Lloyd Stephanie, Bonventre Chani
Université Laval, Quebec City, Quebec, Canada.
Sci Technol Human Values. 2025 Mar;50(2):336-363. doi: 10.1177/01622439231183215. Epub 2023 Jun 22.
In this article, we travel back to the early days of experimental use of cochlear implants (CIs) in the 1970s, when unsettled expectations of the device and broad investigations of its effects began to settle and center on speech outcomes. We describe how this attention to speech outcomes coalesced into specific understandings of what CIs do, and how implicit or explicit understandings of CIs as bionic devices that normalize hearing influenced research on and expectations of CIs into the present. We conclude that accumulated evidence about what is known and unknown about experiences and materialities with CIs calls for a decisive break from the metaphor of the bionic ear. This shift would create a space to reconsider the "deafness of history and the present," as well as experiences of brain-computer interfaces that are inclusive of nonnormative life. This article is based on fieldwork in research and clinical facilities in Australia, Canada, and the United States. It included forty-three interviews with clinical experts and leading researchers in the fields of audiology, psychoacoustics, and neuroscience, among them scientists involved in the development and commercialization of one of the first CIs.
在本文中,我们回溯到20世纪70年代人工耳蜗(CI)实验应用的早期,当时对该设备的不确定期望以及对其效果的广泛研究开始趋于稳定,并以言语结果为核心。我们描述了这种对言语结果的关注如何凝聚成对人工耳蜗功能的具体理解,以及将人工耳蜗作为使听力正常化的仿生设备的隐含或明确理解如何影响到如今对人工耳蜗的研究和期望。我们得出结论,关于人工耳蜗的体验和物质性已知与未知的累积证据要求果断摒弃仿生耳的隐喻。这种转变将创造一个空间,重新审视“历史与当下的失聪”,以及包含非规范生活的脑机接口体验。本文基于在澳大利亚、加拿大和美国的研究与临床机构进行的实地调查。调查包括对听力学、心理声学和神经科学领域的临床专家及顶尖研究人员进行的43次访谈,其中包括参与首批人工耳蜗之一的研发和商业化的科学家。