Most audiologists probably have encountered a patient who produces within- or among-test discrepancies in audiometric results that have no medical explanation. This phenomenon goes under a multiplicity of terms. In addition to pseudohypacusis, nonorganic hearing loss, and functional hearing loss, there are malingering, dis/simulating, faking, feigning, conversion, hysterical, psychogenic, and more.
Topic(s): false and exaggerated hearing loss (FEHL), Hearing Loss, Psychology, Audiogram, speech-in-noise, dysphonia, spastic dysphonia, spasmodic dysphonia
Case scenario 1...a 30-something audiologist completed a routine diagnostic assessment of a 35-year-old patient referred by her primary-care physician for rather vague complaints of inconsistent difficulty hearing in certain settings.
The audiologist performed tympanometry, pure-tone audiometry, and phonetically-balanced (PB) word recognition testing at a comfortable loudness level. The patient’s history was unremarkable for any obvious etiologies or risks for hearing loss, although she enjoyed listening to loud music.
Topic(s): Audiologist, Audiogram, Bilateral Hearing Loss, Patient care
During the Eisenhower administration, more than half a century ago, the Third International Congress on Acoustics convened in Stuttgart, Germany. It was a wide-ranging conference covering all areas of psychological, physiological, and physical acoustics. The list of authors from the proceedings is a three-column, three-page Who’s Who that includes many of the most eminent auditory scientists of the day. Some of the familiar names on the roster include Georg von Békésy, Nelson Kiang, S.S. Stevens, Juergen Tonndorf, and Eberhard Zwicker.
Topic(s): Audiogram, Bone Threshold, Hearing