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Evolving the concept of APD.

Wayne J Wilson1

  • 1a School of Health and Rehabilitation Sciences , The University of Queensland , Brisbane , Australia.

International Journal of Audiology
|February 3, 2018
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Summary
This summary is machine-generated.

Auditory Processing Disorder (APD) is evolving. Current views focus on bottom-up sound processing deficits, but challenges suggest including top-down cognitive factors for a comprehensive understanding.

Keywords:
Central auditory processing disorderauditory processing disorderreview

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Area of Science:

  • Neuroscience
  • Audiology
  • Cognitive Science

Background:

  • Auditory Processing Disorder (APD) is traditionally viewed as a deficit in the auditory nervous system's bottom-up processing of sound.
  • This perspective excludes higher-order cognitive or language deficits.

Purpose of the Study:

  • To explore the evolving concept of Auditory Processing Disorder (APD).
  • To examine different definitions and approaches to APD in the literature.

Main Methods:

  • A narrative review and opinion piece.
  • Analysis of eight distinct approaches to APD and definitions from ten global societies.

Main Results:

  • The dominant view of APD focuses on bottom-up auditory deficits, excluding top-down cognitive influences.
  • Challenges question the relevance of this narrow view, proposing APD include top-down processing or be reframed hierarchically.

Conclusions:

  • Reconciling these views requires evolving the concept of APD.
  • APD should be considered a spectrum disorder, integrating both bottom-up auditory processing and top-down cognitive factors like attention.