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"Does god have a cochlear implant?".

M A Harvey1

  • 114 Vernon St., Suite 304, Framingham, MA 01701 (e-mail: mharvey2000@earthlink.net

Journal of Deaf Studies and Deaf Education
|September 29, 2004
PubMed
Summary

This study explores the psychological and ethical factors in family therapy for parents considering cochlear implantation for their deaf child. It highlights family dynamics, informed consent, and therapist bias in pediatric audiology decisions.

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Area of Science:

  • Psychology
  • Audiology
  • Bioethics

Background:

  • Cochlear implantation is a significant decision for families with deaf or hard-of-hearing children.
  • Psychological and ethical considerations are crucial during this process.
  • Family dynamics play a vital role in decision-making.

Purpose of the Study:

  • To describe the psychological and ethical considerations in family therapy for parents contemplating cochlear implantation.
  • To illustrate the complexities of informed consent, therapist bias, and intervention strategies.
  • To explore the impact of pathological and culturally affirmative models.

Main Methods:

  • Case study vignette of a child and family undergoing cochlear implantation considerations.
  • Narrative illustration using a daydream to depict theoretical models.
  • Qualitative analysis of psychological and ethical themes.

Main Results:

  • Family dynamics present unique challenges and require sensitive therapeutic approaches.
  • Multilevel criteria for informed consent must be carefully addressed.
  • Therapist bias can influence intervention strategies and family decisions.
  • Both pathological and culturally affirmative models have distinct impacts.

Conclusions:

  • Family therapy is essential for navigating the ethical and psychological landscape of cochlear implantation decisions.
  • Therapists must be aware of their biases and ensure comprehensive informed consent.
  • Understanding different cultural models is key to providing affirming care for deaf/hard-of-hearing children.

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