>
Canadian Psychiatric Association

Editorial Credits/ Crédits éditorials

Subscription Rates /Prix d'abonnements

Advertising Rates / Tarifs publicitaires

Editorial
Mood Disorders—New Definitions, New Treament Directions
Paul Grof
PDF

In Review
"Cade's Disease" and Beyond: Misdiagnosis, Antidepressant Use, and a Proposed Definition for Bipolar Spectrum Disorder
S Nassir Ghaemi, James Y Ko, Frederick K Goodwin
PDF

The Neurobiology of Bipolar Disorder: Focus on Signal Transduction Pathways and the Regulation of Gene Expression
Yarema Bezchlibnyk, L Trevor Young

PDF

Original Research
Major Depression and Its Association With Long-Term Medical Conditions

Lisa M Gagnon, Scott B Patten

PDF

Seasonal Affective Disorders: Relevance of Icelandic and Icelandic-Canadian Evidence to Etiologic Hypotheses
Jóhann Axelsson, Jón G Stefànsson, Andrés Magnússon, Helgi Sigvaldason, Mikael M Karlsson

PDF

Canadian Psychiatric Inpatient Religious Commitment: An Association With Mental Health
Marilyn Baetz, David B Larson, Gene Marcoux, Rudy Bowen, Ron Griffin

PDF

The Moderating Effects of Coping Strategies on Major Depression in the General Population
JianLi Wang, Scott B Patten

PDF

Antidepressant Side Effects in Depression Patients Treated in A Naturalistic Setting: A Study of Bupropion, Moclobemide, Paroxetine, Sertraline, and Venlafaxine
JD Vanderkooy, Sidney H Kennedy, R Michael Bagby

PDF

Treatment Delays for Involuntary Psychiatric Patients Associated With Reviews of Treatment Capacity
Michelle Kelly, Sandra Dunbar, John E Gray, Richard L O'Reilly

PDF

Book Reviews
PDF

Books Received

Letters to the Editor
PDF

Book Reviews

Mood Disorders

Emotions, the Science of Sentiment, Dylan Evans, Oxford University Press; 2001. 220 p. CAN$27.50.


Reviewer Rating:
Review by Paul Grof, MD, FRCPC, PhD
Ottawa, Ontario


Psychiatrists, like the rest of the world, have been accustomed to the idea that reason and emotion are 2 separate and opposite functions. During the past 10 years, the barriers between these functions have been breaking down gradually. Perhaps the most visible symptom of this change has been cognitive psychotherapy, which was developed on a rather novel assumption that thinking can significantly alter abnormal feelings. The arguments for a more integrated functioning of “the head and the heart” have since been steadily growing. Antonio Damasio, whose books have been reviewed earlier in this journal, has best articulated the support for integration from the neuroscience side. Dylan Evans summarizes some of the psychological and anthropological support in a popular version.

The book is a useful introduction to what is taking place in psychological thinking and research on emotions. Reminiscent of ideas from the enlightenment and romanticism ages, the emotions are back as one of the central processes, and Evans provides a nice, lean, and rich survey that both enlightens and surprises. His small-looking book is often a surprisingly large account of an aspect of our mental activity that has often been neglected. Evans argues for a return to the view that was favoured a couple of centuries ago—the view of emotions as reason’s ally, not its enemy. He wants the readers to achieve this by learning about the recent scientific advances in our understanding of emotions.

Written in an introductory manner, the book touches on the issues that have recently become important again—issues such as the origins of emotions, how far they can be controlled, and why they are important to us. Evans makes a strong case for the idea that human emotion embodies a socially adjusted wisdom that is of equal value to—and sometimes even deeper and broader than—conscious rationality.

Some of the questions about the emotions are intriguing indeed: Was the emotion of love invented by European poets in the Middle Ages, or is it part of human nature? Is it possible to build robots that have feelings? Would there be adverse consequences of such technologies? Will winning the lottery really make you happy?

While the book was probably meant primarily for a popular audience, it will interest psychiatrists because of the tremendous emphasis on mood in recent psychiatry. For much of the 20th century, research in emotions was confined to a few psychologists; emotion and moods have now become hot topics in several other disciplines.

While most of the quoted material is of experimental psychological nature, he also draws on a wide range of research from anthropology, artificial intelligence and, at times, neuroscience. Evans’ examples from belles-lettres are particularly appealing.

Drawing on anthropological and psychological research, Evans concludes that basic emotions are our common heritage, a universal language. While there are some cultural differences in expressing emotions, the differences between emotional experiences around the world are minor when compared with the similarities. He describes at length “the technologies of mood,” ranging from psychotherapy and art to drugs and meditation and promising to provide us with shortcuts to positive emotions and happiness. He discusses the dangers that have troubled some of the attempts to circumvent the more reliable paths to happiness.

In a separate chapter, Evans explains how emotions affect memory, attention, and perception. He describes how this impact enables those with technologies exploiting emotions to abuse this relation, for example, advertisers and politicians. The last chapter deals with questions raised about emotions in the field of artificial intelligence. Evans appreciates that a solid theory of emotions is still beyond our grasp.

The book is well-written, interesting, imaginative, and entertaining. The simplification has gone a bit too far in neuroanatomy and neurochemistry, and for my taste, the emphasis on evolutionary benefits of having emotions is somewhat overdone. But these points do not detract from the value of this book. The basic argument about an integral interconnectedness of “the reason and the passions” is very timely. The sections that discuss further reading and source material are excellent and valuable. The book is a stimulating contribution to the current rethinking of our basic concepts.

Excellent   Good/    Fair/
Not recommended/
bon passable pas recommendé