Types of Communication
People suffering from deafblindness use a variety of different communication methods. Which
method they choose depends upon how much useful sight and hearing they retain. Other factors
include the causes of their deafblindness and for how long the person has had sensory
impairments. And in some cases a deafblind person can make use of a combination of techniques
to communicate. Here are some of the most common types of communication used by deafblind
people.
Block
Block is another form of manual communication in which words are spelled out onto the palm of
the deafblind person's hand. As opposed to other forms of manual signing, Block makes use of
tracing in order to spell the words on the palm. Block can be used to spell out complex words by
tracing each letter with your finger in block capitals on the deafblind person's palm. Letter's are
placed on top of each other and there are slight pauses to signify the end of a word. It's important
to keep letters large and clear as it's easy to mistake similar shaped letters. Although learning
Block requires very little tuition, it isn't as fast and is less popular than other signing methods
due to the limited speed at which information can be imparted.
method is Makaton, which uses some of the main BSL signs but without a grammatical structure.
Due to this many people find it easier to learn.
Hands on signing
Based upon British Sign Language, in this method the deafblind person follows the signs made
by placing his hands on top of those of the signer and feeling the signs as they are formed. As
many people with deafblindness can retain some useful sight this type of signing can be helpful.
This method is particularly useful in helping people with Usher syndrome to communicate as
their sight reduces.
Clear Speech
Speaking clearly is amongst the most effective ways to communicate with someone who has
acquired hearing loss. Research indicates that this method can be highly effective in
communicating with a deafblind person as they often retain some useful sight. It's necessary to
control several environmental factors to ensure the method works well. For example it's
important to check with the deafblind person which position is best for you to be in. Similarly it's
important to minimise background noise and avoid noisy places. It's also recommended to hold a
conversation in an area with good lighting. This allows your face to be seen more clearly and
people with poor sight can often see more in a well lit place. In this method it's crucial to adapt
the conditions to suit the individual and make sure to speak slowly and clearly.
Tadoma
Tadoma, also known as tacticle lipreading, is a method of communication for deafblindpeople in
which the deafblind person places their hands on the speakers lips, jawline or neck in order to
feel vibrations. The middle three fingers usually fall along the speaker's cheeks whilst the little
finger is used to pick up the vibrations in the speaker's throat. In this manner the deafblind
person can feel both the movement of the lips as well as the vibrations in the vocal chords. It's
also useful to feel the puffing of the cheeks and warm air which is produced by nasal sounds
when saying letters like N and M. Tadoma is a relatively difficult method to learn and is not
commonly used nowadays. However some deafblind people can successfully use Tadoma to
retain speech skills which they had before becoming deaf.
The Braille method is a system which is commonly used by blind people to read and write. Each
Braille character is made up using six dot positions which are arranged in a rectangle. Dots can
be raised at any of the six positions and can be used to form up to 64 permutations. Moon is a
similar writing system for the blind which uses embossed symbols which are derived mostly
from the Roman alphabet. Moon is popular with those experiencing acquired sight loss as many
already possess the knowledge of the shapes of letters. And many deafblind people find Moon
easier to understand than Braille. Although neither method can be used in general conversation,
they can help deafblind people access information in books and magazines.
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