Atypical handedness and dermatoglyphic abnormalities are hypothesized to re
flect a neurodevelopmental disturbance in schizophrenia. Developmental inst
ability, indexed by dermatoglyphic fluctuating asymmetry (FA), reflects the
degree to which an individual's ontogenetic program is maintained and prov
ides a useful framework in which to consider atypical handedness in schizop
hrenia. Thirty patients diagnosed with schizophrenia were compared with 37
matched healthy controls on levels of dermatoglyphic FA, a demonstration ta
sk determining hand preference and a test of relative hand skill. Multivari
ate analyses established that patients demonstrated greater FA and more aty
pical hand skill compared with controls. In patients, but not in controls,
there was a strong positive association between a measure of FA and a measu
re of atypical hand skill, suggesting that these markers of neurodevelopmen
tal disturbance are related in schizophrenia. On a measure of hand preferen
ce, patients were more likely than controls to be classified as mixed hande
d than either right or left handed. Results from the present study support
the conjecture of greater developmental instability in schizophrenia affect
ing neurodevelopmental processes, including those conferring manual dominan
ce. (C) 2001 Elsevier Science B.V. All rights reserved.