PsychiatricTimes Members: Login | Register

|     

PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home »

Psychiatric Times. Vol. 23 No. 6
 

From Sibling Differences to Internal Representations

By Jerry M. Lewis, MD | May 1, 2006

They were as different as can be imagined. The older brother, only 18 months senior, was much quieter and more structured and disciplined, had fewer friends, and seemed content to be alone. The younger brother was far more spontaneous, expressive of his feelings, affectionate, and had a larger circle of friends. These differences were obvious from early childhood and seemed to account for their different developmental trajectories. The older brother was by far the better student and went on to graduate school. In contrast, the younger brother spent only 2 years in college, leaving it to take a job in sales. At midlife, the older brother had a stable professional career and marriage while the younger brother had gone from one sales job to another and was in his third marriage.

Not surprisingly, their parents and extended family believed that these differences in personality were entirely inherited. The differences were apparent so early in life that it was widely held that their subsequent developmental outcomes flowed directly from their different genetic endowments. After all, what difference could there be in their environment? They were raised by the same parents, lived in the same neighborhoods, went to the same schools, and had the same opportunities.

This formulation—sibling differences as a result of only genetic differences—has been shown to be a simplistic and misleading reductionism. What is surprising, perhaps, is that the challenge to this reductionism has come, to a considerable extent, from research aimed at studying how differences in genetic makeup account for differences in siblings' personalities.

Quantitative behavioral genetics relies on a methodology in which the personalities (and development of psychiatric disorders) are compared in siblings of different degrees of genetic relatedness (eg, twins or adopted siblings) raised together or apart. A large number of studies have demonstrated that sibling differences arise from 3 categories of variables: genetics, shared environmental influences, and non-shared environmental factors. In addition to documenting the role of genetic factors in personality, these studies have consistently indicated that non-shared environmental factors play a major role in producing personality differences in siblings.

Non-shared environmental factors

Non-shared environmental factors are multiple and include differential parental treatment, gender, birth rank order, different experiences by siblings of the sibling relationship itself, different peer influences, and the occurrence of such nonsystematic events as illnesses, accidents, and the like. Some of these nonshared environmental factors interact with each other in complex ways. Our own research, for example, suggests that in more functional families, sibling rank order is very influential, whereas in more dysfunctional families, gender is more decisive. We concluded that the influences of sibling rank order and gender differed as a function of family competence. 1 Emphasis must be placed, however, on the fact that these nonshared environmental factors are assumed to be interwoven with genetic differences; siblings, to a significant extent, do create some of the environmental responses through the influence of partially genetically determined personality characteristics.

The attempt to document the exact nature of non-shared environmental factors has proved to be most difficult. For example, David Reiss, the noted family researcher, and his colleagues have reported the results of a monumental longitudinal study of adolescent development that by its sheer scope, surpasses most other developmental studies.2 More than 700 families containing 2 same-sex siblings who were 4 or less years apart were studied on 2 occasions separated by a 3-year interval. With use of the procedures of quantitative behavioral genetics, the 2 adolescent siblings were categorized according to their different degrees of genetic relatedness (from monozygotic twins to adopted siblings who have no genetic relatedness). What is most impressive about this study, however, is that environmental influences—at least those operating within the family—were directly observed and measured, using state-of-the-art interactional techniques. Thus, this research project was carefully designed to elicit information about non-shared environmental influences (as well as genetic and shared environmental influences).

The study's results add much to our understanding of adolescent development: the important role of genetic influences was documented and the earlier results from quantitative behavioral genetic research that suggested a modest role, if any, for shared environmental influences were contradicted. Shared environmental influences (eg, stable family characteristics) do account for a significant part of adolescent personality in crucial areas such as autonomy and sociability.

Internal representations

Even in this remarkable study, however, the nature of the non-shared environmental influences—a very significant contributor to personality differences—remains elusive. The data supplied do not inform about what these factors are. Reiss discusses this surprising turn of events in a careful manner and makes a cogent case that the answer may lie in the psychoanalytic concept of internal representations of self and others.

In other words, the manner in which experiences are taken into the self, stored, recalled, and narrated is believed to be a highly individualistic process. Two siblings could internalize the same experiences within the family or in their social world in very different ways, and these differences in representations could play important roles in personality development and consequent sibling differences. Reiss also discusses the fact that although techniques have been developed to identify internal representations, his study's methodology (a sample of more than 700 families and 1400 adolescents) did not include the opportunity to conduct the intensive interviews or carry out the other measures necessary to identify internal representations.

This step, however, has recently been described in another remarkable longitudinal study. Sroufe and colleagues3 report on persons from adverse socioeconomic circumstances who were studied from birth into young adulthood. The investigators describe the development and use of age-appropriate techniques to get at the nature of the individual's internal representations. What is very exciting about their findings is that these measures of representations substantially predict behavior at the next developmental stage, with those experiences at that developmental stage predicting the nature of the internal representations at the following developmental stage. Thus, the inability of Reiss's study to identify internal representations as part of non-shared environmental influences is addressed in the longitudinal study by Sroufe and colleagues.

All of this is (or should be) most exciting to clinicians of diverse theoretical orientations. These 2 remarkable research projects have begun to document the central importance of the ways in which relationships are experienced, stored, recalled, and narrated. Whether we use the language of internal representations, internal working models, cognitive schemata, or core assumptions and expectations, a fundamental clinical premise derived from various psychotherapies is being documented by systematic longitudinal research.

How sweet it is.

Dr Lewis is chairman emeritus of the Timberlawn Psychiatric Research Foundation and clinical professor of psychiatry at the University of Texas Southwestern Medical School in Dallas. He also has a private practice in individual, marital, and family therapy in Dallas.
 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.





References
1. Lewis JM, Beavers WR, Gossett JT, Phillips VA. No Single Thread: Psychological Health in Family Systems. New York: Brunner/Mazel; 1976.
2. Reiss D, Plomin R, Neiderhiser JM, Hetherington EM. The Relationship Code: Deciphering Genetic and Social Influences on Adolescent Development. Cambridge, Mass: The Harvard University Press; 2000.
3. Sroufe LA, Carlson EA, Collins WA, Egeland B. The Development of the Person: The Minnesota Study of Risk and Adaptation From Birth to Adulthood. New York: The Guilford Press; 2005.


 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 


 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 

 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • Developmental Psychopathology Comes of Age
  • Grief and Depression: The Sages Knew the Difference
  • The Moral Struggles of Practicing Psychiatrists
  • Update on Mental Health Benefits and Substance Use Disorder Services Under the Affordable Care Act
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Synthetic Cathinones: Signs, Symptoms, and Treatment
  • Developmental Psychopathology Comes of Age
  • Psychiatry and the Myth of “Medicalization”
  • An Update on ADHD
  • Eco-Psychiatry: Why We Need to Keep the Environment in Mind
  • DSM-5: Where Do We Go From Here?
  • Suicidal Behavior: A Separate Diagnosis
  • New Insight Into the Neurobiology of Depression
  • Cultural Psychiatry and the 'No-Chicken' Doctor
Click here to subscribe to our newsletter
 
COMMENTS
  • Most Commented
  • Most Recent
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Is it Time for a Treatment Manual to Complement DSM-5?
  • Diagnosis and its Discontents: The DSM Debate Continues
  • Lamotrigine for Major Depressive Disorder Is Inappropriate
  • Psychiatry and the Myth of “Medicalization”
  • Parity Laws: Powerful Weapon—or Pipe Dream?
  • The Moral Struggles of Practicing Psychiatrists
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
  • NIMH vs DSM 5: No One Wins, Patients Lose
Click here to subscribe to our newsletter
 
CAREER CENTER

  •   Featured Jobs  
  •    Resources   
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry
 
SearchMedica SEARCH RESULT

Find peer-reviewed literature and websites for practicing medical professionals

CME on Display
Evidence on Display
Guidelines on Display
Patient Education on Display
Clinical Trials on Display
Practical Articles on Display
Research and Reviews on Display
All "Display" results

CancerNetwork | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2013 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy