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Randolph Nesse

@randynesse.bsky.social
1.1K followers 758 following 943 posts

A founder of evolutionary medicine now trying to help psychiatry find its missing foundation in evolutionary biology.

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Randolph Nesse @randynesse.bsky.social · 01/10/2026
Registration
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Randolph Nesse @randynesse.bsky.social · 01/10/2026
Registration information and more is here: www.rcpsych.ac.uk/events/confe... Those of us in the USA need to do much more to catch up with their accomplishments!
rcpsych.ac.uk
8th International Evolutionary Psychiatry SIG Symposium
Detail page.
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Randolph Nesse @randynesse.bsky.social · 01/10/2026
EPSIG, the 4000+ member Evolutionary Psychiatry Special Interest Group group at the Royal College of Psychiatry will celebrate its 10th anniversary with a major open to all conference Nov 6th in London. The program looks excellent! www.rcpsych.ac.uk/docs/default...
Conference invitation
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Randolph Nesse @randynesse.bsky.social · 09/09/2026
Psychiatry lacks knowledge about normal functions that is the foundation for research in the rest of medicine. A new post at Nessays describes what it will take to find the functions of normal mood variation. When we do, depression will make much more sense.
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Randolph Nesse @randynesse.bsky.social · 09/09/2026
A new Nessay: Depression is hard to explain because our questions have no answers of the sort we look for. And better questions reveal the messy reality of evolved emotions. Comments welcome. www.nessays.com/p/why-explai... @umehap.bsky.social @evmed.bsky.social @humbehevosoc.bsky.social
nessays.com
Why Explaining Depression Is Difficult
New questions will provide new answers
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Randolph Nesse @randynesse.bsky.social · 31/08/2026
Martin Daly has shared a video of his wonderful recent talk about the early history of the Human Behavior and Evolution Society. It is full of nuggets about the people and ideas that gave birth to the field. I learned a lot and loved seeing the photos! drive.google.com/file/d/1q61g...
drive.google.com
MartinDaly_HistoryOfHBES_UM6P_Rabat.mp4
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Randolph Nesse @randynesse.bsky.social · 09/07/2026
www.nessays.com/p/antidepres...
nessays.com
Antidepressants are analgesics for mental pain
Much of the intense controversy that swirls around antidepressants arises from not understanding how they help.
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Randolph Nesse @randynesse.bsky.social · 06/07/2026
This Nov. 6 Symposium in London will be a milestone for evolutionary psychiatry. My talk title is: "Why all psychiatry is not based on evolutionary biology...yet". But I don't yet know how to explain the outrageous absence of evolutionary biology in psychiatry. 🧪 www.rcpsych.ac.uk/events/confe...
rcpsych.ac.uk
8th International Evolutionary Psychiatry SIG Symposium
Detail page.
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Randolph Nesse @randynesse.bsky.social · 06/06/2026
Overprescribing and the "Do Something Imperative" substack.com/@randynesse/...
substack.com
Overprescribing and the "Do Something Imperative"
The intense situation where decisions are made
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Randolph Nesse @randynesse.bsky.social · 07/04/2026
In preparing my keynote address for this week's NIH NIDDK meeting, I am inspired by Robert Chevalier's articles on evolutionary nephrology. I look forward to talking with attendees about how evolutionary medicine can advance research. @isemph @NIDDKgov scholar.google.com/citations?hl...
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Randolph Nesse @randynesse.bsky.social · 24/02/2026
This is the last week to submit an abstract for the 11th annual meeting of the International Society for Evolution, Medicine, and Public Health in Kiel Germany in July. This is a small friendly meeting and your talk or poster or discussion plan will be welcome. And you will be welcome! isemph.org
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Randolph Nesse @randynesse.bsky.social · 17/02/2026
What is the best article you read in 2025 about evolutionary medicine? Please let @evmed.bsky.social know by filling out the simple form linked on the site. The deadline is March 15. isemph.org/Omenn-Prize @tricem.bsky.social @evmed.bsky.social
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Randolph Nesse @randynesse.bsky.social · 26/01/2026
My new essay on the role of runaway positive feedback in causing disease. 🧪 @evmed.bsky.social @tricem.bsky.social @umehap.bsky.social @umichmedicalschool.bsky.social www.nessays.com/p/runaway-po...
nessays.com
Runaway positive feedback and disease
Vicious cycles are everywhere once you recognize them
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Randolph Nesse @randynesse.bsky.social · 11/01/2026
Evolution, Medicine and Public Health has just started its 14th year. All publications from 2025 are listed with links at the EvMedReview.com substack post. Interesting reading! 🧪 @evmed.bsky.social @evmedasu.bsky.social @tricem.bsky.social www.evmedreview.com/p/evolution-...
evmedreview.com
Evolution, Medicine, and Public Health: All articles published in 2025
EMPH is an open access Oxford University Press journal sponsored by the International Society for Evolution, Medicine, and Public Health
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Randolph Nesse @randynesse.bsky.social · 06/01/2026
open.substack.com/pub/randynes...
open.substack.com
The gene ➔ trait path traverses a tangled bank
Severely limiting the power of genetic predictions
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Randolph Nesse @randynesse.bsky.social · 09/12/2025
Thanks, Daniela for helping people to realize that bad feelings can have meaning and provide useful motivations! But as your work shows, they can also be normal but useless. Or they can be products of a failing control system. Individualized assessment is essential.
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Randolph Nesse @randynesse.bsky.social · 26/11/2025
Turns out all the Friend of Darwin award winners this year are experts in evolutionary medicine! I will be curious to hear what we all have to say at the Dec 4,6 PM ET event at us02web.zoom.us/webinar/regi...
us02web.zoom.us
Welcome! You are invited to join a webinar: Friend of Darwin and Friend of the Planet Celebration. After registering, you will receive a confirmation email about joining the webinar.
Join us as we celebrate NCSE's 2025 Friend of Darwin and Friend of the Planet awardees. This online event is free and will include a Q&A after brief comments from the winners. This year's Friend of D...
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Randolph Nesse @randynesse.bsky.social · 25/11/2025
The article was wonderfully circumspect, but you must have hypotheses about what happened to the skulls. No sign of any anywhere? It must have been a big effort to dispose of them, unless they were roasted…or something.
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Randolph Nesse @randynesse.bsky.social · 21/11/2025
The ClubEvMed on Dec 2 at Noon ET on this new book will be interesting! Laurence Hurst will kick it off, David Haig will comment, and I will MC a lively discussion. @evmed.bsky.social @umehap.bsky.social @tricem.bsky.social @evmedasu.bsky.social Register now! duke.zoom.us/meeting/regi...
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Randolph Nesse @randynesse.bsky.social · 15/09/2025
Why can't we find specific genes and brain abnormalities that cause and define specific mood disorders? It is because, like heart and renal failure, mood disorders are failure modes of control systems that can have diverse causes. 🧪 @evmed.bsky.social www.nessays.com/p/mood-disor...
Ten Failure Mode for Mood Control Systems
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Randolph Nesse @randynesse.bsky.social · 14/09/2025
I will give 2 talks on evolutionary psychiatry in Tokyo on Sept 24 mentalhealth-unit.jp/plugin/blogs... and 1 in Kyoto on the 25th. ashbi.kyoto-u.ac.jp/ja/event/eve... I look forward to meeting Japanese colleagues. @evmed.bsky.social @humbehevosoc.bsky.social 🧪 @evolmtg.bsky.social @evol
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Randolph Nesse @randynesse.bsky.social · 07/09/2025
Not perfectly clear about epistasis? The illustrations and formulas in my new Nessay should help. 🧪 @umehap.bsky.social @evmed.bsky.social @vscooper.micropopbio.org @ent3c.bsky.social @arvidagren.bsky.social @carlbergstrom.com @eikofried.bsky.social open.substack.com/pub/randynes...
Epistasis illustrated
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Randolph Nesse @randynesse.bsky.social · 12/06/2025
Ah, a badly designed system! But why is it badly designed? Which of the following possibilities are likely suspects? (from my new article on the origins of failure in bodies and machines.) academic.oup.com/pnasnexus/ar...
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Randolph Nesse @randynesse.bsky.social · 06/06/2025
@ncse.bsky.social has fought advocates for ignorance and antiscience for decades. Its work is more important than ever now, as the threat of a new dark age looms ever larger. I have written about objectivity being selected against, but I never dreamed there would be organized opposition to science.
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Randolph Nesse @randynesse.bsky.social · 06/06/2025
Antonis Rokas is organizing the 10th annual meeting of the @evmed.bsky.social International Society for Evolution, Medicine , and Public Health meeting at Vanderbilt where he directs the University’s Evolutionary Studies Initiative. bsky.app/profile/evol...
bsky.app
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Randolph Nesse @randynesse.bsky.social · 06/06/2025
How amazing and wonderful that all 3 winners of this year's @ncse.bsky.social Friend of Darwin Award ncse.ngo/friend-darwi... are evolutionary medicine researchers! Katie Hinde @mammalssuck.bsky.social was one of the first faculty I recruited for the @cemasu.bsky.social at ASU.
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Randolph Nesse @randynesse.bsky.social · 02/06/2025
I am a psychiatrist.
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Randolph Nesse @randynesse.bsky.social · 27/05/2025
Here is my Substack essay commenting on an article that reports a research project on foraging theory and ADHD that I have long wanted to see...but whose conclusion–that ADHD is an adaptation–seems to me to be inconsistent with evolutionary theory. www.nessays.com/p/adhd-is-no...
nessays.com
ADHD is not an adaptation
But foraging theory is crucial for understanding it
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Randolph Nesse @randynesse.bsky.social · 22/05/2025
The Body is not a Machine open.substack.com/pub/randynes...
open.substack.com
The Body is not a Machine
This post is adapted from my 2016 essay that inspired the 2025 PNAS Nexus article with Guru Madhavan and Jay Labov on the origins of failure in bodies and machines.
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Randolph Nesse @randynesse.bsky.social · 21/05/2025
300 characters is often only a good start. For longer essays on evolutionary medicine, psychiatry, and more, visit my new Substack at Nessays.com.
nessays.com
Nessays | Randolph Nesse | Substack
Randy Nesse's Essays on why evolution left us vulnerable to sickness, suffering, and simplistic thinking. Click to read Nessays, by Randolph Nesse, a Substack publication. Launched 3 days ago.
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Randolph Nesse @randynesse.bsky.social · 17/05/2025
@awaisaftab.bsky.social is doing so much to help make psychiatry sensible. The questions he posed about #EvolutionaryPsychiatry helped me to get a better grasp of my own field! See the full version on his substack www.psychiatrymargins.com/p/why-did-ev...
psychiatrymargins.com
Why Did Evolution Leave Us Vulnerable to Mental Disorders? A Q&A with Randolph Nesse
“Individuals with disorders often have advantages, but that does not make the disorder an adaptation.”
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Randolph Nesse @randynesse.bsky.social · 11/05/2025
The essay by @awaisaftab.bsky.social does a fine job of describing how cliff-edge fitness functions may explain vulnerability to some diseases. For an accessible Psychology Today article on the topic, see the link below. www.researchgate.net/publication/...
researchgate.net
(PDF) The Puzzle of the Unbalanced Mind
PDF | Why do genes for mental disorders persist? This article argues it is because traits with a cliff-edged fitness function are shaped to a... | Find, read and cite all the research you need on Rese...
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Randolph Nesse @randynesse.bsky.social · 09/05/2025
I am skeptical about claims that autism rates are climbing fast, and even more skeptical that there are specific environmental causes. But someone needs to educate geneticists who think that the high heritability of a trait means that environmental factors are unimportant. @medscape.com
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Randolph Nesse @randynesse.bsky.social · 09/05/2025
Myopia is an example. It is rare in cultures where people live mostly outdoors and reading is rare, but in modern societies it is common and the variation in risk results mostly from genetic variation. @evmed.bsky.social @ibg.colorado.edu @genetics-gsa.bsky.social @autismsocietync.bsky.social
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Randolph Nesse @randynesse.bsky.social · 09/05/2025
A recent article about autism cites experts who say that its high heritability means that environmental factors are unimportant. That is a fundamental mistake. Environmental changes that influence entire populations can make previously neutral alleles deleterious.🧪 www.medscape.com/viewarticle/...
medscape.com
What Do We Know About the Causes of Autism?
Scientists who have dedicated their careers to studying autism remain highly skeptical that a definitive answer to what causes autism can be reached within a few short months — if at all.
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Randolph Nesse @randynesse.bsky.social · 05/05/2025
Design failures like this are everywhere. They need to be studied systematically. academic.oup.com/pnasnexus/ar...
academic.oup.com
Explanations for failures in designed and evolved systems
Abstract. Engineers have long studied the origins of design features that make machines prone to failure, but biologists have only recently begun investiga
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Randolph Nesse @randynesse.bsky.social · 02/05/2025
An engineer, an educator, and an evolutionary biologist walk into a bar...(well, actually, we talked at @evmed.bsky.social meetings); today, 3 years later, our plans for a new bridge between engineering and medicine are published in @pnasnexus.org! academic.oup.com/pnasnexus/ar...
academic.oup.com
Explanations for failures in designed and evolved systems
Abstract. Engineers have long studied the origins of design features that make machines prone to failure, but biologists have only recently begun investiga
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Randolph Nesse @randynesse.bsky.social · 05/04/2025
Here is an insightful essay by Rob Kurzban on the pressure to produce novel counterintuitive articles to get attention in academia. We need a name for false ones that spread fast. Perhaps "#MemeArticles" is catchy enough to spread fast.
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Randolph Nesse @randynesse.bsky.social · 16/03/2025
The best 2024 article about evolution, medicine and public health will win the $5000 Omenn Prize. Nominate an article now. It is easy. And the winner-and all of us- will REALLY appreciate it! isemph.org/Omenn-Prize 🧪E. #EvMed @evmed.bsky.social @tricem.bsky.social @sse-evolution.bsky.social
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Randolph Nesse @randynesse.bsky.social · 12/03/2025
Failure to recognize that bodies are not machines causes serious problems...Thinking that genes and emotions each have specific functions is a fundamental misunderstanding Much more in the article. randolphnesse.com/articles/emo... @bioengineergm.bsky.social @evmedf.bsky.social randolphnesse.com
randolphnesse.com
Randolph Nesse
Randolph M. Nesse, MD nesse@umich.edu @RandyNesse @RandyNesse.bsky.social See you at ISEMPH2025 July 5-10, Nashville, TN
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Randolph Nesse @randynesse.bsky.social · 12/03/2025
The structure of complexity in organic systems is fundamentally different from that in machines.The components of bodies often have blurry boundaries and many functions. Their networks are far different from anything an engineer would design. 2/3 @humbehevosoc.bsky.social @tricem.bsky.social
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Randolph Nesse @randynesse.bsky.social · 12/03/2025
#TacitCreationism is pervasive and problematic. Dan Stein and I explain why, and why it matters, in our just-published article. 1/3 @evmed.bsky.social @umehap.bsky.social ky.social @eikofried.bsky.social @carlbergstrom.com onlinelibrary.wiley.com/doi/10.1111/...
Tacit creationism article
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Randolph Nesse @randynesse.bsky.social · 04/03/2025
Really interesting ClubEvMed discussion with Dr. Paul Turke on Evolutionary Pediatrics on Wednesday at noon ET. Based on his new book Bringing Up Baby. All welcome. A great group! Free. Join us! @evmed.bsky.social 🧪 #evmed duke.zoom.us/meeting/regi...
duke.zoom.us
Welcome! You are invited to join a meeting: Club Ev Med: Bringing Up Baby. After registering, you will receive a confirmation email about joining the meeting.
Welcome! You are invited to join a meeting: Club Ev Med: Bringing Up Baby. After registering, you will receive a confirmation email about joining the meeting.
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Randolph Nesse @randynesse.bsky.social · 13/02/2025
Instead of trying to solve such problems, I am now asking what aspects of evolved human minds make us unable to resolve them. Perhaps a more tractable problem. 5/5 @awaisaftab.bsky.social @evmed.bsky.social @carlbergstrom.com
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Randolph Nesse @randynesse.bsky.social · 13/02/2025
Even when seemingly incontrovertible evidence appears to decide the matter, the conflict is not necessarily resolved, for a slight redefinition of the issues results in a continuation of the struggle." 4/5
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Randolph Nesse @randynesse.bsky.social · 13/02/2025
the more important the issue and the more ambiguous the evidence, the more important are the prejudices, and the greater the likelihood that two diametrically opposed and irreconcilable schools will appear 3/5
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Randolph Nesse @randynesse.bsky.social · 13/02/2025
As Richard Lewontin wrote in 1974 (p 29)... "Long before there is any direct evidence, scientific workers have brought to the issue deep-seated prejudices; 2/5
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Randolph Nesse @randynesse.bsky.social · 13/02/2025
Some questions resist resolution. -Mind vs. body -Nature vs. nurture -Free will vs. determinism -Group selection vs. gene level selection. Why? I think it is because they get entangled in the cognitive and emotional hooks of our evolved minds. 1/5
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Randolph Nesse @randynesse.bsky.social · 09/02/2025
Even when seemingly incontrovertible evidence appears to decide the matter, the conflict is not necessarily resolved, for a slight redefinition of the issues results in a continuation of the struggle. 4/4
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Randolph Nesse @randynesse.bsky.social · 09/02/2025
scientific workers have brought to the issue deep-seated prejudices; the more important the issue and the more ambiguous the evidence, the more important are the prejudices, and the greater the likelihood that two diametrically opposed and irreconcilable schools will appear. 3/4
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