Hi Stephen et al. -
 
What about the "diasthesis-stress model", in which a psychological or physiological vulnerability interacts with environmental stressors to precipitate symptoms; both psychological (and most likely physiological, although I don't think this model specifies this dimensional outcome)? It seems to me that the preponderance of evidence supports a high degree of interaction of nature-nurture.
 
Too early on a Saturday morning and looking for ways to avoid the huge stack of papers on hand. . . .
 
Sandra
 
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         Sandra M. Nagel, Ph.D.
         Associate Professor, Psychology
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