Stages of Listening with a

Adult Aural Rehabilitation Guide (Cochlear 2005)

Although the technology provides much greater access to sound than recipients had before, adults may need assistance in learning to recognise environmental sounds and comprehend speech. Many people find that auditory training significantly enhances their ability to enjoy activities such as general conversation, using the phone or listening to music. The following steps are the stages in the auditory heirarchy that would typically be followed after cochlear implantation.

Detection
Detection of sound. Noise makers. Music with a strong beat. Environmental sounds: inside, outside. Indicate when CI not working.

Discrimination
Report whether two items are same or different. Environmental sounds. Noise makers. Loud/soft; long/short; high/low, fast/slow. Voice. Man/woman; angry/sad etc.

Identification
Selection from closed set* (3 > 4 > 5 etc) Prosodic aspects. Duration, pitch, intensity Count syllables of familiar words (p12) Familiar daily phrases. Predicting part of a familiar phrase (p21) Word stress (p14) Vowel and consonant phonemes(p15) High/low frequency identification (p20) Identify phrases or sentences (p104>)

Recognition
Closed set task using visual cues (p89) Repeat what is said (p90) Task with direct clue: key word (p109) Task with indirect clues: topic (p111) Task with no clues (p120) Continuous discourse tracking (p85)

Comprehension
Text following (p22) Fill in the sentence (p88) Open set sentences** (p99) Context cues for sentences (p 92) Information transfer. Instructions (p93) Answer questions related to comprehension tasks (p100)

Conversation
Follows and expands conversation (p90) Sentence predictability. Context clues (p92, 97) Two person scripted conversation (p101) Clarification (p84) Confirming and clarifying understanding (p189) Speech perception in conversational context p182

Telephone conversation
Telephone training (p195) Seeking information (p98) Within sentence predictability (p186) Continuous discourse tracking and repair management (p190) Known speaker Unknown speaker

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