Growing up as a child with hearing loss in a deaf family
Hearing loss significantly influences the development of communication and linguistic skills through diverse pathways. When children with hearing loss are born to Deaf parents, their developmental needs become increasingly nuanced, shaped by family structure, cultural identity, and communication modalities. Research indicates that the specific modalities employed by primary caregivers at home directly dictate a child's linguistic and cognitive trajectory. While Deaf parents typically provide a rich, multimodal environment from birth through sign language and visual-tactile strategies, hearing parents often prioritize spoken language in alignment with conventional early intervention frameworks. Although timely, high-quality interventions can enable many children to reach peer-level spoken performance, such models may be insufficient for those with differentiated needs. A bilingual/bicultural approach, integrating both signed and spoken languages, offers the highest developmental gains for children of Deaf parents. However, in Türkiye, deficiencies in early intervention programs hinder the implementation of these inclusive models. This study provides a comprehensive single-case analysis of a child with hearing loss raised by Deaf parents to identify the factors shaping early childhood development. Data were triangulated through playgroup observations, researcher/teacher journals, semi-structured interviews, and document analysis. Findings suggest that parental modality preferences, communicative sensitivity within the family, and the continuity of specialized education are critical determinants of progress. Notably, the child’s education was disrupted by the COVID-19 pandemic, regional agricultural cycles, and residential instability, all of which adversely affected linguistic outcomes. To maximize developmental potential, this study recommends extending education periods in special education developing culturally sensitive playgroups, and integrating specialized educators.
Akmeşe, P. P., & Kayhan, N. (2016). İşitme engelliler öğretmenleri ile odyoloji ve konuşma bozuklukları uzmanlarının işitme kayıplı çocukların eğitimi hakkındaki görüşleri [Views of hearing-impaired teachers and audiology and speech disorders specialists on the education of children with hearing loss]. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi, 1(40). https://doi.org/10.21764/efd.45205
Allen, T. E., & Morere, D. A. (2020). Early visual language skills affect the trajectory of literacy gains over a three-year period of time for preschool aged deaf children who experience signing in the home. PLOS ONE, 15(2), e0229591. https://doi.org/10.1371/journal.pone.0229591
Altuntaş, S., & Karataş, H. (2025). Experiences of mothers with hearing impairment regarding the care of their children. Research and Theory for Nursing Practice, 39(1), 94–110. https://doi.org/10.1891/RTNP-2024-0070
Arsan, C., & Uzuner, Y. (2023). Life story of a daughter with hearing loss through her father's eyes. Journal of Qualitative Research in Education, (34), 211–238. https://doi.org/10.14689/enad.34.1619
Bartha-Doering, L., Giordano, V., Mandl, S., Benavides-Varela, S., Weiskopf, A., Mader, J., Andrejevic, J., Adrian, N., Ashmawy, L., Appel, P., Seidl, R., Doering, S., Berger, A., & Alexopoulos, J. (2025). Lateralization of neural speech discrimination at birth is a predictor of later language development. Developmental Science, 28. https://doi.org/10.1111/desc.13609
Baş, N., Turan, Z., & Uzuner, Y. (2019). Investigation of the National Newborn Hearing Screening Program based on family and health workers' opinions: A case study. Journal of Qualitative Research in Education, 7(1), 134–160. https://doi.org/10.14689/issn.2148-2624.1.7c1s.6m
Bat-Chava, Y., & Martin, D. (2002). Sibling relationships for deaf children: The impact of child and family characteristics. Rehabilitation Psychology, 47(1), 73. https://doi.org/10.1037/0090-5550.47.1.73
Beatrijs, W., Kristiane, V. L., & Mieke, V. H. (2019). Parental strategies used in communication with their deaf infants. Child Language Teaching and Therapy, 35(2), 165–183. https://doi.org/10.1177/0265659019852664
Bishop, M. (2012). Introduction. In M. Bishop & S. L. Hicks (Eds.), Hearing, mother-father deaf: Hearing people in deaf families (pp. 15–38). Gallaudet University Press.
Bogdan, R., & Biklen, S. K. (2007). Qualitative research for education: An introduction to theory and methods. Pearson.
Brantlinger, E., Jimenez, R., Klingner, J., Pugach, M., & Richardson, V. (2005). Qualitative studies in special education. Exceptional Children, 71(2), 195–207. https://doi.org/10.1177/001440290507100205
Bronfenbrenner, U. (2000). Ecological systems theory. In A. E. Kazdin (Ed.), Encyclopedia of psychology. Oxford University Press.
Bülbül, A. E., & Poyraz, M. (2023). Coda (sağır ebeveyne sahip olan bireyler) bireylerde bağlanma stilleri ve psikolojik sağlamlık ilişkisinde özgeciliğin aracı rolü [The mediating role of altruism in the relationship between attachment styles and psychological resilience in CODA individuals (children of deaf adults)]. Turkish Studies – Educational Sciences, 18(3), 893–907. https://doi.org/10.7827/TurkishStudies.70198
Çetinçelik, M., Rowland, C., & Snijders, T. (2021). Do the eyes have it? A systematic review of the role of eye gaze in infant language development. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.589096
Çolaklıoğlu, O., Turan, Z., & Uzuner, Y. (2019). My brother has a hearing loss: A life story investigation. Journal of Qualitative Research in Education, 7(3), 967–993. https://doi.org/10.14689/issn.2148-624.1.7c.3s.4m
Christensen, L. B., Johnson, B., & Turner, L. A. (2011). Research methods, design, and analysis. Pearson.
Dammeyer, J. (2014). Literacy skills among deaf and hard of hearing students and students with cochlear implants in bilingual/bicultural education. Deafness & Education International, 16(2), 108–119. https://doi.org/10.1179/1557069X13Y.0000000030
Depowski, N., Abaya, H., Oghalai, J., & Bortfeld, H. (2015). Modality use in joint attention between hearing parents and deaf children. Frontiers in Psychology, 6, 1556. https://doi.org/10.3389/fpsyg.2015.01556
Dickerson, J., Holt, R. F., Pisoni, D. B., & Kronenberger, W. G. (2025). Longitudinal influence of family environment on language outcomes of deaf and hard of hearing children. Journal of Speech, Language, and Hearing Research, 68(5), 2548–2568. https://doi.org/10.1044/2025_JSLHR-24-00437
Ertürk-Mustul, E., & Baş, N. (2024, October). Learning with play: Playgroup program for children with special needs and their mothers [Oral presentation]. 34th National Special Education Congress, Ankara, Türkiye.
Finch, J. (1984). A first-class environment? Working-class playgroups as preschool experience. British Educational Research Journal, 10(1), 3–17. https://doi.org/10.1080/0141192840100101
Gathercole, V. C. M., & Hoff, E. (2007). Input and the acquisition of language: Three questions. In E. Hoff & M. Shatz (Eds.), Blackwell handbook of language development (pp. 107–127). Blackwell. [doğrulanmalı: yayınevi "New York" olarak verilmiş]
Gay, L., Mills, G. E., & Airasian, P. W. (2012). Educational research: Competencies for analysis and application (10th ed.). Prentice-Hall.
Gomes, L. F., Taveira, K. V. M., & Brazorotto, J. S. (2025). Optimizing language development in hearing-impaired children—the impact of family-centered interventions: A systematic review. Audiology-Communication Research, 30, e2964.
Göksun, T., Aktan-Erciyes, A., Karadöller, D., & Demir-Lira, Ö. (2024). The multifaceted nature of early vocabulary development: Connecting children's characteristics with parental input types. Child Development Perspectives. https://doi.org/10.1111/cdep.12524
Hackworth, N. J., Berthelsen, D., Matthews, J., Westrupp, E. M., Cann, W., Ukoumunne, O. C., et al. (2017). Impact of a brief group intervention to enhance parenting and the home learning environment for children aged 6–36 months: A cluster randomised controlled trial. Prevention Science, 18(3), 337–349. https://doi.org/10.1007/s11121-017-0753-9 [tüm yazarlar listelenmeli — doğrulanmalı]
Hancock, K., Lawrence, D., Mitrou, F., Zarb, D., Berthelsen, D., Nicholson, J. M., & Zubrick, S. R. (2012). The association between playgroup participation, learning competence and social-emotional wellbeing for children aged 4–5 years in Australia. Australasian Journal of Early Childhood, 37(2), 72–81. https://doi.org/10.1177/183693911203700211
Hassanzadeh, S. (2012). Outcomes of cochlear implantation in deaf children of deaf parents: Comparative study. The Journal of Laryngology & Otology, 126(10), 989–994.
Haualand, H., & Grnnings, A. (2003). Uniting divided worlds: Identity, family and education in the life projects of deaf and hard of hearing young people. Disability Studies Quarterly, 23(2). https://doi.org/10.18061/dsq.v23i2.415
Holzinger, D., Hofer, J., Dall, M., & Fellinger, J. (2022). Multidimensional family-centred early intervention in children with hearing loss: A conceptual model. Journal of Clinical Medicine, 11(6), 1548. https://doi.org/10.3390/jcm11061548
Humphries, T., Mathur, G., Napoli, D. J., Padden, C., & Rathmann, C. (2022). Deaf children need rich language input from the start: Support in advising parents. Children, 9(11), 1609. https://doi.org/10.3390/children9111609
Joy, A., Ledger, S., & Duncan, J. (2024). Deaf role-models for deaf children in hearing families: A scoping review. The Journal of Deaf Studies and Deaf Education, 30(1), 17–30. https://doi.org/10.1093/jdsade/enae028
Kanto, L., Huttunen, K., & Laakso, M. L. (2013). Relationship between the linguistic environments and early bilingual language development of hearing children in deaf-parented families. Journal of Deaf Studies and Deaf Education, 18(2), 242–260. https://doi.org/10.1093/deafed/ens071
Karadöller, D. Z., Sümer, B., & Özyürek, A. (2025). First-language acquisition in a multimodal language framework: Insights from speech, gesture, and sign. First Language, 45(6), 673–710. https://doi.org/10.1177/01427237241290678
Kemaloğlu, Y. K., & Kemaloğlu, P. Y. (2012). The history of sign language and deaf education in Turkey. The Turkish Journal of Ear Nose and Throat, 22(2), 65–76. https://doi.org/10.5606/kbbihtisas.2012.013
Lederberg, A. R., Schick, B., & Spencer, P. E. (2013). Language and literacy development of deaf and hard-of-hearing children: Successes and challenges. Developmental Psychology, 49(1), 15–30. https://doi.org/10.1037/a0029558
Lieberman, A. M., Mitchiner, J., & Pontecorvo, E. (2024). Hearing parents learning American Sign Language with their deaf children: A mixed-methods survey. Applied Linguistics Review, 15(1), 309–333. https://doi.org/10.1515/applirev-2021-0120
Lillo-Martin, D. C., Gale, E., & Chen Pichler, D. (2021). Family ASL: An early start to equitable education for deaf children. Topics in Early Childhood Special Education, 43(2), 156–166. https://doi.org/10.1177/02711214211031307
Mallory, B. L., Zingle, H. W., & Schein, J. D. (1993). Intergenerational communication modes in deaf-parented families. Sign Language Studies, 78(1), 73–92. https://doi.org/10.1353/sls.1993.0005
Mason, G., Goldstein, M., & Schwade, J. (2019). The role of multisensory development in early language learning. Journal of Experimental Child Psychology, 183, 48–64. https://doi.org/10.1016/j.jecp.2018.12.011
Mayberry, R. I. (2007). When timing is everything: Age of first-language acquisition effects on second-language learning. Applied Psycholinguistics, 28(3), 537–549. https://doi.org/10.1017/S0142716407070294
McLean, K., Edwards, S., Evangelou, M., Skouteris, H., Harrison, L. J., Hemphill, S. A., et al. (2017). Playgroups as sites for parental education. Journal of Early Childhood Research, 15(3), 227–237. https://doi.org/10.1177/1476718X15595753
Meinzen-Derr, J., Sheldon, R., Altaye, M., Lane, L., Mays, L., & Wiley, S. (2021). A technology-assisted language intervention for children who are deaf or hard of hearing: A randomized clinical trial. Pediatrics, 147(2). https://doi.org/10.1542/peds.2020-025734
Mendoza-García, A., & Moreno-Núñez, A. (2023). Early triadic interactions in the first year of life: A systematic review on object-mediated shared encounters. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1205973
Mercure, E., Bosworth, R., & Gliga, T. (2025). Diverse language experiences in deaf infants and in hearing infants with deaf parents: 25 years of improved understanding and recognition. Infant Behavior and Development, 80, 102103. https://doi.org/10.1016/j.infbeh.2025.102103
Mitchell, R. E., & Karchmer, M. A. (2004). Chasing the mythical ten percent: Parental hearing status of deaf and hard of hearing students in the United States. Sign Language Studies, 4(2), 138–163. https://doi.org/10.1353/sls.2004.0005
Mitchell, R. E., & Karchmer, M. A. (2005). Parental hearing status and signing among deaf and hard of hearing students. Sign Language Studies, 5(2), 231–244. https://doi.org/10.1353/sls.2005.0004
Mood, D., Sheldon, R., Tabangin, M., Wiley, S., & Meinzen-Derr, J. (2022). Technology assisted language intervention (TALI) for children who are deaf/hard of hearing: Promising impact on pragmatic skills. Deafness & Education International, 24(4), 334–355. https://doi.org/10.1080/14643154.2022.2135731
Moores, D. F. (2001). Educating the deaf: Psychology, principles, and practices. Houghton Mifflin.
Nittrouer, S., Lowenstein, J. H., & Antonelli, J. (2020). Parental language input to children with hearing loss: Does it matter in the end? Journal of Speech, Language, and Hearing Research, 63(1), 234–258. https://doi.org/10.1044/2019_JSLHR-19-00123
Odabaş, N. K. (2024). Sağır yetişkinlerin işiten çocuklarının (CODA) aile ve iletişim deneyimleri [Family and communication experiences of hearing children of deaf adults (CODA)]. Ankara Sağlık Hizmetleri Dergisi, 22(1), 35–48.
Petitto, L. A., & Marentette, P. F. (1991). Babbling in the manual mode: Evidence for the ontogeny of language. Science, 251(5000), 1493–1496.
Pontecorvo, E., Mitchiner, J., & Lieberman, A. M. (2024). Hearing parents as sign language learners: Describing and evaluating the ASL skills of parents learning ASL with their deaf children. Journal of Multilingual and Multicultural Development, 1–18. https://doi.org/10.1080/01434632.2024.2359634
Rose, S., McAnally, P. L., & Quigley, S. P. (2004). Language learning practices with deaf children (3rd ed.). Pro-Ed.
Roux, A. L., & Stander, M. (2021). Early language intervention in deaf children of hearing parents. Per Linguam, 37(1), 15–27. https://doi.org/10.5785/37-1-974
Selvi, H. H., & Yıldırım, S. B. (2023). Türkiye'de işaret dili eğitimine yönelik güncel sorunlar [Current issues regarding sign language education in Turkey]. Turkish Journal of Special Education Research and Practice, 5(1), 40–57. https://doi.org/10.37233/TRSPED.2023.0137
Seven, Y., & Göl-Güven, M. (2016). Bir dil iki dünya: Sağır anne babanın işiten çocuğu olmak [One language, two worlds: Being a hearing child of deaf parents]. In E. Arık (Ed.), Ellerle konuşmak: Türk İşaret Dili araştırmaları [Speaking with hands: Turkish Sign Language research] (pp. 389–410). Koç Üniversitesi Yayınları.
Singleton, J. L., & Tittle, M. D. (2000). Deaf parents and their hearing children. Journal of Deaf Studies and Deaf Education, 5(3), 221–236. https://doi.org/10.1093/deafed/5.3.221
Swanwick, R. (2010). Policy and practice in sign bilingual education: Development, challenges and directions. International Journal of Bilingual Education and Bilingualism, 13(2), 147–158. https://doi.org/10.1080/13670050903474069
Szarkowski, A., Moeller, M. P., Gale, E., Smith, T., Birdsey, B. C., Moodie, S. T., et al. (2024). Family-centered early intervention deaf/hard of hearing (FCEI-DHH): Support principles. The Journal of Deaf Studies and Deaf Education, 29(SI), SI64–SI85. https://doi.org/10.1093/deafed/enad039 [tüm yazarlar listelenmeli — doğrulanmalı]
Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27(2), 237–246. https://doi.org/10.1177/1098214005283748
Turan, Z. (2021). A supported playgroup for children with and without hearing loss. International Journal of Social Policy and Education, 3(9), 35–45.
van der Zee, R. B., & Dirks, E. (2022). Diversity of child and family characteristics of children with hearing loss in family-centered early intervention in the Netherlands. Journal of Clinical Medicine, 11(8), 2074. https://doi.org/10.3390/jcm11082074
Wilhelm, A. (2012). Sociolinguistic aspects of the communication between hearing children and deaf parents. In M. Bishop & S. L. Hicks (Eds.), Hearing, mother-father deaf: Hearing people in deaf families (pp. 162–194). Gallaudet University Press.
World Health Organization. (2021). World report on hearing. https://www.who.int/publications/i/item/world-report-on-hearing
Yıldırım, A., & Şimşek, H. (2021). Sosyal bilimlerde nitel araştırma yöntemleri [Qualitative research methods in social sciences]. Seçkin.
Yıldız, M., & Kaya-Çelik, E. (2024). Newborn hearing screening outcomes and management in our hospital: A cross-sectional study. Türkiye Klinikleri Journal of Health Sciences, 9(4), 803–811. https://doi.org/10.5336/healthsci.2024-101635
Yoshinaga-Itano, C. (2020). Early hearing detection and intervention, universal newborn hearing screening, and the half-century that changed the landscape for deaf and hard-of-hearing children. Ear and Hearing, 41(Suppl 1), 77S–89S.
Yoshinaga-Itano, C., Sedey, A. L., Mason, C. A., Wiggin, M., & Chung, W. (2020). Early intervention, parent talk, and pragmatic language in children with hearing loss. Pediatrics, 146(Supplement_3), S270–S277. https://doi.org/10.1542/peds.2020-0242F
Yu, C. L., Stanzione, C. M., Wellman, H. M., & Lederberg, A. R. (2021). Theory-of-mind development in young deaf children with early hearing provisions. Psychological Science, 32(1), 109–119. https://doi.org/10.1177/0956797620960389
Zeshan, U. (2003a). Towards a notion of "word" in sign languages. In R. M. W. Dixon & A. Y. Aikhenvald (Eds.), Word: A cross-linguistic typology (pp. 153–179). Cambridge University Press.
Zeshan, U. (2003b). Aspects of Türk İşaret Dili (Turkish Sign Language). Sign Language & Linguistics, 6(1), 43–75. https://doi.org/10.1075/sll.6.1.04zes
Zhao, T., & Kuhl, P. (2021). Development of infants' neural speech processing and its relation to later language skills: A MEG study. NeuroImage, 256. https://doi.org/10.1016/j.neuroimage.2022.119242

Copyright (c) 2026 Nagihan Baş, Halil İbrahim Çakır
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Article Information
- Article Type Research Articles
- Submitted March 1, 2026
- Accepted March 24, 2026
- Published March 30, 2026
- Issue Vol. 5 No. 1 (2026): Pedagogical Perspective (March)
- Section Research Articles


