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Component of communication process in which cues are provided to the speaker while producing speech, allowing opportunity for necessary adjustments or corrections. |
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rhythm, rate, and intonation of speech is referred to as |
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frequency range of normal ear |
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t/f vowels generally have a longer duration than consonants |
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most single useful predictor of a person's speech perception abilities |
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production of a speech sound, or phoneme, is often influenced by the surrounding sounds in the speech production. |
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agressive conversational style |
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a listener who blames others for communication difficulties |
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asking the speaker to repeat/simplify a message |
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auditory training approach that attempts to break speech into smaller components such as phonemes or syllables |
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conversational speech can be described as containing info from a variety of sources available for a listener to determine meaning. This predictability refers to concept of: |
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auditory training goals for typical adult |
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1. adjustment and orientation to the hearing aid 2. learning to maximize auditory cues for the perception of speech |
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components of speech perception |
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1.detection 2.discrimination 3.attention 4.memory 5.closure 6.comprehension |
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approaches for auditory training |
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*analytic *synthetic *pragmatic |
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*passive (negative) *agressive (negative) *assertive (positive) |
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linguistic constraints available to enhance speech perception |
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1. syntactic- every language governed by rules for grammar, specifies relationship between words 2. semantic constraints-words used in a sentence are usually related to one another in meaningful way 3. situational-language usually takes place within a physical & social context. (i.e. football game, religion wouldn't be discussed typically). 2. |
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4 major steps/objectives for AT for kids w/prelingual deafness |
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1.development of the awareness of sounds 2.development of gross dsicriminations 3.development of broad discriminations amoung simple speech patterns 4.development of finer discriminations for speech |
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differences that a child perceives in the stress of a particular syllable |
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one of the 1st cues that children w/ HL perceive, seperating up, up, up from weeeeee |
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intonational melody that communicates whether an utterance is a question or a statement |
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calculated based on age at which child begins hearing aid/implant use |
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According to Cole & Flexer, the primary context for developing spoken language is: |
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everyday interactions w/caregivers using spoken language |
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ability to recognize the perspective of another *incidental language learning is essential for developing TOM |
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a collection of self-regulatory and management functions, including planning, organizing, & problem solving |
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consistent use of appropriate amplification |
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Cole & flexer: the most important and initial step for parents is in the development of spoken language for children who are deaf is: |
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strategies to improve interaction at home for toddler w/ HL |
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*use of FM system *background noise *decreasing distance from child |
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child is playing with noisy block and alerts when his name is called by pausing and searching. Example of: |
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speech detection threshold |
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speech recognition threshold (srt) |
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threshold of accurate responses to spondee list |
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speech discrimination testing |
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word recognition score -presented at comfy level -phonemically balanced list -represented as a percentage -can be modified w/presentation using diff levels, visual cues, and noise |
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used as a screening primarily in infants -measurement of acoustic by-product of outer hair cells of cochlea; correlated w/ norm hearing |
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auditory brainstem response (abr) |
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-diagnostic tool, used when behav responses cant be obtained -recordings made at diff intensities -intensity decreases, latency of response increases, & amplitude of waves diminish -audiometric threshold is minimum intensity needed to obtain clear wave |
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hearing loss characteristics |
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-time of onset (preling,postling, deafened) -type of loss (conductive, sensorineural, mixed, functional/non-organic, central audit processing disorder) -auditory speech recognition ability (strong indicator of function, spch discrim tasks, phonemic regress w/ age possible, not really correlated w/hearing sensitvity) |
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-Primary: impact on oral communication -Secondary: educational, vocational, psychological, social |
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Hearing Disorder Classification |
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Hearing isnt functionally normal, there is disorder w/ 3 dimensions: 1. impairment of function 2. activities (communication) restricted 3. participation w/in life situations limited (ex: cant get job) |
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-sound localization -hearing in noise -cognitive load -loudness summation -HEAD SHADOW EFFECT: sound must travel to other ear |
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1. Newborn Hearing Screening- OAE @ birthing center 2.Follow-up Hearing Scr: OAE by 1 mo 3.Diagnostic Testing: ABR by 3 mos 4. Referral to Early Int: ECI @ 2days & LEA @ 5days. 5. Assessment, Eligibility, & IFSP: by 45 days |
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-bilateral, profound, sensorineural loss. |
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has implications for learning |
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What percentage of kids w/ a mild hl fail @ least 1 grade? |
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just so happen to learn language, not intentional |
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presence of HA elicits negative perceptions |
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what is the difference between antidotal and an empirical response to this question? |
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antidotal:story about successful case; need to take into consid research and fact that 1 good case doesnt rep entire population |
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T/F:bc of concomitant (happens @same time) lang deficits, kids growing up w/ hl may have limited experience in self-expression & a subsequent delay in awareness & understanding of their own emotions as well as emotions of others. |
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Why would kids w/ hl be "less accurate in id-ing emotional state of others" or "have poorer understanding of affective words"? |
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if they cant explain/express their own emotions, they cant explain emotions of others. |
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what are the affects on family & peer relationships? |
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frustrating for both parties |
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-shock -denial -anger -bargaining -depression -acceptance *** applies to families of people w/hl |
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Components of Social Competence |
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-ability to think idependently -cap. for self-direction/control -understanding the feelings, motivations, and needs of self/others -flexibility -ability to rely on/be relied on by others -maintaining healthy relationships |
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Reactions to Acquired HL (4) |
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-anger/anxiety -conversational exclusion -role shifts w/in fam -social w/drawal & depression |
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When HL effects you @ work it can lower income because... |
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you miss speech; ppl w/ profound hl typically make less $$$ |
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-deafened ppl cant control life w/ language; use their actions to control things; are typically organized |
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who would provide counseling services? In what context? |
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teachers, audiologist, early intervention specialist... |
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What's the difference between counseling and psychotherapy? |
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C- coach & guide Psy-focuses on personality |
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familiar sounds audiogram |
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illustrates impact of hl on perception of speech sounds |
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used to calculate AUDIBILITY INDEX; # of dots used to calculate speech intelligibility |
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Specialized Hearing Aid Units |
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CROS/BICROS, bone conduction units, implantable units |
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Traditional Earmold Modification |
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-reduces feedback -ensures comfort |
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-fitting software -electroacoustic analysis -real ear:uses probe mic measurements -low tech:family's feedback overtime -inital patient patient data required: pure tone thresholds, loudness discomfort level, spch/spch in noise |
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binaural fittings can provide (4) |
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1. better hearing in noise 2. improved discrim 3. some (5-10dB) improved sensitivity 4. reduced fatigue |
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1.degree of HL: audiogram, spch discrim, UCL (uncomfy comfort level) 2.degree of communication ability 3.motivation to use HA |
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