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Schizophrenia remains the most complex, puzzling, and because of
its tendency towards chronicity, the most severe of the mental
disorders. It is a very heterogeneous disorder characterized by
extreme disruptions of thought, per ception, behavior, and emotion.
About I % of the population worldwide will experience at least one
schizophrenic episode. Most of the patients will have a number of
exacerbations leading in about 30% of cases to a chronic residual
state, due either to the illness itself or to psychosocial
environmental factors, or-most likely-to the interaction of both.
Given the enormous personal hardship for patients and their
relatives as well as the staggering costs of the illness for our
societies, research in schizo phrenia has become the number one
priority in many countries, especially in the United States.
However, research on the etiology of schizophrenia has failed to
establish a single causal factor, and it is nowadays accepted to be
multifactorial. A combjnation of biological predisposition and
enviromnental circumstances is assumed to be necessary for the
manifestation of the illness. This shift in orientation away from
an either/or (biological or environmental, e.g., family
interaction) point of view, as evident in the work of the 1950s and
1960s, was certainly desirable to encourage research."
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