An Antigone of Tinnitus Care through a Kierkegaardian Lens
Risk-averse institutions maintain an ambiguous silence on cognitive behavioural therapy to treat tinnitus. This adds to a complex moral landscape for the lone audiologist, who is offered some ethical steering from Dr. Hashir Aazh, Director of the Hashir International Institute and President of the 4th World Tinnitus Congress.

Micahraleigh, CC0, via Wikimedia Commons/ DeepAI
The ethical boundary between audiological support, aural rehabilitation, and psychiatric treatment is a critical concern for audiologists treating tinnitus, particularly those trained in cognitive behavioural therapy (CBT).
In clinical practice, three broad positions can be identified. First, some audiologists show little recognition of the mental health needs of patients with tinnitus. Their focus tends to remain on hearing-related issues or sound management, often overlooking the psychological impact of tinnitus or the possibility of comorbid conditions such as anxiety, depression, or trauma-related disorders.
Second, other professionals, including some audiologists and many psychologists, acknowledge the psychological dimension of tinnitus but maintain that mental health care should be provided exclusively by psychologists. This position reflects concerns about professional boundaries, but also a lack of confidence in the adequacy of CBT training undertaken by audiologists....
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