Interestingly, electrophysiological abnormalities are most pronounced in alcohol-dependent people who also have a diagnosis of illicit drug abuse or dependence (Malone et al. 2001). This observation is consistent with data from twin and family studies suggesting that co-morbid dependence on alcohol and another drug represents a more severe disorder with higher heritability than dependence on one drug alone (Johnson et al. 1996; Pickens et al. 1995). This conclusion also appears to be supported by new studies exploring the roles of specific genes, which are discussed later in this article.