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Exploring
                                   the sexual
                                   vulnerability
                                   of urban deaf
                                   Indians




                                                                      Shilpa Patil
                                                                      C Y Gopinath
                                                                      2000




E N A B L E D B Y T H E M AC A R T H U R P O P U L AT I O N P R O G R A M F E L LO W S H I P
Foreword
Unraveling deaf sexual vulnerability
T    his study, enabled by a two-year fellowship by the Macarthur Population Programme Fellowship, is possi-
     bly the first one conducted in India which attempts to explore the sexual behaviour and vulnerability of the
deaf community. We would like to note at the outset that there are formidable difficulties to be faced in arriv-
                                                                                                                        1
ing at a research sample group that is truly representative of the diversity of India’s deaf. The project’s sever-
est limitation was that it could only work with groups that were accessible through clubs, hostels, schools or
associations. Such groups represent a decimal minority of India’s deaf people.
   There is also a clear danger of generalising on behalf of the national community of deaf persons based on
our limited study sample. We are at pains to underscore the fact that we worked with urban deaf youth, and
have made reasonable inferences about rural deaf youth through our findings. We are aware that whatever
vulnerabilities have been revealed by our study sample, they are only likely to worse with the larger commu-
nity of scattered and isolated deaf Indians who will go through their lives without recourse to any facility that
could improve their conditions, self-respect or survival options. Most of them will probably subsist as burdens
upon the families into which they were born. Though we have reason to believe that they may receive a love
and acceptance of sorts, harsh economics will dictate that their needs will be lowest on the priorities.
   The study unravels the issue of sexual vulnerability by examining the familial, educational and social con-
texts in which the attitudes, self-perceptions and survival options of a deaf Indian evolve. This takes us on a
journey that starts with the cradle, and allows us to understand how the treatment and behaviour of hearing
society towards the deaf person finally bring about the hardening of certain key attitudes, and create certain
glaring gaps in knowledge, which together form a basis for a lifelong vulnerability.
   We would liked to have had more time than two years, and more venues for research than merely the three
metropolitan centres of Mumbai, Delhi and Chennai. However, the project’s imperatives precluded a wider
study, and we hope that it will be taken up in the future, as there is clear need for an even deeper understanding
of the issues raised here.

  Anecdotal evidence
   From the study itself, and also the interviews and conversations we had during the course of the project, we
believe that the deaf in India are uniquely vulnerable and at risk in the age of HIV/AIDS. To establish the
dimensions of deaf sexual abuse and vulnerability in this report, we have drawn on anecdotal evidence that
came from our research as well as the interviews and conversations around it. This deviation from the strict
protocol of research is our response to the knowledge that such studies are not common in India, and that the
next such may not happen for many years ahead. We are keen that this study be convincing enough about deaf
sexual vulnerability to provoke action. For that reason, we have harvested insights from the entire project peri-
od of two years rather than stick only to the hours and days of our focus group sessions, key informant inter-
views and questionnaires.

  Not hearing impaired. Deaf.
   Throughout the report, we have followed international practice and used the single word ‘deaf’ to refer to
the range of hearing impairment from absolute deafness to varying degrees of hearing impairment. This deci-
sion is specially significant in India where there is a poor census of people with hearing disability to start with.
In this context, it is more important to use a term that reflects the marginalised status of this community rather
than the biological degree of their handicap. The word ‘deaf’ can better focus attention on society’s attitudes
towards this condition.
   When referring to a deaf person in the singular tense, we have arbitrarily used either ‘she’ or ‘he’, to side-
step tricky issues of gender. However, in sections where a specific gender is more relevant, such as sexual
abuse where the female is oftener the victim, we have used that gender.

                                                                                                       C Y Gopinath
                                                                                                         Shilpa Patil
                                                                                                        March 9, 2000


                                                                                                  rehabit@vsnl.com
Project Signpost
           T    here has never been a study, either in India or abroad, that looked at the deaf
                community’s vulnerability in the age of HIV and AIDS. Because the deaf are
           defined in terms of their primary challenge, their hearing impairment, the atten-
2          tion has invariably been pulled towards language, technologies of hearing, and
           education. But not being able to hear has profound and disturbing implications for
           the quality and course of the relationships into which a deaf person falls. The deaf
           person is an unguided target, prone to drifting into situations of high risk armed
           neither with awareness nor with wisdom that could save his or her life.
              Project Signpost evolved as a first step towards assessing the risks a deaf Indian
           youth faces within relationships. The project evolved organically, through theatre
           workshops which led to discussions, which became finally a formal research pro-
           posal that was awarded a 2-year fellowship by the Macarthur Population
           Programme in July 1997. The objective of the study was to evolve an innovative
           non-verbal curriculum that could give deaf youth a better understanding of their
           health risks within relationships, and the choices before them.
              It has been a daunting and difficult study, beset by numerous limitations and
           hurdles along the way. Without any guiding precedent either in India or abroad,
           Project Signpost had to cut its own path through the woods on many occasions. The
           largest constraint was the absence of a single unifying sign language, which influ-
           enced both how we conducted out workshops, as well as the methods in which we
           chose to clarify biological and technical concepts.
              Midway through the project, we had to make a radical course correction and
           redefine the ending of the project as peer education. This arose from our growing
           awareness that the curriculum would succeed only when it empowered the deaf to
           help themselves rather than leave the instruction in the hands of the hearing, with
           whom there is always a subtle tension.
              Apart from the Macarthur Foundation’s India office, which has been a remark-
           able enabler and support to our entire project, we have to acknowledge Tasneem
           Raja, who worked with the project for its duration as Project Coordinator, and
           brought her skills from her earlier work. The contents of this report owe a great
           deal to her efforts.
              We also owe a deep debt of thanks to Arun Rao and Anil Rao, the two hearing
           individuals who have dedicated their lives to working with deaf youth, and did
           much to support our work by giving their time, attention and inputs. The sexual
           health curriculum belongs to them and their deaf friends to take forward.
              It will be difficulto to list all those others who gave of their time, insights and
           experience, especially our innumerable deaf friends who were generous with us,
           but of them we specialy mention C. Rajeshwari, co-founder of DAWN in Chennai,
           and Sangeeta Gala, of the Bombay Foundation of Deaf Women, who was our sign
           language teacher in the early days, and later our via media into deaf communities.
              Finally, we mention that this report is a first step, and we look forward to com-
           ments, criticism, insights, and observations — as well as consolidation and further
           work into the sexual health issues of the Indian deaf community, particularly in the
           area of sexual abuse and HIV/AIDS.




                                                                                  Shilpa Patil
                                                                                C Y Gopinath




                                                                                rehabit@vsnl.com
Deaf children are among India’s most vulnerable to sexual abuse —
           and yet their vulnerability is the least acknowledged.

M      urari, a 10-year-old boy living in
       Bombay, suffered from the
Waardenburg Syndrome, a condition
                                             institute authorities gave up, unable to
                                             understand the girl’s signs and ges-
                                             tures. She had developed some commu-
marked by profound deafness and some         nication system of her own.
                                                                                                                         3
mental retardation. For some months,
he had been making steady and visible
progress with Nilam Patel, a teacher of
deaf youth. Under her individual
                                             I  n a slum near in north Bombay, 30-
                                                year-old Niki, deaf since birth, died of
                                             AIDS in December 1998. His wife Mona,
tuition, his attention span and commu-       also deaf, had died in March, also of         Murari’s parents left on
nication skills had improved consider-       AIDS. Their child, born HIV positive,         vacation; the boy was
ably. He had picked up a vocabulary of       had died at age one month, soon after         driven by a chauffeur to
                                                                                           his daily classes. Today
nearly 7,000 Hindi words.                    Christmas, 1997. Niki’s sister Mamta
                                                                                           Nilam believes that, in
   One day, Murari’s parents left on         was his caregiver during his last days.
                                                                                           his parents’ absence, the
vacation; the boy was driven by a chauf-     She was the one who struggled to pro-         boy was sexually
feur to his daily classes. Today Nilam       tect his identity and dignity in the slum     abused by the chauffeur.
believes that in his parents’ absence,       where they lived. Even finding a nurse
the boy was sexually abused by the           willing to administers a glucose drip to
chauffeur. She began to notice certain       strengthen him for a hospital visit
disturbing changes in his behaviour.         proved a near impossibility. Finally, an
His concentration deteriorated. He’d         aunt reluctantly did the job. At the hos-
keep glancing over his shoulder, as          pital, a ward boy offered to ‘extermi-
though someone else were in the room.        nate’ Niki for a mere Rs 50. Through all
A battery of neuro-physiological tests,      the indignity, Mamta says, “Niki simply
                                                                                           After a hospital check-
including Magnetic Resonance Imaging         refused to believe that there was any
                                                                                           up confirmed sexual
and CATSCAN, showed nothing physi-           such things as AIDS right up to the time      assault, the grandmother
cally wrong with him.                        he died of it.”                               filed a police complaint.
   Meanwhile, his performance went               These three stories highlight impor-      The problem, of course,
from bad to worse: Murari began to for-      tant aspects of the sexual predicament        was that only Aparna
get the vocabulary he’d learned. At          of the deaf child in India. They are          could describe the
home, he displayed extremely violent         among the Indian children most vul-           incident and provide any
behaviour. Soon, he had regressed            nerable to sexual abuse — and yet their       clues about the rapist —
totally, and forgotten almost everything     vulnerability is the least acknowledged.      and she was deaf.
he’d learnt. Disheartened, his parents       They are one of this country’s most dis-
removed him to a deaf school.                jointed communities, divided by lan-
   When Nilam shared her suspicions          guage, isolated by their lack of shared
about the chauffeur with the boy’s par-      identity, and left rudderless through the
ents, they dismissed the idea as             absence of a national level lobby that
unthinkable.                                 could represent their interests. And
                                             finally, in this age of HIV/AIDS and
                                                                                           At the hospital, a ward
T    he second story is from a news item
     in India in June 1998. It reported
the rape of Aparna, a 7–year-old deaf
                                             infection through uninformed contact,
                                             the deaf are deeply endangered by their
                                             ignorance and low levels of awareness,
                                                                                           boy offered to
                                                                                           ‘exterminate’ Niki for a
girl, by a neighbour. Aparna is an aban-     and also by their friendly, affection-        mere Rs50. Through all
doned child of divorced parents, and         seeking temperaments that makes               the indignity, Mamta
                                                                                           says, “Niki simply
stays with her grandmother. After a          them prone to high-risk behaviour with
                                                                                           refused to believe that
hospital check-up confirmed sexual           little forethought or attention to the
                                                                                           there was any such
assault, the grandmother filed a police      consequences. Already marginalised by         things as AIDS right up
complaint. The problem, of course, was       their deafness, they are doubly discrim-      to the time he died of it.”
that only Aparna could describe the          inated against when they become
incident and provide any clues about         infected by HIV, the AIDS virus.
the rapist — and she was deaf.                   Who talks about sexual and repro-
   Aparna was taken to a national insti-     ductive health matters to deaf Indians
tute for the hearing handicapped. The        in a language they can understand?
police hoped that they, using signs to       How much do they know about matters
speak with Aparna, could help them           that affect their well being and survival,
nail the rapist. But after a few days, the   of behaviour that would place them-
There were 6.5 million deaf Indians in 1991. This is probably the world’s
       largest deaf community, but a small fraction of India’s population.
                                selves and their loved ones at risk?         Being deaf in India
                                What sort of curriculum could address        The most intimidating thing about
                                the needs of the deaf using a methodol-      being deaf in India is probably India
4                               ogy they could access? These were our        itself. The population is numbingly
                                questions. Our objective was to evolve a     large — 98 million people and growing.
                                non-verbal sexual health curriculum          The country is divided into 32 states
                                for deaf Indian youth.                       and six union territories, each with its
                                   Our research into the awareness lev-      own government — and culture
                                els of the deaf alone took the better part      As if this were not bad enough, each
                                of 24 months, and was beset with diffi-      state has a distinct language with its
                                culties. It is not easy to apply estab-      own script — and unique culture, histo-
                                lished research methods to a communi-        ry, traditions and sense of identity. It is
                                ty whose first obstacle is their unique      sometimes said that an Indian is an
                                mode of communicating and under-             Indian only when he is out of India. The
                                standing. Our study was conducted in         national language, spoken over most of
                                collaboration with six groups of the         north India, is Hindi. In addition, there
                                deaf in New Delhi, Mumbai and                are 42 languages spoken by over 1 mil-
                                Chennai (see Annexure 3). While they         lion people, as well as 325 documented
                                took part in workshops consisting of         dialects. Most school-going Indians
                                games, role plays and theatre exercises,     learn English, and it functions as a sort
                                we observed, and learnt much from            of second language.
                                their reactions.                                The last Indian survey of handicaps
    In important areas of
                                   Separately, we convened focus             was conducted in the 47th round of the
    sexual health, the deaf
                                groups of the deaf and explored their        National Sample Survey in 1991 (see
    person’s knowledge has
    large gaps. You can         sexual experiences, beliefs and prac-        Annexure 1). It covered all Indian states
    understand it from the      tices by playing the Figureheads Game,       and union territories, and encompassed
    silences, the empty         which we devised specially for Project       4,373 villages and towns, representing
    sections of                 Signpost. Meanwhile, we conducted            39,271 rural families and 17,489 urban
    questionnaires, the flood   Key Informant interviews with nearly         families. From this survey, there were
    of child-like questions     30 people, both deaf and hearing, who        estimated to be 2,573,000 rural deaf
    and wonderment that         could share their insights from years of     and 669,000 urban deaf in 1991. In addi-
    comes once they realise     living or working with the deaf in India     tion, there are an estimated 3,333,899
    that they may ask           (see Annexure 4).                            children between 0 and 4 years of age
    whatever they want —
                                   The findings of that research have        with possible hearing disability. This
    and receive answers.
                                led to this report. This is also the place   gives 6.5 million deaf Indians in 1991.
                                to say that in important areas of sexual     Although this is probably the world’s
                                health, the deaf person’s knowledge          largest deaf community, it is a small
                                has large gaps. You can understand it        decimal fraction of India’s population.
                                from the silences, the empty sections of        Rural India has more deaf persons
                                questionnaires, the flood of child-like      than urban, for males as well as
                                questions and wonderment that comes          females. Between the two sexes the
                                once they realise that they may ask          prevalence of hearing impairment is
                                whatever they want — and receive             higher in males (498 per 100,000) than
                                answers. Our attempts to enumerate           in females (435 per 100,000) in rural
                                ignorance or misconceptions, or to sta-      India. In urban India it is higher in
                                tistically tabulate it have yielded only     females (355 per 100,000) than males
                                meagre additions to the understanding        (325 per 100,000).
                                we received from our games, interac-            Now consider the dilemma of
                                tions and discussions with the deaf.         Shahnaz, a deaf girl born into this
                                   We now suspect that we are looking        chaotic country. Studying in the Oral
                                at the tip of a frighteningly large ice-     School for Deaf Children, in Calcutta,
                                berg. Had it been some other country,        Shahnaz comes from a large, low-
                                with not so many people, or a different      income family, and has six siblings.
                                kind of deaf community, sharing a lan-       Though at her home, the spoken lan-
                                guage or a sense of identity, the prob-      guage is Hindi, people around her in
                                lem might have been less daunting.           Calcutta speak Bengali and English as
193,607 deaf Indians might already be HIV positive. This may
               be the world’s largest infected deaf population
well. Which of the three should she be       eases, particularly HIV and AIDS.
taught to lip-read?                             How many deaf Indians are we talk-
   There are two oral schools for the        ing about? Project Signpost did some
deaf in Calcutta, one teaching Bengali       simple arithmetic — the National AIDS
                                                                                                                      5
and the other English. Shahnaz was           Control Organisation’s 1997 estimate is
enrolled in the latter — her parents         that 22.10 Indians per 1,000 surveyed
thought English would better her pros-       are HIV positive. Although this is a
pects. As a result, today, Shahnaz can       small fraction of India’s population, in
lip-read and understand English well         absolute terms it represents a frighten-
enough. However, because the lan-            ingly large number. India is widely
guage at home is Hindi, which she can-       regarded as being at the hub of the
not lip-read, school has effectively iso-    Asian AIDS epidemic.
lated her from her family. Ironically, the      Evidence from earlier studies sug-
only place where she feels at home is        gests that a handicapped person’s sexu-
school. Here she has friends with whom       al experience is not likely to be signifi-
she can discuss just about anything she      cantly different from others — that is,
pleases.                                     he or she will not be sexually less, or
                                                                                          The National Sample
   There is one catch — no matter            more, active. We therefore assumed
                                                                                          Survey Organisation
which school she attends, Shahnaz will       the same seropositivity rate for India’s     classified a person as
be strongly discouraged from using           deaf as for hearing. According to this,      having hearing disability
sign language. No surprises here —           193,607 deaf Indians might already be        if “he/she could not hear
there is anyway no standardised Indian       HIV positive.                                at all or could only hear
Sign Language that she could have               This may not only be the largest HIV      loud sounds or could
been taught. Of course, whether the          positive deaf population in the world        only hear shouted words
teacher approves or not, deaf students       but also the one least likely to receive     or could hear only when
develop their own local dialect of ges-      life support resources, information,         the speaker was sitting
tures and signs with a working vocabu-       education, and communication.                in front of them, or
lary, so that they can communicate with
                                                                                          would usually ask to
                                                                                          repeat the words
each other.                                  Characteristics of                           spoken, or would like to
   Imagine what might happen if
Shahnaz were to visit some other part
                                             the Indian deaf                              see the face of the
                                                                                          speaker.”
of India, say, Kerala in the extreme         1.1 Population size Deafness was not
south. To start with, she probably would     included in the Indian censuses till the
not meet any deaf people there except        National Sample Survey Organisation’s
by chance, because the deaf in India are     36th round in 1981, the International
not very well organised. There is no         Year of Disabled Persons. India’s sprawl
Indian association of the deaf that truly    and vast population necessitates a large
represents the interests of all Indian       census-taking task force. Typical diffi-
deaf people. Should Shahnaz meet a           culties related to ways of training the
deaf Keralite, she would be able to          census-takers, who are predominantly
make only a limited, superficial contact.    non-medical, to accurately identify deaf
   Shahnaz represents a minority of          people. The second count was carried
Indian deaf people who are fortunate         out in the 47th round of the National
enough to attend school. Most deaf           Sample Survey in 1991. In both surveys,
Indians, living in rural rather than         a person was classified as having hear-
urban India, will not have that privi-       ing disability if “he/she could not hear
lege. They will probably not attend          at all or could only hear loud sounds or
school. Those that do may be in hearing      could only hear shouted words or could
schools, with teachers who are at their      hear only when the speaker was sitting
wits’ end about how to deal with a deaf      in front of them, or would usually ask to
child. Many deaf children will grow up       repeat the words spoken, or would like
without ever forming a deep friendship       to see the face of the speaker”.
with another deaf person.                       1.2 Low literacy The education of
   The same factors that isolate the         the deaf in India falls under the
Indian deaf also make them a group at        Ministry of Social Justice and
high risk for sexually transmitted dis-      Empowerment, not Education. In other
Deaf persons’ ignorance about issues that affect
               their health is chronic and lifelong, because their alienation
                      from the hearing world is chronic and lifelong.
                               words, the education of the deaf is            edge and awareness, especially in
                               regarded more as a welfare activity            issues that affect their well-being and
                               with an element of benevolence and             survival, even though their superficial
6                              charity attached to it. Not surprisingly, it   information levels may vary. Their
                               is poorly funded, and administered             ignorance is chronic and lifelong,
                               leniently, so that inadequate resources        because their alienation from the hear-
                               are inefficiently deployed.                    ing world is chronic and lifelong.
                                  There are 478 schools for the deaf,
                               with a capacity of approximately 33,000        1.4 No developed, universally accept-
                               students. This excludes the vast major-        ed sign language The Indian deaf per-
                               ity of India’s estimated 1,443,431 deaf        son faces unique communication prob-
                               children and youth between ages 5 and          lems caused by two factors: the absence
                               14 years. A certain number of them             of a formal, nationally accepted Indian
                               attend hearing schools, but these tend         Sign Language; and India’s own diver-
                               to belong to better off, urban, middle         sity of 42 major languages and 325
                               and upper class families. It is reason-        dialects. Deaf schools, which will dis-
                               able to assume a preponderant low              seminate lip-reading and oral skills
                               level of literacy among India’s deaf,          either in English or in the dominant
                               specially youth.                               regional language, restrict the child’s
                                                                              expression to that specific language.
                               1.3 Poor access to information                 For lip-reading to be successful socially,
                               Communicating to society around                in an environment where two to three
    A deaf person of 16 will   them, and receiving communication              languages may be concurrently pres-
    not have significantly     from society both constitute formidable        ent, requires enunciation on the part of
    different reactions or     hurdles for the Indian deaf person. The        the speakers and alertness on the part
    knowledge than a deaf      absence of an Indian Sign Language             of the deaf person, to discern which
    person of 40. Unlike a     also poses unique difficulties when            language is being used. This combina-
    hearing individual,        evolving a curriculum on sexual health         tion of factors constitutes a nearly insu-
    whose knowledge and
                               and HIV/AIDS, an area that has several         perable barrier.
    personality develop
    throughout life, a deaf    abstract concepts such as risk and vul-           Although there have been several
    individual represents a    nerability, technical terms like virus         attempts to compile an Indian Sign
    tragic stasis, which is    and immunodeficiency — as well as              Language, the efforts have not yet led to
    the result of communi-     controversial moral issues.                    a single language of nationally codified
    cation starvation.            In general, though, it is possible to       and accepted signs with a sufficiently
                               say that a rural deaf Indian from a low-       large vocabulary to be useful. Instead,
                               income household will probably face            there seem to be ‘dialects’ of gestures,
                               proportionately greater difficulties in        which reflect local peculiarities of cul-
                               communication than one in an urban             ture and experience. When two deaf
                               setting coming from a middle-income            people from different states of India
                               or high-income household. These dif-           meet, there will usually be a short peri-
                               ferences in the communication envi-            od of negotiation to establish a mutual
                               ronment are, however, negligible. In           lexicon. After that, communication is
                               absolute terms, it means a deaf person         relatively smooth, as long as abstract
                               of 16 will not have significantly differ-      concepts and technical subjects are not
                               ent reactions or knowledge than a deaf         broached.
                               person of 40. Unlike a hearing individ-           On top of this, deaf schools generally
                               ual, whose knowledge and personality           discourage signing, pushing instead for
                               develop throughout life, a deaf individ-       oral expression. The result is a half-
                               ual represents a tragic stasis which is        formed communication skill, and a
                               the result of communication starvation.        great degree of alienation.
                                  When conducting Knowledge/Att-
                               itude/Belief/Practice (KABP) studies on        1.5 Absence of sex education
                               sexual health issues, this anomaly ren-        Currently, Indian materials on sexual
                               ders demographic divisions largely             health are not only poorly designed, but
                               meaningless. The Indian deaf, by and           created with literate, hearing people in
                               large, uniformly lack depth of knowl-          mind. They require a degree of verbal
By the time the deaf child enters adolescence, her parents’ ability to
  communicate with her is much reduced, specially about sexual health.
literacy, as well as comfort with graph-    vast majority of Indian deaf persons are
ic conventions such as perspective and      not members of even such clubs.
magnification. This excludes the great      Project Signpost points to the bleak pos-
majority of deaf Indians.                   sibility of tens of thousands of deaf
                                                                                                                   7
   In general, deaf schools do not          Indians who may never form a mean-
extend beyond 7th grade. Sex education      ingful friendship with another deaf
is not a part of the curriculum at this     Indian through their lives.
level. When deaf children are integrat-        This fragmentation or lack of identi-
ed into ‘hearing’ schools which may         ty has led to an embarrassing alienation
have sex education as part of the cur-      of the Indian deaf community from the
riculum, the deaf child cannot compre-      international deaf community. The
hend the information because of its         Indian deaf have not been represented
largely verbal representation.              at the World Deaf Congresses, conduct-
   By the time the deaf child enters ado-   ed every four years. For example, at the
lescence, her parents’ ability to com-      last World Deaf Congress held in
municate with her is substantially          Brisbane in 1999, all the Indian dele-
reduced, specially in areas that abound     gates were hearing. They included a
with abstractions such as sexual health.    Member of Parliament, who had
At schools, many teachers are ill at ease   announced himself as Chairperson of
dealing with sexuality as a subject, and    the Delhi group called the All India
discussions tend to be limited and          Federation of the Deaf. He treated the      At the World Deaf
inhibited even with hearing students,       conference as a junket for himself and      Congress in Brisbane in
let alone deaf.                             his wife, and made only a brief token       1999, all the Indian
   There also do not exist the commu-       appearance on the morning of the first      delegates were hearing.
nication methodologies that might           day of the conference. The second del-      They included a Member
enable a hearing researcher to work         egate was the head of the Malwa Deaf        of Parliament, who
empathetically with a deaf group to         Association, a committed hearing per-       claimed to be the
explore their dilemmas, questions and       son who dedicated his life to working
                                                                                        Chairperson of the All
                                                                                        India Federation of the
anxieties. Traditional research tech-       with the deaf when he lost his deaf
                                                                                        Deaf. He made a brief
niques tend to be linear, verbal and        older brother in a train accident. The      token appearance on the
structured, and usually alienate most       third person was C Y Gopinath, who          morning of the first day
deaf Indians. As tools to explore a deaf    had been invited to present a paper on      of the conference and
person’s intimate and personal sexual       the Figureheads game used by Project        then disappeared with
knowledge and experience, they are          Signpost.                                   his wife in tow,
not of much help.                                                                       presumably for a
                                            1.7 Low level of social and interper-       vacation.
1.6 Lack of national identity The           sonal skills Within the families into
Indian deaf suffer from a lack of nation-   which they are born, deaf persons
al identity. Neither is there a genuinely   never seem to evolve either at the same
representative national body — such as      pace as their hearing siblings and
the Indian blind have in the National       friends, or to the same level. Their par-
Association of the Blind — nor are there    ents’ time, energy and money is drained
activists, either deaf or hearing, capa-    away by the complex and subtle needs
ble, informed and influential enough to     of bringing up a deaf child, a labour for
lobby on deaf issues in the corridors of    which most parents are not naturally
power. Urban centres usually have           equipped. In addition, community
associations and clubs of the deaf, and     resources do not exist that can prepare
those deaf people who gain member-          parents with advice and resources that
ship in these build up a loose sense of     could help them in their tasks.
community with other deaf persons.             The result for the deaf child is a
Those who attend deaf schools also          childhood in which parents overcom-
build up a local sense of identity based    pensate by being lenient and tolerant
on education shared with other deaf         once they get over the shock of having
people (though this may not be true of      a handicapped child — and then, with
deaf children sent to hearing schools).     the first tantrums and assertions of ado-
   However, it is more likely that the      lescence, turning over-strict and
Seven females who spoke about childhood sexual abuse, named the
            offenders are father, uncle, brother, servant and chauffeur.
                                 authoritarian. The deaf child is baffled       tices, and dealing with illness. In a
                                 and hurt. Why has everything changed           questionnaire-based survey of the deaf
                                 so suddenly? In this difficult environ-        that we conducted, deaf men and
8                                ment, the deaf child grows up with an          women under 30 believed that it was all
                                 ambivalence towards hearing people,            right to have sex with one’s brother, sis-
                                 torn between constantly needing their          ter, uncle, domestic servant, and chauf-
                                 support in even the most mundane of            feur. Seven females who spoke about
                                 daily matters and resenting their con-         childhood sexual abuse, named the
                                 trol and power over them.                      offenders are father, uncle, brother,
                                    A deaf Indian grows up with severe          servant and chauffeur.
                                 lacunae in his or her ability to interact
                                 socially. The concept of concentric cir-       1.10 Insufficient employment oppor-
                                 cles of relationships, from inner family       tunities Low education, low levels of
                                 to relatives to friends to colleagues is       vocational skills, and poor presentation
                                 difficult for a deaf person. Within the        skills sharply reduce the employment
                                 family, the child may instinctively sense      options of a deaf person in India. The
                                 parental and sibling bonds, but has dif-       disability quota mandated by the
                                 ficulty in distinguishing between rela-        Ministry of Social Justice and Empow-
                                 tives and non-family outsiders, perceiv-       erment results in a certain number of
                                 ing them more as “frequent visitors” or        deaf people being ‘dumped’ into non-
    The concept of               “infrequent visitors”.                         important jobs where their ability to
    concentric circles of                                                       ‘interfere’ with organisational working
    relationships, from inner    1.8 Alienation from hearing people A           is nearly zero. Needless to say, none of
    family to relatives to       deaf person continuously feels misun-          these leads to a future where choice,
    friends to colleagues        derstood by the hearing people she or          dignity of labour, feelings of self-worth,
    seems difficult for a deaf   he depends on, and believes that deep          self-respect and confidence get a
    person. Within the           down, only a deaf person can really            chance to develop. From the point of
    family, the child may        keep the best interests of the deaf in         view of sexual health, there are often
    instinctively sense
                                 mind. From ‘hearies’, a deaf person            situations where sex is equated with
    parental and sibling
    bonds, but has difficulty    suspects charity, patronisation, poor          employment, and commercial sex seen
    in distinguishing            understanding, and worst of all,               as a viable vocation, especially in a
    between relatives and        exploitativeness. This feeling is borne        home where the deaf man is out of job,
    non-family outsiders,        out by the immediate family which              and his deaf wife is unskilled in any
    perceiving them more as      struggles to behave consistently with          other vocation.
    “frequent visitors” or       their deaf child, and in the process vac-
    “infrequent visitors”.       illates between intense caring and             Barriers to exploring
                                 helpless unconcern.
                                                                                deaf sexual experience
                                 1.9 Vulnerability to abuse Deaf Indians        and vulnerability
                                 become greatly vulnerable to exploita-
                                 tion and abuse both within their fami-         2.1 Poor level of abstraction skills;
                                 lies and in society, chiefly because of        concepts such as risk and vulnerabil-
                                 severe shortcomings in their ability to        ity do not exist. Low levels of educa-
                                 interact socially and interpersonally.         tion, social skills, information, aware-
                                 According to our research, many of             ness and communication rob India’s
                                 them have a tenuous understanding of           deaf of the conceptual frameworks
                                 the concept of family and blood rela-          needed to understand, discuss, explore
                                 tionships.                                     and analyse certain issues of sexual
                                    In later life, this can lead to difficul-   health. Typically, it is very difficult to
                                 ties in understanding and dealing with         approach issues of risk-taking behav-
                                 some of the more complex and subtle            iour, vulnerability, privacy, rights and
                                 aspects of a relationship, such as trust,      violations, because of the absence of
                                 mutual respect, faith and fidelity.            such a conceptual framework.
                                 Particularly in sexual areas of relation-
                                 ships, this can lead to difficulty in con-     2.2 All available material is designed
                                 fronting issues, negotiating safe prac-        for hearing populations. There is vir-
Low levels of education and communication rob India’s deaf of the
   conceptual frameworks needed to discuss and explore sexual health.
tually no information and awareness        issues relating to education, communi-
raising material that has been prepared    cation and therapy, including audiology
with the needs of non-verbal, non-hear-    and hearing aids. There are no studies
ing populations in mind. As a result,      of the sociology and psychology of deaf-
                                                                                                                    9
available information is incomplete,       ness, nor data on attitude formation,
patchy, difficult to assimilate and not    perceptions, belief systems and sources
very likely to be effective in bringing    of guidance, or risk behaviour. In this
about behaviour change. Since the deaf     sense, researchers of deaf sexuality in
person’s main mode of information          India have a formidable task, as they
gathering is visual rather than verbal,    have to start from fundamental levels,
there is scope for serious misunder-       and necessarily include information
standings caused by free and unintend-     dissemination as part of the exploration
ed re-interpretation of a visual without   process itself. For instance, the attitude
reference to the accompanying words.       towards risk-taking cannot be explored
                                           until the concept of risk within the
2.3 No studies on extent of HIV/AIDS       HIV/AIDS epidemic has first been
or sexual abuse within the deaf com-       explained.
munity. The deaf community has been                                                     Virtually no information
largely omitted from the agendas of                                                     and awareness raising
                                                                                        material has been
national planners, even more so than,
                                                                                        prepared with the needs
for example, the visually impaired who
                                                                                        of non-verbal, non-
have a strong National Association of                                                   hearing populations in
the Blind. The few existing studies of                                                  mind. As a result, what
the deaf community tend to focus on                                                     information is available
                                                                                        is incomplete, patchy,
                                                                                        difficult to assimilate
                                                                                        and not very likely to be
                                                                                        effective in bringing
                                                                                        about behaviour change.
Objectives
          Project Signpost’s main objectives were    marriage partners, preference
          to gain a better understanding of:         between deaf and hearing spouse,
                                                     problems related to child rearing, rela-
10        • The deaf person’s life, both within      tionship of deaf parents to a hearing
            hearing families and deaf families;      child, marital breakup.

          • The problems faced by deaf persons       • Implications of difficulty in commu-
            living in a hearing world                nication.

          • The socialization pattern of a deaf      Based on these questions, 10 areas of
            person from childhood through            enquiry were drawn up. These were:
            adulthood.                                    1. Family background
                                                          2. Growing up
          • The deaf person’s patterns of relating        3. Pre-marital relationships
            in close interpersonal relationships.         4. Marriage
                                                          5. Contraception
          • Deaf females’ vulnerability to sexual         6. Homosexuality
            abuse.                                        7. Sexual abuse
                                                          8. Masturbation
          • The deaf person’s awareness and               9. STDs
            understanding of sexual abuse.                10. HIV/AIDS
                                                        Some of these, such as Family
          • Support systems available for the        Background, were dealt with better in the
            deaf person.                             questionnaire, while others, such as
                                                     Sexual Abuse, were easier to address dur-
          • Significance of peer group for a deaf    ing Focus Group Discussions. This report
            person.                                  represents the combined findings from all
                                                     the research methods used in the project.
          • Knowledge, attitude, beliefs and
            practice of deaf persons vis-à-vis the   Approach and
            human body and reproduction.
                                                     methodology
          • Knowledge, attitude, beliefs and         Gathering data on the project’s areas of
            practice of deaf persons vis-à-vis       interest was done by negotiating two-
            sexual activity.                         year commitments with established
                                                     groups and associations of the deaf in
          • Knowledge, attitude, beliefs and         three major Indian cities, namely
            practice of deaf persons vis-à-vis       Mumbai, Delhi and Chennai. Six such
            sexual preferences.                      core groups were identified: the
                                                     Bombay Foundation of Deaf Women,
          • Deaf persons’ awareness of sexually      the Shruti School for the Deaf, the
            transmitted diseases and HIV/AIDS.       Sheltered Workshop for Adult Deaf
                                                     Women, the St Louis College for the
          • Pre-marital sexual relationships.        Deaf, and the Delhi Deaf Friendship
                                                     Club, and the Delhi Foundation of Deaf
          • Influence of parental attitude in the    Women. Commitments from each of
            development of a deaf child.             them were necessary to ensure that the
                                                     participating group remained constant
          • Dynamics of deaf-hearing relation-       through the duration of the study. A
            ships.                                   workshop plan was formulated.
                                                     Detailed profiles of each group are
          • Knowledge, attitude, beliefs and         included in Annexure 3.
            practice of deaf persons about              Data collection used three methods:
            contraception.                              1. Focus Group Discussions
                                                        2. In-depth interviews with Key
          • Marriage issues: problems in finding           Informants
3. Questionnaire                           a questionnaire to collect data from the
  Brief descriptions of each of these        deaf, in view of the low levels of gener-
are furnished below.                         al literacy and verbal aptitude of the
                                             deaf. However, the method was finally
                                                                                                                      11
   FOCUS GROUP DISCUSSIONS                   included in order to tap a few more jots
(FGD): The 6 core groups participated        of information from those deaf who
in a series of about 6 workshops each,       might be able to respond to the format.
between November 1997 and February           Questionnaire forms were in multiple-
1999. Each workshop lasted three to          choice format in English, Hindi and
four days and consisted of sessions          Marathi. Language was kept deliber-
approximately 4 to 6 hours long. In the      ately simple, and even grammatical
sessions, various innovative and the-        structure was bent to match deaf sign-
atre-based techniques were used to           ing grammar in some questions. Forms
explore the 10 identified areas of study     were distributed to deaf schools and
based on the project’s objectives.           associations from Mumbai, Chennai,
   Typically, the project’s facilitator      Delhi and Calcutta.
would have identified the main areas of         Our experience with questionnaires
discussion prior to each workshop, and       as a way of learning about the deaf indi-
would accordingly record the proceed-        cates that it is possible, and that too
ings of each session, by taking detailed     with limited reliability, only when
notes. Transactions between partici-         group leaders or hearing interpreters
pants would usually be conveyed by the       are present to explain each question to          Communications skills
interpreter and go-between. After each       the deaf group.                                  and literacy are
workshop, the notes would be reviewed           Below is an analysis of the participat-       measured on a
and a detailed content report and analy-     ing core groups’ demographic profile             scale of 0 to 9, with
sis done.                                    and the depth of coverage from the pro-          0 representing the
                                                                                              lowest level.
                                             ject’s needs point of view.
   IN-DEPTH INTERVIEWS: These                   The table on this page provides a
were conducted with Key Informants,          rationale for conducting the focus
both deaf as well as hearing people          groups and IEC trials in three cities.
                                                                                              ECONOMIC INDICATORS:
working with the deaf, and covered the       Points which emerge are:                         1—3 Lower-lower to
10 identified areas for exploration. A set      1. The group that is most commu-                  Upper lower
of guideline questions was prepared for      nicative and enthusiastically involved           4—6 Lower middle to
the interviews; all the interviews were      in the project (DDFC, Delhi) is predom-              Upper middle
tape-recorded and transcribed.               inantly urban. They include married              7—9 Lower upper to
   QUESTIONNAIRE: The original               and unmarried persons but do not rep-                Upper upper
project plan had not included the use of     resent the underprivileged sections of


                                 MUMBAI                    NEW DELHI                      CHENNAI
 GROUP                           BFDW        Shruti         MPTC       DDFC               St Louis      Sheltered
                                             School                                       College       Workshop

 Communication (0-9)             4           4              4          9                  6             6

 Literacy (0-9)                  4           7              5          8                  7             6

 Married                         Yes         No             No         No                 No            No

 Unmarried                       No          Yes            Yes        Yes                Yes           Yes

 Demonstrated                    Yes         No             No         Yes                No            Yes
 Vulnerability

 Economic Level                  4–6         7–9            1–3        7–9                4–6           1–3
The differences in knowledge and emotional maturity between a
       deaf adolescent and a deaf adult would be nearly negligible
                 the deaf community.                         hood. In effect, what seems like a het-
                    2. The most communicative group          erogeneous choice of research audi-
                 that has a reasonable rural representa-     ences in terms of demographics, litera-
12               tion is Chennai’s St Louis College for      cy and income level is actually remark-
                 the Deaf. However, this group is exclu-     ably homogenous in terms of knowl-
                 sively male.                                edge levels, attitudes and vulnerability.
                    3. Chennai has the project’s only ado-      • This approach also enabled us to
                 lescent, male, unmarried group (St          cover as wide a canvas of the deaf com-
                 Louis College). They all have complet-      munity as possible. Being marginalised
                 ed their schooling, are attending col-      and un-understood, the deaf are not the
                 lege and come from low to middle            subject of many studies. In drawing too
                 income families.                            tight a circle around our research audi-
                    4. The best insights into the predica-   ence, and presuming that other studies
                 ments of rural women comes Chennai’s        later would add to the understanding of
                 Sheltered Workshop. However, they           deaf sexuality, we might not only have
                 represent very low literacy and com-        been naïve, but also would have
                 munication skills.                          ensured that our output, the curriculum
                    5. The only other group with             on sexuality, would have limited appli-
                 females, as well as higher literacy and     cability.
                 communication skills is the Shruti
                 School for the Deaf in Mumbai.              Participants of the
                 However, this consists exclusively of
                 urban adolescents.
                                                             Questionnaire Survey
                    6. Mumbai’s BFDW and Delhi’s             The age range was 14 years onwards.
                 DFDW are the project’s only married         Various deaf schools and association from
                 females group, representing both unde-      Mumbai, Chennai, Delhi and Calcutta
                 veloped communication skills, and also      participated in this study. We had give out
                 low literacy and middle income levels.      600 questionnaire and around 183 were
                    Thus, the three cities represent a       filled and returned.
                 spectrum of deaf response that will
                 inform the project’s IEC trials. Not rep-   AGE WISE DISTRIBUTION
                 resented anywhere are married cou-              Age           Freq          Percent
                 ples, who demonstrate conflicting
                                                                 14-20           85           47.0
                 interpersonal dynamics that make
                 them unsuitable for sustained joint par-        21-30           70           38.7
                 ticipation as couples in our research.          31-40           18            9.9
                    Note: An interim evaluation of the
                                                                 41-50            2            1.1
                 project raised the question of why such
                 a diverse mixture of groups, represent-         50+              6            3.3
                 ing age ranges from adolescent to mid-
                 dle-aged, was necessary, and why the        SEX WISE DISTRIBUTION
                 project did not instead concentrate on          Sex           Freq          Percent
                 one demographic profile, such as deaf
                 youth or women. There are two reasons           Male           109          60.6
                 for our approach:                               Female          71          39.4
                    • Based on our pre-start-up discus-
                 sions with those who have worked with
                 the deaf, we had reason to believe that     DISTRIBUTION OF SAMPLE BY AREA
                 the differences in knowledge and emo-
                 tional maturity between a deaf adoles-          City          Freq          Percent
                 cent and a deaf adult would be nearly
                                                                 Mumbai           96          53.9
                 negligible, unlike what one would
                 expect between a hearing adolescent             Chennai          39          21.9
                 and a hearing adult. This is traced to          Delhi            31          17.4
                 the striking absence of significant
                                                                 Calcutta         10           5.5
                 inputs between adolescence and adult-
DESCRIPTION OF SAMPLE BY EDUCATION              DISTRIBUTION OF SAMPLE
Most deaf people appear to receive educa-       ACCORDING TO TYPE OF FAMILY
tion only at the school level. Though a great   There was a more or less equal representa-
part of the sample (44.8%) of the sample        tion of both the joint and the nuclear type of
was school going, another 40% of the non        families in the sample population.               13
school going population reported educa-
tion up to school level.                                               Freq       Percent

    Educ            Freq         Percent            Joint family       81            46.3

    School           152          83.1              Nuclear family     94            53.7

    College            24         13.1
                                                DISTRIBUTION OF THE SAMPLE BY
    Voc. Training         7         3.8         ECONOMIC STATUS OF THE FAMILY
                                                More than half of the sample came from the
STYLE OF COMMUNICATION                          lower economic strata with the income of
A combination of oral language as well as       the family being under 5000.
signs is the method used by most families
to communicate with their deaf children.             Income         Freq          Percent
However 10 deaf people also reported that            <2000            18           14.3
their families did not communicate with
                                                     2—5000           49           38.9
them at all.
                                                     5—10,000         32           25.4
    Deaf Person
                                                     >10,000          24           19.0
    Style           Freq        Percent
                                                     Don t know        3             2.4
    Oral             39           22.3
    Signing          22           12.6
    Both            114           65.1
                                                Limitations of the study
                                                One of the sharpest limitations of the
    Deaf Person’s Family                        study is that it could only access deaf
    Style           Freq        Percent         people who were organised in some
                                                way (that is, through school, college,
    Oral             34           20.4
                                                association or club). This excludes the
    Signing          18           10.6          majority of Indian deaf, who are rural,
    Both            105           62.9          possess low communication skills, and
                                                have little or no access to either infor-
    Did not          10             6.9
    communicate                                 mation or even to other deaf people.
                                                Moreover, on the parameter of vulner-
                                                ability, these harder-to-reach audi-
DISTRIBUTION OF THE SAMPLE                      ences are more vulnerable. However,
BY MARITAL STATUS
                                                reaching remote and rural deaf youth
                                                was beyond the scope of this fellow-
                    Freq         Percent        ship’s purview and resources.
    Single           144          79.1             On a broader level, deaf adolescents,
    Married            35         19.2          youth, children and adults, are all
                                                equally vulnerable, though in different
    Divorced              3         1.6         ways [e.g. a child may be more vulner-
                                                able to being sexually abused, while an
                                                adult may be sexually exploited at work
                                                or at home). To that extent, the project
                                                has sought as wide a coverage of differ-
                                                ent deaf populations as possible, to
                                                maximise the insights.
Groups of the deaf in Chennai that did not have a good interpreter found
         it nearly impossible to fill out the sexual health questionnaire.
                                 Questionnaires                                  As the questionnaires could not be
                                 Most questionnaires were filled with         translated into Tamil, certain Chennai
                                 the help of institutional moderators,        groups that did not have a good inter-
14                               such as teachers, deaf group leaders         preter found it nearly impossible to fill
                                 and so on. Only in very few cases was        them.
                                 the project team directly involved in           In Delhi, a group had to abandon the
                                 getting the questionnaire filled up. The     questionnaire when one of the respon-
                                 reasons for this were chiefly that the       dent’s parents took strong exception to
                                 questionnaire survey was outside the         the questionnaire.
                                 scope of the sanctioned project, and
                                 was something we had added on to
                                 increase breadth of coverage. Thus our       Key Informants
                                 budget did not permit us to personally       There is skewness in information col-
                                 facilitate each institution that agreed to   lected through the Key Informants
                                 fill out the questionnaire. This, howev-     Interview method both in terms of deaf
                                 er, reduced our control over the             versus hearing and also in terms of the
                                 process. In many cases, only a small         areas of information.
                                 number of forms would be returned               The project had hoped to have an
                                 filled, and we would have to include         equal number of deaf and hearing Key
                                 them without any deeper insight into         Informants. However, only 7 deaf per-
     In certain cases, the       the quality of the information received      sons could be located who had an
     principals or teachers      or the manner in which questions had         overview of the deaf community, suffi-
     of the deaf schools         been administered to the deaf children.      cient insight into their lives, and the
     became barriers to the          In certain cases, the principals or      willingness and the time (6 to 7 hours)
     successful gathering of     teachers of the deaf schools became          to share their thoughts.
     information, because        barriers to the successful gathering of         The hearing Key Informants identi-
     they found the project      information, because they found the          fied by the project were chiefly teach-
     questionnaire to be         questionnaire “shocking” or “inappro-        ers, whose insights related primarily to
     “shocking” or
                                 priate”. In this, they reflected the over-   childhood experiences and education of
     “inappropriate”. In this,
     they reflected the          protective attitude towards the deaf that    deaf persons. They could shed very lim-
     overprotective attitude     is common all over India, and which          ited light on issues of sexual health,
     towards the deaf that is    increases their ignorance and vulnera-       risk, abuse and exploitation of the deaf.
     common all over India,      bility.                                         The project could not locate anybody
     and which increases             In certain schools, the schoolteach-     who had worked on marital or repro-
     their ignorance and         ers filled up the forms themselves, and      ductive health issues of the deaf. This
     vulnerability.              we must assume that their own biases         was expected as this is an area that
                                 would have been reflected in those           receives scant attention not just in
                                 forms.                                       India, but even in other parts of the
                                     Whenever interpreters helped the         world.
                                 group to understand the questions, as           One or two Key Informants with long
                                 with the Delhi Deaf friendship Club or       standing experience with the deaf
                                 the Chennai Deaf Friendship Club,            refused to share information with the
                                 there is a likelihood that the inter-        project as they felt that sexuality was
                                 preters’ biases might have coloured the      not the most important issue concern-
                                 deaf person’s responses.                     ing the deaf in India.
                                     In low literacy groups, such as the
                                 women of the Sheltered Workshop in
                                 Chennai, the project team conducted a
                                 special session to help the deaf women
                                 fill out the questionnaire. However, it
                                 proved extremely difficult to explain
                                 certain concepts to the group, and the
                                 entire process was so slow and exhaust-
                                 ing to the group, that eventually the
                                 forms had to be gathered in an incom-
                                 plete or dissatisfactory state.
Findings
                                             through much agonising about the
    1. FAMILY LIFE                           future of the deaf child. Parents from
                                             lower socio-economic backgrounds
                                             tend to give top priority to family sur-
                                                                                                                       15
   1.1 The reaction of the family            vival even at the expense of the deaf
         to the deaf child                   child. From a very early age children
                                             are expected to share in the financial




                                                                                                                     Family Life
P   arents are generally unprepared for
    the appearance of a deaf child, and
are shaken to their foundations when
                                             burden of the family. Such parents usu-
                                             ally do not have the resources or time
                                             to deal with the special needs of the
such a child is born (Kashyap, 1998).        deaf child. For them, ignoring the
Not only is every member of the family       child’s problem emerges as an uncon-
affected but each one’s reaction will in     scious coping strategy.
turn have its effect on each of the oth-        Parents from middle class families
ers, including the deaf child. This will     tend to view children as a support sys-
finally affect family inter-relationships,   tem for the parents during the later
the family’s expectations from the deaf      years of their life. A deaf child born in
child, her sense of self and self-respect,   such a set up is more likely to remain a
and numerous practical aspects of the        lifelong responsibility than an old-age
family’s daily life.                         support, and accepting this reality is a
   The parents’ first response to the        shock to the parents. Though they
“major crisis” that a deaf birth precipi-    might want the best for their deaf child,    The mother was unable
tates is usually a reactive period of        their limited resources are often inade-     to accept the child.
mourning, by the end of which most of        quate to attend to his special needs.        Though she put efforts
them evolve coping strategies. Parents’         In upper class families, much more        into providing the child
reactions range from denial of the           emphasis is placed on the social             with training, she
child’s problem to the rejection of the      acceptability of the child. Eager to         physically and mentally
child itself, to a round of doctor-shop-     ensure that the child integrates well        abused the child.
ping and faith-healing in the hope of a      into the mainstream of society, these        Today the child is
                                                                                          grown up. He has
miracle. Due to such unrealistic activi-     parents sometimes ignore the handi-
                                                                                          limited education, no
ties, important developmental years of       cap, and instead funnel resources into
                                                                                          skills in communication
the deaf child’s life are sometimes          teaching the child to ‘speak’, be ‘oral’,    and no confidence. He
squandered.                                  be ‘normal’ and so on. They may be           is unable to find a job.
   To compound the difficulties, the         overprotective or, on the other
diagnosis is not accompanied by sup-         extreme, totally reject the child. Many         Educationist, Mumbai
port and guidance to the parents on          such children grow up well supplied
how to deal with the child’s disability.     with whatever money can buy but
Thus most parents are left to work out       starved of emotional support and car-
their own responses to the child.            ing. Ironically, parental neglect and
   Generally, the family’s strategy for      lack of love contributes to their inabili-
coping with a deaf child is greatly influ-   ty to get the most out of education and
enced by their socio-economic back-          other resources they are provided with.
ground. The deaf child will usually             A word here about the effect of a
make greater demands on the family’s         deaf birth on the relationship between
financial resources by way of medical        the parents. The presence of a deaf
care, prosthetic aids and appliances,        child does not necessarily create
special educational services, transport      disharmony in a stable marriage, but
costs, and so on. The ability to pay for     may precipitate conflict between mari-
these facilities would depend upon the       tal partners whose personalities and
economic and employment status of            interactions have already predisposed
the family and its number of children.       them to conflicts (Kashyap 1991). A
The deaf child may also adversely            survey in Wales by the Welsh National
affect the parents’ earning ability          School of Medicine found that the
because of the extra time they must          divorce rates among couples with a
devote to his or her special needs.          handicapped child were 10 times
   The parents of a deaf child go            greater than the national average.
When a family does not resolve its initial reaction to its deaf child, it will
               continue to exert a retarding influence on that child’s ability to adapt.
                                               1.2 The deaf person as                 self, stirs up anxiety, consternation and
                                               a member of the family                 alarm in his parents. The relationship


   16                                    D     uring the early years, a deaf per-
                                               son may be unaware of his or her
                                         handicap, and may enjoy instead the
                                                                                      between a hearing family and a deaf
                                                                                      adolescent is often characterized by
                                                                                      abrupt and limited verbal communica-
                                         attention, warmth and tolerant atmos-        tion that makes it difficult to discuss
                                         phere around him. This is to the deaf        complex feelings in their subtlety and
Family Life




                                         child’s detriment as she does not get        nuances. It may not be possible for a
                                         the corrective or disciplinary influ-        family to make the special effort it
                                         ences that other children get. To an         takes to encourage real communica-
                                         extent the parents overcompensate by         tion, and this gives rise to experiences
                                         being over-tolerant of the deaf child.       of rejection for a deaf person.
                                         However, as the deaf child grows up             Over time, the deaf child may with-
                                         and, like other children, seeks identity,    draw from his family, concluding that
                                         autonomy and assertiveness, the par-         there is no future in seeking their
                                         ents’ permissiveness lessens sharply         closeness and support. He will con-
                                         and is replaced with discipline and a        clude that they are there to tend to his
              My driver used to drop     sudden expectation of age-appropriate        needs, but that he or she should never
              me and pick me up from     behavior.                                    hope for emotional closeness. Thus,
              school everyday. I used       When this happens with a deaf child,      over the years from infancy to adoles-
              to sit on the front seat   he is confused by the inexplicable           cence, a deaf child’s relationship with
              with him. One day while    changes in behavior of those around          the family moves from one with too
              returning from the         him. He feels rejected, less important.      much love and tolerance to one where
              school he touched my       These feelings, complicated by the           communication is sparse, and there is
              breast. I thought it had
                                         basic difficulty in communication,           a feeling of distance, rejection and
              happened by mistake.
              He began touching me       result in the deaf child withdrawing         alienation.
              more and more while        more and more into himself or herself.
              coming back from           What did he do wrong? Why are they so         1.3 The deaf child’s relationship
              school everyday. I was     upset with her? In later years, a deaf             with family members
              too scared of him and
              was afraid that my
              parents would say that I
                                         person’s main childhood memories
                                         may be of these restrictions, rather
                                         than the earlier happy period of toler-
                                                                                      T    he deaf child is deeply affected,
                                                                                           and for life, when she or he is
                                                                                      deprived of close interactions and
              was making up stories. I   ance and warmth.                             exchanges within the near family. Such
              am 55 years old and till      Deaf people are perceived by their        family interactions are the chief
              today never told this to   families as a significant burden (Oscar      source, and a rich source, of conceptu-
              anybody.
                                         P. Cohen, 1978). Between the trauma          al information that helps a child under-
                 Personal sharing,       experienced by parents with a handi-         stand behaviour, moods, bonds and
                 Mumbai                  capped child and the limitations             boundaries. For instance, the hearing
                                         imposed on the child by the sensory          child learns to connect various words
                                         loss, deaf children and their families       and tones of voice to body postures and
                                         are at risk from infancy through adult-      stances, and thus slowly acquires an
                                         hood. When a family does not success-        understanding of how body language
                                         fully overcome and resolve its initial       signals various moods, such as anger,
                                         reaction to having a deaf child, it will     disapproval, tension, conflict, or happi-
                                         continue to exert a retarding influence      ness. This is an aspect of learning that
                                         on that child’s ability to adapt.            a deaf child misses out on because of
                                            When a hearing child enters adoles-       his handicap. Similarly, parents help a
                                         cence, the possibility of tensions in the    child comprehend the meaning of
                                         family usually increases as he or she        blood relationships, near relatives, dis-
                                         struggles to establish a new and inde-       tant ones, acquaintances, strangers
                                         pendent identity within the family           and friends through a combination of
                                         structure. The strain is intensified for a   spoken words and body language. This
                                         deaf child, who will experience greater      is an entire area of natural learning
                                         difficulty in establishing a personal        that is missing from a deaf child’s life.
                                         position within the family structure.        Again, a deaf child cannot pick up the
                                            The adolescent, just by being him-        undertones of conflicts unless they are
An ambivalence, or love-hate relationship, colours and
                   dominates all deaf-hearing relationships.
visually demonstrated.                      problems. Nonetheless, they realise
   As might be expected, this has far-      that they themselves would trust a
reaching implications on the deaf per-      hearing person over a deaf person dur-
son’s vulnerability in relationships and    ing a real problem. This ambivalence,
                                                                                                                    17
intimate encounters. Also, it limits the    or love-hate relationship, colours and
deaf person’s understanding of shades       dominates all deaf-hearing relation-
of difference between the immediate         ships.




                                                                                                                  Family Life
family and the extended family consist-        Analysis of focus group sessions in a
ing of uncles, nephews, aunts, nieces       Mumbai School group indicated that
and so on. On top of all this, a deaf       boys were comfortable with their
child will tend to have fewer significant   father when they displayed more of a
interactions with people outside the        supportive than an authoritarian
immediate family. As a result, till         approach.
around late adolescence many deaf
people seem unable to differentiate              1.4 Sibling Relationships
                                                                                       I was 12 years old when
between friends and relatives. Their
conclusions about who is who are often
based on the frequency of appearance
                                            S  iblings serve an important family
                                               function. In general, they are less
                                            emotionally tied to each other than to
                                                                                       this happened. One day
                                                                                       as I was late for school
                                                                                       because my father was
and interaction.                            their parents (Albert T. Murphy, 1979).    very busy, so he sent
   There is more communication              Siblings serve as confidants or behav-     another man to drop me
between the mother and the child than       ior modifying critics for one another.     at school. This man
between the father and the child            They test new roles, complement,           frequently came to our
(Kashyap 1983). This is substantiated       observe and evaluate one another in        house so I knew him. He
by our questionnaire data findings: 141     ways that can contribute to social         dropped me in my
deaf people report a closer relationship    growth and maturity. They learn to         classroom. After he left
with their mother, and 97 (69%) of          share each other and share resources.      my teacher asked me
them said that they would rather seek       They can protect each other, and serve     who he was. I said I
help from her in a problem situation.       as a buffer between each other and the
                                                                                       don’t know. In the
                                                                                       evening my father came
   However deaf children in residential     parents or the outside world. They can
                                                                                       to fetch me. My teacher
schools did not show a similar reliance.    make life simple or more complex,          asked my father who
Out of the 40 cases, only 55% said that     more comfortable or more difficult.        was the man who had
they would rely on their mother for            The kind of acceptance a deaf child     come to drop me. My
help while 27.5% said that they would       gets from his parents determines the       father laughed and told
rely on their father for help. The rest     kind of relationship he will have with     my teacher that he was
indicated that they would rely only on      his siblings. When the deaf child is       his brother, my Kaka.
their brother, their sister, or both        younger than the hearing sibling there     Later at home my father
brother and sister.                         seem to be better chances of a good        sat and explained to me
   However, this level of trust and         relationship as the hearing sibling        various relations and
reliance is linked to whether the parent    takes on the role of protector.
                                                                                       how to address them.
is deaf or not. Of 4 deaf children with        The gender of the hearing sibling is
                                                                                       Deaf activist, Mumbai
deaf fathers only one said that he          an important component of the atti-
would rely on him for help in a prob-       tudes towards the deaf          person
lem situation, while out of 4 cases who     (Cleveland & Miller, 1977). Older male
had deaf mothers none would rely on         hearing siblings will show lack of
their mothers for help in a problem sit-    information, perhaps because of lesser
uation. Though our sample is too small      involvement with the deaf sibling.
for significance it does seem that deaf     Female hearing siblings have a closer
children do not rely on their deaf par-     relationship with the deaf child not
ents as sources of help in a problem sit-   only in the early years but continuing
uation.                                     into adulthood, perhaps because they
   As far as hearing people go, the deaf    are probably given parent surrogate
people tend to believe that deep and        roles and thereby learn more about
irreconcilable      differences     exist   their deaf brother or sister. Our ques-
between them, and that the hearing          tionnaire data shows that the younger
person will always have an imperfect        age group (14-20 years) enjoys closer
understanding of the deaf person’s          relationships with brothers and sisters,
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians
Exploring the Sexual Vulnerability of Urban Deaf Indians

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Exploring the Sexual Vulnerability of Urban Deaf Indians

  • 1. Exploring the sexual vulnerability of urban deaf Indians Shilpa Patil C Y Gopinath 2000 E N A B L E D B Y T H E M AC A R T H U R P O P U L AT I O N P R O G R A M F E L LO W S H I P
  • 2. Foreword Unraveling deaf sexual vulnerability T his study, enabled by a two-year fellowship by the Macarthur Population Programme Fellowship, is possi- bly the first one conducted in India which attempts to explore the sexual behaviour and vulnerability of the deaf community. We would like to note at the outset that there are formidable difficulties to be faced in arriv- 1 ing at a research sample group that is truly representative of the diversity of India’s deaf. The project’s sever- est limitation was that it could only work with groups that were accessible through clubs, hostels, schools or associations. Such groups represent a decimal minority of India’s deaf people. There is also a clear danger of generalising on behalf of the national community of deaf persons based on our limited study sample. We are at pains to underscore the fact that we worked with urban deaf youth, and have made reasonable inferences about rural deaf youth through our findings. We are aware that whatever vulnerabilities have been revealed by our study sample, they are only likely to worse with the larger commu- nity of scattered and isolated deaf Indians who will go through their lives without recourse to any facility that could improve their conditions, self-respect or survival options. Most of them will probably subsist as burdens upon the families into which they were born. Though we have reason to believe that they may receive a love and acceptance of sorts, harsh economics will dictate that their needs will be lowest on the priorities. The study unravels the issue of sexual vulnerability by examining the familial, educational and social con- texts in which the attitudes, self-perceptions and survival options of a deaf Indian evolve. This takes us on a journey that starts with the cradle, and allows us to understand how the treatment and behaviour of hearing society towards the deaf person finally bring about the hardening of certain key attitudes, and create certain glaring gaps in knowledge, which together form a basis for a lifelong vulnerability. We would liked to have had more time than two years, and more venues for research than merely the three metropolitan centres of Mumbai, Delhi and Chennai. However, the project’s imperatives precluded a wider study, and we hope that it will be taken up in the future, as there is clear need for an even deeper understanding of the issues raised here. Anecdotal evidence From the study itself, and also the interviews and conversations we had during the course of the project, we believe that the deaf in India are uniquely vulnerable and at risk in the age of HIV/AIDS. To establish the dimensions of deaf sexual abuse and vulnerability in this report, we have drawn on anecdotal evidence that came from our research as well as the interviews and conversations around it. This deviation from the strict protocol of research is our response to the knowledge that such studies are not common in India, and that the next such may not happen for many years ahead. We are keen that this study be convincing enough about deaf sexual vulnerability to provoke action. For that reason, we have harvested insights from the entire project peri- od of two years rather than stick only to the hours and days of our focus group sessions, key informant inter- views and questionnaires. Not hearing impaired. Deaf. Throughout the report, we have followed international practice and used the single word ‘deaf’ to refer to the range of hearing impairment from absolute deafness to varying degrees of hearing impairment. This deci- sion is specially significant in India where there is a poor census of people with hearing disability to start with. In this context, it is more important to use a term that reflects the marginalised status of this community rather than the biological degree of their handicap. The word ‘deaf’ can better focus attention on society’s attitudes towards this condition. When referring to a deaf person in the singular tense, we have arbitrarily used either ‘she’ or ‘he’, to side- step tricky issues of gender. However, in sections where a specific gender is more relevant, such as sexual abuse where the female is oftener the victim, we have used that gender. C Y Gopinath Shilpa Patil March 9, 2000 rehabit@vsnl.com
  • 3. Project Signpost T here has never been a study, either in India or abroad, that looked at the deaf community’s vulnerability in the age of HIV and AIDS. Because the deaf are defined in terms of their primary challenge, their hearing impairment, the atten- 2 tion has invariably been pulled towards language, technologies of hearing, and education. But not being able to hear has profound and disturbing implications for the quality and course of the relationships into which a deaf person falls. The deaf person is an unguided target, prone to drifting into situations of high risk armed neither with awareness nor with wisdom that could save his or her life. Project Signpost evolved as a first step towards assessing the risks a deaf Indian youth faces within relationships. The project evolved organically, through theatre workshops which led to discussions, which became finally a formal research pro- posal that was awarded a 2-year fellowship by the Macarthur Population Programme in July 1997. The objective of the study was to evolve an innovative non-verbal curriculum that could give deaf youth a better understanding of their health risks within relationships, and the choices before them. It has been a daunting and difficult study, beset by numerous limitations and hurdles along the way. Without any guiding precedent either in India or abroad, Project Signpost had to cut its own path through the woods on many occasions. The largest constraint was the absence of a single unifying sign language, which influ- enced both how we conducted out workshops, as well as the methods in which we chose to clarify biological and technical concepts. Midway through the project, we had to make a radical course correction and redefine the ending of the project as peer education. This arose from our growing awareness that the curriculum would succeed only when it empowered the deaf to help themselves rather than leave the instruction in the hands of the hearing, with whom there is always a subtle tension. Apart from the Macarthur Foundation’s India office, which has been a remark- able enabler and support to our entire project, we have to acknowledge Tasneem Raja, who worked with the project for its duration as Project Coordinator, and brought her skills from her earlier work. The contents of this report owe a great deal to her efforts. We also owe a deep debt of thanks to Arun Rao and Anil Rao, the two hearing individuals who have dedicated their lives to working with deaf youth, and did much to support our work by giving their time, attention and inputs. The sexual health curriculum belongs to them and their deaf friends to take forward. It will be difficulto to list all those others who gave of their time, insights and experience, especially our innumerable deaf friends who were generous with us, but of them we specialy mention C. Rajeshwari, co-founder of DAWN in Chennai, and Sangeeta Gala, of the Bombay Foundation of Deaf Women, who was our sign language teacher in the early days, and later our via media into deaf communities. Finally, we mention that this report is a first step, and we look forward to com- ments, criticism, insights, and observations — as well as consolidation and further work into the sexual health issues of the Indian deaf community, particularly in the area of sexual abuse and HIV/AIDS. Shilpa Patil C Y Gopinath rehabit@vsnl.com
  • 4. Deaf children are among India’s most vulnerable to sexual abuse — and yet their vulnerability is the least acknowledged. M urari, a 10-year-old boy living in Bombay, suffered from the Waardenburg Syndrome, a condition institute authorities gave up, unable to understand the girl’s signs and ges- tures. She had developed some commu- marked by profound deafness and some nication system of her own. 3 mental retardation. For some months, he had been making steady and visible progress with Nilam Patel, a teacher of deaf youth. Under her individual I n a slum near in north Bombay, 30- year-old Niki, deaf since birth, died of AIDS in December 1998. His wife Mona, tuition, his attention span and commu- also deaf, had died in March, also of Murari’s parents left on nication skills had improved consider- AIDS. Their child, born HIV positive, vacation; the boy was ably. He had picked up a vocabulary of had died at age one month, soon after driven by a chauffeur to his daily classes. Today nearly 7,000 Hindi words. Christmas, 1997. Niki’s sister Mamta Nilam believes that, in One day, Murari’s parents left on was his caregiver during his last days. his parents’ absence, the vacation; the boy was driven by a chauf- She was the one who struggled to pro- boy was sexually feur to his daily classes. Today Nilam tect his identity and dignity in the slum abused by the chauffeur. believes that in his parents’ absence, where they lived. Even finding a nurse the boy was sexually abused by the willing to administers a glucose drip to chauffeur. She began to notice certain strengthen him for a hospital visit disturbing changes in his behaviour. proved a near impossibility. Finally, an His concentration deteriorated. He’d aunt reluctantly did the job. At the hos- keep glancing over his shoulder, as pital, a ward boy offered to ‘extermi- though someone else were in the room. nate’ Niki for a mere Rs 50. Through all A battery of neuro-physiological tests, the indignity, Mamta says, “Niki simply After a hospital check- including Magnetic Resonance Imaging refused to believe that there was any up confirmed sexual and CATSCAN, showed nothing physi- such things as AIDS right up to the time assault, the grandmother cally wrong with him. he died of it.” filed a police complaint. Meanwhile, his performance went These three stories highlight impor- The problem, of course, from bad to worse: Murari began to for- tant aspects of the sexual predicament was that only Aparna get the vocabulary he’d learned. At of the deaf child in India. They are could describe the home, he displayed extremely violent among the Indian children most vul- incident and provide any behaviour. Soon, he had regressed nerable to sexual abuse — and yet their clues about the rapist — totally, and forgotten almost everything vulnerability is the least acknowledged. and she was deaf. he’d learnt. Disheartened, his parents They are one of this country’s most dis- removed him to a deaf school. jointed communities, divided by lan- When Nilam shared her suspicions guage, isolated by their lack of shared about the chauffeur with the boy’s par- identity, and left rudderless through the ents, they dismissed the idea as absence of a national level lobby that unthinkable. could represent their interests. And finally, in this age of HIV/AIDS and At the hospital, a ward T he second story is from a news item in India in June 1998. It reported the rape of Aparna, a 7–year-old deaf infection through uninformed contact, the deaf are deeply endangered by their ignorance and low levels of awareness, boy offered to ‘exterminate’ Niki for a girl, by a neighbour. Aparna is an aban- and also by their friendly, affection- mere Rs50. Through all doned child of divorced parents, and seeking temperaments that makes the indignity, Mamta says, “Niki simply stays with her grandmother. After a them prone to high-risk behaviour with refused to believe that hospital check-up confirmed sexual little forethought or attention to the there was any such assault, the grandmother filed a police consequences. Already marginalised by things as AIDS right up complaint. The problem, of course, was their deafness, they are doubly discrim- to the time he died of it.” that only Aparna could describe the inated against when they become incident and provide any clues about infected by HIV, the AIDS virus. the rapist — and she was deaf. Who talks about sexual and repro- Aparna was taken to a national insti- ductive health matters to deaf Indians tute for the hearing handicapped. The in a language they can understand? police hoped that they, using signs to How much do they know about matters speak with Aparna, could help them that affect their well being and survival, nail the rapist. But after a few days, the of behaviour that would place them-
  • 5. There were 6.5 million deaf Indians in 1991. This is probably the world’s largest deaf community, but a small fraction of India’s population. selves and their loved ones at risk? Being deaf in India What sort of curriculum could address The most intimidating thing about the needs of the deaf using a methodol- being deaf in India is probably India 4 ogy they could access? These were our itself. The population is numbingly questions. Our objective was to evolve a large — 98 million people and growing. non-verbal sexual health curriculum The country is divided into 32 states for deaf Indian youth. and six union territories, each with its Our research into the awareness lev- own government — and culture els of the deaf alone took the better part As if this were not bad enough, each of 24 months, and was beset with diffi- state has a distinct language with its culties. It is not easy to apply estab- own script — and unique culture, histo- lished research methods to a communi- ry, traditions and sense of identity. It is ty whose first obstacle is their unique sometimes said that an Indian is an mode of communicating and under- Indian only when he is out of India. The standing. Our study was conducted in national language, spoken over most of collaboration with six groups of the north India, is Hindi. In addition, there deaf in New Delhi, Mumbai and are 42 languages spoken by over 1 mil- Chennai (see Annexure 3). While they lion people, as well as 325 documented took part in workshops consisting of dialects. Most school-going Indians games, role plays and theatre exercises, learn English, and it functions as a sort we observed, and learnt much from of second language. their reactions. The last Indian survey of handicaps In important areas of Separately, we convened focus was conducted in the 47th round of the sexual health, the deaf groups of the deaf and explored their National Sample Survey in 1991 (see person’s knowledge has large gaps. You can sexual experiences, beliefs and prac- Annexure 1). It covered all Indian states understand it from the tices by playing the Figureheads Game, and union territories, and encompassed silences, the empty which we devised specially for Project 4,373 villages and towns, representing sections of Signpost. Meanwhile, we conducted 39,271 rural families and 17,489 urban questionnaires, the flood Key Informant interviews with nearly families. From this survey, there were of child-like questions 30 people, both deaf and hearing, who estimated to be 2,573,000 rural deaf and wonderment that could share their insights from years of and 669,000 urban deaf in 1991. In addi- comes once they realise living or working with the deaf in India tion, there are an estimated 3,333,899 that they may ask (see Annexure 4). children between 0 and 4 years of age whatever they want — The findings of that research have with possible hearing disability. This and receive answers. led to this report. This is also the place gives 6.5 million deaf Indians in 1991. to say that in important areas of sexual Although this is probably the world’s health, the deaf person’s knowledge largest deaf community, it is a small has large gaps. You can understand it decimal fraction of India’s population. from the silences, the empty sections of Rural India has more deaf persons questionnaires, the flood of child-like than urban, for males as well as questions and wonderment that comes females. Between the two sexes the once they realise that they may ask prevalence of hearing impairment is whatever they want — and receive higher in males (498 per 100,000) than answers. Our attempts to enumerate in females (435 per 100,000) in rural ignorance or misconceptions, or to sta- India. In urban India it is higher in tistically tabulate it have yielded only females (355 per 100,000) than males meagre additions to the understanding (325 per 100,000). we received from our games, interac- Now consider the dilemma of tions and discussions with the deaf. Shahnaz, a deaf girl born into this We now suspect that we are looking chaotic country. Studying in the Oral at the tip of a frighteningly large ice- School for Deaf Children, in Calcutta, berg. Had it been some other country, Shahnaz comes from a large, low- with not so many people, or a different income family, and has six siblings. kind of deaf community, sharing a lan- Though at her home, the spoken lan- guage or a sense of identity, the prob- guage is Hindi, people around her in lem might have been less daunting. Calcutta speak Bengali and English as
  • 6. 193,607 deaf Indians might already be HIV positive. This may be the world’s largest infected deaf population well. Which of the three should she be eases, particularly HIV and AIDS. taught to lip-read? How many deaf Indians are we talk- There are two oral schools for the ing about? Project Signpost did some deaf in Calcutta, one teaching Bengali simple arithmetic — the National AIDS 5 and the other English. Shahnaz was Control Organisation’s 1997 estimate is enrolled in the latter — her parents that 22.10 Indians per 1,000 surveyed thought English would better her pros- are HIV positive. Although this is a pects. As a result, today, Shahnaz can small fraction of India’s population, in lip-read and understand English well absolute terms it represents a frighten- enough. However, because the lan- ingly large number. India is widely guage at home is Hindi, which she can- regarded as being at the hub of the not lip-read, school has effectively iso- Asian AIDS epidemic. lated her from her family. Ironically, the Evidence from earlier studies sug- only place where she feels at home is gests that a handicapped person’s sexu- school. Here she has friends with whom al experience is not likely to be signifi- she can discuss just about anything she cantly different from others — that is, pleases. he or she will not be sexually less, or The National Sample There is one catch — no matter more, active. We therefore assumed Survey Organisation which school she attends, Shahnaz will the same seropositivity rate for India’s classified a person as be strongly discouraged from using deaf as for hearing. According to this, having hearing disability sign language. No surprises here — 193,607 deaf Indians might already be if “he/she could not hear there is anyway no standardised Indian HIV positive. at all or could only hear Sign Language that she could have This may not only be the largest HIV loud sounds or could been taught. Of course, whether the positive deaf population in the world only hear shouted words teacher approves or not, deaf students but also the one least likely to receive or could hear only when develop their own local dialect of ges- life support resources, information, the speaker was sitting tures and signs with a working vocabu- education, and communication. in front of them, or lary, so that they can communicate with would usually ask to repeat the words each other. Characteristics of spoken, or would like to Imagine what might happen if Shahnaz were to visit some other part the Indian deaf see the face of the speaker.” of India, say, Kerala in the extreme 1.1 Population size Deafness was not south. To start with, she probably would included in the Indian censuses till the not meet any deaf people there except National Sample Survey Organisation’s by chance, because the deaf in India are 36th round in 1981, the International not very well organised. There is no Year of Disabled Persons. India’s sprawl Indian association of the deaf that truly and vast population necessitates a large represents the interests of all Indian census-taking task force. Typical diffi- deaf people. Should Shahnaz meet a culties related to ways of training the deaf Keralite, she would be able to census-takers, who are predominantly make only a limited, superficial contact. non-medical, to accurately identify deaf Shahnaz represents a minority of people. The second count was carried Indian deaf people who are fortunate out in the 47th round of the National enough to attend school. Most deaf Sample Survey in 1991. In both surveys, Indians, living in rural rather than a person was classified as having hear- urban India, will not have that privi- ing disability if “he/she could not hear lege. They will probably not attend at all or could only hear loud sounds or school. Those that do may be in hearing could only hear shouted words or could schools, with teachers who are at their hear only when the speaker was sitting wits’ end about how to deal with a deaf in front of them, or would usually ask to child. Many deaf children will grow up repeat the words spoken, or would like without ever forming a deep friendship to see the face of the speaker”. with another deaf person. 1.2 Low literacy The education of The same factors that isolate the the deaf in India falls under the Indian deaf also make them a group at Ministry of Social Justice and high risk for sexually transmitted dis- Empowerment, not Education. In other
  • 7. Deaf persons’ ignorance about issues that affect their health is chronic and lifelong, because their alienation from the hearing world is chronic and lifelong. words, the education of the deaf is edge and awareness, especially in regarded more as a welfare activity issues that affect their well-being and with an element of benevolence and survival, even though their superficial 6 charity attached to it. Not surprisingly, it information levels may vary. Their is poorly funded, and administered ignorance is chronic and lifelong, leniently, so that inadequate resources because their alienation from the hear- are inefficiently deployed. ing world is chronic and lifelong. There are 478 schools for the deaf, with a capacity of approximately 33,000 1.4 No developed, universally accept- students. This excludes the vast major- ed sign language The Indian deaf per- ity of India’s estimated 1,443,431 deaf son faces unique communication prob- children and youth between ages 5 and lems caused by two factors: the absence 14 years. A certain number of them of a formal, nationally accepted Indian attend hearing schools, but these tend Sign Language; and India’s own diver- to belong to better off, urban, middle sity of 42 major languages and 325 and upper class families. It is reason- dialects. Deaf schools, which will dis- able to assume a preponderant low seminate lip-reading and oral skills level of literacy among India’s deaf, either in English or in the dominant specially youth. regional language, restrict the child’s expression to that specific language. 1.3 Poor access to information For lip-reading to be successful socially, Communicating to society around in an environment where two to three A deaf person of 16 will them, and receiving communication languages may be concurrently pres- not have significantly from society both constitute formidable ent, requires enunciation on the part of different reactions or hurdles for the Indian deaf person. The the speakers and alertness on the part knowledge than a deaf absence of an Indian Sign Language of the deaf person, to discern which person of 40. Unlike a also poses unique difficulties when language is being used. This combina- hearing individual, evolving a curriculum on sexual health tion of factors constitutes a nearly insu- whose knowledge and and HIV/AIDS, an area that has several perable barrier. personality develop throughout life, a deaf abstract concepts such as risk and vul- Although there have been several individual represents a nerability, technical terms like virus attempts to compile an Indian Sign tragic stasis, which is and immunodeficiency — as well as Language, the efforts have not yet led to the result of communi- controversial moral issues. a single language of nationally codified cation starvation. In general, though, it is possible to and accepted signs with a sufficiently say that a rural deaf Indian from a low- large vocabulary to be useful. Instead, income household will probably face there seem to be ‘dialects’ of gestures, proportionately greater difficulties in which reflect local peculiarities of cul- communication than one in an urban ture and experience. When two deaf setting coming from a middle-income people from different states of India or high-income household. These dif- meet, there will usually be a short peri- ferences in the communication envi- od of negotiation to establish a mutual ronment are, however, negligible. In lexicon. After that, communication is absolute terms, it means a deaf person relatively smooth, as long as abstract of 16 will not have significantly differ- concepts and technical subjects are not ent reactions or knowledge than a deaf broached. person of 40. Unlike a hearing individ- On top of this, deaf schools generally ual, whose knowledge and personality discourage signing, pushing instead for develop throughout life, a deaf individ- oral expression. The result is a half- ual represents a tragic stasis which is formed communication skill, and a the result of communication starvation. great degree of alienation. When conducting Knowledge/Att- itude/Belief/Practice (KABP) studies on 1.5 Absence of sex education sexual health issues, this anomaly ren- Currently, Indian materials on sexual ders demographic divisions largely health are not only poorly designed, but meaningless. The Indian deaf, by and created with literate, hearing people in large, uniformly lack depth of knowl- mind. They require a degree of verbal
  • 8. By the time the deaf child enters adolescence, her parents’ ability to communicate with her is much reduced, specially about sexual health. literacy, as well as comfort with graph- vast majority of Indian deaf persons are ic conventions such as perspective and not members of even such clubs. magnification. This excludes the great Project Signpost points to the bleak pos- majority of deaf Indians. sibility of tens of thousands of deaf 7 In general, deaf schools do not Indians who may never form a mean- extend beyond 7th grade. Sex education ingful friendship with another deaf is not a part of the curriculum at this Indian through their lives. level. When deaf children are integrat- This fragmentation or lack of identi- ed into ‘hearing’ schools which may ty has led to an embarrassing alienation have sex education as part of the cur- of the Indian deaf community from the riculum, the deaf child cannot compre- international deaf community. The hend the information because of its Indian deaf have not been represented largely verbal representation. at the World Deaf Congresses, conduct- By the time the deaf child enters ado- ed every four years. For example, at the lescence, her parents’ ability to com- last World Deaf Congress held in municate with her is substantially Brisbane in 1999, all the Indian dele- reduced, specially in areas that abound gates were hearing. They included a with abstractions such as sexual health. Member of Parliament, who had At schools, many teachers are ill at ease announced himself as Chairperson of dealing with sexuality as a subject, and the Delhi group called the All India discussions tend to be limited and Federation of the Deaf. He treated the At the World Deaf inhibited even with hearing students, conference as a junket for himself and Congress in Brisbane in let alone deaf. his wife, and made only a brief token 1999, all the Indian There also do not exist the commu- appearance on the morning of the first delegates were hearing. nication methodologies that might day of the conference. The second del- They included a Member enable a hearing researcher to work egate was the head of the Malwa Deaf of Parliament, who empathetically with a deaf group to Association, a committed hearing per- claimed to be the explore their dilemmas, questions and son who dedicated his life to working Chairperson of the All India Federation of the anxieties. Traditional research tech- with the deaf when he lost his deaf Deaf. He made a brief niques tend to be linear, verbal and older brother in a train accident. The token appearance on the structured, and usually alienate most third person was C Y Gopinath, who morning of the first day deaf Indians. As tools to explore a deaf had been invited to present a paper on of the conference and person’s intimate and personal sexual the Figureheads game used by Project then disappeared with knowledge and experience, they are Signpost. his wife in tow, not of much help. presumably for a 1.7 Low level of social and interper- vacation. 1.6 Lack of national identity The sonal skills Within the families into Indian deaf suffer from a lack of nation- which they are born, deaf persons al identity. Neither is there a genuinely never seem to evolve either at the same representative national body — such as pace as their hearing siblings and the Indian blind have in the National friends, or to the same level. Their par- Association of the Blind — nor are there ents’ time, energy and money is drained activists, either deaf or hearing, capa- away by the complex and subtle needs ble, informed and influential enough to of bringing up a deaf child, a labour for lobby on deaf issues in the corridors of which most parents are not naturally power. Urban centres usually have equipped. In addition, community associations and clubs of the deaf, and resources do not exist that can prepare those deaf people who gain member- parents with advice and resources that ship in these build up a loose sense of could help them in their tasks. community with other deaf persons. The result for the deaf child is a Those who attend deaf schools also childhood in which parents overcom- build up a local sense of identity based pensate by being lenient and tolerant on education shared with other deaf once they get over the shock of having people (though this may not be true of a handicapped child — and then, with deaf children sent to hearing schools). the first tantrums and assertions of ado- However, it is more likely that the lescence, turning over-strict and
  • 9. Seven females who spoke about childhood sexual abuse, named the offenders are father, uncle, brother, servant and chauffeur. authoritarian. The deaf child is baffled tices, and dealing with illness. In a and hurt. Why has everything changed questionnaire-based survey of the deaf so suddenly? In this difficult environ- that we conducted, deaf men and 8 ment, the deaf child grows up with an women under 30 believed that it was all ambivalence towards hearing people, right to have sex with one’s brother, sis- torn between constantly needing their ter, uncle, domestic servant, and chauf- support in even the most mundane of feur. Seven females who spoke about daily matters and resenting their con- childhood sexual abuse, named the trol and power over them. offenders are father, uncle, brother, A deaf Indian grows up with severe servant and chauffeur. lacunae in his or her ability to interact socially. The concept of concentric cir- 1.10 Insufficient employment oppor- cles of relationships, from inner family tunities Low education, low levels of to relatives to friends to colleagues is vocational skills, and poor presentation difficult for a deaf person. Within the skills sharply reduce the employment family, the child may instinctively sense options of a deaf person in India. The parental and sibling bonds, but has dif- disability quota mandated by the ficulty in distinguishing between rela- Ministry of Social Justice and Empow- tives and non-family outsiders, perceiv- erment results in a certain number of ing them more as “frequent visitors” or deaf people being ‘dumped’ into non- The concept of “infrequent visitors”. important jobs where their ability to concentric circles of ‘interfere’ with organisational working relationships, from inner 1.8 Alienation from hearing people A is nearly zero. Needless to say, none of family to relatives to deaf person continuously feels misun- these leads to a future where choice, friends to colleagues derstood by the hearing people she or dignity of labour, feelings of self-worth, seems difficult for a deaf he depends on, and believes that deep self-respect and confidence get a person. Within the down, only a deaf person can really chance to develop. From the point of family, the child may keep the best interests of the deaf in view of sexual health, there are often instinctively sense mind. From ‘hearies’, a deaf person situations where sex is equated with parental and sibling bonds, but has difficulty suspects charity, patronisation, poor employment, and commercial sex seen in distinguishing understanding, and worst of all, as a viable vocation, especially in a between relatives and exploitativeness. This feeling is borne home where the deaf man is out of job, non-family outsiders, out by the immediate family which and his deaf wife is unskilled in any perceiving them more as struggles to behave consistently with other vocation. “frequent visitors” or their deaf child, and in the process vac- “infrequent visitors”. illates between intense caring and Barriers to exploring helpless unconcern. deaf sexual experience 1.9 Vulnerability to abuse Deaf Indians and vulnerability become greatly vulnerable to exploita- tion and abuse both within their fami- 2.1 Poor level of abstraction skills; lies and in society, chiefly because of concepts such as risk and vulnerabil- severe shortcomings in their ability to ity do not exist. Low levels of educa- interact socially and interpersonally. tion, social skills, information, aware- According to our research, many of ness and communication rob India’s them have a tenuous understanding of deaf of the conceptual frameworks the concept of family and blood rela- needed to understand, discuss, explore tionships. and analyse certain issues of sexual In later life, this can lead to difficul- health. Typically, it is very difficult to ties in understanding and dealing with approach issues of risk-taking behav- some of the more complex and subtle iour, vulnerability, privacy, rights and aspects of a relationship, such as trust, violations, because of the absence of mutual respect, faith and fidelity. such a conceptual framework. Particularly in sexual areas of relation- ships, this can lead to difficulty in con- 2.2 All available material is designed fronting issues, negotiating safe prac- for hearing populations. There is vir-
  • 10. Low levels of education and communication rob India’s deaf of the conceptual frameworks needed to discuss and explore sexual health. tually no information and awareness issues relating to education, communi- raising material that has been prepared cation and therapy, including audiology with the needs of non-verbal, non-hear- and hearing aids. There are no studies ing populations in mind. As a result, of the sociology and psychology of deaf- 9 available information is incomplete, ness, nor data on attitude formation, patchy, difficult to assimilate and not perceptions, belief systems and sources very likely to be effective in bringing of guidance, or risk behaviour. In this about behaviour change. Since the deaf sense, researchers of deaf sexuality in person’s main mode of information India have a formidable task, as they gathering is visual rather than verbal, have to start from fundamental levels, there is scope for serious misunder- and necessarily include information standings caused by free and unintend- dissemination as part of the exploration ed re-interpretation of a visual without process itself. For instance, the attitude reference to the accompanying words. towards risk-taking cannot be explored until the concept of risk within the 2.3 No studies on extent of HIV/AIDS HIV/AIDS epidemic has first been or sexual abuse within the deaf com- explained. munity. The deaf community has been Virtually no information largely omitted from the agendas of and awareness raising material has been national planners, even more so than, prepared with the needs for example, the visually impaired who of non-verbal, non- have a strong National Association of hearing populations in the Blind. The few existing studies of mind. As a result, what the deaf community tend to focus on information is available is incomplete, patchy, difficult to assimilate and not very likely to be effective in bringing about behaviour change.
  • 11. Objectives Project Signpost’s main objectives were marriage partners, preference to gain a better understanding of: between deaf and hearing spouse, problems related to child rearing, rela- 10 • The deaf person’s life, both within tionship of deaf parents to a hearing hearing families and deaf families; child, marital breakup. • The problems faced by deaf persons • Implications of difficulty in commu- living in a hearing world nication. • The socialization pattern of a deaf Based on these questions, 10 areas of person from childhood through enquiry were drawn up. These were: adulthood. 1. Family background 2. Growing up • The deaf person’s patterns of relating 3. Pre-marital relationships in close interpersonal relationships. 4. Marriage 5. Contraception • Deaf females’ vulnerability to sexual 6. Homosexuality abuse. 7. Sexual abuse 8. Masturbation • The deaf person’s awareness and 9. STDs understanding of sexual abuse. 10. HIV/AIDS Some of these, such as Family • Support systems available for the Background, were dealt with better in the deaf person. questionnaire, while others, such as Sexual Abuse, were easier to address dur- • Significance of peer group for a deaf ing Focus Group Discussions. This report person. represents the combined findings from all the research methods used in the project. • Knowledge, attitude, beliefs and practice of deaf persons vis-à-vis the Approach and human body and reproduction. methodology • Knowledge, attitude, beliefs and Gathering data on the project’s areas of practice of deaf persons vis-à-vis interest was done by negotiating two- sexual activity. year commitments with established groups and associations of the deaf in • Knowledge, attitude, beliefs and three major Indian cities, namely practice of deaf persons vis-à-vis Mumbai, Delhi and Chennai. Six such sexual preferences. core groups were identified: the Bombay Foundation of Deaf Women, • Deaf persons’ awareness of sexually the Shruti School for the Deaf, the transmitted diseases and HIV/AIDS. Sheltered Workshop for Adult Deaf Women, the St Louis College for the • Pre-marital sexual relationships. Deaf, and the Delhi Deaf Friendship Club, and the Delhi Foundation of Deaf • Influence of parental attitude in the Women. Commitments from each of development of a deaf child. them were necessary to ensure that the participating group remained constant • Dynamics of deaf-hearing relation- through the duration of the study. A ships. workshop plan was formulated. Detailed profiles of each group are • Knowledge, attitude, beliefs and included in Annexure 3. practice of deaf persons about Data collection used three methods: contraception. 1. Focus Group Discussions 2. In-depth interviews with Key • Marriage issues: problems in finding Informants
  • 12. 3. Questionnaire a questionnaire to collect data from the Brief descriptions of each of these deaf, in view of the low levels of gener- are furnished below. al literacy and verbal aptitude of the deaf. However, the method was finally 11 FOCUS GROUP DISCUSSIONS included in order to tap a few more jots (FGD): The 6 core groups participated of information from those deaf who in a series of about 6 workshops each, might be able to respond to the format. between November 1997 and February Questionnaire forms were in multiple- 1999. Each workshop lasted three to choice format in English, Hindi and four days and consisted of sessions Marathi. Language was kept deliber- approximately 4 to 6 hours long. In the ately simple, and even grammatical sessions, various innovative and the- structure was bent to match deaf sign- atre-based techniques were used to ing grammar in some questions. Forms explore the 10 identified areas of study were distributed to deaf schools and based on the project’s objectives. associations from Mumbai, Chennai, Typically, the project’s facilitator Delhi and Calcutta. would have identified the main areas of Our experience with questionnaires discussion prior to each workshop, and as a way of learning about the deaf indi- would accordingly record the proceed- cates that it is possible, and that too ings of each session, by taking detailed with limited reliability, only when notes. Transactions between partici- group leaders or hearing interpreters pants would usually be conveyed by the are present to explain each question to Communications skills interpreter and go-between. After each the deaf group. and literacy are workshop, the notes would be reviewed Below is an analysis of the participat- measured on a and a detailed content report and analy- ing core groups’ demographic profile scale of 0 to 9, with sis done. and the depth of coverage from the pro- 0 representing the lowest level. ject’s needs point of view. IN-DEPTH INTERVIEWS: These The table on this page provides a were conducted with Key Informants, rationale for conducting the focus both deaf as well as hearing people groups and IEC trials in three cities. ECONOMIC INDICATORS: working with the deaf, and covered the Points which emerge are: 1—3 Lower-lower to 10 identified areas for exploration. A set 1. The group that is most commu- Upper lower of guideline questions was prepared for nicative and enthusiastically involved 4—6 Lower middle to the interviews; all the interviews were in the project (DDFC, Delhi) is predom- Upper middle tape-recorded and transcribed. inantly urban. They include married 7—9 Lower upper to QUESTIONNAIRE: The original and unmarried persons but do not rep- Upper upper project plan had not included the use of resent the underprivileged sections of MUMBAI NEW DELHI CHENNAI GROUP BFDW Shruti MPTC DDFC St Louis Sheltered School College Workshop Communication (0-9) 4 4 4 9 6 6 Literacy (0-9) 4 7 5 8 7 6 Married Yes No No No No No Unmarried No Yes Yes Yes Yes Yes Demonstrated Yes No No Yes No Yes Vulnerability Economic Level 4–6 7–9 1–3 7–9 4–6 1–3
  • 13. The differences in knowledge and emotional maturity between a deaf adolescent and a deaf adult would be nearly negligible the deaf community. hood. In effect, what seems like a het- 2. The most communicative group erogeneous choice of research audi- that has a reasonable rural representa- ences in terms of demographics, litera- 12 tion is Chennai’s St Louis College for cy and income level is actually remark- the Deaf. However, this group is exclu- ably homogenous in terms of knowl- sively male. edge levels, attitudes and vulnerability. 3. Chennai has the project’s only ado- • This approach also enabled us to lescent, male, unmarried group (St cover as wide a canvas of the deaf com- Louis College). They all have complet- munity as possible. Being marginalised ed their schooling, are attending col- and un-understood, the deaf are not the lege and come from low to middle subject of many studies. In drawing too income families. tight a circle around our research audi- 4. The best insights into the predica- ence, and presuming that other studies ments of rural women comes Chennai’s later would add to the understanding of Sheltered Workshop. However, they deaf sexuality, we might not only have represent very low literacy and com- been naïve, but also would have munication skills. ensured that our output, the curriculum 5. The only other group with on sexuality, would have limited appli- females, as well as higher literacy and cability. communication skills is the Shruti School for the Deaf in Mumbai. Participants of the However, this consists exclusively of urban adolescents. Questionnaire Survey 6. Mumbai’s BFDW and Delhi’s The age range was 14 years onwards. DFDW are the project’s only married Various deaf schools and association from females group, representing both unde- Mumbai, Chennai, Delhi and Calcutta veloped communication skills, and also participated in this study. We had give out low literacy and middle income levels. 600 questionnaire and around 183 were Thus, the three cities represent a filled and returned. spectrum of deaf response that will inform the project’s IEC trials. Not rep- AGE WISE DISTRIBUTION resented anywhere are married cou- Age Freq Percent ples, who demonstrate conflicting 14-20 85 47.0 interpersonal dynamics that make them unsuitable for sustained joint par- 21-30 70 38.7 ticipation as couples in our research. 31-40 18 9.9 Note: An interim evaluation of the 41-50 2 1.1 project raised the question of why such a diverse mixture of groups, represent- 50+ 6 3.3 ing age ranges from adolescent to mid- dle-aged, was necessary, and why the SEX WISE DISTRIBUTION project did not instead concentrate on Sex Freq Percent one demographic profile, such as deaf youth or women. There are two reasons Male 109 60.6 for our approach: Female 71 39.4 • Based on our pre-start-up discus- sions with those who have worked with the deaf, we had reason to believe that DISTRIBUTION OF SAMPLE BY AREA the differences in knowledge and emo- tional maturity between a deaf adoles- City Freq Percent cent and a deaf adult would be nearly Mumbai 96 53.9 negligible, unlike what one would expect between a hearing adolescent Chennai 39 21.9 and a hearing adult. This is traced to Delhi 31 17.4 the striking absence of significant Calcutta 10 5.5 inputs between adolescence and adult-
  • 14. DESCRIPTION OF SAMPLE BY EDUCATION DISTRIBUTION OF SAMPLE Most deaf people appear to receive educa- ACCORDING TO TYPE OF FAMILY tion only at the school level. Though a great There was a more or less equal representa- part of the sample (44.8%) of the sample tion of both the joint and the nuclear type of was school going, another 40% of the non families in the sample population. 13 school going population reported educa- tion up to school level. Freq Percent Educ Freq Percent Joint family 81 46.3 School 152 83.1 Nuclear family 94 53.7 College 24 13.1 DISTRIBUTION OF THE SAMPLE BY Voc. Training 7 3.8 ECONOMIC STATUS OF THE FAMILY More than half of the sample came from the STYLE OF COMMUNICATION lower economic strata with the income of A combination of oral language as well as the family being under 5000. signs is the method used by most families to communicate with their deaf children. Income Freq Percent However 10 deaf people also reported that <2000 18 14.3 their families did not communicate with 2—5000 49 38.9 them at all. 5—10,000 32 25.4 Deaf Person >10,000 24 19.0 Style Freq Percent Don t know 3 2.4 Oral 39 22.3 Signing 22 12.6 Both 114 65.1 Limitations of the study One of the sharpest limitations of the Deaf Person’s Family study is that it could only access deaf Style Freq Percent people who were organised in some way (that is, through school, college, Oral 34 20.4 association or club). This excludes the Signing 18 10.6 majority of Indian deaf, who are rural, Both 105 62.9 possess low communication skills, and have little or no access to either infor- Did not 10 6.9 communicate mation or even to other deaf people. Moreover, on the parameter of vulner- ability, these harder-to-reach audi- DISTRIBUTION OF THE SAMPLE ences are more vulnerable. However, BY MARITAL STATUS reaching remote and rural deaf youth was beyond the scope of this fellow- Freq Percent ship’s purview and resources. Single 144 79.1 On a broader level, deaf adolescents, Married 35 19.2 youth, children and adults, are all equally vulnerable, though in different Divorced 3 1.6 ways [e.g. a child may be more vulner- able to being sexually abused, while an adult may be sexually exploited at work or at home). To that extent, the project has sought as wide a coverage of differ- ent deaf populations as possible, to maximise the insights.
  • 15. Groups of the deaf in Chennai that did not have a good interpreter found it nearly impossible to fill out the sexual health questionnaire. Questionnaires As the questionnaires could not be Most questionnaires were filled with translated into Tamil, certain Chennai the help of institutional moderators, groups that did not have a good inter- 14 such as teachers, deaf group leaders preter found it nearly impossible to fill and so on. Only in very few cases was them. the project team directly involved in In Delhi, a group had to abandon the getting the questionnaire filled up. The questionnaire when one of the respon- reasons for this were chiefly that the dent’s parents took strong exception to questionnaire survey was outside the the questionnaire. scope of the sanctioned project, and was something we had added on to increase breadth of coverage. Thus our Key Informants budget did not permit us to personally There is skewness in information col- facilitate each institution that agreed to lected through the Key Informants fill out the questionnaire. This, howev- Interview method both in terms of deaf er, reduced our control over the versus hearing and also in terms of the process. In many cases, only a small areas of information. number of forms would be returned The project had hoped to have an filled, and we would have to include equal number of deaf and hearing Key them without any deeper insight into Informants. However, only 7 deaf per- In certain cases, the the quality of the information received sons could be located who had an principals or teachers or the manner in which questions had overview of the deaf community, suffi- of the deaf schools been administered to the deaf children. cient insight into their lives, and the became barriers to the In certain cases, the principals or willingness and the time (6 to 7 hours) successful gathering of teachers of the deaf schools became to share their thoughts. information, because barriers to the successful gathering of The hearing Key Informants identi- they found the project information, because they found the fied by the project were chiefly teach- questionnaire to be questionnaire “shocking” or “inappro- ers, whose insights related primarily to “shocking” or priate”. In this, they reflected the over- childhood experiences and education of “inappropriate”. In this, they reflected the protective attitude towards the deaf that deaf persons. They could shed very lim- overprotective attitude is common all over India, and which ited light on issues of sexual health, towards the deaf that is increases their ignorance and vulnera- risk, abuse and exploitation of the deaf. common all over India, bility. The project could not locate anybody and which increases In certain schools, the schoolteach- who had worked on marital or repro- their ignorance and ers filled up the forms themselves, and ductive health issues of the deaf. This vulnerability. we must assume that their own biases was expected as this is an area that would have been reflected in those receives scant attention not just in forms. India, but even in other parts of the Whenever interpreters helped the world. group to understand the questions, as One or two Key Informants with long with the Delhi Deaf friendship Club or standing experience with the deaf the Chennai Deaf Friendship Club, refused to share information with the there is a likelihood that the inter- project as they felt that sexuality was preters’ biases might have coloured the not the most important issue concern- deaf person’s responses. ing the deaf in India. In low literacy groups, such as the women of the Sheltered Workshop in Chennai, the project team conducted a special session to help the deaf women fill out the questionnaire. However, it proved extremely difficult to explain certain concepts to the group, and the entire process was so slow and exhaust- ing to the group, that eventually the forms had to be gathered in an incom- plete or dissatisfactory state.
  • 16. Findings through much agonising about the 1. FAMILY LIFE future of the deaf child. Parents from lower socio-economic backgrounds tend to give top priority to family sur- 15 1.1 The reaction of the family vival even at the expense of the deaf to the deaf child child. From a very early age children are expected to share in the financial Family Life P arents are generally unprepared for the appearance of a deaf child, and are shaken to their foundations when burden of the family. Such parents usu- ally do not have the resources or time to deal with the special needs of the such a child is born (Kashyap, 1998). deaf child. For them, ignoring the Not only is every member of the family child’s problem emerges as an uncon- affected but each one’s reaction will in scious coping strategy. turn have its effect on each of the oth- Parents from middle class families ers, including the deaf child. This will tend to view children as a support sys- finally affect family inter-relationships, tem for the parents during the later the family’s expectations from the deaf years of their life. A deaf child born in child, her sense of self and self-respect, such a set up is more likely to remain a and numerous practical aspects of the lifelong responsibility than an old-age family’s daily life. support, and accepting this reality is a The parents’ first response to the shock to the parents. Though they “major crisis” that a deaf birth precipi- might want the best for their deaf child, The mother was unable tates is usually a reactive period of their limited resources are often inade- to accept the child. mourning, by the end of which most of quate to attend to his special needs. Though she put efforts them evolve coping strategies. Parents’ In upper class families, much more into providing the child reactions range from denial of the emphasis is placed on the social with training, she child’s problem to the rejection of the acceptability of the child. Eager to physically and mentally child itself, to a round of doctor-shop- ensure that the child integrates well abused the child. ping and faith-healing in the hope of a into the mainstream of society, these Today the child is grown up. He has miracle. Due to such unrealistic activi- parents sometimes ignore the handi- limited education, no ties, important developmental years of cap, and instead funnel resources into skills in communication the deaf child’s life are sometimes teaching the child to ‘speak’, be ‘oral’, and no confidence. He squandered. be ‘normal’ and so on. They may be is unable to find a job. To compound the difficulties, the overprotective or, on the other diagnosis is not accompanied by sup- extreme, totally reject the child. Many Educationist, Mumbai port and guidance to the parents on such children grow up well supplied how to deal with the child’s disability. with whatever money can buy but Thus most parents are left to work out starved of emotional support and car- their own responses to the child. ing. Ironically, parental neglect and Generally, the family’s strategy for lack of love contributes to their inabili- coping with a deaf child is greatly influ- ty to get the most out of education and enced by their socio-economic back- other resources they are provided with. ground. The deaf child will usually A word here about the effect of a make greater demands on the family’s deaf birth on the relationship between financial resources by way of medical the parents. The presence of a deaf care, prosthetic aids and appliances, child does not necessarily create special educational services, transport disharmony in a stable marriage, but costs, and so on. The ability to pay for may precipitate conflict between mari- these facilities would depend upon the tal partners whose personalities and economic and employment status of interactions have already predisposed the family and its number of children. them to conflicts (Kashyap 1991). A The deaf child may also adversely survey in Wales by the Welsh National affect the parents’ earning ability School of Medicine found that the because of the extra time they must divorce rates among couples with a devote to his or her special needs. handicapped child were 10 times The parents of a deaf child go greater than the national average.
  • 17. When a family does not resolve its initial reaction to its deaf child, it will continue to exert a retarding influence on that child’s ability to adapt. 1.2 The deaf person as self, stirs up anxiety, consternation and a member of the family alarm in his parents. The relationship 16 D uring the early years, a deaf per- son may be unaware of his or her handicap, and may enjoy instead the between a hearing family and a deaf adolescent is often characterized by abrupt and limited verbal communica- attention, warmth and tolerant atmos- tion that makes it difficult to discuss phere around him. This is to the deaf complex feelings in their subtlety and Family Life child’s detriment as she does not get nuances. It may not be possible for a the corrective or disciplinary influ- family to make the special effort it ences that other children get. To an takes to encourage real communica- extent the parents overcompensate by tion, and this gives rise to experiences being over-tolerant of the deaf child. of rejection for a deaf person. However, as the deaf child grows up Over time, the deaf child may with- and, like other children, seeks identity, draw from his family, concluding that autonomy and assertiveness, the par- there is no future in seeking their ents’ permissiveness lessens sharply closeness and support. He will con- and is replaced with discipline and a clude that they are there to tend to his My driver used to drop sudden expectation of age-appropriate needs, but that he or she should never me and pick me up from behavior. hope for emotional closeness. Thus, school everyday. I used When this happens with a deaf child, over the years from infancy to adoles- to sit on the front seat he is confused by the inexplicable cence, a deaf child’s relationship with with him. One day while changes in behavior of those around the family moves from one with too returning from the him. He feels rejected, less important. much love and tolerance to one where school he touched my These feelings, complicated by the communication is sparse, and there is breast. I thought it had basic difficulty in communication, a feeling of distance, rejection and happened by mistake. He began touching me result in the deaf child withdrawing alienation. more and more while more and more into himself or herself. coming back from What did he do wrong? Why are they so 1.3 The deaf child’s relationship school everyday. I was upset with her? In later years, a deaf with family members too scared of him and was afraid that my parents would say that I person’s main childhood memories may be of these restrictions, rather than the earlier happy period of toler- T he deaf child is deeply affected, and for life, when she or he is deprived of close interactions and was making up stories. I ance and warmth. exchanges within the near family. Such am 55 years old and till Deaf people are perceived by their family interactions are the chief today never told this to families as a significant burden (Oscar source, and a rich source, of conceptu- anybody. P. Cohen, 1978). Between the trauma al information that helps a child under- Personal sharing, experienced by parents with a handi- stand behaviour, moods, bonds and Mumbai capped child and the limitations boundaries. For instance, the hearing imposed on the child by the sensory child learns to connect various words loss, deaf children and their families and tones of voice to body postures and are at risk from infancy through adult- stances, and thus slowly acquires an hood. When a family does not success- understanding of how body language fully overcome and resolve its initial signals various moods, such as anger, reaction to having a deaf child, it will disapproval, tension, conflict, or happi- continue to exert a retarding influence ness. This is an aspect of learning that on that child’s ability to adapt. a deaf child misses out on because of When a hearing child enters adoles- his handicap. Similarly, parents help a cence, the possibility of tensions in the child comprehend the meaning of family usually increases as he or she blood relationships, near relatives, dis- struggles to establish a new and inde- tant ones, acquaintances, strangers pendent identity within the family and friends through a combination of structure. The strain is intensified for a spoken words and body language. This deaf child, who will experience greater is an entire area of natural learning difficulty in establishing a personal that is missing from a deaf child’s life. position within the family structure. Again, a deaf child cannot pick up the The adolescent, just by being him- undertones of conflicts unless they are
  • 18. An ambivalence, or love-hate relationship, colours and dominates all deaf-hearing relationships. visually demonstrated. problems. Nonetheless, they realise As might be expected, this has far- that they themselves would trust a reaching implications on the deaf per- hearing person over a deaf person dur- son’s vulnerability in relationships and ing a real problem. This ambivalence, 17 intimate encounters. Also, it limits the or love-hate relationship, colours and deaf person’s understanding of shades dominates all deaf-hearing relation- of difference between the immediate ships. Family Life family and the extended family consist- Analysis of focus group sessions in a ing of uncles, nephews, aunts, nieces Mumbai School group indicated that and so on. On top of all this, a deaf boys were comfortable with their child will tend to have fewer significant father when they displayed more of a interactions with people outside the supportive than an authoritarian immediate family. As a result, till approach. around late adolescence many deaf people seem unable to differentiate 1.4 Sibling Relationships I was 12 years old when between friends and relatives. Their conclusions about who is who are often based on the frequency of appearance S iblings serve an important family function. In general, they are less emotionally tied to each other than to this happened. One day as I was late for school because my father was and interaction. their parents (Albert T. Murphy, 1979). very busy, so he sent There is more communication Siblings serve as confidants or behav- another man to drop me between the mother and the child than ior modifying critics for one another. at school. This man between the father and the child They test new roles, complement, frequently came to our (Kashyap 1983). This is substantiated observe and evaluate one another in house so I knew him. He by our questionnaire data findings: 141 ways that can contribute to social dropped me in my deaf people report a closer relationship growth and maturity. They learn to classroom. After he left with their mother, and 97 (69%) of share each other and share resources. my teacher asked me them said that they would rather seek They can protect each other, and serve who he was. I said I help from her in a problem situation. as a buffer between each other and the don’t know. In the evening my father came However deaf children in residential parents or the outside world. They can to fetch me. My teacher schools did not show a similar reliance. make life simple or more complex, asked my father who Out of the 40 cases, only 55% said that more comfortable or more difficult. was the man who had they would rely on their mother for The kind of acceptance a deaf child come to drop me. My help while 27.5% said that they would gets from his parents determines the father laughed and told rely on their father for help. The rest kind of relationship he will have with my teacher that he was indicated that they would rely only on his siblings. When the deaf child is his brother, my Kaka. their brother, their sister, or both younger than the hearing sibling there Later at home my father brother and sister. seem to be better chances of a good sat and explained to me However, this level of trust and relationship as the hearing sibling various relations and reliance is linked to whether the parent takes on the role of protector. how to address them. is deaf or not. Of 4 deaf children with The gender of the hearing sibling is Deaf activist, Mumbai deaf fathers only one said that he an important component of the atti- would rely on him for help in a prob- tudes towards the deaf person lem situation, while out of 4 cases who (Cleveland & Miller, 1977). Older male had deaf mothers none would rely on hearing siblings will show lack of their mothers for help in a problem sit- information, perhaps because of lesser uation. Though our sample is too small involvement with the deaf sibling. for significance it does seem that deaf Female hearing siblings have a closer children do not rely on their deaf par- relationship with the deaf child not ents as sources of help in a problem sit- only in the early years but continuing uation. into adulthood, perhaps because they As far as hearing people go, the deaf are probably given parent surrogate people tend to believe that deep and roles and thereby learn more about irreconcilable differences exist their deaf brother or sister. Our ques- between them, and that the hearing tionnaire data shows that the younger person will always have an imperfect age group (14-20 years) enjoys closer understanding of the deaf person’s relationships with brothers and sisters,