Psychogenic Deafness

King, P. F.

doi:10.1017/s0022215100050052

Cited by 23 publications

(19 citation statements)

References 8 publications

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“…It accounts for at least 5Á10% of all referrals to Ear, Nose and Throat departments(ENT). It is characterized by descriptions of hearing difficulties in the presence of normal audiometric thresholds (1,2). These difficulties most often occur in the presence of background noise or competing conversations (3,4).…”

Section: Introductionmentioning

confidence: 99%

The process of coping in King-Kopetzky Syndrome

Pryce

2006

Audiological Medicine

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Our object was to describe the process of coping in King-Kopetzky syndrome and hypothesise how the process is mediated. We used a qualitative study using open-ended interviews. The data were gathered purposefully from 19 cases in the first phase of the study. Accounts were then compared deductively with six accounts from a previous interview-based study. Maximum contrast was sought in cases and in experience of clinical interventions. Participants were recruited from Hearing Therapy services in Bath and North East Somerset Primary Care Trust and The Welsh Hearing Institute. Interviews were conducted in participants' homes or clinic setting. Coping was determined by the concept that the individual developed about their hearing difficulties. The process of conceptualizing involves reconciling the symptoms experienced with the information obtained from clinicians. The process is mediated by the context in which hearing difficulties occur and the interventions that are received. Forming a coherent concept of hearing difficulties facilitates coping. Clinicians can assist this process by giving patients with King-Kopetzky Syndrome an explanation of the condition.

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Section: Introductionmentioning

confidence: 99%

The process of coping in King-Kopetzky Syndrome

Pryce

2006

Audiological Medicine

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“…For example, in a large UK survey, 26% of adults reported great difficulty hearing speech in noise, while only 16% had abnormal sensitivity (audiometric thresholds ≥25 dB hearing level [HL] averaged between 0.5 and 4 kHz; Davis, 1989). This condition has been given several names, including obscure auditory dysfunction (Saunders & Haggard, 1989) and King-Kopetzky syndrome (KKS; Hinchcliffe, 1992) after the authors of the early reports of this condition (P. F. King, 1954; Kopetzky, 1948).…”

Section: Hearing Difficulties With a Normal Audiogrammentioning

confidence: 99%

Perceptual Consequences of “Hidden” Hearing Loss

2014

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Dramatic results from recent animal experiments show that noise exposure can cause a selective loss of high-threshold auditory nerve fibers without affecting absolute sensitivity permanently. This cochlear neuropathy has been described as hidden hearing loss, as it is not thought to be detectable using standard measures of audiometric threshold. It is possible that hidden hearing loss is a common condition in humans and may underlie some of the perceptual deficits experienced by people with clinically normal hearing. There is some evidence that a history of noise exposure is associated with difficulties in speech discrimination and temporal processing, even in the absence of any audiometric loss. There is also evidence that the tinnitus experienced by listeners with clinically normal hearing is associated with cochlear neuropathy, as measured using Wave I of the auditory brainstem response. To date, however, there has been no direct link made between noise exposure, cochlear neuropathy, and perceptual difficulties. Animal experiments also reveal that the aging process itself, in the absence of significant noise exposure, is associated with loss of auditory nerve fibers. Evidence from human temporal bone studies and auditory brainstem response measures suggests that this form of hidden loss is common in humans and may have perceptual consequences, in particular, regarding the coding of the temporal aspects of sounds. Hidden hearing loss is potentially a major health issue, and investigations are ongoing to identify the causes and consequences of this troubling condition.

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“…Many of these patients report specific difficulties hearing speech in a background of noise. This phenomenon has long been identified (Kopetzky, 1948;King, 1954) and has been termed 'Obscure Auditory Dysfunction' (OAD) (Saunders and Haggard, 1989) and 'King-Kopetzky syndrome' (Hinchcliffe, 1992).…”

Section: Introductionmentioning

confidence: 99%

“…A factor in quality of life that appears throughout the literature is the emotional well-being of patients. Hinchcliffe (1992) reproduces this extract from King (1954) describing patients who had lost the capacity for discriminative listening: "He was a worried tense man, extremely anxious lest his defect should be the cause of disaster, particularly when told that his hearing was normal. "…”

Section: Introductionmentioning

confidence: 99%

Emotional responses to King‐Kopetzky syndrome: a qualitative study

Pryce

2003

Audiological Medicine

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Pryce H. Emotional Responses to King-Kopetzky Syndrome: a Qualitative Study. Audiological Medicine 2003; 1: 247-254.The objective of the study was to identify the effects of King-Kopetzky syndrome on emotional wellbeing and the effects of emotional well-being on the condition itself. The study was designed as a qualitative study using semi-structured interviews, using six patients with long-standing hearing problems and exposure to a range of interventions. Participants were recruited from Audiology and Hearing Therapy Services, Bath and the Welsh Hearing Institute, Cardiff. Interviews were conducted in participants' homes and work places. King-Kopetzky syndrome was perceived to result in a change in level of anxiety, distress and depression. The determining factor in whether the change was positive (e.g. reduction in anxiety, distress or depression) or negative (e.g. increase in anxiety, distress or depression) was the person's interpretation of the experience of not hearing. This process of interpretation was based on feeling different towards other people, the relationship with the communicant person, and the confidence to employ strategies and the types of strategies chosen. Participants associated an increase in distress, anxiety or depression with an increase in mishearing or not hearing, and a reduction in hearing difficulties with a reduction in anxiety, distress and depression. It is hypothesised that emotional response to King-Kopetzky syndrome affects the degree of hearing difficulty experienced. Interventions aimed at the process of interpretation may be a means of empowering individuals in managing their own hearing difficulties.

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Psychogenic Deafness

Cited by 23 publications

References 8 publications

The process of coping in King-Kopetzky Syndrome

The process of coping in King-Kopetzky Syndrome

Perceptual Consequences of “Hidden” Hearing Loss

Emotional responses to King‐Kopetzky syndrome: a qualitative study

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