Botox, Depression, and Embodiment

In Social Cognition, we read a review article about embodiment – the idea that our cognitions and emotions are influenced by our physiological states. Embodied cognition and emotion research is really in its early stages, but it has a long history – back to Darwin’s studies. Some of these studies (for example, Paul Ekman’s research) indicate that by manipulating our facial muscles to simulate emotions induces the emotional state physiologically and psychologically.

The NY Times has an article on new research that shows greater depression relief among people who had Botox than a saline control injection in their forehead muscles, which are involved in frowning.

I was thinking about this from a social psychological perspective, and believe that at least part of this effect may be a social one. Consider that someone who has a history of depression likely has a social network used to seeing the person depressed. Those individuals may be interacting with the depressed person in ways that reinforce the depression, for example, with pity or sadness (cf. self-fulfilling prophecy). Now consider how those people might respond if the depressed person’s expression has less indicators of depression because of the Botox injections. They may respond to the person with more positive affect and thus lifting the person’s mood.

That proposition has lots of assumptions that I don’t have the time to validate, but it seems plausible on the face.

Link to the NY Times article “Don’t Worry, Get Botox”

[T]hese Botox studies underscore one of the biggest challenges in treating people with depression. [Depressed individuals] might think that the reason they are depressed is that they have little interest in the world or their friends — a mistaken notion that is the result, not the cause, of their depression. They insist that only once they feel better will it make sense for them to rejoin the world, socialize and start smiling. Their therapists would be well advised to challenge their inverted sense of causality and insist that they will start feeling better after they re-engage with the world.

And, I would add to that quote, the world re-engages with them in positive ways.

Published by

Dana C. Leighton, Ph.D.

I am a social psychologist, broadly interested in the psychological basis of peace and conflict. I am working for the Federal Emergency Management Agency (FEMA) as a Program Analyst, leading our survey research to better understand how our disaster response is promoting equity in service delivery, workforce readiness, and recovery and mitigation efforts.

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