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The External Medicine Podcast

Steven Hollon, PhD: An Evolutionary Perspective on Depression

Jan 28, 2025
Steven Hollon, PhD, a psychologist and researcher at Vanderbilt University, dives into the evolutionary perspective on depression. He explores its adaptive origins and discusses the significance of rumination. The conversation highlights Aaron Beck's cognitive therapy and critiques current treatment approaches, including the effectiveness of combining CBT and medication. Hollon also touches on learned helplessness and the promising role of AI in expanding access to therapy, revealing how technology could transform mental health support.
01:04:11

Episode guests

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Quick takeaways

  • Dr. Steven Hollon discusses the evolutionary perspective on depression, suggesting it may serve a purpose in facilitating introspection and problem-solving.
  • Hollon emphasizes the historical consistency of depression's core symptoms despite evolving diagnostic frameworks, showcasing the timeless nature of this condition.

Deep dives

The Evolution of Depression Research

Dr. Stephen Holland's early career was heavily influenced by notable figures in psychology, specifically in cognitive behavioral therapy. His experiences volunteering with pioneers like Aaron Beck and Marty Seligman provided him with critical insights into the treatment of depression, urging a shift from traditional psychoanalytic approaches. Holland emphasizes that Beck's initial ideas were counterintuitive at the time, focusing on the cognitive distortions of patients rather than buried subconscious drives as proposed by psychodynamic theories. This marked a significant evolution in understanding depression, revealing that what patients perceive about themselves can profoundly impact their emotional well-being.

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