Auditory processing disorder (APD): Schisms and skirmishes

Photo credit: Ben Earwicker, Garrison Photography, Boise, ID www.garrisonphoto.org A remarkable schism is developing between audiologists in the UK and the USA on the topic of auditory processing disorder (APD) in children. In 2010, the American Academy of Audiology published clinical practice guidelines for auditory processing disorder . In 2011, the British Society of Audiology published a position statement on the same topic, which came to rather different conclusions. This month a White Paper by the British Society of Audiology appeared reaffirming their position alongside invited commentaries. So what is all the fuss about? The argument centres on how to diagnose APD in children. Most of the tests used in the USA to identify APD involve responding to speech. One of the most widely-used assessments is the SCAN-C battery which has four subtests: Filtered words: Repeat words that have been low-pass filtered, so they sound muffled Auditory figure-ground: Repeat words that are p...