Twentieth century American psychiatrist and internist George Engle observed that, in addition to biophysical and psycho-emotional concerns, patients also exist within a social context encompassing family, friends, and community. Dr. Engel's (1977) biopsychosocial model of health-care engagement underpins what we recognize today as person-centered care.
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