Evidence that an interactionist approach may be better comes from Tienari who investigated the combination of genetic vunerability and parenting style in children adopted from mothers with schizophrenia. The adoptive parents were assessed for child rearing style and rates of schizophrenia, compared to a control group without any genetic risk. They found a child rearing style with high levels of criticism and conflict and low levels of empathy appeared to be associated with developing schixophrenia, but only those with a high genetic risk. This suggests genes alone cannot explain schixo.