Dr. Buckley and Colleagues Reply

To the Editor: We appreciate the insightful (no pun intended!) comments on our recent publication examining the relationship between violence, psychopathology, and insight in schizophrenia by Mr. Antonius. His point regarding the differential severity of illness across treatment settings is well taken, and we agree that an acute or long-term inpatient comparison group may have been more apt. He concurs with our statement that research on this patient population is difficult to conduct and, consequently, the population is underrepresented in the psychiatric literature. Because our article was limited in scope by the Brief Report format, we are pleased that the citations of Mr. Antonius in this correspondence further detail the literature on this topic. We have provided more lengthy discussions on the medical-legal implications of lack of insight and the treatment implications thereof in other publications (1).