Divided Minds is illuminated by the fact that Pamela and Carolyn have always had an unusual gift, as twins often do, for intimate conversation with each other. It also helps that both women are gifted writers, that both attended medical school, and that they both deeply love each other. Like the famous identical Genain quadruplets, Divided Minds illustrates beyond doubt that the schizophrenic syndrome is far more complex than a simple one gene disorder like Huntington’s or Downs syndrome; however crazy and in need of four-point restrains Pamela may have seemed to the rest of the world, the two twins could usually still talk sanely to each other. In the 1960s I remember Elvin Semrad, the Buddha-like clinical director at the Massachusetts Mental Health Center, astonishing us residents by his extraordinary ability to speak "the language of the heart" to reach the most isolated catatonic schizophrenic patients. To our dismay once the patients left his loving presence, the patient was again out of control. In similar fashion, to return to the outside world Pamela has always required sophisticated psychopharmacology as well as Carolyn’s empathy.