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How The Deaf Community Is Dealing With Cochlear Implants | KPBS.org
The Ethics Center will host a discussion and screening of the film "Sound and Fury" on Saturday, November 7, 2009, beginning at noon at the Reuben H. Fleet Science Center in Balboa Park.
MAUREEN CAVANAUGH (Host): I'm Maureen Cavanaugh, and you're listening to These Days on KPBS. The controversy over cochlear implants in the deaf community has been difficult for those in the hearing world to understand. How could a device that allows severe and profoundly deaf people to hear sounds be a bad thing? And why wouldn't parents want to give their deaf children the opportunity to live easily in the hearing world? A documentary released ten years ago called "Sound and Fury" explained the emotionally charged arguments for and against the use of cochlear implants through the experience of one extended family. Now, that film has been updated to document the growing acceptance of cochlear implants within the deaf community.
This morning, we'll learn about cochlear implants, how they are changing the world for deaf people and yet, how the deaf community is managing to retain its identity. I’d like to welcome my guests. First, Josh Aronson, the director of the film, “Sound and Fury,” and its sequel. Good morning, Josh.
JOSH ARONSON (Film Director): Good morning, Maureen. Thank you for having me.
CAVANAUGH: Arthur Boothroyd is professor of speech and hearing at San Diego State University. Arthur, welcome.
ARTHUR BOOTHROYD (Professor of Speech and Hearing, San Diego State University): Thank you. Nice to be here.
CAVANAUGH: Jesse Dubler is an outdoor educator and researcher who is deaf and has a cochlear implant. Welcome, Jesse.
JESSE DUBLER (Cochlear Implant Recipient): (through interpreter) Thank you, and happy to be here.
CAVANAUGH: And Billie Ann McClellan is here as Jesse’s interpreter. We’ll be hearing from them both during our discussion. And we want to invite our listeners to join the conversation. Do you or do you know a deaf person who has had a cochlear implant? How has it changed your life? You can call us at 1-888-895-5727 or you can e-mail us your questions and comments at TheseDays@kpbs.org. Arthur, I’d like to start with you, if I may, and let’s start with some basic questions about how hearing works and how our ears hear.
BOOTHROYD: How hearing works, well, this would be a whole course.
CAVANAUGH: Yes.
BOOTHROYD: But the – in general science classes in school, people have probably learned that the hearing mechanism has three parts, the outer ear, the middle ear and the inner ear. Actually, there’s a very important fourth part and that is the brain. But most of the work of converting sound into the language that the brain understands is done in the inner ear. There’s a tiny organ in there called the cochlea, looks like a little snail. It’s about the size of an aspirin tablet, and it contains thousands of tiny little cells that pick up vibrations of the sound and convert them into electrical signals that can then be sent to the brain.
CAVANAUGH: And when people are diagnosed or are said to be severely or profoundly deaf, is there generally speaking something wrong with that particular area of the ear?
BOOTHROYD: The kind of deafness that we’re talking about with cochlear implants, that is true, that the problem is usually a loss of those little cells. They’re called hair cells. They’re not real hairs but there are little protrusions on them that look like hairs. And they’re – because hearing is so sensitive, it’s also highly susceptible and there are many reasons why this can happen but the problem we’re really discussing today is a loss of those receptor cells which normally convert sound into electrical signals for the brain.
CAVANAUGH: I’m going to ask you again, one of those larger questions that could probably take a lot longer time than we have, but if you could also synthesize for us how does the cochlear implant work?
BOOTHROYD: Well, the cochlear implant takes over the job of those little cells. It takes sound signals, converts them into electrical current and feeds that directly to the auditory nerve so it can be passed on to the brain.
CAVANAUGH: Now Jesse has a cochlear implant and you can see part of it outside of his ear but there’s also a part surgically implanted within his ear, is that right, Arthur?
BOOTHROYD: This is correct.
CAVANAUGH: Okay.
BOOTHROYD: The outside portion is doing the job of pulling information from the sound signals and recoding it to be sent to the inner implanted portion which will then stimulate the nerve fibers in the auditory nerve.
CAVANAUGH: Thank you. That is Arthur Boothroyd. He’s professor of speech and hearing at San Diego State University. I want to move on now, if I can, to Josh Aronson, director of the film “Sound and Fury” and it’s sequel, “Sound and Fury: Six Years Later.” The focus of your film, Josh, was about the tension over the cochlear implant about ten years ago. Before we talk about that tension, tell us about this extraordinary family that you profiled in your film, “Sound and Fury.”
ARONSON: Well, this is a family named the Artinians and they’re an Italian-Armenian family and they’ve traced back hereditary deafness in their family back to Italy from over a hundred years ago. And they’ve actually, in this case, they intermarried with another family who had deafness in the family as well. So I came upon this family in which the grandparents are hearing and there are two sons in the family, one is deaf and one is hearing. And the hearing son married a woman who was CODA, which means a child of a deaf adult. And there was a recessive gene in her so that they had two deaf children. So there was – and the deaf son was married to a deaf woman, and they had three deaf children. So there was hearing and deafness running through the family. And the issue of the cochlear implant had just come up when I met them, and the hearing brother had decided to implant his deaf son. And the deaf brother was incensed by this and it caused the beginning of a war that lasted some years in the family. And so we started filming because it looked like such a terrific sort of microcosm of the battle that was going on in the greater deaf world. And then all of a sudden the deaf son’s four-year-old daughter announced that she wanted a cochlear implant. So the deaf brother and his wife had to go on a sort of search for information to decide what to do. So that was the genesis of the film and we followed the family for a year and a half.
CAVANAUGH: And you’ve just finished an update to the “Sound and Fury,” it’s called “Six Years Later.” What happened to this family?
ARONSON: Well, at the end of the first part, which was – we finished the film in 2000. The family was, unfortunately, torn apart by the war over the cochlear implant. They had decided, the deaf brother—his name is Chris—and his wife decided not to implant the five-year-old who had asked for a cochlear implant. So it was heartbreaking and it sort of tore the family apart, and a lot of audiences were incensed by the fact that—hearing audiences, I should say—that Peter and his wife decided not to implant Heather. They moved away and moved down to Frederick, Maryland, and the film ended with the family torn to pieces. And six years later, they had come back and in the film we reveal that Heather finally did get a cochlear implant, that the family had turned around. Her mother got a cochlear implant. And we see in the film the progress that the little girl has made, and she speaks very well. She’s mainstreamed and she and her entire family were very, very happy with the results of the implant and they credited their turnaround basically with education, becoming more used to it, and they just felt that the technology had improved enough so they felt safe doing it.
CAVANAUGH: I want to talk more about the family in “Sound and Fury” and your sort of discovery about this issue and your expertise in it, Josh, but first I want to invite our listeners to join in the conversation at 1-888-895-5727 or you can e-mail us at TheseDays@kpbs.org. Jesse, as I said, you have a cochlear implant and…
DUBLER: Yes.
CAVANAUGH: …when did you get your cochlear implant?
DUBLER: I got it in 2003 from the House Institute when I was 20.
CAVANAUGH: And was it a difficult decision for you and your family?
DUBLER: Yes, it was. My family, actually both my parents are deaf and I have a hearing brother and a hearing sister. My mom was really against the implant at the beginning, and she was more – just not understanding why. I was really considered older. You usually get the implants – at that time they were giving implants to younger people but I researched it for three years. I spoke with a lot of people who had already been implanted. At the time, it still wasn’t widely accepted in the deaf community and so I was asking around and I was really happy with my decision to go ahead and get it and I’ve never looked back.
CAVANAUGH: How long did it take you to be able to interpret the sounds that you were hearing coming through the cochlear implant since you got this implant when you were 20?
DUBLER: Really, it’s an ongoing process. Every day I’m identifying new sounds. I’m actually still using – still learning how to interpret the sounds.
CAVANAUGH: And I want to ask Arthur and actually everyone, is that sort of the way it is when a cochlear implant is implanted at a later age when the person is no longer a child?
BOOTHROYD: Absolutely. Yeah, the – putting an implant into a very young child, the child’s brain is plastic, it’s ready to learn, it will adapt and learning takes place in a relatively natural way. For the person who has spent the first 15, 20 years of their life without hearing, suddenly acquiring this new ability, it’s not so simple to learn to interpret these sounds and so on. And the results, in general, are by no means as good as they are with either adults who suddenly lose their hearing and then get an implant or children who are implanted at an early age.
The Ethics Center will host a discussion and screening of the film "Sound and Fury" on Saturday, November 7, 2009, beginning at noon at the Reuben H. Fleet Science Center in Balboa Park.
MAUREEN CAVANAUGH (Host): I'm Maureen Cavanaugh, and you're listening to These Days on KPBS. The controversy over cochlear implants in the deaf community has been difficult for those in the hearing world to understand. How could a device that allows severe and profoundly deaf people to hear sounds be a bad thing? And why wouldn't parents want to give their deaf children the opportunity to live easily in the hearing world? A documentary released ten years ago called "Sound and Fury" explained the emotionally charged arguments for and against the use of cochlear implants through the experience of one extended family. Now, that film has been updated to document the growing acceptance of cochlear implants within the deaf community.
This morning, we'll learn about cochlear implants, how they are changing the world for deaf people and yet, how the deaf community is managing to retain its identity. I’d like to welcome my guests. First, Josh Aronson, the director of the film, “Sound and Fury,” and its sequel. Good morning, Josh.
JOSH ARONSON (Film Director): Good morning, Maureen. Thank you for having me.
CAVANAUGH: Arthur Boothroyd is professor of speech and hearing at San Diego State University. Arthur, welcome.
ARTHUR BOOTHROYD (Professor of Speech and Hearing, San Diego State University): Thank you. Nice to be here.
CAVANAUGH: Jesse Dubler is an outdoor educator and researcher who is deaf and has a cochlear implant. Welcome, Jesse.
JESSE DUBLER (Cochlear Implant Recipient): (through interpreter) Thank you, and happy to be here.
CAVANAUGH: And Billie Ann McClellan is here as Jesse’s interpreter. We’ll be hearing from them both during our discussion. And we want to invite our listeners to join the conversation. Do you or do you know a deaf person who has had a cochlear implant? How has it changed your life? You can call us at 1-888-895-5727 or you can e-mail us your questions and comments at TheseDays@kpbs.org. Arthur, I’d like to start with you, if I may, and let’s start with some basic questions about how hearing works and how our ears hear.
BOOTHROYD: How hearing works, well, this would be a whole course.
CAVANAUGH: Yes.
BOOTHROYD: But the – in general science classes in school, people have probably learned that the hearing mechanism has three parts, the outer ear, the middle ear and the inner ear. Actually, there’s a very important fourth part and that is the brain. But most of the work of converting sound into the language that the brain understands is done in the inner ear. There’s a tiny organ in there called the cochlea, looks like a little snail. It’s about the size of an aspirin tablet, and it contains thousands of tiny little cells that pick up vibrations of the sound and convert them into electrical signals that can then be sent to the brain.
CAVANAUGH: And when people are diagnosed or are said to be severely or profoundly deaf, is there generally speaking something wrong with that particular area of the ear?
BOOTHROYD: The kind of deafness that we’re talking about with cochlear implants, that is true, that the problem is usually a loss of those little cells. They’re called hair cells. They’re not real hairs but there are little protrusions on them that look like hairs. And they’re – because hearing is so sensitive, it’s also highly susceptible and there are many reasons why this can happen but the problem we’re really discussing today is a loss of those receptor cells which normally convert sound into electrical signals for the brain.
CAVANAUGH: I’m going to ask you again, one of those larger questions that could probably take a lot longer time than we have, but if you could also synthesize for us how does the cochlear implant work?
BOOTHROYD: Well, the cochlear implant takes over the job of those little cells. It takes sound signals, converts them into electrical current and feeds that directly to the auditory nerve so it can be passed on to the brain.
CAVANAUGH: Now Jesse has a cochlear implant and you can see part of it outside of his ear but there’s also a part surgically implanted within his ear, is that right, Arthur?
BOOTHROYD: This is correct.
CAVANAUGH: Okay.
BOOTHROYD: The outside portion is doing the job of pulling information from the sound signals and recoding it to be sent to the inner implanted portion which will then stimulate the nerve fibers in the auditory nerve.
CAVANAUGH: Thank you. That is Arthur Boothroyd. He’s professor of speech and hearing at San Diego State University. I want to move on now, if I can, to Josh Aronson, director of the film “Sound and Fury” and it’s sequel, “Sound and Fury: Six Years Later.” The focus of your film, Josh, was about the tension over the cochlear implant about ten years ago. Before we talk about that tension, tell us about this extraordinary family that you profiled in your film, “Sound and Fury.”
ARONSON: Well, this is a family named the Artinians and they’re an Italian-Armenian family and they’ve traced back hereditary deafness in their family back to Italy from over a hundred years ago. And they’ve actually, in this case, they intermarried with another family who had deafness in the family as well. So I came upon this family in which the grandparents are hearing and there are two sons in the family, one is deaf and one is hearing. And the hearing son married a woman who was CODA, which means a child of a deaf adult. And there was a recessive gene in her so that they had two deaf children. So there was – and the deaf son was married to a deaf woman, and they had three deaf children. So there was hearing and deafness running through the family. And the issue of the cochlear implant had just come up when I met them, and the hearing brother had decided to implant his deaf son. And the deaf brother was incensed by this and it caused the beginning of a war that lasted some years in the family. And so we started filming because it looked like such a terrific sort of microcosm of the battle that was going on in the greater deaf world. And then all of a sudden the deaf son’s four-year-old daughter announced that she wanted a cochlear implant. So the deaf brother and his wife had to go on a sort of search for information to decide what to do. So that was the genesis of the film and we followed the family for a year and a half.
CAVANAUGH: And you’ve just finished an update to the “Sound and Fury,” it’s called “Six Years Later.” What happened to this family?
ARONSON: Well, at the end of the first part, which was – we finished the film in 2000. The family was, unfortunately, torn apart by the war over the cochlear implant. They had decided, the deaf brother—his name is Chris—and his wife decided not to implant the five-year-old who had asked for a cochlear implant. So it was heartbreaking and it sort of tore the family apart, and a lot of audiences were incensed by the fact that—hearing audiences, I should say—that Peter and his wife decided not to implant Heather. They moved away and moved down to Frederick, Maryland, and the film ended with the family torn to pieces. And six years later, they had come back and in the film we reveal that Heather finally did get a cochlear implant, that the family had turned around. Her mother got a cochlear implant. And we see in the film the progress that the little girl has made, and she speaks very well. She’s mainstreamed and she and her entire family were very, very happy with the results of the implant and they credited their turnaround basically with education, becoming more used to it, and they just felt that the technology had improved enough so they felt safe doing it.
CAVANAUGH: I want to talk more about the family in “Sound and Fury” and your sort of discovery about this issue and your expertise in it, Josh, but first I want to invite our listeners to join in the conversation at 1-888-895-5727 or you can e-mail us at TheseDays@kpbs.org. Jesse, as I said, you have a cochlear implant and…
DUBLER: Yes.
CAVANAUGH: …when did you get your cochlear implant?
DUBLER: I got it in 2003 from the House Institute when I was 20.
CAVANAUGH: And was it a difficult decision for you and your family?
DUBLER: Yes, it was. My family, actually both my parents are deaf and I have a hearing brother and a hearing sister. My mom was really against the implant at the beginning, and she was more – just not understanding why. I was really considered older. You usually get the implants – at that time they were giving implants to younger people but I researched it for three years. I spoke with a lot of people who had already been implanted. At the time, it still wasn’t widely accepted in the deaf community and so I was asking around and I was really happy with my decision to go ahead and get it and I’ve never looked back.
CAVANAUGH: How long did it take you to be able to interpret the sounds that you were hearing coming through the cochlear implant since you got this implant when you were 20?
DUBLER: Really, it’s an ongoing process. Every day I’m identifying new sounds. I’m actually still using – still learning how to interpret the sounds.
CAVANAUGH: And I want to ask Arthur and actually everyone, is that sort of the way it is when a cochlear implant is implanted at a later age when the person is no longer a child?
BOOTHROYD: Absolutely. Yeah, the – putting an implant into a very young child, the child’s brain is plastic, it’s ready to learn, it will adapt and learning takes place in a relatively natural way. For the person who has spent the first 15, 20 years of their life without hearing, suddenly acquiring this new ability, it’s not so simple to learn to interpret these sounds and so on. And the results, in general, are by no means as good as they are with either adults who suddenly lose their hearing and then get an implant or children who are implanted at an early age.

Oh, wait. Were you serious?