The bipolar disorder pendulum: Depression as a compensatory adaptation

As far as explaining natural phenomena, Darwin was one of the best theoretical researchers of all time. Yet, there were a few phenomena that puzzled him for many years. One was the evolution of survival-impairing traits such as the peacock’s train, the large and brightly colored tail appendage observed in males.

Tha male peacock’s train is detrimental to the animal’s survival, and yet it is clearly an evolved trait ().

This type of trait is known as a “costly” trait – a trait that enhances biological fitness (or reproductive success, not to be confused with “gym fitness”), and yet is detrimental to the survival of the individuals who possess it (). Many costly traits have evolved in animals because of sexual selection. That is, they have evolved because they are sexy.

Costly traits seem like a contradiction in terms, but the mechanisms by which they can evolve become clear when evolution is modeled mathematically (, ). There is evidence that mental disorders may have evolved as costs of attractive mental traits (); one in particular, bipolar disorder (a.k.a. manic-depression), fits this hypothesis quite well.

Ironically, a key contributor to the mathematics used to understand costly traits, George R. Price (), might have suffered from severe bipolar disorder. Most of Price’s work in evolutionary biology was done in the 1970s; toward the end of his life, which was untimely ended by Price himself. For many years he was known mostly by evolutionary biologists, but this has changed recently with the publication of Oren Harman’s superb biographical book titled “The Price of Altruism: George Price and the Search for the Origins of Kindness” ().

Bipolar disorder is a condition characterized by disruptive mood swings. These swings are between manic and depressed states, and are analogous to the movement of a pendulum in that they alternate, seemingly gravitating around the "normal" state. See the figurative pendulum representation below, adapted from a drawing on Thinkquest.org.

Bipolar disorder is generally associated with creative intelligence, which is a very attractive trait (). Moreover, the manic state of the disorder is associated with hypersexuality and exaggerated generosity (). So one can clearly see how having bipolar disorder may lead to greater reproductive success, even as it creates long-term survival problems.

On one hand, a person may become very energetic and creative while in the manic state. This could be one of the reasons why many who suffer from bipolar disorder have fairly successful careers in fields that require creative intelligence (), which are many and not restricted to fields related to the fine and performing arts. Creative intelligence is highly valued in most knowledge-intensive professions ().

On the other hand, sustained acute mania or depression are frequently associated with serious health problems (). This is why the clinical treatment of bipolar disorder often starts with an attempt to keep the pendulum from moving too far in one direction or another. This may require medication, such as clinical doses of the elemental salt lithium, prior to cognitive behavioral therapy. The focus of cognitive behavioral therapy is on changing the way one sees and thinks about the world, particularly one’s “social world”.

Prolonged acute mania, usually accompanied by severely impaired sleep, may lead to psychosis. This, psychosis, is an extreme state characterized by hallucinations and/or delusions, leading to hospitalization in most cases. It has been theorized that depression is an involuntary compensatory adaptation () aimed at moving the pendulum in the other direction, out of the manic state, before more damage ensues ().

Elaborate approaches have been devised to treat and manage bipolar disorder treatment that involve the identification of mania and depression “prodromes” (), which are signs that a full-blown manic or depressive episode is about to start. Once prodromes are identified, cognitive behavioral therapy techniques are employed to prevent the pendulum from moving further in one direction or the other. The main goal of these techniques is to change one’s way of thinking about various issues (e.g., fears, pessimism). These techniques take years of practice to be used effectively.

Identification of prodromes and subsequent use of cognitive behavioral therapy seems to be particularly effective when dutifully applied with respect to manic episodes (). The reason for this may be related to one interesting fact related to bipolar disorder: manic episodes are not normally dreaded as much as depression episodes.

In fact, many sufferers avoid taking medication because they do not want to give up the creative and energetic bursts that come with manic episodes, even though they absolutely do not want the pendulum to go in the other direction. The problem is that, if depression is indeed a compensatory adaptation to mania, it seems reasonable to assume that extreme manic episodes are likely to be followed by extreme episodes of depression. Perhaps the key to avoid prolonged acute depression is to avoid prolonged acute mania.

As someone with bipolar disorder becomes more and more excited with novel and racing thoughts (a prodrome of mania), it would probably make sense to identify and carry out calming activities – to avoid a fall into despairing depression afterwards.

Certain mental disorders may have evolved as costs of attractive mental traits

I find costly traits fascinating, even though they pose a serious challenge to the notion that living as we evolved to live is a good thing. It is not that they always deny this notion; sometimes they do not, but add interesting and somewhat odd twists to it.

Costly traits have evolved in many species (e.g., the male peacock’s train) because they maximize reproductive success, even though they are survival handicaps. Many of these traits have evolved through nature’s great venture capitalist – sexual selection.

(Source: Vangoghart.org)

Certain harmful mental disorders in humans, such as schizophrenia and manic–depression, are often seen as puzzles from an evolutionary perspective. The heritability of those mental disorders and their frequency in the population at various levels of severity suggests that they may have been evolved through selection, yet they often significantly decrease the survival prospects of those afflicted by them (Keller & Miller, 2006; Nesse & Williams, 1994).

The question often asked is why have they evolved at all? Should not they have been eliminated, instead of maintained, by selective forces? It seems that the most straightforward explanation for the existence of certain mental disorders is that they have co-evolved as costs of attractive mental traits. Not all mental disorders, however, can be explained in this way.

The telltale signs of a mental disorder that is likely to be a cost associated with a trait used in mate choice are: (a) many of the individuals afflicted are also found to have an attractive mental trait; and (b) the mental trait in question is comparatively more attractive than other mental traits that have no apparent survival costs associated with them.

The broad category of mental disorders generally referred to as schizophrenia is a good candidate in this respect because:
    - Its incidence in human males is significantly correlated with creative intelligence, the type of intelligence generally displayed by successful artists, which is an attractive mental trait (Miller & Tal, 2007; Nettle, 2006b).
    - Creative intelligence is considered to be one of the most attractive mental traits in human males, to the point of females at the peak of their fertility cycles finding creative but poor males significantly more attractive than uncreative but wealthy ones (Haselton & Miller, 2006).

The same generally applies to manic–depression, and a few other related mental disorders.

By the way, creative intelligence is also strongly associated with openness, one of the "big five" personality traits. And, both creative intelligence and mental disorders are seen in men and women. This is so even though it is most likely that selection pressure for creative intelligence was primarily exerted by ancestral women on men, not ancestral men on women.

Crespi (2006), in a response to a thorough and provocative argument by Keller & Miller (2006) regarding the evolutionary bases of mental disorders, makes a point that is similar to the one made above (see, also, Nettle, 2006), and also notes that schizophrenia has a less debilitating effect on human females than males.

Ancestral human females, due to their preference for males showing high levels of creative intelligence, might have also selected a co-evolved cost that affects not only males but also the females themselves though gene correlation between the sexes (Gillespie, 2004; Maynard Smith, 1998).

There is another reason why ancestral women might have possessed certain traits that they selected for in ancestral men. Like anything that involves intelligence in humans, the sex applying selection pressure (i.e., female) must be just as intelligent as (if not more than) the sex to which selection pressure is applied (i.e., males). Peahens do not have to have big and brightly colored trains to select male peacocks that have them. That is not so with anything that involves intelligence (in any of its many forms, like creative and interpersonal intelligence), because intelligence must be recognized through communication and behavior, which itself requires intelligence.

Other traits that differentiate females from males may account for differences in the actual survival cost of schizophrenia in females and males. For example, males show a greater propensity toward risk-taking than females (Buss, 1999; Miller, 2000), and schizophrenia may positively moderate the negative relationship between risk-taking propensity and survival success.

Why were some of our ancestors in the Stone Age artists, creating elaborate cave paintings, sculptures, and other art forms? Maybe because a combination of genetic mutations and environmental factors made it a sexy thing to do from around 50,000 years ago or so, even though the underlying reason why the ancestral artists produced art may also have increased the chances that some of them suffered from mental disorders.

A heritable trait possessed by males and perceived as very sexy by females has a very good chance of evolving in any population. That is so even if the trait causes the males who possess it to die much earlier than other males. In the human species, a male can father literally hundreds of children in just a few years. Unlike men, women tend to be very selective of their sexual partners, which does not mean that they cannot all select the same partner (Buss, 1999).

So, if this is true, what is the practical value of knowing it?

It seems reasonable to believe that knowing the likely source of a strange and unpleasant view of the world is, in and of itself, therapeutic. A real danger, it seems, is in seeing the world in a strange and unpleasant way (e.g., as a schizophrenic may see it), and not knowing that the distorted view is caused by an underlying reason. The stress coming from this lack of knowledge may compound the problem; the symptoms of mental disorders are often enhanced by stress.

As one seeks professional help, it may also be comforting to know that something that is actually very good, like creative intelligence, may come together with the bad stuff.

Finally, is it possible that our modern diets and lifestyles significantly exacerbate the problem? The answer is "yes", and this is a theme that has been explored many times before by Emily Deans. (See also this post, by Emily, on the connection between mental disorders and creativity.)

Reference
(All cited references are listed in the article below. If you like mathematics, this article is for you.)

Kock, N. (2011). A mathematical analysis of the evolution of human mate choice traits: Implications for evolutionary psychologists. Journal of Evolutionary Psychology, 9(3), 219-247.

The evolution of costly traits: Competing for women can be unhealthy for men

There are human traits that evolved in spite of being survival handicaps. These counterintuitive traits are often called costly traits, or Zahavian traits (in animal signaling contexts), in honor of the evolutionary biologist Amotz Zahavi (Zahavi & Zahavi, 1997). I have written a post about this type of traits, and also an academic article (Kock, 2009). The full references and links to these publications are at the end of this post.

The classic example of costly trait is the peacock’s train, which is used by males to signal health to females. (Figure below from: animals.howstuffworks.com.) The male peacock’s train (often incorrectly called “tail”) is a costly trait because it impairs the ability of a male to flee predators. It decreases a male’s survival success, even though it has a positive net effect on the male’s reproductive success (i.e., the number of offspring it generates). It is used in sexual selection; the females find big and brightly colored trains with many eye spots "sexy".

So costly traits exist in many species, including the human species, but we have not identified them all yet. The implication for human diet and lifestyle choices is that our ancestors might have evolved some habits that are bad for human survival, and moved away from others that are good for survival. And I am not only talking about survival among modern humans; I am talking about survival among our human ancestors too.

The simple reason for the existence of costly traits in humans is that evolution tends to maximize reproductive success, not survival, and that applies to all species. (Inclusive fitness theory goes a step further, placing the gene at the center of the selection process, but this is a topic for another post.) If that were not the case, rodent species, as well as other species that specialize in fast reproduction within relatively short life spans, would never have evolved.

Here is an interesting piece of news about research done at the University of Michigan. (I have met the lead researcher, Dan Kruger, a couple of times at HBES conferences. My impression is that his research is solid.) The research illustrates the evolution of costly traits, from a different angle. The researchers argue, based on the results of their investigation, that competing for a woman’s attention is generally bad for a man’s health!

Very romantic ...

References:

Kock, N. (2009). The evolution of costly traits through selection and the importance of oral speech in e-collaboration. Electronic Markets, 19(4), 221-232.

Zahavi, A. & Zahavi, A. (1997). The Handicap Principle: A missing piece of Darwin’s puzzle. Oxford, England: Oxford University Press.

The evolution of costly traits: A challenge to a strict paleo diet orientation

The fundamental principle of the paleo diet movement is that we should model our diet on the diet of our ancestors. In other words, for optimal health, our diet should be as close to the diet of our ancestors as possible. Following this principle generally makes sense, but there are a number of problems with trying to follow it too strictly.

Some of those problems will have to wait for other posts. Examples are: our limited knowledge about what our ancestors really ate (some say: lean meat; others say: fatty meat); the fact that evolution can happen fast under certain circumstances (a few thousand years, not millions of years, thus recent and divergent adaptations are a possibility); the fact that among our ancestors some, like Homo erectus, were big meat eaters, but others, like Australopithecus afarensis, were vegetarians … Just to name a few problems.

The focus of this post is on traits that evolved in spite of being survival handicaps. These counterintuitive traits are often called costly traits, or Zahavian traits (in animal signalling contexts), in honor of the evolutionary biologist Amotz Zahavi (Zahavi & Zahavi, 1997). The implication for dieting is that our ancestors might have evolved some eating habits that are bad for human survival, and moved away from others that are good for survival. And I am not only talking about survival among modern humans; I am talking about survival among our human ancestors too.

Here is the most interesting aspect of these types of traits. Our ancestors may have acquired them through genetic mutation and selection (as opposed to genetic drift, which may lead some traits to evolve by chance). That is, they emerged not in spite, but because of evolutionary pressures.

The simple reason is that evolution maximizes reproductive success, not survival. If that were not the case, mice species, as well as other species that specialize in fast reproduction within relatively short lifespans, would never have evolved.

In fact, excessive longevity is akin to quasi-cloning through asexual reproduction, from an evolutionary perspective. It is bad because species need genetic diversity to exist in a constantly changing environment, and genetic diversity is significantly increased by sexual reproduction; the more, the better. Without plenty of death to match that, overpopulation would ensue.

Death is one of evolution’s main allies.

Genes code for the expression of phenotypic traits, such as behavioral (e.g., aggressiveness) and morphological (e.g., opposing thumbs) traits. Costly traits are phenotypic traits that evolved in spite of imposing a fitness cost, often in the form of a survival handicap.

In non-human animals, the classic example of costly trait is the peacock’s train, used by males to signal good health to females. This trait is usually referred to, wrongly, as the male peacock’s tail. Both males and females have tails, but only the males have the large trains, which are actually tail appendages.

What about humans?

One example is the evolution of testosterone markers in human males. Testosterone markers (facial masculinity) have been hypothesized to be handicaps evolved in part by human males to signal to females that they are healthy, essentially because testosterone suppresses the immune system. This apparently bizarre idea is known as the immunocompetence-handicap hypothesis (Rhodes et al., 2003).

This idea will sound bizarre to some, because of the notion that testosterone helps build muscle mass (which it does, together with other hormones, such as insulin), and arguably muscle mass helped our ancestors hunt and fight off predators. Yet, consider the following questions: If muscularity was so useful for hunting and fighting, why are humans so weak compared with other animals of similar size? Why are not females as muscular as males? Why is it so hard to gain muscle mass, compared to fat mass?

Another example is the evolution of oral speech in humans. The evolution of oral speech is one of the most important landmarks in the evolution of the human species, having happened relatively recently in our evolutionary history. However, the new larynx design required for oral speech also significantly increased our ancestors’ chances of death by choking during ingestion of food and liquids, and of suffering from various aerodigestive tract diseases such as gastroesophageal reflux, among other survival-related problems.

Yet, oral speech evolved because it enhanced overall reproductive success, in part by enabling knowledge communication (Kock, 2009), and also due to sexual selection (Miller, 2000). As Miller put it in his book The Mating Mind, ancestral women could gauge a man’s overall health by his ability to speak intelligently, in addition to other traits, such as testosterone markers.

Most of the sexual selection pressure during human evolution was placed by females on males, not the other way around. Ancestral women were more selective than men about who they had sex with; so are modern women, Sex and the City notwithstanding.

Now let us look at the connection with strict paleo dieting.

Paleo man may have consumed certain types of food to help with his testosterone handicap, increasing his reproductive success. As far as evolution is concerned, this is fine – the genes are selfish, and could not care less about the host (Burt & Trivers, 2006; Dawkins, 1990). The guy will mate, but will not live as long as he would like, past reproductive age. Given this possibility, does eating exactly like paleo man make sense for a 50 year old married male today? That is where too much of a focus on a paleo diet may be a problem.

Of course "paleo man" is really a metaphor. There was no "one" paleo man. There are at least three hominid species in the Paleolithic period that differed significantly from each other: Homo sapiens, Homo erectus, and Homo habilis. If you go back in time a little further, we encounter other hominid species, such Australopithecus afarensis and Australopithecus africanus, who were mostly, if not strictly, vegetarians.

Evolution is very useful as a unifying principle to help us understand what is healthy today and what is not. But it cannot completely replace empirical research on nutrition. Some of that research will undoubtedly uncover nutrition habits that increase longevity and improve health today, even though they were not practiced by our paleo ancestors.

We know that highly refined carbs (e.g., white bread with no fiber) and sugars (e.g., table sugar) are too recent an addition to the human diet for us to have evolved to use them optimally for nutrition. So their association with the metabolic syndrome makes sense, from an evolutionary perspective. But there are very gray areas where paleo nutrition speculations cannot tell us much, and what they tell us may be misleading.

References:

Burt, A. & Trivers, R. (2006). Genes in conflict: The biology of selfish genetic elements. Cambridge, MA: Harvard University Press.

Dawkins, R. (1990). The selfish gene. Oxford, UK: Oxford University Press.

Kock, N. (2009). The evolution of costly traits through selection and the importance of oral speech in e-collaboration. Electronic Markets, 19(4), 221-232.

Miller, G.F. (2000). The mating mind: How sexual choice shaped the evolution of human nature. New York, NY: Doubleday.

Rhodes, G., Chan, J., Zebrowitz, L.A., & Simmons, L.W. (2003). Does sexual dimorphism in human faces signal health? Proceedings of the Royal Society of London: Biology Letters, 270(S1), S93-S95.

Zahavi, A. & Zahavi, A. (1997). The Handicap Principle: A missing piece of Darwin’s puzzle. Oxford, England: Oxford University Press.