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Contents
Why use a Darwinian lens in Psychiatry?
Looking through the Darwinian lens…
Normal Minds... Evolutionary Psychology
Evolutionary Classifications in Psychiatry
Disorders of Balance Between Modules: Evolutionary neuroanatomy
What is a Darwinian lens?
Darwin’s view of the mind
Natural Selection
Cellular instincts
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Food acquisition | |
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Cooperation | |
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Inclusive fitness | |
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Inclusive fitness | |
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Tribal bonding | |
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Reciprocal altruism | |
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Conflict over resources | |
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Self defence |
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“Adaptations” shaped by Natural Selection | |
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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 | |
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Positive & negative emotions are derived from the two types of basic arousal |
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Pleasurable sensations … stimulate the whole system to increased action. | |||
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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. | |||
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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. | |||
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…if long continued, causes depression
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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.”
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"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."
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Focus on physical diseases | |
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Descriptive classifications (Kraeplin, Bleuler, Maudsley) | |
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Psychoanalytic model | |
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Behavioural model | |
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Descriptive non-aetiological classifications (DSM) | |
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Biomedical model: biological reductionism |
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Essential in allowing researchers to study comparable groups | |||||||||
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Widely criticised for:
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Most research attempts to explain “what” & “how” | |
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Evolutionary approaches examine “why” we are susceptible by considering the design characteristics | |
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Proximate & Evolutionary explanations are not competitors, but two halves of a whole |
The four areas of Biology |
Two objects of explanation |
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Development of species |
Single species form |
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Two questions |
Proximate |
Ontogeny | Mechanism |
Evolutionary |
Phylogeny | Adaptation | |
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Causal hypotheses | |
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Integration of prevailing models into a framework | |
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A theory of environment-behaviour-gene interactions | |
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A theory of behaviour, motivations & function | |
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An evolutionary classification? | |
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A non-judgmental, normalising, humanising explanatory model for patients |
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Natural selection has equipped us with lifespan-specific, context-sensitive archetypal propensities to navigate biosocial imperatives that facilitate inclusive fitness. | |||
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Genes are conveyers of potential for species-characteristic behaviours, rather than rigid determinants of social behaviour.
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Human “instinct”
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“Collective unconscious”
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Mother-infant instinct
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Defense (fight or flight)
Attachment
Dominance-striving
Reproduction
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(Gardiner, 1988) |
The stranger archetype
The affiliation and bonding archetype
The hierarchical ranking dominance-submission archetype
The courtship & mating archetype
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(Stevens & Price, 2000) |
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Harm from strange humans --> Stranger anxiety | |||
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Separation from carer --> Separation anxiety | |||
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Threats to status/group membership --> Social anxiety | |||
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Socially unaccepted impulses --> Obsessive self-doubt | |||
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Lack of food or other resources --> Obsessive hoarding | |||
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Getting sick --> Hypochondriasis/Obsessive cleanliness | |||
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Dangerous small animals --> Small animal phobias | |||
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Potential attack to family members --> General anxiety | |||
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Imminent attack by predator --> Panic | |||
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Environment in which attack is likely --> Agoraphobia
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… to motivate to urgent action | |||
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for survival | |||
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…to respond to Danger… | |||
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…with Fight … | |||
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… Or Flight …
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Anxiety is a useful defence | |
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…but it uses extra calories, makes us less fit for everyday activities & damages tissues | |
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So why is it so readily triggered? | |
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Because the cost of getting killed even once is enormously higher than the cost of responding to 100 false alarms |
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Loss of attachment – carer, mate (Bowlby, 1969) | |||||||||||||
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Loss of rank – social status (Stevens & Price, 2000) | |||||||||||||
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Loss of resources (Nesse, 2000)
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Communicate (Darwin, 1872) need for help | |
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Signal yielding in hierarchy conflict | |
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Disengage from unreachable goals | |
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Regulate patterns of investment |
(Nesse, AGP, 2000)
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Social Competition Hypothesis of Depression
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Loss of resource holding potential (self esteem) can cause depression
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Serotonin (5HT) in a-male (highest ranking) vervet monkeys 2x other males | |||
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When lost their position: appeared depressed (huddled, rocked, refused food) & dropped 5HT levels | |||
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Depressed behaviour prevented by Prozac, which raised 5HT | |||
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If removed a-male & gave Prozac to random male, that male became a every time
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Sociobiology/Behavioural Ecology | |
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Ethological Models | |
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Evo Psych (Cognitive) Models | |
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Psychiatric Models | |
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Neuroscientific models | |
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Archaeological Models | |
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Anthropological Models Philosophical Models |
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Blank slate / “Cupboard love” theory = Behaviour is the result of classical conditioning | |
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General purpose computer | |
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Learning | |
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Culture |
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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."
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“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 | |||
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Our modern skulls house a stone age mind |
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The view of the mind as containing a whole suite of modular psychological adaptations | |||
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Each blade represents pre-programmed algorithms sensitise the organism to monitor specific situations | |||
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biases to learn certain behavioural responses |
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Social cognition: information processing that contributes to the correct perception of dispositions & intentions of other individuals | |||
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Theory-of-Mind: inferring mental states of others
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Group cooperation (reciprocal altruism) requires cheater detection algorithms
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The Social Brain Hypothesis: Vol. of non-visual neocortex correlates with group size & length of juvenile period
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All perform worse on ToM tasks:
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Primary brain abnormalities
Environmental trauma or uniqueness
Byproducts (Adaptive but distressing)
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(adapted from Nesse RM, 1991) |
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Caused by genetic abnormalities, infection, toxins, developmental factors | |||||
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Result in:
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What can account for a high incidence of genes that can decrease fitness? | |
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Predisposing genes advantageous in combo with other genes or in certain environments | |
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Other effects that offer slight advantage in most carriers | |
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e.g. mind-reading capacity, protect against a disease (like SCA), suspiciousness, creativity, leadership potential ? group splitting ? |
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Extreme or pathological combinations of hyperthymic /cyclothymic / irritability personality traits | |||
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Achievement & creativity are evident in bipolar patients b/w acute episodes (Andreasen) & non-ill relatives | |||
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Music, performing arts & poetry may have evolved by sexual selection | |||
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Leadership traits: face challenges, increase group stability | |||
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Risk-taking & exploration
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Exposure to novel environmental circumstances or idiosyncratic learning histories | |
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Normal brain mechanisms | |
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Imperfection of evolved mind programs | |
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Examples: some anxiety & depressive disorders, addictions, fetishes |
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Mental disorders the result of “frustration of archetypal intent”
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Developmental view | |||
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Comorbidity due to failure of early biosocial imperative (upstream block) undermining downstream archetypal intents |