Choosing for the child with cochlear implants: a note of precaution.

Area of Science:

• Pediatric Audiology
• Linguistics
• Bioethics

Background:

• Discussions in Norway highlight two conflicting approaches to pediatric cochlear implantation support.
• These approaches are bilingual (simultaneous sign and spoken language) versus monolingual (speech only).
• This conflict presents an ethical dilemma for parents making critical decisions.

Purpose of the Study:

• To propose the precautionary principle as a framework for resolving the ethical conflict in pediatric cochlear implant support.
• To evaluate the potential risks associated with both bilingual and monolingual post-implantation habilitation strategies.

Main Methods:

• Ethical analysis applying the precautionary principle to the pediatric cochlear implantation debate.
• Review of existing doctrines and potential outcomes for children undergoing cochlear implantation.

Main Results:

• Scientific uncertainty exists regarding the optimal habilitation approach for pediatric cochlear implant users.
• A potential for irreversible harm to some children exists within the monolingual habilitation model.
• The precautionary principle favors the bilingual approach due to potential risks.

Conclusions:

• The precautionary principle offers a rational basis for adopting a bilingual approach in pediatric cochlear implantation.
• This approach may serve as a prudent interim solution given the current uncertainties and potential risks.
• Further research is needed to definitively establish the long-term efficacy of both approaches.