DianrezMusings on communication
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Original: 6/14/2009 3:04 PM
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Sunday, June 14, 2009

Enough with blogs about CI surgery!

  Medical and cultural views on being Deaf

These two viewpoints on being d/Deaf couldn't be more opposite. In the medical view, one focuses on the deficit (loss of hearing) and curing it. In the cultural view, the person is accepted as a Deaf person and the most sensible language is used. Sign. In the medical view the person is brought to a standard or as close as possible. In the cultural view the person is appreciated for who he is.

Actually, the medical view is a demeaning one. It defines the person by his nonfunctioning ears. The ASL sign "box-mouth-box ears" is apropos because it means focusing only on the ears and the speech. Nothing else is considered.

Not considered is the person who may be intelligent, creative, skilled, experienced and productive. All that matters is the aforementioned two parts of his anatomy and their function.

Oh dear, Aunt Matilda is talking about her operation again!

Too many bloggers talk about their surgical experiences and go into detail what they go through in recovery, mapping, travel to appointments, in handling complications and breakdowns, and even in hearing birds or insects. That may be interesting to them and to others having similar experiences, but does not explain who they are.

An example of a medical focus is Lyndon B. Johnson, here showing off his gallbladder surgery scar. This man may be President of the United States, but here he is a patient obsessing over his midsection, showing it off as if battle scarred. In this instant the world recoiled: is this the leader of the free world so undignified as to pull up his shirt and demonstrate the gory details of what was done to his body?  I imagine that cochlear implant patients feel a similar need to show off their experiences and scars, but, please, life and the Presidency are far more than such physical details. Long after we are dust, the world will remember our accomplishments longer than surgical experiences.

Far more interesting is if they revealed who they are, what they are doing, their opinions, and their life-fulfilling experiences apart from their surgeries. In the case of parents writing about children, there is an emotional aspect that makes one uncomfortable to read about...because of the expense, time, emotional investment and parental uncertainity in them and leaves one wondering if they are missing something. Even at two or three years old, children are individual personalities with varied characteristics.

People, not scars!

I'd rather hear about Beethoven and how he worked by imagination. I'd rather hear how he managed his professional life, his creativity, earned his living, and related to other people. I'd rather hear about the kind of person he was and where his creativity came from. That he held a stick in his teeth touching the piano as he played is relatively unimportant compared to the accomplishments he made. Could you credit his symphonies to that stick? Would the same stick enable another person to compose equivalent works?

Similarly, I want to hear how little Adam took apart a toy and manipulated its parts to see how they work, or how Kathy observed a street artist and did her own interpretative work, and to see the work itself. I want to read the first scribblings of young Mark. And tell me that the baby figured out how to reach the doggie by rolling all the way across the room. And I'll tell you how my deaf baby would scoot under furniture on his back to examine the underside and that he now is considering automotive mechanics at age 21. And all of these would happen anyway whether or not the child had been implanted.

I want to hear how a teen or adult CI implantee is sorting out his hearing and deaf experiences and coming up with a new perspective. I want to hear how he is resolving conflicting perceptions and community expectations. I want to hear about new ideas for future generations to work upon.

Are the "bad old days" truly in the past?

Back in the hearing aid and oralism days, deaf children were constantly evaluated in their hearing, use of aids, their speech progress, were scrutinized, corrected and pushed and pulled, and grouped not by intelligence but by their facility of speech and residual hearing. I am told this does not happen with cochlear-implanted kids, and that today's enlightened teachers are focusing on the natural environment with CI-aided hearing. Well and good, but the "box-ears-box-mouth" focus is still there. Anxious parents and pressured teachers are aware that what comes out of the mouth and what information goes in the ears are paramount, and the child as a person is secondary for the first few AVT-dominated years. That has to leave an indelible stamp on the child's personality. Add to that the prohibition against ASL during AVT therapy and one can see the effect of a restricted environment during a critical period of development.

There is also the possibility that the CI ultimately gives a semblance of hearing akin to being hard-of-hearing, and we are all aware of the marginal existence of today's HOH people. Are the CI kids being prepared for a life that is neither here nor fully there? Is supplementing with ASL enough insurance to avoid this marginal feeling? Are the CI kids being psychologically prepared to handle the challenge of expert guessing and incomplete hearing? Are they being taught that they are still whole and capable people, regardless of the level of hearing and speech they may attain?

The guy is deaf, get over it.

The cultural model teaches that being Deaf is okay, that to have less than normal hearing or different speech is also acceptable, and that it does not reflect on oneself in any way. The box-ears-box-mouth concept is irrelevant as a measure of one's worth. The cultural model teaches self-respect; that there are Deaf people who are excellent models of adaptability and accomplishment and that oneself can become a worthy model for others, too. Tools such as hearing aids and CI's are only a small part; treated as minor assets or necessary annoyances or even optional devices. No emotional aspect is attached to them; no more so than for glasses or shoe inserts.

My wish for the upcoming CI generation is to know that although they may have more options than the generations before them, they are still welcomed along with their families to the Deaf Community to make their own unique contributions, and that ASL is the way to ensure this resource is available to them.  I hope they are not being fed incorrect information such as that Deaf people are limited, or living in a lonely world, or are deprived of opportunities. Nor that they are successful because of the CI. Nor that they have to meet the expectations of the Hearing community even if it does not mesh with their own capabilities. And my wish is for all d/Deaf people to unite in telling the hearing community to see us as capable individuals unrelated to and regardless of our hearing ability.

 Posted 6/14/2009 3:04 PM - 824 Views - 10 eProps - 25 comments

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Dianrez:

Thank you! You hit the nail right on its head! I am sick and tired of all the baloney going on here. I tune out any medical talk about cochlear implanting. It seems so stupid the way they talk about it. So what! I have seen it over and over since 1984. How many years is that? 25 years already! They need to shut up and move on! It is merely the medical people and cronies trying to fish more and try to "brainwash" by using various bloggers to do their dirty work. Oh well! We know how to hit the "ignore" or "delete" buttons! it is a sane thing to do!

Keep b/vlogging!

=)
Posted 6/14/2009 10:30 PM by deafadvocate - reply

D-Rez:

You said it BEAUTIFULLY! I could not possibly add anything else to clarify or further your points. Cochlear surgery and mapping and "I heard that cricket fart!" blogs are so BORING!
Posted 6/14/2009 10:42 PM by Don G. (site) - reply

Well said, Dianrez!  There's only so much of the medical view, so much navel-gazing...er...ear-gazing? mouth-gazing? that one could take before one tunes out such blogs.  We are so much more than two small parts of our body.... the sum of all the parts that make us who and what we are, and all that jazz.   I'm all for the cultural perspective, which is healthier for everyone concerned.

Shel

Posted 6/14/2009 11:27 PM by Shel - reply

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Dianrez,

Thank you for writing this and how true it is!

It is the Deaf babies' brain that have been so neglected at start because of the over-emphasized focus on the ear and mouth at the beginning.

This should be an article in every deaf-related newsletter, Journals, magazine in the country plus major news media and talk shows.,,Oprah?

John
Posted 6/15/2009 12:11 AM by Bassegbert - reply

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Beautiful!

~ LaRonda
Posted 6/15/2009 12:14 AM by LZupp - reply

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*ten thumbs up* Well, if I have ten thumbs, I would give it to you, Dianrez! You've said it all beautifully! Even hit right on the nail as well. We don't give a rat's ass about the details of CI surgeries. I sure do have lots of "battle" scars but do I need to share them with you guys? HELL NO!
All we care is about what is happening to the Deaf issues, Deaf Education, Deaf Culture, etc.

*twenty thumbs down* to CI surgeries blogs.

Insane Misha
Posted 6/15/2009 12:56 AM by InsaneMisha - reply

Beautifully said! I'm so sick and tired of all this focus on three tiny bones, one nerve, one snail-shaped organ, the mouth, tongue, lips, and vocal chords! There's more to life, language, and learning than that!
Posted 6/15/2009 1:03 AM by observer - reply

 Beauté.Beauté.Beauté.

Jean Boutcher

Posted 6/15/2009 2:45 AM by jean boutcher - reply

Agreed. I think the surgery photos are inappropriate. I don't like the blogs about AVT and IEPs, either, or all the programming details -- another turn-off -- just say hey, last month I (or the kid) got a CI, they flipped the switch, OK, now I hear some things, and leave it at that. We don't need to see the negative parts. It turns people off, esp. parents who have to look at little babies all bandaged up and scarred -- they are going to think twice about getting a CI or doing that to a baby if they see that again and again. I prefer to read about those children and the adults once they've gotten past the blood and gore and are living their lives, talking, whatever they do.
Posted 6/15/2009 10:57 AM by a friend - reply

Dianerez, this may surprise you, but I actually find some of those blogs interesting. I'm an adult Deaf person who uses ASL primarily. I got a CI a few years ago. When I was contemplating getting the CI, I found web sites by various deaf people extremely interesting, informative, and valuable in helping me make an informed choice. DeafRead didn't exist yet. I think it's great that they include all perspectives, not just the ASL-centered ones. FYI, I am not focused on my ears and mouth, thank you very much, and neither is anyone else I know. I have a wonderful life, a job, friends, Deaf community, a home, family, health, the whole bit. My CI does not define who I am. With the CI on, my hearing level is in the mild range, with it off, it's in the profound range. Yet, I'm exactly the same person either way. With my long curly hair, no one can even tell if I'm wearing it or not. I'm living my life as opposed to obsessing about my hearing. I might suggest that you and the other commenters do the same, eh? I don't read every single thing on DeafRead or DeafVideo, so if you don't want to read about others' CI experiences, then don't click on them. It's your choice.
Posted 6/15/2009 1:15 PM by Anonymous - reply

Those CI stories are boo-oo-ooring! I have much to do and some are EXCITING things, nothing to do with hearing. You're right, some people have nothing interesting to talk about!
Posted 6/15/2009 1:53 PM by Mira - reply

well then, Mira, don't read them! Can it be any more simple? There's lots of interesting stuff on DeafRead. it's a matter of opinion what's interesting and what's not.
Posted 6/15/2009 4:10 PM by Anonymous - reply

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Thanks, friends, some of you are seeing this blog as a reflection of your feelings, and some want to see more CI surgery stories to compare with their own experiences.

Both types of readers are well noted for their viewpoints, but please remember that the content of this blog is about making too much of the medical approach and not enough of the person. I still want to hear about your lives, people. Your successes, your failures, the role the CI has played or not, new applications that you have made with or without the CI, and so on. It is a tool when the hype is removed and the person using the tool is still a person, not a patient.
Posted 6/15/2009 5:11 PM by dianrez - reply

Dianrez, thank you for your broadmindedness. I appreciate your viewpoint and feel I'm being heard. For those newly implanted people blathering on about their surgery, etc., it's all such a novelty. They haven't had a chance to live with their CIs yet. Some of them do write about their lives pre-implant, and their backgrounds are very interesting too. For anyone, implanted or not, a medical procedure is a very big deal. No one likes the thought of any part of our body cut open, drilling, scars, and all that icky stuff (even though the person sleeps through the whole thing!). Mapping is tedious and not all that exciting to read about, honestly. But once it's all done, then life proceeds.

I'm glad you want to know about our lives, but sadly, some of your readers don't care to read one little thing about living with a CI, regardless of the fact that we don't have "hand-boxes" around our ears and mouths. For some deaf people, a CI is automatically associated with "medical" and "pathology" and "audism" and "genocide," and all those other negative buzzwords flying around today. I'm here to tell you it's not a negative. We aren't patients forever. I felt OK with myself before the CI, and I feel OK with myself after the CI.
Posted 6/15/2009 10:21 PM by Anonymous - reply

Those CI blogs belong on DeafVillage. They are always in your face on DeafRead and it is getting more and more difficult to avoid tripping over them. Let's clean house! Anonymous, if you want more CI blogs, go there! DeafRead should represent DEAF PEOPLE, not CI IMPLANTEES!
Posted 6/16/2009 12:16 AM by Mira - reply

Hmm, I think there are some medical stories that feature prominently when people journal their lives in blogs because they are such a part of a much bigger story. One example: think about having a baby. Not something we think about as an ugly medical procedure, is it? And it isn't about the dilation and rush to the hospital and medical procedures even though that's the big event we tell people about, is it? We post pictures of sweaty mom in the hospital bed, holding the new, sometimes very goopy baby. It's really all about the new child, the new family. CI surgery is like that -- it's a really important (and frightening) milestone in a deaf person's life. We post pictures of the baby with a wrapping on the head afterwards to show all that she's OK! She's entering a new phase. And then the story continues with the every day activities or other milestones.

Dianrez, there's a lot of very personal baring of souls on blogs. Maybe not everyone shows their gallbladder scars, but I see a lot of comparing of psychological scars among deaf on blogs. And not only do I see very little deaf w/CI representation on deafread at all because many left when some very vocal people claimed that deaf w/CI were not welcome last year (so I'm surprised you and Mira find the volume high), I don't see that boxing around mouths and ears in people's stories. That would be like me saying that Deaf on deafread have a box around their hands, that's all they seem to think they are. (And apparently they have no legs and are stationary at computer screens, we see only their bodies from waist up on vlogs, never activity). No, it's a matter of perspective: you are just focusing on the ears and mouth.

Remember, too, that unless it's presented using ASL, anything that isn't explicitly about the issues of deafness gets put into Extra: so a deaf w/CI blog about ski-diving would not show up in Deafread. A deaf w/CI blog about CI surgery will show up. But if Jodi writes about her deaf son's foray into dating at school, you won't see it unless she brings up something to do with him using his cochlear implant, too. If Jennifer, Abbie, or Sara write about traveling cross country, IT issues, or their jobs, you are likely only going to see the entries that feature their CIs. If I were on deafread, the only posts you'd see would be our language sessions with the SLP and the surgery, I think. Because the majority of my blog entries are about Li-Li as a person and what she's doing and learning, but not about her deafness as a topic. So what you see is a compartmentalized version of the stories people are telling.

And deaf people with cochlear implants, just like deaf people with hearing aids, are still deaf. So Mira: I'd recommend that instead of sweeping out deaf people and their families who want to be part of the deaf conversation, you throw out the ugly intolerant trash and clean up after yourself.
Posted 6/16/2009 6:41 AM by Li-Li's Mom (site) - reply

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Hi, Li-Li's mom, it is easy to foresee a future where everybody has CI's and are functioning as hard-of-hearing people. Blogs will surely reflect this, as some do now on DeafRead. Probably we will see a lot less Deaf Culture blogs that shows lives as competent as that of Hearing people, celebrates the uniqueness and expressiveness of ASL, and shares the frustration of dealing with clueless hearing people. As a facet of American diversity, that will be a loss.

But, horrors if we become more patients than individuals. A mindset that begins with doctors, surgery and devices and trying to be as hearing as everybody else. Even worse, that this dominates our lives as it does in some blogs. Deaf people older than 35 these days had a different but equally hearing-dominated childhood: oralism and you see today in their blogs a determination to throw off its side effects. Perhaps in the future we will see similar blogs decrying the influence of CI orientation in their childhoods.

I appreciate your blogs, however, because they are about discovery and integration of the Deaf experience, of your own growth as an aware parent and Hearing person, and touches on Li-Li's growth as a child with both CI and ASL. That is more than a blog strictly about skiing or childhood milestones or other non-deaf topics. Or endless blogs about surgery.
Posted 6/16/2009 8:41 AM by dianrez - reply

There is always the trade off between culture/language, and language/communication.  Those who see it as an effective 'tool' to communicate with, and those who feel it is part of the culture of being deaf.  What matters (I think), is that it helps deaf people to communicate, which is after all why it was created and honed to its present status, so perhaps aspire to the 'tool' view of sign language.  It is by no means a slight against culture, indeed as I and others may use sign, it keeps the focus ON culture even IF we don't belong to it, since most assume sign equal culture anyway.

There is a lot of blogs on the 'mechanics' of the CI and its implantation, in part this helps people decide whether to go ahead or not, and alleviates concerns.  What irks I suspect if those blogs that claim it is the answer and 'cure' for being deaf, this is not true, and anyway there are many ASL/BS: CI user groups coming along still.  I think, and I objected with others at the time deaf.read and indeed the deaf culture made a huge mistake forcing CI people to 'their own' site, they now, rival the cultural ones, but, are gathering momentum AGAINST culture because they were kicked out...

"Keep your friends close..", was the old saying, but, "Keep your enemies CLOSER.."  AT least that way you can appeal to the middle ground, if you push each other out, there IS no middle ground ! As someone stated implantees may eventually replace most cultural deaf, who then, will keep it going ?  Everything changes, we just have to get used to it...

Posted 6/16/2009 12:59 PM by MM (site) - reply

excuse me, Mira, I'm an honest to God DEAF PERSON who uses ASL daily, cherishes Deaf culture, and is immersed in the deaf community. I have a CI -- the CI doesn't have me. I haven't gone over to the dark side. As far as I'm concerned, the deaf world is alive and thriving. there's some blogs by DEAF PEOPLE I don't bother to read because they're mostly garbage, in my opinion. But I can tell by the number of hits that some people want to read them. So what does an intelligent, tolerant person do? Skip over them. You can also use customize DeafRead so you don't see then. Contact Tayler or Jared to learn how.
Posted 6/16/2009 7:37 PM by Anonymous - reply

Dianrez, I absolutely share your wish for all deaf children to "know that although they may have more options than the generations before them, they are still welcomed along with their families to the Deaf Community to make their own unique contributions, and that ASL is the way to ensure this resource is available to them."

But that great thought runs counter to a call for the end of CI blogs about the surgery.

As far as deafread is one representative space for the deaf community, that means we, as a diverse group, need to accept different perspectives without calling for an end to the subjects we're just not interested in. It's one thing to call for an end to harassing or discriminatory blogs, blogs that violate our rights, sites that intentionally spread misinformation or do harm. But calling for an end to a subject that is of great interest to some in the deaf community, but bore others to tears is just a divisive effort. And even though I know you have strong feelings, you seem like the last person in the blogosphere I'd have expected to be calling for division.

Sure, you and I might find it tedious to see scars bared (physical or psychological), but as you've pointed out in the past, sometimes it's really important for individuals to have their trials acknowledged as part of the healing and dealing process. CI surgery is a big deal -- it's scary, it's a no-turning-back moment, no one takes 4 hours under anesthesia lightly, for each person, it's a new discovery, and it's endlessly fascinating for those approaching the surgery -- but as someone who has been through the process twice, yeah, I can see that it grows old. But as many have said, you don't have to read these entries, there are plenty that I scan and pass by (never yours, of course :) , esp. when you have such incendiary titles!).

But on the other hand, I do think your message is a good reminder to amp up the value of our journals, and because they are public, to look at them with the thought that often that's all people see of us (which has suddenly horrified me). Not everyone gets the benefit of our oh-so-scintillating Twitter feeds, the endless stream of witty repartee on Facebook, brilliant late night philosophical and political discussions, the long debates about communication methods that occur in real life. If all we blog about are pics of the amazing new way we found to stick the CI processor on our child's head or the fact that the child's processors fly off her head onto the curved door of the new Prius every time she gets in the car seat, or that her scar looks like an ancient glyph for world peace, that's all people will think we are focused on. So, I'm taking your issue to heart, and will TRY to do a better job of writing with substance that matters to more than just the child's grandparents, the audience I tend to target.
Posted 6/17/2009 1:34 PM by Li-Li's Mom (site) - reply

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Thanks, Li-Li's mom. The majority of Deaf people are annoyed with the medical viewpoint and including myself, feel that it obscures our value as accomplished people. It's a sore point when hearing people are implying that hearing is essential to get anywhere in the world.

Unlike Mira and others, it's not my aim to banish these medical-centered blogs to DeafVillage, although it would be a plus for DeafRead to be more of a cultural showcase than it is now.

Perhaps this is real Deaf Culture opposition, like "stop the CI!" actually is a fight against the medical model. This opposition doesn't have anything to do with improving hearing nor of limiting choices. It's really "respect us, we're OK just as we are" first and then considering hearing enhancement as secondary.
Posted 6/17/2009 3:42 PM by dianrez - reply

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hi diane

excellent post

i was writing a comment yesterday when my computer died

cant remember what i wrote but basically what it seems - we share a dream

that one day our future Deaf children will not be judged by their ears and their mouths but rather by the content of their character

thanks so much for all u do

u r a supreme Deaf ASL essayist - giving voice and words to the cultural / linguistic perspective of Deaf folks

merci beaucoup

peace

patti

PS in trying to find ur blog again today - googled u and saw this interview - not sure if u have shared with ur readers but i think they would love to see it - REALLY well done and so glad u r highlighted - u r a great model of great blogging - will illustrations no less

kudos to u

http://www.start-american-sign-language.com/dianrez.html - interview with Diane - A "MUST READ"
Posted 6/18/2009 10:48 AM by pattidurr - reply

As a mother of a child born deaf who now wears bilateral cochlear implants, I do not in any way see him as different or define him by his CI's. I chose to give my son every option in life and that includes hearing his family and peers. My son has used ASL since he was 7 months old and will continue to do so. As he turns into a teenager if he decides that he doesn't want his CI's it will be his choice then to not use them. It is your choice to remain deaf, but just b/c you chose so doesn't make your view the only view in the world on the subject. A big problem with the deaf community is that they shun the CI. The person is deaf period....so why shun them if they chose to hear with a CI? More power to you, but get your facts straight and keep your opinion to yourself. Stay off my blog thank you very much!
Posted 6/23/2009 1:33 PM by Tiffany - reply

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Hello, Tiffany,
I think it's great that your child has the benefits of both ASL and the CI, and you're certainly on the right track about regarding him as a whole person rather than a disabled person.

You'll find that the Deaf community is more accepting of the CI nowadays where they weren't as much some years ago. So, Tiffany, I do have my facts straight and feel that you're maybe a mite behind the times. You're welcome to send me an email with further questions, because it seems you've misread my position. (See my next blog for more clarification.)

Again, this blog is a plea to leave the medical model behind in our blogs and write to emphasize our accomplishments and culture as Deaf people.
Posted 6/23/2009 6:38 PM by dianrez - reply

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OOOOOooooooooOOOOOOOooooooo Lordy!  I'm more than a lack of an operation!!
Posted 6/26/2009 4:38 AM by online now Stanelle - reply


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