Do This Before 2024 To Change Your Life. The Only Way To Quickly Make Progress In Life | Gabor Maté
TanQ2mhxAcs • 2022-12-08
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Kind: captions Language: en not just why are they using a substance or why they are obsessive pornography or gambling but what is that doing for them what is that giving them that they need what peace of mind what temporary relief I think a lot about what my North Star is what I want in my own life what sort of my ideal life looks like and then when I'm working with other people and trying to help them I think about you know what what is the North Star that somebody's really in trouble I would advise hey adopt this as your North Star do you have something like that that you think that people ought to strive for for their own sake the reason I smirk when you ask that question is because um it puts me in a position of some kind of expert um whereas believe me every day I still work at figuring myself out and finding my direction and and or or refining my direction and so on so it's not like I can say here's this pearl of wisdom take it and run with it then this will you know just not like that for me um well let me turn the question on just for a moment and and as a way for me to think about your question sure um so like I don't know a lot about you you know but but I do understand is that in significant ways you've made a tremendous success in your life a lot of you know achieve things that a lot of people look at my God if I only had that I'd be okay but let me just ask you this I'm just absolutely curious having achieved all that in the material world did you come to saying to yourself oh I'm okay now the quest is over definitely not so what so so what were you looking for so my North Star in the beginning was wealth and that was I showed up every day trying to get rich and at about eight years into that I was absolutely devastated spiritually is probably the right way to think about it I just felt dead inside and I at that point I was worth about two million dollars on paper so my actual life was not the life of a wealthy person but um I had equity in a company and I went to my wife and I said hey I know that I promised I would make you rich one day I'm gonna need to take a step back for a minute because I am profoundly unhappy yeah and she was like hey what I want for is your happiness and so do whatever you need to and so we were going to move to a tiny village in Greece and I was going to go back to writing which was my first love okay and just do things that made me feel alive long story short um my then business partner said hey don't leave um we actually feel the same way so why don't we build something that would give us what we're looking for and so if I had to shorthand what I came to realize I'm looking for which is very much my North Star is fulfillment and I'll Define fulfillment as working really hard to build a set of skills that I care about that serve not only me but other people and in doing that I am addressing what I think are the physics of Being Human now I may be misunderstanding that it is the physics only of humans in this era I'm very open to this is within the context of the civilization that I grew up in here are the things that seem to come pre-built into our hard wiring um and maybe not um historically accurate but given the world that I live in um doing something working really hard is a big part of um I feel there's just a subroutine in my brain that wants me to earn things and when I do that I feel good when I work hard in the gym I feel good when I take a cold shower I feel good when I um you know do something difficult for my wife I feel good about that and I definitely enjoy that Loop and then well let me let me look okay yeah please so if I could find one word to summarize like you what I think I heard you say it's meaning definitely yeah so so that's that's one of those human expectations is meaning I think that's a need okay now how you find that is a very individual thing but let me ask you a very scary question though because it it puzzles me um you identify meaning with hard work well I've seen this happen by the way not God willing it won't but what if you had a stroke tomorrow or some idiot plug into you and you were bicycling and and and and you you became quadriplegic now you couldn't work hard anymore I love that question I obsess about things like that so I thought a lot about that one in particular um so I would give myself 30 days to mourn whether I should or shouldn't uh I would and I would be very I would allow myself to wallow in the sense that it was unfair and that now I have to change um the things that I engage in that bring me joy but then at the end of that it it is what it is and so getting lost in unfairness is not going to serve me so then I would immediately turn my attention to finding a way to have meaning and purpose I think that that nothing that I've ever experienced in life leads me to believe that I would ever feel fulfilled without meaning and purpose okay great so finding a way to tap into that and then I have a sort of safety valve which is my wife and I remind each other of this all the time because we've already had all the financial success at this point to do something for the sake of money would be so crazy so we definitely don't do that and what we remind each other of is you should love your life like just from a joy perspective and if you don't check in with is this joyful because if you're working hard and it's joyful that makes sense to me if you're working hard and it's deteriorating your joy your sense of self whatever then that's just Madness so for even for our employees what we say is look you're an adult I want you to control when you need a day off so you have an unlimited policy use it as UC fit I do want people that are hard workers don't get me wrong but I know there are some times where on a Tuesday I'm just like I'm I'm burning out like this isn't Fun and so I stop immediately because I know what my priorities are in life and joy is extraordinarily high and it is certainly higher than success okay well that's great um that makes it easier for me to answer your question um in terms of my new star um Joy is something that um for me is an ongoing project you know and I really do think that goes back to the lack of play that I received in the first year or two of my life you know on the conditions of wartime and genocide there's just not a lot of cheerful play that happens with the baby um but what really likes my fire is truth I just want to know the truth whatever that is because you like knowing how the world works this is not because you see a truth is its own value I I mean I could give you all kinds of good reasons why truth is a good thing but ultimately uh it's just a value in itself for its own sake and so I'm passionate about truth um both internal truths and external truth and I'm passionate then my work is to as much as I can perceive truth and as much as I can communicate my perceptions that other people have access to truth as well or that they or that their own passion in truth is kindled uh in its own right so that's that's my if you ask for a North star that's what I would say for myself it's really interesting not at all what I thought you were going to say can I interpret when I look at the books you've written and I look at you know your willingness to come and do a podcast like this can I read that all as an exploration of Truth or are these sort of side tangents no purely that's what it's about it just so happens that as a medical doctor somebody would dealt with depression and ADHD myself dealt with terminal illness and palliative care dealt with addictions deals with babies um my path to truth has been to my own experience and through my medical experiment my personal experience what I've been through as a person when I'm going through as a person and what I saw experienced and learned as a physician so the books Express all that when it comes to physical illness or addictions or Child Development or whatever but the lodestar is always the truth and from that point of view I never cared much who agrees with me and who doesn't and to what extent my colleagues value or don't value it you know that's just as I see it folks you know and uh um in this society and this is not a personal event it's just a general comment that um truth is not hard to come by not easy to come by because uh for all the knowledge that's out there and for all the expertise um it's also split and it's also disintegrated so people have a hard time seeing the overall reality of things and so my attempt always is to look at the context and look at the overall reality so not just how do you how do you change a kid's Behavior but why is the kid be having that behaving that way and what is it in the environment that the kid is reacting to or somebody who's addicted not just why are they using a substance or why they are obsessive pornography or gambling but what is that doing for them what is that giving them that they need what peace of mind what temporary relief what numbing of painful emotions and what did those painful emotions come from and what happened to them what's the context thing which should happen so that everything leads back to everything else and so I'm always looking for the larger truth of things which demands a broader look not isolating everything but looking at everything as as one which scientifically and spiritually and materially it is I am obsessed with what is true so I resonate with you there big time what I don't understand and so I'm going to ask you a follow-up question to see if I can isolate um what it is about the the nature of Truth just in and of itself that is Meaningful to you so I'm interested in the truth for one reason and one reason only if I'm really honest with myself and that is it has so much utility once you understand it's like it's like physics to me because we understand physics we can send things to the Moon we can create satellites you know better manufacturing whatever um would the truth be as meaningful to you if you were trapped on a desert island with access to all the information in the world but you could never engage with another human so you could assimilate the truth you could learn what it is synthesize it maybe even have insights that other people are missing and and know to the core of your being that you have uncovered something that is true would that be meaningful or is part of what makes it matter to you that you can put it back out into the world and that ultimately somebody can use it well so first of all that's not confuse truth with information uh interesting so help me understand what I'm missing well there's lots of facts out there but truth is much larger than facts it's it's integrating the facts in a in a in a picture of of reality so that and I I'm maybe putting very clumsy language on what may be a far more beautiful sentiment um so when I when I hear you say that and I take it in totality of how all these things come together I come back to this idea of the truth is that is the way the world works so don't ask about the the addiction ask about what caused the pain like that makes sense to me because now you can actually address it and heal but what makes that capital T truth interesting is the healing for me but that's why but why do you want people to heal um because of my North Star so my North Star which seems self-evident to me and I'm always surprised that it isn't everybody's North Star is that there is uh the only thing that matters to me in the way that I view the world is your neurochemical state and your neurochemistry the only thing that's resilient because Joy comes and goes suffering comes and goes hopefully and the only thing that gives you the resilience to even in the middle of a painful moment a storm to have emotional equilibrium is what I call fulfillment so again meaning and purpose derived from working hard for something um that you have developed a unique set of skills so you really matter in that situation and it it isn't only alleviating your suffering it's helping other people and that to me feels so inherent to the human animal that as a social species we're just never going to be able to escape getting psychologically punished for failing to help others and we're never going to escape getting rewarded for helping others and I think that the more uniquely we can do that so in a way that matters to me right so you're not still a high school teacher you're you're expressing helping others in in a very unique way that I mean literally I've never come across anybody that's got the unique um conflagration of things that you have so that makes your contributions all the more individual and therefore I would imagine precious to you so anyway because of my North Star I want to alleviate that Pain by having worked hard to offer something to somebody that they go whoa like this alleviated my pain and now I can also go do something that helps other people um that's why the healing matters okay so look so then to go back to your desert island question you know I mean metaphorically speaking isolated in the forest didn't see anybody you know he no I'm not talking with me I'm talking about him the way I understand that historical figure he would have been perfectly okay being on his own because he attained a sense of reality that was complete and then he made a decision out of compassion to come back and teach others and you are talking about compassion as well you're talking about not truth is utility you're talking about truth as compassion so it's not just useful because you can build things with it the way you define it is you want to truth so you can alleviate the suffering of others and that's part of the truth and or Jesus said you know he is another great spiritual Avatar and teacher he says you will know the truth and the truth will liberate you he didn't say the truth will liberate you he said you will know the truth and it will liberate you so when you know the truth that's where freedom is so truth goes Way Beyond facts it was ultimately as I understand that then as I've been taught has to do with Liberation and freedom and it has to do with compassion uh in exactly the way you talked about it as well So when you say tell me what truth is well I'm telling you it's got all these aspects and it goes back to our conversation what meaning so that life without truth is not a meaningful life [Music] that is uh that's very interesting as you were talking I was like oh please God let him write a book about truth I would uh hearing you say all that I would definitely sign up for that book I want to talk about the idea of a bodhisattva so this is one of the things that I found super interesting about Buddhism and again hey a guy that understands it at 30 000 feet does not know the specifics but that idea of hey there's two things you can do with Enlightenment you can hey you're enlightened and and now you sort of stand apart from everybody else or you get enlightened and decide to be a bodhisattva to re-engage to go back in to help other people and do you think this is maybe a dangerous question but do you think any body would like knowing what you know about the human mind would anybody ever that attained Enlightenment actually just go peace I'm out it seems like the very nature of that moment would sort of propel you back to other people well first of all the last thing I could I want to present myself as is any kind of an expert on what is I thought that might be your response yeah you know but yeah I mean there have been in the Christian tradition there were saints that went to the desert then they just stayed there and then certainly on the all the Hindu Traditions there are all these people in the Buddhist tradition as well I think there are people who um you know sit in caves and they just contemplate reality and that's what they do um which doesn't mean that what they do has no impact on others but they're not going out but they're not out there trying to recruit others or to teach others they're just doing what they're doing I have extraordinary difficulty imagining myself being one of those people um which I'm not sure is either is an advantage for me I mean I might be more advanced if I could handle the idea of being on my own and and not doing anything and just being and just valuing being period I imagine that for a person like me might be a step forward but I but yeah I think from my limited understanding they have people there have been people who have done that and they're part of the human Spectrum aren't they very well said yeah but what at this point you're 77 yeah you're so productive what is it that keeps you going when most people are like counting the days until they can retire at 64 or whatever um what what keeps you going uh Botox steroid injections um well look I mean you talked about meaning uh there's so much meaning in my life I am I'm so fortunate you know that that and I've never stopped developing not that I've arrived there but I've never stopped developing like I've never stopped being curious um I believe I have a I've finally come to accept that yeah I do have a contribution to make and and and and and and uh and and that that has value in the world and it is value for me so uh at this point it's just it keeps me going it's it's it's like it's just who I am at this point you know is is I'm curious about what I'm doing I'm excited about much of what I do I'm excited about having conversations like this I'm excited about the book I'm writing the teaching that I do I'm excited about spending time with my wife of 51 years now I'm excited about I can still go swimming and bicycling and do the yoga and and just you know my life is just a very blessed one at this point not that I feel like that every moment but since you ask it's not like I'm you know what it is when people talk about work what is work I I think um if I remember right from physics one way to look at work is energy expended against resistance and the more energy is you expand against more resistance the harder you have to work the more fatiguing it is but I'm fortunate enough that I'm free enough in my life right now that I don't have to face resistance internal resistance I want to do what I'm doing and uh there's just so much more and and um and I'm sure that my vision of reality is still very limited and maybe there's more to find out in fact I'm sure there's more to find out so it's just uh it's just an expansion into old age I think if if we're fortunate enough we'll see how that goes and you know one never knows what tonight will bring later on the day after tomorrow might bring but so far it's an expansion not physically because as we get older physically I don't swim as fast as I used to but but there's an expansion that's available to us mentally and spiritually relationally in terms of understanding and that's I don't know if that's I don't know what that sounds like but that's what keeps me going how how do we expand spiritually and that's probably a word that would warrant definition but I'm curious how you think about that well so spirituality is really Beyond Who We Are as bodies in his Minds so it's an awareness that lies underneath all that and it can hold all that but isn't identical with it and this is where it's hard for me to say am I saying anything I truly know am I just repeating what spiritual teachers that I've respected and have learned from have mouth and I'm just repeating what they told me but it's both I think I I do have a sense that there's more to us and that more is I think what we call spirituality and if it's all kinds of shapes and forms and I'm not concerned about that but I do know that um I am not who I used to think I was and that nobody is who they think they are um they're they're beyond that and I that's the common teachings I think of all spiritual traditions which I'm very inadequate and this is not false modesty I'm just telling you uh it's it's I mean adequate at translating because I haven't had that deep experience that other people have had the truth is hitting your career goals is not easy you have to be willing to go the extra mile to stand out and do hard things better than anybody else but there are 10 steps I want to take you through that will 100x your efficiency so you can crush your goals and get back more time into your day you'll not only get control of your time you'll learn how to use that momentum to take on your next big goal to help you do this I've created a list of the 10 most impactful things that any High achiever needs to dominate and you can download it for free by clicking the link in today's description alright my friend back to today's episode it's very interesting and I believe you that you're not just being um falsely humble but as somebody who um works so much with there's two two parts of your background that um probably lean into what I would consider spiritual uh but I think we may Define that slightly differently but um one is the palliative care which I'm extraordinarily fascinated by people that do that um and then your I don't know if you would call yourself a guide of um of hallucinogenic transformation I'm not sure exactly what your involvement is with that but I know that you've um you've explored it enough to to sort of have at least a sideways glance at what's going on there um talk to me first about palliative care I know that you sort of ended up there by accident but what makes that fascinating to me is you've got subtracting out the pain you've got somebody who's there themselves but all of a sudden their future is a known quantity and it's very short and the profound change that that makes in the human mind I find interesting um what did you learn about life about yourself um in your time in palliative care well the the people the nurses and the Physicians and the um the social workers and and the others who work in palliative care tend to be a very special breed um in that they're not afraid of death um so learning not to be afraid of human death and giving up your sense of omnipotence uh array liberating by a sense of omnipotence I mean Physicians are trained to save lives I'm telling you Tom I knew Physicians that would barely visit their patients in palliative care because they couldn't stand what they considered to be their own failure which of course it wasn't but the the their self-images healers or physician curers just couldn't withstand the white Heath of death and so that's very liberating when you just you get to talk to somebody and you get to minister to them and you're not pretending to be able to do anything more than you can do but you can really listen to people and get to know people in their final days and their final hours final weeks it's an absolute privilege uh what what about it is a privilege getting to know people without retention you're not pretending to do anything you can't do in their past pretending if they want to die right they pass pretending that's interesting what do you mean die right well there's ways of dying you can you can resist it you can resent it you can be angry about it or you can uh actually accept it and allow so much of what may be repressed in life to finally arise for yourself because before then you were too busy and you were too intent on your role and your personality and getting this done and getting that done you know in one of my books and the body says no I talk about this guy who who had a company selling shark cartilage as a treatment for cancer that was a total shock but he believed in it and then he developed cancer himself and he was admitted to the value of carrying it and I was looking after him and he was still eating he had terminal cancer all of his body ate a week or two left he was still eating shark cartilage which smelled awful you could when you stepped off the elevator to the pivot carefully you could smell the shark cartilage and I finally said to him what is it smells kind of like the smell what does it taste like does it tastes awful I hate it I said why are you eating it and I said do you think it'll help your cancer he said no I no longer believe that but my business partner would be so disappointed if I stopped eating it and so one of the last things I was able to do for him is to say is to actually convince him to help him see that look you don't have to pretend anything anymore it's not your job whether or not your business partner is disappointed he had to literally walk into the last week of his life before he could let go of his role as being responsible for other people so that coming towards death experience can be a powerful teacher for people and I've seen real love and real Beauty and real inspiration from a lot of these people so it's beautiful work and I I know that everybody who Works in palliative care will tell you the same thing it's a real privilege can you share some of the beauty well I think I just did just people being allowing themselves to be touched to be helped um to be honest with themselves um to share stuff that they maybe never told anybody else before in their lives because they're too afraid to um to accept real lessons and acceptance you talked earlier about how you might use of a month to resent and so on you know so these people are very often past that point but that's a privilege to witness knowing horizontal I can get when life doesn't go my way you know are there things that um would it be a valuable exercise for people to run the thought experiment of you know look I might not make it to tonight like you said let alone tomorrow um do you think that there is uh insight to be had from that or is there another way for us to access um getting Beyond like if if you're defining Beauty as you don't have to pretend anymore you don't have to play a role you can really be who you are and maybe this dips into Big T truth um how do we access that now without needing to be truly facing a terminal illness well again I don't know that I am it's very easy for me to speak from a present position as a healthy active 77 year old and I know what I like I know what it gets like when I get a stop toe and how life is unfair you know why did I don't know I can't get on my elliptical machine you know so again I'm in no position to give you stage advice but I can tell you two things one is I've talked to a young fellow in his 30s he's written a book called blessed with a brain tumor his name is Will pie and this guy's a brain tumor and I said well what's the blessing here I interviewed him he said well for one thing when I'm interacting with somebody now I value each moment because I never know that this might be the last time I ever speak to them um and the Buddha again I'm talking like some of the Buddhist which I'm not but um he had his monks do a meditation where they had to imagine themselves dead in the in in the graveyard and they had to imagine themselves being eaten by worms to the flesh melts off their bones it's a Rotting Flesh and they need to imagine themselves as bones just lying there disarticulated bones and finally even the bones being grown into dust you know I can't say that I've attained any of that I mean I'm just telling you there are practices there's a book on my shelf by Stephen jenkinson who's another fascinating guy it's called die wise and he said you know it's basically about you want to die well start preparing it for it now what's the wisdom if you remember from the book the wisdom is that I haven't read the book yet my son just gave it to me um as a birthday gift a few weeks ago so I'll read it but I haven't read it again that's really interesting um yeah I for me it has been a very useful thought experiment to remind myself that for a long time I focused entirely on um I want to live forever and I was um really trying to uh do all the things that I thought would extend my life to say 120 years believing that in that period of time you know the science would get better and we sort of hit Health escape velocity where every year that I lived there was you know a year and a day added to our ability to cure illness and that really served me for a long time and it allowed me to make long-range plans that other people not might not be willing to make and really made me feel excited and connected and then there was something about probably about a year ago that I started to have this feeling that I would be better served and more motivated by flipping it and to start now thinking about how transient my life is and that almost certainly since none of us know what's going to happen almost certainly I am going to die and I don't get a heaviness from that um quite the contrary there's something about it that I find very motivating that I do see the beauty that people so often talk about that you know you have this life for such a limited time and to waste it playing a role to waste it doing things that don't fill you with joy to wasted chasing somebody else's dream like it just doesn't make sense and that that has been fun and I I enjoyed both sides of the coin and I got something very beautiful out of each and it I didn't even like consciously make the shift I just found myself more and more sort of getting a bigger gust of wind of of elevating wind if you will uh from the side of thinking man this really is like how lucky how transy and how beautiful in its sort of ephemeral nature how wonderful it is um and I think part of that part of what was releasing in that for me is I am very much driven to matter but never at the cost of Joy right so it's like I really want to matter I want to do things that like are going to be felt but I don't think about Legacy I don't think about living beyond myself or doing things that need to outlive me um I just think about like hey what can I do right now that will bring me more fulfillment that will give me more joy and yeah it was very it was very fascinating to see that transition happen where I went from the only thing that gave me that push was thinking of myself living forever and then all of a sudden realizing no it's actually now more advantageous to think of sort of imminent death which trust me I'm not in any way shape or form eager for if we are imperfect and do you agree with I think it was um soldier knitson who said that the evil runs through or the line between good and evil runs through the heart of every man which Rings true to me does that ring true to you I would say that the potential for both runs through every person Hitler was a human being as I say this in the book Jesus was a human being at least let's agree that in his Earthly manifestation whether you're a Christian he was a human being um even Jesus was tempted wasn't he you know he was in the desert and he's tempted by power and ego and acquisition foreign the Buddha in the Buddha story he's tempted by lust and by greed and by aggression and egotism so yes the potential for for for that kind of egotistical self-regard which turns out to be evil at its ultimate expression is is that that strain is in us so is the strain for compassion like the Buddha infinite Love Like Jesus humility like Moses that's all within us as well the question is which conditions promote which in his development the Buddhist talks about seeds of which seeds in our minds are planted in which you get watered and which don't so yes I agree that the potentials are there and in an embryo everything is there but the question is what gets nourished and what gets suppressed and I'm saying that in this Society it's the worst of us that gets nourished and the best of us that gets suppressed all right so let's define those what I would assume that loving attachment unconditionally loving attachment certainly towards your children that's part of the best of us yeah what are some other attributes of the best and then we'll move on to some of the worst so let's talk about children and now let's talk about people in general so children's needs are unconditional loving acceptance from everyone or just their parents or their parents or well ideally from the community but certainly they're nurturing caregivers whoever they are and they're meant to me wasn't just a parent by the way we're never meant to be parented in nuclear families okay it's pure that's a modern thing so unconditional living acceptance rest from having to work to make the relationship work say that again rest from having to work to make the relationship work in other words the child should not have to be mold themselves into anything to make the relationship work with their parents they shouldn't have to work they shouldn't have to be good nice pretty to make the relationship work they shouldn't have to take care of the Parents emotional needs to make the relationship work like people that have to work to make their to meet their parents emotional needs end up in deep trouble as adults very often physically ill you go into tremendous detail in the book about that so children should be able to allow to feel all their emotions and I mentioned play before those are the needs of the child as human beings more generally we need a sense of connection a sense of meaning a sense of belonging a sense of transcendence so that there's something we're part of something greater than just our legal egoic concerns these are all the needs of human beings to the extent that they're met we thrive to the extent that they're not met we shrivel and there's lots of shriveled people in positions of great power in this Society no doubt okay so what are What are the as we're creating this soil that we're going to nurture things in yeah how do things start to go awry and how do we begin to prep the soil for something better well we've covered that to some degree so things will begin to override when we lose contact with our pending instincts and we'll and we is it just that like is this would you um uh speaking from experience the book is very broad but if you were going to really like bring it down is this largely an echo of a parenting system that has become dysfunctional it's it's a society that's become humanly dysfunctional that transmits its expectations through the parents and that actually begins before birth because already the the most stressed and troubled the parents are that has a physiological impact on the child's brain development so I'm just talking pure science here so mothers who are stressed and depressed they're infants in the womb were already getting those messages hormonally and through uh nerve conduction and so on so that you can actually um monitor the heart rates of mothers who are stressed and those heart rates will be different than the heart rates of infants whose mothers are not stressed in the book you talk about the uh the crazy ice storm yeah it ends up showing up in the epigenetic markers of kids if you don't mind walk us through that it's pretty crazy well it's only that um in in the laboratory they've shown that the more you stress um parent animals the more troubled and stressed the kids will be so in Quebec there was an ice storm some years ago and the and the parents under when the mothers underwent great stress and you know there was really cold there was no heating a lot of stuff wasn't working um those mothers who experienced that stress their children were shown to have more troubles later on behaviorally and learning wise and and in other ways as well so again the stress of the parent translated into the physiology of the child there's a there's a study that I quoted in the book about they looked at um marriages that were stressed and you could there's two ways you could tell how stressed the marriage was once you could ask the parents and they could they would talk about it the other way is you could marry you could measure the urinary thresh hormone levels of their children wow and the parental conflict was reflected in elevated stress hormone levels in the urine of the children now elevated stress from our levels in the urine means that the immune system itself is under assault and that has an implication for health later on we know for example that the more stressed parents are the greater the risk of asthma for their children and that the degree of stress on the parents is correlated with the amount of medication the kid will need for their asthma amongst other studies lots of stuff studies so in other words there's a correlation between the emotional environment that we grow up in and our physiology yeah I mean that's really the core thrust of the book is hey all these things that you think are maybe just old age or um bad diet they're actually related to trauma or even disease in fact one of the ones you talk about that was the most eye-opening was ALS yeah which you know I would think of as a genetic disease bummer horrible roll of the dice but walk people through the the um there is a predictable personality trait of people with ALS that I was like well so um first of all there's nothing genetic nobody else nobody's ever shown I mean there might be some rare examples of ALS genetically induced tiny infinitely small minority so genes don't have much to do with most chronic illnesses there are some illnesses that are genetic this is one that runs in my family my mother and my aunt had it muscular dystrophy gradually they became weaker and weaker already when I was a child my mother couldn't lift her arm up and in the end she was not immobile at all so if you get that Gene you're going to get the disease but those diseases are very very rare about one in ten thousand most chronic illnesses have very little or no genetic basis to it so for example there's a breast cancer Gene but out of 100 women with breast cancer only seven will have the gene and out of 100 women with the gene not all of them will get the cancer so in many cases even if these genes are implicated it's the it's the interaction of genes and environment now in ALS is to you know the the ALS personality which I noticed in palliative care when I was a part of care physician also in the literature are people that repress their healthy anger and emotionally very rigid and they don't ask for help from anybody um and usually that's based on childhood trauma and Lou Gehrig was like that you Define trauma in you you go to very careful links in the book to make sure that people understand trauma isn't always getting hit with a bat or uh being sexually abused like there's a range that can be wildly impactful well let's think uh Lou Gehrig after whom the name the disease is named in North America his father was an alcoholic and Lou Gehrig was one of these really nice guys that took care of his mother emotionally he had to that's what happens in the home of an alcoholic very often the child becomes the caregiver now he was such a nice guy that you know he's the the the record that he set for uh consecutive games played that stood for so many many decades why did you set that record because even if he was sick he would play because he's too dutiful to his teammates to take himself out of a game is that a healthy thing or not it's not healthy on the other hand when I was a young rookie on the on the Yankees who got sick and he couldn't play and the manager was very upset with this kid says what are you talking about he's sick he can't play took the rookie to his own home we lived with his mother his mother put the kid to bed the rookie nursed him and Luke slept on the couch so that kind of self-sacrificing self-negating emotionally repressed really nice person is the person which is typical of the illest personality and there's been a whole lot of studies on that that show that you know these are the people that get ALS it's just that the doctors don't make the link between that personality pattern and the ls they just basically swallowing your anger swelling your Healthy anger direct yeah sorry swallowing your Healthy anger is directly causative to ALS I think it's a major contributor you never see it you never see it and you never see that the anger in anybody with ALS and you always see this hyper conscientious hyper autonomous self-sufficiency but no I don't need any help no and when you talk to neurologists which has been done in studies they always describe their patients as extraordinary nice ALS patients is extraordinarily nice why they're so nice because if they repress their healthy aggression which is that the neurologists don't make the link between that and the disease I'm saying that that plays a major role because that repression of emotions again the emotions are not separable from our physiology the nervous system and the immune system and hormone apparatus and the gut and the Heart they're all one system when something happens in one area something happens in the other area as well look the analogy in the book is this think of a person with a big beach ball trying to push a beach ball under the water that takes a lot of effort now I've ever been angry of course okay now when you're angry it's not just an emotional state in your head it's a whole body is no how much energy would it take to suppress that energy to suppress that anger can you imagine so that you don't even feel it but not feeling your anger was an adaptation to your childhood where the anger wasn't permitted so that emotional physiological effort of repressing anger takes a toll on the nervous system and on the immune system it's a major role in disease I'm saying yeah it plays a major contribution yeah this is where the book really starts to get into some fascinating territory as you go through all these different diseases and you start talking about okay repressing anger you go into the God is it the natural killer T cells end up being suppressed because you're putting so much energy away from your immune system your immune system can't keep up and so there's all kinds of things like cancer that are afflicted there was one thing where you said like back in the 1800s or early 1900s there was a doctor that was like oh whenever you see somebody with heart disease they have this type of personality and you even talk about in the book the type C you said it's not a personality type but that there are traits yeah that people with type c have that end up being sort of pro disease personality traits yeah what are some of those traits well before I answer that let me go back to something let's talk about a healthy anger for a minute if you could okay um then I'll illustrate these traits okay what is healthy anger why are we given healthy anger so there's a there's a system in our brain for anger not just for us mammals what is it there for is there to protect our boundaries samita invades of space physically or in the case of human beings emotionally used to say no stay out that's the role of healthy anger now you first if I repressed that healthy anger what would happen to you to me in life people would be just trespassing all over me all the time because I Had No Boundaries so healthy anger is a bundle of defense is that clear okay healthy anger is a boundary defense it just seems like one of its uses I'll be honest I don't know that I'd say it's its only use but I don't know if healthy anger that's its only use that's his major use just boundary protection that's his major that's why it came along animals have it you're in my space how far are you extending that to loved ones so now if you encroach upon a loved one well if your loved one includes your space emotionally no I mean if somebody else is intruding on my loved ones oh yeah that too yeah yeah oh yeah yeah you or your loved ones anything you cherish absolutely for sure so that's healthy anger so the role of anger is to set a boundary between what's nourishing uh you know to to let in The Lord of healthy anger is to keep up what's dangerous and unwelcome right what's the role of the emotional system in general is to let in what's healthy and nurturing and to keep what was dangerous and unwelcome is that fair enough seems good what's the rule the immune system exactly it's the same the role the immune system is to keep up with dangerous and toxic alone was nourishing and healthy the immune system and then and the emotional system are not separate systems they're part and parcel of the same apparatus they're Unified when you suppress the emotions you're also suppressing the immune system when you say when you when you when you don't know how to defend your emotional boundaries that also um weakens your immune boundaries physiologically it's that simple or if you oppress the anger that anger doesn't go away it doesn't evaporate into the heavens it turns against you in the form of depression or self-loathing and so on in the same way the immune system turns against you and now you have autoimmune disease and so the traits that were identified with chronic illness most chronic illness like cancers or immune disease or emotional self-suppression inability to experience healthy anger desire to please others to fit in to be acceptable to be nice to be ignoring of your own needs these are the traits that are over and over and again identified in the literature whether with multiple sclerosis or rheumatoid arthritis or with cancer now there's a not the real per these are not the real person these are adaptive traits in response to the childhood environment but they take a heavy toll or take another so-called illness and by the way the case I'm making is that what we call illness is actually response to life so take a take depression this so-called biological disease of the brain what does it mean to depress something try to push it down to push it down what gets pushed and what's got pushed on in depression well I can tell you I've been depressed what gets pushed on depression is your natural emotions everything is flat nothing matters nothing has any meaning and that starts with people pushing them down that's that's the word that's what the word means it means to push it down it starts in childhood but people having to push down their emotions why do they have to push their emotions to fit in with other people's expectations so and I don't know the literature on this at all so they're oftentimes then the depression will just sort of creep in slowly I always assumed it was tied to something being stuck in um a bad relationship a death in the family loss of a job that there would be some sort of triggering event well the okay fair enough if you're in a bad relationship the healthy response is not depression but to deal with the challenges the nerve in the relationship either by work them out or by leaving the relationship depression is not necessary outcome the response to the death of a closed one of a close one is not depression it's grief grief is the healthy response we have a system in our brain for grief by the way so grief becomes depression when you're not allowing yourself to grieve but you don't know how to grief properly yeah and you don't know how to give properly because your emotions were suppressed as a child and uh so yeah we have uh these healthy systems but they get their activity gets deformed through our natural expectations okay so to stay with depression for a minute so you're pushing all this stuff down it starts in early childhood you're trying to fit in you want unconditional love you're not getting it so you have this directive for attachment and so you begin to oh I see what I can do if I if I don't yell scream if I'm not expressing frustration if I'm the caretaker or whatever that situation demands then all is well so now I've learned this adaptive response to suppress my emotions and over time it begins to numb me I would assume I have not been depressed so but uh so you're beginning to be numbed but now something it gets starts to be very extreme and you what I have heard depression explained as is just like the skies are permanently gray you will never see Joy again and so what what is breaking in that that like the beach ball analogy I like right I'm pushing something under the water but if I stop pushing it will pop back up and so if that thing or my emotions is when you're treating depression let's say non-pharmacologically is it the release of the pressure on those emotions to let them finally come up yeah so the so the the difference between the pushing the beach ball down is that I'm doing it consciously and deliberately but the repression of emotions that a child engages in is not conscious is not deliberate it's an automatic response it's unconscious therefore the child can't just that go like that and then as you say it numbs and and becomes overall a depression now the by the way I'm not against pharmacological treatment I've taken antidepressants they have helped me so I'm not here to Advocate against them I could talk about their misuse but in principle sometimes they're helpful and occasionally they're life-saving and much of the time they're over prescribed for way too long and we're not dealing with the real issues because the pharmacology deals with the symptom but it doesn't deal with the underlying problem so yes the healing of depression and I talk you know the last the the final part and the longest part of the book really is unhealing is you have to reconnect to yourself so you can feel your emotions that's the treatment of depression talk to me about reconnecting how do you reconnect what is that process oh well first of all you recognize that you're disconnected and you notice how that disconnect shows up you know in so many areas of your life uh in your on the job or in the uh in your personal relationships for example on your relationship to yourself so you have to become aware and this is where I talk about disease whether it's physical or so-called mental
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