Automatic Audiometry for Detecting Malingering

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Abstract
AUTOMATIC audiometry, or Bekesy audiometry, is among the more significant, versatile tools available to the practitioner. Its value is evidenced both by its diagnostic capability and by the unique self-recording method employed in determining threshold values. Historically, one finds the introduction of Bekesy audiometry in 19471and at present at least two different commercial models are available. Both employ the same self-recording technique, but are dissimilar in their modes of frequency presentation. One instrument utilized fixed-frequency presentation and the other permits sweep-frequency tracings as well as having fixed-frequency capabilities. The diagnostic value of automatic audiometry stems from several research investigations.2The practicing otolaryngologist, however, is perhaps more familiar with the contributions of Jerger.3After audiometrically testing clinical patients with middle ear, cochlear, and retrocochlear pathology, Jerger described specific tracing "types" as being characteristic for the disorder in question. One finds it of value to note that Jerger's

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