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Evolutionary theory and psychiatry

Published online by Cambridge University Press:  02 January 2018

A. Stevens
Affiliation:
The British Journal of Psychiatry, 17 Belgrave Square, London SW1X 8PG
J. Price
Affiliation:
The British Journal of Psychiatry, 17 Belgrave Square, London SW1X 8PG
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Abstract

Type
Columns
Copyright
Copyright © 2001 The Royal College of Psychiatrists 

While we welcome Abed's (Reference Abed2000) editorial and endorse the arguments presented in it, we feel that it gives an inadequate account of the important British contribution to the burgeoning new discipline of evolutionary psychiatry. Instead, it leaves one with the impression that Darwinian psychiatry is largely an American achievement and that Abed and Marks are the only home-grown contributors to it. This is unjust, as the application of evolutionary theory to psychiatric disorders began in this country 40 years ago at a time when American psychiatry was still in thrall to psychoanalysis and behaviourism. Bowlby's (Reference Bowlby1958) classic paper on the phylogeny of the child's bond to its mother and his life's work on the consequences of rupturing that bond for later psychopathology were seminal contributions to the development of the new evolutionary paradigm, as were Price's papers in the 1960s on social dominance and the evolution of mental illness (e.g. Reference PricePrice, 1967; further references in Reference Stevens and PriceStevens & Price, 2000a ). Since then, British psychologists and psychiatrists have contributed as much to this fascinating field of enquiry as our American colleagues, whom Abed cites. In particular, we would draw attention to the work of Crow (Reference Crow1995) on the Darwinian approach to the origins of psychosis, Gilbert (Reference Gilbert1992) on depression and the evolution of powerlessness, and our own work on the evolutionary basis of the major neurotic, ‘functional’ psychotic, and reproductive disorders (Stevens & Price, 20000a), and the phylogeny of schizophrenia, (Reference Stevens and PriceStevens & Price, 2000b ). In addition, significant work has been published by Archer (Reference Archer1992) on ethology and human development, Bailey (Reference Bailey1987) on human palaeontology, and Birtchnell (Reference Birtchnell1993) on how humans relate.

A major criticism advanced against ‘adaptionist’ explanations of psychiatric disorders is that they are untestable and therefore of little use; this is untrue. We have responded to this criticism by providing testable predictions based on evolutionary insights (Reference Stevens and PriceStevens & Price, 2000a . pp. 258-274). As Abed rightly suggests, scientific method requires “a theoretical framework that generates testable predictions”, that “demands what questions to ask” and that “ suggests what avenues of research are likely to bear fruit”. Evolutionary psychiatry is now sufficiently advanced in this country for this programme to be implemented. Unfortunately, an uninformed reader would not have gathered this from Abed's editorial.

References

Abed, R. T. (2000) Psychiatry and Darwinism. Time to reconsider? British Journal of Psychiatry, 177, 13.CrossRefGoogle ScholarPubMed
Archer, J. (1992) Ethology and Human Development. New York: Harvester/Wheatsheaf.Google Scholar
Bailey, A. K. (1987) Human Paleopsychology: Applications to Aggression and Pathological Processes. Hove: Lawrence Erlbaum.Google Scholar
Birtchnell, J. (1993) How Humans Relate: A New Interpersonal Theory. Westport, CN: Praeger.Google Scholar
Bowlby, J. (1958) The nature of the child's tie to his mother. International Journal of Psycho-Analysis, 39, 350373.Google ScholarPubMed
Crow, T. J. (1995) A Darwinian approach to the origins of psychosis. British Journal of Psychiatry, 167, 1225.CrossRefGoogle Scholar
Gilbert, P. (1992) Depression: The Evolution of Powerlessness. Hove: Lawrence Erlbaum.Google Scholar
Price, J. S. (1967) Hypothesis: the dominance hierarchy and the evolution of mental illness. Lancet, ii, 243246.CrossRefGoogle Scholar
Stevens, A. & Price, J. (2000a) Evolutionary Psychiatry: A New Beginning (2nd edn). London: Routledge.Google Scholar
Stevens, A. & Price, J. (2000b) Prophets, Cults and Madness. London: Duckworth.Google Scholar
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