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Deafness and Psychiatric Illness

Published online by Cambridge University Press:  29 January 2018

A. F. Cooper*
Affiliation:
Leverndale Hospital, 510 Crookston Road, Glasgow G53 7TU; Department of Psychological Medicine, University of Newcastle upon Tyne

Summary

Review of the literature concerning the relationship between deafness and psychiatric disorder reveals differences in the pattern of illness depending on the severity of deafness and the age of onset. In particular, the prevalence of schizophrenia in the prelingually deaf is similar to that found in the normal population, whereas the hard of hearing are over-represented among samples of patients suffering from paranoid psychoses in later life.

Possible modes of action of long-standing hearing loss in the aetiology of paranoid illnesses are considered: the psychological and social consequences of deafness, the possible contribution of sensory deprivation phenomena, and the interference of hearing loss in attention, perception and communication. Finally, possible future lines of research are suggested.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1976 

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References

Altshuler, K. Z. (1971) Studies of the deaf: relevance to psychiatric theory. American Journal of Psychiatry, 127, 1521–6.Google Scholar
Altshuler, K. Z. & Sarlin, M. B. (1963) Deafness and schizophrenia: a family study. In Family and Mental Health Problems in a Deaf Populatio. (edited by Rainer, J. D., Altshuler, K. Z., Kallmann, F. J. and Deming, W. E.). New York: Columbia University.Google Scholar
Barker, R. G. (1953) Adjustment to Physical Handicap and Illness. New York: Social Science Research Council.Google Scholar
British Medical Journal (1973) Better aids for the deaf (Leading article). British Medical Journal, ii, 569–70.Google Scholar
Broadbent, D. E. (1958) Perception and Communication, Ch. 12. London: Pergamon.CrossRefGoogle Scholar
Bull, H. C. & Venables, P. H. (1974) Speech perception in schizophrenia. British Journal of Psychiatry, 125, 350–4.CrossRefGoogle ScholarPubMed
Cattell, R. B., Eber, H. W. & Tatsuoka, M. M. (1970) Handbook for the Sixteen Personality Factor Questionnair. (16 P.F.), Ch. 14, p 285. Windsor, England: NEFR Publishing Company Ltd.Google Scholar
Chapman, J. (1966) The early symptoms of schizophrenia. British Journal of Psychiatry, 112, 225–51.CrossRefGoogle ScholarPubMed
Cooper, A. F., Curry, A. R., Kay, D. W. K., Garside, R. F. & Roth, M. (1974) Hearing loss in paranoid and affective psychoses of the elderly. Lancet, ii, 851–4.Google Scholar
Cooper, A. F., Curry, A. R., (1976) The pathology of deafness in the paranoid and affective psychoses of later life. Journal of Psychosomatic Research. In press.Google Scholar
Davis, J. M., McCourt, W. F., Courtney, J. & Solomon, P. (1961) Sensory deprivation. Archives of General Psychiatry, 5, 106–12.Google Scholar
Denmark, J. C. (1969) Management of severe deafness in adults. The psychiatrist's contribution. Proceedings of the Royal Society of Medicine, 62, 965–7.Google ScholarPubMed
Denmark, J. C. & Eldridge, R. W. (1969) Psychiatric services for the deaf. Lancet, ii, 259–62.Google Scholar
Gardner, R. W., Holzman, P. S., Klein, G. S., Linton, H. B. & Spence, D. P. (1959) Cognitive control: a study of individual consistencies in cognitive behaviour. Psychological Issues, 1, No. 4.Google Scholar
Gregory, P. (1964) Deafness and Public Responsibility: the Provision of Hearing Aids . Occasional Papers on Social Administration No. 7. London: Bell.Google Scholar
Hebb, D. O. (1961) Sensory deprivation: facts in search of a theory. Journal of Nervous and Mental Disease, 132, 40–3.Google Scholar
Heider, F. & Heider, G. M. (1941) Studies in the psychology of the deaf. No. 2. Psychological Monographs, 53, No. 242.CrossRefGoogle Scholar
Henderson, D. K. & Gillespie, R. D. (1944–69) Textbook of Psychiatry. 10th edition revised by I. R. C. Batchelor. London: Oxford University Press.Google Scholar
Herbert, M. E. & Jacobson, S. (1967) Late paraphrenia. British Journal of Psychiatry, 113, 461–9.CrossRefGoogle ScholarPubMed
Houston, F. & Royse, A. B. (1954) Relationship between deafness and psychotic illness. Journal of Mental Science, 100, 990–3.CrossRefGoogle ScholarPubMed
Ingalls, G. S. (1946) Some psychiatric observations on patients with hearing defect. Occupational Therapy and Rehabilitation, 25, 62–6.Google Scholar
Kallmann, F. J. (1946) The genetic theory of schizophrenia. American Journal of Psychiatry, 103, 309–22.Google Scholar
Kay, D. W. K. (1972) Schizophrenia and schizophrenia-like states in the elderly. British Journal of Hospital Medicine, 8, 369–76.Google Scholar
Kay, D. W. K. & Roth, M. (1961) Environmental and hereditary factors in the schizophrenias of old age. Journal of Mental Science, 107, 649–86.Google Scholar
Kay, D. W. K. Cooper, A. F., Garside, R. F. & Roth, M. (1976) The differentiation of paranoid and affective psychoses by patients' pre-morbid characteristics. British Journal of Psychiatry, 129, 207–15.CrossRefGoogle Scholar
Kay, S. R. & Singh, M. M. (1974) A temporal measure of attention in schizophrenia and its clinical significance. British Journal of Psychiatry, 125, 146–51.Google Scholar
Kirk, R. V. (1968) Perceptual defect and role handicap. British Journal of Psychiatry, 114, 1509–21.Google Scholar
Knapp, P. H. (1948) Emotional aspects of hearing loss. Psychosomatic Medicine, 10, 203–22.Google Scholar
Kraepelin, E. (1915) Der Verfolgungswahn der Schwerhörigen. In Psychiatrie. Auflage 8, and IV, p 1441. Leipzig: Barth.Google Scholar
Lawson, J. S., McGhie, A. & Chapman, J. (1964) Perception of speech in schizophrenia. British Journal of Psychiatry, 110, 375–80.Google Scholar
Leff, J. P. (1968) Perceptual phenomena and personality in sensory deprivation. British Journal of Psychiatry, 144, 14991508.CrossRefGoogle Scholar
Ludwig, A. M., Wood, B. S. & Downs, M. P. (1962) Auditory studies in schizophrenia. American Journal of Psychiatry, 119, 122–7.Google Scholar
Mahapatra, S. B. (1974) Deafness and mental health: psychiatric and psychosomatic illness in the deaf. Acta Psychiatrica Scandinavica, 50, 596611.Google Scholar
Maher, B. (1972) The language of schizophrenia. British Journal of Psychiatry, 120, 317.CrossRefGoogle ScholarPubMed
Mayer-Gross, W., Slater, E. & Roth, M. (1969) Clinical Psychiatr. (edited by Slater, E. and Roth, M.). London: Baillière, Tindall & Cassell.Google Scholar
McClelland, H. A., Roth, M., Neubauer, H. & Garside, R. F. (1968) Some observations on a case material based on patients with some common schizophrenic symptoms. In Proceedings of the Fourth World Congress of Psychiatry, 1966, 4, 2955–7, London: Excerpta Medica.Google Scholar
McGhie, A. (1969) Pathology of Attention. Penguin Books.Google Scholar
McGhie, A. Chapman, J. & Lawson, J. S. (1965) The effect of distraction on schizophrenic performance, (i) Perception and immediate memory. British Journal of Psychiatry, 111, 383–90.Google Scholar
Moon, A. F., Mefford, R. B., Weiland, B. A., Pokorny, A. D. & Falconer, G. A. (1968) Perceptual dysfunction as a determinant of schizophrenic word associations. Journal of Nervous and Mental Disease, 146, 80–3.CrossRefGoogle ScholarPubMed
Myklebust, H. R. (1964) The Psychology of Deafness. 2nd edition. New York: Grune and Stratton.Google Scholar
Pavy, D. (1968) Verbal behaviour in schizophrenia. Psychological Bulletin, 70, 164–78.CrossRefGoogle ScholarPubMed
Post, F. (1966) Persistent Persecutory States of the Elderly. London: Pergamon.Google Scholar
Pritzker, B. (1938) Paranoia und Schwerhörigkeit. Schweizerische Medizinische Wochenschrift, 7, 165–6.Google Scholar
Rainer, J. D., Altshuler, K. Z., Kallmann, F. J. & Deming, W. E. (1963) Family and Mental Health Problems in a Deaf Population. New York: Columbia University.Google Scholar
Ramsdell, D. A. (1962) The psychology of the hard of hearing and the deafened adult. In Hearing and Deafness, ch. 18 (edited by Davis, H. and Silverman, S. R.). New York: Holt, Rinehart and Stratton.Google Scholar
Rappaport, M. & Hopkins, H. K. (1969) Drug effects on auditory attention in paranoid and non-paranoid schizophrenics. Journal of Nervous and Mental Disease, 148. 597605.CrossRefGoogle Scholar
Rappaport, M., Hopkins, H. K. & Hall, K. (1972) Auditory signal detection in paranoid and non-paranoid schizophrenics. Archives of General Psychiatry, 27, 747–52.Google Scholar
Rawson, A. (1973) Deafness: Report of a Departmental Enquiry into the Promotion of Research. DHSS Reports on Health and Social Subjects No. 4. London: HMSO.Google Scholar
Remvig, J. (1969) Deaf-mutism and psychiatry. Acta Psychiatrica Scandinavica, Supplementum 210, 964.Google Scholar
Rosenzweig, N. & Gardner, L. (1966) The role of input relevance in sensory isolation. American Journal of Psychiatry, 122, 920–8.Google Scholar
Roth, M. & McClelland, H. A. (1971) Sensorny defekty, fizichesky urodstva i somatichesky zabolevaniya pri schizofrenii. (Sensory defects, physical deformity and somatic illness in schizophrenics.) In Vestnik Academicheskikh Nauk S.S.S.R., Meditsina, 5, 77–9.Google Scholar
Rousey, C. L. (1971) Psychological reactions to hearing loss. Journal of Speech and Hearing Disorders, 36, 382–9.CrossRefGoogle ScholarPubMed
Sedman, G. (1966) A phenomenological study of pseudo-hallucinations and related experiences. Acta Psychiatrica Scandinavica, 42, 3570.CrossRefGoogle Scholar
Silverman, J. (1964a) Scanning control mechanism and ‘cognitive filtering’ in paranoid and non-paranoid schizophrenia. Journal of Consulting Psychology, 28, 385–93.Google Scholar
Silverman, J. (1964b) The problem of attention in research and theory in schizophrenia. Psychological Revie. 71, 352–79.Google Scholar
Slater, E. (1953) Psychotic and Neurotic Illnesses in Twins. Special Report Series, Medical Research Council No. 278. London: HMSO.Google ScholarPubMed
Solomon, P., Leiderman, P. H., Mendelson, J. & Wexler, D. (1957) Sensory deprivation: a review. American Journal of Psychiatry, 114, 357–63.Google Scholar
Welles, H. H. (1932) The Measurement of Certain Aspects of Personality among Hard of Hearing Adults. New York: Columbia University.Google Scholar
Wilkins, L. T. (1948) The Prevalence of Deafness in the Population of England, Scotland and Wales. London: Central Office of Information.Google Scholar
Zeckel, A. (1950) Psychopathological aspects of deafness. Journal of Nervous and Mental Disease, 112, 322–46.Google Scholar
Ziskind, E. (1964) A second look at sensory deprivation. Journal of Nervous and Mental Disease, 138, 223–32.Google Scholar
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