n South African Journal of Psychiatry - Future challenges in psychiatry from the reflections of a quinquagenarian : editorial




'Are patients any better off now compared with the Eighties?' I was lamenting to a junior specialist colleague that, 26 years down the line in psychiatry, I could not honestly answer 'yes'. We have a profusion of papers, a plethora of brain images, and an abundance of new knowledge (soon to be followed by rafts of new diagnoses, I fear), but that's of little succour to those bedevilled by schizophrenia. Haloperidol has been swapped for olanzapine; overweight vasculopaths now out-shadow the rigid and tremulous, and 1 in 3 remain psychotic, whatever we prescribe.


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