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In an attempt to
discern which “brain abnormalities” might be attributable to schizophrenia
(mental condition) rather than drug-treatment, the researchers compared
changes in the Schizophrenia Group relative to a group of children with
transient psychosis (Psychosis Not Otherwise Specified).
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It is significant
that the published paper by Thompson et al (PNAS, 2001)
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reveals that 20% (2
of 10) of the Psychiatric Control Group remained
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drug-free throughout
the study. However, the authors did
not confirm that an equal number of patients in the Schizophrenia Group
avoided antipsychotic drugs.
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Thus, when the
researchers discovered less severe deficits in the Psychiatric Controls after
five years (7.5% reduction in frontal gray matter relative to normal
children, versus 13% reduction for the Schizophrenia Group), it is far from
clear that these between-group differences were due to different “underlying”
mental illnesses.
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Notwithstanding
this problematic issue, however, the disturbing fact remains that both groups
of psychiatrically medicated children experienced the progressive loss of
cortical gray matter in the context of continuing antipsychotic drug use.
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