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EDITOR
Wykurz and Kelly reviewed developing the role of patients as
teachers.1 Mental illnesses are ideally suited for patients to be teachers because diagnosis is based on symptoms that
they have first hand experience of. This is especially important for
schizophrenia, which is considered to be the worst and most devastating
mental illness.
Care of schizophrenia has during the past 50 years changed drastically from care in mental hospitals to outpatient care. Education has naturally changed during these 50 years, but it would be strange if both current care and education were optimal.
Cultural, social, and care factors can dramatically affect
schizophrenia, as shown by the World Health Organization's 10 country study, in which cases of continuous psychotic illness
varied between 2% in Nigeria and 33% in Japan.2 Thus
factors other than symptoms, such as discrimination and social
problems, need to be investigated. I am not sure if current medical
teachers have