Abstract Although of varied form and in wide use, speech reception tests have their drawbacks. The following research was directed toward investigating and eliminating some of these negative aspects. Speech reception testing evaluates the over-all hearing function, not just the sensory capacity of the ear to perceive sounds of various frequencies and intensities. Therefore, such cortical processes as synthesis, analysis, discrimination, cluster (guessing at the meaning from the relation of the various parts), memory, fatigue, effort, and language ability affect the outcome of any speech test in a manner which is nonpredictable today. Also, intertest validity suffers from factors governed by regional dialect, voice quality differences, articulation differences, etc., on the part of the tester. Speech reception test elements are, by nature, heterogeneous. This means that no two words are exactly alike, and, as a result, we must not expect the listener to just hear all words at the same intensity. References 1. Brogden, W. J., and Miller, G. A.: Physiological Noise Generated under Earphone Cushions , J. Acoust. Soc. America 19:620-623, 1947.Crossref 2. Carhart, R.: Speech Reception in Relation to Pattern of Pure Tone Loss , J. Speech Disorders 11:97-108, 1946. 3. Dunn, H. K., and White, S. D.: Statistical Measurements on Conversational Speech , J. Acoust. Soc. America 11:278-288, 1940.Crossref 4. Egan, J. P.: Articulation Testing Methods , Laryngoscope 58:955-991, 1948.Crossref 5. Falconer, G. A., and Davis, H.: The Intelligibility of Connected Discourse as a Test for the Threshold of Speech , Laryngoscope 57:581-595, 1947.Crossref 6. Fletcher, H.: A Method of Calculating Hearing for Speech from an Audiogram , Acta otolaryng. , (Supp. 90) , pp. 26-37, 1950. 7. Hayes, C. S., and Butler, R. A.: Correlation Between Clicks and Speech Reception Tests, paper read before the meeting of the American Speech and Hearing Association, St. Louis, Oct., 1954. 8. Hirsh, I. J.: The Measurement of Hearing , New York, McGraw-Hill Book Company, Inc., 1952. 9. Silverman, S. R.: Use of Speech Tests for Evaluation of Clinical Procedures , Arch. Otolaryng. 51:786-797, 1950.Crossref 10. Thurlow, W. R.: Statistical Studies of Auditory Tests in Relation to the Fenestration Operation , Laryngoscope 58:43-66, 1948.Crossref 11. Wever, E. G., and Lawrence, M.: Physiological Acoustics , Princeton, N. J., Princeton University Press, 1954.
A.M.A. Archives of Otolaryngology – American Medical Association
Published: Sep 1, 1958
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