Transcript PPT only
Speech Disorders II Audiometry Coming Later Paperette Due TODAY ‘Hearing’ Speech with Dyslexia • Traditional dyslexia – Normal intelligence & sensory ability – Difficulty Reading, Writing & Spelling • Visual dysfunction • New View on Dyslexia (Wallace & Flowers, under review) – Multisensory matching difficulties – Exp: Which of two flashes occurred first • With/without coincident ‘beep’ • Change latency of visual flash relative to beep 50 – 400 ms – Result: Dyslexics performance is enhanced over greater latencies (up to 350 ms) • Disturbed multisensory matching It’s not a tumor… • Symptoms – – – – Buzzing & ringing Poor balance Fullness Poor speech discrimination • Population – Women – Middle Aged – Multiple generations of tumors • Diagnosis – Acoustic Neuroma (neurofibromatosis 2) • Benign tumors grow along the auditory nerves – Prohibits signals from cochlea to brain Capping Hearing • Symptoms – – – – Normal tympanic response Normal thresholds Poor Speech reception threshold Fluctuating hearing loss • Population – Jaundiced babies – Premature births • Diagnosis – Auditory Neuropathy • Auditory nerve problems – No cochlear or conductive difficulty • Hearing loss may be progressive – May self-resolve (by age 2) – May benefit from cochlear implant Helen Keller “Deafness cuts one off from people, whereas blindness cuts one off from things” Profile of a Partially Deaf Person • Early hearing loss – Spoken language, reading – Early diagnosis to facilitate development • Mixed diagnoses common – Intelligence, attention deficit or hearing loss • Psychosocial ramifications – communicative disorder – Anger & introversion • Lack of empathy • Inadequate impulse control – Depression • Self-esteem – Drug abuse • 15% in deaf/hard of hearing vs. 7% normal population (NCID) Social Consequences • Hearing loss influences in development – Emotional, social health • Factors severity of social consequences – Amount of hearing loss • Moderate to profound • Worse or better? – Age • Greater difficulty at earlier stage – Gender • Female advantage?