Book Review: Schizophrenia: Medicine’s Mystery, Society’s Shame by Marvin Ross

What is schizophrenia? How does one become schizophrenic? Is it nature or nurture? What about a “schizophrenia” gene? What is needed to lessen schizophrenia's impact on society?

Marvin Ross has written a primer on schizophrenia, Schizophrenia:  Medicine’s Mystery, Society’s Shame, in which he explains what the disease is (and is not), the effects it has on individuals, families, and society, and current, past, and future treatment methodologies, options, and practices. He explains and details all of this in language the interested reader can easily understand.

One doesn’t need to be intimately familiar with the anatomy of the brain and its various functions to understand Schizophrenia, although some knowledge makes for quicker reading (since the information has already been processed and digested). Ross gives a complete litany of the disease’s effects, both positive and negative (not in the sense of “good” and “bad.” Positive effects are those caused by the disease, such as hallucinations and dyskinesia; negative effects are the losses it causes, such as memory, coordination, and social skills.).

Ross’s historical emphasis is on deinstitutionalization in the 1960s and 70s, and its effect on both the mentally ill and the society in which they live. This is put into context with descriptions of treatment and institutional conditions going back several centuries, and a look into the decline of asylums into mere warehouses for the afflicted, who were often abused and punished for being ill.

Having schizophrenia is frightening, “Society’s Shame” is its stigmatization of the mentally ill and lack of resources and support offered them. A 2007 survey in Great Britain found that 72% of those surveyed “believe that there is a stigma associated with having a mental illness.” Ross offers statistics on high suicide rates (40-60% of schizophrenics attempt suicide; 10% succeed), the mentally ill homeless, and one’s likelihood of developing schizophrenia.

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