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From 1453 onwards, the Ottoman government co-opted large groups of scholars, usually over a thousand at a time, and employed them in a hierarchical bureaucracy to fulfill educational, legal and administrative tasks. Abdurrahman Atçıl explores the factors that brought about this gradual transformation of scholars into scholar-bureaucrats, including the deliberate legal, bureaucratic and architectural actions of the Ottoman sultans and their representatives, scholars' own participation in shaping the rules governing their status and careers, and domestic and international events beyond the control of either group.  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The goal is to document and interpret these data to justify eliminating the diagnosis of schizophrenia from the nomenclature. The author reviews the changing diagnostic concepts of schizophrenia and bipolar disorder with a historical perspective to clarify how the current conflict over explanations for psychosis has arisen. That two disorders, schizophrenia and bipolar, known as the Kraepelinian dichotomy, account for the functional psychoses has been a cornerstone of Psychiatry for over 100 years, but is questioned because of substantial similarities and overlap between these two disorders. Literature in the field demonstrates that psychotic patients are frequently misdiagnosed as suffering from the disease called schizophrenia when they suffer from a psychotic mood disorder. Such patients, their families, and their caretakers suffer significant disadvantages from the misdiagnosis. 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