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The Dissenter · 2026-03-27 · 54 min · 9,683 words

#1233 Steven Hollon: A Clinical and Evolutionary Approach to Depression

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Hello everyone, welcome to a new episode of The Decenter. I'm your host as always, Ricardo Lopes, and today I'm joined by Dr. Stephen Holland. He is the Gertrude Conway Vanderbilt professor of psychology at Vanderbilt University. And today we're going to talk about depression, particularly from an evolutionary perspective.

So Dr. Holland, welcome to the show. It's a pleasure to everyone. Thank you very much. So let's start perhaps with exploring what depression really is, because I mean I wouldn't be surprised that even though we hear, we nowadays hear a lot about depression and other kinds of mental illness on the news, I mean, maybe many people out there are not really, don't really know exactly what we're talking about.

So what is depression? Yeah, certainly. Depression is a uh conventionally considered a psychiatric disorder, and it's on a continuum ranging from normal sadness, you know, bad moods that everybody gets into, up through full-blown, very serious uh psychotic uh uh depressions that uh often require hospitalization. Most folks will not uh have anything near that severe, uh, but it is uh what uh the primary major diagnostic category, which is called major depressive disorder, is the single most common, prevalent psychiatric disorder.

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