The paper is an attempt to answer the main questions raised by that part of the deaf community which still consider cochlear implants (CI) an attack against the psychophysical integrity of the pre-lingually deaf.
Methods: The psychological well-being of six adolescents and six children was assessed pre- and post-implantation using various tools, i.e. projective tests, assessment scales (AS), and structured interviews with parents and teachers. The analysis of post-implant findings shows a reduction of stereotype elements, more dynamic modes of figurative expression, quite good relationships within their own social environment and gradual, positive integration both at home and at school. Cochlear implantation would seem to cause no psychological disruption. Our sample group show an improvement in their modes of expression--more consistent with the mental and effective age--and a greater awareness of personal limits, together with the ability to judge the appropriateness of their own behavior.