Talking to Somebody Who is Deaf in One Ear

by JoHarrington

Unilateral hearing affects a significant percentage of the population. How would you welcome a client or guest with this kind of deafness?

How would you speak to someone partially deaf? This is the next question considered by anyone who has just learned that someone is deaf in one ear.

It's not a well publicized sphere; and it encompasses a whole different set of issues from either the fully hearing or the fully deaf.

I've been profoundly deaf in my right ear since childhood. This article will explain what is it like to be deaf in one ear; and what you should factor in, when communicating with those with SSD.

How Does the World Sound to Someone with Unilateral Hearing?

Let me walk you through a worst case scenario. Though fictitious, it contains elements with which I am more than familiar!

"Jo!"

I'm out in the street, so it's a wonder that I heard my name being called at all. But there's a lull in the traffic and I'm away from the main pedestrian hubs.

The urgency in the tone alerts me to the fact that this probably isn't the first time that she's called me. There's psychological pressure on me to find her fast. I don't want to appear impolite.

Single-sided deafness means that I have no direction of sound, but I do have eyes. I quickly scan the road ahead of me to no avail. Then I turn around, looking until I spot the source. It's my friend and she's waving from the doorstep of her house. "Finally, you deaf cow! Come and have a cuppa. I've got news!"

I wander across the road, taking care to look for traffic. I can hear vehicles, but have no way of knowing if they're approaching or moving away. The only way to gauge their distance is to see them.

Once through the front door, I'm engulfed in a cacophony of noise. There's no depth to it, just a flat wall of sound seeming all to derive from my left side. (I'm deaf in my right ear.) The television is on. A soap opera blares out a constant stream of words, which clash and merge with those spoken by the other two people in the room.

My friend has possibly said something. I don't know. She's gestured towards the settee and that subconscious bit of body language has provided me with a clue. I'm being invited to sit down, while she disappears into the kitchen. This is a British home. She will be making a cup of tea to demonstrate how welcome I am in her home.

I feel disorientated, because it's hard to think with that white noise distracting me. My instinct is to switch the television off and yell at everyone to shut up. But etiquette demands the opposite reaction.

I'm to be on red alert. I'm to watch every person present, in case their attention or moving lips indicates that they have spoken. Unfortunately, that focus often prompts people into conversation. I'm now lip-reading and watching their non-verbal communication.

All the time, the noise feels like something physical to be warded away. It comes and goes. Just one source of sound is fine. I can hear it. As soon as there are two, it's like I've been slapped. The television and conversation over the top is the most common situation in which I have to suffer this.

Her husband has a beard and mustache. I cannot see his lips moving, though his gaze and the laughter of his teenage son tell me that I'm ignoring him. I feel like a stuck record, repeating this every time I'm here, but out it comes again, "I'm sorry. I'm deaf in one ear. What did you say?"

Whatever the response was, it must have been funny. It was probably a light-hearted joke about deafness. People are full of those. It breaks the tension, which so many seem to feel at the prospect of silence. He reaches forward for the remote control and I catch his broad smile. He wants to be helpful. He switches on the subtitles, so I can watch the television too.

And the noise goes on. Too much of it and I feel silently dizzy. I'm getting a headache from having to concentrate so hard. I start sentences with an apology, because I missed the thread of the conversation. It's not just the volume. It's not just the sound. It's the sheer scale of it all, like an assault, when they're all trying to be so welcoming.

Unilateral Hearing Loss on Wikipedia

Unilateral hearing loss or single-sided deafness is a type of hearing impairment where there is normal hearing in one ear and impaired hearing in the other ear.

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How the Ear Works

This YouTube video describes precisely how we hear. In my case, the cochlea is broken, so cannot pass the information into my brain.

Making Life Easier for Those with Single-Sided Deafness

It's not volume that you need to watch, it's multiple sources of sound.

Being profoundly deaf in one ear is a totally different circumstance to total deafness, or even other types of partial hearing impairment.

It is stereo hearing that provides depth and direction to sound. Both of your ears will pick up the audio and then your brain will triangulate the location.

The slight variances in volume will position the source closer or further away. In this way, they work together to allow background noise to stay in the background, or your attention to lift one sound from the mass of it. Even someone with reduced hearing in one ear will be able to deduce audio information in the same way.

Those with completely unilateral hearing do not have this ability.  For us, every sound is in the same place, indivisible from the rest.

If my fictitious friend had been aware, in my opening worst case scenario, then it could have played out much differently. Firstly she would have waited until there was no background noise before calling my name. She would have included her location in the shout. "Jo! Turn around, I'm behind you!" 

No initial anxiety then. I'm not only certain that I heard first time (achievement for the win!), but she's told me from the outset that she's got my back. She knows me and she is welcoming me.

Once inside her home, the television would have been removed from the equation. It could have been switched off and muted, but that isn't really fair on those who were watching it. Better still would have been to invite me into the kitchen with her. With the door closed, we have a quiet place.

People with single-sided deafness can hear perfectly well, if there are no competing sounds. I have known a few individuals for years, without them ever learning that I am deaf in one ear. The reason is that I've only ever spoken to them, one on one, in a relaxed, quiet environment.

Finally, if we were to stay in the lounge, with the television off, then my deaf aware hostess could monitor the conversation. Everyone taking turns to talk is just fine. But if over-excitement or enthusiasm means that people start speaking over the top of each other, then my friend would intercede. "One at a time, you lot. Jo's partially deaf."  A smile, a little wink, all is well in the world again.

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Cookie cutters, chocolate moulds and mugs spell out 'I love you' in American Sign Language.
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Which is best - stereo or single-sided hearing?

Anything you can do, I can do better! But let's argue this one out for once and for all!

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Single-sided hearing is best because...
kateweston on 01/31/2012

Just as a side comment. every now and again out a finger in one ear and hear what it sounds like for a partially deaf person - you will be surprised and i'm sure your empathy for pd people will improve.

JoHarrington on 01/26/2012

Our acronym is also a command - Ssh!

JoHarrington on 01/26/2012

I have no idea what stereo hearing actually sounds like!

JoHarrington on 01/26/2012

Paying so much attention to non-verbal communication means I catch what you wanted to say, rather than what you think you should say.

JoHarrington on 01/26/2012

I know the value of silence.

JoHarrington on 01/26/2012

I have an excuse not to have to listen to drunk people babbling on.

JoHarrington on 01/26/2012

I can sleep through pneumatic drills going off outside my bedroom window.

Stereo hearing is best because...
SFCkimsmith@aol.com on 10/19/2012

I wouldn't call it "better", but single-sided deafness does come in handy when the need arises to block out noises when trying to sleep... just roll over onto the "good side"!

Kim on 10/19/2012

I taught kindergarten and pre-k talk about being overwhelmed sometimes! I told my angels I only had one ear that worked so all of their sounds would not fit in the hole! I was surprised at how well that worked!

mae on 07/31/2012

I wish I knew what this was like :(

kateweston on 01/31/2012

Stereo is great for listening to music, it gives depth and texture to the music. HOWEVER... my partially deaf friend could always sleep better at music festivals because she could always roll over on to her good ear and nod off just fine. I always envied that

Sam on 01/29/2012

... you can hear from which direction the car is coming that is about to run you over ;-)

Othercat on 01/28/2012

I like to hear depth and i like to know where sounds are coming from. I think it would be scary otherwise.

Ember on 01/26/2012

Stereo hearing can experience this piece of magic. http://cynicallyjade.tumblr.com/...

Comments

I would naturally like to hear from anyone who has anything to say on this issue.  Please just chat away below in the usual way.

But I would especially welcome comments from people who either are deaf in one ear, or else know somebody who is.

Have you any insights and tips on how people could be more aware of the issues surrounding unilateral hearing?  How do you cope in noisy situations?  How do you make your one-sided deaf friend feel welcome in your company? 

More of my Articles About Deafness

Alarms in your house warn of anything from a fire to a burglary. But what if the only person there is hearing impaired?
Unilateral hearing can result in some excruciatingly awkward social situations. A heart-breaking search query has led to this article.
The Age of the Internet has meant many things to many people, but for those with a hearing impairment it's been fantastic! Now we get a conversation without the hassle!
JoHarrington, on 01/26/2012
 
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Comments


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JoHarrington on 12/19/2012

I have no medical knowledge as to why this may be the case, but I can empathize. I find that I can't hear my voice, so I do have people telling me that I'm too loud or too quiet. It's so hard to find that middle ground, isn't it?

There's also the fact that all that background noise is very disorienting. I wonder if that confusion causes our brains to interrupt our speech patterns. I'm going to ask around my medical friends and see if anyone has an answer.

Bill on 12/18/2012

Hi Jo, When I am in an environment with a lot of background noise I often find it difficult to control my speech. I sometimes start slurring words. I am curious if that is a result of my SSD. Do you have any insight? Thanks. Bill

JoHarrington on 10/19/2012

*high fives* I'm deaf in the same ear! That makes us buddies from the off-set. <3

What's it like with the implants? I've never been offered them, so I don't even know if they would work for me.

And yes, so much confusion out in the hearing world over SSD. People know what to do with deafness or hearing, but not with that moveable feast in the middle.

Jen on 10/19/2012

I was born completely deaf in my right ear, so I relate to this a lot! I would love to experience sound direction. It's such a foreign concept to me!
I'm now 26, but when I was 19 I got 'CROS' hearing aids for the first time. Last year I traded those in for a BAHA bone conduction implant (similar to a cochlear implant). I feel like a Borg from Star Trek haha! (or Bionic Woman). I still have days like the scenarios above, but less so since I got hearing aids. I totally agree with you, Jo Harrington when you say you've never seen SSD portrayed in media/tv before. A lot of people don't even know it exists.

JoHarrington on 10/12/2012

Scroll up, Brenda. I've just made a badge for your daughter. *smirk* (Under the heading 'Buttons for Promoting Awareness of Single-Sided Deafness'.)

JoHarrington on 10/12/2012

Mira - Yes! You've hit the nail on the head. That's what's so bad about being told or signaled at to lower your voice. It's like controlling a dog or something.

JoHarrington on 10/12/2012

Brenda - Oh! The 'lower your voice' hand sign or sushing! I can totally emphasize with her on that one. It's mortifying! You want to either crawl up into a ball or scream at them to stop setting the volume at their level.

I tend to go very, very quiet afterwards. Partially because I don't trust myself not to scream at the person telling me to lower my voice; and partially because I now know that I'm speaking too loudly.

That hand-signal or comment is a way of making us mute as well as deaf.

My advice? Tell her work-mates to take deaf awareness classes. It'll do much more good than ASL for a SSD person in hearing company. The problem is not with her.

Mira on 10/12/2012

My two cents would be for you to gently brush her upper arm. It's a softer signal, and one that makes most people feel better, too. I think the hand signal is maybe too strong and shows more power, as if you can will the other to lower their voice and they will have to obey. Again, don't take my word for all this, but maybe talk to her about finding a gesture she'd be comfortable with.

Brenda on 10/12/2012

We found out our daughter had SSD in her right ear when they tested her in kindergarten. Now she has tinnitus as well. She is now 26 years old and still has issues at her work place. She has explained to her fellow workers that she was born without her cochlea.

My daughter and I had a conversation the other day about her workplace. She was upset that her co-workers just don't get why she is so LOUD and that she can't tell how loud she is. They suggested she take ASL. Well, what good is that when they don't understand this language! I asked her if someone could use a signal such as to lower her voice with their hand. She said that infuriates her when they do this.

Does anybody have any ideas how to help my daughter with her loudness. I understand why she is loud but I don't want to offend her either with hand signals.

JoHarrington on 09/09/2012

I would certainly get behind that suggestion!

I don't think I've ever seen unilateral hearing on a single television show. It's not really rock and roll enough for a sitcom. LOL

I wish that you were in charge of all school curriculae.




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