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Discharge patterns produced by fibres from normal and impaired auditory nerves in response to speech and other complex sounds can be discriminated subjectively through visual inspection. Similarly, responses from auditory nerves where speech is presented at diminishing sound levels progressively deteriorate from those at normal listening levels. This paper presents a Neurogram Similarity Index Measure (NSIM) that automates this inspection process, and translates the response pattern differences into a bounded discrimination metric. Performance intensity functions can be used to provide additional information over measurement of speech reception threshold and maximum phoneme recognition by plotting a test subject’s recognition probability over a range of sound intensities. A computational model of the auditory periphery was used to replace the human subject and develop a methodology that …