Anatomy of Schizophrenia

Leston L. Havens, MD
JAMA. 1966;196(4):325-331. doi:10.1001/jama.1966.03100170067020.
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Surely no other term in medicine rivals schizophrenia in the amount of confusion and despair it provokes. One of the great mystery stories of modern medicine, it is a story full of clues, rich in suspects, littered with victims, and with as yet no solution. The police as usual are busy but not impressive and the Sherlock Holmeses on the case offer divided counsel. There is considerable suspicion that the damage represents the work of not one person but a gang.

Osler once remarked that the physician who treats himself has a fool for a patient. But in matters psychiatric we are all, now and then, our own doctors, and perhaps often fools. The anxieties, sadnesses, slips, and misbehaviors of everyday life seldom bring us to a psychiatrist any more than we get a neurosurgeon for a hangover. But they do put us in touch with the materials of psychiatric


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