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This paper suggests that a 24-hour perspective may be useful when considering attention and learning deficits. Sleep-wake schedules are placed within a conceptual model of arousal and attention, and it is argued that an “optimal” schedule may predict improved functioning. A synopsis of five clinical cases illustrates the application of behavioural treatment principles, designed to optimize the sleep-wake schedule. Although promising results were achieved, these must be taken as preliminary and it is hoped that further systematic study will be prompted. © 1993, British Association for Behavioural and Cognitive Psychotherapies. All rights reserved.

Original publication




Journal article


Behavioural Psychotherapy

Publication Date





51 - 55