of the three factors (predisposing, precipitating, perpetuating) for understanding the process of mental illness details several of the main factors in comprehending predisposing factors. Ko e tukufakaholo pe 'alu toto 'a e puke faka'atamai 'i he famili 'o e tokotaha koiĂĄ (genetic transmission).
Mental illness is hereditary or runs in the blood of the family of the person who is ill.
He later qualifies this statement. Kapau 'oku 'i ai ha taha 'oku 'iai hano 'toto' pe tukufakaholo 'o ha mahaki fakae'atamai 'i hono famili ofi, talu mei he 'ene ngaahi kui. ‘Oku 'ikai ke 'uhinga ia ai kuopau ke puke fakae'atamai 'a e tokotaha ko 'eni k! 'e toki lava nai ke puke kapau tene kamata ng!ue kovi'aki e faito'o-kona tapu 'e hange koe e maliuana (marijuana), inu fafangu (atropa Belladonna & Datura Stramoniumatropine)‌.lists (Cocaine, heroin, PCP, LSD, mo ngaahi faito'o kona tapu kehe. 'E toe lava foki mo hono ng!uekovi'aki e kava malohi (ethanol) kene langa'i ha puke faka'atamai 'i ha taha 'oku ne 'osi ma'u 'eia 'a e fakahema.
If someone has a hereditary predisposition in their 'blood' to mental illness, in their close family, from their ancestors, it doesn't necessarily mean that they will get ill. But they might get ill if they start to misuse drugs such as marijuana, Datura stramonium, cocaine, heroin, PCP, LSD and the other drugs. The misuse of alcohol can also precipitate an episode of mental illness in someone who already has a predisposition.
In local terms, however, a predisposition to mental illness is no different in its ramifications to an assertion of current mental illness. Puloka unwittingly reinforces the idea of mala'ia (nemesis), an attribution that people do their utmost to avoid. The implication, that the patient is experiencing retribution for past wrongdoing in the family, is beyond question. Puloka's later assertion that 75% of patients with schizophrenia never get completely better, after asserting that some 25% will get better no matter what is done, seems to deny the possibility of divine intervention, as well as people's experience of the periodicity of mental symptoms. 294