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J Am Acad Audiol 2000; 11(02): 57-63
DOI: 10.1055/s-0042-1748010
Original Article

Central Auditory Processing Disorders and Reduced Motivation: Three Case Studies

Shlomo Silman
Department of Speech Communication Arts and Sciences, Center for Auditory Research, Brooklyn College, CUNY, New York, New York
Ph.D. Program, Graduate Center, CUNY, New York, New York
,
Carol A. Silverman
Ph.D. Program, Graduate Center, CUNY, New York, New York
Communication Sciences Program, Hunter College, CUNY, New York, New York
Departments of Otolaryngology—Head and Neck Surgery and Communicative Sciences, The New York Eye and Ear Infirmary, New York, New York
,
Michele B. Emmer
Department of Speech Communication Arts and Sciences, Center for Auditory Research, Brooklyn College, CUNY, New York, New York
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Abstract

The central auditory test results for three normal-hearing children who were initially diagnosed as having a central auditory processing disorder and learning disability are presented. They were referred to the authors for second-opinion consultations. Central auditory processing retesting was performed by the authors under the condition of no reinforcement and then the condition of reinforcement with the child's favorite food, hobby, or toy. For all three cases, the central auditory test scores improved markedly bilaterally under the condition of reinforcement as compared with the condition of no reinforcement. We hypothesize that the improvement was related to increased motivation associated with the reinforcement and that these children represented false-positive results on the central auditory test battery. Large-sample studies are needed to investigate the effect of reinforcement on test performance in children with reduced central auditory test scores.

Abbreviations: BFT = Binaural Fusion Test, CAPD = central auditory processing disorder, CST = Competing Sentences Test, FST = Filtered Speech Test

Key Words

Central auditory processing disorder - central auditory testing - learning disability - SCAN test - Willeford battery


Publication History

Article published online:
06 April 2022

© 2000. American Academy of Audiology. This article is published by Thieme.

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