Representation, projection and cochlear implant: a single case study

Carmela Mento, Francesco Galletti, Bruno Galletti, Patrizia Longo, Emanuela Bitto, Amelia Rizzo, Salvatore Settineri


From the psychological point of view hearing is an essential sensory modality for the human species, because it contributes to the formation of the first relational connections and emotions. It is important to make a diagnosis early to intervene and limit negative effects.  Deafness is a particular phenomenon (onset, types),  in this paper we undertake a thorough descriptive analysis on all aspects of deafness, in particular the use of a prosthetic device known as cochlear implant.  We have deepened personality variables in a single case with the use of Rorschach Test and Draw-a-person-Test.  We aimed to study, with the clinical interpretation of instruments, which personality variables could be involved in hearing loss condition and Cochlear Implant (CI).  This observational study highlights the psychological dynamics that should be taken into account by operators team, in order to improve the quality of life of these patients and increase their long-term therapeutic outcome.


Cochlear implant; Projective technique

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Maragna S. (2000). La sordità. Educazione, scuola, lavoro e integrazione sociale, Milano: Hoepli. De Filippis A., “L’impianto cocleare. Manuale operativo”. Masson, Milano, 2002. Pizzo, R.G., Garrotta M. (2002). Riabilitazione neuropsicologica del paziente impiantato. In De Filippis A., L’impianto cocleare. Manuale operativo. Masson, Milano. Gantz BJ, Woodworth GG, Knutson JF, Abbas PJ, Tyler RS. (1993). Multivariate predic- tors of audiological success with multichannel cochlear implants. Ann Otol Rhi- nol Laryngol. 102:909-916. Ahmad, F. I., Choudhury, B., De Mason, C. E., Adunka, O. F., Finley, C. C., & Fitzpatrick, D. C. (2012). Detection of intracochlear damage during cochlear implant electrode insertion using extracochlear measurements in the gerbil. The Laryngoscope, 122(3), 636-644. Clymer, E. C. (1995). The psychology of deafness: Enhancing self-concept in the deaf and hearing-impaired. Family Therapy. Sebastiani S., Mastronino A. (1986). L’impianto colceare: la valutazione psicologica. Quaderni di audiologia 1: 32-38. Fagan, M. K., Pisoni, D. B., Horn, D. L., & Dillon, C. M. (2007). Neuropsychological correlates of vocabulary, reading, and working memory in deaf children with cochlear implants.Journal of deaf studies and deaf education,12(4), 461-471. Passi Tognazzo, D. (1994). Il Metodo Rorschach, Manuale di psicodiagnostica su modelli di matrice europea. Firenze: Giunti Editore. Settineri S., Mento C. (2011). Rorschach et Méthodes projectives: études et recherches clinique. Luglio Editore, Trieste. Rorschach, H. (1942). Psychodiagnostics. Rose, T., Kaser-Boyd, N., & Maloney, M. P. (2001). Essentials of Rorschach Assessment. Essentials of Psychological Assessment Series. John Wiley & Sons, Inc., 605 Third Avenue, New York, NY 10158. Machover K. (1949). Personality projection in the drawing of the human figure. Charles Thomas, Springfield. Ludwig, D. J. (1969). Self-perception and the Draw-a-Person Test. Journal of Projective Techniques and Personality Assessment, 33(3), 257-261. Jung, C. C. G. (1970). Analytical psychology.(pp. 8-9). Ark Paperbacks. Sullivan, T. N., Helms, S. W., Kliewer, W., & Goodman, K. L. (2010). Associations between sadness and anger regulation coping, emotional expression, and physical and relational aggression among urban adolescents.Social Development, 19(1), 30-51. George, C., & Solomon, J. (1989). Internal working models of caregiving and security of attachment at age six. Infant Mental Health Journal, 10(3), 222-237. Pisoni, D. B. (2000). Cognitive factors and cochlear implants: Some thoughts on perception, learning, and memory in speech perception. Ear and hearing,21(1), 70. Geers, A. E. (2004). Speech, language, and reading skills after early cochlear implantation. Archives of Otolaryngology—Head & Neck Surgery,130(5), 634. Mento et al. (2003) Mento, C., Di Rosa, A.E., Galletti, F., La Barbera, D. (2003). L’orecchio diventa bionico. Aspetti psicologico-clinici e riabilitativi dell’impianto cocleare in soggetti audiolesi affetti da ipoacusia neurosensoriale. Psichiatria di consultazione, vol.VI-n 2-4. Filipo R, Bosco E, Barchetta C, Mancini P (1999) Cochlear implantation in deaf children and adolescents: effects on family schooling and personal well-being. Int J Pediatr Otorhinolaryngol. Meadow, K. P. (1976). Personality and social development of deaf persons. Journal of the American Deafness and Rehabilitation Association. Erikson, E. H. (1950). Growth and crises of the" healthy personality" . Freud, S. (1954). The origins of psycho-analysis (p. 216). M. Bonaparte, & W. Fließ (Eds.). New York: Basic Books. Benard, B. (1993). Fostering resiliency in kids. Educational Leadership, 51(3), 44-48. Kernberg, O. F., & Caligor, E. (1996). A psychoanalytic theory of personality disorders. Major theories of personality disorder, 106-140. Kiecolt-Glaser, J. K., Page, G. G., Marucha, P. T., MacCallum, R. C., & Glaser, R. (1998). Psychological influences on surgical recovery: perspectives from psychoneuroimmunology. American Psychologist, 53(11), 1209. Penley J. A., Tomaka J., & Wiebe J. S. (2002). The association of coping to physical and psychological health outcomes: A meta-analytic review. Journal of behavioral medicine, 25(6), 551-603. Clark G.M., O'Loughlin B.J., Rickards F.W., Tong Y.C., & Williams A.J. (1977). The clinical assessment of cochlear implant patients. J. Laryngol. Otol, 91(8), 697-708.



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