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• W2002117922 abstract "Restricted accessMoreSectionsView PDF ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InRedditEmail Cite this article Pettigrew J. D. and Miller S. M. 1998A ‘sticky’ interhemispheric switch in bipolar disorder?Proc. R. Soc. Lond. B.2652141–2148http://doi.org/10.1098/rspb.1998.0551SectionRestricted accessA ‘sticky’ interhemispheric switch in bipolar disorder? J. D. Pettigrew J. D. Pettigrew Vision,Touch and Hearing Research Centre, University of Queensland, St Lucia, Brisbane 4072, Australia [email protected] Google Scholar Find this author on PubMed Search for more papers by this author and S. M. Miller S. M. Miller Vision,Touch and Hearing Research Centre, University of Queensland, St Lucia, Brisbane 4072, Australia Google Scholar Find this author on PubMed Search for more papers by this author J. D. Pettigrew J. D. Pettigrew Vision,Touch and Hearing Research Centre, University of Queensland, St Lucia, Brisbane 4072, Australia [email protected] Google Scholar Find this author on PubMed Search for more papers by this author and S. M. Miller S. M. Miller Vision,Touch and Hearing Research Centre, University of Queensland, St Lucia, Brisbane 4072, Australia Google Scholar Find this author on PubMed Search for more papers by this author Published:22 November 1998https://doi.org/10.1098/rspb.1998.0551AbstractDespite years of research into bipolar disorder (manic depression), its underlying pathophysiology remains elusive. It is widely acknowledged that the disorder is strongly heritable, but the genetics are complex with less than full concordance in monozygotic twins and at least four susceptibility loci identified. We propose that bipolar disorder is the result of a genetic propensity for slow interhemispheric switching mechanisms that become ‘stuck’ in one or the other state. Because slow switches are also ‘sticky’ when compared with fast switches, the clinical manifestations of bipolar disorder may be explained by hemispheric activation being ‘stuck’ on the left (mania) or on the right (depression). Support for this ‘sticky’ interhemispheric switching hypothesis stems from our recent observation that the rate of perceptual alternation in binocular rivalry is slow in euthymic subjects with bipolar disorder (n=18, median = 0.27Hz) compared with normal controls (n=49, median = 0.60Hz, p0.0005). We have presented evidence elsewhere that binocular rivalry is itself an interhemispheric switching phenomenon. The rivalry alternation rate (putative interhemispheric switch rate) is robust in a given individual, with a test–retest correlation of more than 0.8, making it suitable for genetic studies. The interhemispheric switch rate may provide a trait-dependent biological marker for bipolar disorder. 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