We describe a theoretical framework that distinguishes stimulus, proce
dural, and task aspects of learning, and we suggest that this framewor
k may allow an improved understanding of acclimatization and late-onse
t auditory deprivation. We review the literature on learning after sen
sorineural hearing loss and after the provision of amplification. We t
hen examine the possibility of using training to improve the speech-un
derstanding skills of listeners with sensorineural hearing loss after
provision of amplification. Here, we concentrate on techniques recentl
y demonstrated to encourage the acquisition of non-native phonetic con
trasts in second-language learners. We argue that there are three gene
ral principles associated with auditory learning and training: 1) the
more complex the task, the longer the learning period required; 2) the
greater the similarity between training and test tasks, the greater t
he transfer of training; and 3a) the more familiar the stimulus materi
als, the faster the subsequent learning. When training for speech iden
tification in everyday life, maximizing the opportunity for the listen
er to dope with the acoustic variability found in natural speech, both
within and between talkers, is important. We, therefore, argue that t
he third principle should be extended: 3b) the more the training set e
xemplifies the acoustic variability found within and between talkers,
the greater the transfer to open-set speech identification in everyday
life. Throughout the review, we show that individual differences in l
earning are observed in the rate of acquisition and in the level of as
ymptotic performance. We argue that it is possible to postulate modula
tors of learning that may account for some of these individual differe
nces. Possible candidates for influential modulators are: 1) the histo
ry of hearing impairment-the longer the history, the longer the time t
aken to improve performance and, possibly, the lower the asymptotic le
vel of performance; 2) the severity and pattern of hearing loss; 3) th
e degree of asymmetry in the hearing loss and its effect on the binaur
al organization of the hearing system; and 4) the level of patient ada
ptability and cognitive abilities, such as attentional control and sho
rt-term memory span.