Abstract
Mr. A is a 50-year-old single man with a 38-year history of psychiatric difficulties, presently a patient on our Research and Evaluation Unit, whose case has stimulated active (and at times angry) debate among those caring for him regarding his diagnosis and most appropriate treatment. His case is presented to elucidate how a drug washout period can help establish a diagnosis, which for him has vacillated between psychosis (schizophrenia or bipolar disorder) and antisocial personality disorder.
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