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Evolutionary perspectives on neurodevelopmental disorders

Reiss, Michael; Swanepoel, Annie; Launer, John; Music, Graham; Wren, Bernadette; (2022) Evolutionary perspectives on neurodevelopmental disorders. In: Abed, Riadh and St John-Smith, Paul, (eds.) Evolutionary Psychiatry: Current Perspectives on Evolution and Mental Health. (pp. 228-243). Cambridge University Press: Cambridge, UK. Green open access

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Abstract

We discuss evolutionary perspectives on two neurodevelopmental disorders: attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Both have a genetic background, and we explore why these genes may have survived the process of natural selection. We draw on the concept of evolutionary mismatch, in which a trait that may have conferred advantages in the past can become disadvantageous when the environment changes. We also describe the non-genetic influences on these conditions. We point out that children with neurodevelopmental conditions are more likely to suffer maltreatment, so it is important to consider both the genes and the environment in which children have grown up. In hunter-gatherer societies, ADHD may have favoured risk-taking, which may explain why it has survived. The contemporary model of schooling, in which children are expected to sit still for many hours a day, does not favour this. Understanding ADHD in terms of an evolutionary mismatch therefore raises ethical issues regarding both medication and the school environment. ASDs are far more heterogeneous and are characterised by high heritability and low reproductive success. At the severe end of the spectrum, ASD is highly disadvantageous and often co-occurs with intellectual disability. On the other hand, high-functioning ASD may have been adaptive in our evolutionary past in terms of the potential for the development of specialist skills and can still be so today in the right environment.

Type: Book chapter
Title: Evolutionary perspectives on neurodevelopmental disorders
ISBN: 1316516563
ISBN-13: 9781316516560
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/9781009030564.017
Publisher version: https://doi.org/10.1017/9781009030564.017
Language: English
Keywords: ADHD, autism spectrum disorders, evolutionary mismatch, evolutionary perspectives, neurodevelopmental disorders
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Curriculum, Pedagogy and Assessment
URI: https://discovery.ucl.ac.uk/id/eprint/10162256
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