The case of [Kenneth Nally] is heart-rending, and the frustration and bitterness of his family are understandable. Of course, there is no guarantee that medical treatment would have produced a different outcome. The ills of the psyche are among the most intractable and puzzling that doctors face. Nor was it demonstrated that the Rev. John F. MacArthur and his colleagues at the fundamentalist church acted negligently. The Nallys charged that the pastors had misrepresented their qualifications for dealing with schizophrenia and severe emotional distress. The court's decision means that it is up to the individual who seeks religious help to make sure that it is appropriate. If it isn't, he may not seek redress from the state.