This course is signing and fingerspelling along with speaking or forming the English words on the lips is called the Simultaneous Method of communication. This is not a simple matter, particularly for those who speak rapidly and would therefore have difficulty maintaining a smooth flow of language while attempting to combine the two modes of communication. The sign should begin at the same time the word is spoken. This is true also of fingerspelling but is, of course, more difficult. Signs follow each other in a natural sort of progression and a pause is made at the end of a thought. The pause is equivalent to the drop in voice that usually comes at the end of a sentence.

The Concept of speaking or of forming words on the lips is emphasized to a much greater extent today than it was in the early days of sign language when speech was not as much a part of the training.

The locations of the hands when signing and fingerspelling is usually in front of the chest in a comfortable manner. The clothing, particularly from the waist up, becomes the backdrop against which signs are read. It is therefore desirable when signing for a considerable length of time to wear a solid color that contrasts with the skin color of the hands.