UNTIL recent years, the strongest evidence for the importance of genetic factors in the etiology of schizophrenia came from twin studies. Early investigations reported concordance rates for monozygotic twin pairs that, from a genetic point of view, were most encouraging, but encountered methodological problems concerning sample acquisition, diagnosis of cotwins, and determination of twinship.1-5 The recent investigations of Tienari,6 Kringlen, ’ Gottesman and Shields,* and Fischer et ~1.~ have taken care to avoid the problems of the earlier studies and have obtained concordance rates for monozygotic twins that are appreciably less than those of the earlier studies. More recently, new methods have been employed to unconfound the possible effects of rearing and genes. These studies, using an adoption strategy, have incontrovertibly demonstrated the importance of the role of genetics in the etiology of schizophrenia. HestonlO and Rosenthal et aZ.ll evaluated the personalities of individuals born to a schizophrenic parent and reared in foster (Heston) or adoptive homes (Rosenthal et al.). In both studies the offspring were compared to an appropriate control group of foster and/or adoptive offspring whose biological parents had no record of psychosis and who were matched to the index group for age, sex and type of placement. All subjects were evaluated by a psychiatric interview and psychological tests. Heston reports that 5 of the 47 offspring of schizophrenic mothers had been hospitalized with a diagnosis of schizophrenia, and 8 were diagnosed as “schizoid psychopath,” for a total of 28 per cent of the index sample. None of the 50 controls was so diagnosed. In a still preliminary report, Rosenthal et al. found 3 diagnosed schizophrenics, 9 borderline schizophrenics, and 10 schizoid or “doubtful borderline” index cases among their sample of 69 offspring for a total of 32 per cent with a “schizophrenia spectrum diagnosis.” None of the 67 matched controls exhibited process schziophrenia, while 12 were diagnosed as borderline or schizoid for a total of 18 per cent. In both studies combined, 7 per cent of the index cases were chronic schizophrenics and 23 per cent were borderline or schizoid. Kety et a1.,1= using the adoption method in a different way, examined the prevalence of