CI satisfaction is not a static state but a "laborious struggle" to manage ambivalence (conflicting feelings).
- Users actively work to construct a positive narrative to justify the labor/cost of the medical intervention.

Ambivalent Medicalization

- By constructing the CI user as "abled" and the HA user as "disabled," the discourse reinforces the Medical Model of Disability.
- Disability is framed as a consumer choice between prostheses (choosing the "right" device) rather than a social or political issue.
- Ultimately, the formulation of CI satisfaction perpetuates audism by valuing human variation only as a deviation from "imagined perfection".

Reproducing Audism

- Ambivalent Medicalization
- Reproducing Audism

State University of New York at Binghamton

In Chapter 7, Tsung-Lun Alan Wan uses Critical Discursive Psychology to analyze how Hard of Hearing adults in Taiwan construct Cochlear Implants (CIs) as superior to Hearing Aids (HAs). The author demonstrates that participants frame HAs as shameful symbols of disability, while positioning CIs as desirable technologies that confer an "abled" identity. Wan argues that this discourse establishes a binary between the "abled" CI user and "disabled" HA user, ultimately reinforcing the ideology of audism and the medical model of disability.

Chapter 7: Formulating (Dis)Ability

Lester, J. N. (Ed.). (2021). Discursive Psychology and Disability. Palgrave Studies in Discursive Psychology. Springer Nature Switzerland AG.

Reference For: Discursive Psychology and Disability

- The Conflict: Deaf Studies and Medicalized Perspectives on CIs and HAs
- Methodology of Critical Discursive Psychology

Context & Theoretical Framework

- Study Participants
- Research Question and Analysis

Study Design

- The Hearing Aid (HA) Construction
- The Cochlear Implant (CI) Construction

Findings: Constructing the Device Binary

- Material Performance: Satisfaction is stabilized not just through words, but physical acts.
- Hierarchy reinforcement

Findings: Performing Normalization

Discussion and Conclusions

Kerschbaum uses these studies to illustrate how the material world actively participates in constructing disability. She highlights Wan’s analysis in chapter 7, where hearing assistive devices and cochlear implants fundamentally shape the nature of social interactions, while noting that Gabriel and Kelley demonstrate in chapter 6 how "invisible" disabilities like dyslexia become visible through material factors such as classroom behaviors, time constraints, and affective responses like frustration. Furthermore, she points to Stinesen et al.’s findings in chapter 4, observing that patients distinguish between a "willing mind" and a "disabled body," a separation enforced by the embodied experience of pain preventing physical action.

Evidence from Reviewed Chapters

The discursive construction of disability is deeply influenced by the relationships between interlocutors, noting that these constructions often shift based on who is present in the interaction. Kerschbaum points to Gabriel and Kelley’s study in chapter 6, observing that the student Ethan used his actual relationships with other dyslexic people to support the portrayal of his own experience. Furthermore, she references Wan’s analysis of Xiao-kun in chapter 7, who constructed "abled-ness" and "disabled-ness" differently regarding her hearing aid—which was associated with shame—versus her cochlear implant. However, Kerschbaum emphasizes that this specific construction was not shared uniformly by the other hard-of-hearing women participating in the conversation.

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