title: Communication as an ecological system.
abstract: A conceptual framework for human communication, based on traditional biological ecology, is further developed. The difference between communication at the message and behavioural levels is emphasized. Empirical data are presented from various studies, showing that degree of satisfaction with communication is correlated with how close the outcome is to the memory of function prior to hearing impairment. We found no indication that hearing-impaired subjects overestimated their previous hearing or the hearing of normal-hearing people. Satisfaction was also correlated with the outcome and degree of fulfillment of expectations. It did not correlate with improvement of function. The concept of balance was presented and tested using a semi-quantitative approach. Several projects were presented in which the framework was applied: the hearing impaired as counsellor, choosing sides in unilateral deafness, a monitoring device for the deafblind, interaction between Swedish as a second language and hearing impairment, language development in hearing impaired children. By regarding hearing as a component of a communicative system, the perspective of audiological analysis and rehabilitation is broadened.
authors.affiliation: Ahlsén Research Institute and the Swedish Institute for Disability Research, University Hospital of Orebro, Orebro, Sweden. erik.borg@orebroll.se
authors.forename: Erik
authors.initials: E
authors.lastname: Borg
authors.forename: Christina
authors.initials: C
authors.lastname: Bergkvist
authors.forename: Inga-Stina
authors.initials: IS
authors.lastname: Olsson
authors.forename: Carina
authors.initials: C
authors.lastname: Wikström
authors.forename: Birgitta
authors.initials: B
authors.lastname: Borg
mesh_terms: D001298:Audiology; D003071:Cognition; D003142:Communication; D012048:Correction of Hearing Impairment; D017753:Ecosystem; D004644:Emotions; D036262:Empirical Research; D006310:Hearing Aids; D034381:Hearing Loss / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D007398:Interpersonal Relations; D008568:Memory; D008954:Models, Biological; D009042:Motivation; D017060:Patient Satisfaction; D019986:Persons with Hearing Disabilities / Q000523:psychology / Q000534:rehabilitation*; D013067:Speech Perception; D049490:Systems Biology