The structure and optimization of speechreading

Erber (1988) has claimed that one of the reasons for the ascendancy of hearing aids has been the loss of confidence in speechreading. Speechreading can be of value to those suffering from presbyacusis and other hearing disorders, in augmenting hearing aids and cochlear implants, for large numbers of people in developing countries who are unable to afford electronic aids, and for those in advanced countries who are reluctant to wear an aid. I discuss the structure and the optimization of speechreading. New methods to optimize natural speechreading skills are required that must be based on the structure and nature of speechreading. It has been suggested that speechreading is, to some extent, innate, and so 'hard-wired', which would mean that the effect of long-term training is limited. I critique this view and present a macro-analysis of the experimental literature. I suggest that the innate view may be somewhat overstated.