An evolutionary perspective on paranoia

Paranoia is the most common symptom of psychosis but paranoid concerns occur throughout the general population. Here, we argue for an evolutionary approach to paranoia across the spectrum of severity that accounts for its complex social phenomenology — including the perception of conspiracy and selective identification of perceived persecutors — and considers how it can be understood in light of our evolved social cognition. We argue that the presence of coalitions and coordination between groups in competitive situations could favour psychological mechanisms that detect, anticipate and avoid social threats. Our hypothesis makes testable predictions about the environments in which paranoia should be most common as well as the developmental trajectory of paranoia across the lifespan. We suggest that paranoia should not solely be viewed as a pathological symptom of a mental disorder but also as a part of a normally functioning human psychology. Paranoia is not only a symptom of mental disorder, but may also function as part of normal human psychology. Raihani and Bell review the evidence for an evolutionary account of paranoia in which between-group competition favours the development of psychological mechanisms to avoid social threat.