Straightforward and, for the most part, comprehensible, this book charts the attitudes to and perceptions of schizophrenia from pre-Hippocratic times to gradual enlightenment through the centuries, down the various blind alleys of diagnosis leading to a more humane understanding. Of comfort to readers, carers and service users is that schizophrenia is irrefutably a biological disease of the brain, for which medication has been developed, along with complementary therapies, for those inclined to accept them. However, not much is offered in the way of reassurance or even recognition of the difficulties experienced by both carers and service users when the person with schizophrenia has no insight and is therefore unwilling to accept help.

Searching for answers is the overriding preoccupation of many individuals coming into contact with schizophrenia for the first time. A chapter on the predisposing factors of genetics, gender and ethnicity is informative as well as occasionally veering towards creativity and originality.

As in all publications on schizophrenia, there are few definitives. It could be caused by various factors. There is no black or white test to prove a diagnosis, meaning that wrong diagnosis is a clear risk. Some of the information is presented in a clinical form and the impression is that much has been ‘lifted’ from textbooks and internet sites. Tables explaining positive and negative symptoms, cognitive problems, care services and medication are easy to understand and provide very accessible sources of instant information. Helpful, too, is the section on the role of community mental health teams and the Mental Health Act 1983. Also discussed are the proposals for the reform of the Act and the concerns of their effect on civil liberties resulting in the shelving of these proposals.

The role of medication, the side-effects and benefits are explained, again though with an assumption that most individuals adhere to treatment regime. Neat and tidy, if the person can be relied upon to keep a treatment diary – many cannot.

There are useful chapters on the place of the carer and the need for balance in responsibility to ensure a carer's own wellbeing. It is wonderful to read that blame for the illness of a loved one should not be shouldered – easier said than done.

The ability of an individual to access the correct benefits and allowances makes all the difference between living an independent and dignified life and one that is not so ‘privileged’, therefore the comprehensive chapter on these issues is invaluable and places this book ahead of many others for practical help.

To sum up, a lot of information is contained in this concise book, which makes it a valuable reference, particularly for people confronted with a shocking diagnosis of schizophrenia for the first time.