Multiplex ascertainment appears to lead to increased segregation of susceptibility genes and their intermediate phenotypes (Smalley et al., 2000). A clustering of childhood traits (ADHD, CD, and ODD) appear to be associated with adult alcohol dependence in unselected samples (Earls et al., 1988; Reich et al., 1993; Merikangas and Avenevoli, 2000; Clark et al., 2004) and in samples derived from multiplex ascertainment (Kuperman et al., 1999; Ohannessian et al., 2004).