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An alternative to oralism is the manual method, which uses sign language. Manualism facilitates natural and efficient communication, but few people outside describe the following approaches for students who are deaf or hard of hearing: a) oralism b) manualism c) total communication. manualists firmly believed in l' Oralism Versus Manualism Formal Deaf education in the United States began in the 18th century, and the debate over oralism and manualism has been continuousLanguage attitudes in deaf education have a long and storied history that is documented in journals and conferences of oralists and sign language users. An essay or paper on Oralism Verses Manualism. Some of these same researchers and educators are against the use of the cochlear implant devise