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Psycholinguists define spoken word recognition (SWR) as, roughly, the processes intervening between speech perception and sentence processing, whereby a sequence of speech elements is mapped to a phonological wordform. After reviewing points of consensus and contention in SWR, we turn to the focus of this review: considering the limitations of theoretical views that implicitly assume an idealized (neurotypical, monolingual adult) and static perceiver. In contrast to this assumption, we review evidence that SWR is plastic throughout the life span and changes as a function of cognitive and sensory changes, modulated by the language(s) someone knows. In highlighting instances of plasticity at multiple timescales, we are confronted with the question of whether these effects reflect changes in content or in processes, and we consider the possibility that the two are inseparable. We close with a brief discussion of the challenges that plasticity poses for developing comprehensive theories of spoken language processing.