I n a sizeable minority of cases, patients seeking audiological treatment have normal hearing thresholds (NHTs) but report difficulties understanding speech when there are competing sound sources (Hind et al., 2011). Such listeners are said to have "central auditory processing disorder" or "auditory processing disorder" (Furman, Kujawa, & Liberman, 2013;Kujawa & Liberman, 2009;Lin, Furman, Kujawa, & Liberman, 2011;Rosen, Cohen, & Vanniasegaram, 2010), a catchall diagnosis that says nothing about the underlying causes of the communication difficulties, making it difficult to develop effective treatments.The challenge of understanding speech in settings where there are multiple sound sources is known as the cocktail party problem, a term originally coined by Cherry (1953). Understanding how listeners with normal hearing solve the cocktail party problem has remained a focus of study for over 50 years (e.g., see Bee & Micheyl, 2008;Bodden, 1993;Hafter et al., 2013;Wood & Cowan, 1995;Yost, 1997), in no small part because of its importance: difficulties in such settings expose communication difficulties that do not show up in simpler listening conditions.There are numerous reasons why listeners with NHTs might find it difficult to communicate in noisy environments, from language-specific deficits to general cognitive deficits. This article reviews two specific issues that can affect the ability of listeners with NHTs to solve the cocktail party problem: (a) efficacy of cognitive control networks in the brain responsible for focusing selective auditory attention and (b) fidelity of the sensory representation of suprathreshold (clearly audible) sound. By differentiating among more specific mechanistic failures that can impede communication in complex settings, clinicians will be able