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İşitme Engelli Bireylerle Psikoterapi Sürecinin Gözden Geçirilmesi

Yıl 2025, Cilt: 7 Sayı: 2, 168 - 181
https://doi.org/10.47157/jietp.1700315

Öz

Bu çalışma, işitme engelli bireylerle psikoterapi sürecini ve karşılaşılan zorlukları ele almaktadır. Ele alınan zorluklardan birincili iletişimdir. İşitme engeli sözel dil gelişimini olumsuz etkilemektedir. Ek olarak, işitme engeli, toplumsallaşmayı ve ruh sağlığı hizmetlerinden yararlanmayı güçleştirir. Ruh sağlığı uzmanları genellikle işitme engellilerle çalışma konusunda yeterli bilgiye sahip değildir. Tercüman kullanımı iletişimi kolaylaştırsa da gizlilik sorunları, mesajların yanlış aktarılması ve terapötik ilişkinin dinamiklerini değiştirme gibi dezavantajları vardır. Terapistlerin işaret dilini öğrenmesi daha etkili bir yaklaşım olarak önerilir. İşitme engelli bireyler sosyal geri çekilme, saldırganlık, kaygı, depresyon, yalnızlık ve damgalanma gibi çeşitli sorunlarla karşılaşabilir. Terapi sürecinde az sözel, somut ve görsel ağırlıklı teknikler (sanat, kum oyunu, yaratıcı drama) ile Bilişsel Davranışçı Terapi (BDT), Kabul ve Kararlılık Terapisi (KKT), EMDR gibi yaklaşımlar etkili bulunmuştur. Mevcut çalışma, alanda yeterli çalışmanın olmadığını ve daha fazla araştırmaya ihtiyaç duyulduğunu vurgulamaktadır

Kaynakça

  • Abbady, A. S., & Ezzat, E. M. (2023). The Effectiveness of acceptance and commitment therapy based on the handicraft in reducing post-traumatic stress disorder among hearing ımpaired university students. Information Sciences Letters, 12(9), 2179-2188. http://doi.org/10.18576/isl/120923
  • Abdel-Qawi, R. E. S. A. (2022). The Ability of the emotional and rational counseling program to reduce psychological tension and ırrational thoughts and ımprove life satisfaction for the hearing ımpaired. International Journal of Childhood, Counselling ve Special Education (CCSE), 4(3), 50-67 https://doi.org/10.31559/CCSE2022.4.3.1
  • Adeniyi, S. O., & Anyama, S. C. (2017). Relationship between life building skills and social adjustment of students with hearing impairment: Implications for counseling. Journal of Special Education and Rehabilitation, 18(3-4), 25-43. https://doi.org/10.19057/jser.2017.24
  • Akfırat, F. Ö. (2004). Yaratıcı dramanın işitme engellilerin sosyal becerilerinin gelişimine etkisi. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 5(01), 9-22. https://doi.org/10.1501/Ozlegt_0000000077
  • Alramamneh, A., Sabayleh, O., Hazim, S., & Drei, S. (2020). Psychological and social problems of hearing-impaired students and the adopted coping strategies in deaf schools. The Journal of Educational Research, 10(2), 205-215. https://doi.org/10.36941/jesr-2020-0039
  • Avdeeva, A. P., Oreshkina, O. A., & Safonova, Y. A. (2019). Career counseling for hearing impaired people using information technology. In International Scientific and Practical Conference on Digital Economy (ISCDE 2019) (pp. 383-388). Atlantis Press. https://doi.org/10.2991/iscde-19.2019.129
  • Bamford, J., & Saunders, E. (1992). Hearing impairment, auditory perception and language disability. Child Language Teaching and Therapy, 8(2), 227-228. https://doi.org/10.1177/026565909200800218
  • Bhuvaneswari, M., & Immanuel, S. (2013). Psychologıcal issues among hearing impaired adolescents. Education Sciences ve Psychology, 24(2), 16-27.
  • Bila, G. J. (2020). Sustainable inclusion for Students with Hearing Impairment through Guidance and Counseling Support. In Eds. K.O. Usman, M.A. Abimbola, S.O. Agbato, S.J. Ogunkunle Achieving sustainable development in nigeria through ınnovation, creativity and entrepreneurial education Dr. Theophilus Adebose, (pp. 62-70), Peerless Grace Prints & Publishing.
  • Cohen, C. B. (2003). Psychotherapy with deaf and hard of hearing individuals: Perceptions of the consumer. Journal of Social Work in Disability ve Rehabilitation, 2(2-3), 23-46. https://doi.org/10.1300/J198v02n02_03
  • Culross, R. R. (1996). The use of interpreters in family therapy with deaf persons. Contemporary Family Therapy: An International Journal, 18(4), 507-512. https://doi.org/10.1007/BF02195713
  • Eegunranti, B. A., Olaosun, A. O., Adeosun, A. A., Ogundiran, O., Ogundiran, A. C., Falade, J., & Tobih, J. E. (2019). A review of psychological therapy modalities for hearing loss related depression. International Journal of Innovative Research and Development, 8(9). https://doi.org/10.24940/ijird/2019/v8/i9/SEP19034
  • Fengler, J. (1986). Psychotherapy of patients with hearing impairment. Die Rehabilitation, 25(4), 166-172.
  • Freeman, A. (2019). Eye Movement Desensitization and Reprocessing (EMDR) as an Effective Technique for Post Traumatic Disorders in Hearing Impaired Persons. JADARA, 37(1), 32-42.
  • Furlonger, B. E. (1999). Narrative therapy and children with hearing impairments. American Annals of the Deaf, 144(4), 325-333. https://doi.org/10.1353/aad.2012.0311
  • Gannon, J.R. (1981). Deaf heritage: A narrative history of deaf America. Silver Spring, MD: National Association of the Deaf.
  • Gill, I. J., & Fox, J. R. (2012). A qualitative meta-synthesis on the experience of psychotherapy for deaf and hard-of-hearing people. Mental Health, Religion & Culture, 15(6), 637-651. https://doi.org/10.1080/13674676.2011.609161
  • Gough, D. (1987). Rational-emotive therapy: A discussion of its applicability for deaf clients. Journal of rational emotive therapy, 5, 162-182. https://doi.org/10.1007/BF01080525
  • Halgin, R. P., & McEntee, D. J. (1986). Psychotherapy with hearing-impaired clients. Professional Psychology: Research and Practice, 17(5), 466-472. https://doi.org/10.1037/0735-7028.17.5.466
  • Harris, J., & Bamford, C. (2001). The uphill struggle: services for deaf and hard of hearing people-issues of equality, participation and access. Disability ve society, 16(7), 969-979. https://doi.org/10.1080/09687590120097854
  • Helvik, A. S., Jacobsen, G., & Hallberg, L. R. (2006). Psychological well-being of adults with acquired hearing impairment. Disability and rehabilitation, 28(9), 535-545. https://doi.org/10.1080/09638280500215891
  • Henwood, P. G., & Pope-Davis, D. B. (1994). Disability as cultural diversity: Counseling the hearing impaired. The Counseling Psychologist, 22(3), 489-503. https://doi.org/10.1177/001100009422301
  • Hoggard, M. (2006). Art psychotherapy with people who are deaf or hearing impaired. International Journal of Art Therapy, 11(1), 2-12. https://doi.org/10.1080/17454830600679406
  • Kent, B.A. (2003). Identity issues for hard-of-hearing adolescents aged 11, 13, and 15 in mainstream setting. J Deaf Stud Deaf Educ., 8(3), 315-324. https://doi.org/10.1093/deafed/eng017
  • Konuk, N., Erdogan, A., Atik, L., Ugur, M.B., & Simsekyilmaz, O. (2006). Evaluation of behavioral and emotional problems in deaf children by using the Child Behavior Checklist. Neurol Psychiatry Br., 13(2):59-64.
  • Maizere, J., & Robert, M. K. (2024). Exploring the curriculum for d/Deaf and hard of hearing children at a regular school in Zimbabwe. Rwandan Journal of Education, 7(2), 97-112. https://doi.org/10.1353/aad.2022.0000
  • Mishra, S. K., & Kulshrestha, P. (2020). A study of depression, anxiety and quality of life in hearing impaired and hearing population. Disabilities Impairments, 34(1), 15-29.
  • Ostby, S., & Thomas, K. R. (1984). Deafness and hearing impairment: A review and proposal. Journal of Applied Rehabilitation Counseling, 15(2), 7–11. https://doi.org/10.1891/0047-2220.15.2.7
  • Polat, F. (1995). İşitme engellilerin eğitiminde kullanılan yöntemler. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 2(01), 24-32. https://doi.org/10.1501/Ozlegt_0000000025
  • Popa, M., & Vanghelie, M. L. (2015). Elements of experiential psychotherapy in the development of the social and emotional skills of the hearing impaired students. Procedia-Social and Behavioral Sciences, 187(2015), 338-342. https://doi.org/10.1016/j.sbspro.2015.03.063
  • Quedenfeld, C., & Farelly, F. (1983). Provocative therapy with the hearing impaired client. Journal of the American Deafness and Rehabilitation Association, 17(2), 1–12.
  • Saeidmanesh, M., Demehri, F., ve Anari, Z. A. E. (2023). Effect of sand play therapy on aggression and emotional adjustment of children with hearing impairment. Auditory and Vestibular Research. 32(3), 198-203. https://doi.org/10.18502/avr.v32i3.12935
  • Sarlin, M. B. (1984). The use of dreams in psychotherapy with deaf patients. Journal of the American Academy of Psychoanalysis, 12(1), 75-88. https://doi.org/10.1521/jaap.1.1984.12.1.75
  • Smith, R., Brown, P., & Carter, J. (2022). Childhood challenges in hearing and speech disabilities. Educational Psychology Quarterly, 14(4), 45–60.
  • Steinberg, A. (1991). Issues in providing mental health services to hearing-impaired persons. Psychiatric Services, 42(4), 380-389. https://doi.org/10.1176/ps.42.4.380
  • Steinberg, A. G., Sullivan, V. J., & Loew, R. C. (1998). Cultural and linguistic barriers to mental health service access: The deaf consumer's perspective. American journal of Psychiatry, 155(7), 982-984. https://doi.org/10.1176/ajp.155.7.982
  • Steinberg, A.G., Barnett, S., Meador, H.E., Wiggins, E.A., & Zazove, P. (2006). Health care system accessibility: Experiences and perceptions of deaf people. Journal of General Internal Medicine, 21, 260–266. https://doi.org/10.1111/j.1525-1497.2006.00340.x
  • Theunissen, S. C., Rieffe, C., Netten, A. P., Briaire, J. J., Soede, W., Schoones, J. W., & Frijns, J. H. (2014). Psychopathology and its risk and protective factors in hearing-impaired children and adolescents: A systematic review. JAMA pediatrics, 168(2), 170-177. https://doi.org/10.1001/jamapediatrics.2013.3974
  • Uluroti, G. A. (2025). Maladaptive behaviors in persons with hearing and speech ımpairment: psychotherapeutic approach for positive results. International Journal For Psychotherapy In Africa, 10(1), 112-123.
  • Van Eldik, T., Treffers, P.D., Veerman, J.W., & Verhulst, F.C. (2004). Mental health problems of deaf Dutch children as indicated by parents’ responses to the Child Behavior Checklist. Am Ann Deaf., 148(5), 390-395. https://doi.org/10.1353/aad.2004.0002
  • Watt, J.D., & Davis, F.E. (1991). The prevalence of boredom proneness and depression among profoundly deaf residential school adolescents. Am Ann Deaf., 136(5), 409-413. https://doi.org/10.1353/aad.2012.0470
  • Yasin, M. H. M., Bari, S., & Azirun, R. (2015). Guidance and counselling in hearing impairment students integration program. Proceedings of International Conference on Special Education, 1, 337-346.

A Review of the Psychotherapy Process with Hearing Impaired Individuals

Yıl 2025, Cilt: 7 Sayı: 2, 168 - 181
https://doi.org/10.47157/jietp.1700315

Öz

The study discusses the challenges faced by hearing-impaired people as well as the therapeutic process. The primary challenge addressed is communication. The development of verbal language is adversely affected by congenital hearing impairment. Socialization and the utilization of mental health treatments are impeded by hearing impairment. In general, mental health practitioners lack the necessary skills to effectively interact with people who have hearing impairments. Although using interpreters makes communication easier, there are drawbacks, including concerns about confidentiality, mistransmitted signals, and altered therapeutic relationship dynamics. For a more successful method, it is advised that therapists learn sign language. Hearing impaired individuals may face a variety of problems including social withdrawal, aggression, anxiety, depression, loneliness and stigma. Less verbal, tangible, and visual methods (painting, sand play, creative drama) as well as methods like Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and EMDR have been found to be successful in the therapeutic process. The review highlights the need for additional studies.

Kaynakça

  • Abbady, A. S., & Ezzat, E. M. (2023). The Effectiveness of acceptance and commitment therapy based on the handicraft in reducing post-traumatic stress disorder among hearing ımpaired university students. Information Sciences Letters, 12(9), 2179-2188. http://doi.org/10.18576/isl/120923
  • Abdel-Qawi, R. E. S. A. (2022). The Ability of the emotional and rational counseling program to reduce psychological tension and ırrational thoughts and ımprove life satisfaction for the hearing ımpaired. International Journal of Childhood, Counselling ve Special Education (CCSE), 4(3), 50-67 https://doi.org/10.31559/CCSE2022.4.3.1
  • Adeniyi, S. O., & Anyama, S. C. (2017). Relationship between life building skills and social adjustment of students with hearing impairment: Implications for counseling. Journal of Special Education and Rehabilitation, 18(3-4), 25-43. https://doi.org/10.19057/jser.2017.24
  • Akfırat, F. Ö. (2004). Yaratıcı dramanın işitme engellilerin sosyal becerilerinin gelişimine etkisi. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 5(01), 9-22. https://doi.org/10.1501/Ozlegt_0000000077
  • Alramamneh, A., Sabayleh, O., Hazim, S., & Drei, S. (2020). Psychological and social problems of hearing-impaired students and the adopted coping strategies in deaf schools. The Journal of Educational Research, 10(2), 205-215. https://doi.org/10.36941/jesr-2020-0039
  • Avdeeva, A. P., Oreshkina, O. A., & Safonova, Y. A. (2019). Career counseling for hearing impaired people using information technology. In International Scientific and Practical Conference on Digital Economy (ISCDE 2019) (pp. 383-388). Atlantis Press. https://doi.org/10.2991/iscde-19.2019.129
  • Bamford, J., & Saunders, E. (1992). Hearing impairment, auditory perception and language disability. Child Language Teaching and Therapy, 8(2), 227-228. https://doi.org/10.1177/026565909200800218
  • Bhuvaneswari, M., & Immanuel, S. (2013). Psychologıcal issues among hearing impaired adolescents. Education Sciences ve Psychology, 24(2), 16-27.
  • Bila, G. J. (2020). Sustainable inclusion for Students with Hearing Impairment through Guidance and Counseling Support. In Eds. K.O. Usman, M.A. Abimbola, S.O. Agbato, S.J. Ogunkunle Achieving sustainable development in nigeria through ınnovation, creativity and entrepreneurial education Dr. Theophilus Adebose, (pp. 62-70), Peerless Grace Prints & Publishing.
  • Cohen, C. B. (2003). Psychotherapy with deaf and hard of hearing individuals: Perceptions of the consumer. Journal of Social Work in Disability ve Rehabilitation, 2(2-3), 23-46. https://doi.org/10.1300/J198v02n02_03
  • Culross, R. R. (1996). The use of interpreters in family therapy with deaf persons. Contemporary Family Therapy: An International Journal, 18(4), 507-512. https://doi.org/10.1007/BF02195713
  • Eegunranti, B. A., Olaosun, A. O., Adeosun, A. A., Ogundiran, O., Ogundiran, A. C., Falade, J., & Tobih, J. E. (2019). A review of psychological therapy modalities for hearing loss related depression. International Journal of Innovative Research and Development, 8(9). https://doi.org/10.24940/ijird/2019/v8/i9/SEP19034
  • Fengler, J. (1986). Psychotherapy of patients with hearing impairment. Die Rehabilitation, 25(4), 166-172.
  • Freeman, A. (2019). Eye Movement Desensitization and Reprocessing (EMDR) as an Effective Technique for Post Traumatic Disorders in Hearing Impaired Persons. JADARA, 37(1), 32-42.
  • Furlonger, B. E. (1999). Narrative therapy and children with hearing impairments. American Annals of the Deaf, 144(4), 325-333. https://doi.org/10.1353/aad.2012.0311
  • Gannon, J.R. (1981). Deaf heritage: A narrative history of deaf America. Silver Spring, MD: National Association of the Deaf.
  • Gill, I. J., & Fox, J. R. (2012). A qualitative meta-synthesis on the experience of psychotherapy for deaf and hard-of-hearing people. Mental Health, Religion & Culture, 15(6), 637-651. https://doi.org/10.1080/13674676.2011.609161
  • Gough, D. (1987). Rational-emotive therapy: A discussion of its applicability for deaf clients. Journal of rational emotive therapy, 5, 162-182. https://doi.org/10.1007/BF01080525
  • Halgin, R. P., & McEntee, D. J. (1986). Psychotherapy with hearing-impaired clients. Professional Psychology: Research and Practice, 17(5), 466-472. https://doi.org/10.1037/0735-7028.17.5.466
  • Harris, J., & Bamford, C. (2001). The uphill struggle: services for deaf and hard of hearing people-issues of equality, participation and access. Disability ve society, 16(7), 969-979. https://doi.org/10.1080/09687590120097854
  • Helvik, A. S., Jacobsen, G., & Hallberg, L. R. (2006). Psychological well-being of adults with acquired hearing impairment. Disability and rehabilitation, 28(9), 535-545. https://doi.org/10.1080/09638280500215891
  • Henwood, P. G., & Pope-Davis, D. B. (1994). Disability as cultural diversity: Counseling the hearing impaired. The Counseling Psychologist, 22(3), 489-503. https://doi.org/10.1177/001100009422301
  • Hoggard, M. (2006). Art psychotherapy with people who are deaf or hearing impaired. International Journal of Art Therapy, 11(1), 2-12. https://doi.org/10.1080/17454830600679406
  • Kent, B.A. (2003). Identity issues for hard-of-hearing adolescents aged 11, 13, and 15 in mainstream setting. J Deaf Stud Deaf Educ., 8(3), 315-324. https://doi.org/10.1093/deafed/eng017
  • Konuk, N., Erdogan, A., Atik, L., Ugur, M.B., & Simsekyilmaz, O. (2006). Evaluation of behavioral and emotional problems in deaf children by using the Child Behavior Checklist. Neurol Psychiatry Br., 13(2):59-64.
  • Maizere, J., & Robert, M. K. (2024). Exploring the curriculum for d/Deaf and hard of hearing children at a regular school in Zimbabwe. Rwandan Journal of Education, 7(2), 97-112. https://doi.org/10.1353/aad.2022.0000
  • Mishra, S. K., & Kulshrestha, P. (2020). A study of depression, anxiety and quality of life in hearing impaired and hearing population. Disabilities Impairments, 34(1), 15-29.
  • Ostby, S., & Thomas, K. R. (1984). Deafness and hearing impairment: A review and proposal. Journal of Applied Rehabilitation Counseling, 15(2), 7–11. https://doi.org/10.1891/0047-2220.15.2.7
  • Polat, F. (1995). İşitme engellilerin eğitiminde kullanılan yöntemler. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 2(01), 24-32. https://doi.org/10.1501/Ozlegt_0000000025
  • Popa, M., & Vanghelie, M. L. (2015). Elements of experiential psychotherapy in the development of the social and emotional skills of the hearing impaired students. Procedia-Social and Behavioral Sciences, 187(2015), 338-342. https://doi.org/10.1016/j.sbspro.2015.03.063
  • Quedenfeld, C., & Farelly, F. (1983). Provocative therapy with the hearing impaired client. Journal of the American Deafness and Rehabilitation Association, 17(2), 1–12.
  • Saeidmanesh, M., Demehri, F., ve Anari, Z. A. E. (2023). Effect of sand play therapy on aggression and emotional adjustment of children with hearing impairment. Auditory and Vestibular Research. 32(3), 198-203. https://doi.org/10.18502/avr.v32i3.12935
  • Sarlin, M. B. (1984). The use of dreams in psychotherapy with deaf patients. Journal of the American Academy of Psychoanalysis, 12(1), 75-88. https://doi.org/10.1521/jaap.1.1984.12.1.75
  • Smith, R., Brown, P., & Carter, J. (2022). Childhood challenges in hearing and speech disabilities. Educational Psychology Quarterly, 14(4), 45–60.
  • Steinberg, A. (1991). Issues in providing mental health services to hearing-impaired persons. Psychiatric Services, 42(4), 380-389. https://doi.org/10.1176/ps.42.4.380
  • Steinberg, A. G., Sullivan, V. J., & Loew, R. C. (1998). Cultural and linguistic barriers to mental health service access: The deaf consumer's perspective. American journal of Psychiatry, 155(7), 982-984. https://doi.org/10.1176/ajp.155.7.982
  • Steinberg, A.G., Barnett, S., Meador, H.E., Wiggins, E.A., & Zazove, P. (2006). Health care system accessibility: Experiences and perceptions of deaf people. Journal of General Internal Medicine, 21, 260–266. https://doi.org/10.1111/j.1525-1497.2006.00340.x
  • Theunissen, S. C., Rieffe, C., Netten, A. P., Briaire, J. J., Soede, W., Schoones, J. W., & Frijns, J. H. (2014). Psychopathology and its risk and protective factors in hearing-impaired children and adolescents: A systematic review. JAMA pediatrics, 168(2), 170-177. https://doi.org/10.1001/jamapediatrics.2013.3974
  • Uluroti, G. A. (2025). Maladaptive behaviors in persons with hearing and speech ımpairment: psychotherapeutic approach for positive results. International Journal For Psychotherapy In Africa, 10(1), 112-123.
  • Van Eldik, T., Treffers, P.D., Veerman, J.W., & Verhulst, F.C. (2004). Mental health problems of deaf Dutch children as indicated by parents’ responses to the Child Behavior Checklist. Am Ann Deaf., 148(5), 390-395. https://doi.org/10.1353/aad.2004.0002
  • Watt, J.D., & Davis, F.E. (1991). The prevalence of boredom proneness and depression among profoundly deaf residential school adolescents. Am Ann Deaf., 136(5), 409-413. https://doi.org/10.1353/aad.2012.0470
  • Yasin, M. H. M., Bari, S., & Azirun, R. (2015). Guidance and counselling in hearing impairment students integration program. Proceedings of International Conference on Special Education, 1, 337-346.
Toplam 42 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Okul Psikolojik Danışmanlığı, Psikolojik Danışmanlık Eğitimi, Rehberlik ve Psikolojik Danışmanlık (Diğer), İşitme Engelli Eğitimi
Bölüm Makaleler
Yazarlar

Şeymanur Altıner 0009-0008-8039-4711

İbrahim Sönmez 0000-0002-6276-2356

Çiğdem Yavuz Güler 0000-0002-1607-0789

Erken Görünüm Tarihi 17 Ağustos 2025
Yayımlanma Tarihi 6 Ekim 2025
Gönderilme Tarihi 15 Mayıs 2025
Kabul Tarihi 18 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 2

Kaynak Göster

APA Altıner, Ş., Sönmez, İ., & Yavuz Güler, Ç. (2025). İşitme Engelli Bireylerle Psikoterapi Sürecinin Gözden Geçirilmesi. Journal of Interdisciplinary Education: Theory and Practice, 7(2), 168-181. https://doi.org/10.47157/jietp.1700315

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