In this expanded and updated edition, Michael Harvey elaborates his pioneering biopsychosocial model of the effective assessment and treatment of deaf and hard-of-hearing clients in individual and family therapy. Taking a broad ecological perspective, he examines the influences of larger networks on the individual and vice versa, and illuminates the overt and covert conflicts among family members, school and vocational rehabiliation personnel, and friends that often exacerbate problems. The spiritual issues relevant to those who have experienced any kind of loss receive special attention in this second edition, as do the daily hurtful exchanges in the lives of the deaf he sums up as "ordinary evil". Throughout the text, theoretical description is balanced with practical advice; points are illustrated with extended verbatim transcripts from actual therapy sessions and with exchanges in the author's question-and-answer column in the journal "Hearing Loss: Self-Help for the Hard of Hearing". This is valuable reading for all mental health professionals who see even occasional clients whose lives have been affected by hearing loss in themselves or in family members.