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Posts Tagged ‘coping strategies for hearing loss’

La Technique of Lipreading

In Coping Skills, coping strategies, deaf, Deafness, Hearing Loss, late deafened, Lip Reading, Partially Deaf, Speech Reading on June 23, 2017 at 10:49 am

By Michele Linder and Chelle Wyatt

I recently watched American Masters on PBS, Jacques Pépin: The Art of Craft. La Technique: An Illustrated Guide to the Fundamental Techniques of Cooking was Mr. Pépin’s first book and contained no recipes. While other well-known chefs were introducing people to a world around food and the dishes themselves, Jacques Pépin recognized the value in deconstructing how it was done—the basics of cooking—so that people would feel empowered. It occurred to me that that’s what Chelle and I are trying to do with lipreading—deconstructing how it’s done in order to empower.

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Michele: Before delving into the fundamentals and technical aspects of lipreading (Chelle will do that in her next article in the series), it’s important to set the stage for success.

Chelle: There is a mystery surrounding lipreading and there shouldn’t be. Not too long ago that it dawned on me how much went into lipreading and it isn’t just seeing lip shapes; it’s a holistic process.

Take charge, exert control over how your hearing loss fits into your life.

Michele: Lipreading takes a lot of work and concentration. It also requires you to be comfortable with making others aware of your needs, and to be prepared to handle how the world reacts to you and how you react to unforeseen situations and mishaps. The more relaxed you remain, the better your ability; the more comfortable you make yourself and others with hearing loss.

I’m a frequent traveler. I’m also out and about doing many things solo, which means I often take charge in making others aware of my hearing loss. When I inform successfully, in situations that are seen as challenging for those who hear differently, I’m often complimented.

You’re really impressive,” said a flight attendant after I informed her of my needs as I boarded a flight from Munich to Atlanta alone.

This made me curious and led to my polling people when they compliment me to get to the bottom of why something so ordinary becomes extraordinary when done solo by someone with hearing loss or deafness? The answer I most often hear is that a lot of people with hearing loss are timid and reluctant to mention their hearing loss until they are forced to by an awkward moment. We have to remember, those awkward and uncomfortable moments are the same for the hearing people who are on the other end of them, and they prove memorable; which often leaves people with the wrong impression of our entire group.

Chelle: People with hearing loss tend to be meek/timid, we are afraid to bother people. Maybe we’ve heard “never mind”, “I’ll tell you later” or “it wasn’t important” too often over the years. Or, “I SAID….”, then practically yelling at us or over exaggerated speech.. All of this has happened to me and after many years managed to push past all that to make things work better for me. It’s hard but I guarantee it will get easier.

Michele: The other feedback I get is that most people with hearing loss/deafness do not travel, eat out, or participate in certain activities and events alone. Thus, those of us who do, seem impressive. Granted, some wouldn’t do those things alone even if they could hear, but I do think it’s accurate that a large percentage of people with hearing loss tend to take someone along for situations where they can foresee communication challenges or that might prove uncomfortable.

Chelle: I started to enjoy eating out alone when my kids were little. (I had a hearing loss but not as much as I have now.) It was a treat to eat out alone and have someone wait on me for a change. As my hearing loss worsened, I struggled with some waitresses/waiters more than others but I was determined to keep this treat to myself alive so I made it work. I also travel solo and make it work just like I do in restaurants. I’m not sure I’ve been complimented by hearies but I do get compliments from other hard of hearing people for being brave.

Michele: In my opinion, the fact that we are seen as “timid” and opposed to doing things solo demonstrates exactly what’s missing from the process of the diagnosis of hearing loss, the audiological experience (hearing aids and cochlear implants), through what comes after—living and adjusting to life with hearing loss. No one teaches you how to actually get out there and do it, and that’s also true for lipreading.

Find ways to inform comfortably and confidently.

Practice informing. This is an area worthy of much effort, because when you come across as in control and confident it sets the tone for how all of your interaction will go—if you’re not comfortable with your hearing loss yourself, then others won’t be either.

Chelle: Be in charge of your hearing loss, don’t let your hearing loss be in charge of you.

Michele: I’ve pretty much given up feeling like I need to label myself. Labels are confusing (everyone has their own idea about what “hearing impaired”, “hard of hearing”, and other labels mean) and they don’t work very well, so I’ve gotten into the habit of simply putting out there what I need someone to know about me, “I need to see you speak, I’m a lipreader.” There are many variations of informing, depending on the situation, and what works for you, in any given situation, is the right way to do it. Others have their own right way.

Chelle: I played around with labels for a long time. For many years I told people I was hard of hearing. Hearing people think that just means talk louder and that’s what it thought it meant too. After educating myself about high frequency hearing loss I understood why I hear the way I do, then I could explain it to others…but that is a lengthy conversation to have with a waiter or cashier. That’s when I started experimenting with other labels. First I tried, “I’m deaf” thinking they should somehow know that means lipreading but that didn’t work because I’m talking and I don’t use sign language. I had people signing at me and I’m not fluent. So I changed it to “I lipread,” which has had the most success so I stuck to it. Lately I added “I lipread, I hear enough to know someone is talking but I need to see you to hear you.” That feels comfortable to me. They know I can sort of hear which is obvious by the way I look up when I hear a voice but they know I can’t hear well enough to understand without seeing them.

Putting people at ease: Practice until you find what gets the best results.

Michele: Most situations dictate that others will need to know about my hearing loss right off the bat. By taking charge and informing right away I’m heading off any problems, and my hearing loss becomes a non-issue, if I do a good job at getting across what people need to know.

Figuring out what works for you will come by trial and error, so practice daily and start with something small that you do frequently. Think about that situation, where you get tripped up or have problems; then try coming up with a solution. Note what’s effective, and toss out what isn’t.

Below are some of the phrases I use that work well, and people appreciate when I let them know what I need. As I said earlier, confusing exchanges are uncomfortable for both parties. If you work informing into everyday interactions it really does put those on the receiving end at ease.

The first step is usually exchanging pleasantries, which most of us can do just fine if we initiate the exchange. Note: Once you’ve let the person know you have a hearing loss and read lips, they often apologize. My response to “sorry” is usually, “No need to apologize,” said with a big smile.

Grocery store:I’m not going to hear you if you speak to me when I’m not looking at you, I’m a lipreader,” said as I pause from unloading my cart.
Ordering at or checking in at a counter: Inevitably the person will be looking down at their register or computer screen. “When you’re looking down it’s hard for me to read your lips. If you could look at me while you’re speaking, that would really help me out. Thanks.”
Ordering in a restaurant: Just recently I ordered in a restaurant and the server was in training, so I wanted to put him at ease; so I said, “I’m going to tell you upfront, you’re facial hair is going to wreck my lipreading, but I won’t make you shave. You might have to write to me if I get stuck, but we’ll figure it out.” The first sentence got a laugh.
Shopping: Most of the time I go the nearest floor salesperson upon entering the store. I let that person know that I read lips and if they speak to me from across the room or when I’m not looking I’m not going to respond. Because, inevitably, they will speak to me from afar and I won’t see them.
Dressing Room: The salesperson almost always will attempt to talk to you through the closed door, while you are in the dressing room. So, before I enter I tell the person that I read lips and speaking to me through the door is going to be futile.
Boarding an airplane: I always pre-board and the first flight attendant I see as I board gets my little speech. “Hi, how are you this morning? I need you to know that I’m deaf. I travel frequently, so I know the drill and there’s nothing special that I need, other than your getting my attention before you speak to me—you can just tap me on the arm—I’m a pretty good lipreader, but I won’t hear any emergency announcements.” Also, when I’m seated, I let my seat mates know that if they need my attention to just tap me on the arm, because I likely won’t hear them if I’m not looking at them.

I could continue, but you get the picture… simply saying what’s true and asking for what you need, framed as just part of the conversation, alleviates having to label (I do use “deaf” when I feel it’s necessary) yourself and that makes you come across as being very comfortable with your hearing loss.

Chelle: People can’t see hearing loss so we have to be upfront about it or we may appear as stuck-up, slow, oblivious, etc. We are giving people the wrong impression if we try to hide it (by bluffing too). We are all intelligent people with different communication needs and if we all addressed it, the stigma would disappear.

Michele: Sometimes it’s not possible to find someone to inform right away, and if the other person speaks first and I’ve not responded because I didn’t see them, once I’m aware that they were speaking to me, I say “I wasn’t ignoring you, I read lips… if I can’t see you, I can’t hear you.” Likely the person will apologize once they know you can’t hear; I then respond, “That’s okay, you didn’t know, no apology needed.”

The only time I don’t let people off the hook so easily is if they’ve been rude. I let them have their moment of humility and then I let them know that it’s okay, but I do ask them to please be mindful of next person they encounter that doesn’t respond as expected, and try to think further as to why that person might not respond before jumping to a negative conclusion.

Chelle: I have encountered a few rude people and my automatic reaction was to be rude right back, which isn’t the best way, though it worked out. It’s not good to use anger but at times anger made my point faster. I usually regret it, knowing I could have handled it differently.

Example: I was standing in at the grocery stand with a 6 pack of beer on the runway and looked down at my purse to get the wallet out when the cashier began to check me out. In Utah if a person looks under 50 years old they ask to see ID and it’s also typical for cashiers to ask “how are you?” What I heard: “How….you?” I looked up and took a guess, “Did you ask how old I am?” She put her hand on her hip, “That’s what I said!” I came right back at her telling her I’m hard of hearing, I couldn’t hear her while looking down and I wasn’t sure if she asked me how was I or how old am I. She shouldn’t automatically assume everyone could hear. I handed her my ID and she started apologizing. When we got out of the store my son told me he thought I was going to jump over the counter and get in her face. That’s when I knew I handled it badly and could have done better. Since then I have held my tongue and handled those kinds of situations with more tact.

Composure: If you lose yours, you temporarily lose your ability to lipread.

Michele: It’s worth noting, all of the skill in the world is useless if you let yourself lose your composure or are thrown by something unforeseen. In my younger years I did this a lot, mostly because I didn’t take the initiative to inform, or I tried to fake my way through a situation and the bottom would drop out. Living that way kept me on pins and needles, waiting for things to go wrong. I constantly worried before an event; then spent the entire time nervous, worried that someone would speak to me and I wouldn’t understand them. I’m here to tell you that you can reach a point where you don’t have to live like that any longer, but it takes effectively informing and not letting unforeseen happenings push you to the point that they wreck your skills.

Chelle: The more desperate I become to hear or lipread, the harder it gets. Events take thinking ahead and planning for what might be needed. When I put in as much thought, if not more, into hearing as well, as what I’m going to wear it usually turns out better. Sometimes I still bomb but I take it as an opportunity to do it better next time…what can I do to make it more enjoyable next time? Was I upfront about my communication needs? If not, how can I address it next time? As I meet people at large social events I might need to tell people over and over again that I use lipreading and face me which gets tiring but it does help. If someone new points to me and says, “She’s stuck up,” to someone who already knows I have a hearing loss, then they will correct the perception.

Practice, and putting yourself out there frequently is invaluable. The thing I recommend most is experimenting and exposing yourself to the very scenarios that trip you up. And, it is important to “go it alone”, even if it scares you… there’s nothing more empowering than learning to rely solely on yourself. There are some things that can only be learned on your own.

One last thing…

Why others need to be aware that you’re reading their lips.

Lipreaders can be perceived as weird. Back when I wasn’t informing much about my hearing loss (I really thought it wasn’t necessary at that time), many people could tell there was something a little off about me, but couldn’t quite put their finger on it. I’d get odd looks—a wide-eyed, caged animal look—from those hyper-aware that I was intently focused on watching them speak. They’d freak out even more when I would move closer to see their lips better, sometimes even taking a step back to put some distance between us.

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Example: Our new neighbors moved in next door and the husband came over to borrow a tool. I answered the door, invited him in, and introduced myself. I could tell I was freaking the guy out because I was so close and focusing on his lips so intently, but I didn’t mention that I was a lipreader. After meeting both the husband and wife together, and getting to know them a little better, I mentioned to the husband that I noticed how much I freaked him out when we first met, and he laughed. He said he wasn’t sure what to think, but that after he knew that I had a hearing loss it made sense. Had I told him from the get-go that I had a hearing loss and read lips he wouldn’t have spent weeks thinking I was weird.

Chelle: That’s true, people see our focus, we aren’t looking them in eye so much as the mouth. Someone once noticed I was staring at their mouth and thought maybe they had something stuck in their teeth. Since then I sometimes use it as humor to start conversations, “No there’s nothing in your teeth, I use lipreading.” Other times I have the concentration look on my face which can interpreted as a ‘mean’ look, like I might be mad. So when I introduce myself to a group of new people I let them know this is my concentration look (and I show them) and I’m not angry.

Setting the stage for successful lipreading requires you to take charge, inform effectively, retain your composure, and to put people at ease. If this doesn’t come naturally to you, then it’s going to take some practice and effort, but change will come. We promise!

Patience and Hearing Loss

In coping strategies, Hearing Loss on March 20, 2013 at 7:57 pm

When hearing loss is a factor, patience promotes successful communication. In a relaxed atmosphere a hard of hearing person has a better chance of understanding more of the conversation. When emotion piles up behind spoken words, lips move faster and raised voices distort word discrimination. I don’t know about anyone else but during intense situations, what little hearing I have instantly declines and the harder I try, the worse it gets. Patience is the key to better relationships.

Who needs patience? Both parties. Oh, yes. I’ve been impatient with others about my hearing loss. Not long ago at the grocery store, I put some beer up on the conveyor belt. I live in Utah and even though I’m 45 years old, they card me about 75% of the time. I had my 18 year old son behind me, who also happens to be hard of hearing. As I looked down at my purse to get my wallet out, the clerk said something and all I heard was, “Ow…U?”

I hesitated, puzzling out the missing pieces. Did she say ‘how are you’ or ‘how old are you?” I thought I’d go with the former since I live in Utah with funky liquor laws.

“Did you ask how old I was,” I asked uncertainly because maybe she did want to know how I am which is normal chit chat from clerks.

Her hand went on her hip and she replied in a raised voice, “That’s what I said.”

I leaned over the counter to give her what for without thinking twice.

“Excuse me. I lost over half my hearing and since I wasn’t looking at you, I couldn’t tell if you said ‘how are you’ or ‘how old are you.’ Don’t automatically assume everyone can hear.”

Right after those heated words were out of my mouth, I gave myself a mental slap to the forehead. Two wrongs don’t make a right. I provoked a scene which could turn into a confrontation. I took a deep breath and handed her my drivers license. Luckily, she back peddled and apologized. We exchanged a few pleasantries before my son and I left.

“I didn’t hear what went on,” he said as soon as we were in the parking lot. “It looked like you were going to jump over the counter and kick her butt.”

Dang, I made a bad example all the way around. I told him what went on and let him know it wasn’t the best way to handle the situation. What I should have done was calmly explained I am half deaf and didn’t hear her. Patience would have accomplished just as much without the bad feelings. If I want people to be patient with me, I need to be patient with them. This goes for people who are closer to me too.

Even though my boyfriend and I have been together for 4 years you would think he’d remember my nuances. He gets hearing loss but he’s had 50 plus years of being around hearing people. I’m the first person he’s known with a hearing loss and hearing habits are hard to break. He still talks to windows in the car, from other rooms and talks away from me at night. Then there’s my sister who talks too fast and friends who trying to talk to me above their loud TV and oddly enough, one of them is hard of hearing.

When I hear my boyfriend’s voice (but not his words) from another room, I want to scream “You know I can’t hear you!” but those kind of words shut down communication. Instead, I wait for him to realize (again) I can’t understand him and come to me. Or I tie up whatever I’m doing and go into the other room to ask for a repeat resisting the urge to ask him, “Why do you do this to me?” Years and years of prior habit is why.

While on the phone with my sister instead of saying, “Why do I always have to tell you to slow down.” Playing the bossy older sister gets me nowhere with her and she’d stop calling me. Since we live so far apart, it would turn our relationship into nothing. Instead, when she talks too fast I tell her, “Whoa, whoa, what was that? I missed something.” A couple of minutes into the conversation she remembers exactly who she is talking to and slows down to my speed as we update each other about our lives which often involves laughter.

At my friend’s house, I stop the conversation and ask if it’s okay to turn down their TV. They turn it down right away and sometimes even turn it off. The TV is a part of their lives, their background noise. After six years of knowing them, they still forget about the volume on their TV when I arrive but they have learned to turn on captions if they want me to watch TV with them. Gentle reminders go a long way. If I behaved like I did to the grocery store clerk to everyone, I wouldn’t have any friends.

Those are some of the ways I practice patience with others. What do I want patience from you with?

Repeats. I gotta have them. If I’m giving you my full attention and trying my best to hear, please don’t roll your eyes or give me an exaggerated sigh before you say it ‘one more time.’ This little drama act isn’t going to help matters any. I promise you, I’m not trying to drive you nuts. If you don’t want to repeat the same thing over and over, try rephrasing, that helps get me over the hump.

If I stop the conversation, it’s because I’m lost. Sudden topic changes throw me for a loop. My brain is on the old track, puzzling out missing pieces when all of sudden the words I do hear, don’t fit in with the last known topic. Be a sweetie. Be patient. Fill me in. I don’t want everything repeated, but knowing the topic helps me get in flow again.

Those are the biggest issues. A few more I can throw in are:

  • Be patient with me wanting to be somewhere early. This is so I can pick the best seating. And don’t get angry when I ask to switch seats, sometimes I get it wrong. I look for the best place to read lips and cut down background noise.
  • Environmental noise and bad acoustics play havoc on my hearing and hearing instruments. Please help me hear or be willing to quit talking until the noise goes down.

Now I gotta cover being easy on myself. I get incredibly frustrated when I don’t understand the third repeat and need it repeated again…and then don’t ask for it. Take a breath and be brave enough to ask for a fourth repeat or rephrase.

I can’t expect to understand everything in large groups. It’s not going to happen so take another deep breath and let some conversation go. Trying to keep up and frying my brain isn’t going to help my frustration level so give myself permission to tune out the unimportant stuff. I need to be patient and ask questions later if needed. I deserve the same kind of respect for myself that I give to others.

Last year, my friend Kathy introduced me to walking my talk (like I should have with the grocery clerk). Kathy has a CI, wears a hearing aid and leads classes in hearing loss at our local Deaf and hard of hearing center. She recommended slowing down our own speech as an example for how we want others to talk to us. Pushing this further I can face others as I talk and get in their line of vision before I start talking. Don’t talk to car windows myself and no talking from other rooms even when I know the other person can hear. (What if he/she responds?) I can keep putting others on my good ear side until it becomes habit to do it on their own. Then I can be patient and honor their differences as well. We all have our lot in life to deal with.

If we don’t respect one another, we shut down. Without meaning to, we isolate someone. People with hearing loss already feel cheated out of communication without someone belittling us further. It all boils down to being kind to each other. We can do that, can’t we?