In conclusion, we strongly share the belief recently expressed by Lefley that "the dialogue on clinical and social implications of research on expressed emotion may play a positive role" in the provision of care through a mental health service system that enlists, supports, and trains diverse intra and extra-familial caregivers in the many therapeutic tasks required for the care of the person and family afflicted with schizophrenia. We regard such a prescription as applicable in all social and cultural contexts.