{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:55:49Z","timestamp":1791179749628,"version":"4.1.0"},"reference-count":7,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Psychiatry"],"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>In this editorial, we argue that revisiting \u2018Playing the Manic Game\u2019, a paper whose clinical observations remain recognisable more than 50 years later, may help clarify a problem clinicians still face: when disruptive behaviour occurs during acute mania, how much reflects the episode itself and how much reflects a more enduring personality pattern? That distinction matters for treatment, team responses, families and stigma.<\/jats:p>","DOI":"10.1192\/bjp.2026.10820","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:46:26Z","timestamp":1791179186000},"page":"1-2","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["\u2018Playing the Manic Game\u2019 revisited"],"prefix":"10.1192","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6801-5469","authenticated-orcid":false,"given":"Mohamed A.","family":"Soliman","sequence":"first","affiliation":[{"name":"Harvard Medical School"},{"id":[{"id":"https:\/\/ror.org\/002pd6e78","id-type":"ROR","asserted-by":"publisher"}],"name":"Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew A.","family":"Nierenberg","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"id":[{"id":"https:\/\/ror.org\/002pd6e78","id-type":"ROR","asserted-by":"publisher"}],"name":"Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary S.","family":"Sachs","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"id":[{"id":"https:\/\/ror.org\/002pd6e78","id-type":"ROR","asserted-by":"publisher"}],"name":"Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"S0007125026108204_ref2","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2022"},{"key":"S0007125026108204_ref1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1970.01740270060008"},{"key":"S0007125026108204_ref7","doi-asserted-by":"publisher","DOI":"10.1038\/npp.2014.39"},{"key":"S0007125026108204_ref3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.20260051"},{"key":"S0007125026108204_ref4","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.08121825"},{"key":"S0007125026108204_ref5","doi-asserted-by":"publisher","DOI":"10.1521\/bumc.2013.77.1.1"},{"key":"S0007125026108204_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.01.040"}],"container-title":["The British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125026108204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:46:27Z","timestamp":1791179187000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125026108204\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,5]]},"references-count":7,"alternative-id":["S0007125026108204"],"URL":"https:\/\/doi.org\/10.1192\/bjp.2026.10820","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,5]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}