Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-27T12:31:26.647Z Has data issue: false hasContentIssue false

The Mental Implications of Sex Chromosome Aberrations

The Blake Marsh Lecture for 1970, delivered before the Royal Medico-Psychological Association, 10 February 1970

Published online by Cambridge University Press:  29 January 2018

Hans Forssman*
Affiliation:
University of Göteborg, Psychiatric Research Centre, St. Jörgen's Hospital, S-42203 Hisings Backa, Sweden

Extract

I have chosen as the subject for my Blake Marsh Lecture the influence of sex chromosome aberrations on intelligence, mental health and social adjustment. This subject provides a fascinating example of how a branch of research, beginning in the field of mental retardation, arrived at discoveries which proved to be of significance to quite other fields of psychiatry. Ten years ago we learned that sex-chromatin-positive males, that is, males with additional X chromosomes, at least in some cell lines, were more often encountered among the intellectually retarded than among the average population of males. Shortly after this we learned that the same was true of women with double Barr bodies, that is, women with more than the usual two X chromosomes, at least in some cell lines. Today we have facts showing that an abnormal sex chromosome complement may have an unfavourable effect on mental health, and this in several different ways; thus we know that it may contribute to the development of functional psychoses, and may even influence such a complex variable of behaviour as our ability to adapt ourselves to the laws of the community. Myself, I am convinced that study of aberrations in the sex chromosomes will prove to have a radical effect on large sections of psychiatric thinking.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1970 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Åkesson, H. O., and Olanders, S. (1968). ‘Sex-chromatin-negative women and epilepsy.’ Lancet, ii, 575–6.Google Scholar
Åkesson, H. O., and Olanders, S. (1969). ‘Frequency of negative sex chromatin among women in mental hospitals.’ Hum. Her., 19, 43–7.Google ScholarPubMed
Åkesson, H. O., Forssman, H., and Wallin, L. (1969). ‘Gross chromosomal errors in tall men admitted to mental hospitals’. Acta psych, Scand. 45, 3746.CrossRefGoogle ScholarPubMed
Anderson, I. F., Goeller, E. A., and Wallace, C. (1964). ‘Sex chromosome abnormalities in a population of 1,662 mental defectives.’ S. Afr. med. J., 38, 346–9.Google Scholar
Barr, M. L., Shaver, E. L., Carr, D. H., and Plunkett, E. R. (1960). ‘The chromatin-positive Klinefelter syndrome among patients in mental deficiency hospitals.’ J. ment. Defic. Res., 4, 89107.Google ScholarPubMed
Carr, D. H., Barr, M. L., and Plunkett, E. R. (1961). ‘A probable XXYY sex determining mechanism in a mentally defective male with Klinefelter's syndrome.’ Canad. med. Ass. J., 84, 873–8.Google Scholar
Casey, M. D., Segall, L. J., Street, D. R. K., and Blank, C. E. (1966). ‘Sex chromosome abnormalities in two state hospitals for patients requiring special security.’ Nature (Land.), 209, 641–2.CrossRefGoogle ScholarPubMed
Cornwell, J. G. (1960). Cited from Israelsohn, and Taylor, (1961).Google Scholar
Court Brown, W. M. (1968). ‘Males with an XYY sex chromosome complement.’ J. med. Genet., 5, 341–59.Google Scholar
Court Brown, W. M. (1969). ‘Sex chromosome aneuploidy in man and its frequency, with special reference to mental sub-normality and criminal behaviour.’ Int. Rev. exp. Path., 7, 3197.Google Scholar
Court Brown, W. M., Jacobs, P. A., and Price, W. H. (1968). ‘Sex chromosome aneuploidy and criminal behaviour.’ Eugenics Soc. Symp., Edinburgh, 4, 180–93.Google ScholarPubMed
De La Chapelle, A. (1963). ‘Sex chromosome abnormalities among the mentally defective in Finland.’ J. ment. Defic. Res., 7, 129–46.Google Scholar
Dumermuth, G. (1961). ‘EEG-Untersuchungen beim jugendlichen Klinefelter-Syndrom.’ Helv. paediat. Acta, 16, 702–10.Google Scholar
Ferguson-Smith, M. A. (1958). ‘Chromatin-positive Klinefelter's syndrome (primary microorchidism) in a mental-deficiency hospital.’ Lancet, i, 928–31.Google Scholar
Ferguson-Smith, M. A. (1959). ‘The prepubertal testicular lesion in chromatin-positive Klinefelter's syndrome (primary microorchidism) as seen in mentally handicapped children.’ Lancet, i, 219–22.Google Scholar
Ferguson-Smith, M. A. (1962). ‘Sex chromatin anomalies in mentally defective individuals.’ Acta cytol. (Bait.), 6, 7383.Google ScholarPubMed
Forssman, H. (1967). ‘Epilepsy in an XYY man.’ Lancet, ii, 1389.CrossRefGoogle Scholar
Forssman, H., and Åkesson, H. O. (1969). ‘Extra Y chromosomes and epilepsy.’ Humangenetik, 7, 251–2.Google Scholar
Forssman, H. and Frey, T. S. Son. (1953). ‘Electroencephalograms of boys with behavior disorders.’ Acta psychiat. Scand., 28, 6173.CrossRefGoogle ScholarPubMed
Forssman, H. and Hambert, G. (1963). ‘Incidence of Klinefelter's syndrome among mental patients.’ Lancet, i, 1327.CrossRefGoogle Scholar
Forssman, H., Mellbin, G., and Wålinder, J. (1970). ‘Concurrence of Turner's syndrome and anorexia nervosa.’ Brit. J. Psychiat., 116, 221–3.CrossRefGoogle ScholarPubMed
Franks, R. C., Bunting, K. W., and Engel, E. (1967). ‘Male pseudohermaphrodism with XYY sex chromosomes.’ J. clin. Endocrin., 27, 1623–7.CrossRefGoogle ScholarPubMed
Hambert, G. (1964). ‘Positive sex chromatin in men with epilepsy.’ Acta med. Scand., 175, 663–5.CrossRefGoogle ScholarPubMed
Hambert, G. (1965). ‘Prevalence of positive sex chromatin in unselected adult Swedish male population.’ Acta genet. (Basel), 11, 256–60.Google Scholar
Hambert, G. (1966). Males with positive sex chromatin. An epidemiologic investigation followed by psychiatric study of 75 cases. Akademiförlaget-Gumperts, Göteborg.Google Scholar
Hambert, G. and Frey, T. S:Son. (1964). ‘The electroencephalogram in the Klinefelter syndrome.’ Acta psychiat. Scand., 40, 2836.CrossRefGoogle ScholarPubMed
Hässing, , Cited from Koch, 1965.Google Scholar
Israelsohn, W. J., and Taylor, A. I. (1961). ‘Chromatin-positive presumed Klinefelter's syndrome.’ Brit. med. J. i, 633–5.Google Scholar
Jacobs, P. A., Brunton, M., Melville, M. M., Brittain, R. P., and McClemont, W. F. (1965). ‘Aggressive behaviour, mental sub-normality and the XYY male.’ Nature (London), 208, 1351–2.CrossRefGoogle ScholarPubMed
Jagiello, . Cited from Polani, 1961.Google Scholar
Kaplan, N. M., and Norfleet, R. G. (1961). ‘Hypogonadism in young men (with emphasis on Klinefelter's syndrome).’ Ann. intern. Med., 54, 461–81.Google ScholarPubMed
Kelly, S., Almy, O., and Barnard, M. (1967). ‘Another XYY phenotype.’ Nature (London), 215, 405.CrossRefGoogle ScholarPubMed
Kidd, C. B., Knox, R. S., and Mantle, D. J. (1963). ‘A psychiatric investigation of triple-X chromosome females.’ Brit. J. Psychiat., 109, 90–4.CrossRefGoogle ScholarPubMed
Koch, G. (1965). ‘Die Bedeutung der Chromosomenstörungen für die Psychiatric’ 7. Psychiatertagung des Landschaftsverbandes Rheinland 1965 in Süchteln.Google Scholar
Maclean, N., Court Brown, W. M., Jacobs, P. A., Mantle, D. J., and Strong, J. A. (1968). ‘A survey of sex chromatin abnormalities in mental hospitals.’ J. med. Genet., 5, 165–72.CrossRefGoogle ScholarPubMed
Maclean, N., Harnden, D. G., and Court Brown, W. M. (1961). ‘Abnormalities of sex chromosome constitution in newborn babies.’ Lancet, ii, 406–8.Google Scholar
Maclean, N., Harnden, D. G., and Court Brown, W. M., Bond, J., and Mantle, D. J. (1964). ‘Sex-chromosome abnormalities in newborn babies.’ Lancet, i, 286–90.Google Scholar
Maclean, N., Mitchell, J. M., Harnden, D. G., Williams, J., Jacobs, P. A., Buckton, K. A., Baikie, A. G., Court Brown, W. M., McBride, J. A., Strong, J. A., Close, H. G., and Jones, D. C. (1962). ‘A survey of sex-chromosome abnormalities among 4514 mental defectives.’ Lancet, i, 293–6.Google Scholar
Mellbin, G. (1966). ‘Neuropsychiatric disorders in sex chromatin negative women.’ Brit. J. Psychiat., 112, 145–8.CrossRefGoogle ScholarPubMed
Melnyk, J., Derencsenyi, A., Vanasek, F., Rucci, A. J., and Thompson, H. (1969). ‘XYY survey in an institution for sex offenders and the mentally ill.’ Nature (London), 224, 369–70.CrossRefGoogle Scholar
Mosier, H. D., Scott, L. W., and Cotter, L. H. (1960). ‘The frequency of the positive sex-chromatin pattern in males with mental deficiency.’ Pediatrics, 25, 291–7.CrossRefGoogle ScholarPubMed
Nielsen, J. (1964a). ‘Prevalence of Klinefelter's syndrome in patients with mental disorders.’ Lancet, i, 1109.CrossRefGoogle Scholar
Nielsen, J. (1964b). ‘Klinefelter's syndrome and behaviour.’ Lancet, ii, 587–8.Google Scholar
Nielsen, J., Sørensen, A., Theilgaard, A., Frøland, A., and Johnsen, S. G. (1969). ‘A psychiatric-psychological study of 50 severely hypogonadal male patients, including 34 with Klinefelter's syndrome, 47, XXY.’ Acta Jutl., 41. Universitetsforlaget i Aarhus, Munksgaard, København.Google Scholar
Nielsen, J. and Tsuboi, T. (1969). ‘Intelligence, EEG, personality deviation, and criminality in patients with the XYY syndrome.’ Brit. J. Psychiat., 115, 965.CrossRefGoogle ScholarPubMed
Olanders, S. (1967). ‘Double Barr bodies in women in mental hospitals.’ Brit. J. Psychiat., 113, 1097–9.CrossRefGoogle ScholarPubMed
Olanders, S. (1968). ‘Excess Barr bodies in patients in mental hospitals.’ Lancet, ii, 1244.CrossRefGoogle Scholar
Olanders, S. (1970). Personal communication.Google Scholar
Polani, P. E. (1961). ‘Sex chromosome aberrations in relation to neuropsychiatry.’ Proc. Roy. Soc. Med., 54, 672–4.Google ScholarPubMed
Polani, P. E. (1969). ‘Abnormal sex chromosomes and mental disorder.’ Nature (London), 223, 680–6.CrossRefGoogle Scholar
Prader, A., Schneider, J., Züblin, W., Frances, J. M., and Rüedi, K. (1958). ‘Die Häufigkeit des echten, chromatin-positiven Klinefelter-Syndroms und seine Beziehungen zum Schwachsinn.’ Schweiz. med. Wschr., 88, 917–20.Google Scholar
Price, W. H., and Whatmore, P. B. (1967). ‘Behaviour disorders and pattern of crime among XYY males identified at a maximum security hospital.’ Brit. med. J., i, 533–6.Google Scholar
Raphael, T., and Shaw, M. W. (1963). ‘Chromosome studies in schizophrenia.’ J.A.M.A., 183, 1022–8.CrossRefGoogle ScholarPubMed
Ratcliffe, S. G., Stewart, A. L., Melville, M. M., Jacobs, P. A., and Keay, A. J. (1970). ‘Chromosome studies on 3500 newborn male infants.’ Lancet, i, 121–2.Google Scholar
Robinson, A., and Puck, T. T. (1965). ‘Sex chromatin in newborns: Presumptive evidence for external factors in human nondisjunction.’ Science, 148, 83–5.CrossRefGoogle Scholar
Robinson, A. (1967). ‘Studies on chromosomal nondisjunction in man. II.’ Am. J. hum. Genet., 19, 112–29.Google ScholarPubMed
Sergovich, F., Valentine, G. H., Chen, A. T. L., Kinch, R. A. H., and Smout, M. S. (1969). ‘Chromosome aberrations in 2159 consecutive newborn babies.’ New Engl. J. Med., 280, 851–5.CrossRefGoogle ScholarPubMed
Shapiro, A., and Ridler, M. A. C. (1960). ‘The incidence of Klinefelter's syndrome in a mental deficiency hospital.’ J. ment. Defic. Res., 4, 4850.Google Scholar
Tedeschi, L. G., and Freeman, H. (1962). ‘Sex chromosomes in male schizophrenics.’ Arch. gen. Psychiat. (Chicago), 6, 109111.CrossRefGoogle ScholarPubMed
Wahlström, J., Forssman, H., and Åkesson, H. O. (1970). ‘Extra Y chromosomes and alcoholism.’ Humangenetik, 9, 105–6.CrossRefGoogle Scholar
Welch, J. P., Borgaonkar, D. S., and Herr, H. M. (1967). ‘Psychopathy, mental deficiency, aggressiveness and the XYY syndrome.’ Nature (London), 214, 500–1.CrossRefGoogle ScholarPubMed
Wiener, S., and Sutherland, G. (1968). ‘A normal XYY man.’ Lancet, ii, 1352.CrossRefGoogle Scholar
Züblin, W. (1953). ‘Zur Psychologic des Klinefelter-Syndroms.’ Acta endocr., 14, 137–44.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.