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What Did Skinner & Miller Have to Say About Hearing Aid Fittings?

It is rare to have a column about a review of an article—especially an article from almost 40 years ago—but the 1983 publication by Skinner and Miller is a must-read (or must re-read) article. It describes the work primarily done by Margaret (Margo) Skinner in her PhD thesis.

Asymptotic Hearing Loss: When Is a Metaphor Just a Metaphor?

Like all healthcare fields where the clinician needs to explain complex concepts to the lay public, metaphors are used. In the optical field, “nearsighted” and “farsighted” are actually good metaphors despite their simplicity and academic inaccuracy. In the field of audiology, we have the description of the audiogram with the piano keyboard across the top; a good explanation, but limited in that it’s only the right hand side of the keyboard and musical notes are not pure-tones.

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