After the Awakening, the Real Therapy Must Begin

In Washington Irving's classic folktale, Rip Van Winkle awakes from a 20-year nap to find his youth behind him, the world radically changed and his assumptions hopelessly outmoded. Schizophrenics roused to reality by clozapine endure much the same jolt. Re-entry is not merely a question of catching up with the arrival of rap music and the end of the cold war. It often means coming to terms with lost dreams: the chance to buy a house, build a career or perhaps start a family. On top of this, patients emerging from schizophrenia must acquire the skills needed to live independently while...

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