Skip to main content

Thank you for not chewing

The following is a study I started in graduate school. It is biased and the methods need a lot of work but I wanted to put it out there for other people to use as a stepping stone for similar research.





Thank you for not chewing: Perceptions
regarding accommodation for hearing impairment in graduate school






Lisa Rossignol, M.A.
Graduate Student, University of New Mexico


















Abstract
This autoethnographic study seeks to elucidate the perceptions of graduate students about the validity of a rare hearing impairment--Hyperacusis with Selective Sound Sensitivity Syndrome (4S)--their role in accommodating the needs of a classmate with a hearing impairment, and their perception of the way the classmate asks for their participation in her accommodation. The researcher employs interview methods with classmates in three departments at the University of New Mexico, with whom she has taken classes, and reflexive narrative of past encounters.

Keywords: disability, performance, autoethnography, graduate school


Introduction
Setting: It is the first day of class for Introduction to Qualitative Methods. I have opted to take this course in a department different from my program of study because of its availability in the Spring semester. I am nervous because the instructor for this class was replaced the week before the semester began and I have been unable to contact him regarding my need for his assistance in establishing his role in facilitating my accommodation. The instructor has each student introduce him or herself. I can see people chewing gum and eating and, as we go around the room my anxiety grows. This is my fifth semester in graduate school and I can never gauge what the response to my accommodation will be. I am the last person to speak.
Me:     My name is Lisa Rossignol and I am in my last semester of a Master’s in Health Communication. I have a rare, neurologically based hearing impairment that makes it hard for me to filter sounds so I wear these headphones so I can control the sounds in the room and I wear special hearing aids. I also receive an accommodation that requires anyone in class with me to not eat or chew gum while we are in class together or else I can’t be in class. I know this is strange but I appreciate you assistance with this and am happy to answer any questions you have or would gladly supply you with gum at the end of each class.
I have a hearing impairment called Hyperacusis with Selective Sound Sensitivity Syndrome (4S), which means that I hear soft sounds like people chewing, slurping, chomping, or smacking with their mouths and it causes me the experience of physical pain. I have had this condition since I was nine years old but have been receiving accommodations and treatment for the condition for the past five years. I wear sound suppressing hearing aids, when I am in class use an FM system that amplifies the professor’s voice and allows me to drown out all of the other noise in the classroom, and my classmates are asked not to eat or chew gum during class.
The Problem is Me
Setting: The final semester of my Master’s program, I took a qualitative research methods course in a different department. Eight weeks into the 16-week semester we were asked to share our research questions for our final project with the entire class. I have been hesitant to participate in any type of group work because the third week of class I was told that all of my classmates didn’t want to work with me because they thought it was unreasonable that they can’t chew gum or eat in class. In perhaps a passive-aggressive gesture, the research questions I shared regarded the perceptions of my classmates about my hearing impairment and if there is an ideal way to communicate my needs to classmates for accommodation. The following is my recollection of the conversation.
Classmate:       Can I be straight with you? Because you seem like you like
honesty. The reason we were all resistant to you asking us not to eat in class was you sounded really rude.
Me:                 Why was it rude? (I could feel my face filling with blood and turning bright red)
Classmate:       It was your tone. I know you more now and know you are cool but it was your tone. It was rude and kind of offensive.
            I proceeded to question this classmate about what made her think I was rude. Could it have been that I am a woman? No. Because I am from a different department and no one in this class is familiar with me? No. Because I am a woman clearly articulating my needs? No. Because when I say I have a neurologically based hearing impairment people don’t know if it means I am cognitively impaired or profoundly hearing impaired? No.
Classmate:       My husband is a counselor so I always try to think about how I am responsible so maybe you need to take responsibility for the way you asked.
It would be one thing if the reaction of this classmate and this group of students
was different from the previous four semesters of graduate school. Each semester I have had at least one class that contains students resistant to my need for them to follow the already established rule to not eat or chew gum in class. Is the resistance about a rare, little-understood hearing impairment? I don’t eat in class or chew gum either so I don’t understand the resistance. Is it because I don’t look like I have a disability? Is it because what I am asking for is a huge imposition on others? This paper will seek to address these questions.
Literature Review
            After consulting the literature, I found that there was very little regarding the perception of disability and only one article regarding the perception of a hearing impairment. The following section will offer a description of related research to form the foundation of this study.
            Scott (2013) provided a poignant glimpse into her experience as an academic, professional woman with cerebral palsy in a form that allows her to move fluidly in and out of “disability identity.” Her condition is so mild that most people experience her as a person recovering from a temporary sports injury instead of as a person who suffered brain damage, likely to a lack of oxygen, near birth, which resulted in spastic cerebral palsy. Through reflexive narrative techniques and supported by theoretically by performance studies, Scott weaves together interviews with three individuals who have varying forms of cerebral palsy with her own experiences with cerebral palsy.
            Kumar et al (2012) explored the perception of hearing impairment in the general population by surveying passengers at a train station in England. Through a random sample, researchers were able to survey 151 passengers with four open ended questions: 1) Have you ever seen a hard of hearing person?
2) What do you think can be the cause for hearing impairment? 3) What do you think can be done to manage (treat) a person with hearing impairment?
4) Have you heard about an audiologist and speech pathologist?
            Researchers found that the majority of participants new a person with a hearing impairment and accurately understood that hearing impairment can be cause by a biological or environmental influence.  However, the majority of study respondents believed that all hearing impairment could be treated with medication or surgery. Finally, most participants of this study had never been to an audiologist even though some of them clearly had hearing impairments. Misunderstanding about the treatment of hearing impairment and the long-term consequences of hearing impairment is prevalent in this general population.
            Following this literature review, the lack of information about interpretations of hearing impairments in an academic setting, I will seek to elucidate the following questions:
RQ1:   What is the perception of classmates in my graduate program about my hearing impairment.
RQ2:   How do my classmates feel about being asked to participate in my accommodation?
Methods
            For this study I will employed autoethnographic methods and  an in-depth interview a classmate from the Department of Communication and Journalism at the University of New Mexico. My classmates identity will be kept confidential with the label of CRG which is a code I have produced and only has meaning to me. CRG is a twenty four year old male from Mexico and has participated in several classes with me as a member of the same graduate cohort. He will be able to speak to his understanding of our classmates as well as his own understanding because he had greater inclusion in social experiences with others from our department.
            In the future iteration of this paper, I will seek participants that fall into three categories 1) classmates I like and feel comfortable talking to; 2) classmates I am indifferent to or unsure of their feelings about my disability; 3) classmates I do not like and feel uncomfortable talking to. Ideally, I would like to have one person from each category, from every graduate class I take for an academic year.  I will also seek to choose candidates that are different from my own demographics, which are that I am a middle class, Hispanic woman, who is married and has children. I am a person who has had a disability for many years but has only begun my indoctrination into disability culture and the performance of “disabled” for five years.
My grand tour question was: “Tell me, in as much detail as possible, about the first time you were introduced to my disability.”
Data Analysis
             I interviewed CRG on April 4, 2013 at the University of New Mexico Fine Arts and Architecture Library in one of the small study rooms. The location was quiet, comfortable, and convenient for both of us. I recording the interview using a digital recorder and gained consent through verbal response. In the event that I acquire IRB approval study I will either be required to file a waiver of signed consent with my application or I will need to utilize the IRB provided letter of consent and gain a signature. 
            I asked my grand tour question and then used CRG’s responses and moved through the interview in an organic and fluid mode. The interview lasted for just under thirty minutes with only a few seconds recording as inaudible. Three days later, I transcribed the interview into a word document on a password-protected computer. Finally, a week after the interview I began to analyze the contents of the interview. First I read through the entire interview two times, resisting the temptation to make notes or to start analyzing the data. Once I became familiar with the data I observed the emergence of three themes that threaded through our friendly conversation which I will detail in the next section.
Results
Need for Repetition if Explanation
            The first thing that became clear from this interview was the CRG’s understanding of my disability is absolutely accurate but came as a process of piecemeal conversations that occurred over the course of our two years together in graduate school.
Me:     And about how long do you think and how many conversations we had before you had a grasp?
CRG:   How many conversations? Well the one we didn’t talk about really-we have talked once or twice. You know you never sat down and said “look CRG this is what I have” so it was more like in between conversations so I think it was a looooong process. Like from the first time how should I act which is also important for me but also how do you feel what do you think about it but also interested in the possibilities as a kind of a aesthetic experience prospective. It was a long….countless talks in which I put all this information together that makes kind of sense to me but it was not a [short process].
I found this point in the discussion to be interesting and the previous
explanation he offered for the first time that he heard about my disability because I had explained my hearing impairment two times prior. This revelation between us further underscored the challenge that my rare condition poses to gaining understanding and cooperation from others.
Me:     What would you say if I told you that I did introduce it when we were
at Dr. [blank]’s house when we first met?
CRG:   Really?
Me:     And I did talk about it in Dr. [blank] class when I explained it because I had to leave to go do those MAD’s or what were they called? The RAD’s?
CRG:   Oh yeaaaah. So yeah, I completely forgot! I now remember from that class-first class but I can’t remember in Dr.’s house.
            This indicates to me that it may be very difficult, if not impossible, to create an introduction that would be effective in gaining the cooperation and understanding of all or most of my classmates. I may have to just accept and submit to the fact that understanding and acceptance about my disability is an educational process and I will hae to find the strength to be patient with others. The burden of compassion and grace lies with me.
Perception of Disability
            CRG has a clear understanding of my disability and could describe it to me in correct terms. However, he did indicate that he felt apprehension about talking to me because he did not understand what my issue was and was most concerned with going something wrong.
CRG:   I feel really concerned of not acting wrongly or doing something that is inappropriate so given my not understanding of the thing, I was afraid of not-I mean not rejecting you as of working with you-but I was afraid of doing something wrong but I think that definitely happened at that moment like…How would you frame that? Ummmm. I would work with someone based on that but I would be really careful or self conscious of not doing anything stupid (laugh) so as a result, I would not foster that kind of interaction. But on the other hand I did try to to research on my own.
            When asked if he believed that I was intentionally segregated by my classmates because of similar discomfort with my hearing impairment he indicted that he believed it was a large factor. At first he talked about thinking that it had to do with other factors and then, as he talked through the conversations that he participated in about me, he finally concluded that I would likely have been treated very differently if I hadn’t been identified the way I was -- different and odd.
CRG:   Mmmmm. I figure it’s a really important factor but I don’t think it’s the only one. Personally. Uh, or at least not consciously you know? Because from the from the people that had discriminated you or segregated you I heard many of the reasons you know so at least not consciously or not express that is their reason. But I think it is a huge factor. I think if you didn’t have that at the beginning-not at the beginning-if you didn’t have that as first dimension that we know about you definitely would be different. But the way they identified you with this label form the very beginning you know. So I would say, it has a lot of weight. 
Suggestions for the Future
            CRG believed that the best way for me to introduce my disability was to be a seminar that was offered at the beginning of each class that I enroll in. He felt that it would be best if I remained anonymous and if the instructor was responsible for educating the class about my accommodation.
CRG:   Yeah I think it should be the first day of class. Not half and hour 20 minutes or 15 minutes but I think it needs to be in the beginning because people doesn’t necessarily have an expectation of talking about something specifically that first session unlike if you do it in the middle of the semester where you have to discuss something important or presentations or having papers.
CRG was adamant that the information must come from the professor and
be policed by instructor. I would agree except that this approach has lead to other intense, awkward situations where my classmates were speculating about what
type of person would have this type of condition. I began resorting to breaking my
anonymity following a few of such encounters.
Discussion
This interview was very painful for me, despite having asked my closest
friend in graduate school. In order to be more rigorous, which I will discuss in the limitations section, I would need to interview more classmates and the research may benefit from interviews with people I feel the least comfortable with. However, I don’t know if I could bring myself to do those interviews. This interview left me so angry that I wanted to file a lawsuit against my department for segregating me.
I would caution other researchers from working so close to heartfelt issues
and I would encourage skeptics to think twice before scoffing at the toll this type of research can take on individuals.
All that being said, I believe that this line of work could greatly benefit the
literature in regards to people with disabilities and particularly for those with my rare, unseen, often misunderstood disorder. I also believe it can provide insight to the greater population about the cost of accommodation. For every student that is respectful and doesn’t eat or chew gum in class, there are two more classmates that will isolate and avoid me
Limitation
The most obvious limitation of this study is the fact that, at present, it is
only a case study. It could stand as a case study but would require much more analysis of the interview. I don’t believe that any more pertinent information is contained in the interview so I believe I would need at least two more interviews with other classmates to strengthen and triangulate my findings.
Finally, I believe my bias was present in the questions that I asked during
the interview. This is not to say that my findings are not significant but it may benefit me to practice much more general or sterile questions.



References
Suman, K., Nachiketa, R., Punam, K., & Bhaskar, D. (n.d). The conceptions of hearing impairment, causes and its management: A train survey. International Journal Of Pediatric Otorhinolaryngology, 761123-1126. doi:10.1016/j.ijporl.2012.04.014
Scott, J. (2013). Problematizing a researcher’s performance of “insider status”: An autoethnography of “designer disabled” identity. Qualitative Inquiry, 19(2), 101-115. doi:10.1177/1077800412462990



Comments

Popular posts from this blog

Mudd Volleyball

Every year for the past 17 years thousands of Albuquerque residents filed into the South Valley to stand knee high in muddy water and play volleyball. Teams come dressed in themes and there is a contest for 'Best Camp', 'Best Costumes', 'Best Fundraising', and of course 'Mudd Volleyball Champion'. All of the proceeds go to benefit the Carrie Tingley Hospital Foundation. I worked for a company a few years ago that was a sponsor so we had the VIP tent and everything was taken care of. All I had to do was show up and play. It was amazingly fun.    This was our first complete Mudd Volleyball experience. My husband and I had decided to buy a team because the registration is 100% tax deductible and as small business owners we had to increase our charitable giving for the tax incentive. The reason we chose this charity is for the fact that a few months prior, by the recommendation of our 4 year old's physical therapist, the Carrie Tingley Hospital Fo...

Can't find gainful employment so I guess I will just...

I moved from a career in advertising and marketing to advocacy in 2009, after my first child was born with multiple disabilities. I worked for peanuts for much of that time, got a master's, part of a phd, published in prestigious journals, traveled the world, but could never convert all of my experience into a well paying job or really, the kind of respect in my field I had hoped for. So, in February 2018. I gave up. I removed myself from all policy and advocacy positions, took on some odd contracts, and mostly just committed to enjoying my newfound freedom. The internet is full of great ideas to pass your time. Time, combined with a degree in sculpture, and a very small budget, I have been able to do some fun stuff. I'm not sure if anyone will be interested in the things I am doing, but thought I'd put it out there, just in case there is another person like me, milling around the inter webs, looking for inspiration. <3 Let's get weird!!!

It Should Get Easier

This was my second attempt to write a paper for the same social science journal.  The reviewers had been disturbed by my anger and felt that I wasn't giving the various healthcare providers the same empathy that I was demanding. This time i attempted to just describe a single day--an afternoon really--of care for my child and ALL of the thoughts, memories, experience that occurred during a three hour period. What I learned, unequivocally from this round of reviews, is that my voice has no place in that journal and that is okay with me. Lily and I arrived at the children's rehabilitation hospital at 1:15 PM on a hot July day. I had been on the phone for most of the day with the pharmacy, Lily's behavioral therapist, the United State’s Social Security Administration, the public school audiologist, and our insurance company. Lily had spent the morning at my mother’s house playing with her little sister and six girl cousins. I was refreshed from a long weekend for the Four...