Psychoses

Psychoses are serious psychiatric disorders characterized by the inability to differentiate reality from unreality. Major symptoms are disorganized thoughts, delusions, hallucinations, and persistent profound sadness or euphoric mood without apparent reason.

Keywords: bipolar disorder; Darwinian eugenics; euthanasia; Galton's genetic enhancement; Hitler holocaust; linkage studies; Mendelian psychosis; polygenic model; schizophrenia

Figure 1. Disease concepts of major psychoses.
Figure 2. Family and twin studies in major psychoses. Data of pooled samples from Gottesman (1991) and Craddock and Jones (1999). Estimates of risk in second-degree relatives of bipolar probands are not given because of lack of reliable data. Concordance rates for bipolar disorder are derived from the largest study. (From Bertelsen et al. (1977).)
Figure 3. Multifactorial threshold (MFT) model. The MFT model consists of several genes and environmental factors and assumes that the total liability is normally distributed in the population, such that those whose liability exceeds a certain threshold develop schizophrenia. (Courtesy of Irving I. Gottesman.)
Figure 4. Genomic overview of evidence for linkage in schizophrenia. Pooled data from 60 peer-reviewed linkage studies. Each dot represents evidence for linkage obtained in an independent sample. The level of significance is shown according to the criteria of Lander and Kruglyak (1995). Black indicates significant (lod score ³3.6), gray suggestive (lod score ³2.2) evidence and white hints (P£ 0.05) for linkage. (Adapted with permission from Moises et al. (2002), published by BioMed Central [http://www.biomedcentral.com/1471-244X/2/8/].)
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 Further Reading
    Freedman R, Coon H, Myles-Worsley M, et al. (1997) Linkage of a neurophysiological deficit in schizophrenia to a chromosome 15 locus. Proceedings of the National Academy of Sciences of the United States of America 94: 587–592. ePath [http://www.pnas.org/cgi/content/full/94/2/587].
    book Goodwin FK and Jamison KR (1990) Manic-Depressive Illness. New York, NY: Oxford University Press.
    book Gottesman II (1991) Schizophrenia Genesis. New York, NY: WH Freeman.
    book McGuffin P, Gottesman II and Owen MJ (2002) Psychiatric Genetics and Genomics. New York, NY: Oxford University Press.
    book Moises HW and Gottesman II (2000) "Genetics, risk factors and personality factors". In: Henn F, Sartorius H, Helmchen H and Lauter N (eds.) Contemporary Psychiatry, vol. 3, pp. 47–59. Heidelberg/New York, NY: Springer-Verlag.
    Moises HW, Zoega T and Gottesman II (2002) The glial growth factors deficiency and synaptic destabilization hypothesis of schizophrenia. BioMedical Central Psychiatry 2(8): 1–14. ePath [http://www.biomedcentral.com/1471-244X/2/8/].
    Niculescu III AB, Segal DS, Kuczenski R, et al. (2000) Identifying a series of candidate genes for mania and psychosis: a convergent functional genomics approach. Physiological Genomics 4: 83–91. ePath [http://physiolgenomics.physiology.org/cgi/content/full/4/1/83].
    report Sachse C and Massin B (2000) [Bioscientific Research at the Kaiser-Wilhelm Institutes and the Crimes of the NS Regime]. [Report in German] Berlin: Max Planck Society for the Advancement of Science ePath [http://www.mpiwg-berlin.mpg.de/KWG/Ergebnisse/Ergebnisse3.pdf].
    book Tsuang MT and Faraone SV (1990) The Genetics of Mood Disorders. Baltimore, MD: Johns Hopkins University Press.
    book Weber MM (1993) [Ernst Rüdin. A Critical Biography]. [Book in German] Heidelberg: Springer-Verlag.
    Wong JG and Lieh-Mak F (2001) Genetic discrimination and mental illness: a case report. Journal of Medical Ethics 27: 393–397.
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Moises, Hans W(Jul 2006) Psychoses. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0005245]