About The Book

Hyperacusis and Disorders of Sound Intolerance: Clinical and Research Perspectivesis a professional resource for audiology practitioners involved in the clinical management of patients who have sound tolerance concerns. The text covers emerging assessment and intervention strategies associated with hyperacusis, disorders of pitch perception, and other unusual processing deficits of the auditory system. In order to illustrate the patients’ perspectives and experiences with disorders of auditory processing, cases are included throughout.

This collection of basic science findings, diagnostic strategies and tools, evidence-based clinical research, and case reports provides practitioners with avenues for supporting patient management and coping. It combines new developments in the understanding of auditory mechanisms with the clinical tools developed to manage the effects such disorders exert in daily life. Topics addressed include unusual clinical findings and features that influence a patient’s auditory processing such as their perceptual accuracy, recognition abilities, and satisfaction with the perception of sound. Hyperacusis is covered with respect to its effects, its relation to psychological disorders, and its management. Hyperacusis is often linked to trauma or closed head injury, and the text also considers the management of patients with traumatic brain injury as an opportunity to illustrate the effectiveness of interprofessional care in such cases.

Interventions such as cognitive behavioral therapy, desensitization training, and hearing aid use are reported in a way that enhances clinicians’ ability to weave such strategies into their own work or into their referral system. Hyperacusis and Disorders of Sound Intolerance illuminates increasingly observed auditory-related disorders that challenge students, clinicians, physicians, and patients. The text elucidates and reinforces audiologists’ contributions to polytrauma and interprofessional care teams and provides clear definitions, delineation of mechanisms, and intervention options for auditory disorders.

About The Authors

Marc Fagelson, PhD, is Professor of Audiology at East Tennessee State University. He also serves as a consultant and clinical supervisor at the James H. Quillen Mountain Home Veteran’s Medical Center in Johnson City, Tennessee, where he serves a clinical population of more than 1,000 patients. He completed undergraduate and master’s degrees at Columbia University in New York City and his PhD at the University of Texas-Austin in 1995. Dr. Fagelson has more than 40 peer-reviewed publications and book chapters and has provided more than 100 conference presentations and workshops throughout the United States and internationally. Dr. Fagelson’s clinical and research efforts overlap thoroughly. His efforts focus primarily on individuals who suffer from the effects of bothersome tinnitus and disorders of sound tolerance that are exacerbated by histories of traumatic exposures and co-occurring mental health injury, such as posttraumatic stress disorder.

David M. Baguley, BSc, MSc, MBA, PhD, is Professor of Hearing Sciences at the University of Nottingham NIHR Biomedical Research Centre. He was formerly head of audiology and hearing implants at Cambridge University Hospitals, United Kingdom. He completed undergraduate and master’s degrees at the University of Manchester and a doctorate at the University of Cambridge (2006). Dr. Baguley has more than 150 peer-reviewed publications; is coauthor on the books ”Tinnitus: A Multidisciplinary Approach, Second Edition” (Wiley-Blackwell, 2013) and ”Hyperacusis: Mechanisms, Diagnosis, and Therapies” (Plural Publishing, 2007); and coedited the latest edition of Ballantyne’s Deafness (Wiley-Blackwell, 2009). In 2010, Dr. Baguley coauthored a popular self-help book on tinnitus and hyperacusis, ”Living with Tinnitus and Hyperacusis” (McKenna, Baguley, & McFerran; Sheldon Press). In 2006, Dr. Baguley received an International Award in Hearing from the American Academy of Audiology and has been awarded three times with the Shapiro Prize from the British Tinnitus Association for tinnitus research (2005, 2008, 2017). He has been a visiting professor at Anglia Ruskin University; a fellow at Wolfson College, University of Cambridge; and is currently president of the British Tinnitus Association. Dr. Baguley’s clinical and research interests focus upon tinnitus and hyperacusis, with the aim of understanding these symptoms, and designing and evaluating novel and innovative and effective interventions.

Table Of Contents

Section I. Definitions, Measurement, and Epidemiology

Chapter 1. Disorders of Sound Tolerance: History and Terminology
Marc Fageslon and David M. Baguley

Chapter 2. Audiological Assessment of Decreased Sound Tolerance
Glynnis A. Tidball and Marc Fagelson

Chapter 3. The Epidemiology and Natural History of Disorders of Loudness Perception
David M. Baguley

Chapter 4. Scales and Questionnaires for Decreased Sound Tolerance
Kathryn Fackrell and Derek J. Hoare

Section II. Mechanisms

Chapter 5. Peripheral Mechanisms of Decreased Sound Tolerance
Roland Schaette

Chapter 6. Tinnitus and Hyperacusis: Relationship, Mechanisms, and Initiating Conditions
Larry E. Roberts, Tanit Ganz Sanchez, and Ian C. Bruce

Chapter 7. Hyperacusis: Medical Diagnoses and Associated Syndromes
Don McFerran

Chapter 8. Animal Models of Hyperacusis and Decreased Sound Tolerance
Jos J. Eggermont

Chapter 9. Traumatic Brain Injury and Auditory Processing
Melissa A. Papesh, Sarah M. Theodoroff, and Frederick J. Gallun

Chapter 10. Psychological Aspects and Management of Hyperacusis
Gerhard Andersson

Section III. Auditory Disorders: Manifestations

Chapter 11. Reflections on the Association between Hyperacusis and Tinnitus
David M. Baguley

Chapter 12. Diplacusis
Marc Fagelson

Section IV. Management

Chapter 13. Increased Sound Sensitivity in Children
Veronica Kennedy, Claire Benton, and Rosie Kentish

Chapter 14. Hearing Aids for Decreased Sound Tolerance and Minimal Hearing Loss: Gain Without Pain
Grant D. Searchfield and Caroline Selvaratnam

Chapter 15. Hyperacusis Management: A Patient’s Perspective
Rob Littwin

Chapter 16. Hyperacusis: Past, Present, and Future
Marc Fagelson and David M. Baguley


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