Occupancy of the D-2 receptor has been a foundation for the mechanism
of antipsychotic action for over two decades. The introduction of atyp
ical antipsychotics and their multiple receptor profiles coupled with
functional brain imaging technology has raised questions about what on
ce was considered to be a very tight concept. We address controversial
facets to the D, receptor's involvement in the antipsychotic mechanis
m and point to future clinical research directions.