in emotional binds. Down syndrome was said to be the result of physical and psychological traumas the mother may have suffered during pregnancy. The guilt felt by parents who stood accused of damaging their children is easy to imagine. Twin studies have now established a strong genetic component to many forms of mental illness, including not only autism and schizophrenia (Down syndrome has been shown to be a chromosomal anomaly), but also phobias and neuroses, which were previously presumed to be caused almost exclusively by traumatic emotional events. The Minnesota studies attribute forty-six percent of the personality variables they have measured to genetic factors, and practically none to family environment. Many physical ills, from acne to heart disease, are highly heritable, and even infectious diseases, such as German measles and chickenpox, appear to have a genetic basis, probably because of an inherited vulnerability in the immune system. On the other hand, twin studies have demonstrated that respiratory diseases and many cancers are largely environmental in origin.
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Even more controversial and confounding have been twin studies of behavior. A Virginia study of 1,000 female twin pairs concluded that genetic factors account for about half the risk of developing problems with alcohol. Behaviors as diverse as smoking, insomnia, choice of careers or hobbies, use of contraceptives, consumption of coffee (but not, oddly enough, consumption of tea), menstrual symptoms, and suicide have all been shown to have far higher rates of concordance for identical than for fraternal twins, suggesting that they are more influenced by genes than previously suspected. German studies during the Nazi era implicated criminality as a heritable trait (this finding was used to justify the widespread sterilization practices during that period), but the reared-
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