Tackling stigma

However, even if people have access to AAC technology, they can still face stigma and exclusion. Here are some things we can all do to be more inclusive of people with impaired speech:

Start with basic respect. Understand that cognition and lack of verbal speech are not correlated. Many people with speech impairments have no cognitive deficits at all and are just as intelligent as anyone else. They want others to be more patient and understanding of speech disabilities. In social situations, they might often be underestimated and treated as children even though they are capable and competent. Show them respect, even though they may sound different when they talk.

Pre-programmed sentences on a tablet or speech generating device do not suggest that the person is incapable of developing those ideas. They may have spent 20 minutes typing out those messages in an attempt to meet the fast-paced environment in which we all live.

Take time to listen. Individuals with speech impairment may need to type out phrases one letter at a time. Some may use a smartphone or iPad with a texting app, while others use an eye-tracking device or brain-computer interface to select letters using an on-screen keyboard. Be patient and wait for the person to speak.

As one occupational therapist noted, “[A problem] I often find some of my clients run into is not being given enough time to get their message written down. They’re composing it and the communication partner might not realize they need to give them a little extra time.” A conversation may require you to pause, ask a question and wait for an answer. Stop, think, be patient and understanding.

In addition, it’s important to realize that the use of some AAC technologies can be tiring. To use systems that rely on eye movements, for example, an individual must focus and is unable to use other means of communication such as emotional expression at the same time. Recognize that shorter conversations may be better. Perhaps try communicating by email or text. Let the person respond in their own time.

Be an advocate. People with speech impairments must always advocate for themselves. If you are planning a conference or hiring for a position, ask what accommodations might be beneficial rather than relying on the individual to request them. Provide advance notice of conversation topics or questions. Engage people with speech impairments in social events. If you see someone passing judgment, speak up.

Technology is improving, and maybe one day people with impaired speech will be able to communicate with the same ease as those without. But until then, being a friend to people with speech impairments means being patient and listening.

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Claire Davies, Associate Professor of Mechanical and Materials Engineering, Building and Designing Assistive Technology Lab, Queen's University.

This article is republished from The Conversation under a Creative Commons license. Read the original article.