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February 1968

Evoked Response (EEG) Audiometry in Nonorganic Hearing Loss

Arch Otolaryngol. 1968;87(2):123-128. doi:10.1001/archotol.1968.00760060125006

AVAILABLE LITERATURE is replete with descriptions of tests for nonorganic or functional hearing loss. These are usually labeled malingering tests, and are designed to demonstrate that a patient's organic level of functioning is better than he admits to voluntarily. As early as 1954, over 40 such tests had been described.1 In addition to numerous formal tests, there are many clinical signs which suggest a nonorganic involvement, such as variability of response to pure tones, discrepancy of the pure tone results with the speech reception threshold, or an inconsistency between the patient's behavioral ability to hear conversational speech and his audiometric test results.

Clinically, the problem is not one of determining the presence or absence of a nonorganic loss since the behavioral characteristics of these patients are well known.2 Likewise, this condition can be demonstrated by the many malingering tests which may be applied. However, they provide little, if