A qualitative literature review of how hearing codas navigate deafness stigma.
Noel O'Connell, Jemina Napier
PMID 42565687WHAT IT FOUND
Hearing children of deaf adults described being stereotyped, protecting parents, and interpreting in high-stakes settings.
They also reported pride and resilience. Clinicians should not assume a child has a speech disorder because a parent is deaf.
Key findings
01Some hearing children of deaf adults take on adult roles such as interpreting for parents, including in medical appointments. This can burden them, but many frame it as family care.
02Codas reported stigma in schools and public settings, including language shaming, exclusion, and concealment of their parents' deaf identity.
03Some Codas reframed their bilingual and bicultural identity as pride and resilience, especially with support from parents and Coda communities.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
This is a narrative review of qualitative literature, not a systematic review, so the sources were selected partly to build a conceptual framework. The included studies varied by country, age, family language, and study design, so the themes are not uniform across all hearing children of deaf adults. The review includes books as theoretical exceptions, so not all sources are empirical qualitative studies. It describes lived experience, not treatment effects, so it cannot show whether any therapy, family service, or school support works. The authors note that empirical Coda studies in the United Kingdom and Ireland are scarce, so practice guidance may not transfer to those settings.
Declared interests
The paper reports funding from the SFI-IRC Pathway Program. No other conflicts of interest are stated.
The easy way to misread this
Do not read this review as evidence that speech therapy or family support changes Coda outcomes. It reports themes from qualitative studies, so it can guide assessment and communication, but it does not test whether any intervention helps.