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  • 1.
    Bohlin, Margareta
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Malm, Martin
    University West, Department of Social and Behavioural Studies.
    Saura, Daniel
    University West, Department of Social and Behavioural Studies.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Riskdiskurser i kvällspressen2014In: Att förstå ungdomars identitetsskapande: en inspirations- och metodbok / [ed] Sorbring, E., Andersson, Å. & Molin, M., Stockholm: Liber, 2014, 1, p. 166-187Chapter in book (Other academic)
    Abstract [sv]

    Kapitlet fokuserar på vanligt förekommande sätt att beskriva risker i olika medier.

  • 2.
    Dauman, Nicolas
    et al.
    Département de psychologie, Université de Poiters, France.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Learning from tinnitus patients' narratives: A case study in the psychodynamic approach2012In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, no 19540Article in journal (Refereed)
    Abstract [en]

    Tinnitus is assumed to be the perception of sound that results exclusively from activity within the nervous system without any external stimulation. Approximately 1-2% of the population regard their tinnitus as a serious threat towards their quality of life. The way the patients describe their suffering varies, sometimes also depending on the interest and insight of the clinician to whom they turn to for help. The lack of insightful narratives of someone who is severely annoyed by the presence of a constant tinnitus sound may lead to limited and biased models of tinnitus suffering. In the present case study the participating patient, a woman aged 70, shared her experience of being victimized by tinnitus with the clinician/ researcher during a number of psychotherapeutic sessions. The psychodynamic, narrative approach, made it possible for the client to articulate the unique and specific meaning that she experienced as being part of her suffering. In her words, tinnitus became a tolerable symptom that she managed to work through within psychotherapeutic alliance

  • 3.
    Dauman, Nicolas
    et al.
    University of Poitiers, France.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    The construction of meaning through psychotherapy: a tinnitus case story2014In: / [ed] Professor Dr. Birgit Mazurek, Charité University Hospital, Berlin, 2014Conference paper (Refereed)
    Abstract [en]

    Besides considering tinnitus as a complication following a hearing impairment or a sudden noise trauma, it is essential to consider the emotional suffering of the patient as it may be linked to personal experiences in life. Repressed traumatic incidents can manifest itself in the wake of tinnitus onset.  

     

    Objective

    In the case of tinnitus suffering psychotherapy resting on psychodynamic foundations has a very remote place in the literature. Naturally, the narrative of the client is of special quality in the psychodynamic psychotherapy approach. The objective of this study was therefore to illustrate how the narrative of a suffering client can be an inherent part of psychotherapy as well as a source of qualitative data in research on tinnitus (Dauman & Erlandsson, 2012). 

     

    Method

    The patient was a 70 years old woman with tinnitus (Lucie) who experienced her suffering as life threatening, which at times required psychiatric hospitalization. She participated in 16 psychotherapy sessions taken place over a period of eight months. The interview method building on free associations was judged to be the best way to understand the meaning behind evoked narratives of the patient.

     

    Results

    With the purpose to describe the analytical procedure we applied a narrative structure based on the following four labels: Listening to Lucie - Learning from Lucie’s speech - Narrative breakdown and psychotherapy  - Psychodynamic insights on Lucie’s emotional drives. The social dimension of the patient’s suffering was a central theme in her narrative, expressed by others’ reluctance to listen to her despair as well as her own deep sorrow for a broken social bond prior to her psychological brake-down.

     

    Conclusion

    The construction of meaning is a human act of self-preservation. In this case, it helped the patient to overcome alienation and made her tinnitus bearable.

  • 4.
    Dauman, Nicolas
    et al.
    University of Poitiers, CAPS-EA4050, Department of Psychology, Poitiers, France.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Albarracin, Dolores
    University of Poitiers, CAPS-EA4050, Department of Psychology, Poitiers, France.
    Dauman, Rene
    University of Bordeaux, INCIA, UMR Centre Nationnal de la Recherche Scientifique, Bordeaux, France.
    Exploring Tinnitus-Induced Disablement by Persistent Frustration in Aging Individuals: A Grounded Theory Study2017In: Frontiers in Aging Neuroscience, ISSN 1663-4365, E-ISSN 1663-4365, Vol. 9, p. 1-18, article id 272Article in journal (Refereed)
    Abstract [en]

    Background: Qualitative research can help to improve the management of patients, meet their expectations and assist physicians in alleviating their suffering. The perception of moment-to-moment variability in tinnitus annoyance is an emerging field of exploration. This study sought to enlighten variability in tinnitus-induced disablement using a qualitative approach. Methods: Twelve participants (six females, six males, aged 51-79) were recruited via the French Tinnitus Association Journal for participation in recorded semi-structured interviews. Each participant had three interviews lasting 1 h, the sessions being separated one from the other by 2 weeks. Following recommendations of Charmaz (2014), the second and third interviews were aimed at gathering rich data, by enhancing the participants’ reflexivity in the circumstances of distress caused by tinnitus. After transcription, the data (n = 36 interviews) were analyzed using the approach to Grounded Theory proposed by Strauss and Corbin (1998). Results: Tinnitus as persistent frustration emerged as being the core category uniting all the other categories of the study. Hence, the core category accounted for the broader scope in participants’ experience of chronic tinnitus. It is suggested that tinnitus-induced disablement varied according to the degree of frustration felt by the participants in not being able to achieve their goals. The implications of this were analyzed using the following categories: “Losing body ownership,” “ Lacking perspectives,” and “Persevering through difficulties.” Based on these findings, we draw a substantive theory of tinnitus tolerance that promotes an active, disciplined and individualized approach to tinnitus-induced disablement. The model distinguishes pathways from sustained suffering to reduced annoyance (i.e., emerging tolerance). It accounts for difficulties that the participants experienced with a perceived unchanged annoyance over time. Furthermore, this model identifies a set of new attitudes toward oneself and others that tinnitus tolerance would entail. Conclusion: The subjective experience of frustration enlightens tinnitus-induced disablement, offering new perspectives for long-term self-management. Modulation of frustration, rather than moderation of tinnitus interference, is suggested as a new approach to the clinical management of tinnitus-related distress.

  • 5.
    Dauman, Nicolas
    et al.
    Department of Psychology, University of Poitiers, France.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Carlsson, Sven
    Department of Psychology, University of Gothenburg, Sweden.
    Habituation models: can tinnitus be compared to anexternal sound?2014In: / [ed] Professor Dr. Birgit Mazurek, Charité University Hospital, Berlin, 2014Conference paper (Refereed)
    Abstract [en]

    Background:

    The process of habituation often remains obscure to those patients most disturbed by tinnitus.

    Since three decades, the Cognitive-Behavioural Therapy (CBT) has promoted a habituation model (Hallam et al. 1984) founded on experimental data regarding the orienting response (OR) (Horvath 1980). Habituation of the OR is the natural extinction of attention to repeated identical stimuli which lose their ability to trigger orientation. Considering epidemiological data, the habituation model (Hallam & McKenna, 2006) hypothesizes that:

    1. tolerance is “a natural and inevitable process” illustrated by three quarter of people with tinnitus;

    2. annoyance is “a consequence of a failure to cease attending” to tinnitus, because of psycho-physiological factors that delay a natural process to occur (i.e., extinction of the OR)

  • 6.
    Dauman, Nicolas
    et al.
    University of Poitiers, France.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Carlsson, Sven G.
    Göteborgs universitet.
    Habituation theories in current models of chronic tinnitus: evidence and criticism2013In: Habituation: theories, characteristics and biological mechanisms / [ed] Buskirk, Arie, New York: Nova Science Publishers, Inc. , 2013, 1, p. 55-90Chapter in book (Refereed)
  • 7.
    Dauman, Nicolas
    et al.
    University of Poitiers,  CAPS-EA4050, Department of Psychology, Poitiers.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Lundin, Linda
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Dauman, Rene
    University of Bordeaux and CHU of Bordeaux, Tinnitus Clinic, Department of ORL-HNS, CNRS-UMR 5287, Bordeaux.
    Intra-individual variability in tinnitus patients: Current thoughts and perspectives.2015In: HNO (Berlin. Print), ISSN 0017-6192, E-ISSN 1433-0458, Vol. 63, no 4, p. 302-306Article in journal (Refereed)
    Abstract [en]

    Most tinnitus studies have attempted to compare groups of individuals, thus revealing inter-individuals differences, i.e., variations between compared subjects. For methodological reasons, inter-individual studies cannot take into account the variability of tinnitus experience, which has been known for decades to be relevant in daily practice with tinnitus patients. The concept of intra-individual variability has been promoted in the research literature, in order to shed light on this aspect of individual perception. In previous studies, unrelated to hearing, the concept of intra-individual variability implied inclusion of the environment (i.e., physical and social interactions) as a factor of individual performance. In tinnitus research, we believe that the concept of variability (within a person) could find a place beside the concept of variation (between groups of subjects). In this paper, four perspectives of tinnitus experiences from the clinical and research fields are described: (1) ENT consultation; (2) short-term group psychotherapy; (3) psychodynamic psychotherapy; and (4) clinical psychological research. Intra-individual variability stresses the importance of defining tinnitus in a dynamic way, contrary to the current definition of tinnitus as the perception of sound(s). In clinical practice, it is useful to embrace the perspective of the perceiverof tinnitus, and to include social and cultural circumstances as well as audiological/physical changes.

  • 8.
    Dauman, Nicolas
    et al.
    University of Poitiers, Department of Psychology, Poitiers , France.
    Haza, Marion
    University of Poitiers, Department of Psychology, Poitiers , France.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Liberating parents from guilt: a grounded theory study of parents' internet communities for the recognition of ADHD2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, p. 1-12, article id 1564520Article in journal (Refereed)
    Abstract [en]

    PURPOSE: This study presents a qualitative analysis of information posted on the Internet by two communities of French parents promoting the recognition of ADHD in the context of current health and school practices.

    METHOD: Grounded Theory (Strauss & Corbin's approach) was applied to the posted messages, with the aim to discover the main concern and common theme through a constant comparison analysis.

    RESULTS: Liberating parents from feeling responsible for their child's misconduct was found to be the core category. From this perspective, we account for the commitment of the digital communities to formalize the child's conduct as a consequence of a neurodevelopmental disorder. This approach helps to account for the promotion of behavioural expertise and conditioning strategies (e.g., positive reinforcement) for handling the child's so-called disorder as appropriate parental responses. Giving evidence for parenting struggles was the third main concern of the communities, in the face of perceived skepticism from professionals towards ADHD as a medical condition.

    CONCLUSIONS: By using examples from countries that are found to have a more pro-medical approach to ADHD, the communities aim at improving such medical practices in France. Issues surrounding the claim that ADHD would require a specific style of parenting are also discussed.

  • 9.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    ADHD - Omsorg framför utredning2018In: Best Practice :Psykiatri/neurologi, Vol. 9, no 34, p. 17-19Article in journal (Other academic)
  • 10.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Barn behöver vuxna som kan lyssna2018In: Barnbladet, E-ISSN 0349-1994, no 3, p. 6-9Article in journal (Other academic)
  • 11.
    Erlandsson, Soly
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Bohlin, Margareta
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Dauman, Nicolas
    Department of Psychology, University of Poitiers, France.
    Olsson, Astrid
    University West, University West, the Library.
    The state and art of tinnitus research from a critical discourse perspective2014In: / [ed] Professor Dr. Birgit Mazurek, Charité University Hospital, Berlin, 2014Conference paper (Refereed)
    Abstract [en]

    Objectives 

    Tinnitus is a condition that almost entirely belongs to the field of audiological medicine, predominately regarded as a disorder of the ear. The purpose of this study was to explore the state of the art concerning the scientific discourse on tinnitus. Our main interest was to find the answers to: Who are involved in the research; i.e. within a disciplinary context? What approaches have been most influential?  How much influence does one specific perspective have on the discourse compared to another perspective?

    Methods

     A selection of articles with tinnitus as the main objective, published in international journals between 1930-2013, were analyzed according to Critical discourse analysis and influenced by concepts deriving from (Laclau and Mouffe, 1985). Collected articles were representative, disciplinarily seen.

    Results

    Discourse analysis showed to be an appropriate method for studying the discourses on tinnitus within a time period of more then 80 years. The most influential discourse on the definition of tinnitus states that tinnitus is the perception of a sound (s) in the absence of an external sound source. It is clear that this definition has been adopted regardless of disciplinary field. Philosophical and existential aspects of tinnitus suffering are not prevalent in the discourses on tinnitus, a somewhat understandable result, as the influence of medical science is exceptional. 

    Conclusion

    Generally seen, the dominance of one discourse in a field of research can lead to an inhibition of other valuable discourses from the periphery (the field of discursivity). The most productive scientific strategy would be to allow several discourses to exist side by side. A significant point to stress, since no epidemiological data so far have demonstrated that the populations of tinnitus patients in any way are homogeneous.

  • 12.
    Erlandsson, Soly
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Dauman, Nicholas
    Univ Poitiers, Dept Psychol, .
    Categorization of tinnitus in view of history and medical discourse2013In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8, p. 23530-Article in journal (Refereed)
    Abstract [en]

    The foremost, dominant, and influential scientific discourse of how to define tinnitus states that tinnitus is the perception of sound(s) in the absence of an external sound source. This is the most common statement among researchers in audiology and related fields, stemming from basic neurosciences (Kaltenbach, 2011) to applied psychophysiology (Kropp et al., 2012), audiology (Caffier et al., 2006), and behavioural psychology (Westin et al., 2008). It is puzzling that scientific affiliation and paradigms have had no influence on how the condition is defined as for instance one would expect psychologists and neurologists to have their own viewpoint on this issue.

  • 13.
    Erlandsson, Soly
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Lundin, Linda
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Dauman, Nicolas
    Department of Psychology, University of Poitiers, France.
    The experience of tinnitus and its Interaction with unique life histories2014In: / [ed] Professor Dr. Birgit Mazurek, Charité University Hospital, Berlin, 2014Conference paper (Refereed)
    Abstract [en]

    Objectives

     

    Alleviating tinnitus is a challenging project for professionals within audiology and related fields. Meeting a suffering patient can be challenging as it demands a special interest for the patient as a complex living system. One perspective that risks being placed in the background, is the experience of the patient – the inside perspective.

    Focus of the present study was to describe tinnitus through the eyes of the sufferer reflecting two aspects: Why is tinnitus accompanied by a psychological suffering? Can the personal life history contribute in making the relationship between tinnitus and the experienced suffering more comprehensible?

     

    Methods

     

    The unique meaning structure of patients’ reflections on their life with tinnitus was explored by the use of the narrative psychological approach. Participants were women and men in the age between 40-60 years and for whom tinnitus was experienced as a major problem. Individual, tape-recorded, deep interviews (3 – 4 for each patient) took place over a period of 3 to 4 months. The ethical committee in the West region of Sweden approved the study.

     

    Results

     

    In resemblance with how people suffering from a severe illness construct their stories (Gergen & Gergen, 1983) the analysis of the study samples’ narratives emanated from three plot dimensions: stability, progression and regression. Patients who in their passed had been faced with several serious challenges seemed to have a particularly pessimistic undertone. This may reflect how the construction of life stories interacts with previous experiences and interpretations. Tinnitus may thus pose a particularly great challenge for individuals who have experienced accumulative trauma in their past.

     

    Conclusion

    By allowing different voices to be heard increased understanding can be gained about how tinnitus interacts with unique life histories.

     

  • 14.
    Erlandsson, Soly
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Lundin, Linda
    University West, Department of Social and Behavioural Studies, Psychology and organization studies.
    Punzi, Elisabeth
    Gothenburg University, Department of Psychology, Gothenburg, Sweden..
    A discursive analysis concerning information on "ADHD" presented to parents by the National Institute of Mental Health (USA).2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30938Article in journal (Refereed)
    Abstract [en]

    A discourse analysis was performed based on an online document under the headline: "What is Attention Deficit Hyperactivity Disorder (ADHD, ADD)?" published by the National Institute of Mental Health (NIMH), USA. Three parts of the document were analysed: (1) The introductory part, as this sets the tone of the whole text. (2) Parts of the text that were specifically addressed to parents. (3) Etiology and pathology of "ADHD" with reference to a number of different symptoms and behaviors. Inattention and hyperactivity are presented in the document as a floating spectrum of symptoms caused by "ADHD." Other factors of importance for children's development, that is, early attachment, close relationships, previous experiences, culture, and contexts are ignored. Children who are perceived as inattentive and hyperactive are portrayed as having inherent difficulties with no reference to their emotions or efforts to communicate. The child is viewed as suffering from a lifelong disorder that might not be cured but controlled by a diagnosis and subsequent medication. Parents are advised to control their child's behavior and to strive for early diagnosis in order to receive treatment provided by experts. Those who are presented as experts rely on a biomedical model, and in the document, detailed descriptions of medication to correct the undesired behaviors are provided. The value of judgment in the assessment of different symptoms and behaviors that signifies "ADHD" is absent, rather taken-for-granted beliefs were identified throughout the document. A heterogeneous set of behaviors is solely described as a disorder and hereafter it is stressed that the same behaviors are caused by the disorder. In this manner, cause and effects of "ADHD" are intertwined through circular argumentation.

  • 15.
    Erlandsson, Soly
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Punzi, E.
    Department of Psychology, Gothenburg University, Sweden.
    A biased ADHD discourse ignores human uniqueness2017In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, article id 1319584Article in journal (Refereed)
  • 16.
    Erlandsson, Soly
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Punzi, Elisabeth
    Gothenburg University, Department of Psychology, Gothenburg, Sweden.
    Challenging the ADHD consensus2016In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, no 1, p. 1-2, article id 31124Article in journal (Refereed)
  • 17.
    Erlandsson, Soly
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Sjöberg, LenaUniversity West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Barn- och ungdomsforskning: metoder och arbetssät2013Collection (editor) (Other academic)
  • 18.
    Erlandsson, Soly
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Sjöberg, Lena
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Inledning2013In: Barn- och ungdomsforskning: metoder och arbetssätt / [ed] Erlandsson, Soly I. & Sjöberg, Lena, Lund, 2013, 1. uppl., p. 7-28Chapter in book (Other academic)
  • 19.
    Johansson, Ingemar
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Dåderman, Anna Maria
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Gymnasierektors ledarskapsparadox: att vara verksamhetschef och pedagogisk utvecklare2014In: Nordic Journal of Vocational Education and Training, Vol. 4, no 2, p. 1-19Article in journal (Refereed)
    Abstract [sv]

    Forskning om rektors ledarskap är omfattande, men studier som undersöker gymnasierektors arbetssituation och ledarskap är mer sällsynta. Avsikten med den föreliggande studien var att bidra till att denna kunskapslucka fylls igen. Semistrukturerade intervjuer med tio gymnasierektorer genomfördes med fokus på rektors arbetsuppgifter, möjlighet att planera och styra arbetet, förväntningar kring ledarskapet, samt möjlighet att utvecklas och lära i arbetet. I resultaten av den tematiska analysen framträdde fyra teman: (1) ledarskapsideal, (2) kollegialt stöd, (3) ledarskap i en förändringsbenägen organisation, och (4) begränsat utrymme för reflektion. Ett övergripande, gemensamt tema: ”Ledarskapsparadox” speglar de högst varierande omständigheter och förhållanden i vardagen som en gymnasierektor ska kunna hantera, vilka också präglar resultatet av analysen. Ett något oväntat resultat var att gymnasierektor upplevde stort, eget ansvar för elevernas bästa. Studien kastar nytt ljus på gymnasierektorers ledarskap, och bidrar till ökad förståelse för vad rollen som ledare för en komplex organisation som gymnasieskolan kan innebära. Genom att knyta an till en arbetspsykologisk ledarskapsteori och formulera en arbetspsykologisk hypotes kan studien bidra till forskningen om arbetsintegrerat lärande (AIL).

  • 20.
    Lundin, Linda
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Parental discussions online through the medical discourse-lens2017In: Journal of Childhood & Developmental Disorders, ISSN 2472-1786, Vol. 3, no 4, article id 15Article in journal (Refereed)
    Abstract [en]

    In the present study the research objective was to gain insights into parental communication on an open Internet forum where parents had the opportunity to discuss issues related to ADHD. In order for clinicians to help troubled children brought to the health clinic it may be important to learn more about the life situations of these troubled families as treatment options can require complex interventions for the whole family. Our aim was thus to go beyond the neurobiological medical model of ADHD, which does not take into account contextual factors. In today’s society specialized online discussion forums are available for parents who seek support for various difficulties that arise in the family. The online forums are sources of research data. As research tools we used the narrative psychological approach for the analysis of 72 online naratives. These narratives provided support for that the parents embraced medical explanations for the difficulties experienced when raising children, despite obvious challenging life circumstances, such as for example being a single parent without social support. Even very young children had been given serious psychiatric medical diagnoses such as ADHD, Bipolar disorder, Mood disorders and Obsessive Compulsive Disorder. Some of them had been diagnosed with more than one of these disorders. The complexity of the parental nnarratives in the present study indicates that the neurobiological model is not sufficient enough to form the basis of a personalized and comprehensive care for vulnerable families.

  • 21.
    Michiels, Sarah
    et al.
    University of Antwerp, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Wilrijk, Belgium. Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, Edegem, Belgium. .
    Ganz Sanchez, Tanit
    Instituto Ganz Sanchez, São Paulo, Brazil. University of Sao Paulo, ENT Department, School of Medicine, Brazil..
    Oron, Yahav
    Tel Aviv University, Department of Otolaryngology, Head, Neck and Maxillofacial Surgery, Sackler School of Medicine, Tel-Aviv Sourasky Medical Center, Israel.
    Gilles, Annick
    Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, Edegem, Belgium. University of Antwerp, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, Wilrijk, Belgium. University College Ghent, Department of Human and Social Welfare, Belgium.
    Haider, Haúla F
    ENT Department, Hospital Cuf Infante Santo, NOVA Medical School, Lisbon, Portugal.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Bechter, Karl
    University of Ulm, Clinic for Psychiatry and Psychotherapy II, Bezirkskrankenhaus Günzburg, Germany.
    Vielsmeier, Veronika
    University of Regensburg, Department of Otorhinolaryngology, Germany.
    Biesinger, Eberhard
    ENT-Clinic and Otolaryngology Department, Klinikum Traunstein, Germany.
    Nam, Eui-Cheol
    Kangwon National University, Department of Otolaryngolgy, School of Medicine, Chuncheon-si, Gangwon-do, Republic of Korea.
    Oiticica, Jeanne
    ENT Department, School of Medicine, University of Sao Paulo, Brazil.
    de Medeiros, Ítalo Roberto T
    ENT Department, School of Medicine, University of Sao Paulo, Brazil.
    Bezerra Rocha, Carina
    ENT Department, School of Medicine, University of Sao Paulo, Brazil.
    Langguth, Berthold
    University of Regensburg, Department of Psychiatry and Psychotherapy, Germany.
    Van de Heyning, Paul
    University of Antwerp, Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, Edegem, Belgium. Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium. Multidisciplinary Motor Centre Antwerp, Wilrijk, Belgium. .
    De Hertogh, Willem
    University of Antwerp, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Wilrijk, Belgium..
    Hall, Deborah A
    NIHR Nottingham Biomedical Research Centre, Nottingham, UK. University of Nottingham, Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, UK. Nottingham University Hospitals NHS Trust, Queens Medical Centre, Nottingham, UK. University of Nottingham Malaysia, Semeniyh, Selangor Darul Ehsan, Malaysia..
    Diagnostic Criteria for Somatosensory Tinnitus: A Delphi Process and Face-to-Face Meeting to Establish Consensus.2018In: Trends in hearing, E-ISSN 2331-2165, Vol. 22, article id 2331216518796403Article in journal (Refereed)
    Abstract [en]

    Since somatic or somatosensory tinnitus (ST) was first described as a subtype of subjective tinnitus, where altered somatosensory afference from the cervical spine or temporomandibular area causes or changes a patient's tinnitus perception, several studies in humans and animals have provided a neurophysiological explanation for this type of tinnitus. Due to a lack of unambiguous clinical tests, many authors and clinicians use their own criteria for diagnosing ST. This resulted in large differences in prevalence figures in different studies and limits the comparison of clinical trials on ST treatment. This study aimed to reach an international consensus on diagnostic criteria for ST among experts, scientists and clinicians using a Delphi survey and face-to-face consensus meeting strategy. Following recommended procedures to gain expert consensus, a two-round Delphi survey was delivered online, followed by an in-person consensus meeting. Experts agreed upon a set of criteria that strongly suggest ST. These criteria comprise items on somatosensory modulation, specific tinnitus characteristics, and symptoms that can accompany the tinnitus. None of these criteria have to be present in every single patient with ST, but in case they are present, they strongly suggest the presence of ST. Because of the international nature of the survey, we expect these criteria to gain wide acceptance in the research field and to serve as a guideline for clinicians across all disciplines. Criteria developed in this consensus paper should now allow further investigation of the extent of somatosensory influence in individual tinnitus patients and tinnitus populations.

  • 22.
    Prochnow, Annette
    et al.
    University of Würzburg, Germany.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Hesse, Volker
    Children’s Hospital Berlin-Lindenhof, and Charité – Institute for Experimental Paediatric Endocrinology, Germany.
    Wermke, Kathleen
    University of Würzburg, German.
    Does a 'musical' mother tongue influence cry melodies?: A comparative study of Swedish and German newborns2019In: Musicae scientiae, ISSN 1029-8649, E-ISSN 2045-4147, Vol. 23, no 2, p. 143-156Article in journal (Refereed)
    Abstract [en]

    The foetal environment is filled with a variety of noises. Among the manifold sounds of the maternal respiratory, gastrointestinal and cardiovascular systems, the intonation properties of the maternal language are well perceived by the foetus, whose hearing system is already functioning during the last trimester of gestation. These intonation (melodic) features, reflecting native-language prosody, have been found to shape vocal learning. Having had ample opportunity to become familiar with their mother's language in the womb, newborns have been found to exhibit salient pitch-based elements in their own cry melodies. An interesting issue is whether an intrauterine exposure to a maternal pitch accent language, such as Swedish, in which emphatic syllables are pronounced typically on a higher pitch relative to other syllables will affect newborns' cry melody (fundamental frequency contour). The present study aimed to answer this question by quantitatively analysing and comparing the melody structure in 52 Swedish compared with 79 German newborns. In accordance with previous approaches, cry melody structure was analysed by calculating a melody complexity index (MCI) expressing the share of cries exhibiting two or more (well-defined) arc-like substructures uttered during the recording sessions. A low MCI reflects a dominance of cries with a 'simple', i.e. single-arc melody. A significantly higher MCI was found in the Swedish infant group, which further corroborates the assumption that the well-known foetal sensitivity for musical (melodic) stimuli seems to shape infants' cry melody.

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