I review the literature on reading and deafness, focusing on the role of three broad factors in acquisition and skilled reading: the method of encoding print; language-specific knowledge (i.e., English); and general language knowledge. I explore the contribution of three communication systems to reading: spoken language, English-based sign, and American Sign Language. Their potential contribution to literacy is mediated by four parameters on which they differ: codability, structural isomorphism, accessibility, and processibility. Finally, I discuss the implications for additional research as well as for education.

A study was conducted of the written language skills of a representative sample of 69 adolescents with severe and profound hearing losses, using both a standardized language sample (TOWL-2) and a letter. The overall results confirmed the generally low levels of performance typically found in this population and the existence of a developmental plateau. Nevertheless, performance levels were not uniformly low. The sample scored relatively high on measures of orthographic conventions and on semantics, but considerably lower on use of grammar. While females scored higher than males, and students in Auditory/Oral (A/O) programs scored higher than those in Total Communication (TC) programs, the profile of scores did not vary by group. In general, the letter elicited higher levels of performance than the standardized sample, although the latter elicited more grammatically complex writing. Factor analysis indicated that the various measures derived from the two samples were associated more strongly by genre than by levels of language form.

This study examined the social adjustment of deaf adolescents enrolled in segregated (&egr; = 39), partially integrated (&egr; = 15), and mainstreamed (&egr; = 17) settings, comparing them with a control group of hearing students (&egr; = 88). Segregated students showed the lowest levels of adjustment overall. Partially integrated students reported better adjustment overall. Partially integrated students reported better adjustment than mainstreamed students with deaf peers; mainstreamed students reported better adjustment than partially integrated students with hearing peers, showing the same levels of adjustment with hearing peers as hearing students. Regardless of placement, deaf students reported better or equal adjustment with deaf than with hearing peers. Social adjustment with deaf peers was related to American Sign Language (ASL) skill and adjustment with hearing peers to spoken English. These findings suggest tht deaf students can benefit from both segregated and integrated placements as complememtary forms of social experience that each contribute to overal adjustment.

A longitudinal study was conducted of 118 children with severe and profound hearing losses-Children were first tested when they were between 3 and 5 years and again in 3 or 4 years, using measures of receptive and expressive spoken language, receptive language in the child's primary educational modality, receptive and expressive mother-child communication, and social development. A multivariate design was used to investigate the effects of age of intervention, program intensity, and parent instruction on the children's linguistic and social development. Early intervention was associated with higher receptive language scores in the first, but not in the final year. Age of intervention was not related to any other language measure or the measure of social development. Consistent effects were not associated with program intensity or parent instruction.

In the few studies that have been conducted, researchers have typically found that deaf adolescents have more mental health difficulties than their hearing peers and that, within the deaf groups, those who use spoken language have better mental health functioning than those who use sign language. This study investigated the hypotheses that mental health functioning in adolescence is related to an early and consistent mode match between mother and child rather than to the child's use of speech or sign itself. Using a large existing 15-year longitudinal database on children and adolescents with severe and profound deafness, 57 adolescents of hearing parents were identified for whom data on language experience (the child's and the mother's) and mental health functioning (from a culturally and linguistically adapted form of the Achenbach Youth Self Report) was available. Three groups were identified: auditory/oral (A/O), sign match (SM), and sign mismatch (SMM). As hypothesized, no significant difference in mental health functioning was found between the A/O and SM groups, but a significant difference was found favoring a combined A/O and SM group over the SMM group. These results support the notion of the importance of an early and consistent mode match between deaf children and hearing mothers, regardless of communication modality.