Loudness and Hearing Loss
When sensorineural hearing loss (damage to the cochlea or in the brain) is present, the perception of loudness is altered. Sounds at low levels (often perceived by those without hearing loss as relatively quiet) are no longer audible to the hearing impaired, but interestingly, sounds at high levels often are perceived as having the same loudness as they would for an unimpaired listener. This phenomenon can be explained by two theories: Loudness grows more rapidly for these listeners than normal listeners with changes in level. This theory is called "loudness recruitment" and has been accepted as the classical explanation. More recently, it has been proposed that some listeners with sensorineural hearing loss may in fact exhibit a normal rate of loudness growth, but instead have an elevated loudness at their threshold. That is, the softest sound that is audible to these listeners is louder than the softest sound audible to normal listeners. This theory is called "softness imperception," a term coined by Mary Florentine.
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