lecture 26 Flashcards
2 different levels of consciousness
- Perceptual (primary): awareness of one’s own sensory perceptions
- Reflective: awareness of being aware of one’s thoughts; attributing mental states to others
Medicine
practice that deals with conflicts, whose main function is to intervene on the side of one of the contenders-the patient
Darwinian Medicine
the hunt for evolutionary explanations of why were are susceptible to disease or discomforts
Categories of evolutionary explanations for disease
novel environments, design compromises, evolutionary legacies, defenses, infection, genes
Novel environments examples
professor that went back in time and was the only one wearing glasses because others didn’t have sight issues associated with close up tasks (reading); human body has only recently adapted to its current environment with lots of high-fat foods; the leading causes of death are now heart disease, cancer, stroke which are different that previous prominent causes of death, these things are killing us because our evolution has not kept up with the rapidly changing environment
Design compromises
we have certain trade offs associated with over-designing any one body system that in turn disrupts the functionality of the organism as a whole
Evolutionary legacies
ancestral design has stuck around even if it doesn’t optimize functioning; ex. we still use the same tube for eating and breathing even though it can lead to choking, the retina is actually strapped on backwards which causes us to have a blind spot
Defenses
Avoidance and repair- when we get injured, the injured region has increased sensitivity which leads us to avoid touching it and allows it to heal better; symptoms such as cough or fever can help get over an infection
Smoke-detector principle
having a severe response to something that actually doesn’t pose a real threat is only a minor inconvenience (allergies), but there are far worse consequences for failing to mount a response if there is a real threat- could result in death
Infection: evolutionary arms race
Red queen hypothesis; human beings are in constant battle with infectious organisms that are constantly being fine-tuned by evolution
Pathogen manipulation
the pathogen manipulates the host’s physiology or behavior to facilitate its spread
Adaptive host response
the host responds to infection in a manner that is beneficial to the host, usually to the detriment of the pathogen
Example of pathogen manipulation: Shigella enteritis
causes symptoms that include diarrhea and vomiting which allows it to maximize its spread because it spreads to others through toilets/sewers
Vector-borne vs. directly transmitted disease
vector-borne diseases are much more likely to bring death to the host; graph shows that infections that have more waterborne outbreaks cause more deaths
toxoplasma gondii: example of altered host behavior
infects mice which are just their intermediate host and changes the behavior of the mice to make them less afraid of predators and more likely to venture out into the open; this behavior change increases the chance that infected mice will be consumed by the parasite’s final host, cats; correlation between uncertainty avoidance (less fearful) and higher infection rate; also correlation between masculine sex roles and prevalence of T. gondii-parasite may be making males more masculine to increase mating and spread of disease