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Pediatric Nonorganic Hearing Loss: Psychosocial Issues and Managementl

© NSSLHA 11 1092-5171/05/3201-0011 ABSTRACT: Children as well as adults can present with nonorganic hearing loss (NOHL), which may be the result of conscious malingering or may be psychogenic in nature. Some cases of pediatric NOHL (PNOHL) can be symptomatic of underlying psychosocial stressors. These issues, left unresolved, may become harmful to a child’s well-being, especially if the hearing loss is replaced with functional symptoms that are emotionally and psychosocially damaging to the child. In most clinical settings, attention is rarely focused on determining the underlying problems leading to the PNOHL or to the management of the condition. Literature discussing psychosocial stressors that lead to PNOHL and the personality profile of children who present with PNOHL are reviewed in this article. Techniques for managing this condition also are presented.