
Good Reasons for Bad Feelings
Insights from the Frontier of Evolutionary Psychiatry
Failed to add items
Add to Cart failed.
Add to Wish List failed.
Remove from wishlist failed.
Adding to library failed
Follow podcast failed
Unfollow podcast failed
$0.99/mo for the first 3 months

Buy for $20.25
No default payment method selected.
We are sorry. We are not allowed to sell this product with the selected payment method
-
Narrated by:
-
Arthur Morey
About this listen
A founder of the field of evolutionary medicine uses his decades of experience as a psychiatrist to provide a much-needed new framework for making sense of mental illness.
With his classic book Why We Get Sick, Dr. Randolph Nesse helped to establish the field of evolutionary medicine. Now, he returns with an audiobook that transforms our understanding of mental disorders by exploring a fundamentally new question. Instead of asking why certain people suffer from mental illness, Nesse asks why natural selection has left us all with fragile minds.
Drawing on revealing stories from his own clinical practice and insights from evolutionary biology, Nesse shows how negative emotions are useful in certain situations, yet can become excessive. Anxiety protects us from harm in the face of danger, but false alarms are inevitable. Low mood prevents us from wasting effort in pursuit of unreachable goals, but it often escalates into pathological depression. Other mental disorders, such as addiction and anorexia, result from the mismatch between modern environments and our ancient human past. And there are good evolutionary reasons for sexual disorders and for why genes for schizophrenia persist. Taken together, these and many more insights help to explain the pervasiveness of human suffering and show us new paths for relieving it by understanding individuals as individuals.
Includes a Bonus PDF of charts and visuals.
Cover art © The Josef and Anni Albers Foundation/Artists Rights Society (ARS), New York, 2018.
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
©2019 Randolph M. Nesse (P)2019 Penguin AudioListeners also enjoyed...
-
Determined
- A Science of Life Without Free Will
- By: Robert M. Sapolsky
- Narrated by: Kaleo Griffith
- Length: 13 hrs and 42 mins
- Unabridged
-
Overall
-
Performance
-
Story
Robert Sapolsky’s Behave, his now classic account of why humans do good and why they do bad, pointed toward an unsettling conclusion: We may not grasp the precise marriage of nature and nurture that creates the physics and chemistry at the base of human behavior, but that doesn’t mean it doesn’t exist. Now, in Determined, Sapolsky takes his argument all the way, mounting a brilliant (and in his inimitable way, delightful) full-frontal assault on the pleasant fantasy that there is some separate self telling our biology what to do.
-
-
Abridged - no Appendix!
- By Amazon Customer on 11-02-23
-
Mind Fixers
- Psychiatry's Troubled Search for the Biology of Mental Illness
- By: Anne Harrington
- Narrated by: Joyce Bean
- Length: 11 hrs and 50 mins
- Unabridged
-
Overall
-
Performance
-
Story
In the 1980s, American psychiatry announced that it was time to toss aside Freudian ideas of mental disorder because the true path to understanding and treating mental illness lay in brain science, biochemistry, and drugs. This sudden call to revolution, however, was not driven by any scientific breakthroughs. Nor was it as unprecedented as it seemed. Why had previous efforts stalled? Was this latest call really any different? In Mind Fixers, Anne Harrington offers the first comprehensive history of the troubled search for the biological basis of mental illness.
-
-
A summary relevant to each of us
- By R3 on 04-28-19
By: Anne Harrington
-
Pathological
- The True Story of Six Misdiagnoses
- By: Sarah Fay
- Narrated by: Gabra Zackman
- Length: 9 hrs and 13 mins
- Unabridged
-
Overall
-
Performance
-
Story
In this stunning debut—both a memoir and a work of investigative journalism—writer Sarah Fay explores the ways we pathologize human experiences. Over thirty years, doctors diagnosed Sarah Fay with six different mental illnesses—anorexia, major depressive disorder (MDD), anxiety disorder, attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and bipolar disorder.
-
-
Balanced perspective
- By J. T. Conn on 07-09-22
By: Sarah Fay
-
The Moral Animal
- Why We Are the Way We Are: The New Science of Evolutionary Psychology
- By: Robert Wright
- Narrated by: Greg Thornton
- Length: 16 hrs and 30 mins
- Unabridged
-
Overall
-
Performance
-
Story
Are men literally born to cheat? Does monogamy actually serve women's interests? These are among the questions that have made The Moral Animal one of the most provocative science books in recent years. Wright unveils the genetic strategies behind everything from our sexual preferences to our office politics - as well as their implications for our moral codes and public policies.
-
-
Ridiculously Insightful
- By Liron on 10-25-10
By: Robert Wright
-
How We Change
- (And Ten Reasons Why We Don't)
- By: Ross Ellenhorn
- Narrated by: Nathan Agin
- Length: 11 hrs and 9 mins
- Unabridged
-
Overall
-
Performance
-
Story
We all have something we want to change about ourselves. But whether it's quitting smoking, losing weight, or breaking some common bad habit or negative behavior pattern, we feel a sense of failure when we don’t succeed. This often sets off a cascade of negative feelings and discouragement, making it even harder to change. The voice in our head tells us: Why bother.
-
-
Amazing! A must listen
- By greygreen on 03-26-21
By: Ross Ellenhorn
-
When Men Behave Badly
- The Hidden Roots of Sexual Deception, Harassment, and Assault
- By: David M. Buss
- Narrated by: Tom Parks
- Length: 10 hrs and 47 mins
- Unabridged
-
Overall
-
Performance
-
Story
“An exceptional book” (Helen Fisher) by a leading evolutionary psychologist and sex researcher that lays out a new theory of sexual conflict, exposing the roots of the dangerous dynamics that underpin men’s predatory behavior - and what can be done to address it.
-
-
Interesting ideas, but argumentation incomplete
- By Kindle Customer on 07-03-21
By: David M. Buss
-
Determined
- A Science of Life Without Free Will
- By: Robert M. Sapolsky
- Narrated by: Kaleo Griffith
- Length: 13 hrs and 42 mins
- Unabridged
-
Overall
-
Performance
-
Story
Robert Sapolsky’s Behave, his now classic account of why humans do good and why they do bad, pointed toward an unsettling conclusion: We may not grasp the precise marriage of nature and nurture that creates the physics and chemistry at the base of human behavior, but that doesn’t mean it doesn’t exist. Now, in Determined, Sapolsky takes his argument all the way, mounting a brilliant (and in his inimitable way, delightful) full-frontal assault on the pleasant fantasy that there is some separate self telling our biology what to do.
-
-
Abridged - no Appendix!
- By Amazon Customer on 11-02-23
-
Mind Fixers
- Psychiatry's Troubled Search for the Biology of Mental Illness
- By: Anne Harrington
- Narrated by: Joyce Bean
- Length: 11 hrs and 50 mins
- Unabridged
-
Overall
-
Performance
-
Story
In the 1980s, American psychiatry announced that it was time to toss aside Freudian ideas of mental disorder because the true path to understanding and treating mental illness lay in brain science, biochemistry, and drugs. This sudden call to revolution, however, was not driven by any scientific breakthroughs. Nor was it as unprecedented as it seemed. Why had previous efforts stalled? Was this latest call really any different? In Mind Fixers, Anne Harrington offers the first comprehensive history of the troubled search for the biological basis of mental illness.
-
-
A summary relevant to each of us
- By R3 on 04-28-19
By: Anne Harrington
-
Pathological
- The True Story of Six Misdiagnoses
- By: Sarah Fay
- Narrated by: Gabra Zackman
- Length: 9 hrs and 13 mins
- Unabridged
-
Overall
-
Performance
-
Story
In this stunning debut—both a memoir and a work of investigative journalism—writer Sarah Fay explores the ways we pathologize human experiences. Over thirty years, doctors diagnosed Sarah Fay with six different mental illnesses—anorexia, major depressive disorder (MDD), anxiety disorder, attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and bipolar disorder.
-
-
Balanced perspective
- By J. T. Conn on 07-09-22
By: Sarah Fay
-
The Moral Animal
- Why We Are the Way We Are: The New Science of Evolutionary Psychology
- By: Robert Wright
- Narrated by: Greg Thornton
- Length: 16 hrs and 30 mins
- Unabridged
-
Overall
-
Performance
-
Story
Are men literally born to cheat? Does monogamy actually serve women's interests? These are among the questions that have made The Moral Animal one of the most provocative science books in recent years. Wright unveils the genetic strategies behind everything from our sexual preferences to our office politics - as well as their implications for our moral codes and public policies.
-
-
Ridiculously Insightful
- By Liron on 10-25-10
By: Robert Wright
-
How We Change
- (And Ten Reasons Why We Don't)
- By: Ross Ellenhorn
- Narrated by: Nathan Agin
- Length: 11 hrs and 9 mins
- Unabridged
-
Overall
-
Performance
-
Story
We all have something we want to change about ourselves. But whether it's quitting smoking, losing weight, or breaking some common bad habit or negative behavior pattern, we feel a sense of failure when we don’t succeed. This often sets off a cascade of negative feelings and discouragement, making it even harder to change. The voice in our head tells us: Why bother.
-
-
Amazing! A must listen
- By greygreen on 03-26-21
By: Ross Ellenhorn
-
When Men Behave Badly
- The Hidden Roots of Sexual Deception, Harassment, and Assault
- By: David M. Buss
- Narrated by: Tom Parks
- Length: 10 hrs and 47 mins
- Unabridged
-
Overall
-
Performance
-
Story
“An exceptional book” (Helen Fisher) by a leading evolutionary psychologist and sex researcher that lays out a new theory of sexual conflict, exposing the roots of the dangerous dynamics that underpin men’s predatory behavior - and what can be done to address it.
-
-
Interesting ideas, but argumentation incomplete
- By Kindle Customer on 07-03-21
By: David M. Buss
-
The Evolution of Desire
- By: David M. Buss
- Narrated by: Greg Tremblay
- Length: 12 hrs and 20 mins
- Unabridged
-
Overall
-
Performance
-
Story
If we all want love, why is there so much conflict in our most cherished relationships? To answer this question we must look into our evolutionary past, argues prominent psychologist David M. Buss. Based one of the largest studies of human mating ever undertaken, encompassing more than 10,000 people of all ages from 37 cultures worldwide, The Evolution of Desire is the first work to present a unified theory of human mating behavior.
-
-
Highly naive look on the nature of women
- By Xavier on 12-10-18
By: David M. Buss
-
The Sweet Spot
- The Pleasures of Suffering and the Search for Meaning
- By: Paul Bloom
- Narrated by: Sean Patrick Hopkins
- Length: 7 hrs and 48 mins
- Unabridged
-
Overall
-
Performance
-
Story
Why do we so often seek out physical pain and emotional turmoil? We go to movies that make us cry, or scream, or gag. We poke at sores, eat spicy foods, immerse ourselves in hot baths, run marathons. Some of us even seek out pain and humiliation in sexual role-play. Where do these seemingly perverse appetites come from? Drawing on groundbreaking findings from psychology and brain science, The Sweet Spot shows how the right kind of suffering sets the stage for enhanced pleasure.
-
-
Almost great
- By Gabriel Scott on 12-30-21
By: Paul Bloom
-
The Invention of Yesterday
- A 50,000-Year History of Human Culture, Conflict, and Connection
- By: Tamim Ansary
- Narrated by: Tamim Ansary
- Length: 17 hrs and 4 mins
- Unabridged
-
Overall
-
Performance
-
Story
Traveling across millennia, weaving the experiences and world views of cultures both extinct and extant, The Invention of Yesterday shows that the engine of history is not so much heroic (battles won), geographic (farmers thrive), or anthropogenic (humans change the planet) as it is narrative. Many thousands of years ago, when we existed only as countless small autonomous bands of hunter-gatherers widely distributed through the wilderness, we began inventing stories - to organize for survival, to find purpose and meaning, to explain the unfathomable.
-
-
Relaxed but packed with insight
- By Tad Davis on 02-14-20
By: Tamim Ansary
-
A Brief History of Everyone Who Ever Lived
- The Human Story Retold Through Our Genes
- By: Adam Rutherford
- Narrated by: Adam Rutherford
- Length: 12 hrs and 13 mins
- Unabridged
-
Overall
-
Performance
-
Story
In our unique genomes, every one of us carries the story of our species - births, deaths, disease, war, famine, migration, and a lot of sex. But those stories have always been locked away - until now. Who are our ancestors? Where did they come from? Geneticists have suddenly become historians, and the hard evidence in our DNA has completely upended what we thought we knew about ourselves. Acclaimed science writer Adam Rutherford explains exactly how genomics is completely rewriting the human story - from 100,000 years ago to the present.
-
-
I wish this book was in American high schools.
- By melody sheldon on 03-31-19
By: Adam Rutherford
-
The Myth of Normal
- Trauma, Illness, and Healing in a Toxic Culture
- By: Gabor Maté MD, Daniel Maté
- Narrated by: Daniel Maté
- Length: 18 hrs and 12 mins
- Unabridged
-
Overall
-
Performance
-
Story
In this revolutionary book, renowned physician Gabor Maté eloquently dissects how in Western countries that pride themselves on their healthcare systems, chronic illness and general ill health are on the rise. Nearly 70 percent of Americans are on at least one prescription drug; more than half take two. In Canada, every fifth person has high blood pressure. In Europe, hypertension is diagnosed in more than 30 percent of the population. And everywhere, adolescent mental illness is on the rise. So what is really “normal” when it comes to health?
-
-
Bought book after hearing podcast...
- By Adrian on 09-14-22
By: Gabor Maté MD, and others
-
Born for Love
- Why Empathy Is Essential - and Endangered
- By: Bruce D. Perry, Maia Szalavitz
- Narrated by: Corey M. Snow
- Length: 11 hrs
- Unabridged
-
Overall
-
Performance
-
Story
From birth, when babies' fingers instinctively cling to those of adults, their bodies and brains seek an intimate connection - a bond made possible by empathy, the remarkable ability to love and to share the feelings of others. In this unforgettable book, award-winning science journalist Maia Szalavitz and renowned child psychiatrist Bruce D. Perry explain how empathy develops, why it is essential both to human happiness and for a functional society, and how it is threatened in a modern world.
-
-
Born for Love is a Rallying Call for Caring and Cry for Help
- By Jeffrey Olsen on 09-24-18
By: Bruce D. Perry, and others
-
Never Enough
- The Neuroscience and Experience of Addiction
- By: Judith Grisel
- Narrated by: Judith Grisel
- Length: 7 hrs and 18 mins
- Unabridged
-
Overall
-
Performance
-
Story
From a renowned behavioral neuroscientist and recovering addict, a rare pause-resisting work of science that draws on personal insights to reveal how drugs work, the dangerous hold they can take on the brain, and the surprising way to combat today's epidemic of addiction. Judith Grisel was a daily drug user and college dropout when she began to consider that her addiction might have a cure, one that she herself could perhaps discover by studying the brain. Now, after 25 years as a neuroscientist, she shares what she and other scientists have learned about addiction.
-
-
The author ruined her own book with her narration
- By Milan on 05-03-19
By: Judith Grisel
-
In the Realm of Hungry Ghosts
- Close Encounters with Addiction
- By: Gabor Maté MD
- Narrated by: Daniel Maté
- Length: 16 hrs and 26 mins
- Unabridged
-
Overall
-
Performance
-
Story
In this timely and profoundly original book, best-selling writer and physician Gabor Maté looks at the epidemic of addictions in our society, tells us why we are so prone to them, and what is needed to liberate ourselves from their hold on our emotions and behaviours.
-
-
Gabor should have been the narrator
- By Stacey on 08-16-19
By: Gabor Maté MD
-
The Molecule of More
- How a Single Chemical in Your Brain Drives Love, Sex, and Creativity - And Will Determine the Fate of the Human Race
- By: Daniel Z. Lieberman MD, Michael E. Long
- Narrated by: Tom Parks
- Length: 8 hrs and 13 mins
- Unabridged
-
Overall
-
Performance
-
Story
In The Molecule of More: How a Single Chemical in Your Brain Drives Love, Sex, and Creativity—and will Determine the Fate of the Human Race, George Washington University professor and psychiatrist Daniel Z. Lieberman, MD, and Georgetown University lecturer Michael E. Long present a potentially life-changing proposal: Much of human life has an unconsidered component that explains an array of behaviors previously thought to be unrelated, including why winners cheat, why geniuses often suffer with mental illness, why nearly all diets fail, and more.
-
-
Did you know conservatives have more orgasms?
- By Josh on 10-21-20
By: Daniel Z. Lieberman MD, and others
-
Listen Like You Mean It
- Reclaiming the Lost Art of True Connection
- By: Ximena Vengoechea
- Narrated by: Ximena Vengoechea
- Length: 7 hrs and 57 mins
- Unabridged
-
Overall
-
Performance
-
Story
For many of us, listening is simply something we do on autopilot. We hear just enough of what others say to get our work done, maintain friendships, and be polite with our neighbors. But we miss crucial opportunities to go deeper - to give and receive honest feedback, to make connections that will endure for the long haul, and to discover who people truly are at their core. Fortunately, listening can be improved - and Ximena Vengoechea can show you how.
-
-
Isolating Introvert
- By Konie on 04-09-22
-
Sleep
- By: Nick Littlehales
- Narrated by: Nick Littlehales
- Length: 6 hrs and 39 mins
- Unabridged
-
Overall
-
Performance
-
Story
One-third of our lives - that's 3,000 hours a year - is spent trying to sleep. The time we spend in bed shapes our moods, motivation, alertness, decision-making skills, reaction time, creativity...in short, our ability to perform, whether at work, at home, or at play. But most of us have disturbed, restless nights, relying on over-stimulation from caffeine and sugar to drag us through the day. The old eight-hour rule just doesn't work, and it's time for a new approach. Endorsed by leading professionals in sports and business, Sleep shares a new program to be your personal best.
-
-
Good book, too long
- By Simone on 07-15-20
By: Nick Littlehales
-
Your Brain Is a Time Machine
- The Neuroscience and Physics of Time
- By: Dean Buonomano
- Narrated by: Aaron Abano
- Length: 8 hrs and 51 mins
- Unabridged
-
Overall
-
Performance
-
Story
In Your Brain Is a Time Machine, brain researcher and best-selling author Dean Buonomano draws on evolutionary biology, physics, and philosophy to present his influential theory of how we tell and perceive time. The human brain, he argues, is a complex system that not only tells time but creates it; it constructs our sense of chronological flow and enables "mental time travel" - simulations of future and past events.
-
-
Great book on an underrated subject
- By Neuron on 05-09-17
By: Dean Buonomano
Critic reviews
"A fascinating study of the evolutionary roots of mental illness.” --The Economist, "The Best Books of 2019
“All psychiatrists and patients who find themselves having occasional ‘bad feelings’ about our current understanding of mental illness will have many ‘good reasons’ to consult this book. I do fully expect that someday nearly all psychiatry will be identified as evolutionary psychiatry. If so, Randolph Nesse’s book should be seen as the field’s founding document.” --The Wall Street Journal
“If you’re curious about why humans seem stuck with emotional suffering, Good Reasons for Bad Feelings provides thoughtful evolutionary commentary. Nesse looks at emotions, addictions, and mental afflictions every which way and, to his credit, does not pretend to have all the answers. The ones he offers and the questions he raises about their likelihood make for highly interesting and enlightening reading.” --New York Journal of Books
“If your idea of self-care skews less spiritual and more scientific, Nesse’s new book on why humans are so vulnerable to a variety of mental disorders is a must. In this new work, he covers both why some people get sick, as well as why natural selection left us all so vulnerable to developing mental illness. Topics covered include changes in our environment impact us, how anxiety and low mood sometimes help our genes and how social anxiety is nearly universal.” --Forbes
What listeners say about Good Reasons for Bad Feelings
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
-
Overall
-
Performance
-
Story
- Cliente Amazon
- 07-01-21
Ricapitolazione scorrevole ed approfondita.
Ricapitolazione scorrevole ed approfondita. Fornisce le basi per capire i disturbi mentali partendo da premesse teoretiche scientifiche.
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!
-
Overall
-
Performance
-
Story
- david
- 08-07-19
great ideas
Wow. this is very confirming and validating. i'll listen again. for me it had considerable depth in fields that only a few yrs ago didn't exist.
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!
3 people found this helpful
-
Overall
-
Performance
-
Story
- Micah D
- 05-27-19
A Very Good, if Imperfect, Book
Nesse does a nice job of surveying an impossibly complex mental landscape. And he succeeds in making the ideas interesting and accessible. Truly, the book is an accomplishment. His tone is encouraging, and he approaches professions and theories with an inclusive openness. Unfortunately, that openness breaks down to unboundedness at times. His oddly strident defense of debunked psychoanalytic theory (including a shrill protest of a "purge") did not fit well in a book that claims a position on "the frontier." Similarly out of place were the heroic-insight clinical vignettes; these sophomoric tales almost certainly were forced in per editorial insistence to add human interest. The weaknesses can be forgiven, given the size of the challenge and the genuine value of this effort. Nesse's book is a provocative resource for psychiatric residents, clinical psych interns, and anyone wanting to shake up the way they think about mental health and illness.
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!
8 people found this helpful
-
Overall
-
Performance
-
Story
- Elisabeth
- 03-19-21
A must read for everyone
If you live anywhere on the Mediterranean coast, you'll feel it in your skin even deeper
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!
-
Overall
-
Performance
-
Story
- David P. Wingert
- 05-16-24
Very good resource.
The author goes to great effort to try to provide a balanced view. Much of what he writes deserves to be heard and studied. The explanation, in evolution, leaves room for other causes, e.g., a designer or God, that reaches the same end.
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!
-
Overall
-
Performance
-
Story
- Mykul
- 11-12-24
Great approach
very thought provoking. highly recommend for anyone who thinks about humans. worth the time
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!
-
Overall
-
Performance
-
Story
- Brett B.
- 06-04-19
Hands down a must read!! HIGHLY recommend
I listened to this book on audible and it is hands down one of the best books I have ever listened to (or read)! I purchased this audiobook thinking I would learn a thing or two about mental disorders but rather learned a million things about life / humankind in general.
It is refreshing to learn that there are logical (evolutionary) reasons for our feelings, emotions, etc. I never thought about this. Even though I have no background in psychiatry nor am I involved in the medical field this book was easy to understand and follow.
I'm glad I found this book and have been recommending it to all of my friends (and now the amazon universe) to improve their lives. I read another comment mentioning this as a must read and I couldn't agree more. The author truly thinks deeply about these issues and its astonishing that he can fit all of these thoughts into 1 book. I'm very thankful.
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!
5 people found this helpful
-
Overall
- Amazon Customer
- 05-22-20
Thoughtful and methodical - dryness is the price
I said it all in the title but 15 words are required here. Last two.
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!
2 people found this helpful
-
Overall
-
Performance
-
Story
- Michal
- 12-06-19
Fantastic
Fantastic book, inspiring and engaging and curious!! The performance is wonderful and. a pleasure to listen !!
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!
-
Overall
-
Performance
-
Story
- David
- 09-23-20
Highly insightful work by a researcher who has thorough knowledge of the field
Dr. Nesse Did a marvelous job of communicating some complex ideas in a manner that helps someone without a thorough grounding in mental illness or in evolutionary biology, to understand where mental illness might come from. There are numerous insights in the book that are useful to anyone with a brain, or anyone who interacts with anyone with a brain.
Something went wrong. Please try again in a few minutes.
You voted on this review!
You reported this review!