Cultural Components Of The Deaf Community - amazonia.fiocruz.br

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Sign languages also known as signed languages are languages that use the visual-manual modality to convey meaning. Sign languages are expressed through manual articulations in combination with non-manual elements. Sign languages are full-fledged natural languages with their own grammar and lexicon. Linguists consider both spoken and signed communication to be types of natural language , meaning that both emerged through an abstract, protracted aging process and evolved over time without meticulous planning. Sign language should not be confused with body language , a type of nonverbal communication. Wherever communities of deaf people exist, sign languages have developed as useful means of communication, and they form the core of local Deaf cultures. Cultural Components Of The Deaf Community

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Download the article pdf. Spoken language provides a powerful means of storytelling and describing the human experience.

Serving as a cornerstone in the art and science of medical assessments, the verbal narrative is a frequently used Co,munity modality for patients to efficiently describe their medical concerns, historical context, and relevant life experiences. This article includes the vignette of a man identifying as Deaf and Hard of Hearing DHH who was initially assessed to be in a major depressive episode but, through careful screening, cultural considerations, and analysis of American Sign Language ASLwas noted to be acutely manic. This crucial diagnostic clarification allowed proper management and subsequent remission.

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Deaf and Hard of Hearing DHH individuals present with a unique communication modality and human experience that can be challenging or unknown for many providers. Encounters with DHH patients bring to light multiple aspects of humanism in medicine, including underlying cultural considerations notable for a clinician to consider. Approximately six hundred million people worldwide 1 and Individuals who Cultueal deafness have increased rates of mental health problems 3 and notable differences in the rates of diagnosed adult psychiatric disorders compared to hearing adults.

Despite the imperative to implement resources to care for this population, Deaf and Hard of Hearing DHH individuals face multiple barriers. Cultural differences may impact communication and trust with hearing healthcare providers.

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These interactions are also molded by the specific ways that questions are Culturall directly or indirectly, differing connotations or exact meaning between spoken English words versus ASL translation, interpretation of social norms including facial expressions and body language, perception of body position or gestures as dominant or passive, the content and amount of detail that one chooses to relay about an event or Cultural Components Of The Deaf Community life history, and assumptions around cultural background.

A Certified Deaf Interpreter CDI can offer a role in understanding the experiences of the DHH population, navigating these nuances in communication, and helping to bridge these cultural divides. To explore these elements of mental health care and cultural considerations in the Deaf and Hard of Hearing population, we present a vignette of a man identifying as deaf and presenting for psychiatric care.

A year-old Comnunity arrived at the Emergency Department via ambulance, which was called by his sister after he expressed suicidal and homicidal ideation. He was initially found to be in a great level of distress and having difficulty providing history, although he identified that he communicated fluently via ASL and an in-person ASL interpreter was obtained and utilized. However, the in-person ASL interpreter found him difficult to understand, noting that he was signing incoherently. On a subsequent encounter, the patient was calmer and could better engage in an interview.]