PROBLEMThough there have been numerous attempts to describe psychotherapy as a learning process, reviews(4* ') of the literature, and of more recently published articles reveal only one study, Rickard, Dignam and in which verbal conditioning was used with an individual therapeutic case by rewarding non-delusional responses and "mildly" punishing delusional responses. The results were a drop in delusional content with the therapist, though the high delusional content returned when a second and a third therapist were introduced t o test generalization of this response.Conflicting views have been raised regarding the responsivity of severely disturbed patients to verbal reinforcers. Cohen and Cohen(1) found little evidence that schizophrenics would respond to verbal reinforcers, while Salzinger and Pisoni ( 6 ) , Hartman ( 3 ) , and Dinoff , Horner, Kurpiewski, and Timmons (2) obtained evidence supporting learning in schizophrenics.The present study represents an attempt to reduce delusional material through the use of both negative and positive verbal reinforcers by multiple therapists, and to promote generalization of the non-delusional response in a severely disturbed patient.