EP lecture 1

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Why (as opposed to how) we develop mental disorders

 
Contents

What is a Darwinian lens?

Darwin's view of the mind

Evolutionary concepts:

Natural Selection

Cellular instincts

Rock paintings depicting human instincts: Food acquisition / Cooperation / Inclusive fitness / Tribal bonding / Reciprocal altruism / Conflict over resources / Self defence

What are emotions?

Darwin's view of emotions

Who do emotions benefit

 

Why use a Darwinian lens in Psychiatry? 

The Paradigmatic failure of Psychiatry

DSM?

Reductionist approaches miss half the story

The Four Areas of Biology

What might evolutionary approaches add?

 

Looking through the Darwinian lens…

Archetypal propensities

Archetypes

Biosocial goals

Situations evoking anxiety as a defence

Startle may activate the Fight or Flight Program

Introducing a two-edge sword

The Smoke-Detector Principle

Situations Causing Depressed Mood

Is Depression an Adaptation?

Loss of rank & resources

Brain mechanism connecting mood & status

 

Normal Minds... Evolutionary Psychology

Overlapping disciplines

The Traditional Social Science Model of the Mind

The Massive Modularity Hypothesis

The Swiss-army knife model of cognition

A Social Module?

Theory-of-mind module dysfunction

 

Evolutionary Classifications in Psychiatry

An Evolutionary Classification of Mental Disorders?

1. Primary brain abnormalities 

Schizophrenia

Bipolar Disorder

2. Environmental trauma or uniqueness

Psychopathology due to Archetype Disorders

Why do archetypes fail?

Stages in loss of attachment

3. Byproducts

My Evolutionary Classification 

Disorders of Memes

 

Disorders of Balance Between Modules: Evolutionary neuroanatomy

The Triune Brain

Developmental Stages

Alternative strategies of the Triune Brain

Adaptive Depression

Maladaptive Depression

Involuntary yielding or "blocked higher level losing" 

Reasons for an “upper block”

Anger-propagating Depression

Sequence of events in PTSD

 

 

What is a Darwinian lens?

 

Darwin’s view of the mind

…all the corporeal and mental organs …have been developed through natural selection, or the survival of the fittest, together with use or habit... 

(Charles Darwin, 1876)

 

Natural Selection

NS = differential survival of traits

Genetic mutations lead to an individual acquiring a propensity that makes him better adapted than his peers in surviving & passing on genes (“fitness”)

Over generations, the attribute will become established as a standard component in the species genome

 

Cellular instincts

Escalation
Acquisition
Inaction
Engagement
De-escalation
Avoidance/ withdrawal/ disengagement
Attack
Self-defence

 

Rock paintings

Food acquisition

Cooperation

Inclusive fitness

Inclusive fitness

Tribal bonding

Reciprocal altruism

Conflict over resources

Self defence

 

What are emotions?

“Adaptations” shaped by Natural Selection

Each emotion is a specialised state that adjusts cognition, physiology, subjective experience & behaviour so that the organism can respond effectively in a particular kind of situation

Positive & negative emotions are derived from the two types of basic arousal

 

Darwin’s view on emotions

Pleasurable sensations … stimulate the whole system to increased action. 

Hence it has come to pass that most or all sentient beings have been developed in such a manner, through natural selection, that pleasurable sensations serve as their habitual guides. 

But pain or suffering… lessens the power of action, yet is well adapted to make a creature guard itself against any great or sudden evil. 

…if long continued, causes depression

(Darwin Francis (ed.), The Life and Letters of Charles Darwin, 1887)

 

Who do emotions benefit?

Our ancestors faced many more kinds of threats than opportunities, as reflected by the fact that twice as many words describe negative as positive emotions!

The emotions were “designed not to promote the happiness & survival of the individual, but to favour maximum transmission of the controlling genes.”

(EO Wilson)

"People, like all other organisms, are not evolved to maximise health, wealth, happiness or any other trait – but to have descendants, which is the continuation of life."  

(Chisholm, 1999)

 

Why use a Darwinian lens in Psychiatry?

 

The Paradigmatic Failure of Psychiatry

Focus on physical diseases

Descriptive classifications (Kraeplin, Bleuler, Maudsley)

Psychoanalytic model

Behavioural model

Descriptive non-aetiological classifications (DSM)

Biomedical model: biological reductionism

 

DSM?

Essential in allowing researchers to study comparable groups

Widely criticised for:

Lacking a foundation in theory 

Encouraging simplistic thinking of psychiatric syndromes as discrete diseases 

(Kendell, 1984)

Neglecting maladaptive psychological processes

 

Reductionist approaches miss half the story

Most research attempts to explain “what” & “how”

Evolutionary approaches examine “why” we are susceptible by considering the design characteristics

Proximate & Evolutionary explanations are not competitors, but two halves of a whole 

 

The Four Areas of Biology

 

The four areas of Biology

Two objects of explanation

Development of species

Single species form

Two questions

Proximate

Ontogeny Mechanism

Evolutionary

Phylogeny Adaptation

 

(Nesse, 2000; adapted form Tinbergen,1 Mayr, 2 and others)

 

What might evolutionary approaches add?

Causal hypotheses

Integration of prevailing models into a framework

A theory of environment-behaviour-gene interactions

A theory of behaviour, motivations & function 

An evolutionary classification?

A non-judgmental, normalising, humanising explanatory model for patients

 

 

Looking through the Darwinian lens…

 

Archetypal propensities

Natural selection has equipped us with lifespan-specific, context-sensitive archetypal propensities to navigate biosocial imperatives that facilitate inclusive fitness.

Genes are conveyers of potential for species-characteristic behaviours, rather than rigid determinants of social behaviour.

(Stevens & Price, 2000)

 

Archetypes

Human “instinct” 

(William James, Principles of Psychology, 1890)

“Collective unconscious” 

(CG Jung)

Mother-infant instinct 

(Bowlby, 1958)

 

Biosocial goals

  1. Defense (fight or flight) 

  2. Attachment

  3. Dominance-striving

  4. Reproduction

(Gardiner, 1988)

 

Archetypal Systems

  1. The stranger archetype

  2. The affiliation and bonding archetype 

  3. The hierarchical ranking dominance-submission archetype

  4. The courtship & mating archetype

(Stevens & Price, 2000)

 

Situations evoking anxiety as a defence

Harm from strange humans --> Stranger anxiety 

Separation from carer --> Separation anxiety 

Threats to status/group membership --> Social anxiety 

Socially unaccepted impulses --> Obsessive self-doubt

Lack of food or other resources --> Obsessive hoarding

Getting sick --> Hypochondriasis/Obsessive cleanliness

Dangerous small animals --> Small animal phobias 

Potential attack to family members --> General anxiety 

Imminent attack by predator --> Panic

Environment in which attack is likely --> Agoraphobia 

(Adapted from Nesse, 1990)

 

Startle may activate the Fight or Flight Program

… to motivate to urgent action

for survival

…to respond to Danger…

…with Fight …

… Or Flight …

(Walter Cannon, 1929)

 

Introducing a two-edge sword

Lungs: blood O2
Heart: O2 blood delivery
Muscles: O2 metabolism
GIT: bld flow to gut
Brain: activation of fear circuitry
Lungs: SOB, choking, parasthesia 
Heart: Palps, chest pain, flushes
Muscles: Trembling, tension, sweating 
GIT: Dry mouth, butterflies, nausea, belching
Brain: Dizziness, faintness, lightheadedness, catastrophic cognitions & fear

 

The Smoke-Detector Principle

Anxiety is a useful defence

…but it uses extra calories, makes us less fit for everyday activities & damages tissues

So why is it so readily triggered?

Because the cost of getting killed even once is enormously higher than the cost of responding to 100 false alarms

 

Situations Causing Depressed Mood

Loss of attachment – carer, mate (Bowlby, 1969)

Loss of rank – social status (Stevens & Price, 2000)

Loss of resources  (Nesse, 2000)

Internal 

Trauma

Bodily damage 

External

Bad decisions e.g. wasted effort pursuing risky goals 

Disruption to major life goals and enterprises

 

Is Depression an Adaptation?

Communicate (Darwin, 1872) need for help

Signal yielding in hierarchy conflict

Disengage from unreachable goals

Regulate patterns of investment

(Nesse, AGP, 2000)

 

Loss of rank & resources

Social Competition Hypothesis of Depression

Agonistic behaviour was principal form of social competition underlying sexual selection

Involuntary subordinate strategy functions to:

Inhibit aggression towards rivals

Acceptance of outcome through yielding preserves the loser

Signal submission: ‘no threat’ to rivals as ‘out of action” 

Loss of resource holding potential (self esteem) can cause depression

(Price, Sloman, Gardner, Gilbert, Rohde, BJP, 1994)

 

Brain mechanism connecting mood & status

Serotonin (5HT) in a-male (highest ranking) vervet monkeys 2x other males

When lost their position: appeared depressed (huddled, rocked, refused food) & dropped 5HT levels

Depressed behaviour prevented by Prozac, which raised 5HT

If removed a-male & gave Prozac to random male, that male became a every time

(Raleigh & McGuire, )

 

 

Normal Minds …Evolutionary Psychology

 

Overlapping disciplines

Sociobiology/Behavioural Ecology

Ethological Models

Evo Psych (Cognitive) Models

Psychiatric Models

Neuroscientific models 

Archaeological Models

Anthropological Models Philosophical Models

 

The Traditional Social Science Model of the Mind

Blank slate / “Cupboard love” theory = Behaviour is the result of classical conditioning

General purpose computer

Learning

Culture

 

The Massive Modularity Hypothesis

In the distant future I see open fields for far more important researches. Psychology will be based on a new foundation, that of the necessary acquirement of each mental power and capacity by gradation." 

(Darwin: Origin of Species, 1859)

 

“Human nature” refers to the accumulated specialized neural circuits that are common to every member of a species and are the product of that species' evolutionary history

Our modern skulls house a stone age mind 

(Leda Cosmides & John Tooby, 1997)

 

The Swiss-army knife model of cognition

The view of the mind as containing a whole suite of modular psychological adaptations
corresponding to functional components of the CNS solving particular past reproductive problems 

Each blade represents pre-programmed algorithms sensitise the organism to monitor specific situations 

biases to learn certain behavioural responses

(Leda Cosmides & John Tooby, 1997)

 

A Social Module?

Social cognition: information processing that contributes to the correct perception of dispositions & intentions of other individuals

Theory-of-Mind: inferring mental states of others 

(Martin Brune, 2001)

Group cooperation (reciprocal altruism) requires cheater detection algorithms 

(Trivers, 1971)

The Social Brain Hypothesis: Vol. of non-visual neocortex correlates with group size & length of juvenile period 

(Dunbar, 1998)

 

Theory-of-mind module dysfunction

All perform worse on ToM tasks:

Autism

Aspergers

SCZ (acute episodes)

Pathological mind-reading inferences

Intentions of others perceived as negatively related to self

Pathological egocentrism

 

 

Evolutionary Classifications in Psychiatry

 

An evolutionary classification of mental disorders?

  1. Primary brain abnormalities 

  2. Environmental trauma or uniqueness

  3. Byproducts (Adaptive but distressing)

(adapted from Nesse RM, 1991)

1. Primary brain abnormalities 

Caused by genetic abnormalities, infection, toxins, developmental factors

Result in:

Malfunction (e.g. SCZ, autism, learning disorders, dementia), or 

Dysregulation of the expression of adaptive responses (e.g. melancholia, BPAD)

 

Schizophrenia

What can account for a high incidence of genes that can decrease fitness?

Predisposing genes advantageous in combo with other genes or in certain environments

Other effects that offer slight advantage in most carriers

e.g. mind-reading capacity, protect against a disease (like SCA), suspiciousness, creativity, leadership potential ? group splitting ?

 

Bipolar Disorder

Extreme or pathological combinations of hyperthymic /cyclothymic / irritability personality traits 

Achievement & creativity are evident in bipolar patients b/w acute episodes (Andreasen) & non-ill relatives

Music, performing arts & poetry may have evolved by sexual selection

Leadership traits: face challenges, increase group stability

Risk-taking & exploration

(Akiskal, 2000)

 

2. Environmental trauma or uniqueness

Exposure to novel environmental circumstances or idiosyncratic learning histories 

Normal brain mechanisms

Imperfection of evolved mind programs

Examples: some anxiety & depressive disorders, addictions, fetishes

 

Psychopathology due to Archetype Disorders

Mental disorders the result of “frustration of archetypal intent” 

(Stevens, 1982)

Developmental view

Comorbidity due to failure of early biosocial imperative (upstream block) undermining downstream archetypal intents