[Clinics and psychopathology of tinnitus: a psychiatric view (author's transl)]

Abstract

Unstructured and structured, elementary tinnitus or achoasms are regarded as symptoms of various origins and individual processing of experience even in psychiatric diseases. In the context of a multidimensional causal structure for disturbances of acoustic perception, the lesion and compensatory capacity of the sensory system, primary personality structure, strategy for psychodynamic conflict resolution and above all the constitutionally determined or acquired biological structure of the central nervous system decide on what becomes subjective experience from the objective reduction of auditory function and what is observed as clinically as tinnitus. Besides psychopathological and neuropsychological aspects, the clinics of tinnitus is touched on an acoustic hallucinosis of the hard of hearing is illustrated by reference to a case history and its pathogenesis is discussed.