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A Critique of the Stenger Test
Andrew Bell1, Myriam Westcott2, W Wiktor Jedrzejczak3,4
1Eccles Institute of Neuroscience, John Curtin School of Medical Research, Australian National University, Canberra, ACT 2601, Australia.
The Stenger test, used for single-sided deafness, may be unscientific and ethically questionable. It might reflect genuine auditory system responses rather than malingering, suggesting a need for re-evaluation or abolition.
Area of Science:
- Audiology
- Auditory Physiology
- Clinical Otolaryngology
Background:
- The Stenger test is commonly included in audiometers to detect malingering in cases of single-sided deafness.
- Existing literature attributes Stenger test failures to psychological factors like "nonorganic hearing loss" or "pseudohypoacusis", lacking objective scientific basis.
- The test's subjective nature leads to patients being unfairly blamed for non-repeatable hearing thresholds.
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