Manfred Bleuler’s landmark study of schizophrenia outcome provided important data on recovery, but since its end in 1965, major changes in treatments and diagnostic criteria have occurred. Modestin et al. (p. 2202) have updated Bleuler’s findings by applying several sets of contemporary psychiatric diagnostic criteria to Bleuler’s original patients, for whom detailed, long-term records were available. For approximately 30% of the patients who met Bleuler’s diagnostic criteria for schizophrenia, the newer criteria pointed to other diagnoses, often schizoaffective disorder. In the remaining patients, schizophrenia was confirmed by the newer criteria. These patients were more homogeneous than those identified by Bleuler’s criteria; they showed more illness chronicity and less frequent recovery. Nevertheless, half had an episodic course, and 12%–15% recovered. In addition, the high rates of poor outcome, 27%–28%, occurred during the 1940s to 1960s, when treatments were limited.