Showing posts with label depression. Show all posts
Showing posts with label depression. Show all posts

Saturday, February 27, 2010

Pop Ev Psych goes off the rails on depression

The idea that clinical depression was evolutionarily selected for is why many real evolutionary biologists laugh at something like this as a classical "Just So Story."

It's caveated, has little real explanatory power, doesn't allow for alternative explanations, doesn't well explain away counterexamples and is generally weak.

Beyond that, Andy Thomson and Paul Andrews undercut their own theory, and at a grade-school level.

In response to criticism, they admit that, in essence, "We don't know what depression is."

Well, if you don't know what a trait is, how can you even claim it's selected for, in the first place? You've just said you don't know what it is, so you don't know what is being selected for.

Duh.

And, of course, given the present (but growing) state of cognitive science and neuroscience, this is the case about ev psych, or rather, Pop Ev Psych, claims about just about any mental or emotional state.

Meanwhile, on his blog, Jonah Lerner, the author of the NYT Mag story, actually defends the general line of thinking of Thomson/Andrews, though in the story, he was good enough to marshal plenty of opponents of their claims.

Thursday, December 10, 2009

Anti-depressants beat CBT on personality help

I'm not a fan or touter of Big Pharma, nor do I denigrate talk therapy.

But, it seems that SSRI antidepressants are better than cognitive therapy in lowering neuroticism and raising extraversion in depressed people. CBT helps make changes there, too, but the changes are neither as profound nor as lasting as with medication.

Tuesday, June 16, 2009

Single gene-depression link refuted

The original 2003 study claiming a single gene had a lot of responsibility for depression has been iffy for some time, now, but further research says it definitely doesn’t hold up to scrutiny.

On the “popular front” level, what does this mean?

Well, several popular Americanisms (some of them not just pop-level but held by a certain segment of scientists) get the kibosh.

1. A hypermechanistic, technological view of medicine, with quick fixes either here today or just around the corner.
2. Something that’s already been on the ropes over other issues, the one-gene, one-behavior theory, gets another good, swift kick. (That’s at the scientific as well as pop level.)
3. A simplistic view of life in general held by most Americans hand in hand with American exceptionalism. There are no easy solutions to most mental health issues, and, perhaps that’s why, in the U.S., depression is on the rise.

Sunday, February 22, 2009

Seeking entry to Middle-Earth

My senior year in high school, I was surely battling some unrecognized depression. My dad was in graduate school; his divinity school had those “mushroom lights” around most of the sidewalks on campus.

Anyway, I had already read “Lord of the Rings” once, and was re-reading it. It prompted me to try to call out to Earendil one night while walking by the mushroom lights, as described by this extended-haiku poem.

A ELBERETH GITHONIEL

Earendil, hear;
A Elbereth Githoniel;
Elrond, set me free.

So said a young teen,
Depressed and seeking escape —
Frodo’s Middle Earth.

But nothing happened;
No transmogrification;
Mushroom lights stayed fixed.

Homeward back I trudged
Depressed and distressed yet more
With no one to hear.

Is this all Fourth Age?
Elbereth availed me not —
I still lack magic.

Tuesday, March 04, 2008

Science journalists get depression wrong by dissing SSRIs

A set of psychology researchers say that media use of “chemical imbalance” to describe depression is scientifically inaccurate.
However, the researchers then have to follow up on the overhyped recent Public Library of Science report and claim, as does the author of the World Science story, that modern anti-depressants really don’t work:
The drugs, known as Selective Serotonin Reuptake Inhibitors or SSRIs, recently turned out to be largely ineffective.

Boy, that’s wrong in several ways. First, the PLoS story only claimed that antidepressants were relatively ineffective in mild or moderate depression, not all depressions.

Second, the PLoS authors overstated their case. From the study:
On average, the SSRIs improved the HRSD score of patients by 1.8 points more than the placebo, whereas NICE has defined a significant clinical benefit for antidepressants as a drug–placebo difference in the improvement of the HRSD score of 3 points.

That may not be great effectiveness, but it’s nowhere near “largely ineffective.” And, since milder depressions are usually likely to ring up lower diagnostic scores, the numeric steps of improvement, by HRSD scores, that provide relief, will be lesser anyway.

So, perhaps science journalists aren’t so great about writing about depression, either.

Journalists get depression wrong with ‘chemical imbalance’ meme

No, I still don’t believe memes exist, at least not in a strong sense, but the word is a handy catch-all. Anyway, that’s besides the point.

A set of psychology researchers say that media use of “chemical imbalance” to describe depression is scientifically inaccurate. Rightly, they note that the idea comes from classical Greece’s concept of the four “humors” in the body.