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Simulation of deafness is one of the commonest forms of malingering encountered in civil as well as in military life, and this, no doubt, for the reason that it is generally regarded as a form of disability very easy to assume and very difficult to detect.
The difficulty lies in the circumstance that deafness is a purely subjective phenomenon, which, though associated in a certain large class of cases (those of sound conducting apparatus) with demonstrable structural alterations, in another class (those of sound perceiving apparatus), in which we may have deafness of the gravest type, it is impossible by any method of examination at our command to discover objective changes to account for it.
In the latter circumstance, recourse must be had to the so-called functional tests, and since information derived therefrom depends on the good faith of the subject examined, we must, when this is under sus picion,
WELLS WA. A NEW AND SIMPLE METHOD OF DETECTING FEIGNED UNILATERAL DEAFNESS. JAMA. 1923;81(3):199-200. doi:10.1001/jama.1923.02650030023008