Martin Brüne – författare

Psychiatry and Psychosomatic Medicine are concerned with medical conditions affecting brain, mind and behaviour in manifold ways. Traditional approaches have focused on a restricted array of potential causes of psychiatric and psychosomatic conditions - including adverse experiences such as trauma, neglect or abuse, genetic vulnerability and epigenetic regulation of gene expression. Whilst essential for the understanding of mental disorders, these approaches have disregarded important questions such as why the human mind is vulnerable to dysfunction at all.The Textbook of Evolutionary Psychiatry and Psychosomatic Medicine updates and expands the previous edition to provide answers to these questions by emphasising an evolutionary perspective on psychiatric and psychosomatic conditions. It explains how the human brain/mind has been shaped by natural and sexual selection; why adaptations to environmental conditions in our evolutionary past may nowadays work in suboptimal ways; and how human cognition, emotions, and behaviour can be scientifically framed to improve our understanding of how people try to attain important biosocial goals pertaining to one's status in society, mating, eliciting and providing care, and maintaining rewarding relationships. The evolutionary topics relevant to the understanding of psychiatric and psychosomatic conditions include the concepts of genetic plasticity, life history theory, stress regulation and immunological aspects. In addition, it is argued that an evolutionary framework is also necessary to understand how psychotherapy and psychopharmacology work to improve the lives of patients with psychiatric and psychosomatic disorders.The Textbook of Evolutionary Psychiatry and Psychosomatic Medicine is a valuable text for all students of Psychology, Medicine, and Psychotherapy who seek an understanding of the evolutionary issues surrounding health and disease.

Medicine is grounded in the natural sciences, where biology stands out with regard to our understanding of human physiology and the conditions that cause dysfunction. Ironically though, evolutionary biology is a relatively disregarded field. One reason for this omission is that evolution is deemed a slow process. Indeed, the macroanatomical features of our species have changed very little in the last 300,000 years. A more detailed look, however, reveals that novel ecological contingencies, partly in relation to cultural evolution, have brought about subtle changes pertaining to metabolism and immunology, including adaptations to dietary innovations, as well as adaptations to the exposure to novel pathogens. Rapid pathogen evolution and evolution of cancer cells cause major problems for the immune system. Moreover, many adaptations to past ecologies have actually turned into risk factors for somatic disease and psychological disorder in our modern worlds (i.e. mismatch), among which epidemics of autoimmune diseases, cardiovascular diseases, diabetes and obesity, as well as several forms of cancer stand out. One could add depression, anxiety, and other psychiatric conditions to the list.The Oxford Handbook of Evolutionary Medicine is a compilation of up-to-date insights into the evolutionary history of ourselves as a species, exploring how and why our evolved design may convey vulnerability to disease. Written in a classic textbook style emphasising physiology and pathophysiology of all major organ systems, the Oxford Handbook of Evolutionary Medicine is valuable reading for students as well as scholars in the fields of medicine, biology, anthropology and psychology.

This book shows how evolutionary theory can be applied in psychotherapy and mental health care. The theory of evolution and its applications in psychology and psychopathology have increasingly informed and shaped mental health sciences. While there are important publications devoted to an evolutionary perspective on psychopathology and psychiatry, surprisingly, there is a paucity of research and books on psychotherapy. This volume intends to fill this gap by showing how evolution-derived concepts can be applied in clinical psychotherapy.Recent advances in mental health care have highlighted the need to reform approaches to conceptualise and treat mental disorders. The ongoing debate about conceptual issues in psychopathology and psychiatry, which is partly reflected in expert discussions preceding the publication of the latest editions of the Diagnostic Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD), has emphasised some of the shortcomings of contemporary approaches, without offering fully shared solutions. Clearly, there is a need for an integrative framework that does justice to research and practice, as well as diagnostic and clinical models of psychopathological conditions. The aim of this book is to show why and how applications of evolutionary theory to mental health can facilitate this integrative process. More specifically, the book aims to offer a unified framework to the understanding of the evolution of the human mind and give more weight to the meaning of psychological processes and behavioural dispositions, which eventually may become maladaptive to the point of generating what we define as psychopathology.The book is divided into three sections. The first section presents the basic knowledge of evolutionary theory and its applications in psychopathology. The second section reviews different and specific applications of evolutionary theory in psychotherapy. The third section delves into specific topics related to psychotherapy from an evolutionary perspective.