Ethical Issues in Cochlear Implantation

  • Linda Komesaroff
  • Paul A. Komesaroff
  • Merv Hyde
Reference work entry


Conventional perspectives regarding the ethical issues around cochlear implantation are often simplistic and under-informed. A common assumption is that there is a choice between unequivocal acceptance of the benefit of the technology on the one hand, and a choice based on respect for the integrity and values of the Deaf community on the other. The parameters of perceived choice are explored and it is concluded that such a simplistic model fails to recognize the complex and heterogeneous array of variables that need to be considered by, and the options that are available for, the individuals concerned, their families, and the medical practitioners advising them.


Life Satisfaction Hearing Loss Sign Language Cochlear Implant Cochlear Implantation 
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  1. Bat-Chava, Y. (2000). Diversity of deaf identities. American Annals of the Deaf, 145, 420–428.CrossRefGoogle Scholar
  2. Brown, W. H., Odom, S. L., & McConnell, S. R. (Eds.). (2008). Social competence of young children: Risk, disability, and intervention. Baltimore: Brookes.Google Scholar
  3. Cass, V. (1996). Sexual orientation identity formation: A Western phenomenon. In R. P. Caba & T. S. Stein (Eds.), Textbook of homosexuality and mental health (pp. 227–251). Washington, DC: American Psychiatric Association.Google Scholar
  4. Crenshaw, K. W. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6), 1241–1299.CrossRefGoogle Scholar
  5. Farber, B. (1960). Effects of a severely mentally retarded child on family integration. Monographs of the Society for Research in Child Development, 24, 1–112.CrossRefGoogle Scholar
  6. Fischer, L. C., & McWhirter, J. J. (2001). The deaf identity development scale: A revision and validation. Journal of Counseling Psychology, 48, 355–358.CrossRefGoogle Scholar
  7. Gascon-Ramos, M. (2008). Wellbeing in deaf children: A framework of understanding. Education and Child Psychology, 25(2), 57–71.Google Scholar
  8. Glickman, N. S., & Carey, J. C. (1993). Measuring deaf cultural identities: A preliminary investigation. Rehabilitation Psychology, 38(4), 275–283.CrossRefGoogle Scholar
  9. Hyde, M. B. (1995). Ethical dimensions of cochlear implantation of deaf children. Annals of Otology, Rhinology and Laryngology – Supplement, 104, 19–20.Google Scholar
  10. Hyde, M. B. (2005). Is sign language incompatible with the effective use of a CI? Nordic conference on children’s emotional and intellectual development through language. Torshavn, Faroe Islands, August 29–30, 2005.Google Scholar
  11. Hyde, M. B. (2007). Deafness and human rights. How the 2007 UN convention on the rights of persons with disabilities may influence current policies and programs. Keynote presentation at the Nordic Conference: The dual languages of deaf and hearing-impaired children. Gothenburg, Sweden, September 3, 2007.Google Scholar
  12. Hyde, M. B., & Power, D. J. (2000). Informed parental consent for cochlear implantation of deaf children. Australian Journal of Social Issues, 35(2), 117–128.Google Scholar
  13. Hyde, M., & Power, D. (2003). Characteristics of deaf and hard of hearing students in Australian regular schools: Hearing level comparisons. Deafness and Education International, 5, 133–143.CrossRefGoogle Scholar
  14. Hyde, M., & Power, D. (2006). Some ethical dimensions of cochlear implantation for deaf children and their families. Journal of Deaf Studies and Deaf Education, 11, 102–111.CrossRefGoogle Scholar
  15. Hyde, M., & Punch, R. (2010). Children with cochlear implants in Australia: Educational settings, supports, and outcomes. Journal of Deaf Studies and Deaf Education, 15(4), 405–421.CrossRefGoogle Scholar
  16. Hyde, M. B., & Punch, R. (2011). The modes of communication used by children with cochlear implants and role of sign in their lives. American Annals of the Deaf, 155(5), 535–549.CrossRefGoogle Scholar
  17. Hyde, M., Punch, R., & Komesaroff, L. (2010). A comparison of the anticipated benefits and received outcomes of paediatric cochlear implantation: Parental perspectives. American Annals of the Deaf, 155(3), 322–338.CrossRefGoogle Scholar
  18. Hyde, M., Punch, R., & Komesaroff, L. (2010). Coming to a decision about cochlear implantation: Parents making choices for their deaf children. Journal of Deaf Studies and Deaf Education, 15(2), 162–178.CrossRefGoogle Scholar
  19. Komesaroff, L. (2000). Linguistic rights of the deaf: Struggling against disabling pedagogy in education. Australian Journal of Human Rights, 6(1), 59–78.Google Scholar
  20. Komesaroff, L. (2007a). Media representation and cochlear implantation. In L. Komesaroff (Ed.), Surgical consent: Bioethics and cochlear implantation (pp. 88–119). Washington, DC: Gallaudet Univerity Press.Google Scholar
  21. Komesaroff, L. (Ed.). (2007b). Surgical consent: Bioethics and cochlear implantation. Washington, DC: Gallaudet Univerity Press.Google Scholar
  22. Komesaroff, P. A. (2008). Experiments in love and death: Medicine, postmodernism, microethics and the body. Carlton: Melbourne University Press.Google Scholar
  23. Ladd, P. (2007). Cochlear implantation, colonialism, and deaf rights. In L. Komesaroff (Ed.), Surgical consent: Bioethics and cochlear implantation (pp. 1–29). Washington, DC: Gallaudet Univerity Press.Google Scholar
  24. Lane, H. (2005). Ethnicity, ethics, and the Deaf-World. Journal of Deaf Studies and Deaf Education, 10(3), 291–310.CrossRefGoogle Scholar
  25. Lane, H., & Bahan, B. (1998). Ethics of cochlear implantation in young children: A review and reply from a Deaf-World perspective. Otolaryngology – Head and Neck Surgery, 119, 297–313.CrossRefGoogle Scholar
  26. Lukomski, J. (2011). Resiliency and the emerging deaf adult. In D. H. Zand & K. J. Pierce (Eds.), Resilience in deaf children (pp. 375–390). New York: Springer.CrossRefGoogle Scholar
  27. Meyer, J., & Kashubeck-West, S. (2011). Psychological wellbeing in emerging adults who are deaf. In D. H. Zand & K. J. Pierce (Eds.), Resilience in deaf children (pp. 359–374). New York: Springer.CrossRefGoogle Scholar
  28. Murray, J. J. (n.d.). Conference summary: Sign languages as endangered languages. Resource document. World Federation of the Deaf. Accessed 10 Jan 2013.
  29. Power, D. J., & Hyde, M. B. (1992). The deaf community and cochlear implants. Medical Journal of Australia, 157, 421–422.Google Scholar
  30. Punch, R., & Hyde, M. (2005). The social participation and career decision-making of hard-of-hearing adolescents in regular classes. Deafness and Education International, 7(3), 122–138.CrossRefGoogle Scholar
  31. Punch, R., & Hyde, M. (2011a). Communication, psychosocial and educational outcomes of children with cochlear implants and challenges remaining for professionals and parents. International Journal of Otolaryngology, Article ID 573280, 10.Google Scholar
  32. Punch, R., & Hyde, M. (2011b). Social participation of children with cochlear implants: A qualitative analysis of parent, teacher, and child interviews. Journal of Deaf Studies and Deaf Education, 16(4), 474–493.CrossRefGoogle Scholar
  33. Punch, R., Hyde, M. B., & Creed, P. (2004). Issues in the school-to-work transition of hard-of-hearing adolescents. American Annals of the Deaf, 149, 1.CrossRefGoogle Scholar
  34. Tucker, B. (1998). Deaf culture, cochlear implants and elective disability. Hastings Center Report, 28(4), 6–14.CrossRefGoogle Scholar
  35. United Nations. (2006). Convention on the rights of people with disabilities. Resource Document. United Nations. Accessed 10 May 2011.
  36. Valentine, G., & Skelton, T. (2007). Re-defining norms: D/deaf young people’s transitions to independence. The Sociological Review, 55, 104–123.CrossRefGoogle Scholar
  37. Wheeler, A., Archbold, S. M., Hardie, T., & Watson, L. M. (2009). Children with cochlear implants: The communication journey. Cochlear Implants International, 10(1), 41–62.CrossRefGoogle Scholar
  38. World Federation of the Deaf. (2011). Congress Resolution: XVI World Congress of the World Federation of the Deaf. Resource document. World Federation of the Deaf. Accessed 10 Jan 2013.

Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  • Linda Komesaroff
    • 1
  • Paul A. Komesaroff
    • 2
  • Merv Hyde
    • 3
  1. 1.Deakin UniversityWaurn PondsAustralia
  2. 2.Monash Centre for Ethics in Medicine and SocietyMonash UniversityCaulfield EastAustralia
  3. 3.Faculty of Science, Health, Education and EngineeringUniversity of the Sunshine CoastSippy DownsAustralia

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