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Non-Organic Hearing Loss
Exam 3
18
Audiology
Undergraduate 3
12/07/2013

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Term
NOHL also called
Definition
erroneous hearing loss (EHL)
Term
PNOHL stands for
Definition
pediatric non-organic HL
Term
NOHL includes
Definition
functional HL
pseudohypacusis
psychogenic deafness (unconscious psychodynamics)
malingering (conscious or deliberate)
Term
functional HL and pseudohypacusis
Definition
both are referring to someone who is consciously showing a hearing loss that isn't there
Term
psychogenic deafness
Definition
psychological issue that is causing a physical problem
Term
malingering
Definition
also conscious showing
usually a negative term
don't like to use this term anymore
Term
signs to alert audiologist to the possibility of NOHL
Definition
nonaudiometric indicators
audiometric indicators
Term
nonaudiometric indicators
Definition
often late for appointments
exhibit behaviors that are exaggerated
reason for referral
(usually late because then they think that the audiologist will be rushed and won't look too much into it to see what's actually going on- exaggerate behaviors beginning in the waiting room: cup ear or say what? when their name is called; usually those who have an actual HL do not try to draw attention to themselves and will pay extra attention to make sure they hear their name being called)
Term
audiometric indicators
Definition
poor test-retest reliability
speech recognition that is good to excellent at admitted threshold
SRT is not within 10 dB of PTA
presence of unilateral HL without crossover to the other ear (lack of shadow curve)
acoustic reflexes present in an ear with thresholds that are in the severe or greater range
-usually exaggerate an already existing HL (for unilateral or fake)= very hard to determine this
kids with many ear infections will often use HL to get special attention
Term
tests for NOHL
Definition
1. stenger
2. delayed auditory feedback (DAF)
3. lombard
4. swinging story (varying intensity story)
5. ABR or OAE
Term
stenger test
Definition
used whenever a unilateral loss is expected
present tone at a level that they're responding to
in the test ear, start at a lower level and begin to increase it in steps
get to the point where it's the same
because they're now hearing it in their bad ear and they're trying to pretend they have a HL, they will stop responding
Term
the stenger principle states that
Definition
if two sounds are presented to both ears simultaneously, only the louder of the stimuli will be perceived, even if you have normal thresholds
Term
DAF
Definition

delayed auditory feedback

present material slightly delayed, they begin to stutter and stammer evidence of when they can hear their voice at that level

Term
lombard
Definition
as noise in the background increases, you automatically raise your voice
white noise presented in the background and increases in level and if clients voice starts to get louder, they obviously hear that background noise even if they're saying that they don't hear it
Term
swinging story
Definition
need to have an audiometer with two channels and presenting it at various times either at one ear or both ears, and it switches back and forth
Term
ABR or OAE
Definition
advantage of ABR: can use stimuli for both low freq sounds and another tone is for high freq
broadband
Term
yes/no test
Definition
tell me when you hear a sound and when you don't hear a sound
they'll say no when they do hear it if they're trying to get you to think that they have a hearing loss
however, they wouldn't say no after a beep that they didn't actually hear
Term
inconsistencies
Definition
behavior vs test results
SRT vs PTA
ABG and Type A tymp
-never want to blame the patient= want to blame yourself
re-instruct and check equipment
some people think "oh okay i can get out of this by doing it right the next time" and then nobody has to be confronted about anything
role of psychologist or refer back to pediatrician
write down that there are inconsistencies in the test results
if it's unconscious- definitely in the realm of a psychologist
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