The Effect of Residual Acoustic Hearing and Adaptation to Uncertainty on Speech Perception in Cochlear Implant Users: Evidence from Eye-Tracking

摘要

ObjectivesWhile outcomes with cochlear implants (CIs) are generally good, performance can be fragile. The authors examined two factors that are crucial for good CI performance. First, while there is a clear benefit for adding residual acoustic hearing to CI stimulation (typically in low frequencies), it is unclear whether this contributes directly to phonetic categorization. Thus, the authors examined perception of voicing (which uses low-frequency acoustic cues) and fricative place of articulation (s/ʃ, which does not) in CI users with and without residual acoustic hearing. Second, in speech categorization experiments, CI users typically show shallower identification functions. These are typically interpreted as deriving from noisy encoding of the signal. However, psycholinguistic work suggests shallow slopes may also be a useful way to adapt to uncertainty. The authors thus employed an eye-tracking paradigm to examine this in CI users.