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Journal of Pediatric Psychology 6(1) pp. 15-27, 1981
© 1981 Society of Pediatric Psychology

research-article

Manual Communication Training for Nonspeaking Hearing Children

Karen E. Wills1

University of Iowa

1All correspondence should be addressed to Karen E. Wills, Department of Psychology, University of Iowa, Iowa City, Iowa 52242

Training in manual communication is an increasingly popular treatment approach for hearing children who fail to acquire speech. Current data on the efficacy of this approach are summarized with regard to program and subject characteristics predictive of successful treatment outcome. Published reports claim that about 92% of nonspeaking hearing children acquire some communicative signing skills. Of children in studies with the most favorable outcomes, about 38% also use spoken words more frequently. When parents and teachers use simultaneous communication, signs learned in therapy tend to generalize to other settings. Younger age and higher levels of adaptive and communicative pretreatment behaviors are good prognostic factors. Manual/simultaneous communication may be an important adjunct or alternative to traditional language therapy for nonspeaking children.


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