How exciting to read the article by Best et al. (1) in this issueof theJournal!As someone who has studiedthe behavioral and neu-rological effects of intensive,targeted auditory training inschizophrenia and who confronts the realities of cognitivedysfunction weekly in my clinical work with patients, Ifindmyself having three differentresponses to this article. Myfirst response, that of a clinical trialist, is admiration: thisreally is an elegant and well-conducted study. My secondresponse, that of a clinician, is excitement mingled withimpatience: more than 25 years ago, Michael Green (2)challenged us in this very journal to make cognitive re-mediation a standard treatment for schizophrenia. So whyis it taking us so long to get there? And my third response,that of a researcher, includes questions about the per-ceptual training component of this study and what con-clusions we can draw, if any, regarding the usefulness (ornonusefulness) of addressing lower-level sensory pro-cessing deficits in schizophrenia spectrum disorders.
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