Cochlear implantation in deaf children and adolescents: effects on family schooling and personal well-being

The paper is an attempt to answer the main questions raised by that part of the deaf community which still consider cochlear implants (CI) an attack a gainst the psychophysical integrity of the pre-lingually deaf. Methods: The psychological well-being of six adolescents and six children was assessed pre- and post-implantation using various tools, i.e. projective tests, asse ssment scales (AS), and structured interviews with parents and teachers. Th e analysis of post-implant findings shows a reduction of stereotype element s, more dynamic modes of figurative expression, quite good relationships wi thin their own social environment and gradual, positive integration both at home and at school. Cochlear implantation would seem to cause no psycholog ical disruption. Our sample group show an improvement in their modes of exp ression - more consistent with the mental and effective age - and a greater awareness of personal limits, together with the ability to judge the appro priateness of their own behavior. (C) 1999 Elsevier Science Ireland Ltd. Al l rights reserved.