To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This chapter highlights research needs and opportunities in the area of health and population movements. Research is under way to assess the present health status of this migrant population and the health impact of these settlements on the new agricultural environment. The main objective of the recommended research studies is to assist in the planning and implementation of health programmes, either for primary health care or for disease control. Research projects need to be theoretically sound and, at the same time, practical in orientation, so as to yield results that can be easily incorporated into health and development programmes. An important area of research is systematic study of the relationship of short-term circulation patterns to the transmission of AIDS, with variables such as age, sex, neighbourhood, clan, class, income, and occupation being used to stratify the samples.
Mental disorders are not only very much more common in health care settings than in random samples of the population but also that they are frequently unrecognized by medical professionals. Patients who have mental illnesses that are not detected by their doctors have been termed the hidden psychiatric morbidity of general medical practice. Since mentally disordered people can become physically ill for the same reasons as mentally healthy people, we should expect to find some patients in general medical settings with two unrelated illnesses, and this certainly does happen. Somatization has been succinctly defined as the expression of personal and social distress in an idiom of bodily complaints for which medical help is sought. There is enormous variation among individual physicians both in their ability to detect mental illness and in the kind of treatment they give patients with particular disorders.
In North America, on the basis of data drawn mostly from the United States, the age range for adolescence is often put at ages 10-20 years; most of the data from Latin American nations report on ages 15-19 years. There is a pressing need for epidemiologic research on health/mental health problems of adolescents, particularly in the developing nations. Improving adolescent health and reducing adult morbidity and mortality can be achieved by greater understanding of effective ways to change adolescents' behaviour toward promoting health and preventing disease. Although adolescent pregnancy is not new to Latin America, only in the recent past has it emerged as a major concern of health personnel and policymakers. The use of tobacco and alcohol is an example of behaviour that is widely prohibited to adolescents, but socially acceptable and legal for adults. In the United States much of the drug education has been ineffective or counterproductive.
Food habits formed under particular social and economic conditions, and entirely adequate to those conditions, may be carried by individuals and groups into other settings where they may be unsuitable and even harmful to health. Human behaviour as it relates to food embraces a complex of culinary activities and patterns of consumption resulting from the interaction of ecological, economic, technological, and social factors. This chapter deals with the cultural definition and classification of foods, traditional beliefs and practices as they affect nutrition and health. It also presents the symbolic roles of food that contribute to the integration of social and political units, of nations, communities, and families. Food habits are both changeable and conservative, as they are based on deeply rooted cultural traditions. In suggesting alternatives to existing practices, one must carefully consider, in advance, the costs involved and the means of attaining the desired change.
Health problems and health practices within a community can be considered functions of the prevailing ecological conditions, which include cultural, social, and economic factors. It is significant that the introduction of Western medicine sets very complex interactions in motion in a developing country. Numerous instances of adoption of the healing practices of qualified or nonqualified practitioners of the different indigenous systems of medicine, of homeopathy, or of other, nonprofessional healers were observed in the village study. Changes in the approaches of the World Health Organization (WHO) to the health services development of its Member States during the past three decades and a half reflect changes particularly in developing countries. Western medicine is grafted onto cultural conditions in which it is essentially an alien element; it sets in motion complex interactions with the pre-existing health culture.
In the preservation of mental health, supportive social networks such as family, neighbours, and friends enjoy increasing importance. There are considerable quantitative differences in the structures of social networks of the population in general and those of persons suffering from mental disorders. Among the various benefits of membership in a social group, the social support and emotional ties it affords is of special importance for coping with stressful life events and the preservation of mental health. The few studies conducted far among elderly people have focused on the effects of the loss of close relatives. Especially in countries and areas with inadequate professional health services, lay referral systems play an important role in the counselling, care, and nursing of the sick. The influence social networks have on the decision to consult medical services suffices to illustrate their importance as normative reference groups.
Though poverty, malnutrition, and disease are responsible for developmental deficiences in many of the world's children, the psychological environment also plays an important role, and is often more manageable than the major physical problems. Though variations in behaviour due to the environment may be primarily a function of the microsystem, the influences of that system are themselves shaped by higher-level factors within the system. Across a variety of cultures, urbanization and industrialization have been implicated as causing a reduction in family interactions, increased intergenerational conflict, and inadequate socialization of children. Parental values and direct parental interaction have been noted to be important for the cognitive development of school-age children and adolescents. Our ultimate goal must be to utilize our knowledge to devise comprehensive programmes for developing maximal competence in children across a wide range of dimensions.
The heaviest burden of illness today is related to individual and group behaviour. Numerous other behaviours are also highly relevant to health and disease, both mental and physical, of the individual and those around him (for example violence and suicide). Cigarette-smoking is the single most important environmental factor contributing to early death in the more developed countries. In developing countries, as in developed ones, health and behaviour are indivisible. An important precursor for an expanded research programme is a systematic assessment of the burden of illness that is attributable to psychosocial factors. This chapter presents the editors' comments on the following three topics: the social context of health, the development of children and adolescents, and mental health in general health care. Involving general health services may not be enough: even if they are fully involved, much remains undone, as the experience of developed countries has demonstrated.
Another error is an impatience of doubt, and haste to assert without due and mature suspension of doubt…
If a man will begin with certainties, he shall end in doubts; but if he will be content to begin with doubts he shall end in certainties.
Francis Bacon. Advancement of Learning. I.v.8
What is an emotion?
Each of the previous chapters has provided us with reasons for approaching emotions from a teleonomic perspective and for analysing the control of emotions by biological methods. As I stated at the beginning of this book, I think the data show that biology provides a useful basis for the study of emotion. It enables us to ask the right sort of questions about emotion. I also stated at the outset that the book would not provide a new theory of the emotions. There are two reasons, in this case, why asking the right sort of question does not lead immediately to what could be thought of as the right sort of answer. First, a biological approach should be seen as providing only the foundation for the construction of theories of emotion. (The virtue of biology is that the foundation it provides is a stable one.) There are many aspects of emotion, particularly in humans, which require social/cultural analysis, in addition to biological analysis, for their elucidation.
Er schuf alsbald noch andere Thiere. Erster Fehlgriff Gottes: der Mensch fand die Thiere nicht unterhaltend – er herrschte über sie, er wollte nicht einmal ‘Thier’ sein.
He immediately made further animals. God's first big mistake: Man didn't find animals amusing – he lorded it over them, and didn't even want to be ‘a beast’.
Friedrich Nietzsche: Der Antichrist
From mouse to monkey to man
In the preceding chapters I have discussed emotional processes and behaviour as if statements about one species would be generally true of a variety of species. This was justifiable, in part because we can assume at least some degree of phylogenetic continuity; in part from the fact that the discussion was aimed at elucidating general principles rather than specific ones; and, in part from the fact that many of the conclusions arrived at were of the form ‘X can occur in some cases but does not in others’. The problems of making simple generalisations about emotional processes are considered further in the last chapter.
In Chapter 1, I specifically suggested that general principles would be most easily seen if we avoided the question of whether any specific emotion was in some sense identical in different species. However, this question cannot be avoided indefinitely. Not only does a biological view of emotion lead one to expect large differences between species in emotional behaviour (e.g. the species-specific defence reactions discussed in Chapter 9); but also, unfortunately, the question is politically ‘loaded’.
The impetus for this book came when I was delivering a series of undergraduate lectures on emotion to psychology students at the University of Oxford. I was unable to find what I considered a suitable basic text for the course. The available books consisted almost entirely of presentations of particular theories of emotion. It struck me as strange that any field of science should have such a multiplicity of theories – except for the fact that in many cases different theorists were addressing different data bases. What seemed to me to be lacking, therefore, was a general pretheoretical framework into which all of the relevant data could be fitted.
This book is an attempt to provide such a framework. It does not present a specific theory of emotion, although it might bias one in favour of some theories rather than others. The central idea of the book is that biology and particularly evolution provide the best starting point for the study of emotion. This idea is neither novel, since it is the basis for Darwin's work, nor is it unrepresented in current theorising (see particularly Plutchik's various works). However, I do not think its implications have ever been considered outside the bounds of specific theorising. In particular, I have tried to show that all of the conventional properties of emotion such as expression, feeling, and motivation can be considered in a scientific manner and useful conclusions drawn therefrom.
Your hand, your tongue: look like the innocent flower,
But be the serpent under't.
William Shakespeare: Macbeth
Why do emotions produce expressions?
Common experience suggests that emotional states are reflected in facial and bodily expressions, and that in some cases specific states may result in specific, identifiable, expressions. It would be parsimonious if we could assume that an emotion releases a facial expression (Chapter 2). However, unlike organised skeletal responses or internal physiological change, facial expression has neither a direct physical effect on the external environment nor any obvious function with respect to the internal environment. The main function of expressions can be presumed to be communication (see Chevalier-Skolnikoff, 1973, p.20). Particularly with human beings, therefore, it is possible that expressions would be deliberate rather than reflexive and that the form of an expression could be easily learned rather than being innate (cf. the different gestures used in the various sign languages). How closely particular expressions are linked to particular emotions, the extent to which they are learned, and the extent to which they do in fact convey information, are all important questions.
In the previous chapters we have treated emotions as if their exact form were fixed genetically and only minor variations would occur as a result of differing experience in different individuals. We have also considered emotions for which teleonomy can be largely assessed in terms of the survival of the individual (which is then taken to imply an increased probability of reproductive success). The present chapter departs from both of these approaches. While individual survival is necessary it is not sufficient for positive selection pressure. As has been argued in a particularly elegant form by Dawkins (1978), what is really critical is the survival of the genes which code for any particular phylogenetic characteristic. Such survival is highly dependent in higher organisms on successful parent–infant interactions.
The major emotion associated with such interactions in most people's minds would be love (Note 8.1). However, in addition to this there must be an important contribution to the infant's well-being from the fact that parents will be the main, and usually sole, source of virtually all of its homeostatic needs. We might presume from this that the neonate would be supplied with a variety of innate responses which would tend to elicit appropriate behaviour or sustenance from the parents.