The technological advance of cochlear implants (CIs) has provided deaf and hearing-impaired persons with new opportunities to acquire hearing and thus partake in social life on more equal terms. However, recent studies have also documented communicative and emotional difficulties for some CI users, in particular concerning how crowded and noisy situations may lead to high mental energy use and communicative constraints on social participation. Despite this accumulating evidence, few attempts have been made to provide sociological explanations of such aversive outcomes. Here, the authors develop and outline a micro-sociological framework suggesting impaired verbal interactions as a source of emotional energy drain and subsequent dis-integrations and estrangement in the social bond. The authors demonstrate the relevance of this theoretical explanation through a qualitative analysis of eight interviews with adults who had CIs placed as children. The authors discuss the implications of this framework and findings for CI research and users.

人工耳蜗（CIs）的技术进步为聋人和听障人士提供了新的机会来获得听力，从而以更平等的方式参与社会生活。但是，最近的研究也记录了一些CI用户的沟通和情感困难，特别是关于拥挤和嘈杂的情况如何导致高的精神能量消耗和社交参与的沟通限制。尽管有这些积累的证据，但很少有人尝试提供这种反感结果的社会学解释。在这里，作者开发并概述了微观社会学框架，该框架表明受损的言语互动是情感能量消耗的源泉，以及随后在社会纽带中的瓦解和疏离。作者通过对八个将CI视为儿童的成年人进行的访谈的定性分析，证明了这一理论解释的相关性。作者讨论了此框架和发现对CI研究和用户的意义。