How we Think

Pedagogia do Oprimido

but the threat they bring to artistic culture. From his opening mockery of the literary establishment’s tendency to theorize the world in terms of desire or gender to his disapproval of those who venerate art while denying its validity in the same breath, Jonathan Dollimore has created an easily understood, albeit at times too theoretical, synthesis of the literary and the experiential in Sex, Literature and Censorship. His arguments on critical theory do not necessarily reject the concept of theory; rather, he argues that critical theorists should strive to understand the contradictions within our lives and our literature and explore the daemonic power of the subjects that offend our sense of tradition.

Multimodal Discourse: The Modes and Media of Contemporary Communication:

Objectives To update a 2004 systematic review of health care service use and health outcomes related to differences in health literacy level and interventions designed to improve these outcomes for individuals with low health literacy. Disparities in health outcomes and effectiveness of interventions among different sociodemographic groups were also examined. Data sources We searched MEDLINE®, the Cumulative Index to Nursing and Allied Health Literature, the Cochrane Library, PsychINFO, and the Educational Resources Information Center. For health literacy, we searched using a variety of terms, limited to English and studies published from 2003 to May 25, 2010. For numeracy, we searched from 1966 to May 25, 2010. Review methods We used standard Evidence-based Practice Center methods of dual review of abstracts, full-text articles, abstractions, quality ratings, and strength of evidence grading. We resolved disagreements by consensus. We evaluated whether newer literature was available for answering key questions, so we broadened our definition of health literacy to include numeracy and oral (spoken) health literacy. We excluded intervention studies that did not measure health literacy directly and updated our approach to evaluate individual study risk of bias and to grade strength of evidence. Results We included good- and fair-quality studies: 81 studies addressing health outcomes (reported in 95 articles including 86 measuring health literacy and 16 measuring numeracy, of which 7 measure both) and 42 studies (reported in 45 articles) addressing interventions. Differences in health literacy level were consistently associated with increased hospitalizations, greater emergency care use, lower use of mammography, lower receipt of influenza vaccine, poorer ability to demonstrate taking medications appropriately, poorer ability to interpret labels and health messages, and, among seniors, poorer overall health status and higher mortality. Health literacy level potentially mediates disparities between blacks and whites. The strength of evidence of numeracy studies was insufficient to low, limiting conclusions about the influence of numeracy on health care service use or health outcomes. Two studies suggested numeracy may mediate the effect of disparities on health outcomes. We found no evidence concerning oral health literacy and outcomes. Among intervention studies (27 randomized controlled trials [RCTs], 2 cluster RCTs, and 13 quasi-experimental designs), the strength of evidence for specific design features was low or insufficient. However, several specific features seemed to improve comprehension in one or a few studies. The strength of evidence was moderate for the effect of mixed interventions on health care service use; the effect of intensive self-management inventions on behavior; and the effect of disease-management interventions on disease prevalence/severity. The effects of other mixed interventions on other health outcomes, including knowledge, self-efficacy, adherence, and quality of life, and costs were mixed; thus, the strength of evidence was insufficient. Conclusions The field of health literacy has advanced since the 2004 report. Future research priorities include justifying appropriate cutoffs for health literacy levels prior to conducting studies; developing tools that measure additional related skills, particularly oral (spoken) health literacy; and examining mediators and moderators of the effect of health literacy. Priorities in advancing the design features of interventions include testing novel approaches to increase motivation, techniques for delivering information orally or numerically, "work around" interventions such as patient advocates; determining the effective components of already-tested interventions; determining the cost-effectiveness of programs; and determining the effect of policy and practice interventions.

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Health literacy interventions and outcomes: an updated systematic review.

Critical Thinking and Education

This paper presents a critical examination of key concepts in the study of (signed and spoken) language and multimodality. It shows how shifts in conceptual understandings of language use, moving from bilingualism to multilingualism and (trans)languaging, have resulted in the revitalisation of the concept of language repertoires. We discuss key assumptions and analytical developments that have shaped the sociolinguistic study of signed and spoken language multilingualism as separate from different strands of multimodality studies. In most multimodality studies, researchers focus on participants using one named spoken language within broader embodied human action. Thus while attending to multimodal communication, they do not attend to multilingual communication. In translanguaging studies the opposite has happened: scholars have attended to multilingual communication without really paying attention to multimodality and simultaneity, and hierarchies within the simultaneous combination of resources. The (socio)linguistics of sign language has paid attention to multimodality but only very recently have started to focus on multilingual contexts where multiple sign and/or multiple spoken languages are used. There is currently little transaction between these areas of research. We argue that the lens of semiotic repertoires enables synergies to be identified and provides a holistic focus on action that is both multilingual and multimodal.

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Beyond languages, beyond modalities: transforming the study of semiotic repertoires

Decades of research on educational and basic scientific questions relating to deaf children have yielded a wealth of knowledge about how they learn and develop as thinking, social, problem-solving individuals. However, we currently lack channels for communication from teachers to researchers about the priorities in education and from researchers to teachers about scientific progress that might be effectively utilized in the learning context. As a result, research often fails to address educational priorities, knowledge gained from relevant investigations is rarely translated into practice, and decision-making is often governed by administrative expedience rather than evidence. To address this situation, this paper identifies the current research priorities relating to deaf education and research outcomes that appear likely to have a significant impact on the development of educational practice. Practitioner priorities also are identified, and explanations for the gap between research and practice ...

Enhancing Education for Deaf Children: Research into Practice and Back Again

Consistent evidence from research studies between 1980 and 2000 indicates that deaf children lag behind hearing peers (by 2 to 3.5 years) in mathematics. This study seeks to explore the reasons for this persistent underachievement by focusing on results from the National Mathematics tests taken in the UK by all 14 year olds. The study analysed a sample of test papers with the aim of identifying ways in which deaf and hearing responses to the test items differed and possible explanations for these differences in terms of access to the mathematics teaching, assessment and curriculum provision. Findings from the project led to preliminary conclusions regarding the range of national test entry levels for deaf pupils, the types of linguistic issues they encounter, the learning strengths they demonstrate and their experience of mathematics curriculum provision. The concluding analysis raises significant questions about deaf pupils' access to mathematics educational provision and more specifically about ...

Mathematics and deaf children: an exploration of barriers to success

Twelve parents of young deaf children were recorded sharing books with their deaf child—six from families using British Sign Language (BSL) and six from families using spoken English. Although all families were engaged in sharing books with their deaf child and concerned to promote literacy development, they approached the task differently and had different expectations in terms of outcome. The sign bilingual families concentrated on using the book to promote BSL development, engaging in discussion around the book but without referring to the text, whereas the spoken language families were focused on features of the text and less inclined to use the book to promote wider knowledge. Implications for early intervention and support are drawn from the data. This paper presents the findings of a study into deaf children’s early experiences of literacy at home. The study was a qualitative investigation into early literacy practices of families with deaf children that draws on research that does not take a deficit stance toward deaf children’s literacy but considers its positive features within a developmental paradigm. Our use of the term ‘‘deaf ’’ in this context includes children with moderate to profound hearing loss. The project considers two groups of deaf children, those from sign bilingual homes and those from spoken English homes. The possibility that literacy development for the two groups of deaf children is likely to follow different routes is fundamental to this study because it is likely that different strategies will prove to be facilitative for each group. This has implications for parents and teachers of the deaf 1 interacting with these young deaf children. The study was driven by the continued search for an understanding of how deaf children learn to read and what factors influence their success. In general, deaf children’s standards of literacy remain low, and it is the area of education in which they most significantly underachieve (Luckner, Sebald, Cooney, Young, & Muir, 2005; Powers, Gregory, &

Parents sharing books with young deaf children in spoken english and in BSL: the common and diverse features of different language settings.

The study of deaf children’s early literacy raises fundamental issues about their access to language, experiences of early interaction and literacy development. However, we currently understand very little about how young deaf children develop literacy skills given their exceptional linguistic circumstances. This review explores early literacy practices in the homes of young deaf children to identify the commonalities and differences apparent in spoken language and sign bilingual homes. The introduction of the Newborn Hearing Screening Programme (NHSP), which is currently taking place, aims to diagnose congenital deafness in the first few weeks of life, followed by immediate involvement of a team of professionals with the child and family, including a teacher of the deaf. This provides a unique opportunity to explore early literacy practices in homes, and identify ways in which teachers and parents/carers can work collaboratively to facilitate deaf children’s early literacy development.

Ruth Swanwick

Papers

Beyond languages, beyond modalities: transforming the study of semiotic repertoires

Enhancing Education for Deaf Children: Research into Practice and Back Again

Mathematics and deaf children: an exploration of barriers to success

Parents sharing books with young deaf children in spoken english and in BSL: the common and diverse features of different language settings.

Literacy in the homes of young deaf children: Common and distinct features of spoken language and sign bilingual environments: