10. Depression: The Challenges of an Integrative, Biopsychosocial Evolutionary Approach

  1. Mick Power
  1. Paul Gilbert

Published Online: 1 AUG 2013

DOI: 10.1002/9781118316153.ch10

The Wiley-Blackwell Handbook of Mood Disorders, Second Edition

The Wiley-Blackwell Handbook of Mood Disorders, Second Edition

How to Cite

Gilbert, P. (2013) Depression: The Challenges of an Integrative, Biopsychosocial Evolutionary Approach, in The Wiley-Blackwell Handbook of Mood Disorders, Second Edition (ed M. Power), John Wiley & Sons Ltd, Chichester, UK. doi: 10.1002/9781118316153.ch10

Author Information

  1. Kingsway Hospital, UK

Publication History

  1. Published Online: 1 AUG 2013
  2. Published Print: 24 JUL 2013

ISBN Information

Print ISBN: 9781119978923

Online ISBN: 9781118316153

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Keywords:

  • affiliation;
  • anhedonia;
  • compassion;
  • depression;
  • defeat;
  • entrapment loneliness;
  • loss;
  • self-criticism;
  • shame

Summary

This chapter explores possible evolutionary contexts and processes that seem to be involved in down regulating positive affect. The chapter explores the evolutionary basis for helplessness, entrapment and defeat, and attachment loss as natural solicitors of low mood and depression. In addition, the interconnectedness of physiological systems such as the immune system and affect regulating systems are discussed. Special attention is given to the role of social relationships as emotion regulators and self-evaluative processes such as shame and self-criticism. Depression is a complex and multifaceted process regulated and influenced by a range of psychological, social physiological processes. Seeking single process based theories and therapies are unlikely to be successful and may explain why treatment and prevention of depression remains problematic.