We have found that the larynx-frequency pattern of speech presented as a sinusoid can be of greater communicative value to profoundly hearing-impaired people than the complete acoustic signal. The presence of higher harmonics can give poorer labelling of isolated intonation contrasts and often minimal gain in segmental spectrally-based distinctions. These observations have led to the development of a practical, body-worn, pattern-processing hearing aid that uses a microprocessor to sense the (analogue-processed) speech fundamental frequency, transform it into an appropriate amplitude and frequency region, and generate digitally the required output sinusoid. Our findings have important implications for the design of other signal-processing hearing aids in demonstrating that a simplification of speech can lead to enhanced speech receptive abilities in persons with impaired hearing.