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Related Experiment Videos

Central auditory processing disorders and reduced motivation: three case studies.

S Silman1, C A Silverman, M B Emmer

  • 1Department of Speech Communication Arts and Sciences, Center for Auditory Research, Brooklyn College, CUNY, New York, New York, USA.

Journal of the American Academy of Audiology
|February 24, 2000
PubMed
Summary
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Reinforcement significantly improved central auditory test scores in children with suspected auditory processing disorders. This suggests potential false-positive diagnoses without motivational support.

Area of Science:

  • Audiology
  • Neuroscience
  • Developmental Psychology

Background:

  • Central auditory processing disorder (C-APD) diagnosis can be challenging in children.
  • Learning disabilities often co-occur with C-APD, complicating assessment.
  • Accurate diagnosis is crucial for appropriate intervention and educational support.

Observation:

  • Three normal-hearing children with initial C-APD and learning disability diagnoses were re-evaluated.
  • Central auditory processing tests were administered under two conditions: no reinforcement and reinforcement (using preferred items).
  • Significant bilateral improvements in test scores were observed when reinforcement was provided.

Findings:

  • Children's central auditory test scores markedly improved with motivational reinforcement.

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  • The observed improvements suggest that some C-APD diagnoses may be false positives.
  • Motivation appears to be a key factor influencing performance on these auditory tests.
  • Implications:

    • Motivational strategies could enhance the accuracy of central auditory testing in children.
    • Further large-scale research is needed to validate the effect of reinforcement on test performance.
    • Revisiting diagnostic criteria for C-APD may be necessary, considering motivational factors.