tinnitus today june 1992 vol 17, no 2

7/30/2019 Tinnitus Today June 1992 Vol 17, No 2

1/19

KRCB :


2/19

!FI]LCN ^LWO WLCCLWRV!b VWQBVV EJCJNBEBCW & WQBJWEBCWb WLCCLWRV EJCJNBEBCW LV I@WBC

FIE]HLFJWBG A\ JC_LBW\ JCG VWQBVVb CI^ J RCLZRB FJVVBWWB ]QINQJE LV

JPJLHJAHB GBVLNCBG WI ]QIPLGB GJLH\QBLC@IQFBEBCW JCG VR]]IQW @QIE WOBVWQBVV I@ WLCCLWRV ^LWOIRW FIE]HB_LCVWQREBCWJWLIC & PJHRJAHB I@@LFB# WLEB

Wobrb ls j nriwlcn lctbrbst lc psyfoihinlfjh ebtoigs i` tlccltusfictrih sufo js systbejtlf rbhjxjtlic prifbgurbs wolfo obhp tobpjtlbct fipb wlto tob tbcslic i` tlccltus#Vuakbfts wlto tlccltus jrb ablcn tjunot wjys ti rbhjx js pjrt i`jtitjh tlccltus prinrje wolfo ejy lcfhugb objrlcn jlgs( tlccltusejsdbrs jcg prinrbsslvb eusfhb rbhjxjtlic ajsbg ic prlcflphbs i`ficgltliclcn# Qbhjxjtlic prifbgurbs jrb usujhhy bjslhy ejstbrbg jcg fjc ab pbrìrebg gjlhy lc tobpjtlbct.soieb bcvlricebct# Lt ojs abbc gbeicstrjtbg tojt tob rbhjxjtlic rbspicsb fjc rbhbjsb eusfhbtbcslic( hiwbr ahiig prbssurb jcg shiw objrt jcg arbjto rjtbs#J rbhjxjtlic ebtoig ojs abbc gbvbhipbg bctlthbg Ebtricieb Ficgltlicbg Qbhjxjtlic /EFQ, wolfoojs suffbssùhhy trbjtbg ìr ejcy ybjrs foriclf pjlc( tbcslic objgjfobs( lcsieclj jcg ejcy itobrficgltlics#Wob prinrje ficslsts i` icb fjssbttb tjpb i` Ebtricieb Ficgltlicbg Qbhjxjtlic jcg twi jggltlicjhtjpbs i` uclqub ejsdlcn siucgs wolfo ojvb gbeicstrjtbg suastjctljh abcb`lt wobcbvbr tob pjtlbct`bbhs tob cbbg i` jggltlicjh rbhlb`# Wobsb rbfirglcns fjc ab usbg ti lcgufb shbbplcn ir js j siitolcnajfdgrip ìr jftlvlty jcg fjc ab phjybg ic j slephb pirtjahb fjssbttb phjybr#

JHH IQGbQV ERVW JFFIE]JCLLG 0\FOIFD# P L V J # ~ # IQ LCVWL:RL.LIL.^#]#I#

^JCWBG* OBJQLCN%JLGVJCG L IQ EJVDBQVLC JC\ FICGLWLIC

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3/19

tcchtusBgltirljhjcg jgvbrtlslcn i``lfbs;Jebrlfjc Wlccltus Jssifljtlic( ]#I# Aix 2]irthjcg( IQ 1F:>Bxbfutlvb Glrbftir& Bgltir;Nhirlj B# Qblfo( ]o#G#Bgl tir lj h Jgvlsi r ;Wrugy Grufdbr( ]o#G#Jgvbrtlslcn sjhbs; JWJ%JG( ]# =# Aix 2(]irthjcg( IQ :>1F:> /?==%067%??,Wlccltus Wigjy ls puahlsobg qujrtbrhy lcEjrfo( Kucb( Vbptbeabr jcg Gbfbeabr# Ltls ejlhbg ti ebeabrsi` Jebrlfjc WlccltusJssifljtlic jcg j sbhbftbg hlst i` tlccltussu``brbrs jcg pri`bsslicjhs woi trbjt tlccltus#Flrfuhjtlic ls ritjtbg ti 1==(=== jccujhhy#Wob ]uahlsobr rbsbrvbs tob rlnot ti rbkbft irbglt jcy ejcusfrlpt rbfblvbg ir puahlfjtlicjcg ti rbkbft jcy jgvbrtlslcn gbbebg ucsultjahb `ir Wlccltus Wigjy# Jffbptjcfb i`jgvbrtlslcn ay Wlccltus Wigjy gibs cit ficstltutb bcgirsbebct i` ob jgvbrtlsbr( ltspriguftsir sbrvlfbs( cir gibs WlccltusWigjy ejdb jcy fhjles ir nujrjctbbs js titob jffurjfy ir vjhlglty i` tob jgvbrtlsbr.si``br# Wob iplclics bxprbssbg ay fictrlautirsti Wlccltus Wigjy jrb cit cbfbssjrlhy toisbi` ob ]uahlsobr( bgltirs( stj``( ir jgvbrtlsbrs# Jebrlfjc Wlccltus Jssifljtlic ls jcic%pri`lt ouejc objhto jcg wbh`jrb jnbcfyucgbr 10 RVF 2=* /f,/6,Fipyrlnot :


4/19

Lctriguflcn JW Jay Nhirlj B# Qblfo( ]oG#( Bxbfutlvb GlrbftirEjcy i` yiu jrb rbjglcn Wlccltus Wigjy ìrtob lrst tleb# ^b.g hldb ti tbhh yiu jaiut JWJ jcg

oiw wb fjc wird tinbtobr ti obhp iursbhvbs jcgprieitb abttbr trbjtebct ir tlccltus#ôbc Gr# Fojrhbs Rclfb ìucgbg JWJ lc:: ob oipbg ti rjlsb bciuno eicby ti ab jahb tiùcg rbsbjrfo jcg `lcg j furb wltolc j soirt pbrlig

i` tleb# Ols oipbs glg cit ejtbrljhlzb aut ob glgstjrt pbiphb tolcdlcn jaiut tlccltus jcg wobc obi``brbg ols `hbgnhlcn jssifljtlic ti tob IrbnicObjhto Vflbcfbs Rclvbrslty Gbvbhipebct @ucg lc:6( toby wbrb nhjg ti jffbpt# Wob Jssifljtlic(j`tbr eivlcn ti Irbnic wjs obhg tinbtobr ay jsejhh nriup i`gbglfjtbg vihuctbbrs woi wiuhg nbttinbtobr ìr hucfo icb gjy j wbbd ti phjc toblrjftlvltlbs# ôbc L kilcbg tojt hltthb ajcg jt tob bcgi` :2( tobrb wbrb kust ivbr :== ebeabrs# ^bjcswbrbg bjfo lcqulry wlto j pbrsicjh hbttbr jcgojg vbry hltthb ti i``br pbiphb bxfbpt oipb#

J plfclf hucfo( sojrbg ay Gr# Fojrhbs Rclfbjcg Gr# Kjfd Pbrcic( cbjr icb i`]irthjcg.s abjutlùh ìuctjlcs sbrbcglpltiushy privlgbg tob lepbtusìr tob abnlcclcn i` eigbe tlccltus ejsdlcn# Gr#Rclfb rbejrdbg tojt ols tlccltus wjs cit citlfbjahbwobc ejsdbg ay tob siucg i` tob jhhlcn wjtbr# Gr#Kjfd Pbrcic plfdbg up ic tojt lgbj jcg pbrsujgbgsbvbrjh i` tob objrlcn%jlg ejcu`jfturbrs ti hiidlcti tob pisslalhlty i` privlglcn jc bxtbrcjh siucgsiurfb tojt pbiphb wiuhg jffbpt js eirb phbjsjcttojc tob lctbrcjh cilsb i` tlccltus# Vlcfb tojt tleb(toiusjcgs i` lccltus pjtlbcts ojvb bearjfbg ejsdlcn lc lts vjrlius ìres js j ebtoig ìr ejcjnlcntoblr tlccltus#

Lc tob hjtb >=s( JWJ beajrdbg ic j sbrlbs i`trjlclcn wirdsoips wobrb poyslfljcs( juglihinlsts(jcg objrlcn%jlg glspbcsbrs wbrb nlvbc lcstruftlicjaiut tob usb ièjsdlcn# Wobsb fhlclfljcs ejgb upJWJ.s `lrst rb`brrjh cbtwird# Ivbr tob ybjrs tobcbtwird ojs abbc rb`lcbg jcg ciw fictjlcs tobcjebs i`bxpbrts lc ejcy gl``brbct spbfljhtlbs woifjc obhp pjtlbcts ejcjnb toblr tlccltus#7 Wlccltus Wigjy L Kucb :


5/19

Fictlcubgcjebs ic iur gjtjajsb i`pbiphb wlto tlccltus jcgyiu fjc lejnlcb tob b`ìrt cbbgbgkust ti tr y ti dbbptrjfd i` yiur fictrlautlics jcg yiur jggrbss fojcnbs# Iur tbhbpoicb trj``lf wjs si nrbjt tojt wb wbrbìrfbg ti jutiejtb tob systbe# \iu :: citlfb wobcyiu tbhbpoicb JWJ tojt tob jcswbrlcn vilfb nlvbsyiu j foilfb i` rbqubstlcn nbcbrjh lcìrejtlic(irgbrlcn arifourbs ir alahlinrjpoy sbrvlfbs( irspbjdlcn wlto j spbfl`lf pbrsic# Wols ojs `rbbg upsbvbrjh oiurs j gjy ìr tob stj`` ti rbspicg ti tobejcy wrlttbc rbqubsts ìr obhp#

JWJ ls nrjtbùh ìr tob puahlflty lt rbfblvbsabfjusb lt ebjcs tojt wb jrb nbttlcn lcìrejtlicjaiut tlccltus ti toisb woi cbbg lt# ^b jpprbfljtbyiur pjtlbcfb jt tlebs hldb tobsb wobc tob sobbrvihueb i` ejlh shiws giwc bvbrytolcn wb gi#Jhsi( dbbp lc elcg tojt iur i``lfb ls lc tob ]jfl`lfWleb [icb jcg iur oiurs jrb ?;6= ti :1;== ciic(jcg :;== ti 2;==p#e#( Eicgjy toriuno @rlgjy#^b.rb sirry tojt wb fjc.t pbrsicjhhy rbspicg tibjfo i` yiur hbttbrs aut wb gi rbjg tobe jcg i`tbcsjvb tobe ìr tob Zubstlic & Jcswbr fihuec lcWlccltus Wigjy#

JWJ.s aijrg i` glrbftirs ls wirdlcn ic jhicn%rjcnb prinrje ti suppirt eirb tlccltus rbsbjrfo# ^b.vb abbc jahb ti ucg ichy j bw stuglbsbjfo ybjr jcg rbfinclzb tojt eirb jrb cbbgbg#^b.hh fictlcub ti puahlso tob rbsuhts i` rbsbjrfo lcùturb lssubs i` Wlccltus Wigjy# JWJ.s prinrjesjcg rbsbjrfo jrb suppirtbg woihhy toriuno prlvjtbgicjtlics sufo js yiurs# ^b jrb cit nivbrcebctsuppirtbg# ^b pjrtlflpjtb lc tob Fiealcbg @bgbrjhFjepjlnc js ebeabrs i` tob Cjtlicjh PihuctjryObjhto Jnbcflbs# L `yiu jrb j bgbrjh bephiybb( wboipb yiu.hh gbslncjtb jhh ir pjrt i` yiur jccujhF@F nl`t ti JWJ#^b.rbcueabr 2:7ic yiur gicirfjrg#]rinrjes ti privlgb bgufjtlic jaiut tlccltusjrb ablcn ireuhjtbg aito ir pri`bsslicjhs jcg ìrsfoiihfolhgrbc# JWJ jcg itobr objrlcn rbhjtbg irnjclzjtlics fictlcub ti prbss ìr eirb @bgbrjhùcglcn irrbsbjrfo# Viebtlebs wb jsd yiu ti obhpPih#h>Ci#1

ay wrltlcn ti yiur hbnlshjtirs# Winbtobr iur vilfbsfjc ejdb j gl``brbcfb#Cilsb ls tob cueabr icb fjusb i` tlccltus#]rbvbctlic ls tob abst pritbftlic jcg lt ls vbry

lepirtjct ti ejdb pbiphb jwjrb i` tob gjcnbrs i`cilsb bxpisurb abìrb toblr objrlcn ls gjejnbg#Wols lssub fictjlcs j survby wolfo wb oipbyiu :: fiephbtb jcg rbturc lc tob jttjfobg bcvbhipb# Qbsbjrfobrs fjc hbjrc si eufo `rie wojtyiu( tob bxpbrlbcfbr i` tlccltus( tbhh us# ^b.hhhbtyiu dciw lc ùturb lssubs i` Wlccltus Wigjy kustwojt tob survby rbvbjhs#@lcjhhy( wb wjct yiur lcput# ]hbjsb tbhh uswojt yiu wiuhg hldb ti sbb lc tob ejnjzlcb# Hbt us

dciw l`wb fjc obhp yiu ay privlglcn lcìrejtlicti yiur fieeuclty jaiut cilsb prbvbctlic# \iufjc obhp JWJ sprbjg tob wirg jaiut tlccltus aytjhdlcn ti yiur `rlbcgs jcg jssifljtbs# ^b fjcsiebtlebs obhp ay sunnbstlcn siebicb ti spbjdjaiut tlccltus jt j fieeuclty ebbtlcn# Wob eirbpbiphb wb fjc lctbrbst lc tob priahbe( tob siicbrwb.hh sihvb lt* ]hbjsb dciw tojt tob hbjst wicgbrùhpjrtièy kia ls jsdlcn yiu ir eicby# L wlso tobrbwbrb sieb wjy ti jvilg lt# \bjrs jni wb trlbg tobvbry si`t sbhh jpprijfo jcg toisb wbrb tob ybjrstojt tobrb wjsc.t bvbc bciuno eicby ti auy j cbwtypbwrltbr# ^b jpprbfljtb yiur pjtlbcfb wobc yiurbfblvb iur rbqubsts# ^b jhsi jpprbfljtb yiur ucgbrstjcglcn tojt wb fjc.t sbrvb yiu ir prieitb iureutujh fjusb wltoiut ucgs#Eist i` jhh( wbjpprbfljtb yiurfictrlautlicsabfjusb tobyrbprbsbct j pbr% Y ### . ! . ; ~ c sicjh fieelt%# # ':**ebct lc tob `lnotti jhhbvljtb tlccltus# Wojcdyiu#

W!ecltus WigjyL Kucb :


6/19

Ebglj ^jtfo; Wlccltus lc tob Cbwsay Fhl`` Fihhlcs( jc Irbnic rbbhjcfb wrltbr# ]hbjsb sbcgfhlps( wlto cjeb jcg gjtb i`cbwspjpbr( ejnjzlcb ir arijgfjst ti Ebglj ^jtfo( ]I Aix 2( ]irthjcg( IQ 1=>%===2#

]rinrbss lc nbttlcn tob wirg iut jaiut tlccltusjcg itobr jugltiry gl``lfuhtlbs fjc ab ebjsurbg lc tobcueabr i` !cjeb! ebglj tojt jrb gbvitlcn fivbrjnbti tobsb tiplfs# Wob tjhhy hiids abttbr jhh tob tleb#Ficslgbr; ]jrjgb( Vflbctl`lf Jebrlfjc( tob

Cbw \ird Wlebs( Cbwsgjy( ]ipuhjr Vflbcfb(Jebrlfjc Objhto( jcg tob Folfjni Wrlaucb jhh fjrrlbg stirlbs spittbg ay rbjgbrs i` tols ejnjzlcb# Wolstleb jriucg( toiuno( ]rbvbctlic ejnjzlcb wjs tobhjrnbst%flrfuhjtlic puahlfjtlic gbvitlcn jc bctlrbstiry /Jprlh( :


7/19

Vbh`%Obhp( jcg Vi Eufo Eirb ####Oiw \iu Fjc Abfieb Lcvihvbgay Hjurlb AjubrJs JWJ ojs kust icb i``lfb rbprbsbctlcn tob

bctlrb fiuctry( tob cjtlicjh i``lfb cbbgs hifjh suppirt rie pbiphb cjtlic%wlgb#Iur sbh`%obhp cbtwirds( jhtoiuno prlejrlhyirnjclzbg ti gi wojt toblr cjeb lephlbs( privlgbobhp jcg suppirt( i`tbc gi si eufo eirb#Lgbjhhy( nriup ebeabrs abfieb lcvihvbg lctoblr hifjh fieeucltlbs( glstrlautlcn tlccltus lcìrejtlic( bgufjtlcn itobrs jaiut tlccltus( tob lepirtjcfb i` objrlcn pritbftlic( jcg fictjftlcn objhtopri`bsslicjhs wlto JWJ hltbrjturb#L` tobrb ls ci sbh`%obhp jftlvlty lc yiur jrbjfurrbcthy( wb fjc obhp yiu irnjclzb j nriup irabnlc j suppirt cbtwird# ]hbjsb fictjft us ìrlcìccjtlic# ^b.g hivb ti objr rie yiu*L ` yiu.g hldb ti obhp lc tob !@lnot JnjlcstWlccltus! wltoiut abfielcn lcvihvbg wlto j hifjhnriup( ejcy i` tob sjeb iptlics jpphy# @irtucjtbhy( tobrb jrb ejcy slephb wjys ti obhp( eist i`wolfo rbqulrb ichy j eigbst fieeltebct i` tlebjcg b`ìrt# \iu fjc;

LZ ! Wbhh pbiphb( lcfhuglcn pri`bsslicjhs( jaiut tlc%cltus# Bvbry tleb yiu sbb j giftir ir jcy objhtopri`bsslicjh( tbhh tobe jaiut tob JWJ( jcg jsdtobe ti fictjft us ìr iur arifourbs( jcg j rbbfipy i`Wlccltus Wigjy#w Voiw jc JWJ vlgbi ir phjy j tlccltus tjpb jt jsfoiih ir objhto `jlr( glsfuss objrlcn pritbftlicjcg tlccltus prbvbctlic#w Fjhh tob tbhbvlslic jcg)ir rjgli stjtlics lc yiurjrbj( jsd tobe ti phjy tob JWJ puahlf sbrvlfb jc%

ciucfbebcts /wolfo wb jrb ojppy ti sbcg jt cifojrnb #,g ! Fictjft yiur hifjh cbwspjpbr( bcfiurjnlcn jpuahlf lctbrbst ir objhto pjnb stiry ic tlccltus/JWJ ls jhwjys wlhhlcn ti privlgb lcìrejtlicjcg obhp wlto j stiry,#

\iur b`ìrts fjc ejdb j gl``brbcfb* @ir bxjephb; Kib Velto rbjhlzbs ejcy giftirs jcg objrPiH:>Ci#1

lcn pri`ysslicjhs ob.s vlsltbg gic.t ojvb j hit i`lcìrejtlic jvjlhjahb jaiut tlccltus# Ob gbflgbs tivlslt tob objrlcn pri`bsslicjhs lc ols tiwc( privlglcn hltbrjturb jaiut tlccltus jcg tob jssifljtlic/wolfo JWJ ojs supphlbg,( jcg lctriguflcn tojti``lfb ti jcy hifjh sbh`%obhp nriup tojt ejy abucgbrwjy # L ` bvbc icb i` tob giftirs irjuglihinlsts Kib ojs vlsltbg hbjrcs i` JWJ jcglcìres bvbc icb pjtlbct iùs( Kib ojs obhpbg# ^bobjr `rie pbiphb bvbry gjy woi tbhh us i` toblrrbhlb` lc `lcglcn tojt jc irnjclzjtlic gibs bxlst tigbjh wlto tlccltus jcg privlgb lcìrejtlic#

^b jrb obrb ti obhp yiu* ^b wjct yiu ti tjdbjgvjctjnb i` tojt( jcg fictjft us* ^b bcfiurjnbyiu ti abfieb lcvihvbg*]bc%]jh Cbtwird Rpgjtb;Wob cbw pbc%pjh suppirt cbtwird( frbjtbg ayHirrjlcb Frjebr%Eiicby lc @hirlgj( ls up jcgrucclcn# Hirrjlcb rbpirts sob furrbcthy ojs >=cjebs jcg jggrbssbs ti privlgb ir pbiphb woi jrblctbrbstbg lc wrltlcn ti itobrs# Vob rbpirts rbfblvlcn !tob eist tiufolcn hbttbrs! `rie pbiphb wltotlccltus jhh ivbr tob fiuctry# Vieb hlvb lc jrbjswltoiut j furrbct suppirt nriup( itobrs slephy jrb

ucjahb ti nbt ti tob ebbtlcns( jcg sieb kust hivb tiwrltb#Gub ti tob cueabr i` lcqulrlbs jcg hbttbrssob.s rbfblvlcn( Hirrjlcb fjccit jhwjys tjdb tobtleb ti rbspicg pbrsicjhhy# ùstbjg( sob ojs fieplhbg sieb !hbttbr%wrltlcn! tlps wolfo sob sbcgs(jhicn wlto cjebs jcg jggrbssbs i` tob itobrs woiojvb wrlttbc#Wi pjrtlflpjtb lc tob pbc%pjh cbtwird( sbcg jsbh`%jggrbssbg stjepbg bcvbhipb ti;Hirrjlcb Frjebr%Eiicby:1267 Bhnlc Ahvg#Vprlcn Olhh @H 670=# IC WOB VFJHB ABHI^( ]HBJVB LCGLFJWBWOB HIRGCBVV I@ \IRQ RVRJH WLCCLWRV#/flrfhb cueabr,= : 1 6 7 2 0 > ? < :=vbry qulbt lctbrebgljtb hiugcbss vbry hiug

:?#:VWOBQBJC\WOLCNWOJW\IR DCIÎ@ÔLFO EJ\OJPBFJRVBG\IRQWLCCLWRV9= LC@BFWLIC I@ BJQ L VLCRV= ÔL]HJVO L FBQPLFJH WQJREJ= AQLB@ B_]IVRQB WI LCWBCVB CILVB= OBJG LCKRQ\ L AHI^ WI OBJG= CILVB B_]IVRQB IPBQ HICN ]BQLIG I@ WLEB= LHHCBVV ; BVFQhABPih#h>Ci#1

= IWOBQ;#Y Y YYYYY YYK(KBVFQLAB= GQRNV;YYYY Y Y Y YYyBVFQhAB= CIWOLCN DCI^C

:


11/19

WLCCLWRV VRQPB\( pjnb6L@ \IR OJPB VBBC OBJHWO FJQB ]QI@BV%VLICJHV QBNJQGLCN \IRQ WLCCLWRV( ]HBJVBJCV^BQ WOB @IRI^LCN;

17# OI^ EJC\ PLVLWV QBNJQGLCN \IRQWLCCLWRV OJPB \IR EJGB WI OBJHWOFJQB ]QI@BVVLICJHV9

CREABQ LC WOB HJVW :1 EICWOV;YYYWIWJH CREABQ VLCFB ABFIELCN J^JQB I@\IRQ WLCCLWRV;#YYY

12# ^BQB WOB FIVWV I@ \IRQ WLCCLWRVPLVLWV FIPBQBG A\ OBJHWO LCVRQJCFB9G CI G \BV( ]JQWLJHH\ FIPBQBG

Rsb cueabr ti lcglfjtb jeiuct i` rbhlb`; : ,Ci rbhlb`( 1,shlnotrbhlb`( 6,eigbrjtb rbhlb`( 7,j nrbjt gbjh i` rbhlb`

= WLCCLWRV EJVDBQV= OBJQLCN JLGV= ALI@BBGAJFD= ]QBVFQLABG EBGLFJWLIC= WEK WQBJWEBCW= JC\ IWOBQ @IQE I@ WQBJWEBCWY YYYYYYYY BVFQLAB

6:# OJPB \IR WQLBG JC\WOLCN BHVB WOJWOBH]V WI QBHLBPB \IRQ WLCCLWRV9= CI G\BV= \BV( FIE]HBWBH\ FIPBQBG L@ \BV( ]HBJVB FOBFD JHH WOJW J]]H\ JCG]HBJVB LCGLFJWB ^OBWOBQ \IR CREABQ WOB JEIRCW I@ QBHLB@ \IR

JNQBB IQ GLVJNQBB ^LWO WOB @IH% QBFBLPBG @QIE BJFO;HI^LCN VWJWBEBCWV;

10# OBJHWO FJQB ]QI@BVVLICJH/V, ^BQBOBH]@RH JCG V\E]JWOBWLF JAIRW E\WLCCLWRV ]QIAHBE#G jnrbb G glsjnrbb1># OBJHWO FJQB ]QI@BVVLICJH/V, I@@BQBG WQBJWEBCW WOJW VRFFBVV@RHH\QBGRFBG IQ BHLELCJWBG E\ WLCCLWRV#

= jnrbb G glsjnrbb1?# OBJHWO FJQB ]QI@BVVLICJH/V, I@@BQBG WQBJWEBCW ARW LW ^JV LCB@@BFWLPB LC QBGRFLCN IQ BHLELCJWLCN E\WLCCLWRV#G jnrbb G glsjnrbb1


12/19

WLCCLWRV VRQPB\( pjnb767# GI\IR BPBQ @BBH LQQLWJAHB ABFJRVBI@ \IRQ WLCCLWRV9

= CBPBQ G VIEBWLEBV= I@WBC G JH^J\V

62# GI \IR OJPB VHBB] ]QIAHBEV ABFJRVB I@ \IRQ WLCCLWRV9= CBPBQ G VIEBWLEBV= I@WBC G JH^J\V

60# OJPB \IR BPBQ FOJCNBG KIAV IQWQJCV@BQQBG @QIE ICB KIA WIJCIWOBQ ABFJRVB I@ \IRQ WLCCLWRV9

= CI G \BVYYYYY KKBVFQLAB6># OJPB \IR BPBQ ZRLW ÎQDLCN ABFJRVB I@ \IRQ WLCCLWRV9

= CI G \BV ( WBE]IQJQLHy= \BV( ]BQEJCBCWH\6?# OI^ ERFO LCWBQ@BQBCFB GIBV WLCCLWRV FJRVB LC \IRQ IQD JFWLPLWLBV9= cicb= shlnot jeiuct= eigbrjtb jeiuct= j nrbjt jeiuct6Ci#1

= CBPBQ G VIEBWLEBV= I@WBC G JH^J\V

71# IPBQJHH( OI^ VJWLV@LBG JQB \IR^LWO \IRQ FRQQBCW HL@BVW\HB9= PBQ\ VJWLV@LBG= VIEBÔJW VJWLV@LBG= VIEBÔJW GLVVJWLV@LBG= PBQ\ GLVVJWLV@LBG76# L@ \IR JQB VIEBÔJW IQ PBQ\ GLVVJWLV@LBG ^LWO \IRQ FRQQBCW HL@BVW\HB( LV LW ABFJRVB I@ \IRQ WLCCLWRV

IQ ABFJRVB I@ IWOBQ @JFWIQV9= EJLCH\ GRB WI WLCCLWRV= EJLCH\ GRB WI IWOBQ @JFWIQV= ]JQWH\GRBWIWLCCLWRV= RCVRQB

77# OJPB \IR BPBQ ABBC WQIRAHBG ^LWOO\]BQJFRVLV % J FICGLWLIC ÔBQB JHHVIRCGV JQB ]JLC@RH( BPBC WOIVB WOJWJQB LNCIQBG A\ EIVW ]BI]HB9= CI G\BV

72# L@ \BV; OI^ @QBZRBCWH\ GI \IR^BJQ BJQ ]HRNV( BJQ ER@@V( IQ AIWO9= QJQBHy G VIEBWLEBV= I@WBC G JH^J\V

70# OJPB \IR BPBQ JWLBCGBG J WLCCLWRVVR]]IQW NQIR] EBBWLCN9= CI G\BV

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Wojcd yiu jnjlc ìr tjdlcn tob tleb ti `lhhiut tols qubstliccjlrb# ]hbjsb ejlh tob fie%phbtbg qubstliccjlrb lc tob bcfhisbg bcvbhipbti;JWJ( ]#I# AI_ 2 (]IQWHJCG( IQ 1=>

Wlccltus Wigjy L Kucb :


13/19

Zubstlics jcg Jcswbrsay KjfdJ# Pbrcic( ]o#G# Glrbftir( IrbnicObjrlcn Qbsbjrfo Fbctbr# ]hbjsb sbcg qubstlicsti Gr# Pbrcic( f)i JWJ( ]I Aix 2( ]irthjcg( IQ1=># Zubstlics iàrijg nbcbrjh lctbrbst wlhh ab

jcswbrbg js spjfb pbrelts#Z ubstlic; L ojvb j olno rbqubcfy objrlcn hiss jcghjzy bustjfoljc tuabs# L je ic j gbficnbstjct tiprbvbct `hulg aulhg%up lc tob elgghb bjrs# Voiuhg Lni i`` tob gbficnbstjct jcg l` si wojt itobrgbficnbstjct soiuhg L usb9 Ers# =# `rie Cbarjsdj#J cswbr; Gbjr Ers# =; \iu jrb ic j prbsfrlptlicebglflcb jcgicb soiuhg cbvbr fojcnb j prbsfrlptlicwltoiut tob ficsbct i` tob prbsfrlalcn poyslfljc#Eirbivbr L jssueb tojt yiu tolcd tob gbficnbstjctls fjuslcn yiur tlccltus wobc lc jft lt ejy ab gilcnkust tob ippisltb# @ir bxjephb j aulhg%up i` `hulg lcyiur elgghb bjrs wlhh rbgufb yiur objrlcn jalhltybvbc eirb jcg tob hiwbr icb.s objrlcn jalhlty( tobhiugbr tlccltus abfiebs# L ` L ejy( L wiuhg rbfieebcg twi tolcns( `lrst jcg ìrbeist glsfuss wltoyiur poyslfljc tob gbficnbstjct yiu jrb tjdlcn jcgwoy yiu tolcd lt ejy ab fictrlautlcn ti yiur tlc%cltus# Vbficghy L wiuhg sunnbst tojt yiu hiid lctitob ejttbr i` yiur olno `rbqubcfy objrlcn hiss# Lt lspisslahb tojt olno `rbqubcfy bepojsls objrlcn jlgs/twi jlgs l ` tob obcn hiss ls lc aito bjrs, fiuhgrbhlbvb tob tlccltus( jt tob hbjst lt soiuhg ab trlbg# L òbjrlcn jlgs jhicb gi cit rbhlbvb yiur tlccltus tobccbxt yiu soiuhg tr y tob fiealcjtlic uclts wolfofictjlc aito objrlcn jlgs jcg tlccltus ejsdbrs# L `yiu wlhh ojvb yiur objrlcn jlg glspbcsbr fictjft eb/2=6%7


14/19

Zubstlics jcg Jcswbrs( Fictlcubgpripbrhy jcg icb fjc bxtbcg tob sbjh iut icti tobiutbr bjr# Vlhlficb bjrphuns jrb jhsi ejrdbtbg ucgbrtob cjeb !Bjr ]utty!( jcg jrb wlgbhy iatjlcjahb#ôbc uslcn bjr phuns lt ls lepirtjct ti rbjhlzb tojtfobwlcn ir tjhdlcn eivbebcts i` tob kjw fjc hiisbctob bjrphun si js ti arbjd tob sbjh jcg tojticb soiuhgpbrliglfjhhy rblcsbrt tob phuns# Wob B#J#Q# ije bjrphun ls jhsi j niig bj r phun( js lt fjc ab ejgb ti `ltjheist jcy slzb bjr fjcjh# \bs( bjr fjcjhs gi vjry lcaito slzb jcg gbnrbb i` turc# Wob B#J#Q# phuns jrbjvjlhjahb `rie yiur hifjh objrlcn jlg glspbcsbr irgrun stirb# Bg# Citb; J ùturb lssub i` WlccltusWigjy wlhh ab gbvitbg ti Objrlcn ]ritbftlicGbvlfbs#Z ubstlic; Qbfbcthy L abfjeb jwjrb i` j prifbssfjhhbg jftlvb cilsb fjcfbhhjtlic# Wols ls j prifbgurbwobrbay siucgs fjc ab fjcfbhbg ay rbvbrslcn tobpojsb i` tob siucg jcg phjylcn lt ajfd jnjlcst ltsbh`tobrbay fjcfbhlcn tob siucg jhtinbtobr# Fjc tolstbfoclqub ojvb jpphlfjtlics ìr tlccltus9 Er# G#`rie EjlcbJ cswbr; Gbjr Er# G; Wob tbfoclqub yiu gbsfrlabls j vbry b``bftlvb wjy ti rbgufb poyslfjh siucg jcgtols tbfoclqub ls fieebrfljhhy jvjlhjahb ìr sltujtlics wobrb tob cilsb ls rbhjtlvbhy ficstjct# Wobyslephy sjephb tob cilsb( rbvbrsb lts pojsb jcg phjylt ajfd jnjlcst ltsbh` ir fjcfbhhjtlic# L ` lccltus wjsjc jftujh poyslfjh siucg wb fiuhg gi tob sjeb tolcnwlto lt# Rcìrtucjtbhy tlccltus ls cit j poyslfjhsiucg( lt kust siucgs tojt wjy# \iu elnot ab lctbrbstbg ti dciw tojt l` twi ticbs fjc ab jrrjcnbg si jsti fjcfbh bjfo itobr lt ls jhsi pisslahb ti shlnothy jhtbrtob jrrjcnbebct jcg prigufb j abjtlcn sbcsjtlicabtwbbc tob twi ticbs# ^b ojvb trlbg irbvbr ti sbbl` wb fiuhg prigufb abjts abtwbbc jc bxtbrcjh ticbjcg tlccltus aut wltoiut jcy suffbss# Cilsb fjcfbhhjtlic ls j vbry usbùh ficfbpt jcg wirds lc ejcysltujtlics aut ucìrtucjtbhy lt gibs cit wird ìrtlccltus# Ciw ojvlcn sjlg tols( hbt eb fic`bss tojtbvbry tleb L sjy wojt L ojvb kust sjlg L ojvb tobcjnnlcn susplflic tojt l` ichy wb dcbw tob prbflsbpjrjebtbrs ti usb wb fiuhg gi pojsb fjcfbhhjtlicPih#h>Ci#1

wlto tlccltus# Gibs tols hbjvb yiu wlto jc ucbjsy`bbhlcn9 Lt gibs eb#Z ubstlic; L ` cilsb fjcfbhhjtlic ojs abbc usbg tibhlelcjtb hiug siucgs gi tob ojzjrgius siucgs stlhhbxlstbvbc toiuno wb fjccit objr tobe9 Es# H# `rieIrbnic#J c swbr; Gbjr Es H; Wob jcswbr ls ci# Wob jftujsiucg wjvbs ojvb abbc fjcfbhbg si tojt toby cihicnbr bxlst#Z ubstlic; L rbjg siebwobrb jaiut j priguft fjhhbgWlccltus Qbhlb` jcg L bcfhisb tob jgvbrtlsbebct# Jhsibcfhisbg jrb jgvbrtlsbebcts ir Ali%Bjr jcg NlcdniAlhiaj( wolfo jrb fhjlebg ti rbhlbvb tlccltus# L ojgusbg Nlcdni Alhiaj abìrb L gbvbhipbg tlccltus autstippbg# ^lhh tob Wlccltus Qbhlb` ejdb tlccltuswirsb jcg soiuhg L tjdb hjrnbr gisbs i` tob NlcdniAlhiaj9 Er# V# `rie Cbw \ird#J cswbr; Gbjr Er# V; Vlcfb yiu ojvb ojg tlccltusìr ichy twi eictos lt ejy slephy ni jwjy jseystbrliushy js lt fjeb# L gi cit tolcd WlccltusQbhlb` wlhh gi jcytolcn ti ir ìr yiur tlccltus#Nlcdni Alhiaj ojs ojg j hit i` puahlflty aut lc tolsfiuctry lt ojs ichy rbfbcthy abbc tbstbg spbfl`lfjhhyìr tlccltus( jcg tob rbsuhts i` toisb stuglbs jrb citybt jvjlhjahb# Er# E# `rie Cbw Kbrsby writb ti sjytojt Nlcdni Alhiaj obhpbg ole( aut( ic tob itobrojcg( Er# O# `rie Irbnic sjys Nlcdni Alhiaj ojscit abbc obhpùh# Gi yiu abnlc ti sbb woy fjrbùhhyfictrihhbg stuglbs jrb cbbgbg ìr tolcns hldb tols9

Jcytleb tobrb ls j ebglfjh priahbe ir wolfotobrb ls ci furb lt abfiebs `jlr njeb ìr fojrhjtjcswoisb jgvbrtlsbebcts hlst prigufts jcg i``brgrjejtlf tbstleicljhs jcg fhjles# I`tbc( cit ichyojvb tobsb prigufts cit abbc jpprivbg ay tob @iigjcg Grun Jgelclstrjtlic aut toby ojvb cit abbcpripbrhy tbstbg# Icb tolcn ls fbrtjlc4 gbspbrjtbpbiphb wlhh try jheist jcytolcn lc jc b`ìrt ti njlcrbhlb` jcg L gi cit ahjeb tobe ìr tojt jttltugb# AutL gi ficgbec tob fojrhjtjcs woi try ti tjdb jgvjctjnb i` sufo sltujtlics#

Wlccltus Wigjy L Kucb :


15/19

Z# J# ( FictlcubgZ ubstlic; L ojvb trlbg Nlcdni Alhiaj abfjusb eybjr giftir tihg eb tojt ey tlccltus wjs fjusbg ay jgbfrbjsb lc ahiig hiw ti tob bjr jcg Nlcdni Alhiajfhjles ti lcfrbjsb tob bjr.s ahiig hiw# Wob NlcdniAlhiaj ojs cit ejgb jcy gl``brbcfb# Gibs jhfioihejdb jcy gl``brbcfb9 L citlfb tojt twi ir torbb grlcdsobhp tbepirjrlhy# Jhsi( L citlfb tojt bxbrflsb fjcejdb tob tlccltus tbepirjrlhy wirsb# Voiuhg L stiptob bxbrflsb9 Ers# E# `rie Fjcjgj#J cswbr; Gbjr Ers# E; Wob qubstlic ic jhfioih lsj niig icb abfjusb ejcy pjtlbcts fieebct tojtj`tbr j `bw grlcds tob tlccltus ls cit si citlfbjahb#ôjt tojt ebjcs ls tojt j`tbr j `bw /wojtbvbr tojtebjcs, grlcds icb gibs cit citlfb jcytolcn vbrywbhh# L ojvb jhwjys tihg pjtlbcts tojt L sbb citolcnwricn wlto j grlcd l` lt rbhjxbs jcg obhps( aut gi citivbrgi lt abfjusb j ojcn%ivbr wlhh lcfhugb bxjfbrajtbg tlccltus# Jheist jhh tlccltus pjtlbcts tbhh us tojtbxbrflsb tbepirjrlhy lcfrbjsbs toblr tlccltus aut tojtlt jhwjys rbturcs ti lts cirejh hbvbh# L tolcd tojt lsebrbhy tob prlfb ìr bxbrflsb jcg tojt ci pbrejcbctlcfrbjsb wlhh rbsuht# Vbb jhsi fieebcts ti Er# Eb i`Cbw \ird abhiw#

Qbsbjrfo LcìrejtlicRclvbrslty i` EjryhjcgJ cueabr i` rbjgbrs ojvb jsdbg ir lcìrejtlic jaiut jebjsurbebct systbe utlhlzlcn tob itijfiustlf belsslic gls%tirtlic priguft# ^b ojvb jsdbg Gr# Kjstrbai` # Glrbftir i`tob Wlccltus Fbctbr jt Rclvbrslty iÈjryhjcg jt Ajhtleirb#ìr ols fieebcts#

Gr# Kjstrbai`` tobirlzbs tojt wobc tob lccbr bjrls gjejnbg ay cilsb( gruns( ir jnlcn( sieb gbstruftlic i` aito lccbr jcg iutbr ojlr fbhhs rbsuhts# Wobojlr fbhhs jrb tob strufturbs ay wolfo ebfojclfjhbcbrny i` siucg ls trjcshjtbg ti bhbftrlfjh bcbrny jcgfjrrlbg ay tob jugltiry cbrvb ti tob arjlc# Wob jssueptlic ls tojt tob ajsls ìr tlccltus ls tob gl``brbctbxtbct i` gjejnb abtwbbc tob iutbr jcg lccbr ojlrfbhhs#Wrjgltlicjh ebtoigs ìr ebjsurlcn objrlcn

torbsoihgs privlgb lcìrejtlic ejlchy jaiut tobùcftlic i` tob lccbr ojlr fbhhs# Jc juglinrje wlhhcit rbvbjh bvbc rbhjtlvbhy hjrnb( aut gl`ùsb gjejnbi` iutbr ojlr fbhhs#

Wob itijfiustlf belsslic glstirtlic priguftprivlgbs jc bvjhujtlic i` iutbr ojlr fbhh ùcftlicwolfo gibs cit gbpbcg ic tob ùcftlic i` tob lccbrojlr fbhhs ir tob jugltiry cbrvb# Lt ls ùrtobr toiunottojt tob fiepjrlsic i` tobsb ebjsurbebcts wlto tobZ ubstlic; J`tbr jrtorisfiplf surnbry( rboja bxbr% juglinrje( pbrfbptlic i` tlccltus pltfo( hiugcbssflsb ojs ejgb ey tlccltus wirsb# Jhh bxbrflsb jcg ejsdjalhlty( ejy jhhiw j eirb prbflsb gljncislsaitobrs lt# L ` gic.t bxbrflsb ey tlccltus ls abttbr aut i`wojt ls ojppbclcn lc tob lccbr bjr#Lhivb ti bxbrflsb# Ojvb yiu objrgi`sufo j priahbe9 Bg# citb; Wob `jft rbejlcs tojK sflbcfb dciws tltthb jaiut tobEr# Eb `rie Cbw yird# jugltiry b``brbct systbe jcg bvbc hbss jaiut lts rbhjtlicsolp tiJ tlccltus# Wob ebtoig rb`brrbg ti jaivb ls j rbsbjrfo tiih wolfocswbr; Gbjr Er# Eb; ^b ojvb i`tbc objrg i` ejy privlgb vjhujahb lcìrejtlic# Lt ls cit ybt j fhlclfjh ebtoig#sufo j priahbe# Wob ejlc pilct wolfo yiu glg citjggrbss ls wobtobr ir cit tob tlccltus nrjgujhhyrbturcs ti cirejh j`tbr tob bxbrflsb stips# Jhh tobpjtlbcts wb sbb `lcg tojt tob tlccltus gibs rbturc ticirejh j`tbr tob bxjfbrajtlic `rie bxbrflsb jcg l`tojt ls tob fjsb L sbb ci rbjsic ìr tobe ti stipbxbrflslcn# Lcgbbg( Ers# F `rie Nbirnlj `lcgs tojttob bxjfbrajtlic i` obr tlccltus prigufbg ay shbbpfjc ab bhlelcjtbg l ` sob bxbrflsbs leebgljtbhy upicjwjdbclcn# Bg#citb; Bxbrflsb ojs cbvbr bxjfbr%ajtbgey tlccltus*:2 Wlccltus Wigjy L Kucb :


16/19

Hlvlcn ^lto Wlccltus `ir 7? \bjrs;ay Vub NrbbrHjelb( LhhlcilsLt wjs jutuec i` :


17/19

Nihgbc Kualhbb Jobjg9sfliuscbss tojt obhpbg eb( toriuno ejssjnb jcglejnlcn( ti ipbc ey stippbg%up bjrs jcg tjut Bustjfoljc tuabs4 folriprjftlf trbjtebcts4 jfupucfturb(aito tob trjgltlicjh vjrlbtlbs jcg toisb gbvbhipbg ayjc lcnbclius folripiglst4 jvilglcn iigs jcg pihhbcsL wjs jhhbrnlf ti4 bxtrj rbst jcg pjtlbcfb( pjtlbcfb(pjtlbcfb#

@irtucjtbhy ey giftir wjs jahb ti sjvb tobobjrlcn lc ey stlhh cbjrhy pbr`bft hb`t bjr toriunotrbjtebcts wlto stbrilgs# Aut tob lcfrbjsbg lccbrsiucg hbvbhs jcg vjrlbtlbs rbejlcbg# L abnjc ti ucgbrstjcg tob slncl`lfjcfb i` !glsjahlcn tlccltus#!Vlcfb tojt tleb L ojvb jggbg ti ey tlccltus ejcjnbebct sdlhhs; ali`bbgajfd /wolfo ojs eufo lc fieeic wlto ìres i` ebgltjtlic L wjs jhrbjgy uslcn,(bqujhlzbg arbjtolcn( eirb spbfl`lf jfuprbssurlcn(jcg frbjtlvb lejnlcn wolfo ls ciw alrtolcn j aiidL fjhh !Wob Vjfrbg Viucg; Vicns jcg Vtirlbs i`Wlccltus#!

Ay !bqujhlzbgarbjtolcn(! L ebjc tjdlcn `lvb irslx shiw gbbp arbjtos ti fhbjr tob hucns i` stjhb jlr(tobc arbjtolcn qulbthy lc jcg iut wltoiut stipplcnabtwbbc arbjtos ìr ìur ir `lvb elcutbs# L `lcg ltobhps ti fiuct lc jcg iut wlto bjfo arbjto( up tiblnoty# Gilcn tols j sbficg tleb siebtlebs puts ebti shbbp#Wob jfuprbssurb pilcts L `lcg hldbhy ti rbhbjsbprbssurbs lc tob bjr jrbj jrb :, ic tob pjhe i` tobojcg abtwbbc tob aicbs tojt ficcbft ti tob ìurtojcg `l`to `lcnbrs4 1, ic tob firrbspicglcn spit icbltobr iit4 6, jriucg tob jcdhb( pjrtlfuhjrhy lc ajfd#Kust `lcg j sbcsltlvb spit4 jpphy prbssurb wlto yiur`lcnbr/s, jcg touea/s, js hicn js yiu fjc tihbrjtb lt(jcg hbt ni# Wobsb bxbrflsbs ejy wird ir yiu4 tobyejy cit

Cbxt ti sjvlcn ey objrlcn( tob nrbjtbst tolcney giftir glg ìr eb wjs ti jsd j slephb qubstlic;!Wbhh eb jaiut tob qujhlty i` tob siucgs yiu objr#!L aurst lcti tbjrs# L ojg abbc wjltlcn ìr ivbr ìrtyybjrs ir jc itihjrycnihinlst ti jsd eb tojt qubstlic#Worbb ir ìur ybjrs abìrb( L ojg tihg eypsyfoitobrjplst ti jsd tojt qubstlic i` jcy itobr:> Wlccltus Wigjy L Kucb :


18/19

Wrlautbs( Vpicsirs( ]ri`bsslicjh JssifljtbsWob JWJ trlautb ùcg ls gbslncjtbg :==" ìr rbsbjrfo# Wojcd yiu ti jhh toisb pbiphb hlstbg abhiw ìrsojrlcn ebeirjahb iffjslics lc tols obhpùh wjy# Fictrlautlics jrb tj x gbguftlahb jcg jrb priepthy jfdciwhbgnbg wlto jc jppriprljtb fjrg# Wob nl`t jeiuct ls cbvbr glsfhisbg#LC EBEIQ\ I@JJchxtK QJclxtWicy AufdebhbrELE Jrhi CjsoAbccy GbDlcgbrKiJcc GbDlcgbrVjeubh OjywjrgQugjcg Olno VfoiihFhjss i` :


19/19

7# GbsfrlabsOypbrjfushs(tob priahbe i`supbr%sbcsltlvbbjrs jcg oiwtoisb woi ojvblt jrb j``bftbg #Rrnbs pritbftlic`rie cilsb#

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l l ~ R WOB VBh@%OBH]]QINQJEKioc Woggby( G#G#V#~ f % # % # Vf.%.!##( ##Y## ij!!.

WLCCLWRV % HBJQCLCN WIHLPB ^LWO LW WEK WOB VBH@%OBH] ]QINQJEGbjhlcn wlto tob rlcnlcn Oiw ti rbfinclzb j WEKlc yiur bjrs toriuno abttbr Vunnbstlics jcg jgvlfb priahbe( rbhlbvb pjlc jcg rbstirbucgbrstjcglcn jcg fojcnlcn `rie jutoirs woi ivbrfjeb objhto# ôbc ti sbbd pri`bs%abhlb`s# eufo i` toblr elsbry# slicjh obhp#

VBB LCVLGB AJFD FIPBQ @IQ @RHH ]RAHLFJWLIC HLVW JCG IQGBQLCN LC@IQEJWLIC#

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tinnitus today june 1992 vol 17, no 2

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