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Yıl:2004; Cilt: 3; Sayı: 1>> Özet
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Birinci Basamak İçin Psikiyatri; 2004;3(1):33-44
Evrimsel Psikiyatri: Psikiyatride Yeni Bir yaklaşım-I
MK Doksat
İstanbul Üniversitesi, İstanbul
Amaç: Yeni bir bilimsel disiplin olan evrimsel psikiyatrinin tanıtılması amaçlanmıştır. Yöntem: Konuyla ilgili literatür taranmış, tartışma ve tanıtlar (argümanlar) özetlenmiştir.
Bulgular: Homo sapiens sapiensin, yâni modern insanın biyolojik bir evrim sonucunda ortaya çıktığı ve bunu da kültürel bir evrimin takip ettiği günümüzde bilimsel kabul görmektedir. Kültürel evrimin biyolojik evrimin önüne geçtiği tek canlı türü biziz, tik memelilerden üst primatlara kadar çeşitli davranış örüntülerinin benzerlik arz ettiği ve türün evrimsel ıskaladaki yeri yükseldikçe, daha karmaşıklaştığı da bilinmektedir. Canlı ne kadar basitse davranışlarının o kadar içgüdüsel ve stereotipik, ne kadar evrimleşmişse o kadar öğrenmeye dayalı olduğu gözlemi için de geçerlidir. Bütün canlılarda ortak olarak bulunan temel içgüdüsel dürtüler olan cinsellik ve saldırganlık insanlarda da vardır. Hayvanlarda toplumsal kabule veya dışlanmaya sebep olan pek çok davranış insanlarda da benzer sonuçlar verir.
Tartıjma: Evrimsel perspektifle, kapsamlı sıhhat, kaynak tutucu potansiyel, bağlılık, karşılıklı özgecilik gibi alışılagelmişin dışında kavramlarla olaylara yeni perspektifle bakmak mümkün olabilmektedir. Bu da, spekülatif temellere dayalı pek çok ekolün insan
davranışlarını anlamamızdaki getirilerini ve eksikliklerini bir çatı altında toplayabilecek bir model gibi görünmektedir.
Sonuç: Nispeten yeni bir bilimsel disiplin olan evrimsel psikiyatri, akıl sağlığı ve hastalığı, dolayısıyla da normal ve anormal davranış kavramlarına yeni açılımlar getirmektedir. Bu da, kaçınılmaz olarak, "ayıp", "günah" ve "suç" gibi temel toplumsal yargıların yeniden gözden geçirilmesi için bir çerçeve açmaktadır. Bu makalede, evrimsel psikiyatrinin bâzı temel kavramları gözden geçirilmiştir.

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