{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T19:06:01Z","timestamp":1783451161546,"version":"3.55.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2008,7,1]],"date-time":"2008-07-01T00:00:00Z","timestamp":1214870400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health (London)"],"published-print":{"date-parts":[[2008,7]]},"abstract":"<jats:p>The study examined the impact of acquired profound hearing loss (APHL) on the relationship between the hearing impaired person and their normally hearing close family member, usually a partner, and identified the kinds of adjustment leading to maintenance or deterioration of the relationship. The participants were 25 people with APHL and 25 family members, interviewed separately in their own home. Analysis of the interview transcripts adopted a grounded theory methodology. The different levels of analysis were linked in terms of a core category based on the social construction of a committed relationship. The conceptual codes were grouped as: (a) aural impairments giving rise to the need for adjustment; (b) pragmatic adjustments to spoken communication and family activities; (c) managing the adjustments without negative consequences; (d) adjustments leading to negative interaction. The results suggest that APHL places considerable strain on relationships and increases their vulnerability to failure, consistent with previous research. They highlight the need for professional support and suggest that a systemic conceptual framework is needed that includes the public response to profound hearing impairment.<\/jats:p>","DOI":"10.1177\/1363459308090054","type":"journal-article","created":{"date-parts":[[2008,6,25]],"date-time":"2008-06-25T09:43:42Z","timestamp":1214387022000},"page":"369-388","source":"Crossref","is-referenced-by-count":30,"title":["Persons with acquired profound hearing loss (APHL): how do they and their families adapt to the challenge?"],"prefix":"10.1177","volume":"12","author":[{"given":"Richard","family":"Hallam","sequence":"first","affiliation":[{"name":"University of Greenwich, LINK Centre for Deafened People, UK,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Ashton","sequence":"additional","affiliation":[{"name":"University of Greenwich, LINK Centre for Deafened People, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katerina","family":"Sherbourne","sequence":"additional","affiliation":[{"name":"LINK Centre for Deafened People, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine","family":"Gailey","sequence":"additional","affiliation":[{"name":"LINK Centre for Deafened People, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,7,1]]},"reference":[{"key":"atypb1","volume-title":"Unravelling the mystery of health: How people manage stress and stay well","author":"Antonowsky, A.","year":"1987"},{"key":"atypb2","volume-title":"Hearing in adults","author":"Davis, A.","year":"1994"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.4135\/9781848608191.d9"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1375\/audi.26.1.30.55991"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1080\/14992020600957335"},{"key":"atypb6","first-page":"45","volume":"32","author":"Hallberg, L.R.","year":"1999","journal-title":"Journal of the Academy of Rehabilitative Audiology"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.3109\/03005369509086600"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1080\/02674649366780051"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.3109\/03005364000000113"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.3109\/00206099309071867"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.3109\/03005368809076462"},{"key":"atypb12","volume-title":"Hearing rehabilitation for deafened adults: A psychosocial approach","author":"Hogan, A.","year":"2001"},{"key":"atypb13","volume-title":"Words apart: Losing your hearing as an adult","author":"Jones, L.","year":"1987"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.3109\/03005364000000020"},{"key":"atypb15","volume-title":"Hidden lives: The psychological and social impact of becoming deafened in adult life","author":"Link Centre.","year":"2005"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1300\/J010v05n03_03"},{"key":"atypb17","volume-title":"The prevalence of disability amongst adults: OPCS surveys of disability in Great Britain Report 1","author":"Martin, J.","year":"1988"},{"key":"atypb18","volume-title":"Hearing differently: The impact of hearing impairment on family life","author":"Morgan-Jones, R.A.","year":"2001"},{"key":"atypb19","volume-title":"Using NVivo in qualitative research","author":"Richards, L.","year":"1999"},{"key":"atypb20","volume-title":"`I did not die, I just can't hear': A grounded theory study of acquired deafness. 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