SUCCESSFUL COGNITIVE BEHAVIORAL INTERVENTION IN A CASE OF PSYCHOGENIC HEARING LOSS

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  • TAKEDA Tomoya
    Tokushima University Hospital
  • HAMATANI Sayo
    Tokushima University Hospital
  • TAMARU Mai
    Tokushima University Hospital
  • SAKAI Motohiro
    Department of Clinical Psychology, Institute of Socio-Arts and Sciences, Tokushima University Graduate School
  • TOMOTAKE Masahito
    Departments of Mental Health, Institute of Biomedical Sciences, Tokushima University Graduate School
  • OHMORI Tetsuro
    Department of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School

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Other Title
  • 認知行動療法的介入が有効であった心因性難聴の事例
  • 症例研究 認知行動療法的介入が有効であった心因性難聴の事例
  • ショウレイ ケンキュウ ニンチ コウドウ リョウホウテキ カイニュウ ガ ユウコウ デ アッタ シンインセイ ナンチョウ ノ ジレイ

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Abstract

<p>There are few reports on cognitive behavior therapy for psychological hearing loss. The purpose of this report was to examine how cognitive behavioral intervention contributed to improvement in one such case of psychogenic hearing loss.</p><p>The patient was a male in his late teens with no history of developmental problems. He first expressed difficulty with hearing in junior high. Entering high school, marked reduction in spontaneous speech was noted both at school and in the home, for which he was diagnosed with psychological hearing loss by an otolaryngologist. His hearing loss involved difficulty understanding what people were saying when he felt tense, such as in meeting new people, or during a conversation. Therefore, intervention was designed to help circumvent avoidance of tense situations, through reinforcement of asking behavior as an alternative to responding with equivocal perplexed expressions when experiencing difficulties hearing. After this cognitive behavioral intervention, his cognition changed from “What should I do if I can't hear?” to “I can ask the person to say it again even if I can't hear”, reducing anticipatory anxiety and increasing asking behavior in tense situations. This in turn led to improvement in subjective hearing ability, and subsequent significant increase in social activity level.</p><p>The outcome of this case was taken to suggest possible efficacy of cognitive behavior therapy in patients with psychogenic hearing loss due to anxiety and tension.</p>

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