Examines whether, and how, deaf adults adjust their nonvocal communicative behavior when facing one of three audience types: hearing adults who have learned a signed language, deaf adults who use a signed languageand deaf children of deaf parents. (FL)

Considers the tension between non-American physicians' ability to control topics in interaction with patients and American expectations of equality and shared topic control. Focuses on the difficulties that foreign medical graduates have in adapting their interactive style to American expectations. Suggests that role distancing, role change, and…