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Updated: Aug 12, 2026

Cochlear Implantation in the Guinea Pig
Published on: June 15, 2018
Cochlear implant/Deaf World dispute: different bottom elephants
1Department of Otolaryngology-Head and Neck Surgery, Tulane Health Sciences Center, New Orleans, LA 70112, USA. tgonsou@tulane.edu
Objective:
To examine the controversy between the proponents of cochlear implantation in children and the Deaf World opponents with the hope of offering a method for decreasing the acrimony of opposing positions. STUDY DESIGN AND SETTING (METHODS): The opposing arguments will be presented from a review of pertinent literature. The systemic philosophic process of bottom elephant analysis will be elucidated. Contrasting models of power will be described.
Results:
The application of the bottom elephant analysis of each group's position plus a paradigm shift in the utilization of power offers possibilities for the implementation of mutually respectful dialogue that does not undermine each group's stature.
Conclusion And Significance:
Philosophic analysis and paradigm shift could lead to improvement in the interaction of cochlear implant proponents and Deaf World opponents.
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