Grinde Bjørn
Norwegian Institute of Public Health, P.O. Box 4404, Nydalen, N-0403 Oslo, Norway.
Med Hypotheses. 2009 Jul;73(1):106-9. doi: 10.1016/j.mehy.2009.01.030. Epub 2009 Mar 4.
The high prevalence of mental disorders has become a primary concern for health authorities. This paper asks whether the concept of discords, as based on an evolutionary perspective to medicine, can play a role in the discovery of possible environmental factors contributing to mental problems. Briefly, the term mismatches has been used to describe the differences between the environment humans are genetically adapted to and the present living conditions. Although, most mismatches may be beneficial, some have a potential negative impact on human health. The latter can be referred to as discords. The brain appears to be more susceptible to discords than other organs, and certain modules of the brain are particularly vulnerable, including the fear response and circuits involved in generating mood. Discords affecting these modules may contribute considerably to the pervasiveness of mental problems. If so, concomitant changes in the environment, including changes in present cultural practices, should improve mental health. However, the relevant discords may not be discovered without utilizing the suggested evolutionary perspective.
精神障碍的高患病率已成为卫生当局主要关注的问题。本文探讨了基于医学进化视角的失调概念,能否在发现可能导致精神问题的环境因素方面发挥作用。简而言之,“错配”一词被用来描述人类基因适应的环境与当前生活条件之间的差异。虽然大多数错配可能是有益的,但有些错配对人类健康有潜在的负面影响。后者可被称为失调。大脑似乎比其他器官更容易受到失调的影响,大脑的某些模块尤其脆弱,包括恐惧反应和产生情绪的神经回路。影响这些模块的失调可能在很大程度上导致精神问题的普遍存在。如果是这样,环境的相应变化,包括当前文化习俗的变化,应该会改善心理健康。然而,如果不运用所建议的进化视角,可能无法发现相关的失调。