Tinnitus Retraining Therapy

Implementing the Neurophysiological Model

Tinnitus and oversensitivity to sound are common, and hitherto incurable, distressing
conditions that affect about 17% of the population. Pawel Jastreboff ’s identification of the
mechanisms by which tinnitus and decreased sound tolerance occur has led to a new and
effective treatment called Tinnitus retraining therapy (TRT). Audiologists, ENT specialists,
psychologists and counsellors around the world currently practice this technique, with success
rates of around 80%.
TRT, the treatment developed by the authors from the model, has already proved to be the
most effective and most widely practiced tinnitus treatment worldwide. This book presents a
definitive description and justification for the Jastreboff neurophysiological model of tinnitus,
outlining the essentials of TRT, reviewing the research literature supporting its claims and
providing an expert critique of other current therapeutic practices.

Pawel Jastreboff is Professor and Director of the Tinnitus and Hyperacusis Center in the
Department of Otolaryngology at Emory School of Medicine, Atlanta, USA. He is the author of
the neurophysiological model of tinnitus and developer of tinnitus retraining therapy.

Jonathan Hazell is Honorary Consultant Surgeon at the University College London Hospitals
and Director of the Tinnitus and Hyperacusis Centre in London. He was the first to apply Pawel
Jastreboff ’s neurophysiological model of tinnitus to clinical practice.

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 Tinnitus Retraining
Therapy
Implementing the Neurophysiological Model

Pawel J. Jastreboff, Ph.D., Sc.D.

Professor and Director, Emory University School of Medicine, Tinnitus & Hyperacusis Center, Atlanta, USA

and

Jonathan W. P. Hazell, FRCS

Director Tinnitus and Hyperacusis Centre, and Honorary Consultant Surgeon, University College London Hospitals,
London, UK

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 cambridge university press
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© Cambridge University Press 2004

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without the written permission of Cambridge University Press.

First published in print format 2004

isbn-13 978-0-511-54498-9 OCeISBN

isbn-13 978-0-521-59256-7 hardback

isbn-10 0-521-59256-9 hardback

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 To our wives Margaret and Rena, whose continuous
encouragement, criticism and contributions have made
this book a reality.

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