{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T08:22:19Z","timestamp":1772526139613,"version":"3.50.1"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"S2","license":[{"start":{"date-parts":[[2014,2,25]],"date-time":"2014-02-25T00:00:00Z","timestamp":1393286400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215114000309_sec1\"><jats:title>Background:<\/jats:title><jats:p>The diagnosis \u2018acoustic shock\u2019 has been made increasingly in the health care industry in recent years. This paper aims to question the validity of acoustic shock as an organic pathological entity.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215114000309_sec2\"><jats:title>Methods:<\/jats:title><jats:p>The experiences of 16 individuals diagnosed as having acoustic shock, within a medico-legal practice, are reviewed.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215114000309_sec3\"><jats:title>Results:<\/jats:title><jats:p>The commonest symptom was otalgia, followed by noise sensitivity, tinnitus, hearing disturbance and dizziness.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215114000309_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>The presence of noise-limiting technology in the workplace, the variation in the nature of the acoustic incident involved (ranging from a shriek, through feedback noise, to a male voice), and the marked variation in the time of symptom onset (following the acoustic incident) all suggest that the condition termed acoustic shock is predominantly psychogenic. Cases of pseudohypacusis indicate that malingering is a factor in some cases. Clusters of acoustic shock events occurring in the same call centres suggest that hysteria may play a part. The condition is usually only seen when work-related issues are apparent.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215114000309","type":"journal-article","created":{"date-parts":[[2014,2,25]],"date-time":"2014-02-25T11:20:37Z","timestamp":1393327237000},"page":"S2-S9","source":"Crossref","is-referenced-by-count":16,"title":["Acoustic shock controversies"],"prefix":"10.1017","volume":"128","author":[{"given":"R E","family":"Hooper","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,2,25]]},"reference":[{"key":"S0022215114000309_ref5","first-page":"67","article-title":"Acoustic shock","volume":"30","author":"Dillon","year":"2002","journal-title":"Acoust Aust"},{"key":"S0022215114000309_ref18","first-page":"21","article-title":"The effects of noise on telephone operators","volume":"21","author":"Alexander","year":"1979","journal-title":"J Occup Med"},{"key":"S0022215114000309_ref10","article-title":"Acute aural trauma in users of telephone headsets and handsets","volume":"23","author":"Patuzzi","year":"2001","journal-title":"Australian and New Zealand Journal of Audiology"},{"key":"S0022215114000309_ref6","doi-asserted-by":"publisher","DOI":"10.1080\/03655230600895531"},{"key":"S0022215114000309_ref28","first-page":"187","volume-title":"Otorhinolaryngology: Proceedings of the X World Congress, Venice, May 21\u201325, 1973","author":"Klockhoff","year":"1974"},{"key":"S0022215114000309_ref1","article-title":"Acute aural trauma in users of telephone headsets and handsets","volume":"22","author":"Milhinch","year":"2000","journal-title":"Australian and New Zealand Journal of Audiology"},{"key":"S0022215114000309_ref23","first-page":"1","article-title":"Middle ear muscle reflexes in man. A clinical and experimental study with special reference to diagnostic problems in hearing impairment","volume":"146","author":"Klockhoff","year":"1961","journal-title":"Acta Otolaryngol Suppl"},{"key":"S0022215114000309_ref3","volume-title":"Industry Guideline \u2013 Acoustic Safety for Telephone Equipment","year":"2006"},{"key":"S0022215114000309_ref19","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-198507000-00006"},{"key":"S0022215114000309_ref32","doi-asserted-by":"crossref","first-page":"564","DOI":"10.5694\/j.1326-5377.2005.tb00035.x","article-title":"Mystery illness at Melbourne Airport: toxic poisoning or mass hysteria?","volume":"183","author":"Bartholomew","year":"2005","journal-title":"Med J Ausr"},{"key":"S0022215114000309_ref31","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/0973-2284.19179","article-title":"Issues and concerns of health among call centre employees","volume":"9","author":"Sudhashree","year":"2005","journal-title":"Indian J Occup Environ Medicine"},{"key":"S0022215114000309_ref8","first-page":"335","volume-title":"Western Australian Division 2005, Acoustics 2005. Acoustics in a Changing Environment: Proceedings of the Annual Conference of the Australian Acoustical Society","author":"Groothoff","year":"2005"},{"key":"S0022215114000309_ref26","first-page":"51","volume-title":"Proceedings of the Fifth International Tinnitus Seminar 1995","author":"Hazell","year":"1996"},{"key":"S0022215114000309_ref16","first-page":"653","article-title":"Assessment of the noise exposure of call centre operators","volume":"46","author":"Patel","year":"2002","journal-title":"Ann Occup Hyg"},{"key":"S0022215114000309_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8986.1991.tb02198.x"},{"key":"S0022215114000309_ref13","doi-asserted-by":"publisher","DOI":"10.3109\/14992020209090407"},{"key":"S0022215114000309_ref17","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.1201.169"},{"key":"S0022215114000309_ref21","doi-asserted-by":"publisher","DOI":"10.1177\/000992288502401203"},{"key":"S0022215114000309_ref4","volume-title":"Australian and New Zealand Journal of Audiology","volume":"23","author":"Dillon","year":"2001"},{"key":"S0022215114000309_ref2","volume-title":"An Investigation of the Telephone Service of the Call Centre of TeleDanmark in Aarbenraa","author":"Hinke","year":"1999"},{"key":"S0022215114000309_ref7","first-page":"249","article-title":"Audiometric findings in call centre workers exposed to acoustic shock","volume":"25","author":"Lawton","year":"2003","journal-title":"Proceedings Institute Acoustics"},{"key":"S0022215114000309_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107006111"},{"key":"S0022215114000309_ref12","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2001.00490.x"},{"key":"S0022215114000309_ref14","unstructured":"Simpson Millar Solicitors: Legal News. In: http:\/\/www.simpsonmillar.co.uk\/press.asp [20 January 2014]"},{"key":"S0022215114000309_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/019459988709600105"},{"key":"S0022215114000309_ref22","doi-asserted-by":"publisher","DOI":"10.1080\/1047322X.1996.10389320"},{"key":"S0022215114000309_ref25","doi-asserted-by":"publisher","DOI":"10.3109\/03005369309077884"},{"key":"S0022215114000309_ref27","volume-title":"Efferent Auditory System: Structure and Function","author":"Sahley","year":"1997"},{"key":"S0022215114000309_ref29","article-title":"The tensor tympani muscle and tension headache","volume":"3","author":"Klockhoff","year":"1971","journal-title":"Proceedings of the Annual Scandinavian Migraine Society"},{"key":"S0022215114000309_ref30","unstructured":"Acoustic shock syndrome \u2013 don't employ nervous anxious people in your call-centre, it will cost you. In: http:\/\/www.itskeptic.org\/node\/104 [21 January 2014]"},{"key":"S0022215114000309_ref15","volume-title":"Acoustic Shock Revised Guidelines October 2004","year":"2004"},{"key":"S0022215114000309_ref11","first-page":"94","article-title":"A perspective on tinnitus, hyperacusis and acoustic shock research","volume":"17","author":"Westcott","year":"2008","journal-title":"ENT News"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215114000309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T15:17:11Z","timestamp":1716563831000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215114000309\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,25]]},"references-count":32,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2014,7]]}},"alternative-id":["S0022215114000309"],"URL":"https:\/\/doi.org\/10.1017\/s0022215114000309","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,25]]}}}