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When auditory training is administered to an infant, stability in the mother's relationship with her child is of great importance. Here, we report the results of a TK-type test for assessing child-parent relationships given to a mother of male twins: the elder a deaf child with cochlear implant (CI) also afflicted with attention deficit hyperactivity disorder (ADHD), and the younger a normal hearing child. Prior to the CI operation , the mother manifested different relationships with the deaf and normal twins , and that difference was still recognized two years after the operation. However, at two years and seven months post-operation, when speech and intelligence testing yielded normal results for the deaf twin, there was no longer any discernible difference in the mother's relation藤 本耳 鼻咽 喉科 ク リニ ック1):〒702-8005岡 山 県岡 山市江 崎83-1 北海 道 医療大 学 言語聴 覚療 法学 科2):〒002-8072札 幌 市北 区 あい の里2条5丁 目 1)Fujimoto Clinic of Otolaryngology: 83-1 , Ezaki, Okayama 702-8005 2)Department of Speech -Language & Hearing Disorders , Health Sciences University of Hokkaido, 2 jo 5 cyome, Ainosato, Kita-ku, Sapporo, Hokkaido 002-8072 2004年4月7日 受稿2004年10月29日 受理 Vol.46No.2,2005.4 111 ships to both children. We then compared the present case with two cases of hearingimpaired children (without ADHD) and their siblings. We found that before the CI operation, TK testing suggested that the two mothers exhibited more problematic behavior in their relationship with their hearing-impaired child than in their relationship with their normal offspring; however, one year after the CI operation, the mother-child relationship stabilized. These findings suggest that, compared to a case of a hearing-impaired child, it takes roughly three times longer for the mother-child relationship to stabilize after CI operation in the case of a hearing-impaired child also afflicted with ADHD. These results indicate the difficulty and importance of providing guidance to mothers of hearingimpaired children who also suffer from ADHD.

A Comparative Study of Mother-Child Relationships for a Deaf Child with Cochlear Implant in Combination with ADHD and a Normal Hearing Child