Plural Publishing produces leading academic, scientific and clinical publications in the fields of speech-language pathology, audiology, and otolaryngology.


Auditory-Verbal Therapy
For Young Children with Hearing Loss and Their Families, and the Practitioners Who Guide Them

Warren Estabrooks, Karen MacIver-Lux, Ellen A. Rhoades
602 pages, Illustrated (B/W), Hardcover, 7 x 10"
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Auditory-Verbal Therapy: For Young Children with Hearing Loss and Their Families, and the Practitioners Who Guide Them provides a comprehensive examination of auditory-verbal therapy (AVT), from theory to evidence-based practice.

Key features:

  • Detailed exploration of AVT, including historical perspectives and current research that continue to drive clinical practice
  • Essential use of hearing aids, cochlear implants, and other implantable devices, and additional hearing technologies in AVT
  • Goals of the AV practitioner and strategies used in AVT to develop listening, talking, and thinking
  • Effective parent coaching strategies in AVT
  • Blueprint of the AVT session
  • Step-by-step AVT session plans for infants, toddlers, preschoolers, and early school-age children
  • Critical partnerships of the family and the AV practitioner with the audiologist, speech-language pathologist, physical therapist, occupational therapist, hearing resource teacher, and psychologist
  • Families Journeys in AVT from 12 countries around the world

In AVT, parents and caregivers become actively engaged as their child's first and most enduring teachers. Following an evidence-based framework, Auditory-Verbal Therapy: For Young Children with Hearing Loss and Their Families, and the Practitioners Who Guide Them demonstrates how AV practitioners work in tandem with the family to integrate listening and spoken language into the child's everyday life. The book concludes with personal family stories of hope, inspiration, and encouragement, written by parents from twelve countries across the world who have experienced the desired outcomes for their children following AVT.

This book is relevant to AVT practitioners, administrators, teachers of children with hearing loss, special educators, audiologists, speech-language pathologists, psychologists, surgeons, primary care physicians, and parents.


  • Helen M. Morrison, PhD, CCC-A, LSLS Cert. AVT, . (June 6, 2016):
    "Auditory-Verbal Therapy provides a thorough, 21st century resource for professionals, families, and students. Each chapter is organized in a way that technical information is accompanied by suggestions for practical application, making it a likely “go-to” reference that will be consulted frequently.

    The history of Auditory-Verbal therapy (AVT) described in the first chapter is comprehensive and much needed in order to ensure that the story of the approach is not lost to current and future generations of professionals and families. The book is clear about the principles of AVT, what it is and is not, all while demonstrating how AV therapy has evolved to apply evidence-based practices that meet the needs of today’s diverse families and children.

    A highlight of the book is a systematic review of literature concerning AVT that utilizes the most current techniques and standards for scientific rigor to describe the state of evidence supporting the approach. The chapters that address audiological procedures and hearing technology are current and provide a basis for deeper reading of the topics discussed. The book addresses each of the knowledge domains that Auditory-Verbal therapists apply in practice, including comprehensive developmental milestones, emergent literacy, inclusion and specific strategies for parent coaching.

    An important section of this book provides a rationale and framework for planning and implementing AVT sessions, followed by a series of case studies and lesson plans written by experienced AV therapists that apply this framework. The children and families in these case studies and lessons represent a range of ages, diagnoses, additional disabilities, and cultural/economic situations. The lesson plans at first glance may not seem like conventional lesson plans. They illustrate how important teaching within the conversational context is in AVT, beginning with initial greetings and entering the therapy room or home. Following the child’s lead and exploiting teachable moments are highlighted.

    Finally, families from across the global community tell their own stories, demonstrating the universality of the approach. The families not only hail from many different countries, but they are each unique in their cultural and economic situations, types of hearing loss and the ages at which their children entered AVT. Many of the children in these families have challenges in addition to hearing loss.

    This book is a must-have for anyone who works with children with hearing loss and their families. The information has value for professionals and families across the communication options that families might choose. This book is essential for professionals working to attain Listening and Spoken Language Specialist certification. It will guide their learning during their certification period and serve as a foundational source for examination preparation."

  • Estelle Roberts, Speech-Language Therapist, Jhb Cochlear Implant Programme, Johannesburg, South Africa (July 2016):
    "Auditory-Verbal Therapy: For Young Children with Hearing loss and Their Families, and the Practitioners Who Guide Them provides a current, comprehensive and evidence-based text with appeal for a broad spectrum of professionals. The editors’ global experience reflects in, and influences the text, as does the work of 29 contributors, all international experts in their fields. . . . Given its broad appeal to professionals and families, its presentation of extensive current, researched information and practical application to AVT, as well as its easy navigability, this resource may well replace existing texts to become the favoured 'go-to' resource for practitioners, students, families and the broader CI community seeking exploration and guidance in the field of AVT."

  • Wilder M Roberts, Au.D., University of South Alabama, Doody's (August 2016):
    "4 STARS! The book covers initial audiologic information, theory, and evidence supporting auditory-verbal therapy, amplification, auditory/speech/language milestones, literacy, strategies for therapy in the areas of listening, talking, thinking, and parent coaching. The book also offers example therapy plans and sessions, while also covering additional issues associated and not associated with hearing loss. Family experiences are also discussed. Of the many books I have read on this subject, this is the most comprehensive. The quality of this book is exemplary. The topics are relevant and presented in an organized manner. This is an excellent resource for both families and practitioners."

  • Anne N. Fulcher PhD LSLS Cert. AVT, Principal Listening and Spoken Language Therapist, The Shepherd Centre, Sydney, Australia (September 2016):
    "This wonderful resource is a must have in the tool kit for professionals and parents committed to learning about and utilising A-V Therapy in the 21st Century. Increasingly we have been supplied with research based evidence to support the constructs of A-V practices. With greater authority we are now able to understand why A-V practices can facilitate optimal listening, language and speech outcomes in infants diagnosed with hearing loss. This book updates us in these sciences and practices behind A-V therapy. In fact, Chapter 3 comprehensively assists potential researchers in methodology to analyse the evidence as well as develop new research projects in the A-V field. For mentees working towards international certification in Auditory-Verbal Therapy this resource is essential. Each of the 9 core domains are rigorously covered in impressively easy to follow chapters. Armed with a strong knowledge base, the reader can then experience a wide variety of A-V styles of therapy delivery, gleaning some wonderful therapy tips along the way. The book concludes as it should with courageous and inspiring family stories. In essence, this resource is invaluable to any professional or family keen to be fully armed with up to date information to assist and support them in their journeys with hearing loss."

  • Isabel Monteiro da Costa, CCC-SLP, MD Senior Lecturer/ Course Director in the Graduate Course of SLP at the University of Aveiro, Portugal (July 2017):
    "This excellent, must-have book about Auditory-Verbal Therapy (AVT) applies to the entire community of professionals and families who live and work with people with hearing loss. The general organization and architecture of each chapter takes the reader along a path of knowledge with specific practical applications. The care of its editors in choosing the scientific, evidence-based references in each aspect address, to the smallest detail, the fundamental knowledge which makes this book an exceptional addition to the literature. In Chapter 1, Estabrooks, MacIver-Lux and Rhoades introduce the reader to a comprehensive review of auditory-verbal therapy where the history, background of the approach and current guiding principles of AVT are explained in detail. At the same time, they present an outline of the deep subjects to be discussed in the subsequent chapters: the need to present scientific evidence about the results of AVT (chapter 3), the depth of knowledge in life sciences (neurology, anatomy and physics) as a theoretical support pillar (Chapters 2, 4, 8 and 14 ), advanced topics in audiology and supporting technologies (Chapter 5, 6, 7), the careful and systematic presentation and characterization of the work performed in and for each session as well as the surgical planning of the intervention program (Chapter 12, 13 15). In a very integrated way, chapters are devoted exclusively to the strategies advocated in AVT for the development of listening and spoken language and parent coaching strategies used to help parents and caregivers become the most effective model and teacher of their children (chapter 10, 11). In addition, the reader is presented with a number of innovations in AVT and a global vision of integration and the themes of professional partnerships, literacy and adult education. (Chapters 9, 16) The book concludes with compelling, in depth personal stories from parents from 12 countries around the world who have embraced AVT (chapters 17). It is only through such experienced practitioners and writers (Warren Estabrooks, Karen Maclver-Lux and Ellen A. Rhoades) that in a single book of 600 pages, each one of us can gain access to such a profound and detailed knowledge of Auditory-Verbal Therapy and how it is practised with state-of-the art strategies for children with hearing loss in today’s world. This is why I have adopted Auditory-Verbal Therapy for children with hearing loss and their families and the practitioners who guide them a primary resource in my classes in the graduate program in Speech and Language Pathology at the Univerity of Aveiro, here in Portugal."

  • Jo White, Speech and Hearing Sciences, Queen Margaret University, Edinburgh, UK, International Journal of Audiology, 2018; 57: 156 (2018):
    "This book is, without doubt, the most comprehensive theoretical and practical guide available to the auditory-verbal therapy (AVT) approach. Advances in hearing technology and newborn hearing screening over the last few decades have meant that a listening and spoken language approach to habilitation, that promotes access to the same social and educational opportunities as children with typical hearing, is increasingly the first choice of the parents and caregivers of children with hearing loss. This book is an invaluable resource not only for families and AV practitioners, but also for all undergraduate and postgraduate students in audiology, speech and language pathology and education. Despite the ongoing need for better quality research into outcomes, which is discussed eloquently and in-depth by Alice Eriks-Brophy et al. in Chapter 3, AVT remains the most clearly defined and evidence-informed approach to aural habilitation. One of the strengths of AVT is that it combines the knowledge and skills of audiologists, speech and language pathologists, educators and parents. Drawing this wealth of knowledge and experience together in one volume, while making the content accessible to both parents and professionals from a wide variety of backgrounds and disciplines, is a formidable aim and one which has, for the most part, been very successfully accomplished."

  • Jenna Voss, Fontbonne University, Journal of Deaf Studies and Deaf Education, 2018, 110 (January 2018):
    "This text is rich with citations that provide the opportunity for the reader to dig deeper, while it provides a palatable foray into auditory-verbal practices. Parents, students, early career professionals, accomplished practitioners who value current evidence-based practice, and those educators and therapists who may not yet have knowledge and skills to serve children who are deaf/hard of hearing learning to listen and talk, along with those seeking a comprehensive resource for children who utilize technology to learn to listen and talk will find value in this book which spans the history, the how and the why of the auditory verbal approach."


Chapter 1. Auditory-Verbal Therapy: An Overview
Warren Estabrooks, Karen MacIver-Lux, Ellen A. Rhoades, and Stacey R. Lim

Chapter 2. Hearing, Listening, the Brain, and Auditory-Verbal Therapy
Carol Flexer and Ellen A. Rhoades

Chapter 3. Evaluating the Research and Examining Outcomes of Auditory-Verbal Therapy: Moving From Evidence-Based to Evidence-Informed Practice
Alice Eriks-Brophy, Hillary Ganek, and Glynnis DuBois

Chapter 4. Audiology: Implications for Auditory-Verbal Therapy
Carolyne Edwards

Chapter 5. Hearing Aids and Auditory-Verbal Therapy
Ryan W. McCreery and Elizabeth A. Walker

Chapter 6. Implantable Hearing Technologies and Auditory-Verbal Therapy
Jace Wolfe and Sara Neumann

Chapter 7. Assistive Hearing and Access Technologies and Auditory-Verbal Therapy
Samuel R. Atcherson, Tina Childress, and Sarah Warren Kennett

Chapter 8. Milestones in Auditory-Verbal Development: Auditory Processing, Speech, Language, Emergent Literacy, Play, and Theory of Mind
Karen MacIver-Lux, Stacey R. Lim, Ellen A. Rhoades, Lyn Robertson, Rosie Quayle, and Louise Hönck

Chapter 9. Emergent Literacy in Children With Hearing Loss and Auditory-Verbal Therapy
Lyn Robertson and Denise Wray

Chapter 10. Strategies for Listening, Talking, and Thinking in Auditory-Verbal Therapy
Ellen A. Rhoades, Warren Estabrooks, Stacey R. Lim, and Karen MacIver-Lux

Chapter 11. Parent Coaching Strategies in Auditory-Verbal Therapy
Ellen A. Rhoades and Karen MacIver-Lux

Chapter 12. Blueprint of an Auditory-Verbal Therapy Session
Warren Estabrooks, Karen MacIver-Lux, Louise Hönck, and Rosie Quayle

Chapter 13. Auditory-Verbal Therapy in Action: Step-by-Step Session Plans
Warren Estabrooks, Louise Hönck, Sally Tannenbaum-Katsaggelos, Maria Emilia (Mila) de Melo, Becky Crow Clem, David Sindrey, Lisa Katz, Karen MacIver-Lux, and Pamela Steacie

Chapter 14. Children With Complex Hearing Issues and Auditory-Verbal Therapy
Stacey R. Lim and Karen MacIver-Lux

Chapter 15. Inclusion at School and Auditory-Verbal Therapy
Ellen A. Rhoades, Karen MacIver-Lux, and Stacey R. Lim

Chapter 16. Professional Partnerships and Auditory-Verbal Therapy
Karen MacIver-Lux, Warren Estabrooks, Stacey R. Lim, Rebecca A. Siomra, Wendy D. Visser, Jennifer K. Sansom, Ellen Yack, Ariella Blum Samson, and Dale V. Atkins

Chapter 17. Family Journeys in Auditory-Verbal Therapy: Stories From Twelve Countries
Parents of Children with Hearing Loss


About The Authors

Warren Estabrooks

Warren Estabrooks, M.Ed., Dip. Ed. Deaf, LSLS Cert. AVT, is President and CEO of WE Listen International Inc., a global consulting company in Toronto, Canada. He and his team provide professional education, training, and development in Auditory-Verbal Therapy for practitioners who work with children with hearing loss and their families around the world.

Karen MacIver-Lux

Karen MacIver-Lux, MA, Aud(C), Reg. CASLPO, LSLS Cert. AVT, is President and CEO of SoundIntuition, a company that provides continuing education opportunities, training, and consulting for professionals who work with children who have communication disorders. She is also Director of MacIver-Lux Auditory Learning Services in Toronto, and a proud consultant of WE Listen International, Inc.

Ellen A. Rhoades

Ellen A. Rhoades, EdS, LSLS Cert. AVT, is an international consultant, mentor, and speaker who has established and directed several Auditory-Verbal centers and programs. She was a Founding Director of Auditory-Verbal International and served on AG Bell Association's Board of Directors. She is Associate Editor of The Volta Review and Review Editor for other professional journals.

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