Hearing Loss/Deafness The Sound of Deaf Speech Can Vary Widely By Jamie Berke Jamie Berke Facebook Jamie Berke is a deafness and hard of hearing expert. Learn about our editorial process Updated on March 06, 2020 Medically reviewed by John Carew, MD Medically reviewed by John Carew, MD LinkedIn Twitter John Carew, MD, is board-certified in otolaryngology-head and neck surgery. He is an adjunct assistant professor at Mount Sinai Medical Center and NYU Medical Center. Learn about our Medical Expert Board Print You may have noticed that people who are deaf sound a little different than people who aren't deaf. It's not easy to explain the difference, as it depends on the individual person. Deaf children growing up with cochlear implants or hearing aids—with the help of speech training—often develop voices that sound the same as a hearing person. In other words, their voices cannot be identified as coming from a deaf person. However, when a child grows up without hearing and must learn speech without hearing feedback, their speech may take on patterns that set them apart. Lokibaho / iStock / Getty Images Deaf Speech Characteristics For a deaf person who doesn't have hearing, their speech might be described as having a monotone nature. Being unable to hear exactly what normal speech sounds like, despite intensive speech therapy, means growing up without learning natural inflections in speech. With effort, the person can give her speech some inflection but most of the time it will be monotone. Another term that has sometimes been associated with deaf speech is throaty or guttural, which means pertaining to the throat. Deaf Speech Intelligibility In addition to what it sounds like, intelligibility (how clear the speech is) is another characteristic of deaf speech. Speech intelligibility is a frequent topic in deaf-related journals. In 2007, the Journal of Deaf Studies and Deaf Education published a report by an Israeli author who compared deaf Israeli children in special classes (group inclusion) in regular schools to deaf children who were mainstreamed (individual inclusion) into regular classes. The author's study involved 19 deaf children. Of these children, 10 were in a special class using speech and sign, and the other nine were mainstreamed and used speech only. The children were asked to rate themselves on two scales: a loneliness and social dissatisfaction scale, and a sense of coherence scale (coherence meaning confidence). The loneliness questionnaire included statements like "I have nobody to talk to in class," and the coherence scale included statements such as "When I want something I'm sure I'll get it." Then the deaf children recorded spoken readings, and hearing children who had never heard deaf speech were used as judges of the deaf children's speech intelligibility. The author was looking for any relationship between speech intelligibility and how the deaf children felt about themselves. The study's results showed that there was no difference between the special classes and mainstream classes with regard to loneliness and coherence. However, results also showed that while there was no significant relationship between speech intelligibility and the children's feelings in the special classes, there was a significant relationship between speech intelligibility and children's feelings in the mainstream classes. That backed up the author's review of the literature, which found that hearing children had better attitudes towards deaf children with better speech intelligibility. The literature review found that speech intelligibility affected the ability of deaf children to form friendships with the hearing children. Based on the literature review, the author concluded that good speech intelligibility was a necessity for friendships in mainstream classrooms. 2 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Coelho AC, Medved DM, Brasolotto AG. Hearing Loss and the Voice. Update On Hearing Loss. February 2015. doi:10.5772/61217 Most T. Speech Intelligibility, Loneliness, and Sense of Coherence Among Deaf and Hard-of-Hearing Children in Individual Inclusion and Group Inclusion. Journal of Deaf Studies and Deaf Education. 2007;12(4):495-503. doi:10.1093/deafed/enm015 By Jamie Berke Jamie Berke is a deafness and hard of hearing expert. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit