Abstract

The patient was a 36-year-old single white man. He lived with his parents in a small rural town in the same house in which he was raised. He was the youngest of six children, all of whom had passed the expeded age of risk for schizophrenia onset and appeared to be leading healthy and productive lives. One would be hard-pressed to predict from childhood family photographs (1) that the patient would be the one who would become ill as an adult: he had a bright smile, was often pic-

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