<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0873-6561</journal-id>
<journal-title><![CDATA[Etnográfica]]></journal-title>
<abbrev-journal-title><![CDATA[Etnográfica]]></abbrev-journal-title>
<issn>0873-6561</issn>
<publisher>
<publisher-name><![CDATA[Centro em Rede de Investigação em Antropologia - CRIA]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0873-65612016000300013</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Compassion between humans since when?: What the fossils tell us]]></article-title>
<article-title xml:lang="pt"><![CDATA[Compaixão entre humanos, desde quando?: O que nos dizem os fósseis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cunha]]></surname>
<given-names><![CDATA[Eugénia]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Universidade de Coimbra Departamento de Ciências da Vida Centro de Ecologia Funcional]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>01</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>01</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>20</volume>
<numero>3</numero>
<fpage>653</fpage>
<lpage>657</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0873-65612016000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0873-65612016000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0873-65612016000300013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[This paper explores the concept of compassion in an evolutionary framework, and presents pathological cases identified in fossil records. The paleopathological examples presented illustrate how the negative impact of disease and injury on individuals&#8217; lives is minimized through empathy, cooperation and care towards conspecifics.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Esta comunicação explora o conceito de compaixão, num contexto de estudo da evolução humana, através da apresentação de casos patológicos identificados no registo fóssil. Os exemplos paleopatológicos descritos mostram como o impacto negativo na vida dos indivíduos é minorado pela empatia, cooperação e cuidado para com os indivíduos doentes do grupo.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[compassion]]></kwd>
<kwd lng="en"><![CDATA[paleopathology]]></kwd>
<kwd lng="en"><![CDATA[paleoepidemiology]]></kwd>
<kwd lng="en"><![CDATA[bioarcheology]]></kwd>
<kwd lng="en"><![CDATA[human evolution]]></kwd>
<kwd lng="pt"><![CDATA[compaixão]]></kwd>
<kwd lng="pt"><![CDATA[paleopatologia]]></kwd>
<kwd lng="pt"><![CDATA[paleoepidemiologia]]></kwd>
<kwd lng="pt"><![CDATA[bioarqueologia]]></kwd>
<kwd lng="pt"><![CDATA[evolução humana]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <P align="right"><font size="2" face="Verdana"><b>MEM&Oacute;RIA</b> </font></P>     <P>&nbsp;</P>     <P><b><font size="4" face="Verdana">Compassion   between humans since when? What the fossils tell us</font></b></P>     <P>&nbsp;</P>     <P><b><font size="3" face="Verdana">Compaix&atilde;o   entre humanos, desde quando? O que nos dizem os f&oacute;sseis</font></b></P>     <P><font size="2" face="Verdana"> </font></P>     <P>&nbsp;</P>     <P><b><font size="2" face="Verdana"> Eug&eacute;nia Cunha<sup>I</sup></font></b></P>     <P> <font face="Verdana"><font size="2" face="Verdana"><sup>I</sup></font></font><font size="2" face="Verdana">Departamento   de Ci&ecirc;ncias da Vida, Centro de Ecologia Funcional, Universidade de Coimbra, Portugal. <i>E-mail:</i> <A HREF="mailto:cunha@antrop.uc.pt">cunha@antrop.uc.pt</A></font></P>     <P>&nbsp;</P>     ]]></body>
<body><![CDATA[<P><font size="2" face="Verdana"> </font></P> <hr noshade size="1">     <P><font size="2" face="Verdana"><b>ABSTRACT</b></font></P>     <P><font size="2" face="Verdana">This   paper explores the concept of compassion in an evolutionary   framework, and presents pathological cases identified in fossil   records. The paleopathological examples presented illustrate how the   negative impact of disease and injury on individuals&rsquo; lives is minimized through empathy, cooperation and care towards conspecifics.</font></P>     <P><font size="2" face="Verdana"><b>Keywords:</b> compassion,   paleopathology, paleoepidemiology, bioarcheology, human evolution.</font></P> <hr noshade size="1">     <P><font size="2" face="Verdana"><b>RESUMO</b></font></P>     <P><font size="2" face="Verdana">Esta   comunica&ccedil;&atilde;o explora o conceito de compaix&atilde;o, num   contexto de estudo da evolu&ccedil;&atilde;o humana, atrav&eacute;s   da apresenta&ccedil;&atilde;o de casos patol&oacute;gicos   identificados no registo f&oacute;ssil. Os exemplos paleopatol&oacute;gicos   descritos mostram como o impacto negativo na vida dos indiv&iacute;duos   &eacute; minorado pela empatia, coopera&ccedil;&atilde;o e cuidado para com os indiv&iacute;duos doentes do grupo.</font></P>     <P><font size="2" face="Verdana"><b>Palavras-chave:</b> compaix&atilde;o,   paleopatologia, paleoepidemiologia, bioarqueologia, evolu&ccedil;&atilde;o   humana</font>.</P> <hr noshade size="1">     <P>&nbsp;</P>     <P>&nbsp;</P>     <P><font size="2" face="Verdana"> The idea of this short paper is to provide insight into the antiquity   of compassion (defined as a feeling of warmth and concern directed to   another, and trying to make another suffer less and live easily)   through looking for evidences of diseases in the fossil record which   imply some kind of interpersonal help to guarantee the survival of   the affected individual. This subject has always been an issue and   its relevance can be witnessed by a recent book published on the &ldquo;bioarcheology of care&rdquo; (Tiley 2015).</font></P>     ]]></body>
<body><![CDATA[<P><font size="2" face="Verdana"> The evidence of disease and disability in the fossil record is a   partial way to research this question for two reasons: first, only   some lives fossilize and we have access to a small portion of our   ancestors; second, only some diseases leave traces on skeletal   remains. Furthermore, the interpretation of traces is not an easy   task. Only some pathologies can fossilize, and the older the human   remains, the more difficult it will be to discriminate among   taphonomic alterations and antemortem lesions. The detection of one   case of a particular pathology does not allow conclusions to be drawn   regarding its paleoepidemiology: the small size of many samples does   not permit it. Hence, it does not make sense to discuss results in   the context of &ldquo;communities of past populations&rdquo; since   for the majority, sample sizes are too small. Above all, in paleopathology, the absence of evidence is not evidence of absence.</font></P>     <P><font size="2" face="Verdana"> Identifying diseases in bones &ndash; mostly in fossilized bones &ndash;   is not straightforward. In our evolutionary history, we have always   been what we eat, and during 99% of our history we were nomadic   hunter-gatherers, with a lifestyle requiring high biomechanical   effort and that resulted in reduced longevity. For example, this can   be seen in the fossil record through an earlier eruption of the third   molar and an earlier menopause which implies the low prevalence of   some diseases such as osteoporosis. On the other hand, past hominins   were more robust as evidenced by thicker cortical bone layers. Such   examples highlight that reading hominin bones is not the same as reading present-day skeletal remains.</font></P>     <P><font size="2" face="Verdana">   There are numerous pathological evidences in the fossil record.   Within Australopithecus, the famous Lucy (3.4 million years ago)   might have suffered from TMJ, temporo mandibular joint disease, and,   eventually from Scheuermann disease (Cook <I>et</I>&nbsp;<I>al</I>.   1983). Within Paranthropus, no pathologies have been detected, with   only isolated cases of interproximal caries, such as in a 1.5 million year old <I>Paranthropus robustus</I>.</font></P>     <P><font size="2" face="Verdana">   Within the first Homo, some authors argue that KNM WT 15000 Turkana   Boy, an 11-year-old boy who lived 1.6 million years ago, might have   died of blood poisoning from a tooth infection, although further evidence is required to support this.</font></P>     <P><font size="2" face="Verdana">   The first indication that hominins provided interpersonal help comes   from Dmanisi, Georgia, with the first hominins outside of Africa.   Indeed, the earliest toothless hominin in the world who lived 1.8   million years ago comes from Dmanisi (Lordkipanidze <I>et</I>&nbsp;<I>al.</I>   2005). The complete absence of teeth of D3444    /    D3900   means that he had survived for a lengthy period without consuming   foods that required heavy chewing. Instead, he might have consumed   soft foods and might have had the help from other individuals. This   case raises important questions about hominin social structures.   Other examples in early Homo, such as KNM ER 1808 <I>Homo ergaster</I>,   1.6 million years ago, who possibly suffered from hypervitaminosis   (Walker, Zimmerman and Leakey 1982), does not help to build a picture of interpersonal relations, but mainly raises questions on Homo diet.</font></P>     <P><font size="2" face="Verdana"> Even the well-known case of Pithecanthropus&nbsp;III, from Java,   displaying a traumatic <I>miosistis ossificans</I>, an evident bone   exostosis in the femur, does not necessarily imply the help of a   second person to survive. Much later, the female skull from la   Sal&eacute;-Marocco (from around 400 thousand years ago) represents a   possible case of congenital torticollis, a congenital abnormality   which limited the movements of the head and limbs and might have   implied some interpersonal help to survive, but nothing significant.   This case was considered a &ldquo;product of evolved altruism&rdquo; by Hublin (2009:&nbsp;6430).</font></P>     <P><font size="2" face="Verdana"> The famous Middle Pleistocene fossil treasure of Atapuerca, Miguelon   (skull&nbsp;5), Sima de los Huesos, from 400 thousand years ago,   might have died from septicemia, a generalized infection which, in   this case, might have started in the dentition. Septicemia is always   a quick process and does not have major implications in terms of   social care. Skull&nbsp;14 from Sima de los Huesos (Gracia <I>et</I>&nbsp;<I>al</I>.   2009) shows craniosinostosis, early suture closure, which informs our   understanding of compassion in the Middle Pleistocene. The survival   of an individual with this disease until the age of 11 years has some   implications in terms of sociobiological behavior, such as help from   family members. It is the oldest evidence in human evolution of a   very rare pathology, which implies, among others, some   motor    /  cognitive problem.</font></P>     <P><font size="2" face="Verdana"> Before arriving to Neanderthals, maybe only the skull KNM ES 11693   (Eliye Springs skull, Lake Turkana), with an age of 200-300 thousand   years, displays cranial thickness and exocranial porosity in relation with chronic anaemia (Br&auml;uer <I>et</I>&nbsp;<I>al</I>. 2003).</font></P>     <P><font size="2" face="Verdana"> Neanderthals are well known, among other things, because of their   burials and symbolic behavior, and therefore it is not surprising to   find evidence of interpersonal help. There are some examples of   pathologies, such as the cases of La&nbsp;Ferrassie, with   osteoartrosis and deformation at the level of postcranial skeleton   and even a case of an eventual systemic disease, or La&nbsp;Chapelle   aux Saints (Dawson and Trinkaus 1997), with several degenerative   diseases, which tell us that these hominins lived longer than would   be expected based on their condition and were accepted by their communities.</font></P>     <P><font size="2" face="Verdana"> The mandible of Aubesier&nbsp;10, a case from the Middle Pleistocene,   with serious abnormalities and implications for masticatory function   (Lebel and Trinkaus 2002) gave rise to an interesting discussion   about the existence of conspecific care (DeGusta 2003), emphasizing the difficulty to infer that from pathological evidences.</font></P>     ]]></body>
<body><![CDATA[<P><font size="2" face="Verdana"> Perhaps the most famous pathological case within Neanderthals is   &shy;Shanidar&nbsp;1, with a traumatic injury on the left orbit which   might have caused blindness and multiple fractures to the skull and   postcranial bones. Mostly, the disuse atrophy of the right arm is   consistent with paralysis, which tells us that this handicapped individual was living in a society (Conrad and Richter 2011).</font></P>     <P><font size="2" face="Verdana"> All the other cases of lesions reported for Neanderthals, including   DISH (Shanidar) (Crub&eacute;zy and Trinkaus 1992), healed fractures   (Krapina and St.&nbsp;Cesaire) and even the enthesopathies for Kiik   Koba, are not relevant to make inferences about compassion in early humans (Trinkaus, Maley and Buzhilova 2008).</font></P>     <P><font size="2" face="Verdana"> Finally, among the first modern humans, Qafzeh&nbsp;12 (Tillier <I>et</I>&nbsp;<I>al</I>. 2001) refers to a case of hidrocephaly in a   three-year-old child, who would never arrive to that age without   family support. The well-known Cro-Magnon, namely skeleton&nbsp;1,   displays an erosion of the vertical part of the frontal bone which   might be due to histiocitosis&nbsp;X, a quite rare pathology   (Thillaud 1996). The &ldquo;earliest known case of dwarfism in the   human record&rdquo; is El&nbsp;Romito&nbsp;2, which provides   &ldquo;evidence of tolerance of, and care for, a severely deformed   individual in the Palaeolithic&rdquo; (Frayer <I>et</I>&nbsp;<I>al</I>.   1987:&nbsp;61). Lastly, skeletal remains of <I>Homo floresiensis</I>,   despite his small brain and large feet, have not been particularly informative about the bioarchaeology of care.</font></P>     <P><font size="2" face="Verdana"> In all, &ldquo;the use of pathologies to infer conspecific care is   neither original nor straightforward&rdquo; (Dettwyler 1991: 380). To   infer conspecific care on the basis of lesions and pathologies is not   warranted and some individuals might have survived with no external   help from the others (Hublin 2009). More comparative studies are needed (DeGusta 2002).</font></P>     <P><font size="2" face="Verdana">   Above all, social functions are also a product of our large brain and   cooperative behavior, and pair bonding among other things. As these   behaviors are observed in extant nonhuman primates (Cuozzo and   Sauther 2004; Hublin 2009), then, why would we not expect to see them   in past homins? The recent case reported by Matsumoto <I>et</I>&nbsp;<I>al</I>.   (2015) about the interactions between a severely disabled infant   chimpanzee and her mother, in the wild, is a good illustration of how   much nonhuman primates care about each other, even when disabled.   Inferring care in past hominins is a challenge which requires evidence from several sources to be validated.</font></P>     <P>&nbsp;</P>     <P><font size="3" face="Verdana"><b>REFERENCES</b></font></P>     <P><font size="3" face="Verdana"></font><font size="2" face="Verdana">BR&Auml;UER, G&uuml;nter, <I>et al.</I>, 2003, &ldquo;Pathological   alterations in the archaic <I>Homo sapiens</I> cranium from Eliye   Springs, Kenya&rdquo;, <I>American Journal of Physical Anthropology</I>,   120&nbsp;(2): 200-204.</font></P>     <!-- ref --><P><font size="2" face="Verdana"> CONARD, Nicholas, and J&uuml;rgen RICHTER, 2011, <I>Neanderthals Lifeways: Subsistency and Technology</I>. Tubingen, Springer.    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=196631&pid=S0873-6561201600030001300002&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --></font></P>     ]]></body>
<body><![CDATA[<P><font size="2" face="Verdana">   COOK, Della Collins, <I>et al</I>., 1983, &ldquo;Vertebral pathology   in the Afar australopithecines&rdquo;, &shy;<I>American Journal of     Physical Anthropology</I>, 60&nbsp;(1): 83-101, DOI:   10.1002/ajpa.1330600113.</font></P>     <P><font size="2" face="Verdana"> CRUB&Eacute;ZY, Eric, and Erik TRINKAUS, 1992, &ldquo;Shanidar 1: A   case of hyperostotic disease (DISH) in the middle paleolithic&rdquo;, <I>American Journal of Physical Anthropology</I>, 89&nbsp;(4): 411-420.</font></P>     <P><font size="2" face="Verdana"> CUOZZO, Frank, and Michelle SAUTHER, 2004, &ldquo;Tooth loss,   survival, and resource use in wild ring-tailed lemurs (<I>Lemur     catta</I>): implications for inferring conspecific care in fossil   hominids&rdquo;, <I>Journal of Human Evolution</I>, 46&nbsp;(5): 623-631.</font></P>     <P><font size="2" face="Verdana"> DAWSON, James E., and Erik TRINKAUS, 1997, &ldquo;Vertebral osteoarthrithis in La&nbsp;Chapelle aux Saints&nbsp;I Neanderthal&rdquo;, <I>Journal</I> <I>of Archaeological Science</I>, 24: 1015-1021.</font></P>     <P><font size="2" face="Verdana"> DeGUSTA, David, 2002, &ldquo;Comparative skeletal pathology and the case for conspecific care in Middle Pleistocene hominids&rdquo;, <I>Journal of Archaeological Sciences</I>, 29&nbsp;(12): 1425-1438.</font></P>     <P><font size="2" face="Verdana"> DeGUSTA, David, 2003, &ldquo;Aubesier 11 is not evidence of   Neanderthal conspecific care&rdquo;, <I>Journal of Human Evolution</I>, 45&nbsp;(1): 91-94.</font></P>     <P><font size="2" face="Verdana"> DETTWYLER, Katherine Anne, 1991, &ldquo;Can paleopathology provide   evidence for &lsquo;compassion&rsquo;?&rdquo;, <I>American Journal of Physical Anthropology</I>, 84&nbsp;(4): 375-384.</font></P>     <P><font size="2" face="Verdana">   FRAYER, David W., <I>et al</I>., 1987, &ldquo;Dwarfism in an   adolescent from the Italian Late Upper Paleolithic&rdquo;, <I>Nature</I>, 330: 60-62.</font></P>     <P><font size="2" face="Verdana">   GRACIA, Ana, <I>et al</I>., 2009, &ldquo;Craniosinostosis in the   Middle Pleistocene human Cranium&nbsp;14 from the Sima de los Huesos,   Atapuerca, Spain&rdquo;, <I>Proceedings of the National Academy of     Sciences of the United States of America (PNAS)</I>, 106&nbsp;(16): 6573-6578.</font></P>     <P><font size="2" face="Verdana"> HUBLIN, Jean-Jacques, 2009, &ldquo;The prehistory of compassion&rdquo;, <I>Proceedings of the National Academy of Sciences of the United States of America (PNAS)</I>, 106&nbsp;(16): 6429-6430.</font></P>     ]]></body>
<body><![CDATA[<P><font size="2" face="Verdana"> LEBEL, Serge, and Erik TRINKAUS, 2002, &ldquo;Middle Pleistocene   human remains from the Bau de l&rsquo;Aubesier&rdquo;, <I>Journal of Human Evolution</I>, 43&nbsp;(65): 659-685.</font></P>     <P><font size="2" face="Verdana">   LORDKIPANIDZE, David, <I>et al</I>., 2005, &ldquo;The earliest toothless hominin skull&rdquo;, <I>Nature</I>, 434: 717-718.</font></P>     <P><font size="2" face="Verdana">   MATSUMOTO, Takuya, <I>et al</I>., 2015, &ldquo;An observation of a   severely disabled infant chimpanzee in the wild and her interactions with her mother&rdquo;, <I>Primates</I>, 57&nbsp;(1): 3-7.</font></P>     <!-- ref --><P><font size="2" face="Verdana">   THILLAUD, Pierre, 1996, <I>Pal&eacute;opathologie Humaine</I>. Paris, Kronos BY Editions.    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=196646&pid=S0873-6561201600030001300016&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --></font></P>     <!-- ref --><P><font size="2" face="Verdana">   TILEY, Lorna, 2015, <I>Theory and Practice in the Bioarchaeology of Care: Bioarchaeology and Social Theory. </I>London, Springer.    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=196648&pid=S0873-6561201600030001300017&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --></font></P>     <P><font size="2" face="Verdana">   TILLIER, Anne-Marie, <I>et al</I>., 2001, &ldquo;Brief communication:   an early case of hydrocephalus &ndash; the Middle Paleolithic   Qafzeh&nbsp;12 child (Israel)&rdquo;, <I>American Journal of Physical Anthropology</I>, 114&nbsp;(2): 166-170.</font></P>     <P><font size="2" face="Verdana"> TRINKAUS, Erik, Blaine MALEY, and Alexandra P.&nbsp;BUZHILOVA,   2008, &ldquo;Brief communication: paleopathology of the Kiik-Koba&nbsp;1   Neandertal&rdquo;, <I>American Journal of Physical Anthropology</I>, 137&nbsp;(1): 106-112.</font></P>     <P><font size="2" face="Verdana"> WALKER, Alan, Michael R. ZIMMERMAN, and Richard E.    F. LEAKEY,   1982, &ldquo;A possible case of hypervitaminosis&nbsp;A in <I>Homo erectus</I>&rdquo;, <I>Nature</I>, 296: 248-250.</font></P>     ]]></body>
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