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Religion, Spirituality and Health: A Social Scientifi c Approach Kevin J. Flannelly Religious Beliefs, Evolutionary Psychiatry, and Mental Health in America Evolutionary Threat Assessment Systems Theory Religion, Spirituality and Health: A Social Scientific Approach Volume 1 Series Editors Alphia Possamai-Inesedy, University of Western Sydney, Penrith, New South Wales, Australia Christopher G. Ellison, The University of Texas at San Antonio, San Antonio, Texas, USA Editorial Board Amy Ai, Florida State University, Tallahassee, USA Maureen Benjamins, Sinai Urban Health Institute, Chicago, USA Alex Bierman, University of Calgary, Calgary, Canada Matt Bradshaw, Baylor University, Waco, USA Alexander Broom, University of Queensland, Brisbane, Australia George Fitchett, Rush University, Chicago, USA Paul Heelas, Lancaster University, Bailrigg, UK Terrence Hill, University of Arizona, Tucson, USA Ellen Idler, Emory University, Druid Hills, USA Harold Koenig, Duke University, Durham, USA Neal Krause, University of Michigan, Ann Arbor, USA Jeff Levin, Baylor University, Waco, USA Pranee Liamputtong, Latrobe University, Melbourne, Australia Keith Meador, Vanderbilt University, Nashville, USA Doug Oman, University of California-Berkeley, Oakland, USA Kenneth Pargament, Bowling Green State University, Bowling Green, USA Crystal Park, University of Connecticut, Storrs, USA Jenny Trinitapoli, Pennsylvania State University, State College, USA The relationship between religious/spiritual belief or behaviour and health behaviour has been explored over several decades and across various disciplines. Religious variables have consistently been found to have a direct relationship to physical and mental health. At the same time - research has also indicated potential societal tensions that can exist between religion and health – we have seen this in relation to family planning, HIV/AIDS, and reproduction. This book series aims to uncover the impact of religion on individual health behaviours and outcomes but also the influence of religion on health practices at the community level. This book series uncovers the impact of religion on individual health behaviors and outcomes, as well as the influence of religion on health practices at the community level. It consists of volumes that are based on multi-methodological approaches, provide quantitative and qualitative forms of analysis, and advance the understanding of the intersection between religion and health beyond the correlation of religious belief and health outcomes. Building on earlier research, the series explores the direct relationship between religious variables and physical and mental health, as well as the potential societal tensions that have been shown to exist between religion and health – for example in relation to family planning, HIV/AIDS, and reproduction. Spoken values are often shared within religious communities; however, religious influence can at times be extended outside of the community in instances of service provisions such as hospital ownership, various research active think tanks, political action, and the development of community mores. More information about this series at http://www.springer.com/series/13437 Kevin J. Flannelly Religious Beliefs, Evolutionary Psychiatry, and Mental Health in America Evolutionary Threat Assessment Systems Theory Kevin J. Flannelly Center for Psychosocial Research Massapequa, NY, USA Religion, Spirituality and Health: A Social Scientific Approach ISBN 978-3-319-52487-0 ISBN 978-3-319-52488-7 (eBook) DOI 10.1007/978-3-319-52488-7 Library of Congress Control Number: 2017935569 © Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Acknowledgments I am deeply indebted to the late Dr. Eugene B. Brody, the longtime Editor-in-Chief of The Journal of Nervous and Mental Disease, for affording me and my colleagues a forum to publish our original theoretical paper on “Beliefs, Mental Health, and Evolutionary Threat Assessment Systems in the Brain” and an earlier study about belief in life after death and mental health that led directly to the development of ETAS theory. I am also indebted to Professor Paul Gilbert of the University of Derby, whose insights and guidance enabled us to publish the original theoretical article and two subsequent articles about ETAS theory. I thank my friend and colleague Chris Ellison (Dr. Christopher G. Ellison) for spurring my interest in studying the connection between religious beliefs and men- tal health, encouraging me to write this book, and providing me the opportunity to publish the book in the Springer Series Religion, Spirituality and Health: A Social Scientific Approach, on which he is an editor. I thank my wife Laura (Dr. Laura T. Flannelly), who is also my colleague and friend, for her support while writing the book and for editing all the book chapters. The studies in this book by my colleagues and me that were published between 2005 and 2010 were partly supported by a grant from the John Templeton Foundation to HealthCare Chaplaincy in New York City for a 3-year “postdoctoral research fel- lowship on religion and health” and subsequent Templeton funding of that program. The studies by my colleagues and me that were published between 2011 and 2015 were funded, in part, by Templeton Grant # 21296, “Spiritual Beliefs as Predictors of Mental Health: A Test of ETAS Theory” (Kevin J. Flannelly, Ph.D., and Kathleen Galek, Ph.D., coprincipal investigators). I am grateful to Dr. Jackson Kytle for his advocacy of theory development and basic research at HealthCare Chaplaincy dur- ing his tenure there as the Vice President of Academic Affairs. v Contents 1 Introduction ............................................................................................. 1 1.1 Religious Belonging, Behaving, and Believing ............................ 1 1.2 Personal Perspective and the Book’s Organization ....................... 2 1.3 Religious Beliefs Examined in This Book .................................... 5 1.4 Brief Summary of ETAS Theory ................................................... 5 1.5 Levels of Analysis of ETAS Theory .............................................. 6 References ................................................................................................. 8 Part I T he Origin of Evolutionary Ideas in Historical and Religious Context 2 Greek Philosophy, Early Christian Theology, Purpose, and Change .............................................................................. 11 2.1 Greek Philosophers........................................................................ 11 2.2 Aristotle ......................................................................................... 13 2.3 Christian Theology and Creation .................................................. 15 2.4 Christian Theology and Evolution................................................. 16 2.5 Chapter Highlights and Comments ............................................... 17 References ................................................................................................. 17 3 The Reformation and The Enlightenment ............................................ 19 3.1 The Reformation............................................................................ 19 3.2 Carl von Linnẻ (Carolus Linnaeus) ............................................... 20 3.3 The Enlightenment ........................................................................ 21 3.3.1 G eorges-Louis Leclerc Buffon ....................................... 22 3.3.2 E rasmus Darwin ............................................................. 23 3.4 Chapter Highlights and Comments ............................................... 25 References ................................................................................................. 25 vii viii Contents 4 19th Century Evolutionary Thought Before Charles Darwin ............ 29 4.1 Geology and the Fossil Record ..................................................... 29 4.2 William Paley’s Natural Theology ................................................ 30 4.3 Jean Baptiste de Monet Lamarck .................................................. 31 4.4 Between Lamarck and Darwin ...................................................... 34 4.5 Chapter Highlights and Comments ............................................... 35 References ................................................................................................. 36 Part II Charles Darwin’s Theories of Evolution and Reactions to Them 5 Charles Darwin’s Origin of Species ....................................................... 41 5.1 Development of Darwin’s Ideas .................................................... 41 5.2 Darwin’s Delay in Publishing ....................................................... 43 5.3 Darwin’s Origin of Species............................................................ 44 5.4 Chapter Highlights and Comments ............................................... 46 References ................................................................................................. 47 6 Reactions to Darwin’s Origin of Species ............................................... 49 6.1 Initial Reactions to the Origin of Species ...................................... 49 6.2 Creation Science and Intelligent Design ....................................... 50 6.3 The Modern Synthesis ................................................................... 51 6.4 Chapter Highlights and Comments ............................................... 53 References ................................................................................................. 53 7 D arwin’s Descent of Man and The Expression of Emotions ................ 55 7.1 Darwin’s Descent of Man .............................................................. 55 7.2 Darwin’s Expression of Emotions ................................................. 56 7.2.1 E xpressions of Fear and Anger ...................................... 57 7.2.2 E xpression of Other Emotions ....................................... 57 7.2.3 C ommon Descent of Emotions ...................................... 58 7.3 Chapter Highlights and Comments ............................................... 58 References ................................................................................................. 59 8 R eactions to The Expression of Emotions.............................................. 61 8.1 American Psychology.................................................................... 62 8.2 European Ethology ........................................................................ 63 8.3 Chapter Highlights and Comments ............................................... 65 References ................................................................................................. 65 Part III Evolutionary Psychiatry 9 Brain Evolution and Emotions .............................................................. 71 9.1 The Triune Brain and Behavior ..................................................... 71 9.2 The Triune Brain and Emotions .................................................... 73 9.3 The Neocortex ............................................................................... 74 9.4 Chapter Highlights and Comments ............................................... 75 References ................................................................................................. 75 Contents ix 10 Fear in the Animal and Human Brain .................................................. 79 10.1 Fear in the Animal Brain ............................................................... 79 10.1.1 Brain Stem ..................................................................... 80 10.1.2 Basal Ganglia ................................................................. 81 10.1.3 Limbic System ............................................................... 81 10.1.4 Prefrontal Cortex ............................................................ 82 10.2 Fear in the Human Brain ............................................................... 82 10.2.1 Brain Stem ..................................................................... 82 10.2.2 Basal Ganglia ................................................................. 82 10.2.3 Limbic System ............................................................... 83 10.2.4 Prefrontal Cortex ............................................................ 84 10.3 Chapter Highlights and Comments ............................................... 84 References ................................................................................................. 85 11 Anxiety Disorders as Evolutionary Adaptations .................................. 91 11.1 Background ................................................................................... 92 11.2 Fear of Small Animals ................................................................... 92 11.3 Acrophobia (Fear of Heights)........................................................ 94 11.4 Panic Attack and Agoraphobia ...................................................... 94 11.5 Social Phobia (Social Anxiety) ..................................................... 96 11.6 Obsessive-Compulsive Disorder ................................................... 96 11.7 General Anxiety ............................................................................. 98 11.8 Chapter Highlights and Comments ............................................... 98 References ................................................................................................. 99 12 Other Psychiatric Disorders as Evolutionary Adaptations ................. 103 12.1 Depression ..................................................................................... 103 12.2 Somatization .................................................................................. 104 12.3 Paranoid Ideation ........................................................................... 105 12.4 Problems with Proximate Mechanisms ......................................... 108 12.5 Chapter Highlights and Comments ............................................... 109 References ................................................................................................. 109 13 Beliefs and Psychiatric Symptoms ......................................................... 113 13.1 The Nature of Beliefs .................................................................... 113 13.1.1 Folk Beliefs .................................................................... 115 13.1.2 Religious Beliefs as Folk Beliefs ................................... 116 13.2 Beliefs and Psychiatric Symptoms ................................................ 117 13.3 Beliefs and the Brain ..................................................................... 119 13.4 Chapter Highlights and Comments ............................................... 120 References ................................................................................................. 120 14 E volutionary Threat Assessment Systems Theory ............................... 125 14.1 Background ................................................................................... 125 14.2 Brain Regions Involved in Different Psychiatric Disorders .......... 127 14.3 ETAS in the Brain ......................................................................... 128 14.4 The Operation of ETAS ................................................................. 131 x Contents 14.4.1 The vmPFC in Deductive Reasoning and the Influence of Beliefs ........................................................................ 131 14.4.2 Threat, Safety, and the vmPFC ...................................... 131 14.4.3 The Role of the vmPFC in Threat Assessment .............. 133 14.4.4 The Role of Other PFC Regions in Threat Assessment ..................................................................... 133 14.4.5 Description of ETAS Functioning .................................. 134 14.5 Chapter Highlights and Comments ............................................... 135 References ................................................................................................. 136 Part IV Religious Beliefs and Mental Health 15 B elief in God and Life-After-Death Among American Adults ............ 143 15.1 Background ................................................................................... 143 15.2 Americans’ Belief in God.............................................................. 144 15.3 Americans’ Beliefs About God ..................................................... 145 15.4 Americans’ Belief in Life-After-Death ......................................... 147 15.5 Afterlife Beliefs of Several Major Religions ................................. 148 15.5.1 Jewish Afterlife Beliefs .................................................. 148 15.5.2 Christian Afterlife Beliefs .............................................. 148 15.5.3 Islamic Afterlife Beliefs ................................................. 149 15.5.4 Hindu and Buddhist Beliefs ........................................... 149 15.6 Different Afterlife Beliefs Among Americans ............................... 149 15.7 Chapter Highlights and Comments ............................................... 150 References ................................................................................................. 150 16 R eligion and Death Anxiety.................................................................... 153 16.1 Denying Death ............................................................................... 153 16.2 I ntrinsic and Extrinsic Religious Orientation and Death Anxiety ..... 154 16.3 Belief in Life-After-Death and Death Anxiety .............................. 157 16.4 Other Religious Beliefs and Death Anxiety .................................. 158 16.5 Religious Beliefs and Specific Fears About Death ........................ 160 16.6 Chapter Highlights and Comments ............................................... 161 References ................................................................................................. 162 17 Belief in Life-After-Death and Mental Health ..................................... 165 17.1 Background ................................................................................... 165 17.2 Belief in Life-After-Death and Psychological Well-Being ........... 166 17.3 Belief in an Afterlife and Psychiatric Symptoms .......................... 168 17.4 Chapter Highlights and Comments ............................................... 170 References ................................................................................................. 170 18 Beliefs About Life-After-Death and Psychiatric Symptoms ............... 173 18.1 Different Afterlife Beliefs and Psychiatric Symptoms .................. 174 18.2 Beliefs About the Afterlife, the World, and Psychiatric Symptoms ............................................................ 175

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This book provides a new perspective on the association between religious beliefs and mental health. The book is divided into five parts, the first of which traces the development of theories of organic evolution in the cultural and religious context before Charles Darwin. Part II describes the majo
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