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Mental activities, expressed in human behaviour, are intimately related to physical activities in the brain and nervous system. In 1929 Garrod emphasized this when he wrote: "Each one of us differs from his fellows, not only in bodily structure and the proteins which enter into his composite, but apart from, or rather in consequence of, such individualities, men differ in mental outlook, character and ability." Since that time, many investigators have sought to analyze the molecular and cellular components of behaviour in order to relate genes to such abstractions as intellect, temperament, and the emotions. Because ultimately the brain is responsible for behavioral development, neurobiologists attempt to understand the unusual precision by which the brain's various regions are interconnected and how it organizes its complicated nerve fibre circuits.

The effects of environment and heredity are nowhere more difficult to disentangle than in the field of normal and disturbed behaviour (mental illness). Although patterns of behavioral development are consistent and "programmed" for species and subgroups of species, the uniqueness of the individual is strikingly evident in behavioral variation. As stated earlier, much of the information attempting to quantify the genetic component (heritability) of various behaviours has come from twin studies in which the concordance for a specific trait in identical twins is compared to that for a similar group of fraternal, like-sexed twins. These studies are based on the assumption that differences in measurements between identical twins are nonhereditary, since these twins are genetically the same. Particularly impressive are studies that involve identical twins reared apart from birth; extraordinary similarities have been found between identical twins who were unaware of each other's existence for about 40 years.

A large variety of genetic diseases are associated with diminished IQ as well as other behavioral abnormalities, pleiotropic manifestations of a biochemical error produced by a genetic defect. These can be single-gene diseases such as phenylketonuria, Huntington's chorea, or muscular dystrophy. Chromosomal abnormalities involving the autosomes (e.g., Down syndrome) are almost always associated with lowered IQ and other behavioral manifestations. As mentioned before, abnormalities involving the sex-chromosome number are not as lethal as those of the autosomes and produce less serious manifestations. Mental retardation is not characteristic of aberrations in the number of sex chromosomes, and, in general, only minor behavioral abnormalities associated with slow language development, reading difficulties, and general immaturity are evident. There is, however, evidence that mental illness occurs more frequently among affected adults. The majority of mildly retarded ("feebleminded") individuals are at the lower end of the curve of continuous variation for intelligence, and hence their intellectual deficits fit a polygenic interpretation.

The genetic components of the psychoses (i.e., the major forms of mental illness) have been analyzed for schizophrenia and manic-depressive psychosis. Schizophrenia is a category of psychosis characterized by a combination of disorders affecting thought processes and mood. Little is known about its causes, and it may well be a heterogeneous mixture of diseases. Consequently, the mode of inheritance is unknown, although, as discussed carlier, family and twin studies point strongly to a genetic predisposition. In the absence of a clear mode of inheritance, risk factors are based on empirical studies.

Manic-depressive psychosis occurs in two forms: bipolar, which is characterized by alternating moods of depression and elation interspersed with relatively normal periods, and unipolar, in which either the depressive or manic state predominates. Twin studies have shown concordance of 70 percent for identical twins and only 13 percent for fraternal twins, evidence of a strong genetic factor in this disease. In general, siblings of persons with the bipolar type have about a 15 percent risk of developing the disorder, whereas siblings of those with the unipolar type have about a 7 percent risk of being affected.

It should be stressed that although these and other behavioral diseases (e.g., alcoholism) are familial, they have strong environmental components. Many of them respond well to a combination of psychotherapy and drug administration.

Lee M. Silver

 
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