Those unfamiliar with the literature debating the division of MD into subtypes may be surprised not only at the diversity of the proposed classificatory systems employed (e.g., dimensional, hierarchical, or categorical) but also at the vehemence with which each position has been defended, or more usually attacked (Eysenck, 1970, Parker, 2000). The importance of this acrimonious debate is the extent to which genetic research strategies might resolve it and potentially guide interpretation of the underlying pathogenic mechanisms. Genetic data do in fact indicate heterogeneity. Most striking is the effect of sex.