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In Search of Madness$
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R. Walter Heinrichs

Print publication date: 2001

Print ISBN-13: 9780195122190

Published to Oxford Scholarship Online: May 2009

DOI: 10.1093/acprof:oso/9780195122190.001.0001

The Strangeness of Children

Chapter:
(p. 184 ) 7 THE STRANGENESS OF CHILDREN
Source:
In Search of Madness
Author(s):

R. Walter Heinrichs

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195122190.003.0007

This chapter focuses on biological and behavioral antecedents of schizophrenia that may reflect an early brain lesion or a genetic predisposition to develop the illness. The idea of a cumulative liability for schizophrenic illness that increases with genetic and environmental “hits” over the course of childhood and adolescence is very appealing from a theoretical vantage point. Such a perspective can make up for the causal weakness of individual stresses and vulnerabilities. However, the empirical findings do not amount to a very powerful collection of illness-promoting hits and risks at the present time. Too many vulnerable children are indistinguishable from their peers and siblings and still go on to suffer from schizophrenia as young adults. Thus, the chapter moves to the question whether children who become schizophrenic are already different from their peers in childhood. The chapter concludes that some are different but most are not, at least not in terms of the characteristics studied to date.

Keywords:   schizophrenia, early neurodevelopment, genetics, biological antecedents, behavioral antecedents, childhood, adolescence

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