Objective-Impaired verbal memory in schizophrenia is a key rate-limiting factor for functional outcome, does not respond to currently available medications, and shows only modest improvement after conventional behavioral remediation. The authors investigated an innovative approach to the remediation of verbal memory in schizophrenia, based on principles derived from the basic neuroscience of learning-induced neuroplasticity. The authors report interim findings in this ongoing study.Method-Fifty-five clinically stable schizophrenia subjects were randomly assigned to either 50 hours of computerized auditory training or a control condition using computer games. Those receiving auditory training engaged in daily computerized exercises that placed implicit, increasing demands on auditory perception through progressively more difficult auditory-verbal working memory and verbal learning tasks.Results-Relative to the control group, subjects who received active training showed significant gains in global cognition, verbal working memory, and verbal learning and memory. They also showed reliable and significant improvement in auditory psychophysical performance; this improvement was significantly correlated with gains in verbal working memory and global cognition.Conclusions-Intensive training in early auditory processes and auditory-verbal learning results in substantial gains in verbal cognitive processes relevant to psychosocial functioning in schizophrenia. These gains may be due to a training method that addresses the early perceptual impairments in the illness, that exploits intact mechanisms of repetitive practice in schizophrenia, and that uses an intensive, adaptive training approach.One of the greatest challenges for 21st-century bio-medicine is to develop an effective treatment for the cognitive dysfunction of schizophrenia. Antipsychotic medications and adjunctive cognitive-enhancing agents show little benefit thus far (1)(2)(3)(4)(5). Cognitive remediation trials demonstrate some efficacy (6), but a recent meta-analysis revealed a "glass ceiling" of low to medium effect sizes across a large variety of methods (7). Clearly, a fresh approach to the treatment of cognitive dysfunction in this illness is warranted. Verbal learning and memory are among the most robustly abnormal cognitive functions in schizophrenia and are key targets for treatment (8). Impaired verbal memory is associated with poor community functioning and poor response to psychosocial rehabilitation programs (9-11); it may be the principal reason why the gains provided by such programs are lost once the intervention ends (12)(13)(14). We wondered whether it is possible to develop a novel approach to the remediation of verbal memory deficits in schizophrenia based on recent developments in clinical and basic neuroscience.In schizophrenia, abnormalities are observed in fronto-temporal cortical networks during verbal working memory, word encoding, and word recognition (15,16). However, disturbances are also present at the earliest stages of...