months for a satisfactory color test. Color 
blindness, when present, is usually most apparent in a failure to 
distinguish between red and green, these two widely differing colors 
seeming to produce the same impression upon the color-blind eye. The 
child will be just as likely to choose a red ball to match the green one in 
his hand as to select another red ball. But repeated tests should be made 
before accepting color blindness as a fact, since sometimes the brain 
can be educated to discriminate between red and green even when the 
impressions have not the normal degree of difference. 
The tests for taste, smell, muscular sense, touch, and memory cannot be 
made with much thoroughness or satisfaction till two years of age, 
though observation will show a recognition by taste and smell of that 
which is agreeable and that which is disagreeable. Accurate tests of 
hearing cannot be made till the child is three or four, but it is possible 
when he is twelve months old to determine whether the hearing is 
normal or is seriously impaired, and it is very desirable that this should 
be done. 
The expression "seriously impaired," when applied to the hearing of a 
little child, must be given an entirely different interpretation than it 
would have if used with reference to an adult who had previously had 
normal hearing. A degree of impairment that would be unimportant in 
an adult is a very serious matter in the case of a child. This is because 
the ear is the natural teacher of speech and language. If the sounds of 
speech are not clearly heard the imitation of them will always be 
imperfect, and the acquisition of language will be impeded. If deafness 
is so great that spoken words are not heard at all, then the child will not 
learn to speak and to understand when spoken to unless specially taught. 
A much slighter degree of deafness will prevent the proper acquisition
of speech and language than would in later life prevent the 
comprehension of conversation in a familiar language. As even the 
child of fifteen months would benefit from some modifications of the 
ordinary treatment of a baby, if his hearing was not normally acute, it is 
to his advantage to have the fact of his deafness known at once by those 
in charge of him. 
It is not as easy as it might seem to the inexperienced to determine even 
approximately the situation of a fifteen-months-old baby with respect 
to its hearing. Our interest here is, of course, in the tests of hearing that 
do not require special apparatus and special training. In the case of a 
child less than two years of age we must rely upon merely attracting his 
attention by various sounds, judging the effect upon him by his 
expression and actions. We cannot, at that age, establish a system of 
responses, nor expect him to imitate the sounds he hears. Sounds 
should be used for testing that disturb only the air, and are not 
sufficiently low and powerful to set in vibration the floor, chair, or any 
other object with which he may be in contact. Deaf children rapidly 
become abnormally sensitive to vibrations, which are to them what 
noises are to us. A rather smooth, not too shrill, whistle is one excellent 
sound to use. Not a fluttering whistle like the postman's, nor a heavy 
tone like an organ pipe or bass horn. Clapping the hands is a good 
initial test of a crude nature; then a moderate whistle, varying the pitch, 
for sometimes high sounds are perceived, but not low ones, or vice 
versa. Then a bell, such as a small table bell, the telephone, electric 
door bell, etc. Lastly, the human voice in various pitches, volumes, 
distances, and vowels. Little by little it can be determined whether the 
child hears all the sounds, and if not, then which, if any, he perceives. 
A totally deaf child may often deceive the investigator by turning his 
head at the critical moment, apparently in response to the sound that 
was made, while, on the other hand, a child very slightly deaf, or not 
deaf at all, may completely ignore the sounds made for the purpose of 
attracting his attention. Therefore, it takes time and repeated tests under 
varying environments to gradually eliminate possible errors and 
coincidences. 
It must be remembered that the intensity with which a sound affects the
ear varies inversely as the square of the distance from the ear to the 
source of the sound. That is to say, if exactly the same sound is 
repeated at half the distance, the intensity with which it reaches the ear 
is four times as great as before, and if the distance is quartered, the 
intensity is sixteen times as great. In    
    
		
	
	
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