Specificity of learning in reality-orientation sessions: a single-case study

A single-case study of retraining of verbal orientation in a 68-year-old patient with Korsa-koff's psychosis is described. In order to test the specificity of learning three different lists of verbalorientation items were taught in separate phases of a multiple-baseline design. Learning did occur mainly in the appropriate phases, with little generalization across phases being apparent. The results support the presence of a relearning component in the Reality-Orientation approach. In addition they emphasize that it is desirable for treatment programmes to focus on particular target areas of functioning.