A founder of the field of evolutionary medicine uses his decades of experience as a psychiatrist to provide a much-needed new framework for making sense of mental illness.
Why do I feel bad? There is real power in understanding our bad feelings. With his classic Why We Get Sick, Dr. Randolph Nesse helped to establish the field of evolutionary medicine. Now he returns with a boo...
A founder of the field of evolutionary medicine uses his decades of experience as a psychiatrist to provide a much-needed new framework for making sense of mental illness.
Why do I feel bad? There is real power in understanding our bad feelings. With his classic Why We Get Sick, Dr. Randolph Nesse helped to establish the field of evolutionary medicine. Now he returns with a book that transforms our understanding of mental disorders by exploring a fundamentally new question. Instead of asking why certain people suffer from mental illness, Nesse asks why natural selection has left us all with fragile minds.
Drawing on revealing stories from his own clinical practice and insights from evolutionary biology, Nesse shows how negative emotions are useful in certain situations, yet can become overwhelming. Anxiety protects us from harm in the face of danger, but false alarms are inevitable. Low moods prevent us from wasting effort in pursuit of unreachable goals, but they often escalate into pathological depression. Other mental disorders, such as addiction and anorexia, result from the mismatch between modern environment and our ancient human past. And there are good evolutionary reasons for sexual disorders and for why genes for schizophrenia persist. Taken together, these and many more insights help to explain the pervasiveness of human suffering, and show us new paths for relieving it by understanding individuals as individuals.
作者简介
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Randolph M. Nesse, MD, is a founder of the field of evolutionary medicine and co-author with George C. Williams of Why We Get Sick. He served for many years as Professor of Psychiatry, Professor of Psychology and Research Professor at the University of Michigan. He currently is the Founding Director of the Center for Evolution & Medicine at Arizona State University where he is ...
Randolph M. Nesse, MD, is a founder of the field of evolutionary medicine and co-author with George C. Williams of Why We Get Sick. He served for many years as Professor of Psychiatry, Professor of Psychology and Research Professor at the University of Michigan. He currently is the Founding Director of the Center for Evolution & Medicine at Arizona State University where he is also a Foundation Professor in the School of Life Sciences. He is a Fellow of the Association for Psychological Science, a distinguished Life Fellow of the American Psychiatric Association, and an elected Fellow of the AAAS.
1 有用 折腾 2019-08-30 16:44:10
挺有意思。。。
4 有用 optman 2021-01-14 11:12:44
从进化的角度来看,焦虑的心情可以提高对环境的警觉。抑郁是对失败的反思,及时放弃而另辟蹊径。如果遇到困难反复努力无法克服时,如果不懂得心情低落,而永远保持亢奋的状态,大多数时候并不是好事。很多困难并不是努力就可以的,只能绕着走。心情低落期,心里反复念叨自己怎么那么蠢居然犯了这样的错误。这类似一种强化学习,使得这段体验在大脑神经回路里反复训练,以后就不会再犯了。相反如果没有这种情绪,就很容易不当回事,... 从进化的角度来看,焦虑的心情可以提高对环境的警觉。抑郁是对失败的反思,及时放弃而另辟蹊径。如果遇到困难反复努力无法克服时,如果不懂得心情低落,而永远保持亢奋的状态,大多数时候并不是好事。很多困难并不是努力就可以的,只能绕着走。心情低落期,心里反复念叨自己怎么那么蠢居然犯了这样的错误。这类似一种强化学习,使得这段体验在大脑神经回路里反复训练,以后就不会再犯了。相反如果没有这种情绪,就很容易不当回事,同样的错误还是会一错再错。很多精神疾病,根源就是基因变异的缘故。有些变异有好处,进化会往这个方向发展,但是变异过头就成了疾病。所谓剑走偏锋,疯子和天才就一线之隔。要进化就要容忍错误,就要容忍失败,尤其是大脑这么复杂的系统,更容易受影响。这也是人才会有精神疾病的原因,动物思想没那么复杂。 (展开)
2 有用 娃娃手 2022-01-14 00:51:48
进化心理学,如果有些部分能再展开讲一讲就更好了。书中一个有趣的观点是人类的altruistic行为很可能都是为了自己和族人基因延续,只不过为了欺骗他人才讲这中想法藏在潜意识里,所有的无私行为都是源自selfish的。
0 有用 小鱼Slowdown 2022-09-29 10:16:23 上海
从进化论角度,焦虑并不是削弱我们的力量来躲避危险,反而是一种特别“聪明”的人体机能,心跳加速和肌肉紧张等,恰恰是在高速调动身体机能,让我们反击危险或者逃离险境....
0 有用 bloom 2022-05-08 03:12:45
内容臃肿,理由牵强。作者对进化精神病学的评价:增进对mental disorders的理解,可以be somewhat helpful even now。Evolutionary的角度和好多其他理论一样,看着都对,牵强附会。所有病放到这个框架都能说得通,比如近视,拉肚子啦,1,mismatch enviroment;2,infection;3,constraints;4,Trade-offs;5,... 内容臃肿,理由牵强。作者对进化精神病学的评价:增进对mental disorders的理解,可以be somewhat helpful even now。Evolutionary的角度和好多其他理论一样,看着都对,牵强附会。所有病放到这个框架都能说得通,比如近视,拉肚子啦,1,mismatch enviroment;2,infection;3,constraints;4,Trade-offs;5,Reproduction,not health;6,Defensive responses. 带进去都说的通,所以指望这个解决精神疾病不靠谱。像是先写结论,后找理由,不如做些对比实验深挖modern environment. (展开)
0 有用 小鱼Slowdown 2022-09-29 10:16:23 上海
从进化论角度,焦虑并不是削弱我们的力量来躲避危险,反而是一种特别“聪明”的人体机能,心跳加速和肌肉紧张等,恰恰是在高速调动身体机能,让我们反击危险或者逃离险境....
0 有用 bloom 2022-05-08 03:12:45
内容臃肿,理由牵强。作者对进化精神病学的评价:增进对mental disorders的理解,可以be somewhat helpful even now。Evolutionary的角度和好多其他理论一样,看着都对,牵强附会。所有病放到这个框架都能说得通,比如近视,拉肚子啦,1,mismatch enviroment;2,infection;3,constraints;4,Trade-offs;5,... 内容臃肿,理由牵强。作者对进化精神病学的评价:增进对mental disorders的理解,可以be somewhat helpful even now。Evolutionary的角度和好多其他理论一样,看着都对,牵强附会。所有病放到这个框架都能说得通,比如近视,拉肚子啦,1,mismatch enviroment;2,infection;3,constraints;4,Trade-offs;5,Reproduction,not health;6,Defensive responses. 带进去都说的通,所以指望这个解决精神疾病不靠谱。像是先写结论,后找理由,不如做些对比实验深挖modern environment. (展开)
2 有用 娃娃手 2022-01-14 00:51:48
进化心理学,如果有些部分能再展开讲一讲就更好了。书中一个有趣的观点是人类的altruistic行为很可能都是为了自己和族人基因延续,只不过为了欺骗他人才讲这中想法藏在潜意识里,所有的无私行为都是源自selfish的。
4 有用 optman 2021-01-14 11:12:44
从进化的角度来看,焦虑的心情可以提高对环境的警觉。抑郁是对失败的反思,及时放弃而另辟蹊径。如果遇到困难反复努力无法克服时,如果不懂得心情低落,而永远保持亢奋的状态,大多数时候并不是好事。很多困难并不是努力就可以的,只能绕着走。心情低落期,心里反复念叨自己怎么那么蠢居然犯了这样的错误。这类似一种强化学习,使得这段体验在大脑神经回路里反复训练,以后就不会再犯了。相反如果没有这种情绪,就很容易不当回事,... 从进化的角度来看,焦虑的心情可以提高对环境的警觉。抑郁是对失败的反思,及时放弃而另辟蹊径。如果遇到困难反复努力无法克服时,如果不懂得心情低落,而永远保持亢奋的状态,大多数时候并不是好事。很多困难并不是努力就可以的,只能绕着走。心情低落期,心里反复念叨自己怎么那么蠢居然犯了这样的错误。这类似一种强化学习,使得这段体验在大脑神经回路里反复训练,以后就不会再犯了。相反如果没有这种情绪,就很容易不当回事,同样的错误还是会一错再错。很多精神疾病,根源就是基因变异的缘故。有些变异有好处,进化会往这个方向发展,但是变异过头就成了疾病。所谓剑走偏锋,疯子和天才就一线之隔。要进化就要容忍错误,就要容忍失败,尤其是大脑这么复杂的系统,更容易受影响。这也是人才会有精神疾病的原因,动物思想没那么复杂。 (展开)
1 有用 florawestlife 2020-08-10 08:42:09
进化心理学?