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THE DEAF
THEIR POSITION IN SOCIETY
AND THE PROVISION FOR
THEIR EDUCATION IN THE
UNITED STATES
BY
HARRY BEST
NEW YORK
THOMAS Y. CROWELL COMPANY
PUBLISHERS
COPYRIGHT, 1914,
BY HARRY BEST.
_Published April, 1914._
Transcriber's Note:
Minor typographical errors have been corrected without note.
Significant corrections have been listed at the end of the text. The
oe ligature has been transcribed as [oe].
TO
THE DEAF OF THE LAND
AND TO THOSE WHO LOVE THEM
FOREWORD
The aim of the present study is to ascertain as far as possible the
standing of the deaf, or, as they are so often called, the "deaf and
dumb," in society in America, and to examine the treatment that has been
accorded to them--to present an account of an element of the population
of whom little is generally known. In this effort regard is had not only
to the interests of the deaf themselves, but also, with the growing
concern in social problems, to the fixing of a status for them in the
domain of the social sciences. In other words, the design may be said to
be to set forth respecting the deaf something of what the social
economist terms a "survey," or, as it may more popularly be described,
to tell "the story of 'the deaf and dumb.'"
The material employed in the preparation of the work has been collected
from various documents, and from not a little personal correspondence:
from the reports and other publications of schools for the deaf, of
organizations interested in the deaf, of state charities, education or
other departments, of the United States bureaus of education and of the
census; from the proceedings of bodies interested in the education of
the deaf, of organizations composed of the deaf, of state and national
conferences of charities and corrections; from the statutes of the
several states; and from similar publications. From the _American Annals
of the Deaf_ the writer has drawn unsparingly, and to it a very
considerable debt is owed. Valuable assistance has also been obtained
from the _Volta Review_, formerly the _Association Review_, and from
papers published by the deaf or in schools for the deaf. Other sources
of information used will be noted from time to time in the work itself.
For all that has been set down the writer is alone responsible. He is,
however, keenly mindful of all the co-operation that has been given him,
and it would be most pleasant if it were possible to relate by name
those who have been of aid. Mere words of thanks could but very little
express the sense of obligation that is felt towards all of these.
Indeed, one of the most delightful features connected with the work has
been the response which as a rule has been elicited by the writer's
inquiries; and in some cases so courteous and gracious have been the
correspondents and informants that one might at times think that a favor
were being done them in the making of the request. To certain ones the
writer cannot escape mentioning his appreciation: to Dr. E. A. Fay,
editor of the _American Annals of the Deaf_, and vice-president of
Gallaudet College; Dr. J. R. Dobyns, of the Mississippi School, and
secretary of the Convention of American Instructors of the Deaf; Mr.
Fred Deland, of the Volta Bureau; Mr. E. A. Hodgson, editor of the
_Deaf-Mutes' Journal_; Mr. E. H. Currier, of the New York Institution,
and Dr. T. F. Fox and Mr. Ignatius Bjorlee, also of this institution;
Dr. Joseph A. Hill, of the Census Bureau; Mr. Alexander Johnson,
formerly secretary of the National Conference of Charities and
Corrections; Dr. H. H. Hart, of the Russell Sage Foundation; Professor
S. M. Lindsay and Dr. E. S. Whitin, of Columbia University; and to the
officials of the Library of Congress, of the New York Public Library, of
the New York State Library, of the New York School of Philanthropy
Library, of the New York Academy of Medicine, of the Columbia University
Library, of the Volta Bureau, and of the Gallaudet College Library.
CONTENTS
PAGE
INTRODUCTION xiii
PART I
POSITION OF THE DEAF IN SOCIETY
CHAPTER
I. THE DEAF IN THE UNITED STATES 3
Meaning of Term "Deaf" in the Present Study--Number of
the Deaf in the United States--Age when Deafness
Occurred--Ability of the Deaf to Speak--Means of
Communication Employed by the Deaf.
II. THE DEAF AS A PERMANENT ELEMENT OF THE POPULATION 13
Increase in the Number of the Deaf in Relation to the
Increase in the General Population--The Adventitiously
Deaf and the Congenitally Deaf--Adventitious Deafness
and its Causes--Possible Action for the Prevention of
Adventitious Deafness--Adventitious Deafness as an
Increasing or Decreasing Phenomenon--The Congenitally
Deaf--The Offspring of Consanguineous Marriages--The
Deaf Having Deaf Relatives--The Offspring of Deaf
Parents--Possible Action for the Prevention of
Congenital Deafness--Congenital Deafness as an
Increasing or Decreasing Phenomenon--Conclusions with
Respect to the Elimination or Prevention of Deafness.
III. TREATMENT OF THE DEAF BY THE STATE 63
General Attitude of the Law towards the Deaf--Legislation
Discriminatory respecting the Deaf--Legislation in
Protection of the Deaf--Legislation in Aid of the
Deaf--Tenor of Court Decisions Affecting the Deaf--Present
Trend of the Law in Respect to the Deaf.
IV. ECONOMIC CONDITION OF THE DEAF 75
The Extent to which the Deaf are a Wage-earning and
Self-supporting Element of the Population--Views of the
Deaf as to their Economic Standing--The Deaf as
Alms-seekers--Homes for the Deaf--Conclusions with
Respect to the Economic Position of the Deaf.
V. SOCIAL ORGANIZATION OF THE DEAF 91
Social Cleavage from the General Population--Desirability
of Organizations Composed of the Deaf--Purposes,
Activities, and Extent of Such Organizations--Newspapers
of the Deaf.
VI. POPULAR CONCEPTIONS CONCERNING THE DEAF 99
Viewed as a Strange Class--Viewed as a Defective
Class--Viewed as an Unhappy Class--Viewed as a
Dependent Class--Need of a Changed Regard for the Deaf.
VII. PRIVATE ORGANIZATIONS INTERESTED IN THE DEAF 107
General Societies Interested in the Deaf--The Volta
Bureau--Parents' Associations for the Deaf--Church
Missions to the Deaf--Organizations Interested in the
Education of the Deaf--Publications Devoted to the
Interests of the Deaf.
PART II
PROVISION FOR THE EDUCATION OF THE DEAF
VIII. THE EDUCATION OF THE DEAF PRIOR TO ITS INTRODUCTION
INTO THE UNITED STATES 119
IX. HISTORY OF EDUCATION OF THE DEAF IN THE UNITED STATES 129
Early Attempts at Instruction--Beginning of the First
Schools--Early Ideas concerning the Schools for the
Deaf--Aims of the Founders--Extension of the Means of
Instruction over the Country.
X. ORGANIZATION OF THE INSTITUTIONS AND GENERAL PROVISIONS 171
Arrangements in the Different States--Semi-Public
Institutions--"Dual Schools"--Provision for the
Deaf-Blind--Provision for the Feeble-minded
Deaf--Government of the Different Institutions--Procedure
in States without Institutions.
XI. THE DAY SCHOOL FOR THE DEAF 187
Inception and Growth of the Day School--Design and
Scope of Day Schools--Extent and Organization of Day
Schools--Arguments for the Day School--Arguments
against the Day School--Evening Schools for Adults.
XII. DENOMINATIONAL AND PRIVATE SCHOOLS 202
Denominational Schools--Private Schools.
XIII. THE NATIONAL COLLEGE 206
XIV. PROVISION FOR EDUCATION BY STATES 209
XV. CONSTITUTIONAL PROVISIONS FOR SCHOOLS 242
Extent of Constitutional Provisions--Language and Forms
of Provisions.
XVI. QUESTION OF THE CHARITY CONNECTION OF SCHOOLS 248
Institutions Sometimes Regarded as Educational:
Sometimes as Charitable--Charity in Connection with
Schools for the Deaf--Arguments for the Connection with
Boards of Charities--Arguments in Opposition to the
Connection---Conclusions in Respect to the Charity
Connection of Schools for the Deaf.
XVII. PROVISIONS CONCERNING ADMISSION OF PUPILS INTO SCHOOLS 262
Rules as to the Payment of Fees--Provision for the
Collateral Support of Pupils--Age Limits of Attendance.
XVIII. ATTENDANCE UPON THE SCHOOLS 268
The Proportion of the Deaf in the Schools--The Need of
Compulsory Education Laws for the Deaf--Present Extent
of Compulsory Education Laws.
XIX. METHODS OF INSTRUCTION IN SCHOOLS 277
The Use of Signs as a Means of Communication--Rise and
Growth of the Oral Movement--Present Methods of
Instruction--Courses of Study and Gradations of
Pupils--Industrial Training in the Schools.
XX. COST TO THE STATE FOR EDUCATION 293
Value of the Property Used for the Education of the
Deaf--Cost of the Maintenance of the Schools--Form of
Public Appropriations--Cost to the State for Each
Pupil.
XXI. PUBLIC DONATIONS OF LAND TO SCHOOLS 299
Grants by the National Government--Grants by the
States--Grants by Cities or Citizens.
XXII. PRIVATE BENEFACTIONS TO SCHOOLS 303
Donations of Money--Gifts for Pupils--Present
Tendencies of Private Benefactions.
XXIII. CONCLUSIONS WITH RESPECT TO THE WORK FOR THE
DEAF IN AMERICA 309
APPENDIX A 325
TABLE WITH RESPECT TO HOMES FOR THE DEAF IN AMERICA.
APPENDIX B 326
TABLES WITH RESPECT TO SCHOOLS FOR THE DEAF IN AMERICA.
I. PUBLIC INSTITUTIONS 326
II. PUBLIC DAY SCHOOLS 329
III. DENOMINATIONAL AND PRIVATE SCHOOLS 331
INDEX 333
INTRODUCTION
Society as a whole knows little of the deaf, or the so-called deaf and
dumb. They do not form a large part of the population, and many people
seldom come in contact with them. Their affliction to a great extent
removes them from the usual avenues of intercourse with men and debars
them from many of the social activities of life, all tending to make the
deaf more or less a class apart in the community. They would seem, then,
to have received separate treatment, as a section not wholly absorbed
and lost in the general population, but in a measure standing out and
differentiated from the rest of their kind. Thus it comes that society
has to take notice of them. By reason of their condition certain duties
are called forth respecting them, and certain provision has to be made
for them.
The object of the present study of the deaf is to consider primarily the
attitude of society or the state in America towards them, the duties it
has recognized in respect to them, the status it has created for them,
and the extent and forms, as well as the adequacy and correctness, of
this treatment. Hence in our study of the problems of the deaf, the
approach is not to be by the way of medicine, or of law, or of
education, though all these aspects will be necessarily touched upon.
Nor is our study to deal with this class as a problem of psychology or
of mental or physical abnormality, though more or less consideration
will have to be given to these points. Nor yet again are we to concern
ourselves principally with what is known as the "human interest"
question, though we should be much disappointed if there were not found
an abundance of human interest in what we shall have to consider.
Rather, then, we are to regard the deaf as certain components of the
state who demand classification and attention in its machinery of
organization. Our attitude is thus that of the social economist, and the
object of our treatment is a part or section of the community in its
relation to the greater and more solidified body of society.
More particularly, our purpose is twofold. We first consider the deaf,
who they are, and their place in society, and then examine the one great
form of treatment which the state gives, namely, the making of provision
for their education. This we have attempted to do in two parts, Part I
treating of the position of the deaf in society, and Part II of the
provisions made for their education. As we shall find, the special care
of the state for the deaf to-day has assumed practically this one form.
Means of education are extended to all the state's deaf children, and
with this its attention for the most part ceases. It has come to be seen
that after they have received an education, they deserve or require
little further aid or concern. But it has not always been the policy of
the state to allow to the deaf the realization that they form in its
citizenship an element able to look out for themselves, and demanding
little of its special oversight. They have a story full of interest to
tell, for the way of the deaf to the attainment of this position has
been long and tortuous, being first looked upon as wards, and then by
slow gradations coming to the full rights and responsibilities of
citizenship. In this final stage, where the state provides education for
the deaf only as it provides it for all others, and attempts little
beyond, the deaf find themselves on a level with citizens in general in
the state's regard.
In Part I, after we have ascertained who are meant by the "deaf," and
how many of them there are, we are to find ourselves confronted by a
question which is of the foremost concern to society; namely, whether
the deaf are to be considered a permanent part of the population, or
whether society may have means at hand to eliminate or prevent deafness.
After this, our discussion will revolve about the deaf from different
points of view, regarding them in the several aspects in which they
appear to society. We shall examine the treatment which the state in
general accords the deaf, how they are looked upon in the law, and what
changes have been brought about in its attitude towards them. This may
be said to be the view of the publicist or legalist. Next, we shall
attempt to see how far the deaf are really a class apart in the life of
the community. This will involve an examination, on the one hand, as to
whether their infirmity is a bar to their independent self-support, that
is, whether they are potentially economic factors in the world of
industry, how far their status is due to what they themselves have done,
and to what extent this result has modified the regard and treatment of
society; and, on the other, how far their want of hearing stands in the
way of their mingling in the social life of the community in which they
live, whether the effect of this will tend to force the deaf to
associate more with themselves than with the rest of the people, and
what forms their associations take. These will be the views respectively
of the economist and the sociologist. Then we shall consider the regard
in which the deaf are popularly held, the view of "the man in the
street," and whether this regard is the proper and just one. Lastly, we
shall note what movements have been undertaken in the interests of the
deaf by private organizations, and to what extent these have been
carried.
In Part II we shall consider the provision that has been made for the
instruction of deaf children. First we shall review the attempts at
instruction in the Old World, and then carefully follow the development
of instruction in America, considering the early efforts in this
direction, the founding of the first schools, and the spread of the work
over the land; and noting how it was first taken up by private
initiative, in time to be seconded or taken over by the state, and how
far the state has seen and performed its duty in this respect. Public
institutions have been created in nearly all the states, and we shall
examine the organizations of these institutions and the general
arrangements in the different states. The development of the work also
includes a system of day schools, a certain number of private schools
and a national college, all of which we shall consider, devoting
especial attention to the day schools and their significance. Following
this, we shall consider how each state individually has been found to
provide for the instruction of the deaf, observing also the extent to
which the states have made provision in their constitutions, and the
extent to which the schools are regarded as purely educational. Next, we
shall proceed to inquire into the terms of admission of pupils into the
schools; and we shall particularly concern ourselves with the
investigation of the question of how far the means provided for
education by the state are actually availed of by the deaf. The great
technical problems involved in the education of the deaf will be outside
the province of this work, but we shall indicate, so far as public
action may be concerned, the present methods of instruction. This done,
we shall mark what is the cost to the state of all this activity for the
education of its deaf children, noting also how far the state has been
assisted in the work by private benevolence. In the final chapter of our
study we shall set down the conclusions which we have found in respect
to the work for the deaf on the whole in the United States.
PART I
POSITION OF THE DEAF IN SOCIETY
CHAPTER I
THE DEAF IN THE UNITED STATES
MEANING OF TERM "DEAF" IN THE PRESENT STUDY
By the "deaf" in the present study is meant that element of the
population in which the sense of hearing is either wholly absent or is
so slight as to be of no practical value; or in which there is inability
to hear and understand spoken language; or in which there exists no real
sound perception. In other words, those persons are meant who may be
regarded as either totally deaf or practically totally deaf.[1] With
such deafness there is not infrequently associated an inability to
speak, or to use vocal language. Hence our attention may be said to be
directed to that part of the community which, by the want of the sense
of hearing and oftentimes also of the power of speech, forms a special
and distinct class; and is known, more or less inaccurately, as the
"deaf and dumb" or "deaf-mutes" or "mutes."
In our discussion it is with deafness that we are primarily concerned.
_Deafness_ and _dumbness_ are, physically, two essentially different
things. There is no anatomical connection between the organs of hearing
and those of speech; and the structure and functioning of each are such
as to preclude any direct pathological relation. The number of the
so-called deaf and dumb, moreover, who are really dumb is very small--so
small actually as to be negligible. Almost all who are spoken of as deaf
and dumb have organs of speech that are quite intact, and are, indeed,
constructively perfect. It comes about, however, that dumbness--considered
as the want of normal and usual locution--though organically separate
from deafness, is a natural consequence of it; and does, as a matter of
fact, in most cases to a greater or less extent, accompany or co-exist
with it. The reason of this is that the deaf, particularly those who
have always been so, being unable to hear, do not know how to use their
organs of speech, and especially are unable to modulate their speech by
the ear, as the hearing do. If the deaf could regain their hearing, they
would have back their speech in short order. The character of the human
voice depends thus on the ear to an unrealized degree.
NUMBER OF THE DEAF IN THE UNITED STATES
According to the census of 1900 there were 37,426 persons in the United
States enumerated as totally deaf;[2] and according to that of 1910
there were 43,812 enumerated as "deaf and dumb."[3] Hence we may assume
that there are between forty and fifty thousand deaf persons in the
United States forming a special class.[4]
The following table will give the number of the deaf in the several
states and the number per million of population, according to the census
of 1910.[5]
NUMBER OF THE DEAF IN THE SEVERAL STATES
NO. PER NO. PER
MILLION OF MILLION OF
NO. POPULATION NO. POPULATION
United States 43,812 476 Montana 117 311
Alabama 807 377 Nebraska 636 531
Arizona 53 259 Nevada 23 281
Arkansas 729 464 New Hampshire 191 443
California 784 329 New Jersey 667 263
Colorado 243 304 New Mexico 177 540
Connecticut 332 297 New York 4,760 522
Delaware 59 291 North Carolina 1,421 644
District of Columbia 114 344 North Dakota 239 414
Florida 216 286 Ohio 2,582 539
Georgia 956 366 Oklahoma 826 491
Idaho 114 349 Oregon 241 359
Illinois 2,641 468 Pennsylvania 3,656 477
Indiana 1,672 619 Rhode Island 208 383
Iowa 950 427 South Carolina 735 485
Kansas 934 552 South Dakota 315 539
Kentucky 1,581 690 Tennessee 1,231 563
Louisiana 774 468 Texas 1,864 478
Maine 340 458 Utah 232 621
Maryland 746 576 Vermont 126 354
Massachusetts 1,092 324 Virginia 1,120 543
Michigan 1,315 468 Washington 368 323
Minnesota 1,077 519 West Virginia 713 584
Mississippi 737 410 Wisconsin 1,251 537
Missouri 1,823 553 Wyoming 24 159
From this table the largest proportions of the deaf appear to be found
in the states rather toward the central part of the country, and the
smallest in the states in the far west and the extreme east. The highest
proportions occur in Kentucky, North Carolina, Utah, Indiana, West
Virginia, Maryland, Tennessee, Missouri, Kansas, Virginia, New Mexico,
Ohio, South Dakota, Wisconsin, Nebraska, New York, and Minnesota, all
these states having over 500 per million of population. The lowest
proportions are found in Wyoming, Arizona, New Jersey, Nevada, Florida,
Delaware, Connecticut, Colorado, Montana, Washington, Massachusetts,
California, District of Columbia, Idaho, Vermont, Oregon, Alabama, and
Rhode Island, in none of these states the number being over 400 per
million. Why there should be these differences in the respective
proportions of the deaf in the population of the several states, we
cannot say; and we are generally unable to determine to what the
variations are to be ascribed--whether they are to be set down to
particular conditions of morbidity, the intensity of congenital
deafness, or other influences operating in different sections; or,
perhaps in some measure, to the greater thoroughness with which the
census was taken in some places than in others.
AGE WHEN DEAFNESS OCCURRED
The vast majority of the deaf lost their hearing in early life, and most
of them in the tender years of infancy and childhood. More than ninety
per cent (90.6, according to the returns of the census) became deaf
before the twentieth year; nearly three-fourths (73.7 per cent) under
five; over half (52.4 per cent) under two; and over a third (35.5 per
cent) were born deaf. Deafness thus occurs in a strongly diminishing
ratio with advancing years.[6] These facts may be indicated by the
following table,[7] which shows the percentages of those who became deaf
at different ages.
THE DEAF ACCORDING TO AGE OF OCCURRENCE OF DEAFNESS
At birth 35.5
After birth and under two 16.9
Under two years 52.4
2 and under 4 17.1
4 and under 6 7.3
6 and under 8 4.5
8 and under 10 2.8
10 and under 12 1.8
12 and under 14 1.6
14 and under 16 1.3
16 and under 18 1.0
18 and under 20 0.8
Under five 73.7
5 and under 10 10.5
10 and under 15 4.0
15 and under 20 2.4
Under 20 90.6
20 and under 40 5.7
40 and under 60 2.4
60 and under 80 1.1
80 and over 0.2
ABILITY OF THE DEAF TO SPEAK
We have just seen that "dumbness" frequently follows upon deafness, or
that it is usually believed to be an effect of deafness. It is true that
with the majority of the deaf phonetic speech is not employed to any
large extent; but there is at the same time a fair number who can, and
do, use vocal language. This speech varies to a wide degree, in some
approximating normal speech, and in others being harsh and understood
with difficulty; and it depends in the main upon three conditions: 1.
the age at which deafness occurred, this being the most important
factor; 2. the extent to which the voice is cultivated; and 3. the
remaining power of the ear (which is found but seldom).[8]
Of the deaf persons enumerated in the census,[9] 21.5 per cent were
reported able to speak well; 15.8 per cent imperfectly; and 62.7 per
cent not at all. In other words, somewhat over a third of the deaf can
speak more or less, one-fifth being able to speak well, and one-sixth
imperfectly, while over three-fifths do not speak at all. The dependence
of the ability to speak upon the age of becoming deaf is clearly in
evidence here, the proportion of those not able to speak showing a
great decrease with the rise of this age. Thus, of those born deaf, 83.5
per cent cannot speak at all; of those becoming deaf after birth and
under five, 74.6 per cent; of those becoming deaf after five and under
twenty, 26.5 per cent; and of those becoming deaf after twenty, 3.4 per
cent.
Some of the deaf are able to read the lips of the speaker, or as it is
better expressed, to read speech, or to understand what is being said by
watching the motions of the mouth. This in reality is a distinct art
from the ability to speak, though popularly they are often thought to be
co-ordinate or complementary one to the other. Like the ability to
speak, it varies in wide degree, from the ability to understand simple
and easy expressions only, to the ability to follow protracted
discourse; and like the ability to speak, it is found in increasing
frequency with the rise of the age of becoming deaf. According to the
census,[10] 38.6 per cent of the deaf are able to read the lips. Of
those born deaf, 28.0 per cent have this ability; of those becoming deaf
after birth and under five, 37.1 per cent; of those becoming deaf after
five and under twenty, 64.3 per cent; and of those becoming deaf after
twenty, 43.6 per cent.[11]
MEANS OF COMMUNICATION EMPLOYED BY THE DEAF
If the larger number of the deaf do not use the speech which is used by
those who can hear, how is it that their communication is carried on?
The chief method is a certain silent tongue peculiar to the deaf, known
as the "sign language,"[12] a part of which may be said to be the manual
alphabet, or the system of finger-spelling,[13] the two usually going
hand in hand. In this way most of the deaf are enabled to communicate
with each other readily and fluently. But this language, or at least the
greater part of it, not being known to people generally, the deaf
frequently have to fall back on writing to convey their ideas in
communicating with hearing persons. This, while slow and cumbersome, is
the surest and most reliable method of all. In addition, as we have
seen, a certain number of the deaf are able to use speech, which of
course has manifold advantages. These are the several methods, then, of
communication employed by the deaf; but they are not usually employed
singly, as most of the deaf are able to use two or more. According to
the census,[14] the sign language alone or in combination with other
methods is employed by 68.2 per cent, or over two-thirds of the deaf;
finger-spelling by 52.6 per cent, or over one-half; writing by almost
the same proportion--51.9 per cent; and speech by 39.8 per cent, or some
two-fifths. It is probable, however, that the proportions employing the
sign language, finger-spelling and writing, either singly or with other
methods, are really somewhat larger. In this case, likewise, we find
that the lower the age of becoming deaf, the smaller is the proportion
of the deaf with speech, which shows again the connection of the ability
to speak with the age of the occurrence of deafness. Of those born deaf,
speech alone or in combination with other methods is used by 18.2 per
cent; of those becoming deaf after birth and under five, by 27.4 per
cent; of those becoming deaf after five and under twenty, by 75.3 per
cent; and of those becoming deaf after twenty, by 97.7 per cent.
FOOTNOTES:
[1] There are no sharply dividing lines between the different degrees of
deafness, but it is only those described that really constitute a
special class. Persons whose hearing is such as to be of use even in
some slight degree are rather to be distinguished as "hard of hearing."
[2] By this census both the partially deaf and the totally deaf were
enumerated, or 89,287 in all. The former should not have been
enumerated, the enumerators being instructed not to include those able
to hear loud conversation.
[3] For the census returns for 1900, see "Special Reports of the Census
Office. The Blind and the Deaf," 1906. This report was under the special
direction of Dr. Alexander Graham Bell, who has long been interested in
the deaf. The returns of the census for 1910 are yet to be revised,
while at the same time additional data are to be secured to be published
as a special report like that of 1906. As yet the census office has for
1910 only the actual enumeration of the deaf and dumb in the various
states, and the returns with respect to other particulars regarding them
are yet to be completed. See _Volta Review_, xiii., 1911, p. 399. Hence
in our discussions we shall, except for the number by states, deal with
the census of 1900. For a review of this census, see _American Annals of
the Deaf_, Sept., 1906, to May, 1907 (li., lii.). In a number of states
certain county officers are required from time to time to enumerate the
deaf. For a census in one state, see Bulletin of Labor of Massachusetts,
July-Aug., 1907.
[4] Included in the census of 1900 were 491 deaf-blind persons (totally
deaf), and in that of 1910, 584.
[5] From statistics kindly furnished by the Census Bureau.
[6] This is just the opposite of the case with the blind.
[7] Special Reports, 1906, p. 79. Some 2,000 cases were thrown out for
indefinite replies, leaving 35,479, upon which our percentages are
based.
[8] A somewhat frequent classification of the deaf in respect to their
power to speak is to regard them roughly as falling into three great
divisions: 1. "Deaf-mutes," who come nearest to being deaf and dumb.
They have always been deaf, and have never had natural speech. What
speech they may possess has come from special instruction, with the
result that it is more or less artificial. 2. "Semi-mutes," who are
deaf, but who have once had hearing as well as speech; and this speech
they are able to use to a greater or less degree, though in time it is
likely to become more and more astray. 3. "Semi-deaf" persons, who are
only partly deaf, and possess a little hearing, though it is too slight
to be of real practical use; and who have voices most nearly approaching
the normal. They belong somewhere between the really deaf and the hard
of hearing.
[9] Special Reports, pp. 82, 240.
[10] _Ibid._, pp. 87, 240. For 8,966 no returns were made.
[11] On the subject of lip-reading, see especially E. B. Nitchie,
"Lip-Reading: its Principles and Practice", 1912.
[12] This "sign language" is referred to at somewhat more length in
Chapter XIX.
[13] Sometimes called "the deaf and dumb alphabet".
[14] Special Reports, pp. 89, 240. For 2,365 no returns were made.
CHAPTER II
THE DEAF AS A PERMANENT ELEMENT OF THE POPULATION
INCREASE IN THE NUMBER OF THE DEAF IN RELATION TO THE INCREASE IN THE
GENERAL POPULATION
Are the deaf to be a permanent element in the constitution of the
population? Are they always to be reckoned with in the life of the state
and the regard of society? Would it not be well to inquire whether or
not deafness may be eliminated, or at least reduced to an appreciable
degree? These are questions that present themselves at the outset in a
consideration of the relation of the deaf to society, and to them we now
devote our attention.
Our first inquiry in the matter is directed to the question whether
deafness as a whole is increasing, decreasing or remaining stationary,
in relation to the general population. To determine this, we have
recourse to the census returns of the deaf in connection with those of
the general population. Unfortunately, however, comparisons of the
different censuses respecting the deaf are not altogether to be
depended upon, for the reason that they have not always been taken on
the same basis, and conclusions from them consequently have to be
accepted with qualifications. Special census returns of the deaf have
been made since 1830; but the censuses of 1830-1870 purport to be of the
deaf and dumb; the census of 1880, of the deaf who became deaf under
sixteen years of age; that of 1890, of the deaf and dumb; that of 1900,
of the totally deaf; and that of 1910, of the deaf and dumb. The results
thus obtained are in the main analogous, but there are a certain number
of cases included on one basis that would be excluded on another, and
_vice versa_.[15]
Taking the statistics as they are, we have the following table,[16]
which gives the number of the deaf as found in the several censuses,
according to the bases upon which they were made, together with the
ratio per million of population.
NUMBER OF THE DEAF ACCORDING TO THE CENSUSES OF 1830-1910
NO. PER
MILLION OF
YEAR NUMBER POPULATION
1830 (the deaf and dumb) 6,106 475
1840 (the deaf and dumb) 7,665 449
1850 (the deaf and dumb) 9,803 423
1860 (the deaf and dumb) 12,821 408
1870 (the deaf and dumb) 16,205 420
1880 (deafness occurring under sixteen) 33,878 675
1890 (the deaf and dumb) 40,592 648
1900 (the totally deaf) 37,426 492
1910 (the deaf and dumb) 43,812 476
From this table there appears to be a steady decrease in the number of
the deaf in relation to the general population from 1830 to 1860, this
latter year seeming to be the low water mark. From 1860 to 1870 there is
a slight increase, and from 1870 to 1880 a very large one, due to some
extent to the method of taking the census. From 1880 to 1890 there is a
certain decrease, though the proportion is still very high. From 1890 to
1900 there is a very considerable decrease, probably indicating a return
to true conditions; and a not negligible decrease from 1900 to 1910.
On the whole, with respect to these statistics, probably the most that
we can safely say is that deafness is at least not on the increase
relatively among the population, while there is a possibility that at
present it is decreasing. For further determinations, we shall have to
seek other means of inquiry.
THE ADVENTITIOUSLY DEAF AND THE CONGENITALLY DEAF
We may perhaps best approach the problem of deafness as an increasing or
decreasing phenomenon in the population, if we think of the deaf as
composed of two great classes: those adventitiously deaf, that is, those
who have lost their hearing by some disease or accident occurring after
birth, and those congenitally deaf, that is, those who have never had
hearing.[17] In regard to the former class, it follows that we are
largely interested in the consideration of those diseases, especially
those of childhood, which may affect the hearing, and in their
prevention or diminution we can endeavor to ascertain how far there are
possibilities of reducing the number of the deaf of this class. In the
latter case we are called upon to examine some of the great problems
involved in the study of heredity, especially in respect to the extent
that the offspring is affected by defects or abnormalities of the
parent, and to see what, if any, means are at hand to alter conditions
that bring about this form of deafness. We shall first discuss the
causes of adventitious deafness, together with the possibilities of its
prevention and the likelihood of its diminution, and then consider the
questions involved in congenital deafness.
ADVENTITIOUS DEAFNESS AND ITS CAUSES
From three-fifths to two-thirds of the cases of deafness are caused
adventitiously--by accident or disease. To accidents, however, only a
very small part are due, probably less than one-fiftieth of the entire
number.[18] Nearly all adventitious deafness results from some disease,
either as a primary disease of the auditory organs, or as a sequence or
product of some disease of the system, often one of infectious
character, the deafness thus constituting a secondary malady or ailment.
The larger portion is of the latter type, probably less than a fourth
resulting from original ear troubles.[19] In either case deafness occurs
usually in infancy or childhood, and does its harm by attacking the
middle or internal ear.
From diseases of the middle ear results over one-fourth (27.2 per cent,
according to the census) of all deafness, and from diseases of the
internal ear, one-fifth (20.7 per cent), very little (0.6 per cent)
being caused by disorders of the outer ear. Of the classified cases of
deafness, according to the census, 56.3 per cent are due to diseases
affecting the middle ear, and 42.7 per cent to diseases affecting the
internal. Of diseases of the middle ear, 72 per cent are of suppurative
character, often with inflammation or abscess, and 28 per cent
non-suppurative, or rather catarrhal in character. Of diseases of the
internal ear, 89 per cent are affections of the nerve, and 10 per cent
of the labyrinth. It is to be noted that when the affection is of the
internal ear, the result is usually total deafness.
By specified diseases, the leading causes of deafness are scarlet fever
(11.1 per cent), meningitis (9.6), brain fever (4.7), catarrh (3.6),
"disease of middle ear" (3.6), measles (2.5), typhoid fever (2.4), colds
(1.6), malarial fever (1.2), influenza (0.7), with smaller proportions
from diphtheria, pneumonia, whooping cough, la grippe, and other
diseases. A large part of deafness is seen to be due to infectious
diseases, the probabilities being that fully one-third is to be so
ascribed, with one-fifth from infectious fevers alone.
After birth and under two years of age, the chief causes of deafness are
meningitis, scarlet fever, disease of middle ear, brain fever, and
measles. From two to five scarlet fever and meningitis are far in the
lead, with many cases also from brain fever, disease of middle ear,
measles, and typhoid fever. From five to ten scarlet fever alone
outdistances all other diseases, followed in order by meningitis, brain
fever and typhoid fever. From ten to fifteen the main causes are
meningitis, scarlet fever, brain fever, and catarrh; from fifteen to
twenty catarrh and meningitis; from twenty to forty catarrh, colds and
typhoid fever; and from forty on, catarrh.
The following table[20] will show in detail the several causes of
deafness and their respective percentages.
CAUSES OF DEAFNESS
Total classified 48.5
External ear 0.6
Impacted cerumen 0.2
Foreign bodies 0.1
Miscellaneous 0.3
Middle ear 27.2
Suppurative 19.6
Scarlet fever 11.1
Disease of ear 3.6
Measles 2.5
Influenza 0.7
Other causes 1.7
Non-suppurative 7.6
Catarrh 3.6
Colds 1.6
Other causes 2.4
Internal ear 20.7
Labyrinth 1.8
Malarial fever 1.2
Other causes 0.6
Nerves 18.5
Meningitis 9.6
Brain fever 4.7
Typhoid fever 2.4
Other causes 1.8
Brain center 0.3
Miscellaneous 0.1
Unclassified 45.3
Congenital 33.7
Old age 0.3
Military service 1.0
Falls and blows 2.8
Sickness 2.7
Fever 2.0
Hereditary 0.3
Miscellaneous 2.5
Unknown 6.2
In fairly approximate agreement with the returns of the census, are the
records of the special schools for the deaf in respect to the causes of
deafness in their pupils, with information also as to the amount from
the minor diseases. The following table will give the causes by specific
diseases, as found in one school, the Pennsylvania Institution, for two
years:[21]
CAUSES OF DEAFNESS OF PUPILS IN PENNSYLVANIA INSTITUTION
1906 1907
PER CENT PER CENT
Total number 510 100.0 500 100.0
Born deaf 213 41.8 206 41.2
Scarlet fever 43 8.2 47 9.4
Meningitis 36 7.1 40 8.0
Falls 24 4.7 25 5.0
Diseases of ear and throat 13 2.6 23 4.6
Catarrh and colds 13 2.6 -- --
Measles 18 3.5 18 3.6
Brain fever 17 3.3 16 3.2
Convulsions 14 2.8 13 2.6
Abscesses 10 2.0 12 2.4
La grippe 10 2.0 7 1.4
Accidents (not stated) 9 1.8 7 1.4
Whooping cough 7 1.4 7 1.4
Typhoid fever 7 1.4 6 1.2
Diphtheria 6 1.2 6 1.2
Mumps 5 1.0 5 1.0
Paralysis 5 1.0 4 0.8
Marasmus 2 0.4 4 0.8
Pneumonia 4 0.8 2 0.4
Dentition -- -- 2 0.4
Dropsy of blood 2 0.4 -- --
Chicken pox 1 0.2 1 0.2
Poisoning 1 0.2 1 0.2
Intermittent fever 1 0.2 1 0.2
Blood clotting on brain 1 0.2 -- --
Cholera infantum 1 0.2 -- --
Gastric fever -- -- 1 0.2
Sickness (not stated) 10 2.0 8 1.6
Unknown 37 7.3 38 7.6
POSSIBLE ACTION FOR THE PREVENTION OF ADVENTITIOUS DEAFNESS
In respect to present activities for the prevention of adventitious
deafness, we find the situation very much like that of marking time.
Deafness, since the beginning of time, has largely been accepted as the
portion of a certain fraction of the race, and any serious and
determined efforts for its eradication have been considered for the
most part as of little hope.[22] With the auditory organs so securely
hidden away in the head, entrenched within the protecting temporal bone,
and with their structure so delicate and complicated, the problem may
well have been regarded a baffling one even for the best labor of
medicine and surgery. Hence it is that after deafness has once effected
lodgment in the system, a cure has not usually been regarded as within
reach, though for certain individual cases there may be medical
examination and treatment, with attempts made at relief. For deafness in
general, it has been felt that there has been little that could be done
in the way of prevention or cure beyond the preservation of the general
health and the warding off of diseases that might cause loss of hearing.
As a matter of fact, however, altogether too little attention has been
given hitherto to the possibilities of the prevention of deafness.
Without question there is much at the outset that can be accomplished
towards the prevention of those diseases that cause deafness. A large
part, perhaps fully a third, as we have seen, are due to infectious
diseases, and it is probably here that measures are likely to be most
efficacious. A considerable portion likewise are the result of diseases
affecting the passages of the nose and throat, and help should be
possible for many of these if taken in hand soon enough. In certain
diseases also, as scarlet fever, measles, typhoid fever, diphtheria, and
others, there are not a few cases which, so far as deafness as a
development is concerned, would prove amenable to skillful and
persistent treatment. At the same time due attention to primary ear
troubles would in a number of instances keep off permanent deafness.
Indeed, it is possible that some thirty or forty per cent of
adventitious deafness is preventable by present known means.[23]
Aside from direct medical treatment for those diseases that cause
deafness, there are other measures available in a program for the
prevention of deafness. One of the foremost essentials is the report to
the health authorities of all serious diseases that are liable to result
in deafness. In this way proper medical care may be secured, and due
precautions may be taken to isolate infectious cases. Even with
meningitis, which is so hard usually to deal with and which is so
severe in its ravages, there is often some concomitant trouble, and if
made notifiable in all cases deafness from it might be checked in no
inconsiderable measure. The report of births is also especially needed,
and as it becomes obligatory in general, with the consequent detection
of physical ailments or disabilities, early cases of deafness may come
increasingly to notice, and timely treatment may be availed of.
Particular attention is likewise necessary in respect to the medical
examination of school children. The proportion of such children with
impaired hearing is not slight, even though no great part of them become
totally deaf. A committee on defective eyes and ears of school children
of the National Educational Association in 1903 found that of 57,072
children examined in seven cities, 2,067, or 3.6 per cent, were
extremely defective in hearing.[24] An investigation of the school
children in New York City has disclosed the fact that one per cent have
seriously defective hearing.[25] Under proper and adequate medical
inspection of schools, not only would the need of treatment for adenoids
and similar troubles be brought to light, with the result that a number
of incipient cases might be stopped in time, but in some instances of
deafness already acquired beneficial treatment might be possible.[26]
There is thus a considerable sphere for action towards the prevention of
adventitious deafness both by legislation and by education. For the
ultimate solution of its problems, however, we have to look mainly to
the medical profession. In recent years medical science has won some
great triumphs, and in the field of the prevention of deafness no little
may be in store to be accomplished in the years to come.[27] Even now,
with more particular attention to the diseases of children, and with
stronger insistence upon general sanitary measures, the probabilities
are that there is less deafness from certain diseases than formerly--a
matter which we are soon to consider.
Though as yet there has been little direct action for the prevention of
adventitious deafness, there is an increasing concern in the matter, and
in this there is promise. By medical bodies in particular is greater
attention being given to the subject,[28] and in the widening
recognition of their part as guardians of the public health it may be
possible for them to do much for the enlightenment of the public. In one
state legislative action has been taken expressly for the protection of
the hearing of school children. This is Massachusetts, which requires
the examination of the eyes and ears of the school children in every
town and city, the state board of education furnishing the tests.[29] In
some states also general inspection of schools is mandatory by statute,
and in others permissive, while in several there are local ordinances
with the force of a state law.
In combating adventitious deafness, then, our attack is to be directed
in the largest part upon those diseases, especially infantile and
infectious diseases, that cause deafness; and it is upon the checking of
their spread that our main efforts for the present have to be
concentrated. At the same time the better safe-guarding of the general
health of the community will insure a proportionate diminution of
deafness. Beyond this, we will have to wait upon the developments of
medical science, both in the study of the prevention of diseases and of
their treatment; and can trust only to what it may offer.[30]
ADVENTITIOUS DEAFNESS AS AN INCREASING OR DECREASING PHENOMENON
Our main interest in the problem of adventitious deafness lies in the
possible discovery whether or not it is relatively increasing or
decreasing among the population, and in what respects signs appear of a
diminution. We have just seen the likelihood of a decrease from certain
causes; but we are to find what is indicated by statistical evidence.
To be considered first is adventitious deafness as a whole. Respecting
it our only statistics are in the returns of the censuses since 1880,
the different forms of deafness not being distinguished before this
time. The following table will show the number of the adventitiously
deaf as reported by the censuses of 1880, 1890 and 1900, with their
respective percentages and ratios per million of population.[31]
NUMBER OF THE ADVENTITIOUSLY DEAF IN 1880, 1890 AND 1900
TOTAL ADVENTITIOUSLY PERCENTAGE RATIO
NUMBER DEAF PER MILLION OF
POPULATION
1880 33,878 10,187 30.1 20.3
1890 40,562 16,767 41.1 26.8
1900 37,426 18,164 48.4 23.9
From this it appears that adventitious deafness is increasing in
relation to total deafness, which is most likely the case, as congenital
deafness, as we shall see, is evidently decreasing. Whether or not
adventitious deafness is increasing in respect to the general
population, the table does not disclose definitely. The statistics
probably are not full enough to afford any real indication yet.
Our next inquiry is in respect to the increase or decrease of
adventitious deafness from the several diseases individually, which is,
upon the whole, the more satisfactory test. Here also, unfortunately,
our statistics are very limited, and our findings will have to fall much
short of what could be desired.
The following table, based on the returns of the censuses of 1880, 1890
and 1900, so far as the approximate identity of the several diseases can
be established, will give the respective percentages found.[32]
CAUSES OF ADVENTITIOUS DEAFNESS IN 1880, 1890 AND 1900
1880 1890 1900
Scarlet fever 7.9 11.8 11.1
Meningitis 8.4 7.8 9.6
Catarrh and catarrhal fevers 0.9 3.3 3.6[33]
Diphtheria 0.2 0.5 --[34]
Abscess and inflammation 1.0 2.5 --[35]
Measles 1.3 2.5 2.5
Whooping cough 0.5 0.8 --[34]
Malarial and typhoid fevers 1.7 1.8 3.6
Other fevers 1.1 -- 2.0
In this table the most noticeable thing is perhaps the persistency with
which we find most of the diseases to recur, with apparently no great
change, while in certain ones, as catarrh and malarial and typhoid
fevers, there seems to be rather an increase. It would be best, however,
not to place very great confidence in these figures, but, so far as the
census reports are concerned, to wait for more precise and uniform
statistics.
We have, further, the statistics published in the reports of certain
schools for the deaf. While these are perhaps not of sufficient extent
to warrant full conclusions, they may be regarded as quite
representative;[36] and though to be taken with something of the caution
as the census figures, they may serve to throw some light upon the
situation. Comparison of the proportions of pupils deaf from the several
diseases at different times may be made in two ways: by finding the
respective proportions over a series of successive years from a certain
time back down to the present, and by contrasting the proportions in two
widely separated periods, one in the present and one in the past. These
will be taken up in order.
The following tables give the percentages of cases of deafness in pupils
from the important diseases as found in six schools in successive years:
in the New York Institution in the total annual attendance from 1899 to
1912; in the Michigan School in the total biennial attendance from 1883
to 1912; in the Pennsylvania Institution in the number of new pupils
admitted quadriennially from 1843 to 1912; in the Western Pennsylvania
Institution in the number admitted biennially from 1887 to 1912; in the
Maryland School in the number admitted biennially from 1884 to 1911; and
in the Wisconsin School in the number admitted biennially from 1880 to
1908.
I. CAUSES OF DEAFNESS IN NEW YORK INSTITUTION FROM 1899 TO 1912
|1899|1900|1901|1902|1903|1904|1905|1906|1907|1908|1909
+----+----+----+----+----+----+----+----+----+----+----
Total Number | 466| 476| 481| 477| 464| 503| 508| 510| 543| 555| 565
+----+----+----+----+----+----+----+----+----+----+----
Congenital |36.0|27.1|26.8|40.9|36.2|41.1|46.2|31.8|33.3|34.4|34.9
Scarlet Fever |11.4|10.1| 8.9| 7.1| 6.5| 6.9| 6.5| 4.9| 5.3| 5.0| 5.7
Meningitis | 9.5| 9.4| 7.7| 7.9| 7.8| 7.9|11.0|12.2|16.8|18.6|17.7
Brain Trouble |10.1| 9.2| 8.3| 8.1| 7.2| 5.9| 5.9| 7.1| 9.0| 8.3| 8.7
Falls | 9.0| 7.2| 5.4| 4.5| 3.9| 4.2| 3.8| 5.2| 5.9| 6.1| 6.0
Measles | 5.1| 3.8| 3.8| 2.1| 3.9| 4.5| 4.1| 4.1| 4.8| 4.7| 4.4
Typhoid Fever | 3.7| 2.3| 1.6| 1.0| 0.9| 1.2| 1.0| 1.0| 1.3| 1.3| 1.2
Convulsions | 3.2| 4.4| 3.2| 2.9| 2.6| 0.2| 1.8| 1.8| 1.9| 1.5| 1.9
Various Fevers | 2.5| 1.5| 1.4| 1.0| 1.7| 1.6| 1.6| 1.6| 1.5| 1.3| 0.7
Catarrh | 2.3| 2.1| 1.9| 1.8| 1.6| 1.2| 1.0| 2.0| 1.9| 1.9| 1.4
Diphtheria | 1.9| 1.7| 1.9| 1.0| 0.9| 0.4| 0.6| 0.8| 0.9| 0.9| 0.7
Pneumonia | 1.5| 0.8| 0.8| 0.6| 1.1| 0.2| 1.0| 1.1| 1.1| 0.9| 1.1
Whooping Cough | 1.7| -- | 1.6| 1.2| 1.1| 1.0| 0.8| 0.6| 0.9| 0.9| 0.5
Miscellaneous | | | | | | | | | | |
and Unknown | 2.1|20.4|26.7|19.8|18.6|23.7|14.7|25.9|15.4|14.2|15.1
1910|1911|1912|
----+----+----+
Total Number 570| 546| 518|
----+----+----+
Congenital 32.8|34.6|36.6|
Scarlet Fever 6.1| 5.7| 5.0|
Meningitis 17.9|19.0|19.7|
Brain Trouble 8.3| 8.0| 8.9|
Falls 5.1| 5.5| 5.6|
Measles 4.6| 0.2| 0.7|
Typhoid Fever 1.1| 0.9| 0.5|
Convulsions 1.9| 2.0| 2.1|
Various Fevers 0.5| 0.5| 0.7|
Catarrh 0.8| 1.0| 0.5|
Diphtheria 0.7| 0.7| 0.5|
Pneumonia 1.1| 0.7| 0.5|
Whooping Cough 0.5| 0.5| 0.2|
Miscellaneous | | |
and Unknown 18.6|20.7|18.5|
II. CAUSES OF DEAFNESS IN MICHIGAN SCHOOL FROM 1883 TO 1912
|1883|1885|1887|1889|1891|1893|1895|1897|1899|1901|1903
|1884|1886|1888|1890|1892|1894|1896|1898|1900|1902|1904
+----+----+----+----+----+----+----+----+----+----+----
Total Number | 302| 336| 342| 350| 343| 365| 428| 412| 441| 447| 451
+----+----+----+----+----+----+----+----+----+----+----
Congenital | 7.0|18.8|23.1|26.3|24.2|26.3|25.2|30.3|28.8|31.5|32.8
Meningitis |28.8|28.1|23.1|23.1|21.3|15.8|15.6|14.5|10.2| 9.2| 4.6
Scarlet Fever |12.2|11.8|12.3|11.2| 9.0| 9.6| 9.5| 9.7| 9.5| 9.3| 7.6
Brain Fever | 6.2| 6.5| 4.8| 3.7| 5.2| 6.9| 6.6| 6.3| 5.4| 3.8| 3.8
Typhoid Fever | 4.6| 3.6| 4.1| 4.3| 4.7| 1.9| 1.8| 1.4| 2.5| 2.2| 1.3
Measles | 3.6| 4.1| 3.9| 2.9| 2.6| 1.4| 0.8| 1.9| 3.2| 3.1| 2.9
Diphtheria | 0.6| -- | -- | 0.3| 0.3| 0.3| 0.2| 0.2| 0.4| 0.2| 0.4
Catarrh | 0.6| 0.6| 0.9| 0.8| 0.9| 1.1| 1.9| -- | 2.9| 3.5| 3.3
Various Fevers | 2.9| 1.5| 2.0| 2.6| 3.0| 4.4| 4.4| 1.7| 2.9| 2.9| 3.3
Whooping Cough | 1.3| 1.2| 1.5| 1.5| 1.5| 3.0| 3.8| 3.6| 2.7| 2.5| 3.1
Pneumonia | -- | -- | -- | -- | -- | -- | -- | -- | 0.2| 0.2| 0.4
La grippe | -- | -- | -- | -- | -- | -- | -- | -- | 0.9| 1.1| 1.6
Miscellaneous | | | | | | | | | | |
and Unknown |32.2|23.8|24.3|23.3|27.3|29.3|30.2|30.4|30.4|31.5|34.9
1905|1907|1909|1911|
1906|1908|1910|1912|
----+----+----+----+
Total Number 404| 361| 354| 353|
----+----+----+----+
Congenital 36.6|35.7|35.0|31.2|
Meningitis 8.6| 9.5| 8.8| 8.2|
Scarlet Fever 6.9| 5.8| 3.6| 4.5|
Brain Fever 2.7| 2.5| 2.3| 1.0|
Typhoid Fever 1.0| 1.4| 1.5| 1.7|
Measles 2.9| 4.1| 3.4| 3.1|
Diphtheria 0.5| 0.2| 0.3| 0.3|
Catarrh 2.8| 1.9| 2.5| 0.8|
Various Fevers 2.5| 0.5| 2.0| 1.4|
Whooping Cough 3.4| 4.4| 4.8| 5.1|
Pneumonia -- | 0.7| 0.6| 0.8|
La grippe 1.5| 3.0| 2.3| -- |
Miscellaneous | | | |
and Unknown 30.6|30.3|32.9|41.9|
III. CAUSES OF DEAFNESS IN PENNSYLVANIA INSTITUTION FROM 1843 TO 1912
|1843|1847|1851|1855|1859|1863|1867|1871|1875|1879|1883
|1846|1850|1854|1858|1862|1866|1870|1874|1878|1882|1886
+----+----+----+----+----+----+----+----+----+----+----
Total Number | 90| 111| 125| 143| 167| 152| 150| 178| 282| 233| 261
+----+----+----+----+----+----+----+----+----+----+----
Congenital |54.4|58.5|56.0|46.8|53.3|48.4|40.0|42.1|31.2|24.4|34.1
Scarlet Fever |13.3|18.0|12.8|16.8| 9.6|19.7|16.0|18.6|18.1|13.7|14.9
Meningitis | -- | -- | 0.8| -- | -- | 2.0| 1.3| 9.6|18.1|25.7|16.4
Measles | 1.1| 2.7| 1.6| 2.8| 2.4| 3.3| 4.0| 1.1| 1.7| 2.6| 1.9
Whooping Cough | 2.2| 0.9| 0.8| 0.7| 1.2| 0.7| 1.3| 0.6| 0.3| 0.8| --
Catarrh | -- | 0.9| -- | -- | -- | -- | 0.7| 0.6| 2.1| -- | --
Brain Fever | -- | -- | 2.8| 2.1| -- | 6.0| 4.7| -- | -- | -- | 0.8
Typhoid Fever | -- | -- | -- | 1.4| 0.6| 0.7| 2.6| 2.7| 2.1| 2.6| 3.4
Diphtheria | -- | -- | -- | -- | -- | -- | 0.7| -- | -- | -- | --
Pneumonia | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | --
La grippe | -- | -- | -- | -- | -- | -- | -- | -- | -- | -- | --
Mis. and Unknown |29.0|19.2|25.2|29.4|32.9|19.2|28.7|24.7|26.3|30.2|28.5
1887|1891|1895|1899|1903|1907|1911|
1890|1894|1898|1902|1906|1910|1912|
----+----+----+----+----+----+----+
Total Number 207| 248| 250| 239| 240| 282| 152|
----+----+----+----+----+----+----+
Congenital 47.3|46.8|41.6|32.2|35.8|33.7|34.2|
Scarlet Fever 14.0|14.1|11.2| 6.3|10.4| 3.9| 5.2|
Meningitis 5.8| 5.6| 7.6| 8.4| 7.1|17.4|15.1|
Measles 3.9| 3.2| 4.4| 4.6| 4.5| 3.5| 3.9|
Whooping Cough 0.5| 0.4| 0.8| 1.7| 0.7| 2.9| 1.3|
Catarrh 3.9| 4.8| 6.8| 4.2| 1.2| 2.5| 1.3|
Brain Fever 2.9| 5.2| 4.0| 3.4| 1.7| 2.9| 2.6|
Typhoid Fever 2.9| 3.6| -- | 2.5| 0.7| 3.9| 1.3|
Diphtheria 0.5| 1.6| 2.0| 0.8| 2.5| 1.2| 2.0|
Pneumonia 0.5| -- | -- | 0.8| 0.4| 1.2| 4.8|
La grippe -- | 0.4| -- | 2.1| 1.2| 0.3| -- |
Mis. and Unknown 17.8|14.3|21.6|33.0|33.8|26.6|28.3|
IV. CAUSES OF DEAFNESS IN WESTERN PENNSYLVANIA INSTITUTION FROM 1887 TO
1912
|1887|1889|1891|1893|1895|1897|1899|1901|1903|1905|1907
|1888|1890|1892|1894|1896|1898|1900|1902|1904|1906|1908
+----+----+----+----+----+----+----+----+----+----+----
Total Number | 61| 56| 58| 58| 49| 40| 50| 41| 110| 59| 73
+----+----+----+----+----+----+----+----+----+----+----
Congenital |24.6|14.3|20.7|32.8|46.9|40.6|40.0|31.9|38.2|25.4|30.1
Scarlet Fever | 9.8|21.4| 8.6|10.4|10.2| 5.0| 6.0|12.2| 8.3|11.8| 8.2
Meningitis |16.5|14.5|13.8|10.4|10.2|20.0|14.0|17.1| 7.2|10.2|13.7
Measles | 4.9| 1.9| 5.2|10.4| 4.0| -- | 2.0| 2.4| 7.2| 1.9| 8.2
Catarrh | 3.2| -- | 7.6| 1.9| 2.0| 5.0| 2.0| 9.6| 2.7| 3.8| 4.1
Brain Fever | 6.5| 5.4| 1.9| 1.9| -- | 2.5| -- | 4.8| 2.7| 5.1| 2.8
Typhoid Fever | -- | 1.9| 5.2| -- | 6.0| 2.5| -- | -- | 1.8| 1.9| 4.1
Whooping Cough | 1.6| -- | 1.9| -- | 2.0| -- | 6.0| 2.4| 1.8| 1.9| 2.8
Diphtheria | 1.6| -- | 1.9| -- | -- | -- | 4.0| 2.4| 1.8| -- | 1.4
La grippe | -- | -- | -- | -- | 2.0| -- | 2.0| -- | -- | 1.9| --
Pneumonia | -- | -- | -- | -- | -- | 2.5| 2.0| -- | -- | 1.9| 1.4
Miscellaneous | | | | | | | | | | |
and Unknown |31.3|30.6|33.2|32.2|16.7|22.5|22.0|17.2|28.3|34.2|23.2
1909|1911|
1910|1912|
----+----+
Total Number 71| 73|
----+----+
Congenital 40.9|36.5|
Scarlet Fever 11.3|12.7|
Meningitis 14.1| 9.6|
Measles 2.8| 6.8|
Catarrh 2.8| 1.8|
Brain Fever 1.4| 4.1|
Typhoid Fever 2.8| -- |
Whooping Cough -- | 1.8|
Diphtheria 1.4| 1.8|
La grippe -- | -- |
Pneumonia -- | -- |
Miscellaneous | |
and Unknown 22.5|24.9|
V. CAUSES OF DEAFNESS IN MARYLAND SCHOOL FROM 1884 TO 1911
|1884|1886|1888|1890|1892|1894|1896|1898|1900|1902|1904
|1885|1887|1889|1891|1893|1895|1897|1899|1901|1903|1905
+----+----+----+----+----+----+----+----+----+----+----
Total Number | 28| 27| 25| 25| 29| 30| 30| 39| 29| 30| 28
+----+----+----+----+----+----+----+----+----+----+----
Congenital |46.4|62.9|44.4|36.0|37.9|43.3|43.3|61.5|44.8|43.3|57.1
Meningitis |10.7|11.1| 8.0|12.0|10.3|10.6| 6.7| 2.6|14.0| 3.3| 3.6
Scarlet Fever |10.7| 7.4|12.0|16.0| -- | -- | 6.7| 5.2| 3.5|10.0| 7.2
Measles | 3.6| -- | -- | -- | 3.5| 3.3| 6.7| -- | 3.5| 3.3| --
Diphtheria | -- | -- | -- | -- | 3.5| 3.3| 3.3| 2.6| -- | 3.3| 3.6
Catarrh | -- | -- | -- | -- | 3.5| 3.3| 3.3| 5.2| 3.5| -- | --
Typhoid Fever | -- | -- | 4.0| -- | -- | -- | -- | -- | -- | 6.7| --
Whooping Cough | 3.6| -- | -- | -- | -- | -- | -- | -- | 3.5| -- | --
Pneumonia | 3.6| -- | -- | -- | -- | -- | -- | -- | 7.0| -- | 3.6
Brain Fever | 7.2| -- | 4.0| 8.0| 3.5| 3.3| -- | -- | 7.0| 3.3| --
Various Fevers | -- | -- | 4.0| 8.0| 3.5| -- | -- | 2.6| -- | 3.3| 3.6
Miscellaneous | | | | | | | | | | |
and Unknown |14.2|18.6|23.6|20.0|34.3|32.9|28.1|22.0|16.7|23.5|21.3
1906|1908| 1910|
1907|1909| 1911|
----+----+-------+
Total Number 41| 32|135[37]|
----+----+-------+
Congenital 53.7|34.4| 51.8|
Meningitis 2.4|12.2| 8.1|
Scarlet Fever 9.6| 3.1| 1.4|
Measles -- | 3.3| 2.2|
Diphtheria -- | -- | 0.7|
Catarrh -- | -- | -- |
Typhoid Fever 2.4| 3.1| 2.2|
Whooping Cough -- | 3.1| 1.4|
Pneumonia 2.4| 3.1| 2.2|
Brain Fever 4.8| -- | 2.9|
Various Fevers 4.8| -- | 2.2|
Miscellaneous | | |
and Unknown 19.9|37.7| 24.1|
VI. CAUSES OF DEAFNESS IN WISCONSIN SCHOOL FROM 1879 TO 1908
|1879|1881| 1883 |1885|1887|1889|1891|1893|1895|1897
|1880|1882| 1884 |1886|1888|1890|1892|1894|1896|1898
+----+----+-------+----+----+----+----+----+----+----
Total Number | 36| 66|231[37]| 56| 67| 50| 44| 72| 64| 72
+----+----+-------+----+----+----+----+----+----+----
Congenital |14.3|31.8| 35.1|35.7|49.3|38.0|50.0|40.3|53.1|52.7
Meningitis |27.7|33.3| 37.7|33.9|28.3|32.0|15.9|12.5|31.2|19.4
Scarlet Fever |14.3| 6.0| 12.5| -- | 8.9|12.0|20.4|11.1| 4.7| 6.9
Measles |12.8| 3.0| 1.5| -- | 2.9| -- | 2.3| 4.1| 3.1| --
Typhoid Fever | -- | 6.0| 7.4| 1.8| -- | 2.0| 2.3| -- | 1.6| --
Whooping Cough | -- | -- | 1.3| 1.8| 1.5| -- | -- | -- | -- | 1.4
Diphtheria | -- | -- | -- | -- | -- | 2.0| 4.6| -- | -- | 1.4
Catarrh | -- | -- | 1.3| -- | -- | -- | -- | -- | 1.6| 5.5
Brain Fever | -- | -- | -- | -- | 2.9| -- | -- |11.1| -- | --
Miscellaneous | | | | | | | | | |
and Unknown |30.9|19.9| 3.2|26.8| 6.2|14.0| 4.5|20.9| 4.7|12.7
1899|1901|1903|1905|1907|
1900|1902|1904|1906|1908|
----+----+----+----+----+
Total Number 62| 33| 33| 63| 70|
----+----+----+----+----+
Congenital 64.3|33.3|48.4|34.9|40.0|
Meningitis 16.1| 9.1| 3.0| 6.3| 5.7|
Scarlet Fever 4.7| 6.1| -- | 9.5| 8.6|
Measles -- | 3.0| 3.6| 1.6| 4.3|
Typhoid Fever 3.2| 6.1| -- | 3.2| 1.4|
Whooping Cough -- | -- | -- | 1.6| 2.8|
Diphtheria 1.6| -- | -- | 3.2| 1.4|
Catarrh 1.6| 3.0| 9.1| 3.2| 2.8|
Brain Fever -- | 6.1| 3.6| 4.8| 4.3|
Miscellaneous | | | | |
and Unknown 8.5|33.3|31.3|31.7|28.7|
We may take these tables together to see how the proportions of deafness
from the leading diseases have changed in the course of the several
periods indicated, proper allowance being made for the shorter length of
time covered in some schools than in others. In respect to scarlet
fever, one of the two foremost causes, we find in the New York
Institution, the Michigan School and the Maryland School, a distinct and
steady decline; in the Pennsylvania Institution a decline of late years,
which is especially significant in view of the extended period covered
by it; and in the Western Pennsylvania and the Wisconsin School little
change, though in the latter there is less than at the beginning. In
meningitis, on the other hand, the second of the two most important
causes, a marked increase is seen in the Pennsylvania Institution for
the entire period, while in the New York a sharp increase is found in
the time designated, this being all the more noticeable because of the
large proportion already attributed here to convulsions, often a trouble
of kindred origin. In the Western Pennsylvania Institution and the
Maryland School little change is observed, though in the latter some
decline is apparent in the later years. In the Wisconsin and Michigan
schools a very strong decline is seen. On somewhat the same order as
meningitis is brain fever. It, however, shows little change on the
whole, though in the Michigan and Maryland schools and the New York
Institution some decline is evident. Of the remaining diseases none
plays singly a large part in the causation of deafness, and in most of
them the results are similar. Measles, typhoid fever, diphtheria,
pneumonia, and whooping cough show, with some fluctuations at times,
little change on the whole, beyond certain local differences. In the New
York Institution a decline is reported in nearly all. In the
Pennsylvania Institution a rather larger proportion for measles is seen
in later than in earlier years. In the Michigan School an increase seems
to be the case with whooping cough, but a decrease with typhoid fever.
In catarrh the results are not so uniform. In the New York and
Pennsylvania institutions a decline is manifest, though in the latter a
larger proportion is reported than at the beginning. In the Michigan and
Wisconsin schools rather an increase is noted. La grippe is only
reported occasionally of late years, and its real effects cannot yet be
ascertained. With respect to general fevers, their classification is
found to be so varying that little can be determined.
We now proceed to make comparison of the proportions of deafness from
the principal diseases in a series of years some time past with similar
proportions in recent years. The following tables give the several
proportions in the American School (Connecticut) in the entire
attendance from 1817 to 1844 and from 1817 to 1857, and in the new
admissions from 1901 to 1913; in the Ohio School in the entire
attendance from 1829 to 1872, and in the average annual attendance in
1904, 1905, 1906, and 1911; in the Iowa School in the entire attendance
from 1855 to 1870 and from 1855 to 1912; and in the New York Institution
in the entire attendance from 1818 to 1853 and in the average annual
attendance from 1899 to 1912.[38]
I. CAUSES OF DEAFNESS IN AMERICAN SCHOOL FROM 1817 TO 1844, FROM 1817 TO
1857, AND FROM 1901 TO 1913.
PERIOD |TOTAL NUMBER
| |CONGENITAL
| | |SCARLET FEVER
| | | |MENINGITIS
| | | | |TYPHOID FEVER
| | | | | |MEASLES
| | | | | | |WHOOPING COUGH
| | | | | | | |GENERAL FEVERS
| | | | | | | | |BRAIN FEVER
| | | | | | | | | |PNEUMONIA
| | | | | | | | | | |DIPHTHERIA
| | | | | | | | | | | |CATARRH
| | | | | | | | | | | | |UNKNOWN
| | | | | | | | | | | | |AND MIS.
---------+----+----+----+-----+---+---+---+---+---+---+---+---+--------
1817-1844| 761|44.8| 5.7| 6.1| --|1.6|1.6|6.7| --| --| --| --| 33.5
1817-1857|1081|50.1| 9.2| 4.6| --|1.8|1.3|5.3| --| --| --| --| 27.7
1901-1913| 310|35.2| 7.7| 11.3|3.2|1.3|1.3|1.9|5.8|0.6|1.3|1.0| 29.4
II. CAUSES OF DEAFNESS IN OHIO SCHOOL FROM 1829 TO 1872 AND FROM 1904 TO
1911.
PERIOD |TOTAL NUMBER
| |CONGENITAL
| | |SCARLET FEVER
| | | |MENINGITIS
| | | | |TYPHOID FEVER
| | | | | |MEASLES
| | | | | | |WHOOPING COUGH
| | | | | | | |GENERAL FEVERS
| | | | | | | | |BRAIN FEVER
| | | | | | | | | |PNEUMONIA
| | | | | | | | | | |DIPHTHERIA
| | | | | | | | | | | |CATARRH
| | | | | | | | | | | | |UNKNOWN
| | | | | | | | | | | | |AND MIS.
---------+----+----+----+-----+---+---+---+---+---+---+---+---+--------
1829-1872|1252|33.8|10.3| 3.0|1.8|3.2|1.7|4.6|5.7| --|0.3| --| 35.6
1904-1911| --|38.9| 5.0| 9.2|1.4|2.8|1.7|1.1|5.3|0.5|0.5|3.5| 30.1
III. CAUSES OF DEAFNESS IN IOWA SCHOOL FROM 1855 TO 1870 AND FROM 1855
TO 1912.
PERIOD |TOTAL NUMBER
| |CONGENITAL
| | |SCARLET FEVER
| | | |MENINGITIS
| | | | |TYPHOID FEVER
| | | | | |MEASLES
| | | | | | |WHOOPING COUGH
| | | | | | | |GENERAL FEVERS
| | | | | | | | |BRAIN FEVER
| | | | | | | | | |PNEUMONIA
| | | | | | | | | | |DIPHTHERIA
| | | | | | | | | | | |CATARRH
| | | | | | | | | | | | |UNKNOWN
| | | | | | | | | | | | |AND MIS.
---------+----+----+----+-----+---+---+---+---+---+---+---+---+--------
1855-1870| 245|87.2|13.4| 3.3|1.6|2.0|1.3|6.1|1.3| --| --| --| 33.8
1855-1912|1672|26.9|10.3| 14.9|1.7|2.2|1.7|0.1|7.0|0.3|0.8|1.7| 32.4
IV. CAUSES OF DEAFNESS IN NEW YORK INSTITUTION FROM 1818 TO 1853 AND
FROM 1899 TO 1912.
PERIOD |TOTAL NUMBER
| |CONGENITAL
| | |SCARLET FEVER
| | | |MENINGITIS
| | | | |TYPHOID FEVER
| | | | | |MEASLES
| | | | | | |WHOOPING COUGH
| | | | | | | |GENERAL FEVERS
| | | | | | | | |BRAIN FEVER
| | | | | | | | | |PNEUMONIA
| | | | | | | | | | |DIPHTHERIA
| | | | | | | | | | | |CATARRH
| | | | | | | | | | | | |UNKNOWN
| | | | | | | | | | | | |AND MIS.
---------+----+----+----+------+---+---+---+---+---+---+---+---+--------
1818-1853|1148|42.9| 7.2|--[39]| --|1.9|0.7|1.6| --| --| --| --| 45.7
1899-1912| --|38.0| 6.8| 13.1|1.3|3.4|0.8|1.3|8.1|0.9|0.9|1.7| 23.7
Taking these tables also collectively, we find in respect to scarlet
fever a decline in all the schools, this being especially pronounced in
the case of the Ohio. In meningitis, however, there is an increase so
heavy as to call in question the accuracy of the earlier records; and it
is possible that it failed to be entirely recognized then. In most of
the other diseases, as in the previous case, no very great change is
perceptible. In general fevers a decline is apparent in all, in most
being considerable; and probably several diseases were formerly included
which are now listed separately. In measles rather a decline is found in
the American and Ohio schools, but a slight increase in the Iowa, and a
somewhat larger one in the New York Institution. In typhoid fever there
is a slight increase also in the Iowa School, but a decrease in the
Ohio. In brain fever a considerable increase is observed in the Iowa
School, but a slight decrease likewise in the Ohio. In whooping cough
there is an increase in the New York Institution and the Iowa School,
but a decrease in the American. Such diseases as pneumonia, diphtheria
and catarrh seem not usually to have been separately classified in the
past, though in the Ohio School we find diphtheria noted, and with
somewhat smaller proportions than in later years; while in several of
the schools we find "colds" given in former times, which may have been
in part really catarrh.
Combining now the results of our two groups of tables, we may be able to
reach some conclusions with respect to the increase or decrease of
deafness from certain diseases, though on the whole far less definite
than we could wish. In the first place, it seems safe to affirm that
deafness from scarlet fever is becoming relatively less with the years;
and it is possible that if it continues its present rate of decline, it
will in time cease to be one of the main causes of deafness. On the
other hand, meningitis, its great companion in evil, shows a striking
increase in comparison with past years, as a cause of adventitious
deafness; while its accretion may be traced as well in a series of
recent years in certain schools, though not in others. But how far there
is an absolute increase in meningitis over the past, and whether it is
tending at present actually to increase, may be a matter for question.
In view of the possibility that the disease was not sufficiently
accounted for in the past, and in the absence of any knowledge to
indicate a reason for its less prevalence in earlier years, at least not
to the extent indicated by the statistics, it may be that its increase
is, after all, more apparent than real. The fact, moreover, that in the
series of recent years a marked increase is found in some schools, but
a marked decline in others, may perhaps be taken to mean that at present
meningitis may be on the increase only in certain sections, depending
possibly on local conditions. With the greater medical skill of to-day,
and with a larger proportion of children in the schools, it may be open
to considerable doubt if the movement of this disease is really one of
increase, though it seems that we are on the whole making no great
headway against it.
As to the minor diseases causing deafness, our statistics do not
indicate just to what extent and in what direction deafness from them is
being affected, and no precise conclusions can at present be set down.
It is probable, however, that with the increased attention to children's
diseases, as we have noted, there is really less deafness from most of
them than formerly.[40]
THE CONGENITALLY DEAF
When we come to consider the question of congenital deafness, which
comprises a little over a third of the total amount of deafness, we have
an even more difficult problem on our hands, for here we are to deal
with some of the great questions of heredity--though hereditary deafness
and congenital deafness are not altogether one and the same thing.[41]
For the purposes of our inquiry, let us think of the congenitally deaf
as divided into three great classes in respect to their family
relations: 1. the offspring of parents who were cousins; 2. the
offspring of parents who were themselves deaf or members of families in
which there are other deaf relatives; and 3. the product of families
without either consanguinity or antecedent deafness. Of these three
classes the first two only will engage our attention. Of the last,
comprising, according to the census, nine-twentieths, or 44.4 per cent,
of the congenitally deaf, there is not much that we can say. For a great
part of it there no doubt exists in the parent, or perhaps in a more
remote ancestor, some abnormal strain, physical or mental, in the nature
of disease or other defect. But in respect to such deafness we have too
little in the way of statistical data to help us arrive at any real
determination; and for it as a whole we shall have to wait till we have
greater knowledge of eugenics and the laws of heredity.[42]
THE OFFSPRING OF CONSANGUINEOUS MARRIAGES
Not all the deaf born of consanguineous marriages are congenitally deaf,
but as the majority are so, and as the fact of the parents being blood
relatives is assumed to have at least a contributing influence in the
result, we may consider the matter in this place. It is in fact closely
connected with the question of deaf relatives in general.
In the census investigations,[43] of the number who answered on this
point, 2,525, or 7.4 per cent, have parents who were cousins. Of these
cases, deafness occurred in 87 per cent before the fifth year of age,
and in 60 per cent at birth. Of all the deaf born without hearing, 13.5
per cent are the offspring of consanguineous marriages. The proportion
of those born deaf is thus nearly twice as great when the parents are
cousins as it is among the whole class of the congenitally deaf; and the
proportion is also nearly twice as great of the offspring of
consanguineous marriages among the congenitally deaf as the proportion
of the deaf from such marriages among the total number of the deaf.
Moreover, 55.0 per cent of the offspring of cousin-marriages have deaf
relatives of some kind, and of the congenitally deaf from
cousin-marriages, 65.6 per cent have deaf relatives; while the
respective proportions when the parents are not cousins are 25.5 per
cent and 40.7 per cent--in the one case less than half, and in the other
two-thirds, as great.
Further statistics bear out the findings of the census. Dr. E. A. Fay in
his "Marriages of the Deaf"[44]--a work we are soon to notice--finds
that, though consanguineous marriages form only about one per cent of
the total number considered, 30.0 per cent of the children of deaf
parents who are cousins are deaf, and that 45.1 per cent of such
marriages result in deaf offspring; but that when the parents are not
cousins, the respective proportions are 8.3 per cent and 9.3 per
cent--only about a fourth and a fifth as great. In the Colorado School,
out of 567 pupils in attendance from the beginning to 1912, in 17, or 3
per cent, the parents were related before marriage. In the Kentucky
School, out of 83 pupils admitted in 1910 and 1911, 18, or 19.3 per
cent, and out of 42 admitted in 1912 and 1913, 8, or 19 per cent, were
the offspring of parents who were cousins. In the Iowa School, out of 62
admissions in 1911 and 1912, 4, or 6.5 per cent, and in the Maryland
School, out of a total attendance in 1911 of 135, 13, or 9.2 per cent,
had parents who were cousins.[45]
Consanguineous marriages, so far as the effect on deafness is concerned,
are not of relatively frequent occurrence. But where they do take place,
there is found a decided connection between them and deafness, the
increased tendency thus to transmit a physical abnormality being plain.
How far, however, if at all, such deafness is to be directly ascribed to
consanguineous marriages, is a matter for question. The main
consideration seems to be that in such marriages the chances are at
least doubled of the offspring acquiring the characteristics of the
parents; and that in them the liability is thus proportionately enhanced
of transmitting deafness.[46]
THE DEAF HAVING DEAF RELATIVES
We are now to examine what traces there may be of deafness in a family
by noting what proportion of the deaf have deaf relatives, and are to
attempt to see what may be its bearings upon the question of heredity.
In the census investigations,[47] we find that out of 34,780 deaf
persons who answered, there are 10,033, or 28.8 per cent, who have deaf
relatives of some kind, direct or collateral, 8,170, or 23.5 per cent,
having deaf brothers, sisters or ancestors. In all of these we can
without difficulty discover the influence of heredity. In the
congenitally deaf the trace of a physical defect is even more clearly
indicated. Of these 40.1 per cent have deaf brothers, sisters or
ancestors, and 46.2 per cent have also deaf uncles, cousins, etc.[48]
It is thus evident that there are certain families in society deeply
tinged with deafness, that it sometimes passes from parent to child,
from generation to generation, and that like a cloud it hangs over a
section of the race.
THE OFFSPRING OF DEAF PARENTS
All this argument leads up to one most pertinent question: Are the
statistics which we have indicative that this deafness which passes so
remorselessly in certain families will be found all the stronger in the
children of deaf parents? Have we ground to believe or fear that this
deafness will crop out far more surely than in the children of parents
not deaf? And can we determine to what extent possibilities are
increased of the offspring of deaf parents being likewise deaf?
Let us now consider the statistics which we have in this matter, first
examining the results of the census investigation.[49] Of the 8,022
married deaf persons for whom statements are made, we find that there
are 190 who have deaf offspring, or 2.4 per cent. Of the 4,116 deaf
persons who are married to deaf persons, 137 have deaf children, or 3.3
per cent; and of the 3,906 deaf persons married to hearing persons, 53
have deaf children, or 1.4 per cent. Of the married deaf having deaf
children, 52.5 per cent have deaf relatives of some kind, and 54.7 per
cent are congenitally deaf, the proportion of those having deaf
relatives who are also congenitally deaf being 66.7 per cent. Of the
deaf married to hearing partners, who have deaf children, 26.4 per cent
are congenitally deaf, while 50.9 per cent of the partners in such
marriages have deaf relatives of some kind.
From the census statistics, then, it appears that the married deaf as a
class do not have a large proportion of deaf children, and that this
proportion is only a little more than twice as great when the deaf are
married to the deaf as when they are married to the hearing. It appears
also, however, that when there are deaf relatives involved in either
kind of marriages, or when there is congenital deafness in the deaf
parent, the effect is quite marked in the offspring.
Besides the census returns, we have the statistics presented in the
reports of certain schools, which are found to point, as far as they go,
to the same conclusions. In the Kentucky School, out of 83 pupils
admitted in 1910 and 1911, there were none the children of deaf parents,
though 35, or 30.1 per cent, had deaf relatives; and out of 42 admitted
in 1912 and 1913, there were 2, or 4.8 per cent, the children of deaf
parents, and 12, or 28.8 per cent, with deaf relatives. In the Iowa
School, out of 62 admissions in 1911 and 1912, 4, or 6.5 per cent, had
deaf parents, and 21, or 33.9 per cent, "defective" relatives. In the
Michigan School, with an annual enrollment of some three hundred, there
were from 1903 to 1908 but three children of deaf parents.[50] In the
Colorado School, out of a total attendance since its founding to 1912 of
567, 3, or 0.57 per cent, were the children of deaf parents, though 83,
or 14.6 per cent, had deaf relatives. In the Missouri School, out of a
similar attendance to 1912 of 2,174 there were 52, or 2.4 per cent, with
deaf parents, though there were 235, or 10.8 per cent, with deaf
relatives.[51]
The most exhaustive study of the question of the liability of the deaf
to deaf offspring is that of Dr. E. A. Fay in his "Marriages of the
Deaf"--covering the majority of the marriages of the deaf in America at
the time it was made (1898).[52] Statistical information is presented
for 7,227 deaf persons and for 3,078 marriages with either deaf or
hearing partners.[53] In the following table are summarized the results
of this investigation.[54]
MARRIAGES OF DEAF PERSONS
NUMBER OF NUMBER OF
MARRIAGES CHILDREN
---------------------------------+------+---------+-----+------+----+-----
Partners in Marriage |Total |Resulting|Per |Total |Deaf|Per
| |in deaf |cent | | |cent
| |children | | | |
---------------------------------+------+---------+-----+------+----+-----
One or both deaf | 3,078| 300| 9.7| 6,782| 588| 8.6
| | | | | |
Both deaf | 2,377| 220| 9.2| 5,072| 429| 8.4
One deaf, other hearing | 599| 75| 12.5| 1,532| 151| 9.8
| | | | | |
One or both congenitally deaf | 1,477| 194| 13.1| 3,401| 413| 12.1
One or both adventitiously deaf | 2,212| 124| 5.6| 4,701| 199| 4.2
| | | | | |
Both congenitally deaf | 335| 83| 24.7| 779| 202| 25.9
One congenitally, other | | | | | |
adventitiously deaf | 814| 66| 8.1| 1,820| 119| 6.5
Both adventitiously deaf | 845| 30| 3.5| 1,720| 40| 2.3
| | | | | |
One congenitally deaf, other | | | | | |
hearing | 191| 28| 14.6| 528| 63| 11.9
One adventitiously deaf, other | | | | | |
hearing | 310| 10| 3.2| 713| 16| 2.2
| | | | | |
Both had deaf relatives | 437| 103 | 23.5| 1,060| 222| 20.9
One had deaf relatives, other not| 541| 36 | 6.6| 1,210| 78| 6.4
Neither had deaf relatives | 471| 11 | 2.3| 1,044| 13| 1.2
| | | | | |
_Both congenitally deaf_ | | | | | |
Both had deaf relatives | 172| 49 | 28.4| 429| 130| 30.3
One had deaf relatives, other not| 49| 8 | 16.3| 105| 21| 20.0
Neither had deaf relatives | 14| 1 | 7.1| 24| 1| 4.1
| | | | | |
_Both adventitiously deaf_ | | | | | |
Both had deaf relatives | 57| 10 | 17.5| 114| 11| 9.6
One had deaf relatives, other not| 167| 7 | 4.1| 357| 10| 2.8
Neither had deaf relatives | 284| 2 | 0.7| 550| 2| 0.3
| | | | | |
Partners consanguineous | 31| 14 | 45.1| 100| 30| 30.0
It is thus seen that 9.7 per cent of the marriages of the deaf result in
deaf offspring, and that 8.6 per cent of the children born of them are
deaf--proportions far greater than for the the population generally.[55]
A striking fact to be noted, however, is that these proportions are
greater when one parent is deaf and the other hearing than when both are
deaf. The percentage of marriages resulting in deaf offspring when only
one parent is deaf is 12.5, and when both are deaf, 9.2; while the
percentage of deaf children born of them when only one parent is deaf is
9.8, and when both are deaf, 8.4. This is apparently a very strange
result, though it probably may be accounted for in some part on the
theory that it is not so much deafness itself that is inherited, but
rather an abnormality of the auditory organs, or a tendency to disease,
of which deafness is a result or symptom, and that with different
pathological conditions in the parent there is less likelihood of
deafness resulting.
The most significant part of the results seems to be found, as before,
in respect to whether or not deaf parents are themselves congenitally
deaf or have deaf relatives. On the one hand, when one or both of the
parents are adventitiously deaf, the percentage of marriages resulting
in deaf children is 5.6, and the percentage of deaf children is 4.2;
when both parents are so, the percentages are lower: 3.5 and 2.3. The
percentages rise when one parent is adventitiously deaf, and the other
congenitally: 8.1 and 6.5. In respect to deaf relatives of parents, the
percentages are very low when neither has such relatives: 2.3 and 1.2.
The lowest percentages of all are in the case where both parents are
adventitiously deaf and neither has deaf relatives: 0.7 and 0.3.
On the other hand, we find the proportion of marriages resulting in deaf
offspring and the proportion of deaf children much greater when there is
congenital deafness in one or both parents, when one or both have deaf
relatives, and greatest of all when these influences are combined. When
one or both parents are congenitally deaf, the percentage of marriages
resulting in deaf offspring is 13.1, and the percentage of deaf children
is 12.1; when both parents are so, the percentages are doubled: 24.7 and
25.9. When one parent has deaf relatives and the other has not, the
percentages are 6.6 and 6.4; when both have, the percentages are nearly
four times as great: 23.5 and 20.9. When both parents are congenitally
deaf but neither has deaf relatives, the percentages are 7.1 and 4.1.
When both are adventitiously deaf and both have deaf relatives, the
percentages are 17.5 and 9.6. When both are congenitally deaf and one
has deaf relatives, the percentages are 16.3 and 20.0; and when both
have deaf relatives, the percentages are 28.4 and 30.3.
The evidence is very strong, then, with regard to the form of deafness
and the presence or absence of deaf relatives. In cases where the
parents are not congenitally deaf and have no deaf relatives, the
proportion of deaf children is very low. When one or both parents are
congenitally deaf or have deaf relatives--when the deafness is inherited
or in the family--the likelihood becomes far greater, and greater still
when the two influences are in conjunction. In general, in respect to
the influences of heredity upon deafness, the main determinants seem to
be found in the existence in the parties, whether hearing or deaf, of
deaf relatives, and, to a less extent, in the existence in parties who
are deaf of congenital deafness.
POSSIBLE ACTION FOR THE PREVENTION OF CONGENITAL DEAFNESS
We come now to the consideration of the question of possible action for
the prevention of congenital deafness. This examination naturally
centers about the matter of the regulation of marriage, with due
attention to the extent that action on the part of the state is to be
regarded as desirable or feasible.
We have seen that congenital deafness may, hypothetically, be divided
into three distinguishable classes: that in which consanguineous
marriages are concerned, that in which there is antecedent deafness in
the family, and that in which neither of these conditions occurs; and
in our inquiry it has seemed best to take up each of these separately.
It may be, however, that there is in fact no very radical difference
between these several forms, and that with increased knowledge on the
subject a more or less intimate relation will be found to exist.
Of that form of deafness in which neither consanguineous marriages nor
antecedent deafness is involved, we are at present, as we have noted,
able to say little definitely. In most cases we may be convinced that
there exists in the parent some peculiar state of morbidity or other
affection, latent or manifest, perhaps to some extent of hereditary
influence, which has an effect on the organs of hearing of the
offspring. A certain proportion is quite possibly due to recognizable
defects both of physical and mental character. Our statistical evidence,
however, in respect to this form of congenital deafness is too slight to
warrant any positive deductions; and we will have to wait for further
investigation to determine its nature fully. None the less, marriage of
persons known to be liable to have ill effect on possible offspring is
objectionable for not a few reasons, from the standpoint of the
interests of society; and in their reduction there will probably be a
greater or less diminution of congenital deafness.
With regard to consanguineous marriages and their effect on deafness we
are on surer ground, so far as may be indicated by statistical data.
This question is found in very great measure to be connected with that
of deaf relatives in general. The matter appears to be largely a part of
a law of wide application, namely, that in the blood relationship of
parents the possibilities are intensified of the perpetuation of a
certain strain, which holds true no less with the transmission of
deafness. Consanguineous marriages are perhaps not of sufficiently
frequent occurrence, so far as concerns the effect on deafness, to
require special action; but in the consideration of such marriages in
general, their part in the causation of deafness should have due weight;
and whatever may be said regarding them in other relations, they are to
be avoided if we wish to remove all chances of this kind of deafness
resulting.
The problem of deaf relatives and their connection with congenital
deafness is a very large one. Attention however, has mostly been focused
upon it in relation to the intermarriage of the deaf and its effect upon
their offspring. Indeed, in such unions there has already been more or
less concern, and there has even been question whether it is a wise or
unwise policy to allow the deaf to marry other deaf persons. The deaf,
as we shall discover, not only find their companions for social
intercourse among similar deaf persons, but _a fortiori_ very often seek
such persons for their partners in marriage--in fact, more often than
they do hearing partners, nearly three-fourths of the married deaf being
married to deaf partners.[56] Not only has it been feared that the
offspring of such marriages might likewise be deaf, but there has also
been apprehension lest in their encouragement there might result a deaf
species of the race.[57]
From our discussion, however, we have found that in most of the
marriages of the deaf we have but small reason for disquiet. If deafness
in the parent is really adventitious, there is little possibility of its
passing on to the offspring. When the deafness in the parent is itself
congenital, the situation becomes more serious. If in such case there is
no added risk from the existence of deaf relatives, the likelihood of
transmitting deafness need not always be a matter of deep concern,
though the hazard is materially larger than for adventitious deafness.
When there are deaf relatives involved, the peril, made stronger if
coupled with congenital deafness, is most pronounced; and, indeed, the
existence of collateral deafness seems a more certain sign of warning
than direct heredity itself. Finally, even in the marriage of the deaf
with the hearing, the dangers are not in fact lessened if conditions
otherwise unchanged are attendant.
What action should be taken in respect to that part of the deaf who may
marry under conditions favorable to the production of deaf offspring is
not at present clear. Legislation would not appear on the whole to be
advisable;[58] and the exertion of moral suasion, so far as possible, in
the individual cases concerned would seem a more acceptable course. The
matter, however, really belongs in the province of eugenics, and we will
probably do best to await the authoritative pronouncement of its
decrees before full procedure is resolved upon.
CONGENITAL DEAFNESS AS AN INCREASING OR DECREASING PHENOMENON
The final matter to be ascertained in respect to congenital deafness is
whether it is relatively increasing or decreasing. The following table
will show the number of the congenitally deaf in the censuses of 1880,
1890, and 1900, with their respective percentages and the ratios per
million of population.[59]
NUMBER OF THE CONGENITALLY DEAF IN 1880, 1890, AND 1900
RATIO PER
TOTAL CONGENITALLY PER MILLION OF
NUMBER DEAF CENT POPULATION
1880 33,878 12,155 35.6 242
1890 40,562 16,866 41.2 269
1900 37,426 12,609 33.7 166
From this it appears that congenital deafness is decreasing both in
relation to all deafness, and to the general population.
For further statistics, we may revert to our tables under adventitious
deafness. In the tables relating to periods of successive recent years
we find in respect to three schools, the New York and Western
Pennsylvania institutions and the Maryland School, with certain
fluctuations, no great change on the whole, though the last named school
shows still a very high proportion. In two schools, the Michigan and
Wisconsin, rather an increase is observed. In the Pennsylvania
Institution, which covers a period of seventy years, there is a decrease
from over 50 per cent to less than 40.
A better test perhaps lies in the comparison of the proportions found
for congenital deafness in the tables relating to periods widely
separated in time. In these an increase is seen in the single case of
the Ohio School; while a decrease is apparent in three, namely, the
American and Iowa schools and the New York Institution. These decreases
in percentages are respectively from 44.8 and 50.1 to 35.2; from 37.2
to 26.9; and from 42.9 to 38.0.[60]
From the evidence that we have, then, taken together, it seems
reasonable to conclude that congenital deafness is, though slowly,
becoming less in the course of the years.
CONCLUSIONS WITH RESPECT TO THE ELIMINATION OR PREVENTION OF DEAFNESS
Most of what has been said in this chapter with respect to the
elimination or prevention of deafness may be summed up as follows:
1. There are two kinds of deafness--adventitious and congenital. Of the
total number of cases adventitious deafness comprises nearly two-thirds,
and congenital deafness a little over one-third.
2. Nearly all adventitious deafness is caused by some disease of infancy
or childhood attacking the middle or internal ear, a large part being of
infectious character. The two chief diseases causing such deafness are
scarlet fever and meningitis, with a less amount from brain fever,
typhoid fever, measles, catarrh, diphtheria, whooping cough, etc.
3. A considerable part of this deafness is preventable under enlightened
action. Medical science is principally in control of the situation, but
there is also much that can be done in general measures for the
protection of the health. In attacking the problem, the most immediate
practical program lies in the arrest of those diseases, especially
infantile and infectious diseases, that cause deafness.
4. Our evidence is incomplete to determine definitely whether
adventitious deafness is increasing or decreasing relatively among the
population; but it is hardly other than likely that it is decreasing.
Although certain diseases producing deafness fail to show any extensive
signs of abatement, there are other diseases from which there can be
little doubt that deafness is decreasing.
5. In the outlook there is, on the whole, promise, both in respect to
the treatment of deafness itself and of the diseases that lead to
deafness, though it cannot be said in any sense that any large or
general relief is at present in sight.
6. Of congenital deafness nearly half occurs in families often without
any positively known strain to indicate a predisposition to deafness.
Though concerning this deafness little in the present state of our
knowledge can be predicated, it is likely that with measures to secure
a race sound in all particulars there will be a reduction to a greater
or less extent of such deafness.
7. Consanguineous marriages do not take place, so far as deafness as an
effect is concerned, to any great extent; though where they do the
consequences are very marked. Their relation to deafness consists
apparently for the greatest part in the fact that the chances of its
transmission are thereby intensified, there being also a very strong
connection with the question of deaf relatives in general.
8. There are a certain number of families in society deeply tainted with
deafness, in evidence both lineally and collaterally, and this deafness
may be transmitted from parent to offspring.
9. Children of deaf parents are far more likely to be deaf than children
of hearing parents.
10. The great majority of the children of deaf parents, however, are
able to hear, the proportion of those who are not being small.
11. The likelihood of deaf offspring is not necessarily greater when
both parents are deaf than when one is deaf and the other hearing.
12. The liability to deaf offspring depends in the greatest degree upon
the presence or absence in the parents, deaf or hearing, of deaf
relatives, and, to a less extent, upon whether or not the existing
deafness is congenital--being especially great under a combination of
these two conditions.
13. Action in respect to marriages of the deaf likely to result in deaf
offspring seems for the present rather to be limited to moral forces.
14. Congenital deafness appears, from all the evidence, to be decreasing
relatively among the population, though probably only at a very slow
rate.
15. Finally, with respect to our original inquiry, it is to be said that
there are no indications that deafness will disappear from the human
race within any time which we can measure; and hence that the deaf are
to be in society not only for a season, but for a period apparently as
yet indefinite. Nevertheless the situation is not without encouragement.
From the data in our possession regarding deafness as a whole, it seems
certain that deafness is not on the increase relatively among the
population. From our knowledge concerning adventitious deafness, the
probabilities are that, if anything, it is decreasing; while the
evidence as to congenital deafness is that it is decreasing. It is
likely, then, that deafness in general is tending to decrease; and we
are thus justified in believing that the number of the deaf will in time
become less.
FOOTNOTES:
[15] Moreover, later censuses are probably taken more thoroughly than
former, with a consequent discovery of a larger number of the deaf;
while at the same time greater care is employed in preparing the later
censuses, with the more rigorous elimination of doubtful cases, all in
some measure, however, tending to even up the differences. On the
difficulty of making comparisons of the censuses of the deaf, see
Special Reports, pp. 66-69; _Annals_, li., 1906, p. 487.
[16] _Ibid._
[17] Deafness has also been divided into three classes: adventitious
deafness, congenital or hereditary deafness, and infantile or sporadic
congenital deafness, the last class including many cases where there are
other antecedent defects, mental or physical, or where the deafness
occurred shortly after birth with the exact cause not definitely
determined. See Proceedings of International Otological Congress, ix.,
1913, p. 49; _Volta Review_, xiv., 1912, p. 348; xv., 1913, p. 209.
[18] Of the cases usually ascribed to accidents, as falls, blows and the
like, the probabilities are that a large part are really to be
attributed to some other cause. Deafness is not often likely to result
from such occurrences.
[19] See Proceedings of International Otological Congress, ix., 1913, p.
49; _Volta Review_, xiv., 1912, p. 348.
[20] Special Reports, pp. 110, 122, 124. See also _Annals_, xxxiii.,
1888, p. 199; lii., 1907, p. 168. In the table are given only the
specified causes that represent at least 0.7 per cent of the total
amount of deafness. In respect to external ear trouble, impacted cerumen
is usually found to result from water in the ear, or wax in the ear.
Other diseases of the middle ear of suppurative character are
diphtheria, pneumonia, erysipelas, smallpox, tonsilitis, teething,
bronchitis, and consumption. Other non-suppurative diseases of the
middle ear are whooping cough, scrofula, exposure and cold, disease of
the throat, thickening of eardrum, croup, etc. Of the internal ear,
other causes affecting the labyrinth are malformation, noise and
concussion, mumps, and syphilis; affecting the nerve, paralysis,
convulsions, sunstroke, congestion of brain, and disease of nervous
system; and affecting brain center, hydrocephalus and epilepsy. Among
unclassified causes are also adduced neuralgia, childbirth, accident,
medicine, heat, rheumatism, head-ache, fright or shock, overwork,
lightning, diarrhea, chicken-pox, operation, and other causes.
[21] Proceedings of National Conference of Charities and Corrections,
1906, p. 250; Ceremonies of Laying of Corner Stone of Rhode Island
School, 1907, p. 27.
[22] There are no general or organized movements on foot for the
prevention of deafness as there are for the prevention of blindness.
This is perhaps chiefly because there are believed to be nothing like so
many preventable cases of the one as of the other, so much of blindness
being due to diseases that might have been avoided without great
difficulty, and to accidents and other injuries to the eye.
[23] It has been estimated that three-fourths of deafness from primary
ear diseases, and one-half from infectious diseases, is preventable. See
Proceedings of International Otological Congress, _loc. cit._; _Volta
Review_, xiv., 1912, pp. 251, 348.
[24] Proceedings, 1903, p. 1036.
[25] _Volta Review_, xv., 1913, p. 136. See also _ibid._, v., 1903, p.
415; _Outlook_, civ., 1913, p. 997.
[26] See _Medical and Surgical Monitor_, vii., 1904, p. 47; _New York
Medical Journal_, lxxxiii., 1906, p. 816; _Annals_, lv., 1910, p. 192;
_Volta Review_, xiii., 1911, p. 332.
[27] The possibilities, for instance, in the use of antitoxins and
vaccines in certain diseases are just beginning to be known, and some
results as affect deafness may be expected from such operations.
[28] In 1909 a special committee in regard to the prevention of deafness
was created by the Otological Section of the American Medical
Association, and in 1910 both by the American Laryngological,
Rhinological and Otological Society and by the American Otological
Society. See _Laryngoscope_, xx., 1910, pp. 596-665; _Volta Review_,
xii., 1910, pp. 267, 545.
[29] Laws, 1906, ch. 502.
[30] On the possibilities of the prevention of adventitious deafness,
see Dr. J. K. Love, "Deaf-Mutism", 1896; Archives of Otology, xxiv.,
1895, p. 50; _Journal of American Medical Association_, liii., 1909, p.
89; _New York Medical Journal_, l., 1889, p. 205; lxxxix., 1909, p.
1007; xcv., 1912, p. 1189; _New York State Journal of Medicine_, xii.,
1912, p. 690ff.; _Maryland Medical Journal_, lv., 1912, p. 33;
_Pediatrics_, xxiv., 1912, p. 335; _Popular Science Monthly_, xlii.,
1892, p. 211; "Progress in Amelioration of Certain Forms of Deafness and
Impaired Hearing," Proceedings of American Association to Promote the
Teaching of Speech to the Deaf, iv., 1894; _Annals_, xxxiv., 1889, p.
199; lvi., 1911, p. 211; lviii., 1913, p. 131; _Volta Review_, xii.,
1910, p. 143; xv., 1913, p. 303; New York _Times_, April 6, 1913; Public
School Health Bulletin, Eyes and Ears, by Superintendent of Public
Instruction of North Carolina, 1910.
[31] Census Reports, 1880. Report on Defective, Dependent and Delinquent
Classes of the Population of the United States, 1888, p. 402ff.; Census
Reports, 1890. Report on Insane, Feeble-minded, Deaf and Dumb and Blind,
1895, pp. 108ff., 648; Special Reports, 1906, p. 122.
[32] _Ibid._
[33] Probably with the "fevers" the proportion would be larger.
[34] Less than 0.7 per cent.
[35] Probably included with certain of the suppurative diseases.
[36] Not a large number of schools, it is greatly to be regretted, give,
regularly and over an extended period of time, such information in
statistical form and upon the same basis from year to year.
[37] Total attendance.
[38] These tables are based upon statistics given in the reports of the
schools, and given in _Annals_, vi., 1854, p. 237; xv., 1870, p. 113;
xvii., 1872, p. 167.
[39] One case reported.
[40] Letters of inquiry as to whether or not "total" deafness appeared
to be decreasing were sent by the writer to the professors of diseases
of the ear of the medical schools of Johns Hopkins University,
University of Pennsylvania, Columbia University, Cornell University,
Harvard University, University of Chicago, Northwestern University,
University of Michigan, and the Jefferson Medical College of
Philadelphia. The opinion of four of these is that such deafness is
clearly decreasing; of three that little or no decrease is apparent;
while by two no opinion can be vouched yet. The greatest encouragement
is found in respect to treatment for middle ear affections and
infections from fevers. By Dr. S. MacCuen Smith, of the Jefferson
Medical College, it is believed that there is a decrease, "largely due
to the fact that not only the general medical profession, but the public
at large, are recognizing the importance of having the minor aural
lesions promptly and properly cared for. This being the case, it is no
longer possible for children in the public schools to continue their
studies when suffering from diseased tonsils and enlarged adenoid
vegetations. From this cause alone, many cases of impairment of hearing
which usually occur later in life will be prevented in the future". By
Dr. E. A. Crockett, of Harvard University, it is believed that, although
there is a larger amount of deafness from measles, there is less, not
only from scarlet fever, but also from chronic suppurations, from
adenoid and throat troubles in general, and even from meningitis, owing
to the use of serums. Regarding his own observations, within a period of
twenty-five years "the number of extremely deaf persons and deaf-mutes
has very materially diminished".
[41] Hereditary deafness is sometimes of a kind that manifests itself
some years after birth, often with certain relatives similarly affected.
This is especially true of catarrhal and middle ear affections, though
their results may more often be partial rather than total deafness.
[42] In a part of such deafness, and also in a portion of that occurring
shortly after birth, the cause is said to be syphilis. See Proceedings
of International Otological Congress, ix., 1913, p. 49; _Volta Review_,
xiv., 1912, p. 348; xv., 1913, p. 209.
[43] Special Reports, pp. 125, 236. There were 3,341 who failed to
answer, and if all had made reply, our percentage would probably be
higher yet.
[44] P. 108.
[45] In the Louisiana School 10 per cent of the pupils are said to have
parents who were blood relatives; in the Illinois, 5 per cent; and in
the Kansas, from 5 to 5.5 per cent. Report of Louisiana School, 1906, p.
17. See also Transactions of American Medical Association, xi., 1858,
pp. 321-425; Proceedings of Conference of Principals, iii., 1876, p.
204; _Annals_, xxii., 1877, p. 242.
[46] On this subject, see Francis Galton. "Natural Inheritance", 1889,
p. 132ff. See also G. B. L. Arner, "Consanguineous Marriages", 1908, p.
65ff.; C. B. Davenport, "Heredity in Relation to Eugenics", 1911, p.
124ff.
[47] Special Reports, pp. 128, 235, and _passim_.
[48] These proportions are further indicated in the succeeding section.
[49] Special Reports, p. 135ff.
[50] Report, 1908, p. 31.
[51] Out of 107 children born to former pupils of the Minnesota School
up to 1892, 2, or 1.9 per cent, were deaf. Report, 1892, p. 39. Out of
811 children born to former pupils of the American School up to 1891,
105, or 12.9 per cent, were deaf. Report, 1891, p. 20.
[52] The study had been originally planned by Dr. F. H. Wines for the
_International Record of Charities and Corrections_. See issue for
October, 1888. The work was published by the Volta Bureau. For a
discussion of the results, see _Association Review_, ii., 1900, p. 178;
Publications of American Statistical Association, vi., 1899, p. 353;
_Biometrika_ (London), iv., 1904-5, p. 465. See also charts in current
numbers of _Volta Review_.
[53] From the total number of marriages, 974 were deducted, being cases
concerning the offspring of which no information could be obtained, and
also 434 cases where there were no offspring.
[54] From p. 134. It has also been computed by Dr. Fay from his data
that of 5,455 married deaf persons, 300, or 5.5 per cent, have deaf
offspring. _Annals_, lii., 1907, p. 253.
[55] The proportions for the general population are hardly over 0.3 per
cent and 0.05 per cent respectively.
[56] The proportion of the married deaf who are married to deaf partners
is found by Dr. Fay to be 72.5 per cent, and of those married to hearing
partners, 20 per cent, there being no information for the remaining 7.5
per cent. The census returns, however, give the respective proportions
as 51.3 per cent and 48.7 per cent.
[57] See Proceedings of National Conference of Charities and
Corrections, 1879, p. 214; A. G. Bell, "The Formation of a Deaf Variety
of the Human Race", Memoirs, 1883, ii., part 4, p. 177; Proceedings of
Conference of Principals, i., 1868, p. 91; v., 1884, p. 205; A. G. Bell,
"Marriage, an Address to the Deaf", 1898; Evidence before the Royal
Commission on the Deaf, etc., 1892, ii., pp. 74-129; _Annals_, xxix.,
1884, pp. 32, 72; xxx., 1885, p. 155; xxxiii., 1888, pp. 37, 206;
_Popular Science Monthly_, xvii., 1885, p. 15; _Science_, Aug., 1890, to
March, 1891 (xvi., xvii.); _Arena_, xii., 1895, p. 130; _Association
Review_, x., 1908, p. 166; _Volta Review_, xiv., 1912, p. 184;
Proceedings of Reunion of Alumni of Wisconsin School for the Deaf, vi.,
1891, p. 46; National Association of the Deaf, iv., 1893, p. 112; ix.,
1910, p. 69; Report of Board of Charities of New York, 1911, i., p. 150.
[58] No statutory action seems ever to have been taken in the matter. In
Connecticut, however, in 1895 when a law (Laws, ch. 325) was enacted
forbidding the marriage of the feeble-minded and epileptic, a provision
respecting the congenitally deaf and blind came near being included.
_Annals_, xl., 1895, p. 310.
[59] Census Reports, 1880. Report on Defective, Dependent and Delinquent
Classes of the Population of the United States, 1888, p. 402ff.; Census
Reports, 1890. Report on Insane, Feeble-minded, Deaf and Dumb and Blind,
1895, pp. 108ff., 684; Special Reports, 1906, p. 122. The ages of the
deaf were reported less fully in 1880 than in 1890, and less fully in
1890 than in 1900; and if we take the numbers of those whose ages were
reported in these three censuses, we have the following table, showing
the proportion of the congenitally deaf.
THE CONGENITALLY DEAF ACCORDING TO NUMBERS IN WHICH AGE WAS REPORTED
NUMBER
WHOSE AGE CONGENITALLY PER
WAS REPORTED DEAF CENT
1880 22,473 12,155 54.7
1890 37,204 16,866 45.8
1900 35,479 12,609 35.3
If we assume that the proportion of the congenitally deaf to all the
deaf in each census was the same that it was among the cases in which
the age of the occurrence of deafness was reported, we have this table
to show the number of the congenitally deaf and the ratio of the deaf
among the population.
THE CONGENITALLY DEAF ACCORDING TO NUMBERS ASSUMED
ASSUMED
NUMBER OF RATIO PER
CONGENITALLY MILLION OF
DEAF POPULATION
1880 18,531 369
1890 18,375 293
1900 13,286 175
These tables are taken from _Annals_, li., 1906, p. 487.
[60] In the three schools where an increase in congenital deafness
appears to be found, namely, those of Michigan, Wisconsin and Ohio, a
partial explanation probably lies in the fact that in these states a
number of day schools have been created of late years, which are not
likely to draw congenitally deaf pupils to the extent that the
institutions do, thus leaving a larger proportion for the latter. See
also E. A. Fay, _op. cit._, p. 125.
CHAPTER III
TREATMENT OF THE DEAF BY THE STATE
GENERAL ATTITUDE OF THE LAW TOWARDS THE DEAF
After examination of the question of how long the deaf are to be an
element of the population, our discussion turns to their position at
present as an actual part of society. The first relation to be
considered is that of the state to them.
The state acts on men through the law, and in the law is represented not
only its authority, but its attitude as well towards the problems that
confront society, including the treatment of the various elements of its
population. In this chapter it is our purpose by a study of the law in
respect to the deaf to discover the attitude of the state towards them
and the treatment which it has accorded them.
Generally in ancient and even in more modern days the deaf, especially
the congenitally deaf without education, have been held in the eyes of
the law more or less as though they were an abnormal element in the
state, at times being regarded as though they were of defective minds,
and now and then being considered practically as idiots. Though there
was usually meditated no unduly harsh treatment of the deaf, they were
for the most part deemed incapable of performing the full duties of
citizenship, certain of the rights that belonged to their fellowmen were
denied to them, and they were held in considerable degree in what
amounted to legal bondage. It was only in the course of time in most
countries that the law came to look upon the deaf differently, to regard
them more as normal persons, and to grant them in greater measure the
rights of other men.[61]
In America the attention of the law has been directed to the deaf both
by legislation relating to them, and by court decisions affecting them.
In addition, in the constitutions of a number of states, as we shall
see, provision is made for institutions for the education of the deaf;
and in one state, Mississippi,[62] a provision is found exempting the
deaf from the payment of a poll tax. The law cannot be said to have
concerned itself extensively with the deaf, but the light in which they
have been viewed has been indicated fairly clearly. Judicial _dicta_ and
opinions have been of less frequency and importance than legislation,
and have rather dealt with the mental capacity of the deaf in certain
legal relations and proceedings, as in their responsibility for crimes,
the making of wills, the appointment of interpreters, etc. Legislation
itself has not often been engaged in providing for the deaf as a special
class, beyond maintaining schools for the education of the young. Where
this legislation has taken place, it may be said to be of three kinds.
First, the deaf have been regarded as mentally deficient or incapable of
certain civic acts, and discriminatory laws have been enacted. Next, the
deaf have been thought to need special consideration or protection on
the part of the state, and laws have been passed for the appointment of
guardians or otherwise for their security or benefit. The third class of
legislation is where the state bases its action upon the supposed
weakness of the deaf, their "physical disability," as it is frequently
termed, and here we have a series of what may be called negative
benefactions, designed to make less hard the way of the deaf. Such
special provision has consisted chiefly in the remission of taxes in
certain instances or of some other form of more or less direct
assistance.
LEGISLATION DISCRIMINATORY RESPECTING THE DEAF
Legislation which may be termed discriminatory in respect to the deaf
has really been of but slight extent.[63] In Georgia we find an
enactment of 1840,[64] in which the deaf were to be regarded _pro tanto_
as idiots, so far as concerned the managing of their estates, though
this was in fact intended for their protection. In New Mexico a law has
been enacted, forbidding those deaf by birth from making wills, unless
their intention is declared in writing;[65] and in Louisiana a deaf man
is incapable of acting as a witness to a testament.[66] In several
states, as New York and Massachusetts, there have been enactments in
regard to deaf-mute immigrants together with other classes who might be
likely to become a public charge, with the exaction of bond as
security.[67] In Georgia[68] there is an enactment in reference to
various itinerant concerns which might leave deaf persons, as well as
others, in the state as public charges.[69]
LEGISLATION IN PROTECTION OF THE DEAF
Legislation of the second class, where the deaf are thought to require
particular consideration or protection, has likewise been infrequent.
The first instance is an enactment of Massachusetts in 1776,[70]
relating to the appointment, on certain occasions, of guardians for the
deaf, especially those deaf "from their nativity," together with other
persons--which is probably the earliest statutory reference to the deaf
in America. A later example is an enactment in Georgia in 1818,[71] and
still in force, providing for the appointment of guardians, on somewhat
the same order as that which we have indicated, for deaf and dumb
persons incapable of managing their estates. In New Jersey in 1838[72] a
law was enacted, forbidding deaf persons under seventeen years of age to
be bound out as apprentices. In Ohio a statute also of 1838[73] provided
for guardians for the deaf, and several modern statutes are somewhat of
this nature. In Maine the deaf cannot be sent to the reform school.[74]
In Arkansas[75] and Missouri[76] it is provided that the court may
appoint guardians for deaf persons from fourteen to twenty-one years of
age in case of the death of a parent. Of somewhat different character,
but still for the protection of the deaf, is the enactment in several
states, as Wisconsin[77] and Virginia,[78] where injury or abuse of the
deaf is made a matter of special attention in the law.
LEGISLATION IN AID OF THE DEAF
Examples of legislation designed to be of material aid to the deaf are
rather more common, the chief of which, as we have noted, is the
exemption from the payment of some personal or property tax.[79] Thus in
Missouri we find a statute of 1843[80] allowing a deaf man to be exempt
from the poll tax and the tax on property up to $300. Indiana in
1848[81] exempted its deaf and blind citizens from a poll tax and a
property tax up to $500. Mississippi[82] exempted these classes from the
road duty in 1878, and two years later from the poll tax as well, this
exemption being incorporated in the state constitution, as we have seen.
Tennessee[83] in 1895 also exempted from the poll tax the deaf, the
blind and those incapable of labor. In Pennsylvania legislation seems to
have gone the furthest in its desire to be of material help to the deaf,
for here we find the deaf with the blind exempted from the penalties
which usually apply to tramps.[84] Such are instances of this form of
legislation, but similar legislation has been enacted in other states.
Very rare are instances where the state makes special provision for the
care of, or extends special poor relief to, any of its deaf population.
The chief example seems to be the action of some of the New England
states with their so-called "missions for the deaf." These are
associations, composed in great part of the deaf and engaged in various
forms of mission work, and to them state funds are granted to aid the
aged, infirm and helpless deaf. By this plan Maine is said to have been
without a deaf-mute pauper in ten years. The amounts allowed, however,
for this purpose are not large, being $200 a year in Maine and $150 in
New Hampshire.[85] In Ohio the counties are allowed to contract with
private homes for the maintenance of the aged and infirm deaf--there
being but one such in the state, that supported by the deaf
themselves--and the state board of charities is given power to remove
deaf persons thereto from the county infirmaries.[86]
Instances are likewise rare where the state makes a distinct
appropriation of money for the benefit of the deaf other than for
schools. We have one instance in New York where the state for a certain
number of years allowed a small sum to the publishers of a paper for the
benefit of poor deaf-mutes.[87]
As a last species of legislation in aid of the deaf, we have a single
enactment of quite different character from that which we have hitherto
found, and of later appearance. This is the law enacted in Minnesota in
1913,[88] which provides for a division for the deaf in the state bureau
of labor. Its duties are to
Collect statistics of the deaf, ascertain what trades or occupations
are most suitable for them and best adapted to promote their
interests, ... use [its] best efforts to aid them in securing such
employment as they may be best fitted to engage in, keep a census
and obtain facts, information and statistics as to their condition
in life with a view to the betterment of their lot, and endeavor to
obtain statistics and information of the conditions of labor and
employment and education in other states with a view to promoting
the general welfare of the deaf in this state.
Such legislation may prove highly beneficial to the deaf, not only in
rendering very desirable aid to them, but also in offering means of
learning very important facts as to their condition.
TENOR OF COURT DECISIONS AFFECTING THE DEAF
The opinions of the courts of law in regard to the deaf have, as we have
noted, rather revolved upon the mental capacity of the deaf in certain
proceedings, and upon their competence in certain legal relations. These
judicial expressions have in the main referred to four relations of the
deaf in the law: 1. in their responsibility for crime; 2. in acting as
witnesses; 3. in requiring guardians; and 4. in the making of wills and
contracts generally.
As to the responsibility of the deaf man for his misdeeds, there has
been in times past more or less presumption against it, especially if he
were born deaf and were without education; but to-day he is quite
generally held fully answerable for his crimes and misdemeanors, and his
deafness cannot mitigate his punishment.[89] As a witness, the deaf man
under proper circumstances is now allowed to appear without hindrance
before virtually any court.[90] As to special guardians, these will be
accorded the deaf when there appears sufficient need, though there is
less of this than formerly.[91] With respect to the testamentary
capacity of the deaf, we find that in times past the deaf were often
said to be more or less incapable of making wills, though this
presumption could always be overcome. Naturally their wills were
subjected to considerable scrutiny for the purpose of preventing fraud;
but if written and apparently genuine, they could usually stand. To-day
the deaf are practically everywhere held to be quite capable in this
respect, and probably nowhere would a will be set aside for reason of
the deafness of the testator alone. Likewise the deaf are now generally
held capable of entering into all contractual relations.[92]
PRESENT TREND OF THE LAW IN RESPECT TO THE DEAF
In most of the statutes and decisions to which we have referred there
appears a distinct trend towards treating the deaf quite as normal
persons, and the tendency may be considered to be general to-day to hold
them very much as other citizens. The greater part of all the special
legislation has ceased of late years, and it is seldom now that a
particular enactment is placed upon the statute books. Where such does
occur, it arises chiefly where some peculiar protection of the deaf has
been felt to be needed. Discriminatory legislation has practically
disappeared, as has also beneficial legislation of the old sort, the
only kind likely to be enacted in the future being along the new lines
pointed out.
In judicial proceedings likewise particular usage in respect to the deaf
has almost entirely passed away, and the deaf to-day receive little
distinctive treatment. Practically the sole special consideration now
accorded them is in the procurement of interpreters for proper
occasions. On the whole, then, the present attitude of the law may be
said to be to regard the deaf more and more fully as citizens, to allow
them all the rights and duties of such, and to consider them in little
need of particular aid or attention.[93]
FOOTNOTES:
[61] The legal treatment of the deaf, however, in past times has not
been as severe as has been often supposed. Both the Justinian Code and
the Civil Law, as well as the Common Law, granted a number of rights to
the deaf, these being in some cases as far as the policy of the law
would permit. In a few instances a not unsympathetic attitude was
displayed towards them. In the early Roman law and in some other systems
word of mouth was necessary to accomplish certain legal acts, and this
of course bore hardly upon the deaf. In all cases it was the deaf-mute
from birth who suffered most. On this subject, see A. C. Gaw, "The Legal
Status of the Deaf," 1907; H. P. Peet, "Legal Rights and
Responsibilities of the Deaf," 1857 (Proceedings of Convention of
American Instructors, iv., p. 17).
[62] Constitution, 1890, sec. 243. The blind are also included in the
exemption.
[63] In New York we find an early reference to the deaf in the rules
adopted in 1761 by the state assembly regarding suffrage qualifications
in the election of its own members, one of which rules declared that "no
man deaf and dumb from his nativity has a vote," though this may have
been partly due to the fact that nearly all voting then was _viva voce_.
William Smith, "History of the Late Province of New York," 1830, ii., p.
358.
[64] Laws, p. 110. A Kentucky statute refers to "idiots and those by
speech or sign incapable" of understanding (Stat., 1894, Sec. 2149), but
the deaf may not necessarily be included.
[65] Cod. Laws, 1865, ch. 3, Sec. 2; 1884, Sec. 1378.
[66] Civ. Code, 1838, Sec. 1852; 1898, Sec. 1591.
[67] In 1849 New York required the masters of ships landing in New York
City to report to the mayor what passengers were deaf, blind or insane.
Laws, ch. 350. See also Laws, 1851, ch. 523; 1881, ch. 427. See Public
Statutes of Massachusetts, 1882, p. 468. The present United States
immigration laws do not directly exclude the deaf, but they have been
thought at times to have been made to bear unduly upon them.
[68] Code, 1911, Sec. 559. The application is to "proprietors of circuses
and other migratory companies."
[69] In a few states, as California and New York, attempts have been
made to secure laws barring the deaf from licenses to run automobiles.
Such measures, however, are to be regarded less as discrimination
against the deaf than for the public safety.
[70] Laws, 1776, ch. 20.
[71] Laws, 1818, p. 342; 1840, p. 345; Code, 1911, Sec. 3089.
[72] Laws, p. 128.
[73] Laws, 1838, p. 40; 1841, p. 573.
[74] Rev. Stat., 1883, ch. 142, Sec. 2.
[75] Digest, 1894, Sec. 3571; 1904, Sec. 3760.
[76] Stat., 1872, p. 672; Rev. Stat., 1909, Sec. 407. In Kansas by opinion
of the attorney-general, the juvenile court laws do not apply to the
deaf.
[77] Gen. Stat., 1898, p. 2672. Abuse or ill-treatment of an inmate of a
state institution for the deaf, the blind and other classes may be
punished by fine or imprisonment.
[78] Laws, 1908, p. 55. It is made a misdemeanor to abduct or kidnap
inmates of "deaf and dumb and blind hospitals".
[79] In several states there are provisions in regard to the employment
of interpreters for the deaf. See Code of Georgia, 1911, Sec. 5864; Gen.
Laws of Rhode Island, 1909, Sec. 3855.
[80] Laws, p. 202.
[81] Laws, ch. 76.
[82] Laws, 1878, ch. 52; 1880, p. 20.
[83] Laws, 1895, ch. 120; Ann. Code, 1896, Sec. 686.
[84] Purdon's Digest, 1903, p. 5023. In Georgia persons deaf and blind
are expressly permitted to make wills if properly scrutinized. Code,
1911, Sec. 3844.
[85] See Laws of New Hampshire, 1895, ch. 131. This relief is here known
as the "Granite State Mission". See also _Deaf-Mutes' Journal_, Feb. 9,
1911.
[86] See Laws, 1896, p. 419; 1898, p. 212; 1900, p. 369.
[87] This seems to have been begun in 1839, and continued nearly fifty
years. See Laws, 1839, ch. 329; 1858, ch. 546; 1886, ch. 330. The sum of
$100 was first granted to the _Radii_, and later appropriations to
succeeding publications.
[88] Laws, p. 330. The law was secured by the efforts of the deaf
themselves. See _Deaf-Mutes' Journal_, May 22, 1913.
[89] See Houst. Crim. Cas. (Del.), 291; 8 Jones L. (N. C.), 136; 14
Mass., 207. This last case was one of larceny. See also I. L. Peet,
"Psychical Status and Criminal Responsibility of the Totally Uneducated
Deaf and Dumb," 1872 (_Journal of Psychological Medicine_, Jan., 1872);
_Annals_, xvii., 1872, p. 65.
[90] 37 S. W. (Tex.), 440; 118 Mo., 127; 39 S. C., 318; 1 Den. (N. Y.),
19; 23 Col., 314; 3 N. M., 134.
[91] See 16 Ohio St., 455, where a guardian was allowed; 41 N. J. Eq.,
409, where the deaf were said to be liable to guardianship.
[92] See 1 Jones Eq. (N. C.), 221. In 4 Johns. Ch., 441, a New York case
in 1820, it was said by Chancellor Kent that the deaf and dumb were
considered _prima facie_ as insane, incapable of making a will and fit
subjects for guardianship, by the civil law. The presumption was due, he
said, to the fact that "want of hearing and speech exceedingly cramps
the powers of the mind," but it was to be overcome by proof. In this
case the presumption was overruled. The implication, however, never
applied to the deaf not born so. At present there is no presumption in
connection with wills, deeds, witnessing, or guardianship. See 3 Conn.,
299; 27 Gratt. (Va.), 190; 6 Ga., 324; 3 Ired. (N. C.), 535. In the
Missouri case, quoted above, it was said: "Presumption of idiocy does
not seem to obtain in modern practice, at least not in the United
States."
[93] The deaf as a class may be said to be strongly opposed to nearly
all forms of legal treatment different from those of their
fellow-citizens. In Texas, where they have been exempted from a personal
or property tax, they have made formal protest against the exemption.
_Annals_, l., 1905, p. 263; Report of Mississippi School, 1911, p. 72.
They have, as another instance, voiced opposition to the release of
criminals on the ground of their deafness. See Proceedings of Convention
of National Association of the Deaf, ii., 1883, p. 16.
CHAPTER IV
ECONOMIC CONDITION OF THE DEAF
EXTENT TO WHICH THE DEAF ARE A WAGE-EARNING AND SELF-SUPPORTING ELEMENT
OF THE POPULATION
In the want of the sense of hearing, and with it oftentimes the faculty
of speech, the deaf are deprived of most important powers, and, it might
appear, of an essential equipment for work among men. It is not to be
denied that the deaf start out into life severely handicapped, nor can
the difficulties which they must face in meeting the world pass
unregarded.
Yet notwithstanding the particular adversity under which the deaf have
to labor, they remain in full possession of all their other physical
forces, and it may be a question whether on the whole they are to be
considered disqualified from engaging in the industrial pursuits of men.
It may be that there are occupations in which their deafness will not
prove of material consequence, and that in such fields they will be able
to enter without serious impediment. In the present chapter we shall
attempt to see how far these possibilities seem to be realized in the
actual industrial life of the community. In other words, we shall
consider what is the place of the deaf as economic factors in this
life, and how far they are independent wage-earners, at the same time
comparing their economic standing with that of the general population.
The returns of the census, covering the entire country and presenting
the results of a careful investigation, will furnish our most complete
source of information. Here[94] are reported in gainful occupations
12,678 deaf persons over ten years of age, or 38.1 per cent of the
number of the deaf over this age.[95] This is somewhat less than the
percentage for the general population, which is 50.2. Of the deaf twenty
years of age and over, however, the percentage gainfully employed is
50.1, embracing 11,670 persons. In the following table is shown the
number of the deaf over ten years of age in the five great occupations,
with the respective percentages, and also the percentages for the
general population.
GENERAL OCCUPATIONS OF THE DEAF
PER CENT
PER OF GENERAL
OCCUPATION NUMBER CENT POPULATION
Agricultural pursuits 4,761 37.5 35.7
Manufacturing and mechanical 4,583 36.1 24.4
Domestic and personal 2,395 18.9 19.2
Trade and transportation 552 4.4 16.4
Professional 387 3.1 4.3
It is seen from this that the proportions are very nearly the same for
the deaf and the general population in agricultural pursuits, domestic
and personal service, and professional service. In manufacturing and
mechanical occupations the proportion of the deaf is indeed considerably
higher. In trade and transportation, on the other hand, the proportion
for the deaf is far lower than that for the general population--a
condition to be accounted for by the very evident need of hearing in
such pursuits.
Of the deaf engaged in agricultural pursuits, 3,366, or about
three-fourths, are in a position of ownership or direction, being
farmers, planters, or overseers; 1,218 are agricultural laborers, while
75 are gardeners, florists, or nursery-men. The large number of the deaf
in professional occupations is in part explained by the fact that 206
are themselves engaged in the instruction of the deaf. Other specified
occupations where fifty or more of the deaf are employed in each are as
follows:
SPECIFIED OCCUPATIONS OF THE DEAF
Laborers not specified 1,217
Servants and waiters 712
Boot and shoemakers and repairers 559
Printers, lithographers and pressmen 382
Carpenters and joiners 371
Dressmakers 314
Seamstresses 306
Tailors 236
Painters, glaziers and varnishers 223
Launderers 210
Cigar and tobacco operators 162
Cabinet-makers 119
Merchants and dealers (retail) 115
Iron and steel workers 106
Clerks and copyists 105
Housekeepers and stewards 91
Machinists 87
Blacksmiths 84
Miners and quarrymen 81
Cotton mill operators 78
Barbers and hairdressers 74
Bakers 61
Agents 61
Artists and teachers of art 60
Harness and saddle makers and repairers 59
Draymen, hackmen, teamsters, etc. 56
Manufacturers and officials 55
Masons 52
So far, then, as appears from the findings of the United States census,
the deaf are seen to be distributed among the chief industries very
generally, and in very many of what are known as "trades" they are able
to be profitably employed. In some activities of life deafness is of
course an effectual barrier, but these are rather restricted ones. There
is but one great division of employment in which the deaf cannot enter
extensively, namely, commercial and mercantile pursuits. With these
exceptions, the deaf are found to be industrially occupied like the rest
of the community, and to be able to engage, and actually engaging, in
most of the employments of men.[96]
In respect to the general economic status of the deaf, a second source
of information, at the bottom of the scale, as it were, is to be found
in the proportion of the deaf cared for in public alms-houses. Though a
much greater proportion of the deaf are discovered here than of the
general population, the deaf do not on the whole constitute a large part
of the alms-house population of the country. In 1910 the census reported
540 deaf-mutes to be in alms-houses, or six-tenths of one per cent of
all their inmates.[97] That is to say, a little over one per cent (1.2)
of the total number of the deaf in the United States are found to-day in
alms-houses.[98]
Such is the evidence we have in respect to the economic standing of the
deaf. Yet the fact that the deaf are usually found capable of taking
care of themselves should not be, after all, a matter either of doubt or
of wonder. They are for the most part, as we have indicated, quite
"able-bodied," and but for their want of hearing are perfectly normal
in respect to "doing a job." If they are skillful and efficient, their
deafness proves comparatively little of a drawback. Another contributing
cause in the situation lies in the fact that most of the deaf have
attended the special schools provided for them, where industrial
preparation with the opportunity to learn a trade is offered and largely
availed of.[99] When they go out into the world, they may be supposed to
have an industrial equipment, which, besides taking in view their
handicap, is one in many respects fully equal to that of their hearing
fellow-laborers; and though many of the deaf, apparently the greater
number, do not follow the trade learned at school, yet there is no doubt
that the training and lessons in industry there acquired prove of
decided practical advantage.[100]
VIEWS OF THE DEAF AS TO THEIR ECONOMIC STANDING
To what extent the deaf hold themselves able to stand alongside the
general population may well be indicated by what they themselves have to
say. Of the adult deaf who have had schooling, it is claimed that
eighty-one per cent are gainfully employed;[101] and that of the adult
male deaf ninety per cent are self-supporting.[102] A large proportion
are said to be the heads of families and the possessors of homes.[103]
In respect to the conditions of their employment, including that of
wages, they are usually ready to declare that they are little different
from those of the general population, sometimes taking pains to point
out the substantial equality of the two.[104]
The views of the deaf in the whole matter of their industrial footing
may be expressed as summed up in the following resolutions, which were
reported by a special committee on industrial conditions of the deaf at
the convention of the National Association of the Deaf in 1904:[105]
1. There are few ordinary occupations in which the deaf do not or
cannot engage.
2. Employers and foremen treat deaf workmen as they do hearing
workmen.
3. Deafness is a hindrance to a great extent, but it is not such a
formidable barrier as has popularly been supposed.
4. The deaf workman usually has steady work. Those that do not
generally have only themselves to blame.
5. The deaf invariably get the same wages for the same class of work
as the hearing.
6. Employers and foremen are glad to have deaf workmen who can show
that they have the ability to do the work expected of them, and take
them on a basis equal to that of the hearing. If they are competent,
their services secure ready recognition.[106]
THE DEAF AS ALMS-SEEKERS
It might be thought that the deaf might sometimes find their infirmity a
useful means of soliciting alms from the public. But it is gratifying to
learn that very few of them ever try to make capital out of their
affliction. That a deaf man merely as such is in no wise to be
considered a special beneficiary of charity is a principle spiritedly
endorsed by nearly all the deaf themselves; and they are found to be the
last to lend encouragement to any appeals for aid from the charitably
disposed.[107]
On the other hand, it is a fact, perhaps not as widely known as it
should be, that there are persons able to hear who often pretend to be
deaf and dumb in order to work on the sensibilities of the public. To
such appeals a far more ready response is met with than should be the
case. The deaf themselves usually do what they can to prevent this, a
certain number indeed going to considerable lengths in this direction,
and not infrequently running such impostors down.[108] In nearly all the
state associations of the deaf as well as in the national organization
it is made a particular object to investigate and prosecute mendicants
simulating deafness, while in their papers a vigorous war is being
waged.[109] At the same time by many of the deaf a campaign of education
is being conducted for the enlightenment of the public. The following
resolutions, adopted by the National Association of the Deaf in 1910,
attest their feeling in the matter:[110]
_Whereas_, There is no necessity for an educated deaf person to beg
or solicit alms on account of deafness; and
_Whereas_, There are many cases of persons who are not really deaf,
but hearing people, who prey on the sympathy of the public to the
injury of the respectable and self-supporting deaf; therefore be it
_Resolved_, That it is the sense of the Association that stringent
laws should be enacted, making it a penal offense to ask pecuniary
aid on account of deafness or on pretense of being "deaf and dumb."
Only very rarely, however, has legal cognizance been taken of this evil,
though it may sometimes be included under the general charge of
"vagrancy" or "imposture." In a few states there have been special
enactments, as in New York[111] and Minnesota,[112] in the former the
impersonation of a deaf man being expressly added to the offenses that
constitute imposture, and in the latter to those that constitute
vagrancy.
HOMES FOR THE DEAF
Homes for the deaf in America have never been organized on other than a
small scale, and in the main they may be said to serve a purpose similar
to that of homes for the aged and infirm generally. Though there is
little call for such establishments to a wide extent, and though the
proportion of the deaf to be benefited by them is small,[113] yet for a
number of the deaf there is a peculiar need. These are deaf persons,
usually the old and decrepit, who are without means to support
themselves, and have no family or friends to look to for help. To them a
special retreat in association with others in similar condition proves
an immeasurable blessing, and in such their last years may be spent in
tranquillity and comparative happiness.
The object of a home for the deaf is thus given for one of them.[114]
To take care of such of the deaf of the state as are incapacitated
by reason of old age or other infirmity from taking care of
themselves, to the end that they may have the comforts of a home,
where they can associate with each other, and have the consolation
of religious services in their own language of signs, instead of
being sent to a county infirmary.
The purpose of another home is thus described:[115]
This home is unique, being the only institution of its kind in the
state, owned and controlled by the deaf, who have formed themselves
into an association, known as the Pennsylvania Society for the
Advancement of the Deaf. Like our Ohio cousins, who have already
established a similar home, we pride ourselves upon our ability to
own and control such a responsible institution. The home owes its
existence entirely to the charitable impulse of the deaf themselves,
aided by the generosity of their hearing friends. It exists because
of the desire to provide a home of rest for the infirm of our class
during their declining years, so that they may find here comfort and
happiness in congenial companionship and intelligent conversation.
At present there are five homes for the deaf.[116] They are found in the
states of Massachusetts, New York, Ohio, and Pennsylvania, there being
two in New York.[117] The first to be created was the Gallaudet Home at
Wappinger's Falls, New York, founded in 1885; the second the Ohio Home
at Westerville in 1896; the third the home of St. Elizabeth's
Industrial School in New York City in 1897; the fourth the New England
Home at Everett, Massachusetts, in 1901;[118] and the fifth the
Pennsylvania Home at Doyleston in 1902. The homes in Ohio and
Pennsylvania are owned and controlled by the societies for the deaf in
these respective states, the management being in the hands of trustees,
in the former of twenty, and in the latter of nine. The Gallaudet Home
is under the Church Mission to Deaf-Mutes of the Protestant Episcopal
Church, with the direction vested in a board of twenty-five trustees.
The home in Massachusetts is controlled by a private society organized
for the purpose, with a board of fifteen trustees in charge. The home in
New York City is a part of St. Elizabeth's Industrial School of the
Roman Catholic Church.[119]
The homes are for the most part for the deaf of restricted areas, those
in Pennsylvania and Ohio being for the deaf in these respective states.
With but one exception,[120] they are open to the "aged and infirm," in
some there being an age limitation of sixty years. The homes are in
general free to those qualified to enter, and though a charge may be
exacted from persons able to pay, this is seldom done, the homes being
intended for the destitute and friendless.
The total number of inmates in the homes is 106, ranging in different
ones from 13 to 30, and averaging about 20. The total annual cost of
maintenance is $30,190, making the average cost of each inmate
$290.[121] The value of the property of the homes is about $375,000, one
home having two-thirds of this, and two homes four-fifths.
As little is received in the way of pay from inmates,[122] the homes
have to depend for the most part upon private benevolence for their
support. In the case of the Ohio and Pennsylvania homes this support
comes largely from the deaf themselves.[123] In nearly all the homes
there are a certain number of inmates, but usually a very small number,
cared for at public expense. Private contributions to the homes are
seldom large, though in one case these have amounted to a considerable
sum.[124] They usually range from three or four thousand dollars a year
to several times as much.[125]
CONCLUSIONS WITH RESPECT TO THE ECONOMIC POSITION OF THE DEAF
From all the foregoing we may conclude the following with respect to the
economic position of the deaf:
1. The deaf are not a burden upon the community.
2. They are wage-earners in a degree that compares well with the general
population.
3. The occupations open to them and in which they are successfully
employed are much larger in number than is generally thought, and in
many their infirmity is very little of a drawback.
4. The deaf hold themselves on an economic equality with the rest of
their fellow-citizens, and ask no alms or favors of any kind.
5. Beyond homes for certain of the aged and infirm, which are called for
in not a few quarters, the deaf stand in need of little distinctive
economic treatment from society.
FOOTNOTES:
[94] Special Reports, p. 146ff.
[95] The proportion for the deaf would no doubt be higher but for the
large number in the schools. It should also be noted that "keeping
house", the most usual occupation reported by females, is not listed
among the occupations.
[96] Several of the deaf have won distinction as artists, and there have
been not a few inventors. In the civil service of the National
government there are said to be nearly two score. In 1908 an order was
issued by the Civil Service Commission, debarring deaf persons from this
service. So great was the protest, however, made by the deaf and their
friends that the decision was reversed by the President, and the deaf
were allowed to compete for any position where their deafness would not
interfere. See _Annals_, liii., 1908, p. 249; liv., 1909, p. 387; _Volta
Review_, x., 1908, p. 224; _Silent Worker_, Feb., 1909; Proceedings of
National Association of the Deaf, ix., 1910, pp. 26, 70.
[97] Paupers in Alms-houses, 1913, p. 76. In 1911 there were in the
alms-houses of Illinois, according to the Report of the state board of
charities, 38 deaf-mutes, or 0.5 per cent of the entire alms-house
population; in Indiana, 81, or 2.6 per cent; in New York, 191, or 1.8
per cent; and in Virginia, 17, or 0.7 per cent. In Michigan, according
to the annual Abstract of Statistical Information Relating to the
Insane, Deaf and Dumb, etc., for 1912, of the 1,059 deaf persons
reported, 32, or 3 per cent, were cared for at public expense.
[98] The percentage for the general population is 0.1.
[99] In many schools it is said that few of their former pupils have
failed to be self-supporting, especially those who have taken the full
prescribed course. Of the New York Institution the proportion is stated
to be as low as four per cent. Report, 1907, p. 37. Of the Michigan
School it is asserted that out of 1,800 former pupils, only three are
not self-supporting. Proceedings of Michigan Conference of Charities and
Corrections, 1907, pp. 32, 63. Similar claims are made for other schools
in respect to the condition of the deaf. By the head of the New Jersey
School it is stated: "Inquiry at the state prison elicits the fact that
there is not among its vast number of inmates a single deaf man or
woman, and, indeed, I know of no educated deaf convict or pauper in the
state." Report of Board of Education of New Jersey, 1904, p. 323. In
1911 a committee of the Convention of American Instructors of the Deaf
was appointed to collect information and statistics as to the
occupations and wages of the deaf. Proceedings, xix., p. 217.
[100] A special committee on the industrial condition of the deaf of the
National Association of the Deaf stated as a conclusion: "More deaf
workmen learn a new trade when they leave school than follow the one
they were taught at school." Proceedings, vii., 1904, p. 216. In
Minnesota the division for the deaf in the state bureau of labor works
in connection with the state school. See _Deaf-Mutes' Journal_, March 7,
1912. On the general industrial training of the deaf and its results,
see _Annals_, l., 1905, p. 98; lvii., 1912, p. 364; _Volta Review_, xi.,
1909, p. 311 (Proceedings of American Association to Promote the
Teaching of Speech to the Deaf); xiii., 1912, pp. 542, 595; Proceedings
of American Instructors, xv., 1898, p. 86; xvi., 1901, p. 238; xvii.,
1905, p. 93; Report of Special Committee of Board of Directors of
Pennsylvania Institution to Collect Information as to Lives and
Occupations of Former Pupils, 1884; Report of Pennsylvania Institution,
1885, p. 30; Mississippi School, 1893, p. 9; 1911, pp. 36, 52; Manual
and History of Ohio School, 1911, p. 16; Report of United States
Commissioner of Education, 1885, p. ccxxxv.; _Journal of Social
Science_, xxvi., 1889, p. 91.
[101] Proceedings of National Association of the Deaf, viii., 1907, p.
41; Indiana Bulletin of Charities and Corrections, June, 1912.
[102] Proceedings of National Conference of Charities and Corrections,
1906, pp. 232, 239.
[103] _Ibid._; Proceedings of National Association of the Deaf, _loc.
cit._
[104] In New York the deaf are said to "earn from $2500 a year to $6 or
$7 a week", most being "journeymen at their trades or skilled factory
operatives". Proceedings of Empire State Association of Deaf-Mutes, xx.,
1899, p. 7. In Missouri the earnings of the graduates of the state
school are reported as ranging up to $1300 a year. Report of Missouri
School, 1912, p. 28. In Massachusetts, in an investigation of the state
board of education, it has been found that of 84 deaf men who had left
school between 1907 and 1912, the average wage was $7.78 a week. _Volta
Review_, xv., 1913, p. 183. The deaf when opportunity offers often
become members of labor unions. They are said "quite generally to join
labor unions where the nature of their occupation permits", though, on
the whole, it does not seem that a large proportion do. Proceedings of
National Association of the Deaf, vii., 1904, pp. 143, 218. For other
views of the deaf on their employment and its returns, see _ibid._, i.,
1880, p. 10; iv., 1893, pp. 122, 167; v., 1896, p. 35; vi., 1899, p. 64;
viii., 1907, p. 53; Empire State Association of Deaf-Mutes, xi., 1887,
p. 9; Illinois Gallaudet Union, v., 1897, p. 25; Reunion of Alumni of
Wisconsin School for the Deaf, vii., 1895, p. 2; _Louisiana Pelican_, of
Louisiana School, Oct. 17, 1908.
[105] Proceedings, vii., p. 190ff. Questionnaires were submitted to deaf
workmen and their employers, and the conclusions (p. 227) were based on
their replies. These resolutions were confirmed by further findings
reported in 1907, especially as to the similarity of the wages of the
deaf and the hearing, and as to the satisfaction of employers with deaf
workmen. Proceedings, viii., p. 48.
[106] Another conclusion was that rural pursuits are better for the deaf
than factory work.
[107] See Proceedings of Convention of American Instructors, v., 1858,
p. 351; Report of Kentucky School, 1867, p. 13n.; _Annals_, x., 1858, p.
161; xxiv., 1879, p. 194.
[108] In the year 1911 the number of impostors whose arrest was secured
by the deaf was 38. _Deaf-Mutes' Journal_, Sept. 4, 1913.
[109] In many issues this is made a prominent feature.
[110] Proceedings, ix., p. 89. See also Proceedings of Pennsylvania
Society for the Advancement of the Deaf, xxiv., 1910, pp. 12, 32; Iowa
Association for the Advancement of the Deaf, vi., 1895, p. 29. The
action on the part of the deaf is worthy of the highest praise, and
speaks volumes for them. The real cause for wonder, however, is that the
public should ever allow itself to be deceived by those asking alms on
the pretexts given. By no disease known to medical science, save
paralysis alone, can a man lose his speech and hearing at one and the
same time. It may be safely estimated that of such gentry 98, perhaps
100, per cent are rank frauds.
[111] Rev. Stat., 1896, p. 1242. See also _Annals_, xxxi., 1886, p. 295.
On the other hand, it would seem that such statutes as that in
Pennsylvania which we have noted, exempting the deaf from the provisions
against tramps, would lend encouragement to alms-seeking.
[112] Laws, 1911, p. 356. The law in this state was secured by the
action of the deaf.
[113] It is said that less than 400, or less than one per cent of the
entire number of the deaf, are in need of special homes. Proceedings of
National Association of the Deaf, ix., 1910, p. 51.
[114] Report of Ohio Home for Aged and Infirm Deaf, 1912, p. 15.
[115] From an address given at opening of Pennsylvania Home for the
Deaf, 1902. On the objects of a home, see also Proceedings of Reunion of
Alumni of Wisconsin School for the Deaf, vii., 1895, p. 10.
[116] In three other states funds are being collected to establish
homes: Illinois, Indiana and Missouri. To that in Indiana 20 acres of
land have been donated. A private home was opened in New Jersey in 1854
for colored deaf, blind and crippled, lasting but a short time, and
having less than a dozen inmates. See Report of New Jersey School for
the Deaf, 1893, pp. 3, 7.
[117] A national home for the deaf has also been proposed. For arguments
for and against it, see Proceedings of National Association of the Deaf,
ix., 1910, p. 51. In 1872 such a home was projected, to be located in
New York City, some $4,000 being collected for it. Little encouragement,
however, was met from outside, and the plan was abandoned for a local
institution. See Report of Church Mission to Deaf-Mutes, 1874, p. 18;
1875, p. 17 ("Report of Committee on Building and Fund of National Home
for the Aged and Infirm Deaf"); New York _Times_, Sept. 1, 1875. See
also _International Record of Charities and Corrections_, June, 1886.
[118] This home was at Roxbury till 1905.
[119] In one or two cases there are ladies' auxiliary societies.
[120] The home in New York City receives only women from sixteen to
fifty years of age.
[121] One home is exceptionally provided for, however. Without it the
average is $252.
[122] In 1903 the amount from pay inmates was $1,600. Special Report of
the Census. Benevolent Institutions, 1904. The nominal charge is usually
$250.
[123] Over $3,000 was contributed by the deaf of Ohio for the
establishment of a home in this state.
[124] The Gallaudet Home has an endowment fund of $153,150, of which
$107,000 came from one legacy.
[125] See Appendix A for table in respect to the homes for the deaf. In
connection with the scheme of homes for the deaf, it is interesting to
note that there have been one or two suggestions for colonies for them,
though such have never been taken seriously. One was by a deaf man in
1860 in the form of a memorial to Congress for the creation of a
deaf-mute commonwealth. See _Annals_, viii., 1856, p. 118; x., 1858, pp.
40, 72, 136; xxix., 1884, p. 73. See also "Facts and Opinions Relating
to the Deaf from America", 1892, p. 182; Proceedings of National
Association of the Deaf, i., 1880, pp. 36-39. Farm colonies on a small
scale for poor deaf-mutes have also been considered occasionally, but
little further has ever been attempted. See _Deaf-Mutes' Journal_, Aug.
8, 1912; Sept. 12, 1912.
CHAPTER V
SOCIAL ORGANIZATION OF THE DEAF
SOCIAL CLEAVAGE FROM THE GENERAL POPULATION
The preceding chapter has dealt with the economic possibilities of the
deaf, and the extent to which they stand alongside the population
generally. The other side of the shield in relation of the deaf to
society is now to be presented, that is, how far their want of hearing
will count in their participation in the social life of the community.
While the deaf man may be an active component in the economic and
industrial life of society, yet his inability to hear and his frequently
consequent inability to speak stand in the way of his prompt and
continuous partaking in its social life. He may, and does, have many
friends among his neighbors and acquaintances, but in the discourse
between man and man which forms such a large part of the interest and
delight in living, he is unable to join. There is usually at hand no
ready and rapid means of communication as there is between two hearing
persons in conversation, and his intercourse must necessarily be slow
and tedious. The privileges of his church he cannot enjoy; in his lodge
he misses the fellowship which is one of its fundamental ends; in few
forms of convivial entertainment can he take part. Thus seeking an
outlet for those social instincts which charge through his being, the
deaf man finds himself among men, but as though surrounded by a great
impenetrable wall against which their voices break in vain.
Placed, however, with his deaf fellows, he discovers himself in a
different situation. He soon learns that by the use of that language of
signs so largely employed by other deaf men, and of which he in a short
time becomes master, he is able to converse with an ease and quickness
fully as great as by that means of which he has been deprived. Hence he
ceases in large measure to carry on his social intercourse with the
hearing, and turns to his deaf comrades; in them he builds up an
approximately congenial companionship and fellowship, and to them he
looks largely for his means of social diversion. With them he feels a
close bond of sympathy, and is moved to co-operate with them, and to
stand with them when their mutual interests are concerned. In time
associations in various forms come to be organized among them. In such
wise is realized the desire of the deaf as of all men to commune with
their fellows.
DESIRABILITY OF ORGANIZATIONS COMPOSED OF THE DEAF
By some people societies or organizations composed exclusively of the
deaf have been opposed, or at least looked upon with disfavor. This is
because it has been felt that it is not well for the deaf to form a
class apart in the community, and that unless discouraged the practice
will cause intermarriage among the deaf, which may result in an
increasing number of deaf people--a matter to which we have already
given attention.
But in combating this tendency of the deaf to organize among themselves,
we are really unmindful of an elemental sociological principle, that
like-minded persons are prone to congregate, and will seek to form
purposive societies and associations, exemplified as well in a boys'
athletic club, in a church sewing circle, in a lodge of free and
accepted masons, as in a "league of elect surds."[126] If "clannishness"
is the outcome, it must be accepted only as the necessary consequence of
the infirmity of the deaf, in the practical affairs of life such men
being bound to seek out and associate with others of like condition. By
the deaf themselves it is claimed that the good readily outweighs the
possible evils, and that, as the fact of their deafness forbids them
belonging generally to societies for the hearing, they are thus forced
to band together, or almost entirely to go without the social
amalgamations which form such a conspicuous and valuable part of
life.[127]
PURPOSES, ACTIVITIES AND EXTENT OF SUCH ORGANIZATIONS
The organizations of the deaf are of several kinds: termed clubs,
leagues, societies, associations and the like; and wherever a number of
deaf persons are congregated, some such organization is likely to be
effected.[128] In large cities not a few may be found, planned perhaps
on different lines or appealing to different kinds of people. The
majority of the societies are formed for the mutual pleasure and culture
of the members.[129] A part are organized on fraternal principles, some
with benefit features, paying out so much in case of illness and the
like; while in a few a certain amount of relief may be dispensed to
those discovered to be in need. In most of the societies, as with the
body of the deaf generally, there is a considerable amount of
solidarity, and the members are usually quick to act in a common cause
or to apply the principle that the concern of one is the concern of
all.[130]
While these societies of the deaf are usually local in their
composition, there exists more or less communication with bodies in
other cities and communities. In over a fourth of the states there are
state societies, while in most of the states there are also alumni
associations of the special schools, which are of state-wide
extent.[131] A national body is likewise in existence, the National
Association of the Deaf, founded in 1880, and incorporated in 1900; and
there is a National Fraternal Society of the Deaf, with benefits for
sickness, injury and death, which has many local branches, this being
probably the largest organization of the deaf in the country.[132] An
international organization has also been formed, known as the World's
Congress of the Deaf.
Among the various associations of the deaf, particular mention may be
made of church organizations in some of the larger cities and towns,
which not infrequently serve in some measure the purpose of a social
center. These deaf congregations are usually in communion with some
denominational body, often being the result of church "missions" to the
deaf, and are ministered to regularly or at stated times by clergymen,
most of whom are themselves deaf. For the use of the deaf, the church
building or rooms in it are generally given over at certain times. In a
few cases the deaf are in possession of edifices of their own.[133]
NEWSPAPERS OF THE DEAF
With the deaf there have been a number of special papers, published by
and for them, and circulating for the most part only among them. Their
chief purpose is to chronicle the various happenings in deaf circles,
and to serve as a medium for the discussion of matters of general
interest to the deaf. These papers are usually weeklies or monthlies,
more often the former, and frequently have correspondents in a greater
or smaller number of localities. There have been not a few ventures in
the establishment of such independent papers, but most of them have
proved short-lived for want of sufficient support, some being of very
brief duration, and only an exceptional one continuing over an extended
period. As a rule there have been seldom more than two or three in
existence at any one time.[134] In addition, there have been several
religious papers for the deaf, often under the auspices of some
denominational body, but usually published by the deaf themselves.
These, however, have never been numerous, and have been of limited
circulation.[135]
FOOTNOTES:
[126] The deaf are not usually eligible to regular secret orders.
[127] On the subject of societies of the deaf, see _Annals_, xviii.,
1873, pp. 200, 255; xxi., 1876, p. 137; xxxii., 1887, p. 246; xxxiii.,
1888, p. 28; xlix., 1904, p. 369; Proceedings of Convention of American
Instructors, ix., 1878, p. 117; National Association of the Deaf, ii.,
1883, p. 12; iv., 1893, pp. 25, 40; vii., 1904, p. 132; viii., 1907, p.
26; Reunion of Alumni of Wisconsin School for the Deaf, v., 1888, p. 36;
Empire State Association of Deaf-Mutes, xiii., 1890, p. 12; _Deaf-Mutes'
Friend_, Aug., 1869. See also E. A. Hodgson, "The Deaf and Dumb; Facts,
Anecdotes and Poetry", 1891; J. E. Gallaher, "Representative Deaf
Persons in the United States", 1898; _International Review_, ii., 1875,
p. 471.
[128] The oldest organization of the deaf now existing is the New
England Gallaudet Association of the Deaf, which began in 1853. It
resulted largely from the Gallaudet Memorial Association, organized two
years before to raise funds for a monument to Thomas Hopkins Gallaudet.
In 1859 was created the Alumni Association of the High Class of the New
York Institution; in 1865 the Empire State Association; and in 1870 the
Ohio Alumni Association. See Proceedings of National Association of the
Deaf, iv., 1893, p. 25.
[129] Some of these have special club rooms for social and literary
meetings, where conversation can be carried on freely without attracting
public notice. Some of these club rooms are large and well appointed. In
not a few of the younger clubs athletics forms a prominent feature.
[130] This spirit is illustrated in many ways, perhaps most strikingly
in the case where a deaf man seems likely to be debarred from some
public position because of his want of hearing, when the deaf promptly
rally to his support. We have already seen their action in connection
with the order of the Civil Service Commission. Sometimes candidates for
office have been asked to state their views on this subject. As a
further instance of mutual assistance among the deaf may be mentioned
the raising of relief funds for deaf sufferers in other localities in
times of some great disaster.
[131] In Ohio and Pennsylvania the state societies manage homes for the
aged deaf, as we have seen; and in Virginia the state association
supports a special missionary to the deaf. In Pennsylvania there are
many county sections of the state body. In a number of centers a leading
association is that of the alumni of Gallaudet College.
[132] There has also frequently been discussion of a federation of the
various state and local organizations. See Proceedings of National
Association of the Deaf, iii., 1889, p. 14; ix., 1910, p. 25.
[133] Such churches are now in New York, Philadelphia and Wheeling,
under Protestant Episcopal auspices; in Milwaukee under Lutheran; and in
Baltimore under Methodist. Special church buildings are also in
contemplation in other cities. Funds for these churches are raised by
the deaf with the assistance of their hearing friends. In the Roman
Catholic Church there is a special organization of the deaf, founded in
1910, and known as the Knights of l'Epee.
[134] There have been about thirty such publications created, the first
of which seems to have been begun in 1839, and the second in 1860. See
especially "Periodicals Devoted to the Interests of the Deaf," by the
Volta Bureau, 1913. See also _Volta Review_, xii., 1910, p. 456;
Proceedings of National Association of the Deaf, ix., 1910, p. 45. The
present publications are: the _Deaf-Mutes' Journal_, of New York, a
weekly; the _Observer_, of Seattle, a bi-weekly; the _Frat_, of Chicago,
a monthly; and the _Pennsylvania Society News_, a quarterly.
[135] Those now existing are: the _Catholic Deaf-Mute_, of New York,
under Roman Catholic auspices; the _Silent Churchman_, of Chicago, under
Protestant Episcopal; the _Silent Herald_, of Chicago, under Methodist;
and the _Deaf Lutheran_, of Milwaukee, under Lutheran.
CHAPTER VI
POPULAR CONCEPTIONS CONCERNING THE DEAF
VIEWED AS A STRANGE CLASS
The position of the deaf in society is yet to be seen from another
standpoint. The question may be asked, How does the public at large, how
does "the man in the street," look upon the deaf? Are the deaf viewed
merely as so many people deprived of the sense of hearing, in whom also
the power of speech is often wanting? Or is there superimposed upon this
a feeling, owing perhaps to the supposed isolation of the deaf, that
they are in other ways a peculiar class of beings?
Unfortunately, it is the latter of these two conceptions that is the
prevailing one--unfortunately for the deaf, for their burden is quite
sufficient as it is. The public has been and is under many
misapprehensions and delusions regarding the deaf.[136] Being thrown
intimately with them but seldom, people often come to form curious
ideas respecting the deaf, but ideas which are more or less unhappy
ones. There is frequently an attitude towards them combined of wonder,
misgiving, fear, aversion--a vague feeling or belief that the deaf are
more or less distinct in their thoughts and actions from other people,
that they are somehow "unnatural" or "uncanny."[137]
VIEWED AS A DEFECTIVE CLASS
Not only are the deaf often looked upon as a strange class in the
community, but they are not uncommonly known as "defectives," and this
is the classification frequently applied to them. It is true that the
deaf are "defective" in that they are deprived of one of the most
important of the physical senses; but, in addition, the term often
carries a connotation of mental, or even of moral, aberrance, and
results in the infliction upon the deaf of an unnecessary brand. In many
libraries such a classification is found, and the deaf are catalogued
under the heading "defective." In the "Index of the Economic Material in
Documents of the States of the United States" of the Carnegie
Foundation, the deaf and the blind are grouped as "defectives" along
with the feeble-minded and consumptives.[138] Though in such a
classification, any untoward signification is disclaimed, and it is held
to be merely one of convenience of arrangement, it remains true that
terms are employed and associations involved that to a certain extent do
a very real injury to the deaf.[139]
VIEWED AS AN UNHAPPY CLASS
People are also prone to think of the deaf as an unhappy, morose or
dejected class. Professor E. T. Devine in his "Misery and its Causes"
(1909)[140] enumerates the deaf, among other classes, as embodiments of
misery--"not for the most part," he is careful to state, "personally
unhappy," but rather with reference to their imperfect senses. This view
is clear enough, and in one sense is doubtless correct; but it does not
express the entire situation in respect to the deaf. While their
deafness must always be a serious and distressing affliction, and even
handicap and burden as well, and while the deaf must often bemoan their
fate, it yet seems to be true that the deaf as a lot are not "unhappy."
They are good-natured, see the world from an odd angle sometimes, yet
are as much philosophers as the average man; and when in the company of
their deaf associates are able to derive fully as large a portion of
happiness as any other group of human beings. The deaf are cheerful,
swayed by the same emotions as other mortals, responsive equally to all
the touches of life, and are not, at least in these days of education, a
morbid, brooding, passionate folk, as is too often the popular judgment.
VIEWED AS A DEPENDENT CLASS
In some quarters the deaf continue to be looked upon as one of the
dependent classes of society. Mr. Robert Hunter in his "Poverty"
(1904)[141] under the head of "Dependents and their Treatment" places
the deaf and dumb as "absolute dependents." Such views, however, are no
longer general, the deaf having themselves demonstrated to what extent
they are a self-supporting part of the community. But where this belief
is still shared, the deaf are thought in many cases to be in need of aid
or public charity; or at any rate to be economically inferior to the
rest of society. Deaf pupils in the schools, for instance, are often
referred to as "inmates" or even as "patients," not only by the public
but by newspapers as well; and the schools themselves are often spoken
of as "asylums" or as charitable institutions.[142] This nomenclature is
hardly defensible on any ground, and by it the education of the deaf is
not even given its true status.
As a further illustration of the general feeling, though rather of
different order, may perhaps be cited the attitude of the general
insurance companies toward the deaf. Though some of the companies accept
the deaf at their regular rates, a number refuse them altogether, while
others limit their liability or demand an extra premium.[143] This is
largely because of the fear that the deaf are more liable to accidents
than other people; but in point of fact the deaf seem to be a long-lived
people, and it is likely that with greater statistical knowledge
concerning them, most of the discrimination would cease.[144]
NEED OF A CHANGED REGARD FOR THE DEAF
Thus in many ways are the deaf made to suffer from popular
misconceptions, and quite unnecessarily. Too long have designations been
employed regarding them that call up undeserved associations. Too long
have they been set down as a strange and uncertain body of human beings,
removed in their actions, manners and modes of thought from the rest of
society. The interests of the deaf require a different consideration and
treatment. They demand that the deaf be regarded exactly as other
people, only unable to hear. Theirs will be a great boon when they are
looked upon no more as a distinct and different portion of the race, but
entirely as normal creatures, equally capable and human as all other
men.[145]
FOOTNOTES:
[136] Very often in the public mind the deaf and the blind are
associated, the two classes sometimes becoming more or less merged the
one into the other, and the problems of the one are not infrequently
assumed to be those of the other. As a matter of fact, there is but one
point of similarity in the two classes--both are "defective" in that
they are deprived of a most important physical sense. The gulf that
really separates the blind from the deaf is far deeper than that which
lies between either of the two classes and the normal population.
[137] In this connection it may be interesting to note the regard for
the deaf as has been indicated by the deaf characters that have been
created in fiction. Though not a large number are found, there is
displayed towards them an attitude largely of kindly sympathy, in some
cases mingled with wonder. Such characters appear in Lew Wallace's
"Prince of India", where three deaf-mutes are instructed to speak;
Scott's _Fanella_ in "Peveril of the Peak"; Dickens' _Sophy_ in "Dr.
Marigold" (an unusually attractive and lovable character); Collins'
_Madonna Mary_ in "Hide and Seek"; Caine's _Naomi_ in "The Scapegoat";
Haggard's "She"; Maarten's "God's Fool"; de Musset's "Pierre and
Camille"; and elsewhere. Thomas Holcroft's "Deaf and Dumb; or the Orphan
Protected" is an adaptation from the French play "Abbe de l'Epee" of J.
N. Bouilly, in 1802, in which the founder of the first school for the
deaf and his pupils are touchingly portrayed. Feigned characters are
also found, as Scott's mute in "The Talisman"; in Moliere's "Le Medecin
malgre Lui"; Jonson's "Epicoene"; and John Poole's "Deaf as a Post".
Defoe has a character, _Duncan Campbell_, which is possibly based on one
from real life, being referred to by Addison in the _Spectator_ and the
_Tatler_. On the subject of the deaf in fiction, see _Silent Worker_,
Dec., 1893; _Annals_, xxxix., 1894, p. 79; Indiana Bulletin of Charities
and Corrections, June, 1897; _Athenaeum_, Feb., April, 1896.
[138] It may be recorded here that in the present compilation of the
Bibliography of the United States Bureau of Education, the expression
formerly used, "Delinquents, Dependents and Defectives", has been
dropped in favor of the term, "Special Classes of Persons". On this
subject, see Proceedings of National Educational Association, 1901, p.
876.
[139] A possibly more serious misapprehension respecting the deaf arises
from the impression often current among a large number of people, and
apparently encouraged not infrequently in the proceedings of some
scientific bodies, to the effect that nearly all deaf-mutes are so
either because of a similar condition in their parents or because of the
existence in the parents of some physical disease, sometimes of an
immoral character. This is in a great part due to the increasing
emphasis upon eugenics, with the desire to weed out from the population
as many as possible of the "unfit" or "defective". In consequence has
been the belief that if there were proper regulation of certain
marriages, especially of the deaf and of others suffering from
particular maladies, "deaf-mutism", which is looked upon as an
excrescence upon society, would in the course of a short time be stamped
out. An illustration of this conception is the following extract from
the Handbook of the Child Welfare Exhibit held in New York in 1911 (p.
38): "Mating of the Unfit. 'The Law'. Marriages of cousins, insane or
feeble-minded, alcoholic, syphilitic parents and effects. The
cost--7,369 blind infants, 89,287 deaf and dumb, 18,476 feeble-minded".
See also Proceedings of National Conference of Charities and
Corrections, 1912, p. 277; Report of Philadelphia Baby Saving Show,
1912, p. 37; _Annals_, lvii., 1912, p. 284. As a matter of fact, as we
have already seen, the question of deafness is not one so much of
eugenics as of medical science, although eugenics may well be called in
play in respect to the marriages of persons under unfavorable
conditions, including to an extent the congenitally deaf and those
having deaf relatives. The total number of the deaf, however, marrying
under unfavorable conditions, is not large. Every effort to remove or
diminish deafness is entitled only to the highest praise; but when it is
made to appear that deafness generally results from such causes as are
often ascribed, it is seen how wrongly the deaf, upon whom a great
affliction is already resting, may be made to suffer.
[140] P. 45. See also Proceedings of Empire State Association of
Deaf-Mutes, xii., 1888, p. 35; National Conference of Charities and
Corrections, 1883, p. 416.
[141] P. 76. See also p. 96. Similarly Professor C. R. Henderson in his
"Dependents, Defectives and Delinquents" says (p. 170): "Many of the
deaf and blind are so deficient in industrial efficiency, owing to their
infirmity, that they must be cared for in adult life and old age".
[142] In the special census report of Benevolent Institutions of 1904
schools for the deaf and the blind are included, because they contain
"free homes for care and maintenance". In some charity directories
schools for the deaf are listed.
[143] It is claimed that 95 per cent of the general fraternal
organizations consider the deaf as "hazardous" or "undesirable".
Proceedings of National Association of the Deaf, ix., 1910, p. 53.
Accident insurance is usually refused by all. When an extra rate is
charged in life insurance, this is usually one-half of one per cent. On
the subject of insurance and the mortality of the deaf, see _Annals_,
xxxiii., 1888, p. 246; xlix., 1904, p. 274; Proceedings of Convention of
American Instructors, ii., 1851, p. 168; iii., 1853, p. 85; xi., 1886,
p. 67; Empire State Association of Deaf-Mutes, xii., 1888, p. 35; xiii.,
1890, p. 30: xvi., 1894, p. 28; xix., 1897, p. 93; National Association
of the Deaf, ii., 1883, p. 12; vii., 1904, p. 183; Report of New York
Institution, 1853, p. 70.
[144] The foregoing illustrate some of the most striking misconceptions
regarding the deaf. On the other hand, no doubt the deaf as well as the
blind suffer from sentiment on the part of the public, and from the
sensational accounts which appear from time to time in the newspapers
and magazines concerning what the deaf have been found able to
accomplish. Many things are referred to as "wonders", as though it were
strange that they could be done by people without hearing, some of the
achievements of the deaf being set down as most remarkable. Such
writings are usually in a kindly spirit, and may often serve a useful
purpose in making known the similarity of the capabilities of the deaf
and of the hearing; but when they make the deaf appear as a peculiar and
unlike part of the race, their effect may be most misleading. The worst
result is that the public becomes ready and willing to believe almost
any thing about the deaf.
[145] In 1908 the Convention of American Instructors of the Deaf
appointed a committee to consider the question of the dissemination of
knowledge regarding the attainments of the deaf. Proceedings, xviii., p.
210.
CHAPTER VII
PRIVATE ORGANIZATIONS INTERESTED IN THE DEAF
GENERAL SOCIETIES INTERESTED IN THE DEAF
We have now considered the interest of society in the deaf in its
several relations, together with the treatment that has been extended to
them. It remains to be noted whether there have been any private
undertakings organized in behalf of the deaf or interested in their
welfare, and what has been done by such bodies.
In America virtually the only organizations composed of persons not deaf
and formed for the purpose of advancing the interests of the deaf have
been those more or less closely related to the education of deaf
children, and with their exception practically no movements in respect
to the deaf may be said to have been undertaken.[146]
These organizations interested in the instruction of the deaf are of two
divisions: bodies actively engaged in the work of this instruction, and
bodies only indirectly concerned. The first division includes, on the
one hand, associations of instructors of the deaf, and, on the other,
societies or corporations formed to promote and establish schools, which
have either passed out of existence, their mission being fulfilled, on
the taking over of the school by the state, or have remained in control
of certain schools--to be considered when we come to the general
provisions for the education of the deaf. In the second division are
three kinds of organizations: the Volta Bureau, an organization in a
class of its own; associations of parents concerned mainly with the
instruction of their own children; and undertakings interested in the
extension of religious knowledge to the deaf, usually in the form of
church missions.
THE VOLTA BUREAU
The one organization in America of large compass and concerned solely
with the interests of the deaf is the Volta Bureau, located in
Washington. This has resulted from the gift of Dr. Alexander Graham Bell
in 1880, who having received 50,000 francs from the French government in
recognition of his services in the field of invention, decided to use
the money to establish the bureau for the "increase and diffusion of
knowledge relating to the deaf." The bureau now contains much
information regarding the deaf as a class, as well as carefully compiled
data regarding many individuals; and also publishes works on the deaf,
including the "Volta Review," a monthly periodical. It is much
interested in the methods of instruction of the deaf, while another
important aim may be said to be the elimination of deafness as far as
possible, or the removal of many of the effects of deafness. Dr. Bell's
total benefactions to this bureau, together with the Association to
Promote the Teaching of Speech to the Deaf, to which it is now joined,
have amounted to more than a quarter of a million dollars.[147]
PARENTS' ASSOCIATIONS FOR THE DEAF
Associations of parents have been organized chiefly in relation to the
education of their own deaf children, though in some cases friends as
well as parents are included. They have often been particularly
concerned in the creation of day schools for the deaf, but have also
shown an interest in other ways.[148] These associations have been
mostly confined to cities, and have been organized in a dozen or so of
them, as Boston, Cleveland, Cincinnati, Chicago, Detroit, Milwaukee, St.
Paul, New York, Los Angeles, and San Francisco.[149] State associations
have been rare, being found in only two or three states, as Ohio,
Wisconsin and Nebraska.[150]
CHURCH MISSIONS TO THE DEAF
Practically all the religious denominations have shown more or less
concern in the spiritual welfare of the deaf, so far as individuals have
been affected, and many churches have deaf members on their rolls. Some
of the church bodies have, in addition, given more particular attention
to the deaf, and have instituted special activities to embrace as many
of them as possible. Such movements have their greatest opportunities
in the cities, where it is easier to reach the deaf than in the
scattered districts of the country, though some efforts have been made
there too. On the whole, however, only a small part of the religious
duty towards the deaf is found to have been done; and it remains beyond
question that they have been neglected in this regard far too much, and
that there is indeed a field "white unto the harvest" for the spiritual
well-being of the deaf. Perhaps also there is no sphere of religious
endeavor where the need of mutual understanding and co-operation is so
manifest as with the deaf.
The denominations that have taken special action usually maintain what
are called "missions to the deaf," and have clergymen, both deaf and
hearing, who give part or all of their time to the work. In a few of the
larger cities, as we have seen, special churches for the deaf have been
organized, supported with the aid of the denominational body, while in
other cases the use of the church building is allowed to the deaf at
certain times. Visits are also made from time to time to smaller places
when a number of deaf people may be assembled together, and special
meetings are arranged for them.[151] In such missions, while the aims
are largely spiritual, there are often in addition operations of a
material character, with appropriate attention to individual cases of
need.[152]
Among Protestant Churches, the Protestant Episcopal may be considered
the pioneer, and it has taken up the work with considerable zeal and
effectiveness. In 1850 work was begun in the East, and in 1871 formally
organized. In 1873 it was extended to the Mid-west, and in 1875 to the
North-west and South-west. In a number of the dioceses the work is now
given attention, in some of the large cities, as New York, Philadelphia
and Chicago, its labor being notable.[153] The Lutheran Church has been
active particularly in some of the states of the Middle West, as in the
synods of Missouri, Ohio, and others, and in a few cities of the East.
The Methodists have likewise been engaged in certain sections of the
country, especially in the South and in the Mid-west. The Baptists have
also taken up work, especially in the South and in New England.
Together with the Congregationalists, they started action in the latter
section in 1884, though most of the work in New England is now done by a
union organization of several denominations, called the "Evangelical
Alliance." In other Protestant bodies little has been attempted beyond
local undertakings in a few places. The work of the Roman Catholic
Church in respect to the deaf is well organized in a number of centers,
and many of the Catholic deaf are carefully looked after. With the
Hebrews most of the attention has been confined to certain large
cities.[154]
ORGANIZATIONS INTERESTED IN THE EDUCATION OF THE DEAF
There are in America three large bodies interested in the education of
the deaf, and composed for the most part of those directly connected
with the work of education. These are the Convention of American
Instructors of the Deaf, the Conference of Superintendents and
Principals, and the American Association to Promote the Teaching of
Speech to the Deaf, all meeting, as a usual thing, triennially in
different years. Of these the oldest is the Convention of American
Instructors, which was organized in 1850.[155] It is a large and
representative body, and has manifested its interest from the beginning
in the general welfare of the deaf, as well as in the particular demands
of education. The Conference of Superintendents and Principals, as its
name implies, is composed of the heads of schools, and was organized in
1868.[156] The Association to Promote the Teaching of Speech to the Deaf
was incorporated as such in 1890, though it was not the first body
concerned in this work.[157] It is now countrywide, and embraces a large
number of those interested in the teaching of speech to the deaf,
whether active educators or not. A large section of its members are
"pure oralists," that is, believing in the exclusive use of speech with
the deaf. In 1908 the Volta Bureau was taken over by this body.[158] It
may be mentioned here also that the educators of the deaf are
represented in the National Educational Association.[159]
PUBLICATIONS DEVOTED TO THE INTERESTS OF THE DEAF
There are two publications devoted to the interests of the deaf: the
"American Annals of the Deaf" and the "Volta Review," both published in
Washington. The former was begun in 1848. It appears bi-monthly, and is
under the direction of the Conference of Principals.[160] It has long
been known as the standard periodical relating to the deaf in America,
and represents current thought and opinion of practical educators of the
deaf, as well as constituting a general record of the work. The "Volta
Review," formerly known as the "Association Review," was begun in 1899,
and was published by the Association to Promote the Teaching of Speech
to the Deaf. It is now published conjointly by the Association and the
Volta Bureau, and appears as an illustrated monthly. It is "devoted to
the problems of deafness," but deals in the greatest measure with the
matters pertaining to the education of the deaf.[161] In most of the
residential schools, or institutions, there are also papers, which
often serve to keep parents and others informed of the work of the
respective schools. We have already referred to the publications by the
deaf themselves, both secular and religious.
FOOTNOTES:
[146] General organizations of a philanthropic or other character have
seldom extended activities to include the deaf, though at times some
institution, as the Young Men's Christian Association or a social
settlement, has manifested an interest, chiefly in providing a place for
meeting.
[147] The bureau contains a card catalogue of more than 50,000 deaf
children who have been in the special schools from 1817 to 1900;
authentic manuscript respecting 4,471 marriages of the deaf; and the
special schedules of the census of 1900 respecting the deaf. It serves,
moreover, as a bureau of information and advice, with suggestions for
the hard of hearing also, and as a teachers' agency. On the work of the
bureau, see _Deaf-Mute Advance_, of Illinois School, March 14, 1891;
_Silent Worker_, May, 1895; and current numbers of the _Volta Review_,
especially that for Jan., 1913 (xiv., p. 605).
[148] The purpose of the Boston Parents' Education Association for Deaf
Children is "to encourage home instruction, aid schools for the deaf in
Boston, help deaf children to continue their education in schools or
colleges for hearing persons, aid them in acquiring a practical
knowledge of useful trades and business, assist them in obtaining
remunerative employment, bring them into more extensive social relations
with hearing persons, and employ such other means for their advancement
as may be deemed advisable." See "Offering in behalf of the Deaf", by
this association, 1903, p. 8. See also _Association Review_, ii., 1900,
p. 146. Most of the associations have also been interested in the
employment of the oral method of instruction. Dues in such associations
are usually only one or two dollars, and there is often a board of
directors appointed.
[149] The first seems to have been the Boston Association, formed in
1894.
[150] In several of these associations membership is over a hundred. In
Milwaukee there is also a similar society known as the Wisconsin
Phonological Institute to Promote the Teaching of Speech to the Deaf,
which was organized in 1878, and incorporated in 1879, as a
philanthropic society. See Report, 1878, p. 5.
[151] On the subject of church work among the deaf, see Proceedings of
National Association of the Deaf, i., 1880, p. 19; iv., 1893, p. 53;
vi., 1899, p. 58; vii., 1904, p. 153; Empire State Association of
Deaf-Mutes, xii., 1888, p. 31; Conference on Church Work among the Deaf
(Protestant Episcopal), i., 1881, p. 5; ii., 1883, p. 4; iv., 1887, p.
3; v., 1888, p. 23; Report of Diocesan Commission on Church Work among
the Deaf, 1886; Church Mission to the Deaf (New York), 1873, p. 14;
1886, p. 3; 1888, p. 3; _Annals_, xxix., 1884, p. 24.
[152] Direct relief may be afforded in some cases, and in others visits
made to hospitals, prisons and the like, where deaf persons may be
found, without regard to religious affiliation. Assistance is also often
rendered in acting as interpreters in court, though this work is
frequently shared in by instructors of the deaf. In one or two
instances, as we have seen, homes for the deaf have been established by
religious bodies.
[153] In the Protestant Episcopal Church there are now some twelve
clergymen engaged in this work, ten of whom are deaf, and more than
twice this number of lay helpers.
[154] In New York there is a Society for the Welfare of the Jewish Deaf,
which was organized in 1910, and incorporated in 1913. Laws, ch. 313. It
is controlled by a board of from seventeen to thirty governors, and is
interested in the educational, industrial, social and religious concerns
of the deaf. See _Hebrew Standard_, March 15, 1912; _Jewish Charities_,
Jan., 1912. See also Proceedings of National Conference of Jewish
Charities, 1908, p. 28.
[155] Its first meeting was at the New York Institution, after a call
had been issued by several of the leading educators. In 1897 this body
was incorporated.
[156] The organization was effected at Washington. See Report of
Columbia Institution, 1868, p. 16.
[157] A convention of articulation teachers was held as early as 1874.
Another meeting was held in 1884. See _Annals_, xix., 1874, pp. 90, 217;
xxix., 1884, pp. 154, 237; _Volta Review_, xiv., 1913, p. 394. In 1894
was formed the Association to Promote Auricular Training of the Deaf,
which was subsequently merged with the larger organization.
[158] The Association has a board of fifteen directors, and an advisory
board of twelve.
[159] This was organized in 1897. Proceedings, p. 36. It is known as
Department XVI, or the Department of Special Education. Both instructors
of the deaf and of the blind are represented, those interested in the
education of the feeble-minded having also been included up to 1902. In
addition to the three general organizations of educators of the deaf,
there have been several local conferences, as of the principals of
schools in the Southern states and in New York, and of teachers in the
state of Michigan and of the city of New York.
[160] Its first publication was by the instructors of the Hartford
School. Publication was omitted in 1849, and from 1861 to 1868.
[161] For other publications that have appeared in the interest of the
deaf, see "Periodicals Devoted to the Interests of the Deaf," by the
Volta Bureau, 1913.
PART II
PROVISION FOR THE EDUCATION OF THE DEAF