Abstract
We encountered a 3-year-old child with a cochlear implant for profound loss of hearing and Mondini dysplasia 9 months after the operation. The child had not shown any improvement in auditory perception or language acquisition and had difficulty communicating and relating to his mother. We undertook responsibility for his auditory and language training and continuously assessed the mother's child-rearing attitude both toward her child and toward his loss of hearing, and then analyzed the factors most related to the changes in the mother's attitudes in terms of the child's development of auditory, language, and communication abilities. The following results were obtained. 1) In a case that fails to show improvement in auditory perception and language acquisition after a CI operation, the mother's feelings of more difficulty increase, and there is more stress in child rearing and less self-efficacy. It also adversely affected the mother's overall childrearing attitudes. It is suggested that giving higher priority to establishment of interaction between mother and child than on auditory and language training triggered the change in the mother's child-rearing attitude and toward the loss of hearing. 2) Proactivel use of gestures in addition to the auditory-oral method improved communication between mother and child.
