- Apr 18, 2013
- 1,633
- Tinnitus Since
- 2003
- Cause of Tinnitus
- Flu, Noise-induced, Jaw trauma
I haven't contradicted myself or asserted the above, maybe you have misunderstood.Well you're denying it was said in Madrid that hyperacusis and tinnitus are a brain thing not an ear thing, and then you're going onto say that very same thing you're denying. The guy in the audience who was chatting in the seats literally said they used to believe it was an ear thing and have gone on to believe it's a brain thing, maybe he was thinking Pulec's studies were wrong?
The consensus on sound therapy isn't that it can work, but that nobody knows if it can and most probably all the studies we have are deeply biased and faulty, so if I may I'll join you in not understanding what you're saying. Plus are you seriously saying that visits to psychologists in CBT - which is an essential component of TRT - help with things like middle ear ossicle and eardrum deformations? It seems like there's a whole lot of things that can go wrong with the ear most of which are highly debateable and unknown and yet the fathers of TRT have always used very simple tests to ''counsel patients about their inappropriate beliefs about middle ear pathology''.
I do not particularly rate TRT, I'm not sure why you seem to think that I do, you can search everything I have written and you will not find me supporting it. CBT is not a component of TRT, it is different, TRT has a counselling component. To reduce sound therapy to simply TRT is incorrect. There are a broad range of sound therapies using different techniques that are not based on the theories or teaching behind TRT.
CBT can be very useful for a subset of people, it obviously isn't going to cure an inner ear disease but it can help with the obsessive part of tinnitus, where we can't stop listening to it and perceiving it as a threat for example. As above CBT is not TRT, it is a different thing. There may be therapists who deliver a form of CBT as part of a TRT course but you will find TRT purists who say this is incorrect.
Tinnitus can have many different causes, I do not say that one thing can help all and I doubt that it ever will. It is also wrong to say that one particular treatment does not work because it may work for a subset, we just don't have ways of knowing which treatments work for which subsets right now - or indeed how combinations of treatments can work. A common mistake people make is rubbishing something because it did not work for them
And getting back on topic this is part of the ESIT PhD's, to try and understand the heterogeneity of tinnitus so we can better target treatments.