zebra
94
this seems either awkwardly phrased or just interpreting the sources in a weird way. “in most cases, the sensation is entirely psychological, with no physical correlate identified.” as stated, that’s just not true. most cases of tinnitus are correlated with cochlear lesions (regions of damaged tissue.) such lesions can have a variety of causes, from noise exposure to ototoxic drugs (often chemotherapy.) the classic diagnosis kind of assumes this.
(the VR book author is mixing up physical diagnostic correlates with, like, physical acoustic phenomena? idk?)
the work of Langguth (and others cited by this VR sound book) is interesting because it is looking at neuronal correlates of tinnitus, both for diagnosis and for therapy. this just means that there is some identifiable pattern of neural activity associated with the sensation, and that not only can these patterns iddentify the patient as experiencing tinnitus (perhaps across language barriers etc.), but that one can actually alleviate the experience by treatment of the neuronal correlates (behavior therapy, sound therapy etc.) but this is sort of a last resort given a lack of identified, treatable pathologies.
this diagnostic flowchart from the linked paper is perhaps clarifying
sorry i don’t mean to further the tangent, but i think it’s important to get the facts straight around auditory health questions. the TL/DR is that if you have serious tinnitus, please consult a doctor instead of assuming it is a mysterious psychological phenomenon best addressed by sound or behavior therapy.
5 Likes