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| Foreword | |
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| Acknowledgments | |
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| About the Authors | |
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| Introduction | |
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| TRT Counseling | |
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| Overview of the Auditory System | |
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| Sound Waves | |
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| The Auditory System | |
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| The Ear | |
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| Auditory Nerve: The "Cable" | |
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| Auditory Nervous System: The "Computer" | |
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| Hearing and the Brain | |
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| Organ of Corti | |
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| The Piano Keyboard in the Cochlea | |
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| Hair Cells | |
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| The Amplifier in the Cochlea | |
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| Damage to Hair Cells | |
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| Loss of Hair Cells and Normal Hearing | |
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| Hair Cell Loss: Outer versus Inner | |
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| Otoacoustic Emissions | |
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| Discordant Damage/Dysfunction | |
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| Discordant Damage/Dysfunction Theory | |
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| Neural Networks | |
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| Enhancement and Suppression of Neural Activity | |
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| Auditory Gain | |
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| The Heller and Bergman Experiment | |
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| Why Is the Heller and Bergman Experiment Important? | |
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| Rules of Perception | |
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| Perception of Signal Strength | |
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| Perception of Tinnitus Strength | |
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| Limitation of Attention | |
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| Sensory Overload | |
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| Managing Sensory Overload: (1) Automated Responses | |
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| Managing Sensory Overload: (2) Classification of Signals | |
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| Managing Sensory Overload: (3) Prioritization of Signals | |
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| Plasticity of the Brain | |
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| Retraining of Conditioned Reflexes | |
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| Nonauditory Systems Activated by Tinnitus | |
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| Limbic System | |
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| Autonomic Nervous System | |
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| Fight-or-Flight Response | |
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| Chronic Stress | |
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| Tinnitus and Stress | |
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| The Neurophysiological Model of Tinnitus | |
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| Conditioned Reflexes | |
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| No-Problem Tinnitus | |
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| Problem Tinnitus | |
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| The Vicious Circle | |
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| Effects of Tinnitus | |
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| Sleep Deprivation | |
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| Medications for Sleep | |
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| Tinnitus Loudness and Tinnitus Severity | |
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| Autonomic Nervous System Activity | |
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| Conscious Loop | |
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| Subconscious Loop | |
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| Reacting Constantly to Tinnitus | |
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| Experiencing a New Sound | |
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| Natural Habituation to a New Sound | |
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| New Refrigerator | |
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| Classification of New Sound: "Important" | |
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| Reclassification of New Sound: "Unimportant" | |
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| New Tinnitus | |
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| Habituation Occurs above the Tinnitus Generator | |
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| Main Goal of Treatment with TRT | |
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| Secondary Goal of Treatment with TRT | |
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| Habituation and Passive Extinction | |
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| Passive Extinction of Conditioned Reflexes | |
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| Reclassification of Tinnitus | |
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| Known Danger Versus Unknown Danger | |
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| Thinking Positively about Tinnitus | |
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| Stress Management | |
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| Distraction Techniques | |
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| Sound Therapy | |
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| Reducing Contrast = Reducing Strength | |
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| Suppression of Tinnitus Is Counterproductive to Habituation | |
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| Drugs and Tinnitus | |
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| Drugs Can Impair Learning | |
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| Habituation Takes Time | |
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| Summary | |
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| Fitting Ear-Level Devices | |
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| What Is the "Mixing Point"? | |
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| Adjusting Output of Sound Generators | |
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| Sound Generators: Points to Remember | |
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| TRT: Keys to Achieving Success | |
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| Hyperacusis | |
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| Automatic Gain Control | |
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| Hyperacusis | |
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| Treating Hyperacusis | |
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| Misophonia | |
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| Treating Misophonia | |
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| Phonophobia | |
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| References | |