Deterioration of the phonological processing skills in adults with an acquired severe hearing loss

Abstract Phonological processing was examined in a group of individuals with an acquired severe hearing loss and compared to a group of matched normal hearing individuals. The hearing-impaired group was significantly slower and less accurate when performing a visual rhyme-judgement task, and produced fewer rhyming word pairs on a rhyme-generation task than the normal hearing group. In contrast, the hearing-impaired group performed on a par with the normal hearing group on verbal working memory tasks. It is concluded that specific aspects of the phonological system deteriorate in this population as a function of auditory deprivation. In particular, the phonological representations are impaired and this impairment also affects the ability to rapidly perform phonological operations (i.e., analyse and compare). In contrast, phonological processing involved in verbal working memory is preserved in this population.