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'Kazanetz, Schizophrenia, and Soviet Psychiatry': A Reply-Reply

Walter Reich, MD
Arch Gen Psychiatry. 1982;39(3):355-356. doi:10.1001/archpsyc.1982.04290030083016.
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— The concern I expressed ciated. I indicated in my commentary that Dr Kazanetz's computer exercise seemed a worthy one; it now seems even worthier.

The problem of identifying the "classical" school in Soviet psychiatry is a difficult one, in part because the Soviet era spans more than six decades, and in part because no single school or trend ever held total sway. Dr Kazanetz is certainly right in noting that the most eminent psychiatrists of the late tsarist and early Soviet periods stressed the need to diagnose schizophrenia within narrow boundaries, and that that view was so dominant that it should probably be considered to have been the classical one at that time. But, even then, there were dissonant voices. In addition to the psychiatrist I cited in my commentary, L. M. Rosenshtein, a number of others argued, in effect, for a vast broadening of the definition of schizophrenia to

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