Beyond Diathesis Stress:
Differential Susceptibility to Environmental Influences
Jay Belsky and Michael Pluess
Birkbeck University of London
Evolutionary-biological reasoning suggests that individuals should be differentially susceptible to envi-
ronmental influences, with some people being not just more vulnerable than others to the negative effects
of adversity, as the prevailing diathesis-stress view of psychopathology (and of many environmental
influences) maintains, but also disproportionately susceptible to the beneficial effects of supportive and
enriching experiences (or just the absence of adversity). Evidence consistent with the proposition that
individuals differ in plasticity is reviewed. The authors document multiple instances in which (a)
phenotypic temperamental characteristics, (b) endophenotypic attributes, and (c) specific genes function
less like “vulnerability factors” and more like “plasticity factors,” thereby rendering some individuals
more malleable or susceptible than others to both negative and positive environmental influences.
Discussion focuses upon limits of the evidence, statistical criteria for distinguishing differential suscep-
tibility from diathesis stress, potential mechanisms of influence, and unknowns in the differential-
susceptibility equation.
Keywords: parenting, differential susceptibility, diathesis stress, GXE, psychopathology
Students of human development appreciate that individuals vary
in whether and/or the degree to which they are affected, over the
shorter and longer term, by environmental experiences, including
child-rearing ones. Perhaps the most striking evidence that person
characteristics condition or moderate environmental effects is to be
found in developmental research on Temperament Parenting
interaction (Rothbart & Bates, 2006) and psychiatric research on
Gene Environment interaction (GXE; Burmeister, McInnis, &
Zollner, 2008).
Work in both these areas of inquiry is guided primarily, even if
not exclusively, by what developmentalists regard as the
transactional/dual-risk model (Sameroff, 1983) and what psychia-
trists and others studying and treating psychopathology regard as
the diathesis-stress model (Monroe & Simons, 1991; Zuckerman,
1999). Central to both these frameworks is the view that some
individuals, due to a “vulnerability” in their make-up—which may
be behavioral/temperamental in character (e.g., difficult tempera-
ment), physiological or endophenotypic in nature (e.g., highly
physiologically reactive), or genetic in origin (e.g., 5-HTTLPR
short alleles)—are disproportionately or even exclusively likely to
be affected adversely by an environmental stressor. That stressor
may be child maltreatment, insensitive parenting, or negative life
events, to name but three that are well studied and figure promi-
nently in this paper, which advances an alternative to the diathesis-
stress/dual-risk model of environmental influences and human
development.
According to prevailing views, it is the child with a “difficult”
(or negatively emotional) temperament, for example, or individu-
als carrying certain “vulnerability genes” or “risk alleles” who are
most likely to develop or function poorly, such as by manifesting
a psychopathological condition (e.g., depression), when exposed to
a stressor of interest. The dual-risk designation derives from the
synergistic effect of a risk (or diathesis) inherent in the individual
interacting with one operative in the environment. The point of this
paper is not so much to challenge the view that diathesis-stress
phenomena exist or that processes related to them operate. That
seems incontestable. Nor is its intent to suggest that diathesis-
stress thinking and research have proven unproductive, either
theoretically or empirically. That, too, seems indisputable.
Rather, the goal in this effort is to assert—and demonstrate
empirically—that in many cases where dual-risk/diathesis-stress
processes appear to characterize human functioning and develop-
ment, something of equal or perhaps even greater significance is
going on. Indeed, it is our contention that this “something else” is
often missed as a result of expectations derived from the prevailing
conceptual perspective that guides both inquiry and interpretation
of findings. In fact, it is a central claim here that the dispropor-
tionate attention paid to the negative effects of contextual adver-
sity, broadly defined and varied in its operationalization, on prob-
lematic functioning and disturbances in development and mental
Jay Belsky and Michael Pluess, Institute for the Study of Children,
Families and Social Issues, Birkbeck University of London, 7 Bedford
Square, London WC1B 3RA, United Kingdom.
Preparation of the manuscript was supported by Swiss National Science
Foundation Grant PBBS1—120809, a grant for doctoral studies awarded to
Michael Pluess. Special appreciation is expressed to Terrie Moffitt for
strongly encouraging the preparation of this article, to Bruce Ellis for
clarifying our understanding of the biological-sensitivity-to-context thesis,
and to Marinus van IJzendoorn and Marian Bakermans-Kranenburg for
sharing ideas and stimulating our thinking regarding mechanisms of bio-
logical action.
Correspondence concerning this article should be directed to Jay Belsky,
Institute for the Study of Children, Families and Social Issues, Birkbeck
University of London, 7 Bedford Square, London WC1B 3RA, United
Kingdom. E-mail: j.belsky@psychology.bbk.ac.uk
Psychological Bulletin © 2009 American Psychological Association
2009, Vol. 135, No. 6, 885–908 0033-2909/09/$12.00 DOI: 10.1037/a0017376
885