After a short history of the origin of Schizophrenia Fellowships throu
ghout the world, the difficulties besetting an efficient management of
the disease are mentioned. Some of them arise from the characteristic
features of the disease and the still awaited understanding of the et
iology. Further serious obstacles arose from the century-old discrimin
ation against the mentally ill, simplistic theories on the etiology of
the disease, misuse and discouragement of drug treatment, discreditin
g of psychiatric hospitals and the lack of legislation to provide the
patient with the right to competent treatment and rehabilitation. The
families of schizophrenic patients expect maximum help from humane car
ing for the patient, with absence of psychological theories, intensive
research into the biological causes of the disease, and a change in l
egislation respecting the possibilities of modern treatment. Families
are not in need of treatment but of proper information, practical advi
ce, unflagging support and cooperation between patients, family member
s, therapists and psychiatric institutions. As a compensation for thei
r contribution to caring for the patient they would appreciate a well
functioning emergency service to manage critical situations and the ab
olition of unnecessary obstacles to competent treatment. Only successf
ul investigation of the causes of the disease can bring a fundamental
therapeutic improvement.