Michael’s lack of social skills and of ordinary day-to-day aptitudes (he could scarcely make a cup of tea for himself) demanded a social and “existential” approach. Tranquilizers have little or no effect on the “negative” symptoms of schizophrenia—withdrawal, flattening of affect, etc.—which, in their insidious, chronic way, can be more debilitating, more undermining of life, than any positive symptoms. It is a question of not just medication but the whole business of living a meaningful and enjoyable life—with support systems, community, self-respect, and being respected by others—which has
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