The study of effects of mode (manual only, manual plus oral, and manual plus oral plus aural) and language (Signed English or American Sign Language) on the comprehension of deaf students (mean age 16 years) found no significant treatment effect for mode of presentation; there was an interaction between languages and mode. (Author/DB)

This paper proposes new policies which stress making explicit the roles of sign communication and speech in total communication programs for students with hearing impairments. A review of the literature supports the need to redefine total communication, provide improved preservice and in-service training of teachers in effective communication…