All this may partly explain my last concern with this review, namely, that the conclusions drawn do not seem to follow logically from the findings in the trials reviewed. In the text, the authors noted the remarkable lack of relapse prevention in the most recent trials of family therapy but recommended it for the "majority of persons suffering from schizophrenia" (1, p. 163). The authors attributed the negative findings of the more recent trials to low event rates, but systematic review over time does not warrant such an interpretation (5). Regarding social skills training, the authors wrote, "There is little evidence that this learning [with use of the basic model] translates into improved social competence in the community" (1, p. 167), and noted only modest benefit, such as in two of six or three of 10 areas of social functioning that they examined, with other, more intensive modes of social skills training. If these statements are true, then how could the authors conclude by writing, "Patients with schizophrenia can clearly improve their social competence with social skills training" (p. 163)?