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July 7, 1956


Author Affiliations


Otologist (Dr. Henner), Associate Otologist (Dr. Pollock), Audiologist (Mr. Campanelli), Child Psychiatrist (Dr. Phillips), and Medical Social Worker (Miss Judiesch), Hearing and Speech Service, Michael Reese Hospital.

JAMA. 1956;161(10):957-960. doi:10.1001/jama.1956.02970100023007

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• Impairment of communication is far-reaching in its effects on a patient, and it is also multifarious as to possible causes. Early diagnosis is essential, especially in children. The procedure for helping such patients must therefore include an initial pediatric or medical examination, otological survey, audiological and speech examinations, social service study, and occasional special psychometric, psychiatric, neurological, orthopedic, and ophthalmologic examinations.

The otologist, clinical audiologist, and speech pathologist cooperate in deciding what can be done with medicine, surgery, hearing aids, and special training and how these things can be timed with respect to the patient's education. The medical social worker secures information essential to diagnosis and treatment and maintains contact with helpful social agencies. The clinical psychiatrist is needed not only in solving diagnostic problems but also at times in overcoming resistance to rehabilitation. Speech problems are so diverse that a resort to many disciplines is necessary and teamwork is essential for optimum results.