Pure Tone-Spondee Threshold Relationships in Functional Hearing Loss: A Hypothesis A hypothesis is offered to account for the fact that in functional hearing loss, spondee threshold is frequently significantly lower than the pure-tone average. The hypothesis has three basic components: (1) that patients with functional hearing loss use a loudness criterion in making response decisions to suprathreshold stimuli; (2) that, ... Articles
Articles  |   February 01, 1976
Pure Tone-Spondee Threshold Relationships in Functional Hearing Loss: A Hypothesis
 
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Article Information
Articles   |   February 01, 1976
Pure Tone-Spondee Threshold Relationships in Functional Hearing Loss: A Hypothesis
Journal of Speech and Hearing Disorders, February 1976, Vol. 41, 16-22. doi:10.1044/jshd.4101.16
History: Received March 6, 1975 , Accepted June 12, 1975
 
Journal of Speech and Hearing Disorders, February 1976, Vol. 41, 16-22. doi:10.1044/jshd.4101.16
History: Received March 6, 1975; Accepted June 12, 1975

A hypothesis is offered to account for the fact that in functional hearing loss, spondee threshold is frequently significantly lower than the pure-tone average. The hypothesis has three basic components: (1) that patients with functional hearing loss use a loudness criterion in making response decisions to suprathreshold stimuli; (2) that, at suprathreshold levels, pure tones and spondee words appear equally loud at equal sound pressure levels, and (3) that calibration values employed in pure-tone and speech audiometry contribute to the aberrant speech—pure tone relationship. Factors that may confound the speech—pure tone relationship are discussed as are the clinical and research implication of the hypothesis.

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