Language development in deaf bilinguals: Deaf middle school students co-activate written English and American Sign Language during lexical processing.

Bilinguals, both hearing and deaf, activate multiple languages simultaneously even in contexts that require only one language. To date, the point in development at which bilingual signers experience cross-language activation of a signed and a spoken language remains unknown. We investigated the processing of written words by ASL-English bilingual deaf middle school students. Deaf bilinguals were faster to respond to English word pairs with phonologically related translations in ASL than to English word pairs with unrelated translations, but no difference was found for hearing controls with no knowledge of ASL. The results indicate that co-activation of signs and written words is not the outcome of years of bilingual experience, but instead characterizes bilingual language development.

How Bilingualism Contributes to Healthy Development in Deaf Children: A Public Health Perspective.

The aim of this article is to increase awareness of language practices in the deaf community that affect communication needs and health outcomes, focusing particularly on the prevalence of bilingualism among deaf adults. Language deprivation and poor health outcomes in the deaf population are risks that cannot be addressed solely by hearing intervention. We propose that bilingualism acts as a protective measure to minimize the health risks faced by deaf individuals. Provision of culturally and linguistically appropriate services to deaf stakeholders, and particularly hearing families of deaf children, requires familiarity with the developmental and social ramifications of bilingualism.

What is the Source of Bilingual Cross-Language Activation in Deaf Bilinguals?

When deaf bilinguals are asked to make semantic similarity judgments of two written words, their responses are influenced by the sublexical relationship of the signed language translations of the target words. This study investigated whether the observed effects of American Sign Language (ASL) activation on English print depend on (a) an overlap in syllabic structure of the signed translations or (b) on initialization, an effect of contact between ASL and English that has resulted in a direct representation of English orthographic features in ASL sublexical form. Results demonstrate that neither of these conditions is required or enhances effects of cross-language activation. The experimental outcomes indicate that deaf bilinguals discover the optimal mapping between their two languages in a manner that is not constrained by privileged sublexical associations.

Grey's Anatomy effect: television portrayal of patients with trauma may cultivate unrealistic patient and family expectations after injury.

BACKGROUND: Expectations of the healthcare experience may be influenced by television dramas set in the hospital workplace. It is our perception that the fictional television portrayal of hospitalization after injury in such dramas is misrepresentative. The purpose of this study was to compare trauma outcomes on television dramas versus reality. METHODS: We screened 269 episodes of Grey's Anatomy, a popular medical drama. A television (TV) registry was constructed by collecting data for each fictional trauma portrayed in the television series. Comparison data for a genuine patient cohort were obtained from the 2012 National Trauma Databank (NTDB) National Program Sample. RESULTS: 290 patients composed of the TV registry versus 4812 patients from NTDB. Mortality was higher on TV (22% vs 7%, P<0.0001). Most TV patients went straight from emergency department (ED) to operating room (OR) (71% vs 25%, P<0.0001). Among TV survivors, a relative minority were transferred to long-term care (6% vs 22%, P<0.0001). For severely injured (Injury Severity Score ≥25) survivors, hospital length of stay was less than 1 week for 50% of TV patients versus 20% in NTDB (P<0.0001). CONCLUSIONS: Trauma patients as depicted on television dramas typically go from ED to OR, and survivors usually return home. Television portrayal of rapid functional recovery after major injury may cultivate false expectations among patients and their families. LEVEL OF EVIDENCE: Level III.

The time course of cross-language activation in deaf ASL-English bilinguals.

What is the time course of cross-language activation in deaf sign-print bilinguals? Prior studies demonstrating cross-language activation in deaf bilinguals used paradigms that would allow strategic or conscious translation. This study investigates whether cross-language activation can be eliminated by reducing the time available for lexical processing. Deaf ASL-English bilinguals and hearing English monolinguals viewed pairs of English words and judged their semantic similarity. Half of the stimuli had phonologically related translations in ASL, but participants saw only English words. We replicated prior findings of cross-language activation despite the introduction of a much faster rate of presentation. Further, the deaf bilinguals were as fast or faster than hearing monolinguals despite the fact that the task was in their second language. The results allow us to rule out the possibility that deaf ASL-English bilinguals only activate ASL phonological forms when given ample time for strategic or conscious translation across their two languages.

Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: results of a randomized clinical trial with 2-year follow-up.

OBJECTIVE: The authors evaluated the effectiveness of brief cognitive-behavioral therapy (CBT) for the prevention of suicide attempts in military personnel. METHOD: In a randomized controlled trial, active-duty Army soldiers at Fort Carson, Colo., who either attempted suicide or experienced suicidal ideation with intent, were randomly assigned to treatment as usual (N=76) or treatment as usual plus brief CBT (N=76). Assessment of incidence of suicide attempts during the follow-up period was conducted with the Suicide Attempt Self-Injury Interview. Inclusion criteria were the presence of suicidal ideation with intent to die during the past week and/or a suicide attempt within the past month. Soldiers were excluded if they had a medical or psychiatric condition that would prevent informed consent or participation in outpatient treatment, such as active psychosis or mania. To determine treatment efficacy with regard to incidence and time to suicide attempt, survival curve analyses were conducted. Differences in psychiatric symptoms were evaluated using longitudinal random-effects models. RESULTS: From baseline to the 24-month follow-up assessment, eight participants in brief CBT (13.8%) and 18 participants in treatment as usual (40.2%) made at least one suicide attempt (hazard ratio=0.38, 95% CI=0.16-0.87, number needed to treat=3.88), suggesting that soldiers in brief CBT were approximately 60% less likely to make a suicide attempt during follow-up than soldiers in treatment as usual. There were no between-group differences in severity of psychiatric symptoms. CONCLUSIONS: Brief CBT was effective in preventing follow-up suicide attempts among active-duty military service members with current suicidal ideation and/or a recent suicide attempt.

Bilingual word recognition in deaf and hearing signers: Effects of proficiency and language dominance on cross-language activation.

Recent evidence demonstrates that American Sign Language signs are active during print word recognition in deaf bilinguals who are highly proficient in both ASL and English. In the present study, we investigate whether signs are active during print word recognition in two groups of unbalanced bilinguals: deaf ASL-dominant and hearing English-dominant bilinguals. Participants judged the semantic relatedness of word pairs in English. Critically, a subset of both the semantically related and unrelated English word pairs had phonologically related translations in ASL, but participants were never shown any ASL signs during the experiment. Deaf ASL-dominant bilinguals (Experiment 1) were faster when semantically related English word pairs had similar form translations in ASL, but slower when semantically unrelated words had similar form translations in ASL, indicating that ASL signs are engaged during English print word recognition in these ASL-dominant signers. Hearing English-dominant bilinguals (Experiment 2) were also slower to respond to semantically unrelated English word pairs with similar form translations in ASL, but no facilitation effects were observed in this population. The results provide evidence that the interactive nature of lexical processing in bilinguals is impervious to language modality.

When deaf signers read English: do written words activate their sign translations?

Deaf bilinguals for whom American Sign Language (ASL) is the first language and English is the second language judged the semantic relatedness of word pairs in English. Critically, a subset of both the semantically related and unrelated word pairs were selected such that the translations of the two English words also had related forms in ASL. Word pairs that were semantically related were judged more quickly when the form of the ASL translation was also similar whereas word pairs that were semantically unrelated were judged more slowly when the form of the ASL translation was similar. A control group of hearing bilinguals without any knowledge of ASL produced an entirely different pattern of results. Taken together, these results constitute the first demonstration that deaf readers activate the ASL translations of written words under conditions in which the translation is neither present perceptually nor required to perform the task.