaluate me. Not only did this relieve a lot of the added intellectual challenges (and eye strain from trying to lip-read at a distance), in their feedback the evaluators actually expressed that they were impressed about my self-awareness. I still struggle with self-advocacy, however, such as when I ask the clinical department to keep the lights on during a PowerPoint presentation so I can see the speaker’s lips, but I’m getting better at it.
Nevertheless, advocacy is a social and moral issue. The unfortunate reality is that post-secondary education is generally not kind to individuals with disabilities. Such individuals often have to work harder than their peers to compensate for their added difficulties and achieve the same level of performance. As I have discussed, the process of obtaining accommodations may not be seamless, and challenges can act as both physical and psychological barriers to education. I hope that my experiences resonate and I hope that they will contribute to making post-secondary education more accessible to all.
But let’s be clear here: the problem is bigger than this; the challenges don’t stop once students leave the post-secondary institution and enter the workforce. I’ve been transparent in discussing the ways that my personal beliefs about my disability may have perpetuated my social and educational exclusion. However, I’ve begun to think more critically about the ways in which society shapes and reinforces implicit beliefs and stereotypes about individuals with disabilities. In turn, these promote an unspoken culture of shame and personal narratives of exclusion. Thus, the issue isn’t necessarily what is said about disabilities, but rather, what remains unsaid.
Generally speaking, individuals with disabilities have to speak up on their own behalf for accommodations and resources for integration. Consequently, this places the onus squarely on the shoulders of those who are most vulnerable. Social pressures and the desire for conformity often take precedence over individual needs, especially when individuals may have difficulty articulating them in the first place owing to shyness or fear of discrimination.
As educators and students, and as members of society in general, we will feel a diffused sense of responsibility. However, each of us needs to contribute our share to help fill in these gaps of silence. We must open ourselves to these difficult conversations about disability. We must negotiate an equitable place for disabled individuals within our society, and by extension, within the educational system.
Often, the amount of concern we have for an issue is directly proportional to the degree to which it affects us personally. However, I implore you to consider impact of the growing prevalence of age-related hearing loss in a society in which we are living longer than ever. Take a look at your parents or your grandparents, and you will see that this is an issue from which no one is immune.
I don’t know what the solution is, but every instance that we don’t speak up perpetuates the silence. Until disability awareness is taught in schools, until it becomes part of a wider discussion, then we must step up, one student, one individual at a time. For if we don’t, then who will?
Rachel Wayne is a PhD student in the Clinical Psychology program at Queen’s University. Her research focuses on understanding ways in which we use environmental cues, context, and lip-reading to support conversational speech, particularly in noisy environments. The goal of this research is to provide a foundational basis for empirically supported rehabilitative programs for hearing-impaired individuals. Rachel can be contacted at 8rw16[at]queensu.ca