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Human compulsivity: A perspective from evolutionary medicine. | LitMetric

AI Article Synopsis

  • Biological explanations consider both immediate causes (like the neurobiology of OCD) and how these mechanisms evolved over time.
  • Evolutionary medicine looks at factors that make us vulnerable to diseases, such as constraints, mismatch, and trade-offs.
  • The paper argues that while OCD is often seen as a dysfunction, some of its symptoms and those from related disorders can be viewed as potentially useful defenses, which can help improve how we assess and intervene in behavioral addictions.

Article Abstract

Biological explanations address not only proximal mechanisms (for example, the underlying neurobiology of obsessive-compulsive disorder), but also distal mechanisms (that is, a consideration of how particular neurobiological mechanisms evolved). Evolutionary medicine has emphasized a series of explanations for vulnerability to disease, including constraints, mismatch, and tradeoffs. The current paper will consider compulsive symptoms in obsessive-compulsive and related disorders and behavioral addictions from this evolutionary perspective. It will argue that while obsessive-compulsive disorder (OCD) is typically best conceptualized as a dysfunction, it is theoretically and clinically valuable to understand some symptoms of obsessive-compulsive and related disorders in terms of useful defenses. The symptoms of behavioral addictions can also be conceptualized in evolutionary terms (for example, mismatch), which in turn provides a sound foundation for approaching assessment and intervention.

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Source
http://dx.doi.org/10.1016/j.euroneuro.2015.12.004DOI Listing

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