Plentz R J
Fortschr Med. 1976 Jun 10;94(17):989-95.
Psychogenic hearing problems exist even in childhood. They must be differentiated from the stimulated or aggravated hearing losses. A characteristic is the discrepancy between the understanding during conversation and the bad results of the hearing tests. The psychical case history of the patient shows his conflict-situation and personal problems. If the psychogenic hearing problems do not improve on their own or by means of oto-rhinolaryngical placebo-therapy, psycho-therapy will be needed. Taking the example of 2 children, where the suspected primary diagnosis was sudden deafness, the problems of diagnosis was shown.
心理性听力问题在儿童时期就已存在。必须将其与诱发性或加重性听力损失区分开来。一个特征是谈话中的理解能力与听力测试的不良结果之间存在差异。患者的心理病史显示出其冲突情境和个人问题。如果心理性听力问题无法自行改善或通过耳鼻喉科安慰剂治疗得到改善,就需要进行心理治疗。以2名疑似初步诊断为突发性耳聋的儿童为例,展示了诊断方面的问题。