Emotions and Family SupportEmotions and Family Support(Not just “touchy-feely” stuff)(Not just “touchy-feely” stuff)

Noel D. Matkin, Ph.D.Noel D. Matkin, Ph.D.Professor EmeritusProfessor Emeritus

University of ArizonaUniversity of Arizona

PREMISE

COOPERATIVE, INVOLVED CARGIVERS COOPERATIVE, INVOLVED CARGIVERS ARE CRUCIAL TO SUCCESSFUL ARE CRUCIAL TO SUCCESSFUL

HABILITATION OF INFANTS AND YOUNG HABILITATION OF INFANTS AND YOUNG CHILDREN WITH A HEARING LOSSCHILDREN WITH A HEARING LOSS

Key Considerations: Key Considerations: Comprehensive Family Support Comprehensive Family Support

ProgramProgram

Premise 1: Adequate Parenting SkillsPremise 1: Adequate Parenting Skills

Premise 2: Three Types of SupportPremise 2: Three Types of Support

Premise 3: Support Over YearsPremise 3: Support Over Years

Premise 4: Use Various ApproachesPremise 4: Use Various Approaches

Premise 5: Consider Non-traditional Premise 5: Consider Non-traditional Family Structures Family Structures

Premise 6: Respect Differences Across CulturesPremise 6: Respect Differences Across Cultures

EDUCATION

90% Two normal hearing parents

60% First child

40% Different culture

GUIDANCE

Telling someone what you believe they should do is often mistaken for guidance

Deals with helping a family recognize what options exist for children with a hearing loss

Also entails clinician’s support of the parents as they make an educated choice – which may not be the choice the clinician would make

COUNSELING

Information sharing is often mistaken for counseling.

Deals with emotions, coping and the reaction to one’s feelings about the hearing loss

Is an ongoing process during clinical work; it is not an isolated activity

Schum, 1989

STAGES OF GRIEF

ACCEPTANCEACCEPTANCE

DEPRESSIONDEPRESSION

NEGOTIATIONNEGOTIATION

ANGERANGER

DENIALDENIAL

Elizabeth Kubler-Ross

TWO MODELS: GRIEVING

NESTED MODEL:CLINICIAN – CLIENT

INTERACTION

INDIVIDUAL TYPE

FAMILY SYSTEM

DOMINANT CULTURE

GUIDE PARENT