The prestige model of spectrum bipolarity

James Le Bas, John Richard Newton, Rachel Sore, David Jonathan Castle

Research output: Contribution to journalArticleResearchpeer-review


Because affective pathogenesis is a hard problem for psychiatry, it behoves researchers to develop and test novel models of causality. We examine the notion that the adaptive drive to social investment - prestige - provides clues to the bipolar spectrum. A seven node bipolar spectrum is proposed, based on a putative gradient of bipolarity . It is conceived that this gradient may correlate with the drive to social investment (prestige). In order to test this hypothesis with proof of concept data, a case control study categorised 228 subjects into a seven node bipolar spectrum. Whilst controlling for mood elevation and depression, differences in strategic prestige (leadership) motivation (MSPM) between spectrum groups were examined. The bipolar I (S1) node had a greater strategic prestige (leadership) motivation score than the controls (S7) by 21.17 points, 95 CI [8.16, 34.18], p
Original languageEnglish
Pages (from-to)122 - 128
Number of pages7
JournalMedical Hypotheses
Issue number2
Publication statusPublished - 2015

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