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


Tinnitus Retraining Therapy
Clinical Guidelines

James A. Henry, Dennis R. Trune, Michael J. A. Robb, Pawel J. Jastreboff
167 pages, Illustrated (B/W), Softcover, 8.5 x 11"
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Although tinnitus is a common international problem, often clinicians find they are unsure of how to treat their tinnitus patients. These two volumes are the first clinical resources for clinicians to provide exact procedures for clinical administration of Tinnitus Retraining Therapy (TRT). The first volume (Clinical Guidelines) is suitable both for clinicians who conduct TRT and as a textbook for academic training programs. The second volume (Patient Counseling Guide)—designed to be used one-on-one with tinnitus (and hyperacusis) patients—is a double-sided resource with information for the clinician on one side and patient information on the other. Anyone who is interested in providing tinnitus management with TRT will find this pair of books immensely useful, practical, and resourceful.


  • Introduction.
  • I Neural and Learning Principles of TRT.
    • Neuroanatomy and Neurophysiology.
    • Consciousness.
    • Directed Attention.
    • Emotions.
    • Stress.
    • Learning and Memory.
  • II Clinical Guidelines for Assessment.
    • Referral Guidelines.
    • Self-Report Questionnaires.
    • Patient Treatment Categories.
    • TRT Initial Interview.
    • Audiometric Testing.
  • III Clinical Guidelines for Treatment.
    • Principles of TRT Counseling.
    • TRT Counseling.
    • Ongoing Treatment.
    • Treatment for Decreased Sound Tolerance.
  • Summary and Conclusion.
  • References.
  • Appendices.

About The Authors

James A. Henry

James Henry, PhD, is a certified audiologist with a doctorate in Behavioral Neuroscience. He works as a VA Research Career Scientist at the National Center for Rehabilitative Auditory Research (NCRAR) located at the Portland, Oregon VA Medical Center, and is a Research Professor, Dept. of Otolaryngology, Oregon Health & Science University. He has been at the VA for 23 years, and has conducted tinnitus research for 17 years. His research focuses on the development of standardized protocols for clinical assessment and management of tinnitus, and conducting randomized clinical trials to assess outcomes of different methods of tinnitus intervention.

Dennis R. Trune

Dennis R. Trune, PhD, MBA, Professor of Otolaryngology and Oregon Hearing Research Center, Oregon Health & Science University, Portland, OR; Research Investigator, Division of Immunology & National Center for Rehabilitative Auditory Research, VAMC, Portland, Oregon.

Michael J. A. Robb

Michael J. A. Robb, MD, Private Practice of Neurology / Oto-Neurology / Medical Neuro-Otology in association with the Barrow Neurological Institute/St. Joseph’s Hospital and Medical Center and the Arizona School of Health Sciences, Phoenix, Arizona.

Pawel J. Jastreboff

Pawel J. Jastreboff, PhD, ScD, MBA, Professor and Director, Emory Tinnitus & Hyperacusis Center.

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