Gabor Maté Links Repressed Anger to Autoimmune Illness and ALS Risk

Doctor Gabor Mate: The Shocking Link Between Kindness & Illness! — The Diary Of A CEO

The Diary Of A CEO

Suppressing healthy anger and sacrificing authenticity to maintain attachment bonds directly impairs physical immunity and elevates chronic disease risk.

AI-assisted summary of Doctor Gabor Mate: The Shocking Link Between Kindness & Illness! — original source. Check the original for full context.

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## Background This episode was published on October 12, 2023, on YouTube by Steven Bartlett on his channel The Diary Of A CEO, featuring guest Dr. Gabor Maté. The video description highlights a deep conversation covering the connection between suppressed emotions, childhood trauma, and physical illness, alongside practical strategies for setting boundaries, developing emotional intimacy, and pursuing inner peace.

## TL;DR Dr. Gabor Maté explores how unresolved childhood trauma, emotional suppression, and the sacrifice of authenticity for attachment lead to chronic physical illnesses and mental health struggles. He distinguishes healthy, self-protective anger from destructive rage and explains how early life stress shapes adult relationship dynamics and health risks. To break these patterns, Dr. Maté advocates for cultivating self-awareness, honoring genuine emotional boundaries, and embracing vulnerability to foster generational healing.

## Atmosphere & style The conversation carries an intimate, deeply reflective, and compassionate tone, blending clinical wisdom with personal vulnerability. Steven Bartlett acts as an engaged and curious host, bringing relatable anecdotes that allow Dr. Maté to unpack complex psychoneuroimmunology concepts with clarity and warmth. Watching it feels like a grounded, transformative exploration of human suffering and recovery, balancing sober insights into illness with a hopeful, gentle invitation toward self-discovery.

## Key takeaways - [53:02](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3182s) People-pleasing and suppressed boundaries are learned adaptations to maintain attachment, but sacrificing authenticity often manifests physically as chronic autoimmune conditions and illness. - [53:02](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3182s) Dr. Maté outlines a four-part self-inquiry framework from 'The Myth of Normal' to help individuals unlearn second-nature compliance and set healthy boundaries. - [01:00:46](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3646s) Modern medical education largely ignores psychoneuroimmunology and the mind-body connection, failing to account for how parental and social stress drive chronic physical illness. - [01:00:46](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3646s) Self-guided healing and recovery from trauma are accessible without costly therapy through literature on trauma, parts work, and body-based healing. - [01:07:17](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4037s) Healthy anger functions as a temporary boundary defense mechanism that dissipates once safety is established, whereas chronic rage doubles the risk of heart attacks and strokes within two hours of an outburst. - [01:11:41](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4301s) Childhood labels and trauma often lead to adult concentration issues or emotional triggers; Dr. Maté explains ADD as a normal brain response to abnormal early life stress rather than a biological disease. - [01:13:58](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4438s) Cultivating self-awareness, mindfulness, and breath observation helps counter chronic background stress and emotional triggers rooted in early childhood experiences. - [01:23:06](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4986s) Authentic romantic relationships require the capacity to be comfortable alone; expecting a partner to fill internal emptiness leads to resentment and emotional breakdown. - [01:27:00](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5220s) Fathers with unresolved emotional needs can act out when a baby shifts maternal focus, while rushing physical intimacy without emotional safety triggers a freeze response and sexual shutdown. - [01:31:35](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5495s) True intentions are revealed by daily behavior and time allocation rather than spoken goals, as external achievements often mask a subconscious drive for validation. - [01:38:11](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5891s) Achieving inner peace requires accepting vulnerability and confronting internal wounds to break historical trauma patterns and pass generational healing down to future generations.

## Detailed walkthrough ### [00:00](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=0s) The Epidemic of Distress and the Hidden Toll of Self-Doubt

A silent health crisis is currently sweeping the globe. Across the adult population, 70% of people take at least one prescription medication, a quarter of all women are on antidepressants, and childhood distress continues to rise sharply. This widespread internal suffering frequently manifests in the physical body. When individuals consistently suppress their core emotional needs, fail to express healthy anger, or act as habitual people-pleasers, the body steps in to say "no" on their behalf through chronic illness, autoimmune conditions, and increased cancer risks.

Even world-renowned trauma experts like Dr. Gabor Maté are not immune to these internal struggles. Opening up in an authentic moment of vulnerability, Maté reflects on how his internal state fluctuates. Though feeling peaceful during the conversation, he admits that just two days prior he felt deeply anxious after giving a keynote speech to 2,100 people in London. He succumbed to intense self-criticism, convincing himself that he hadn't done his best, had failed to be fully present, and had let his audience down. This mental spiral triggered visceral physical symptoms, including a roiling sensation in his belly, proving how easily intellectual knowledge can go offline when self-doubt takes over.

* **70%** of the adult population is on at least one medication. * **25%** of women are currently taking antidepressants. * **2,100 people** attended Dr. Maté's recent London talk, which triggered his sudden onset of acute self-criticism and physical anxiety.

---

[04:17](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=257s) Circuit-Breaking Stress: Digital Sabbaticals and Neurological Regulation

To break out of these self-critical loops, Maté relies on specific strategies to reset his nervous system. Earlier in the year, feeling utterly discombobulated, he took a radical two-week total sabbatical from the internet—completely cutting off email, cell phones, and checking online book sales. He describes the persistent, almost unconscious compulsion to pick up his phone even while in airplane mode, exposing a deeply ingrained impulse to seek external validation to fill an internal void. By observing these urges without identifying with them, he returned from the break feeling like a completely transformed person.

``` [Triggering Event / Stress] │ ▼ [Midfrontal Cortex Goes Offline] ───► (Trauma & Emotion Take Over) │ ▼ [Vocalizing Stress / Meditation] ───► [Restores Executive Function & Rational Control] ```

From a neurological perspective, processing stress requires shifting activity out of the emotional center of the brain. When anxiety or resentment takes hold, the midfrontal cortex—the region responsible for insight, executive function, self-awareness, and social connection—frequently goes offline, a reaction that is especially pronounced in individuals with childhood trauma. Vocalizing feelings, practicing mindfulness, and engaging in meditation restore these critical midfrontal capacities, enabling people to "step outside the video game and hold the controller."

* **14 days** of complete digital detox successfully re-wired Maté's stress responses and eliminated the constant urge for digital validation.

---

[06:45](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=405s) The Disconnect Between Public Wisdom and Private Reality

The catalyst for Maté's digital detox was an urgent wake-up call in his personal life. Despite having written *When the Body Says No*—a book that thousands of readers credit with saving their lives—Maté found himself dispensing wisdom that he was failing to practice at home. The mounting stress of his public life severely strained his relationship with his wife, Rae. Right before their 54th wedding anniversary, Rae confronted him directly, stating: "Enough of this gap between who you are there in public and how you are in private."

Recognizing the hypocrisy of speaking profound truths on stage while failing to live them at home, Maté committed to doing the hard, practical internal work. Shortly thereafter, however, he embarked on an exhausting international media tour for his bestseller, *The Myth of Normal* (published in 35 languages). The massive commercial success of the book ironically drove him deeper into misery; as he became more externally engaged and swept up in public validation, he lost touch with himself.

> "When people don't know how to say no, the body will say it in the form of illness."

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[10:43](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=643s) The Backlash, the Prince Harry Interview, and Unhealing Childhood Wounds

This pattern of ignoring his internal wisdom culminated in Maté's controversial interview with Prince Harry following the release of Harry's memoir, *Spare*. Maté admits that his intuition warned him against the event's commercial setup, which forced viewers to purchase a copy of the book to watch the live stream. Though Maté believed the conversation should have been a free public service, he gave in out of "sheer opportunism," ignoring his gut feelings.

``` [Gut Feeling Against Paywall] ──► [Agreed Out of Opportunism] ──► [Loss of Self] │ ▼ [Vicious Media Reaction] ◄── [Childhood Wound Activated: "Not Being Seen"] ```

The aftermath of the broadcast was swift and brutal. British media and social platforms unleashed a wave of hostile, highly critical coverage, with commentators branding Maté a "stern, overbearing merchant of pain." The backlash plunged him into a dark, negative headspace. Overwhelmed by the public distortion of his motives, Maté turned to a psychiatrist friend for help—recalling the poignant lesson from Charlie Mackesy’s *The Boy, the Mole, the Fox and the Horse*, where the horse reveals that the most courageous thing he ever said was "Help."

During their therapy conversation, the psychiatrist asked Maté why the negative press bothered him so deeply, to which Maté replied, "Not being seen." His friend gently reminded him that as an infant, not being seen for who he was almost cost him his life. This crucial insight allowed Maté to realize he was re-experiencing an unresolved childhood wound from 79 years prior, rather than reacting to present-day journalists.

* **4,000,000 copies** of Prince Harry's book *Spare* had already been sold before the paywalled live-streamed interview took place. * **79 years old**: The age at which Maté recognized he was still battling the primitive fear of "not being seen."

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[14:48](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=888s) Emotional Deprivation in High Society and the Primordial Need for Touch

Reflecting on Prince Harry’s life, Maté emphasizes that trauma is wildly misunderstood by the public, who often assume that growing up in gilded palaces protects a person from deep emotional injury. Harry was born into a loveless marriage to a deeply troubled mother and a distant father. Maté points to a poignant moment in *Spare* where a 12-year-old Harry is informed of Princess Diana's tragic death. His father, then Prince Charles, entered the room early in the morning, announced the fatal accident, briefly placed an awkward hand on Harry's knee to say "it'll be okay," and left the room without ever holding or hugging his grieving child.

This emotional distance was a generational echo. Queen Elizabeth II famously greeted a five-year-old Prince Charles with a formal handshake upon returning from a five-month royal tour. Maté points out that this severe lack of physical touch goes against fundamental mammalian biology.

To illustrate the critical importance of touch, Maté references extensive scientific literature and animal behavior research:

* **Laboratory Rat Studies:** Mother rats lick and groom their newborns immediately after birth; this physical stimulation directly dictates healthy brain development in the offspring. * **Premature Infant Research:** Preterm babies placed in incubators show significantly improved brain development and growth when stroked on their backs for just 10 minutes a day. * **Anthropological Insights:** Ashley Montagu’s seminal work, *Skin: The Human Significance of Touch*, details how tactile contact is essential for healthy mammalian development. * **The Evolved Nest:** Psychologist Darcia Narvaez documents that when a mother elephant gives birth, the surrounding female elephants immediately gather to stroke the newborn with their trunks, providing critical grounding and physical touch.

[18:09](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1089s) Asking for Help, Lennon's Traumatic Past, and Unmet Childhood Needs

Dr. Gabor Maté returns to a recent public media controversy, recalling how a journalist vastly distorted his words by claiming he said the Royal Family "treats their kids like animals." Maté clarifies that his actual response was, "No, I wish they had," pointing out that animals naturally attend to their young's basic biological and emotional needs. The personal sting of this media distortion drove him to a dark place where he ultimately decided to consult a psychiatrist. He reflects that seeking help, far from being a sign of weakness, is the most courageous act a person can undertake—a sentiment echoed in Charlie Mackesy's book *The Boy, the Mole, the Fox and the Horse*.

To illustrate this, Maté points to John Lennon's iconic Beatles song *Help!*. Lennon sang about believing in his youth that he never needed anyone's help, a defense mechanism rooted in profound early trauma: his father abandoned him at birth, his mother left, and he was raised by his aunt. Lennon grew up feeling he had to survive entirely on his own. In reality, all humans are born with fundamental needs to be understood, attuned to, seen, and validated. When these basic emotional needs go unmet, a child experiences trauma—even in the absence of obvious catastrophic events. Stressful or emotionally unavailable parenting is enough to wound a sensitive child.

* "The most courageous thing you can do is ask for help." * Children can be deeply traumatized not only by terrible events, but simply by not having their core emotional needs met, seen, or validated. * The literal meaning of "trauma" is a wound; it does not require horrific external events to occur.

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[20:42](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1242s) The CEO's Dilemma, Anxiety, and Disconnection from Gut Feelings

Steven Bartlett reflects on his own struggles as a male CEO, admitting how difficult it has been for him to ask for help. Because he views himself as the solver and leader, he historically absorbed problems, feeling that men in positions of power must figure everything out alone. He describes the heavy physical toll of repressing his emotions: while he never experienced anxiety in his early twenties, the pressure accumulated by his late twenties into full-blown anxiety marked by short breath and constant internal angst. Maté then poses a reflective question to Bartlett, drawing a parallel to beautiful women who struggle to know if suitors love them for who they are or just their looks: how does a young, wealthy, successful individual know if people approach them out of genuine care or self-interest? Bartlett acknowledges that this is a major struggle, leading him to rely almost exclusively on a tight circle of five trusted friends he has known for over a decade.

Maté explains that navigating such interpersonal ambiguity requires tapping back into our "gut feelings." We are all born naturally attuned to our internal radar, but childhood trauma causes us to disconnect from it. Maté notes that when he asked an audience of 2,100 people at the Troxy in London if they had ever ignored a strong gut feeling only to regret it later, almost every hand went up.

* Physiologically, the gut contains more of the neurotransmitter serotonin than the brain itself. * The gut sends significantly more nerve connections to the brain than the brain sends down to the gut. * Human evolution relied on heart, gut, and head intelligence working in unison to navigate safety and danger in nature. * Repressing stress through coping mechanisms—such as overworking, achieving high status, or relying on intellect—eventually breaks down.

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[26:24](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1584s) Autoimmune Diseases, Gender Expectations, and Repressed Anger

Maté transitions to the stark physiological consequences of emotional repression, noting a striking health disparity: women account for approximately 80% of all autoimmune disease cases in modern society. Conditions such as rheumatoid arthritis, systemic lupus, chronic fatigue syndrome, fibromyalgia, and inflammatory bowel diseases disproportionately affect women. Drawing from his extensive background in family practice and palliative care, Maté explains that illness is rarely accidental. He consistently observed specific behavioral patterns in patients who developed these illnesses, a topic detailed in his books *When the Body Says No* and *The Myth of Normal*.

These traits include a compulsive concern for others' emotional needs over one's own, an over-identification with duty and social roles, the suppression of healthy anger, and the toxic belief that one is responsible for how others feel while never allowing oneself to disappoint anyone. Patriarchy and cultural conditioning program women to act as the primary caregivers and peacemakers, forcing them to absorb their partners' stresses at the expense of their own well-being. Maté candidly admits that earlier in his marriage, he implicitly expected his wife to absorb his stress and mother him, resulting in hostility and blame when his unexamined needs were unmet.

* **Characteristics commonly found in autoimmune patients:** * Compulsive concern for the emotional needs of others while ignoring self-care. * Identification with external duty, role, and responsibility over the authentic self. * Suppression of healthy, boundary-protecting anger to maintain peace. * Deep-seated belief that they must never disappoint anyone. * Women are far more likely to be prescribed antidepressants because they are often absorbing the unaddressed emotional tension of the entire household.

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[30:57](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1857s) Unconscious Relational Dynamics: Mothering and Emotional Repression

The conversation deepens into the hidden psychological dynamics that ruin romantic relationships. Maté outlines how men often unconsciously demand that their female partners fulfill the role of the mothering figure they lacked in childhood. Women, conditioned by societal expectations, step into this caretaker role. However, this dynamic destroys romantic and sexual vitality: no healthy man wants to sleep with his mother, and no healthy woman wants to sleep with her son. As passion drains away, the man grows frustrated and blames his partner rather than reflecting on his own emotional regression.

Bartlett shares a vulnerable moment, recalling a period when his severe anxiety brought his relationship to the brink of a breakup. Instead of communicating his internal distress, he acted out, implicitly demanding that his partner instinctively adapt to his unstated needs without him having to own his feelings. Bartlett's partner eventually issued an ultimatum ("Should I just go?"), which forced him to acknowledge his vulnerability and talk through his anxiety rather than projecting resentment.

* People invariably marry partners who share their exact level of emotional development or trauma resolution. * Healthy anger is an essential, present-moment boundary defense (e.g., "You are in my space; get out"), distinct from destructive chronic rage. * If a woman lacks the boundary strength to stop absorbing her partner's emotional weight, her body will eventually "say no" through physical illness or depression. * When a mature woman finally asserts boundaries and refuses to act as a mother, emotionally stunted men often seek out younger, less mature partners who have not yet learned to set limits.

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[34:15](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2055s) The Physiological Mirror: Emotion, Boundary Defense, and Immunity

Maté presents a striking biological parallel between the human emotional system and the immune system. The primary function of the emotional system is boundary defense—allowing in what is loving, nurturing, and healthy while keeping out what is toxic or harmful. In exact functional parallel, the body's immune system operates as a "floating brain" equipped with memory and reactivity, designed to ingest nutrients while repelling foreign pathogens and toxins. When a person habitually represses their healthy emotional boundaries (such as suppressing anger or failing to say "no"), the immune system loses its capacity to distinguish self from non-self, ultimately turning inward and attacking the body's own tissues.

* Both the emotional system and the immune system share the precise same functional goal: admitting what is healthy and repelling what is harmful. * Suppressing healthy anger weakens physiological boundary defenses, directly disrupting immune regulation.

[35:58](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2158s) Psychoneuroimmunology: The Physiology of Repressed Anger

Dr. Gabor Maté explains that the immune system and the emotional system perform the exact same core function: they accept what is healthy (like self-integrity or beneficial bacteria) and destroy or keep out what is toxic or invasive. Physiologically, these are not separate mechanisms. The emotional, nervous, hormonal, and immune apparatuses form a single unified system studied by the field of psychoneuroimmunology. Because of this intrinsic unity, suppressing your emotional life directly suppresses your immune system, leading to diminished immune activity and leaving the body vulnerable to malignancy or autoimmune failure. Under normal conditions, the immune system constantly identifies and eliminates cancerous cells that lack standard cellular markers, but emotional repression compromises this surveillance mechanism.

``` +-------------------------------------------------------------------------+ | THE UNIFIED BODY SYSTEM | | (Psychoneuroimmunology) | +-------------------------------------------------------------------------+ | | | [ Emotional System ] <---> [ Nervous System ] <---> [ Immune System ] | | | | * Core Function: Accepts what is healthy, rejects toxic invaders. | | * Repressing Anger = Suppressing Immune Function. | | | +-------------------------------------------------------------------------+ ```

When Steven Bartlett reassures Dr. Maté that he isn't speaking too much because his passion for the topic is evident, Dr. Maté emphasizes how critical these scientific facts are to medical practice. He recalls the work of Dr. David Kissen, a British thoracic surgeon from the 1960s who observed that emotionally repressed patients were far more susceptible to developing lung cancer. While smoking is undeniably the leading risk factor for lung cancer, only about 10 to 15 percent of heavy smokers actually contract the disease; Kissen found that emotional repression was the key variable determining which smokers developed tumors, with higher degrees of repression lowering the amount of smoking required to trigger malignancy.

- Dr. David Kissen's 1960s thoracic surgery findings demonstrated a direct statistical link between emotional repression and lung cancer onset. - Out of 100 heavy smokers, only roughly 10 to 15 develop lung cancer, highlighting individual systemic vulnerability factors like emotional suppression. - Suppressed anger undermines natural killer cell responses, reducing the body's ability to destroy newly formed cancer cells.

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[38:55](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2335s) Attachment vs. Authenticity: The Core Conflict of Childhood

All children are born with two fundamental, non-negotiable needs: **attachment** and **authenticity**. Attachment—the biological drive to seek proximity, closeness, and unconditional acceptance from caring adults—is hardwired into the mammalian brain because an isolated infant cannot survive. Authenticity is the ability to remain connected to one's own body, gut feelings, and emotional signals. In nature, being authentic allows an organism to know when it is safe or endangered, to set boundaries, and to express genuine "yes" or "no" responses.

``` CHILDHOOD SURVIVAL CONFLICT

[ Attachment ] [ Authenticity ] (Closeness & Safety) (True Feelings & Boundaries) \ / \ / v v If forced to choose under parental pressure: --> Child chooses ATTACHMENT over AUTHENTICITY --> Result: Emotional Disconnection (Trauma) ```

Problems arise when a child's environment forces a choice between these two needs. When parents punish genuine self-expression—such as a toddler throwing a frustration-induced tantrum over being denied a cookie before dinner—they communicate that the child is only acceptable under specific conditions. Faced with the choice between staying authentically connected to their own feelings or maintaining the essential attachment bond with a caregiver, the child will invariably sacrifice authenticity. Dr. Maté notes that this dynamic played out publicly in the life of Prince Harry, who struggled with his identity because he was required to suppress his authentic self to fit royal expectations. This disconnection from oneself for the sake of preserving external relationships is the very essence of childhood trauma.

- Attachment is a universal mammalian survival mechanism governed by dedicated neural circuits. - Authenticity provides the instinctual gut feelings required for self-protection, boundary setting, and decision-making. - When parental love feels conditional, children suppress their authentic emotions to maintain the attachment relationship. - Disconnection from one's authentic self in early life leads to a perpetual fear of self-expression in adulthood.

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[43:43](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2623s) The Hidden Health Hazards of People-Pleasing and ALS

People-pleasing is not a harmless personality trait; it is a subconscious survival mechanism where an individual sacrifices authenticity to maintain acceptance. Dr. Maté references singer Sheryl Crow, who remarked that her breast cancer diagnosis transformed her life by silencing the persistent inner voices telling her she was wrong, finally freeing her from a lifelong habit of trying to please everyone else. Dr. Maté admits that as a physician, he always worries most for the "very nice" individuals because their niceness often stems from a deep fear of rejection rather than grounded compassion.

To illustrate this, Dr. Maté recounts a story from 1870, when French neurologist Jean-Martin Charcot first described multiple sclerosis (MS) and posited that it was a stress-driven disease. Years later, while writing *When the Body Says No*, Dr. Maté met with a group of 25 MS patients in Vancouver. When he tentatively suggested that people with MS often struggle with people-pleasing and setting boundaries, the group instantly agreed. To demonstrate this, Dr. Maté lightheartedly demanded $100 from a female attendee; despite the absurdity of the request from a stranger, she found herself completely unable to say the word "no," demonstrating how deeply ingrained childhood boundary suppression remains in adulthood.

``` "NICENESS" vs. ILLNESS: THE CLINICAL CORRELATION

+-----------------------+----------------------------------+ | Condition | Observed Behavioral Pattern | +-----------------------+----------------------------------+ | Multiple Sclerosis | Chronic inability to say "no" or | | | enforce personal boundaries. | +-----------------------+----------------------------------+ | ALS (Motor Neuron) | Extreme "niceness," profound | | | suppression of healthy anger. | +-----------------------+----------------------------------+ ```

This pattern of extreme niceness is even more pronounced in patients diagnosed with Amyotrophic Lateral Sclerosis (ALS / Motor Neuron Disease). Dr. Maté cites a paper from the Cleveland Clinic where electrodiagnostic technicians could reliably predict an ALS diagnosis prior to formal testing simply based on how hyper-nice and self-effacing the patient was. Neurologists consistently recognize this trait across ALS populations, yet standard medicine fails to connect this habitual suppression of healthy anger to the onset and progression of the disease itself. Responding to Dr. Maté's observations, Steven reflects on the nicest person he knows in his own life, realizing for the first time that she is chronically ill due to constantly prioritizing everyone else's needs above her own.

- Toddlers naturally begin saying "no" around 18 months as a vital developmental boundary defense to establish individuality. - Suppressing the word "no" in childhood forces the adult body to manifest boundaries physically through autoimmune conditions or severe illness. - Stephen Hawking was diagnosed with ALS at age 21 and given 2 years to live, yet survived for another 55 years, proving medical prognosis is not absolute. - Neurologists at the Cleveland Clinic noted that electrodiagnostic technicians were remarkably accurate in identifying ALS patients based solely on their extreme niceness. - Chronic stress from taking on other people's emotional burdens while ignoring one's own creates a severe, continuous physiological toll.

<FollowUp label="Want to explore Dr. Maté's practical steps for unlearning people-pleasing habits?" query="What specific techniques or practices does Dr. Gabor Maté recommend for breaking people-pleasing patterns and reconnecting with one's authentic anger?"/>

[53:02](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3182s) Authenticity vs. Attachment: Unlearning "Second Nature"

Dr. Gabor Maté emphasizes that while people may change their habits after facing a severe illness, people-pleasing is never a child's natural state. No newborn lies in a crib calculating whether crying for food or comfort might overburden their tired parents; babies express their needs loudly and articulately because authenticity is human first nature. Over-adapting and suppressing internal needs to please others is a learned "second nature." Maté outlines a specific self-inquiry exercise from his book *The Myth of Normal* to help unlearn this pattern: 1. **Where in my life am I not saying no when a "no" wants to be said?** 2. **What is the underlying belief behind not saying no?** (e.g., "I won't be liked if I say no.") 3. **Where did I learn this belief?** (e.g., as a child needing to suppress needs to stay safe/liked by parents.) 4. **Who would I be without that belief?**

When Steven Bartlett considers how a chronic people-pleaser might fear losing all their friends by setting boundaries, Maté replies that boundary-setting simply reveals who true friends are: real friends celebrate your self-expression, whereas those using you will walk away.

> "This contest between attachment and authenticity can be a painful one, but you can decide which kind of pain you want.... Which pain would you rather have? The pain of being authentic and losing some friendships that were no friendships at all, or the pain of losing yourself and all its implications and all its impacts on the body?"

- **The Top Five Regrets of the Dying:** Maté references Australian hospice nurse Bronnie Ware's book *The Top Five Regrets of the Dying*. The number one regret reported by terminally ill patients was "I wish I'd had the courage to live a life true to myself, not the life others expected of me," and the third regret was not expressing their true feelings out of fear of upsetting others. - **Societal and Historical Trauma:** Maté recalls walking through Westminster Abbey the day before, observing grand monuments to colonial figures who oppressed and robbed native populations worldwide. He argues that strong societal pushback against trauma concepts exists because acknowledging collective trauma forces ruling elites to recognize that their wealth was built on historical exploitation—a truth Prince Harry pointed out regarding the British Royal Family.

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[01:00:46](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3646s) Systemic Solutions & Accessible Paths to Healing

Addressing Steven’s question about how everyday people can heal when expensive therapy is financially out of reach, Maté critiques modern healthcare systems for failing to recognize the mind-body connection. Psychiatrists and medical doctors receive minimal training on how emotional stress manifests as physical illness. Systemic prevention requires supporting young families economically and emotionally, as parental stress elevates children's stress hormones and acts as a direct harbinger of future chronic disease. Furthermore, schools and the justice system must shift from punishing trauma-based responses to providing emotional safety—pointing out that in Canada, Indigenous women represent 50% of the prison population despite making up only 6% of the general population.

For individuals seeking accessible self-healing without a therapist, Maté recommends self-help groups, free online lectures, and essential literature: * ***No Bad Parts* by Dick Schwartz** (Internal Family Systems) * ***The Body Keeps the Score* by Bessel van der Kolk** * ***Waking the Tiger* by Peter Levine** * ***What Happened to You?* by Oprah Winfrey and Bruce Perry** * ***The Boy Who Was Raised as a Dog* by Bruce Perry**

Addressing concerns that popularizing trauma leads people to "over-label" normal behaviors or feel inherently broken, Maté clarifies that the word *recovery* literally means "finding what was lost." Understanding trauma is not about adopting a victim mindset or using childhood wounds as an excuse to treat others poorly; rather, it empowers adults to realize they are no longer helpless children and can drop outdated defensive programming.

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[01:07:17](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4037s) Healthy Anger vs. Childhood "Red Mist" Rage

Maté distinguishes between healthy anger and reactive rage. Healthy anger operates entirely in the present moment as a boundary defense mechanism—much like a mother bear fiercely protecting her cubs—and dissipates immediately once the boundary is secured. It is not outrage or abusive behavior directed at service workers.

Steven shares a personal story illustrating the opposite extreme: a close friend who frequently experienced what they called a "red mist" rage whenever he felt proven wrong. Steven recalls staying with him during the onset of the COVID-19 pandemic in their apartment. When Steven cited an official NHS website to prove that older adults were at higher risk from the virus, his friend was instantly triggered into an explosive, uncontrollable rage. Maté notes that Harry (Prince Harry) also used the term "red mist" to describe his anger, explaining that when an emotional response is wildly disproportionate to the present trigger, it is a sign of an unhealed childhood wound being re-enacted.

Here is a detailed, faithful walkthrough of this section of the transcript:

[01:09:37](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4177s) Unhealthy Anger, "Fits," and the Science of Being Triggered

Dr. Gabor Maté explains the physiological mechanism behind unhealthy anger, pointing out how rage escalates and builds upon itself. He notes that the term "fit of anger" or "fit of rage" shares its language with an "epileptic fit." In an epileptic fit, electrical miswiring in one part of the brain recruits adjacent brain circuits until the entire body shakes, potentially causing the person to lose consciousness or lose bowel control. A fit of rage works identically: rather than performing a healthy, protective function and then dissipating, intense rage recruits more and more brain circuits, escalating out of control.

Connecting this to the concept of being "triggered," Dr. Maté uses the metaphor of a firearm. The physical trigger on a gun is small; for it to cause an explosion, there must already be gunpowder and ammunition stored inside. When a person explodes in rage over a simple disagreement, it is because they are carrying massive amounts of internal "explosive material"—often rooted in childhood experiences of feeling invalidated, ignored, or misunderstood.

Addressing Steven Bartlett's friend who experiences intense rage when challenged, Dr. Maté explains that disagreement acts as a trigger that releases childhood pain and invalidation. Furthermore, this intense rage takes a heavy toll on physical health. Research shows that in the two hours following a rage episode, a person's risk of suffering a heart attack or stroke doubles due to spiked blood pressure, narrowed blood vessels, and increased blood clotting factors. Thus, while suppressing anger leads to chronic autoimmune conditions, explosive rage damages the cardiovascular system.

* In the two hours following an episode of intense rage, the risk of a heart attack or stroke doubles. * Physical changes during rage include elevated blood pressure, vasoconstriction (narrowing of blood vessels), and an increase in blood clotting factors.

[01:11:41](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4301s) Childhood Labels, Prince Harry, and Misunderstandings around ADD

Steven shares the backstory of his friend, who eventually saw a child psychologist and discovered the root of his anger. As a child, the friend was a foot shorter than his peers, dyslexic, and struggled academically. Teachers wrote on his report cards that he was "stupid," and he later discovered old text messages between his mother and grandmother diminishing his future prospects. This instilled a deep-seated belief that he lacked intelligence, which exploded as rage whenever his intellect was challenged in adulthood.

Dr. Maté connects this to Prince Harry, noting that Harry faced similar character assassination growing up—being labeled "stupid," "thicko," and "naughty"—when he was simply struggling to concentrate under extreme emotional stress. Dr. Maté recalls diagnosing Harry with Attention Deficit Disorder (ADD) based on descriptions in Harry's own book, emphasizing that ADD is not a biological disease, but a normal brain response to abnormal childhood stress. Dr. Maté lightheartedly remarks that a group of British psychiatrists "got their knickers tied in a knot" over his public diagnosis, missing his core point: Harry was never stupid, but had been subjected to childhood character assassination that left behind residual rage.

[01:13:58](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4438s) Dr. Maté’s Personal Trigger: The Trauma of Not Being Seen

Dr. Maté highlights how different childhood wounds create distinct adult triggers. While being called "stupid" does not trigger Dr. Maté—because he grew up with an innate confidence in his own intelligence—being "not seen" or having his identity distorted triggers deep anxiety. He traces this directly to his infancy as a Jewish child born in Budapest two months before the Nazi occupation.

Because the Nazis viewed Hungarian Jews not as human beings but as "vermin," Dr. Maté's very existence was under threat. His mother lived in constant terror for a year before handing him over to a stranger for five weeks to save his life, while his father was away in a forced labor camp. Consequently, "not being seen" was directly linked to a life-threatening existential danger in his infant brain.

Dr. Maté reflects that the ultimate remedy for this trigger is self-awareness and self-validation. If he fully sees and values himself, it no longer matters whether others misinterpret or fail to see him. Learning to see oneself is difficult for those whose childhood needs went unmet, as children naturally view themselves through their parents' eyes. To cultivate this, Dr. Maté practices a form of mindfulness meditation focused on observing internal states without judgment. He shares a personal example from two days prior, when he felt intense anxiety that he hadn't given his best public lecture; upon reflection, he recognized that he had prepared well, spoken his truth, and needed to see his own effort rather than judge himself harshly.

* Dr. Maté was born in Budapest, Hungary, two months before the Nazi occupation in 1944. * He was separated from his mother for 5 weeks as an infant to save his life, while his father was in a forced labor camp.

[01:17:07](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4627s) Social Media Attachment and Overcoming Constant Background Stress

Addressing Steven's question about eliminating obstacles to self-awareness, Dr. Maté clarifies that while we cannot remove social media entirely, we must sever our emotional attachment to it. He notes that while he has a professional Facebook page run by others, he avoids reading YouTube comments or chasing online approval. The goal is to use digital tools without letting them control or consume us.

Steven expresses concern that modern society forces people into a state of chronic, background stress. He references a conversation with author James Nestor regarding breathing, noting how often he catches himself taking shallow breaths—whether looking at his phone, lying in bed at 1:00 a.m., or during podcast recordings. Dr. Maté agrees that learning to breathe consciously is one of the most vital practices for restoring calm. He cites spiritual teacher Eckhart Tolle, who emphasizes taking conscious breaths daily, as well as ancient Buddhist teachings where the Buddha described "observing the breath" as the core portal into reality.

When Steven asks whether society's hyper-stimulated environment is sustainable, Dr. Maté responds that while constant stress has become normalized, its consequences are severe. On an individual level, it drives the rise of autoimmune diseases and mental illness; on a societal level, it produces heightened hostility, polarization, and cultural division.

* Author James Nestor's work highlights how stress manifests as shallow, dysfunctional breathing. * Historical Buddhist texts note that the Buddha’s assistant, Ananda, asked him if he still meditated, to which the Buddha replied that he practiced observing the breath.

[01:23:06](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4986s) Romantic Relationships, Trauma, and the Capacity to Be Alone

The discussion pivots to romantic relationships and the impact of personal trauma on intimacy. Steven notes how modern dating has shifted online—with roughly 50% of couples now meeting via dating apps—and observes that many people are giving up on dating altogether. Steven shares that he only found true love after doing inner work to resolve the internal barriers blocking his capacity for connection.

Dr. Maté affirms Steven's insight, stating that individuals cannot form healthy, mature relationships until they develop the capacity to be comfortable being alone. He distinguishes between "being alone" (which fosters self-truth and personal growth) and "loneliness." Many people enter relationships expecting a partner to fix their internal pain or fill their inner emptiness.

Dr. Maté candidly reflects on his own marriage, admitting that during moments of disappointment, he experienced intense feelings of hatred toward his wife because he was looking to her to complete him from the outside—something no partner can ever achieve. A healthy partnership is only possible when an individual stops being dependent on external validation to fill an internal void.

Here is a detailed, faithful walkthrough covering Part 6 of the interview transcript between Steven Bartlett and Dr. Gabor Maté.

---

[01:25:14](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5114s) Relationships as the Ultimate Ground for Mutual Growth

Dr. Gabor Maté presents a romantic relationship as a primary arena for personal transformation. While no one enters a relationship perfectly unburdened by past trauma or emotional triggers, a couple can thrive if both partners remain unconditionally committed to the truth rather than defending who is "right" or "wrong." For Dr. Maté personally, his marriage has served as the most crucial educational ground of his life—surpassing formal therapy or extensive reading—in teaching him how to become truly authentic.

Problems inevitably arise when one partner begins to do emotional work and grow while the other remains stuck. Emotional connections follow a principle similar to "water finding its own level," where people originally pair up at equivalent levels of trauma resolution. If one person grows, the relationship reaches a breaking point: either the growing partner regresses to their former self (which is nearly impossible once awareness takes hold), the stagnant partner steps up to evolve, or the couple splits.

* Relationships fail when partners prioritize victory, ego, or being right over commitment to truth. * Couples originally bond at matching levels of trauma resolution and emotional maturity. * Disparate rates of personal growth force one of three outcomes: regression, mutual evolution, or separation.

---

[01:27:00](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5220s) The Parent-Child Dynamic and the Strain of Motherhood

Addressing common strains between men and women, Dr. Maté outlines a frequent dynamic that unfolds after childbirth. When children arrive, a mother's caring energy naturally shifts toward the infants. However, fathers who have unresolved emotional needs often feel displaced, reacting like children whose attention has been stolen. This forces mothers into an impossible dilemma: whether to care for a dependent newborn or tend to a "35-year-old baby."

When a woman shifts her nurturing energy away from a needy husband to focus on her child, relationships often fracture because men struggle to tolerate the loss of maternal care. Dr. Maté emphasizes that when one partner carries the emotional burden of acting as a parent to the other, it creates an unhealthy dynamic that smothers adult intimacy.

> "Do I look after the 3-day-old baby or the 3-month-old baby, or do I look after the 35-year-old baby? And to the extent that the mother chooses to look after the 35-year-old baby, she's depriving the 3-month-old."

---

[01:28:10](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5290s) Emotional Intimacy, Safety, and the Roots of Sexual Dysfunction

When asked about the underlying causes of sexless relationships, Dr. Maté critiques how society rushes physical intimacy before establishing genuine emotional connection. True intimacy refers to the "innermost" self. When people rush into bed without authentic emotional alignment, sex becomes detached from core emotional needs and turns into a mechanical act. Furthermore, the parent-child dynamic in a marriage acts as a primary cause of lost sexual desire. Steven Bartlett notes that relationship psychologist Esther Perel (mistranscribed in STT as "Mercia Pye") specifically warns partners to never call each other "mommy" or "daddy" for this exact reason.

Dr. Maté highlights how modern culture glorifies distorted sexuality, pointing to historical sex symbols like Marilyn Monroe—a deeply traumatized, abused child who continued to be exploited as an adult. For genuine sexual expression to flourish, especially for women, emotional safety is paramount. The term "frigid" simply describes a protective freeze response triggered by fear or past trauma; when emotional intimacy establishes safety, that emotional frost unfreezes naturally.

* **Intimacy Definition:** Derived from the word for "innermost"—requiring emotional exposure before physical closeness. * **The Freeze Response:** Sexual shutdown in relationships is an involuntary fear reaction, not a fixed personality trait. * **Rae Maté's Quote:** Dr. Maté shares his wife Rae's perspective on connection: *"Truth is sexy."*

---

[01:31:35](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5495s) The Global Epidemic of Distress and the Toxic Culture

Reflecting on recent societal trends, Dr. Maté observes a steep increase in psychological distress and confusion across all demographics, particularly among young people. Modern culture treats these systemic issues as random bad luck, whereas Dr. Maté argues they stem directly from how society structures child-rearing and interpersonal relationships. The worldwide success of his book, *The Myth of Normal*, across regions as varied as North Macedonia, Thailand, Vietnam, and Europe, highlights that this crisis of distress is global.

Addressing his overall outlook, Dr. Maté cites intellectual Noam Chomsky's perspective: "Strategically, I'm an optimist and tactically, I'm a pessimist." In the short term, societal conditions and mental health metrics are growing darker and harder. However, long-term optimism rests on an unwavering belief in human nature and our collective capacity to heal, transform, and achieve grounded sanity.

* **Childhood Suicide:** Suicides among children in the United States continue to climb. * **Adult Medication Use:** 70% of the U.S. adult population takes at least one prescription medication. * **Antidepressant Use:** At least 25% of women in the United States are prescribed antidepressants or anti-anxiety medications, with similar upward trends in Great Britain.

---

[01:34:23](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5663s) Aligning Stated Intentions with Actual Living

Shifting toward personal solutions, Dr. Maté prompts Steven Bartlett to explicitly define his life goals. Steven lists four main pillars: doing meaningful and challenging work that serves others, maintaining physical health to sustain that work, cultivating raw and honest relationships, and raising a loving family free from generational trauma. Dr. Maté notes that living with purpose and meaning directly enhances physiological health.

However, Dr. Maté challenges Steven to examine the difference between stated goals and actual behavior. Real intentions are revealed by how a person allocates their time and lives day-to-day, not by what they say. Reflecting on his own past as a workaholic physician, Dr. Maté recalls telling himself that his primary goal was his children's happiness. In reality, his schedule proved that his true, subconscious driver was a need for self-importance and validation through serving patients at the expense of being present at home.

* True intentions are demonstrated through daily time allocation and behavior rather than spoken desires. * Noble external goals can often hide subconscious drives for self-importance and validation.

---

[01:38:11](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5891s) The Search for Inner Peace vs. External Validation

Dr. Maté identifies the ultimate goal missing from Steven's list: **inner peace**. Without inner peace, pursuing external achievements—even noble ones aimed at helping others—risks exhausting a person's health and well-being. Drawing on Eckhart Tolle's distinction between external purpose (achievements, family, service) and internal purpose (inner presence and peace), Dr. Maté explains that workaholics often mistakenly attempt to earn inner peace through external trophies, best-selling books, or public accolades.

To illustrate this trap, Dr. Maté quotes renowned childhood trauma researcher Dr. Vincent Felitti. External validation provides a fleeting sense of relief, but because it doesn't solve internal wounds, it leads to an addictive cycle of overworking. True peace cannot be manufactured from external success; it must be cultivated internally. Assessing his own progress, Dr. Maté acknowledges he is far from perfect, but feels significantly more comfortable in his life and future than ever before.

> "It's hard to get enough of something that almost works." — Dr. Vincent Felitti

* Workaholics frequently attempt to achieve internal peace through external validation, leading to addictive cycles. * Inner peace provides the stable foundation necessary to speak compassionately and serve others safely.

[01:41:33](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6093s) Suffering, Crisis, and Growing Older

Life naturally presents challenges without anyone needing to impose hardship on children or others for the sake of teaching lessons. When suffering inevitably arrives, individuals face a choice between two paths: attempting to numb the pain and escape it, or engaging with it as a teacher. This dual nature of hardship is mirrored in the composition of the Chinese word for crisis, which famously brings together two character letters representing danger and opportunity.

True maturity involves "growing older" rather than simply accumulating years. This process of intentional growth requires individuals to stay expansive and continuously move closer to their authentic selves instead of shrinking as time passes. Dr. Gabor Maté notes that this pursuit of authenticity is a lifelong journey marked by both successes and setbacks, but it remains a path worth recommending to everyone.

[01:42:50](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6170s) The Necessity of Vulnerability for True Growth

The concept of vulnerability is deeply intertwined with personal growth. Traced back to its Latin origin, the word stems from *vulnerare*, which translates directly to "to wound." As living creatures, human beings remain inherently vulnerable to physical and emotional injury from conception until death. When children grow up feeling fundamentally safe, seen, and understood, they develop the internal confidence necessary to accept this natural state of vulnerability. However, when trauma or emotional isolation occurs, the weight of vulnerability becomes too painful to tolerate, prompting individuals to shut down their feelings as a defense mechanism.

True emotional development cannot occur without vulnerability. This dynamic is visible across nature: a tree does not grow from its hard, thick sections, but rather through its soft, tender, and fragile shoots that risk being consumed by animals or insects. Similarly, a crustacean like a crab cannot expand within a rigid environment; it must entirely molt its hard shell and expose its soft, defenseless body to grow.

Modern culture frequently pressures people to deny vulnerability, hide it, or seek distractions from it. The consequence of avoiding this discomfort is lingering psychological immaturity and a loss of self. Conversely, stepping into openness serves as a powerful tool for human connection. In the context of hosting a podcast, a host's willingness to display personal openness establishes a safe environment that invites guests to open up in return. While everyday conversations can easily center on superficial topics like a football match—such as Newcastle defeating Manchester City one to nothing—sharing genuine personal struggles consistently fosters far more meaningful bonds.

[01:45:54](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6354s) The Final Messages and Gratitude

Following the podcast's closing tradition, the host presents a hypothetical scenario left by a previous guest: on their final day on Earth, the individual is permitted to make two phone calls—one to the person they love most and another to the entire world. Dr. Maté initially reflects on the classic John Lennon lyric, "All you need is love," as a message for the world. Regarding the individual he loves most, he notes that words would be unnecessary because "she knows."

Upon further reflection, Dr. Maté states that his ultimate message for both his loved one and the world at large would simply be "thank you." This gratitude extends completely to the full spectrum of existence, encompassing every struggle, travail, trouble, and tribulation experienced across childhood, adulthood, parenting, and career. Ultimately, he chooses to bypass giving explicit advice in favor of expressing profound appreciation for everything life provides.

[01:47:37](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6457s) A Legacy of Wholeness and Generational Healing

When asked how he wishes to be remembered, Dr. Maté shares that he hopes to be known as someone who did his best to make a difference—a goal he feels he has successfully achieved, regardless of universal agreement. He regularly receives messages from individuals worldwide explaining how his books have transformed their relationship with themselves. His favorite feedback came from a young man who read *The Myth of Normal* and remarked, "Thank you. I read that book and I remembered myself."

His work aims to help open-minded individuals see themselves clearly. Rather than viewing themselves as permanently broken or irretrievably damaged, people can connect with their inherent capacity for health, a word that etymologically shares its roots with "wholeness." This perspective frames individuals as fundamentally whole beings who simply have personal challenges to work through. This process frequently mirrors the natural state of children, who often serve as a parent's greatest teacher if the adult is willing to learn.

The host highlights that Dr. Maté's influence extends far beyond individual readers to shape the next generation of therapists and teachers. For instance, the host's own partner builds her women's retreats in the south of France directly upon his written work and online teachings. This spread of ideas acts as a domino effect, countering historical trauma with proactive generational healing. Dr. Maté expresses immense enthusiasm regarding the number of young people, some a quarter of his age, who approach him in cities like London to express appreciation, affirming that his persistent stance for truth continues to create a tangible difference across generations.

[01:51:33](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6693s) Sponsor: Advanced Health Insights with Whoop

The host introduces the podcast sponsor, Whoop, highlighting it as an example of utilizing artificial intelligence to create positive lifestyle changes. The wearable device remains constantly on the host's wrist to track health metrics. Its specific feature, the Whoop Coach, applies advanced AI to synthesize a user's fitness and biometric data, generating highly customized recommendations.

* Users can pose open-ended questions directly to the AI platform, such as asking "Why am I so tired?" or requesting assistance to build a tailored strength training program. * The system analyzes individual data trends to deliver personalized responses rather than generic fitness advice. * Listeners can access a free one-month membership by visiting the dedicated promotional link at [join.whoop.com/ceo](https://join.whoop.com/ceo).

## Notable quotes > [53:02](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3182s) This contest between attachment and authenticity can be a painful one, but you can decide which kind of pain you want.... Which pain would you rather have? The pain of being authentic and losing some friendships that were no friendships at all, or the pain of losing yourself and all its implications and all its impacts on the body? — Dr. Gabor Maté

> [01:27:00](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5220s) Do I look after the 3-day-old baby or the 3-month-old baby, or do I look after the 35-year-old baby? And to the extent that the mother chooses to look after the 35-year-old baby, she's depriving the 3-month-old. — Dr. Gabor Maté

> [01:28:48](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5328s) Truth is sexy. — Rae Maté

> [01:38:11](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5891s) It's hard to get enough of something that almost works. — Dr. Vincent Felitti

> [01:47:37](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6457s) Thank you. I read that book and I remembered myself. — Anonymous Reader

## Mentioned Ananda, Bessel van der Kolk, Bronnie Ware, Bruce Perry, Buddha, Canada, Dick Schwartz, Dr. Gabor Maté, Dr. Vincent Felitti, Eckhart Tolle, Esther Perel, James Nestor, John Lennon, Marilyn Monroe, No Bad Parts, Noam Chomsky, Oprah Winfrey, Peter Levine, Prince Harry, Rae Maté, Steven Bartlett, The Body Keeps the Score, The Boy Who Was Raised as a Dog, The Myth of Normal, The Myth of Normal: Trauma, Illness & Healing in a Toxic Culture, The Top Five Regrets of the Dying, Waking the Tiger, Westminster Abbey, What Happened to You?, Whoop, Whoop Coach

[Source](https://www.youtube.com/watch?v=L7zWT3l3DV0)

中文简报

Gabor Maté将压抑愤怒与自身免疫疾病及渐冻症风险联系起来 压抑健康的愤怒、为了维持依恋关系而牺牲真实自我,会直接损害身体免疫力并增加慢性疾病风险。 Gabor Maté博士探讨了未化解的童年创伤、情绪压抑以及为了依恋而牺牲真实自我如何导致慢性身体疾病和心理健康困境。他区分了健康的自我保护性愤怒与破坏性暴怒,并解释了早年生活压力如何影响成年后的关系动态与健康风险。为了打破这些模式,Maté博士主张培养自我觉察、尊重真实的情感边界并接纳脆弱,以促进代际疗愈。 讨好他人和压抑界限是为了维持依恋而习得的适应方式,但牺牲真实自我往往会在生理上表现为慢性自身免疫性疾病和病症。 (53:02) Maté博士概述了《正常之谜》(The Myth of Normal)中的四部分自我探究框架,以帮助个体改掉已成第二本能的顺从习惯并建立健康的界限。 (53:02) 现代医学教育在很大程度上忽视了心理神经免疫学与身心联结,未能考量来自父母及社会的压力如何诱发慢性身体疾病。 (60:46) 无需昂贵的心理咨询,通过阅读有关创伤、部分工作(parts work)和基于身体的疗愈文献,即可实现自我引导的创伤康复与疗愈。 (60:46) 健康的愤怒是一种暂时的边界防御机制,一旦建立安全感便会消退;而长期的慢性暴怒则会使爆发后两小时内心脏病发作和中风的风险增加一倍。 (67:17)

Reading summary

Dr. Gabor Maté contends that chronic people-pleasing, emotional suppression, and the sacrifice of personal authenticity to maintain interpersonal bonds directly disrupt immune regulation, translating unexpressed psychological distress into physical illness and autoimmune disease. Psychoneuroimmunology and the Cost of Repression (35:58) According to Maté, the emotional and immune systems operate as an integrated physiological network designed to admit healthy elements and reject toxins. When an individual chronically represses anger or self-assertion, the immune system loses its capacity to distinguish self from non-self, leaving the body vulnerable to autoimmune conditions and impaired cellular surveillance against malignancy. Maté notes that women account for roughly 80% of all autoimmune cases—including rheumatoid arthritis, lupus, and fibromyalgia—which he attributes to cultural conditioning that pressures women to absorb familial stress and prioritize caretaking over self-care. To demonstrate this mind-body link, Maté cites 1960s thoracic surgeon Dr. David Kissen, who observed that emotional repression was a key variable determining which heavy smokers developed lung cancer. Similarly, Maté highlights clinical observations from the Cleveland Clinic, where technicians could frequently anticipate Amyotrophic Lateral Sclerosis (ALS) diagnoses based on a patient's extreme, self-effacing niceness and lifelong boundary suppression. Attachment versus Authenticity in Childhood Trauma (38:55) Maté identifies two non-negotiable childhood mammalian needs: attachment (closeness and parental acceptance) and authenticity (connection to visceral gut signals and boundaries). When parents or social structures penalize spontaneous emotional expression, children instinctively sacrifice authenticity to protect the vital attachment bond. This adaptive survival mechanism becomes a learned "second nature," leading adults to compulsively people-please and fear disappointing others. Trauma, which Maté defines by its literal root as a "wound," does not require horrific events; it frequently results from the subtle absence of physical attunement and emotional validation. Citing animal behavior and infant research—such as rat grooming dictating brain development and premature human infants thriving when stroked for 10 minutes daily—Maté underscores that mammalian biology depends on physical touch and emotional safety to develop properly. Protective Boundaries versus Cardiovascular Rage (69:37) Maté distinguishes healthy anger from destructive, reactive rage. Healthy anger acts strictly in the present moment as a boundary defense mechanism—analogous to a mother bear protecting her cubs—and resolves as soon as safety is established. Suppressing this boundary-protecting response leads to internal physical breakdown, including the suppression of natural killer cells. Conversely, explosive rage operates like an epileptic seizure, recruiting adjacent brain circuits out of proportion to current circumstances. Maté explains that disproportionate adult rage occurs when minor triggers detonate internal "gunpowder" left by unresolved childhood invalidation. While emotional suppression fosters autoimmune illness, intense rage exacts an immediate cardiovascular toll: research shows that heart attack and stroke risks double in the two hours following an episode of intense anger due to vasoconstriction, elevated blood pressure, and increased blood clotting factors. Relational Strains, Validation Addiction, and Vulnerability (85:14) In adult romantic relationships, unexamined childhood wounds often surface as partners project unmet needs onto one another. Maté observes that men frequently demand maternal caretaking from female partners, creating a mother-son dynamic that suffocates adult intimacy and sexual desire. Furthermore, relying on external achievements—such as bestselling books or status—to heal inner wounds generates an addictive cycle, as external validation provides only temporary relief for internal deficits. True development requires embracing vulnerability, derived from the Latin *vulnerare* ("to wound"). Maté compares psychological maturation to a tree growing through its softest shoots or a crab molting its rigid shell: individuals cannot expand without tolerating defenselessness. Practicing mindful self-awareness, vocalizing distress to reactivate the midfrontal cortex, and cultivating internal peace allow adults to sever emotional dependencies on external approval. Maté highlights a critical limitation in modern healthcare, where medical training rarely integrates psychoneuroimmunology, leaving individuals to self-navigate chronic illnesses driven by hidden emotional stress. While acknowledging that societal factors—such as economic pressure, generational trauma, and 70% of adults using prescription drugs—worsen distress in the short term, Maté argues that long-term recovery depends on unlearning people-pleasing and prioritizing internal authenticity over the physiological toll of unvoiced self-denial.

精炼阅读摘要

心理创伤专家 Gabor Maté 博士指出,现代社会中普遍存在的慢性疾病与心理危机,深层源于人们为了维持人际依恋而压抑自身真实情绪;当个体习惯性通过讨好他人来抑制健康的愤怒与边界时,身体便会通过免疫系统紊乱、自身免疫性疾病乃至恶性肿瘤等生理形式代为表达拒绝。 讨好特质与身心免疫机制的病理关联 (26:24) Maté 博士提出,人体的免疫系统与情绪系统在生理机制上高度协同,两者共同承担着接纳滋养、排斥毒素的防御职责。在心理神经免疫学视角下,长期压抑情绪会直接抑制免疫功能,损害监视和消灭异常细胞的自然杀伤细胞活力。英国胸外科医生 David Kissen 在 1960 年代的研究观察到,在重度吸烟者中仅约 10% 至 15% 最终罹患肺癌,而情绪压抑则是促使病变发生的重要变量,高程度的情绪压抑降低了致癌所需的暴露阈值。 在临床实践中,过度讨好、习惯性满足他人期待而牺牲自我照顾的个体展现出显著的患病倾向。现代社会中约 80% 的自身免疫性疾病(如类风湿性关节炎、系统性红斑狼疮、多发性硬化等)患者为女性,Maté 认为这与文化习俗要求女性充当家庭情绪吸收者与和平维护者密切相关。克利夫兰诊所的研究亦显示,肌电图技术人员单凭患者过度的顺从与极度友善,便能高度准确地预判肌萎缩侧索硬化症(ALS)的诊断结果。这类患者长期压抑健康的拒绝能力,导致身体机能出现破坏性的免疫自我攻击。 童年依恋与真实自我表达的生存博弈 (38:55) 人类天生具备两项核心需求:与抚养者保持紧密联系的“依恋”,以及感知自身躯体直觉与情绪的“真实性”。在哺乳动物的演化机制中,失去依恋意味着死亡风险,因此当父母的接纳带有严苛条件、惩罚孩子的真实情绪反应时,幼儿会本能地牺牲真实性来维系依恋关系。Maté 指出,幼儿在约 18 个月大时开始本能地说“不”以确立心理边界,若这一防御冲动受到压制,个体成年后就会将讨好内化为“第二本能”。 缺乏基础的情感回应与躯体触碰同样会构成不可逆的早期创伤。动物行为学与临床数据证实,大鼠幼崽出生后母鼠的舔舐梳理直接决定其大脑发育,早产儿每日接受 10 分钟背部抚触即可显著改善脑部发育与成长指标。缺乏情感回应的抚养环境——正如英国哈里王子童年时在丧母之痛中仅得到父亲形式化的碰膝安慰,或约翰·列侬因父母离弃而被迫建立起不需要任何人的防御壳——往往在没有遭遇剧烈外部灾难的情况下,也能使敏感的儿童陷入长期的神经调节失衡与自我隔绝。 健康愤怒防御与失控暴怒的生理分野 (67:17) Maté 将健康的愤怒定义为一种立足于当下的边界防御本能,如同母熊护崽般在威胁解除后迅速平息;相反,病理性的失控暴怒则类似于癫痫发作,会迅速招募临近脑神经回路并形成失控的生理震荡。这种被称为“红雾”的突发狂怒并非针对当下的理性反应,而是由于外界分歧触动了童年时期未解的痛苦隐患——如同被扣动的枪机引爆了体内早已储满的被忽视与被否定等“火药”。 两种极端的情绪处理方式均会对肉体造成严重损害:压抑愤怒破坏免疫监测系统,诱发自身免疫障碍;而爆发性狂怒则直接冲击心血管系统。医学统计表明,在剧烈愤怒发作后的两小时内,个体的血压骤升、血管剧烈收缩且凝血因子增加,罹患心脏病或中风的风险将直接倍增。学会恢复健康的躯体边界,而非在极度隐忍与狂暴失控之间摇摆,是打破躯体化损伤的关键。 亲密关系动力学与投射性创伤化解 (30:57) 在亲密关系中,伴侣双方通常在创伤解决水平和情绪成熟度上处于同一层级。Maté 指出,异性恋伴侣中常见的矛盾往往表现为男性潜意识中要求伴侣扮演童年缺失的母亲角色,而女性则被迫承担起照顾一个“35岁巨婴”的责任。这种母职化投射会迅速扼杀双方平等的性吸引力与情感安全感;当女性出现生理冷淡或退缩时,本质上是对缺乏安全感或过往创伤所激发的生理冻结反应,而非固定的性格缺陷。 Maté 坦承即使作为创伤专家,自己也曾因长期将注意力放在公众声誉上而在家庭生活中制造割裂,直至金婚纪念日前夕遭到妻子 Rae 的直面质问。他进一步分析了自己在专访哈里王子受挫后遭遇舆论攻击的心路历程,意识到自身极度恐惧“不被看见”的应激源,实则来自 1944 年布达佩斯纳粹占领时期作为犹太婴儿与母亲分离 5 周的生存恐惧。摆脱对外部认可的病态依赖、学会在独处中确立自我价值,是构建健康亲密关系的先决条件。 系统性健康危机与以脆弱重塑完整的路径 (60:46) 现代医疗体系普遍割裂了心身统一性,忽略了情绪高压向器质性病变的转化。当前全球正面临隐性健康危机:70% 的美国成年人至少服用一种处方药,25% 的女性正在服用抗抑郁药,儿童心理痛苦与自杀率亦持续走高。对此,Maté 主张应从社会制度与家庭支持层面进行系统性预防,在个人层面则需要进行去条件化的自我探问,例如检视自身在何处未能坚守界限、这一退让背后潜藏着何种童年习得的被抛弃恐惧,以及放弃讨好信念后自我真实的形态。 真正的康复并非消除所有问题,而是重拾丢失的“完整性”。如同树木唯有依靠脆弱幼嫩的新芽才能生长、甲壳类动物必须脱去坚硬外壳暴露柔弱身躯方能蜕变,人类的成熟同样无法规避脆弱与痛苦。面对生活必然带来的磨难,个体唯有直面脆弱与痛苦的教学意义,放下通过工作狂或外部成就赚取内心平静的成瘾性循环,方能停止透支健康,重获内在真正的平和。 Maté 博士对宏观社会前景持战术悲观而战略乐观的态度,指出虽然现代高压文化加剧了个体痛苦与社会极化,但人类自我疗愈与重塑完整的本能始终存在。然而,该观点在很大程度上依赖个体打破既有依恋模式的自省意愿,面对深嵌于经济结构、阶层不平等与传统医疗范式中的系统性创伤,仅靠去中心化的自我觉察能否在制度层面实现大规模逆转,仍是一个未完全解答的现实难题。

Detailed notes — zh

## Background 本期内容由主持人斯蒂芬·巴特利特(Steven Bartlett)于 2023 年 10 月 12 日发布在其 YouTube 频道 The Diary Of A CEO 上。视频是斯蒂芬与知名创伤与身心健康专家加博尔·马泰医生(Dr. Gabor Maté)的深度对谈,围绕马泰的著作《正常态的迷思》(The Myth of Normal)展开,探讨讨好型人格、压抑健康愤怒与严重身体疾病之间的惊人联系,以及代际创伤的疗愈之道。 ## TL;DR 加博尔·马泰医生深入剖析了情绪压抑与器质性病变(如自身免疫性疾病、癌症及渐冻症)之间的身心医学机制,指出当个体因童年创伤而无法拒绝他人时,身体便会以疾病的形式替他们说“不”。对谈探讨了“讨好型人格”如何为了维系依恋而牺牲真实自我,以及将伴侣投射为母亲所带来的亲密关系危机。马泰通过反思自己面对公众舆论与哈里王子专访风波时的自我怀疑,说明了即使是专家也需时刻保持觉察。最终,对话落脚于通过自我探问重拾第一天性、拥抱脆弱、确立心理边界,从而实现由内而外的平静与代际疗愈。 ## Atmosphere & style 整场对话洋溢着坦诚、深沉且极具治愈感的氛围,既有严谨的神经科学与身心免疫学思辨,又不乏直面内在软弱的真情流露。马泰医生毫无大师包袱,毫不避讳地剖析自己的焦虑、反刍思维与婚姻触礁经历,展现出高度的脆弱与真诚。主持人斯蒂芬则以充满共鸣与敬意的提问积极呼应,两人的互动宛如一场兼具学术深度与灵魂拷问的围炉夜话,带给观众直击内心的力量与安宁。 ## Bulletin - [00:00](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=0s) 长期压抑健康愤怒与无法拒绝他人是导致严重器质性疾病的重要诱因;在自身免疫性疾病患者中女性占比高达80%,其普遍具备强迫性利他与忽视自身需求的心理模式,当心理上无法说“不”时,身体便会以生病的形式代为表达抗议。 - [01:07:17](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4037s) 健康的愤怒是立足当下且目的达成即消退的心理边界防御,而由早年创伤扣动扳机的失控暴怒则会导致神经放电失控,研究证实暴怒发作后2小时内心肌梗死与中风风险将直接翻倍。 - [39:01](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2341s) 童年期面对“维持依恋”与“做真实自我”的冲突时,儿童为求生存被迫掐断自身直觉与负面情绪表达,这种讨好型人格并非天性,成年后可通过四步自我探问法觉察恐惧动机并找回自主界限。 - [01:31:45](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5505s) 现代社会正处于身心慢性应激流行病之中,全美70%成年人服用处方药且25%女性服用抗抑郁药;将外部成就与工作狂行为当成替代疗愈的手段极易让人陷入成瘾循环,追求内在平静才是维持长期健康的基石。 ## Key takeaways - [00:00](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=0s) 当个体在心理层面长期不懂得或不敢拒绝他人时,身体最终会以自身免疫性疾病、癌症等重疾的形式替个体说“不”。 - [05:27](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=327s) 通过语言化方式表达压力能够将神经活动从原始情绪中枢转移回负责洞察与执行功能的前额叶中层皮层,正念练习能有效防止前额叶在压力下“掉线”。 - [18:48](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1128s) 创伤的本质不仅是经历极端灾难性恶性事件,对脆弱儿童而言,基本情感需求(未被看见、未被倾听、未被拥抱)的长期缺失同样会在身心深处留下难以磨灭的伤口。 - [23:48](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1428s) 肠道神经系统拥有比颅内大脑更多的血清素,且肠道向大脑发送的信号密度远超大脑下行信号,过度依赖头部认知会导致个体与古老的生存直觉彻底断联。 - [25:30](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1530s) 当代80%的自身免疫性疾病发生在女性身上,这与父权文化规训下女性更易形成强迫性利他、认同照顾者角色并过度压抑愤怒的防御模式密切相关。 - [33:58](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2038s) 根据心理神经免疫学,情绪系统与免疫系统具有同构的防御机能,强行压抑心理边界会同步削弱免疫系统识别并清除癌细胞的生理功能。 - [37:37](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2257s) 戴维·基森的肺癌研究证实了情绪压抑的致癌乘数效应:患者心理自我压抑越深,在同等香烟烟雾暴露下诱发肺癌所需的吸烟量反而越低。 - [39:01](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2341s) 面对依恋与真实的终极冲突,儿童为确保获得照顾者微薄的爱与接纳,本能地选择牺牲与真实自我的连接,从而沦为终身恐惧表达自我的讨好型人格。 - [48:36](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2916s) 渐冻症(ALS)患者在临床上展现出惊人一致的“异乎寻常的友善”特征,这种缺乏边界的友善本质上是对健康防御本能与攻击性的病态压抑。 - [52:58](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3178s) 讨好模式是后天习得的“第二天性”,通过觉察违心顺从、看清背后恐惧、追溯童年根源以及重塑自我认同这四步练习,个体能够逐步找回第一天性。 - [55:50](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3350s) 临终关怀护士布朗妮·维尔的研究表明,临终者最普遍的憾事是“没有勇气按自己的真实意愿生活”以及“为了避免他人不快而压抑自己的真实感受”。 - [01:07:17](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4037s) 失控的暴怒(红雾状态)如同大脑神经回路的异常放电,其能量源于童年长期被贬低积攒的耻辱感,发作后2小时内心梗与中风风险会翻倍。 - [01:12:33](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4353s) 哈里王子童年时被贴上“愚蠢”与“多动”等贬损标签,但注意力涣散与ADD本质上是敏感儿童身处异常家庭高压环境时的正常生理心理适应机制。 - [01:23:06](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4986s) 真正的亲密关系建立在能够安然独处的前提上;若在婚姻中将伴侣退行为照料一切的“母亲”,必然会扼杀成年人之间的性吸引力与激情。 - [01:38:12](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5892s) 工作狂试图通过追逐外部成就与自我重要感来“赚取”内心平静,但文斯·费利蒂指出“差一点就彻底起效”的外部反馈具有极高成瘾性并会引发自我枯竭。 - [01:42:50](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6170s) 自然界法则揭示“没有脆弱就没有生长”,心理成长要求个体像蜕壳的甲壳类动物一样主动暴露脆弱,唯有拥抱脆弱才能实现真正的向内生长与代际疗愈。 ## Detailed walkthrough ### [00:00](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=0s) 开篇引言:现代人的痛苦流行病与压抑的代价 现代社会正经历一场普遍的情绪痛苦流行病:70% 的成年人至少在服用一种处方药,四分之一的女性正在服用抗抑郁药物,而儿童群体的心理困扰率也在节节攀升。作为在成瘾、创伤、儿童发育与压力领域的知名思想家与畅销书作家,加博尔·马泰医生(Dr. Gabor Maté)指出,那些习惯迎合他人、不懂得拒绝的“讨好型人格”(People pleasers),往往正是最容易患上严重疾病的人群——“当人们不懂得如何说‘不’时,身体就会替他们说‘不’。”这种表面上的和善往往意味着对健康愤怒的过度压抑,而对愤怒的情绪压抑会对人体免疫系统产生巨大破坏,甚至导致免疫系统反噬自身;长期压抑情绪的人更容易患上癌症,而这种情绪压抑的根源,几乎都可以追溯到童年时期的创伤。 加博尔进一步探讨了童年创伤的本质,并以哈里王子(Prince Harry)为例:当戴安娜王妃遭遇车祸去世时,12 岁的哈里被告知“你母亲没能挺过来”,他的父亲只是拍了拍他的膝盖说了一句“一切都会好起来的”,随后便转身离开了房间。没有人在那一刻紧紧拥抱这个崩溃的孩子。加博尔强调,童年创伤不仅来源于经历了极其可怕的事件,很多时候仅仅是因为基本的情感需求未被满足——“没有被看见、没有被倾听、没有被拥抱”,这些都会在幼小的心灵上留下深重创伤。然而,加博尔自己也并非身处免疫真空之中:在与哈里王子的轰动性对谈前后,加博尔其实从一开始就有一股直觉告诉自己不应该接下这场采访,而最终深陷舆论漩涡的他,甚至坦言自己在那场风波中“迷失了自我”。 ```mermaid flowchart TD accTitle: 情绪压抑到躯体化疾病的发展机制 accDescr: 展示童年未满足的需求如何导致情绪压抑并最终转化为身体疾病的连锁机制 subgraph Early["童年印记与心理机制"] A["情感需求未被满足\n(未被看见/倾听/拥抱)"] --> B["习得性讨好与情感压抑\n(不敢表达拒绝与健康愤怒)"] end subgraph Physical["生理后果与躯体化"] B --> C["神经与免疫调节失衡\n(执行功能受损 / 免疫受抑制)"] C --> D["身体替你表达拒绝\n(自体免疫疾病、癌症等躯体疾病)"] end ``` --- ### [01:36](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=96s) “你最近过得如何?”:大师面对 2100 人演讲后的自我怀疑 对话以主持人斯蒂芬·巴特利特(Steven Bartlett)一个看似随口却直击内心的问题拉开序幕:“你最近过得好吗?”加博尔坦言,这个问题对他而言包含两个维度:一个是“此时此刻”,另一个则是“过去一段时间”。在当下这一刻,他感到内心宁静、平和,并且非常高兴能坐在演播室里;但如果把时间倒退两天,他的答案将截然相反——那时的他处于极度的焦虑与不安之中。虽然他在过去几十年里积累了无数心理学智慧,但他深知:“只要我坚守自己所知道的真理,我就能保持健康;可一旦我忘记了那些道理,我也同样会陷入糟糕的泥潭。” 两天前,加博尔在伦敦面对 2100 名观众做了一场大型公开演讲。走下讲台后,他却被沉重的挫败感吞噬,脑海中充斥着苛刻的自我评判,反复对自己说:“天哪,我本来可以讲得更好,我辜负了大家的期望。”他本以为以自己的资历早已对这种自我怀疑免疫,但现实却证明他依然会被击中。 回到住处后,他的大脑陷入了无休止的恶性循环: - 持续且周期性的自我苛责,反复纠结“我当时本应该更加专注”、“我本可以更加脚踏实地”、“我或许应该与观众产生更深刻的共鸣”。 - 伴随心理焦虑而来的明显生理反应,例如腹部剧烈的翻江倒海与躯体紧绷。 --- ### [04:13](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=253s) 走出反刍思维:通过数字断联打破认同的枷锁 面对这种每个人都曾经历过的焦虑风暴,加博尔分享了自己化解情绪困局的关键方法:学会观察它,而不去与它“认同”(not identifying with it)。加博尔反问自己:最坏的结果究竟是什么?无非就是在某一场合下,自己没有发挥出最佳水平。如果这件事情变成报纸头条,标题也不过是“某个人类在某个特定场合未能做到尽善尽美”而已,这又有什么大不了的?真正的解脱来自于成为自身心智波动的观察者,意识到这些翻江倒海的躯体感受和心理杂念只是一种暂时的状态,绝不能让它们吞噬并主宰自我。 为了应对早些时候陷入的严重心神错乱(discombobulation),加博尔在数月前采取了一项极其激进的举措:进行为期整整两周的“彻底数字断网休假”(2-week sabbatical from the internet)。在整整 14 天里,他不碰手机、不查收任何邮件、不再去亚马逊查看自己的书籍销量排名,彻底斩断了所有用于“强化自恋与自我膨胀”的外界通道。到了两周结束时,他整个人脱胎换骨。 --- ### [05:27](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=327s) 语言化压力的神经生物学机制:重新夺回前额叶的控制权 斯蒂芬在此处引入了一个神经科学视角:当我们把内心的压力和情绪用语言表达(vocalize)出来时,大脑的活动会从原始的情绪中枢转移到更具理性思辨功能的中枢,就像一个人从身临其境、被动挨打的视频游戏中跳脱出来,重新握住了游戏手柄。加博尔对此深表赞同,并从神经生物学角度给出了深入解释: - **前额叶中层皮层(Midfrontal Cortex)的功能**:该区域负责洞察力、社交连接能力、自我觉察以及核心的高级执行功能(executive functions)。 - **情绪绑架与掉线机制**:一旦强烈的焦虑、愤怒或怨恨等负面情绪爆发,前额叶中层皮层往往会瞬间“掉线”(goes offline)。 - **创伤的放大效应**:一个人在童年时期经历的情感创伤越多,成年后前额叶皮层在压力下失灵掉线的概率就越高,从而导致理智被深层的情绪冲动全面接管。 - **正念与冥想的修复价值**:规律的冥想与觉察练习能够帮助重新激活并稳定前额叶的执行功能,使人在被负面情绪彻底卷走之前,及时重新夺回心智的主导权。 --- ### [06:45](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=405s) 妻子的一记警钟:“别再做台前台后割裂的人” 斯蒂芬追问加博尔为什么会决绝地选择断网两周。加博尔坦率地揭开了自己生活中的疮疤。他所著的《当身体说不》(When the Body Says No)探讨的核心观点正是:如果人不学会拒绝,身体就会用生病来抗议。虽然成百上千的读者曾感激地对他说“你的书救了我的命”,但加博尔往往自嘲地心想:“也许我自己才最需要好好读读这本书。” 在现实生活中,加博尔发现自己极具向他人传授智慧的天赋,却往往在自己的生活中摔得鼻青脸肿。由于长期承受高压并四处奔波,他与结婚即将迎来 54 周年的妻子雷(Rae)之间的关系变得异常紧张、冲突不断。妻子最终严肃地对他发出了通牒:“够了!受够了你在聚光灯下的公共形象与你在私下生活中的真实状态之间如此巨大的鸿沟!”这句话深深刺痛了他。他坦白道,综合各方面考虑,他依然深爱妻子并希望维系婚姻;更重要的是,从内心深处,他再也不想做一个口头上能无比清晰地阐明真理、现实中却完全违背真理的“伪善者”。 在最初断网的几天里,加博尔将手机调成了飞行模式,外界无人能打扰他。然而,身体的惯性却异常顽固:他每天依然会下意识地抓起手机好几次,直到看到漆黑且断网的屏幕,他才会自问:“你在干什么?上面什么都没有。”这种下意识的举动赤裸裸地暴露了内心的强迫症倾向——总妄图从外部世界抓取某些刺激,来填补内心深处的虚空。 --- ### [08:40](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=520s) 成功的虚妄与失控的哈里王子采访风波 斯蒂芬回忆起两人过去的谈话,提到自己年轻时曾执着于“成为百万富翁”,但真正实现财富自由的那一天,才猛然发现内心的阴暗面与心魔丝毫没有减少。加博尔对此产生强烈共鸣,指出人类有两种唤醒自我的途径: 1. **失败**:迫使你停下来反思自身; 2. **成功**:往往是更具欺骗性也更深刻的觉醒契机,因为人们总是幻想“一旦我得到了某样东西,我就会幸福”。 加博尔以自己的重磅力作《正常的神话》(The Myth of Normal)为例:该书出版后迅速登顶国际畅销书榜,被翻译成 35 种语言在世界各地发行。按照世俗逻辑,他理应感到无比圆满和快乐;但残酷的现实却是,他越是深度卷入图书的推广、全球巡回演讲和外部名利场中,他的内心就越发感到痛苦和空虚。他完全被外部的成功冲昏了头脑,在筋疲力尽的高强度行程中彻底忽略了对自身身心的关照。 这种迷失在与哈里王子的专访中达到了顶峰。那场轰动全球的对谈引发了铺天盖地的媒体争议与舆论喧嚣。加博尔回顾道,其实在答应接下专访之前,他的直觉(gut feeling)就已经发出了微弱但坚定的警告,告诉他根本不应该答应做这场访谈;但他最终还是忽视了直觉,让自己被卷入了巨大的外部旋涡中,直到事后很久才猛然醒悟:只要自己忘记严密审视内心,盲目依赖外部世界来获取意义与自我认同,自己就会不可避免地重蹈迷失自我的覆辙。 ### [10:56](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=656s) 违背直觉的商业妥协与舆论风暴 加博尔·马泰医生(Dr. Gabor Maté)坦率地反思了他与哈里王子(Prince Harry)进行的那场备受关注的对谈。他回顾道,活动的组织形式从一开始就让他内心深感不安:观众必须先购买一本哈里王子的自传《备胎》(*Spare*),才能获得观看该访谈的权限。在马泰看来,此前已有400万人购买了这本书,为何不能让大家自由观看?这场对话本应是两位经历丰富的人带给公众的免费公益交流。然而,出于一时的机会主义心态,他违背了内心的直觉并接受了这一安排。“我妥协了这种商业形式,在这件事上我丢失了自我。”事后,尽管马泰与哈里王子均希望将完整内容向公众免费开放,但法务团队警告称,该活动在宣传时已被定性为“限时独家”,免费公开发布极可能招致集体诉讼。 更为沉重的打击来自于采访公开后英国媒体与社交网络的狂风暴雨。舆论中充斥着极尽贬低、轻视与扭曲的声音,媒体甚至将他描绘成一个“冷酷严厉、盛气凌人的痛苦贩子”("stern, overbearing merchant of pain")。马泰苦涩地承认,尽管自己年近八旬,本以为早已看透世事、能够免受外界中伤,但那些恶意中伤依然彻底击穿了他的心理防线,将他推入了极度痛苦的负面心境中。 ### [12:25](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=745s) 呼救的勇气与未愈的童年创伤 在深陷焦虑与痛苦的煎熬中,马泰想到了查理·麦克西(Charlie Mackesy)的绘本《男孩、鼹鼠、狐狸和马》(*The Boy, the Mole, the Fox and the Horse*)。书中性格最沉稳的马被问及“你说过最勇敢的话是什么”时,它的回答唯有简洁有力的一个词——“救命”("Help")。马泰意识到向他人求助往往极其艰难,但他最终鼓起勇气拨通了一位精神科医生朋友的电话,直言自己状态极差。朋友耐心探寻他内心痛苦的根源,询问媒体的歪曲究竟触碰了他哪根神经,马泰回答道:“我没有被看见(Not being seen)。” 正是这句话解开了症结。那位朋友当即提醒马泰:“加博尔,你要明白,当你还是个婴儿的时候,‘未被看见’险些让你丢了性命。”这一语惊醒梦中人——作为一名在二战大屠杀阴影下幸存的犹太婴儿,童年时期若无法被真正理解与庇护,便意味着实实在在的死亡威胁。马泰瞬间释然,意识到眼前79岁时的剧烈痛苦并非完全由英国媒体引发,而是早年未竟的深层心理创伤被彻底激活。媒体笔下歪曲的形象并不属于他自己,他也并不生活在他人的脑海之中;一旦看清情绪投射的源头,内心的紧绷与煎熬便随之消散。 ```mermaid flowchart TD accTitle: 未被看见的创伤触发机制 accDescr: 展示从早年创伤记忆到当下外界刺激引发痛苦的心理机制链路 subgraph Origin["早年创伤烙印"] A["婴儿期生存威胁<br/>(二战时未被看见险些丧命)"] --> B["核心需求剥夺:<br/>未被看见 / 未被接纳"] end subgraph Trigger["当下现实诱因"] C["违背直觉达成商业妥协"] --> D["媒体歪曲与社交网络攻击"] end Origin --> E["深层创伤触发"] Trigger --> E E --> F["剧烈情绪痛苦<br/>(79岁仍受旧伤困扰)"] F --> G["向朋友求助并洞察潜意识"] G --> H["释然解脱:分清过往与当下"] ``` ### [14:30](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=870s) 情感荒漠中的特权阶层与被剥夺的抚触 谈及访谈引发的具体舆论扭曲,马泰解释了公众对创伤认知的普遍盲区。大众往往很难理解,一个出生在权力巅峰、生活在镀金宫殿中的哈里王子,怎会成为心理创伤的受害者。马泰指出,创伤并非底层阶级的专属;哈里王子降生在一个缺乏爱意的家庭环境,父亲在婚前便有外遇,母亲戴安娜王妃虽然极其敏感温暖、富有创造力,但自身也深陷精神痛苦与动荡之中。哈里在《备胎》中描述,12岁那年母亲车祸去世,父亲查尔斯清晨走进他的房间宣告噩耗:“发生了一起可怕的意外,你母亲没能挺过来。”在片刻尴尬的沉默后,查尔斯仅仅碰了碰哈里的膝盖,说了句“一切都会好起来的”,随后便转身离去,全程没有给予这个12岁孩子任何拥抱。 马泰进一步对比指出,查尔斯的疏离行为只是代际创伤的延续——当年伊丽莎白二世女王外出进行长达四五个月的皇家巡访,返回英国面对年仅五岁的查尔斯时,仅仅用握手来迎接自己的孩子。为了说明身体接触对生命的根本意义,马泰在访谈中列举了生物学证据: - **母鼠舔舐幼崽(Grooming)**:实验证明,母鼠对新生幼崽的舔舐刺激直接决定了幼鼠成年后的大脑发育结构与功能。 - **早产儿护理**:早年早产儿被隔绝在保温箱内禁止触碰,后来医学发现每天仅需轻抚其背部10分钟,就能极大促进大脑健康发育(正如人类学家阿什利·蒙塔古在《皮肤:触觉的人类意义》中所述)。 - **象群的本能**:达西亚·纳瓦埃斯(Darcia Narvaez)在《演化的巢穴》(*The Evolved Nest*)中记录,母象分娩时,其他母象会围成一圈,幼象落地瞬间所有母象都会用象鼻温柔抚摸它。 哺乳动物天生依赖抚触与拥抱来建立安全感,而王室成员童年所缺失的正是这种基本生理与情感连接。然而,英国记者却完全曲解了马泰的观点,撰文大肆抨击他声称“王室把孩子当牲畜对待”。马泰苦笑着讽刺:“不,我的意思是,要是他们真能像动物那样抚育孩子倒好了。” ### [18:48](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1128s) 创伤的本质:不可见的需求缺失 马泰与主持人史蒂文·巴特利特(Steven Bartlett)探讨了“承认需要帮助”对于现代人的艰难程度。约翰·列侬(John Lennon)在披头士乐队经典歌曲《Help!》中曾唱道:“当我年轻时,我从不需要任何人的帮助。”马泰指出,列侬年轻时自以为能够独闯天涯的孤傲,本质上源于严重的早年创伤——列侬出生后便被生父抛弃,母亲随后也离开,由姨妈抚养长大的他被迫建立起“我谁都不需要”的防御机制,直到成年后才体会到内心对于救助的呼喊。 马泰在其著作《正常态的迷思》(*The Myth of Normal*)中强调,人们常误以为创伤必须源于地震、战争或虐待等骇人听闻的恶性事件,但创伤的希腊语词源本质上是“伤口”(wound)。对于敏感脆弱的儿童而言,**未被看见、未被倾听、未被拥抱、情感未能获得共鸣与肯定**,这种“应有需求未能得到满足”的忽视,同样会留下深入骨髓的创伤烙印。 史蒂文由此深有感触地坦白,作为一名男性和企业首席执行官(CEO),他长期扮演着“救助者”与问题解决者的角色,潜意识里总认为自己必须独自扛下一切。长期的情感压抑在步入25至30岁时逐渐演变为剧烈的身体与心理反噬,让他第一次切身体会到了无法摆脱、盘踞在脑海中的真实焦虑。 ### [21:44](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1304s) 财富与美貌的困境:失去直觉后的人际信任危机 史蒂文·巴特利特(Steven Bartlett)回忆起自己焦虑爆发时的身体反应:呼吸短促,整个人陷入一种持续的惶恐不安(angst)中,当时他盲目认为自己仅凭理性思考就能解决问题。加博尔·马泰(Dr. Gabor Maté)没有立刻回答关于自身成年期艰难时刻的提问,而是反抛出一个深刻的类比:就像容貌出众的女性往往很难确信别人是因为她的内在人格还是外貌特质而接近她一样,一个在年轻时就获得巨大财富与成功的人,面对他人的示好,又该如何分辨对方是真正关心自己,还是图谋从自己身上获取资源? 史蒂文对此深表共鸣,坦言这种状态极度令人困惑,人往往永远无法真正看透新关系的真实动机。为了寻求安全感,他本能地退守到成名之前就已建立的关系圈——时至今日,能在生日聚会上陪伴在他身边的依然是十年前那仅有的五位挚友。马泰医生指出,这种对人际关系的盲目与猜疑,根源在于现代人与自己的“直觉”(gut feelings)切断了联系;如果直觉通道保持畅通,身心自然会明确告知什么是真实、什么是虚假。在几天前于伦敦特罗克西(Troxy)剧院面向 2,100 名观众的演讲中,马泰曾询问台下是否有人曾忽视强烈的直觉而事后懊悔不已,全场几乎所有人均举起了手。马泰一针见血地指出:忽视直觉并为此付出代价,正是童年创伤(childhood wounding)的典型印记,因为没有任何婴儿在出生时是脱离本能直觉的。 ```mermaid flowchart TD accTitle: 直觉断联与人际防御机制 accDescr: 展示创伤如何阻断直觉并导致人际信任危机与社交退缩的过程 subgraph TraumaLink ["创伤与生理断联"] A["童年创伤或情感压抑"] --> B["与躯体直觉断联"] B --> C["过度依赖头脑理性分析"] end subgraph InterpersonalCrisis ["人际困境与防御"] C --> D["丧失对他人真实动机的感知力"] D --> E["财富 / 外表带来的猜忌与迷茫"] E --> F["退守旧有社交圈以求自保"] end ``` --- ### [23:48](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1428s) 身心三大“大脑”:肠道、心脏与被头脑切断的本能 面对史蒂文关于“直觉在生理学层面究竟是什么”的提问,马泰医生阐述了身心医学对神经系统的广义理解。西方传统观念习惯将颅骨内的思维器官视为人体唯一的大脑,但现代生理学已经证实人体拥有更复杂的网络。心脏不仅拥有独立的神经系统,而且与大脑紧密相连,民间常说的“我心里明白”(I knew it in my heart)具有真实的生理学基础。而直觉的真正源头则位于腹部的肠道神经系统,它是所有动物赖以生存的生物学警报,负责在无意识层面判断当下环境是“安全”还是“危险”。 从神经解剖学来看,肠道向大脑发送的信息和神经纤维连接,远多于大脑向肠道发送的信号;更关键的是,人体内绝大多数的神经递质血清素(serotonin)都集中在肠道,而非头脑。只有当肠道大脑、心脏大脑与头部认知大脑三者协同连接时,一个人才能保持真正的脚踏实地(grounded)、警醒且全然临在。在数百万年的自然进化中,任何丧失直觉的野外生物都无法存活。然而,童年创伤却破坏了这套古老的感知系统,迫使个体切断来自脖子以下的信号,误以为仅靠头部这颗“认知大脑”就能计算和解决生命中的一切问题。 - **肠脑连接的非对称性**:肠道向颅内大脑发送的神经传导信号,在数量和密度上远多于大脑回传给肠道的信号。 - **血清素分布**:人体内绝大部分关键神经递质五羟色胺(血清素)储存于消化道,直观调节着机体的情绪与躯体安全感。 - **三大脑协同**:头脑(智力分析)、心脏(情感与共情)、肠道(生存本能与危险感知)共同构筑了真正的知觉整合。 --- ### [25:30](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1530s) 全能自恋的破灭:当身体撕下“我很坚强”的伪装 谈及自己成年后的至暗时刻,马泰医生坦白自己在四十多岁以前,始终怀抱着一种近乎荒谬的全能信念:“全世界所有人都可以感到压力,但我绝不会。”为了逃避内在真实的脆弱,他建立了极其强大的代偿机制——不知疲倦地拼命工作、利用自己的聪明才智博取关注、追逐专业声望与社会地位。这些外在成就构筑了一道铜墙铁壁,让他长年误以为自己刀枪不入,直到这套防御机制彻底崩溃,他才痛苦地意识到自己与普通人毫无二致,同样会承受压力的摧残。 当史蒂文询问如果当时作为马泰的妻子蕾(Rae),会目睹一个怎样的丈夫时,马泰引申出他在《正常的神话》(*The Myth of Normal*)一书中探讨的沉重现实:当代社会中,高达 80% 的自身免疫性疾病(如类风湿性关节炎、系统性红斑狼疮、慢性疲劳综合征、纤维肌痛以及炎症性肠病)都发生在女性身上。这绝非偶然的基因缺陷,他在数十年从事全科医学、临终关怀和成瘾医学的临床观察中发现,容易患上这类重症的群体具有高度一致的心理防御特征: | 患病倾向心理特征 | 具体行为模式与内在信念 | 生理与人际后果 | |:--- |:--- |:--- | | **强迫性利他** | 极度关注他人的情感需求,彻底忽视自己的真实感受 | 免疫系统丧失对自我与非我的辨识,诱发自身免疫攻击 | | **角色认同** | 强烈认同责任、义务与社会角色,脱离真实的内在自我 | 长期处于超负荷慢性应激状态 | | **压抑健康愤怒** | 习惯扮演老好人与“和平使者”,切断边界防御反应 | 无法通过情绪宣泄释放交感神经过载 | | **致命归咎倾向** | 误认为自己必须对所有人的情绪负责,绝不能让任何人失望 | 导致身体代替嘴巴说“不”,转化为器质性疾病 | 马泰指出,在父权制文化的规训下,女性往往被更深地灌输了扮演照顾者、压抑愤怒的程序。而在他们的婚姻早期,马泰把妻子当成了排解自身焦虑的“减压阀”,一旦情绪恶化便无端挑衅、归咎于妻子,让妻子整日如同“在鸡蛋壳上行走”(walking on eggshells)般胆战心惊。 --- ### [29:22](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1762s) 伴侣变母亲:婚姻中的创伤共谋与亲密退化 马泰剖析了伴侣关系中深层的情感匹配机制:“我们在寻找伴侣时,总会遇到与自己在情感成熟度或创伤未愈合程度上完全处于同一水平线的人。”两人相遇时,本质上是两个带着童年创伤却不自知的个体在上演强迫性重复。蕾在动荡的原生家庭中长大,从小扮演维持家庭和平的情感照料者,随后将这套“拯救者与母亲”的角色带入婚姻;而马泰则以典型的男性防御方式应对——充满攻击性、专横跋扈,一旦妻子未能及时提供母亲般的抚慰,便心生怨恨。 这种把伴侣拉入“母职”维度的互动对成年人的亲密关系是毁灭性的。马泰指出,男性在潜意识里常常苛求伴侣扮演母亲,给予自己童年匮乏的照料,而女性在文化驯化下也会妥协承接;然而在性心理机制上,这一动态会导致致命的冷感:“没有任何健康的男人想和自己的母亲上床,也没有任何健康的女人想和自己的儿子上床。”当激情因为母子动态的介入而彻底枯竭,丈夫往往又会转过头来归咎于妻子冷淡,却从不审视自己在这场情感共谋中种下的恶果。 史蒂文对此产生强烈共鸣并分享了自己的过往经历:在他焦虑最严重的时期,他与伴侣的关系几乎走到了分崩离析的边缘。他当时不自觉地将所有无名之火倾泻在伴侣身上,自私地认为对方理应读懂自己的痛苦、随时调整自己来迁就他的需求。当伴侣未能如愿照单全收时,矛盾迅速激化,史蒂文觉得自己被严重误解,进而陷入旷日持久的消耗战与心力交瘁中,最终逼迫感情走向了濒临破裂的最后通牒。 ### [32:21](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1941s) 亲密关系中的母职投射与女性的身体代价 在亲密关系的冲突中,人们往往无法坦然承认自己内在的真实感受。加博尔·马泰(Dr. Gabor Mate)指出,当伴侣感到不知所措甚至提出“我是不是该直接离开”时,很多人(包括早年的他自己)往往不会直接走向对方坦承:“你知道吗?我感到很焦虑、很不安,而且我意识到自己对你产生了怨恨。”相反,人们会选择把这些情绪“向外发泄”(acting out),接着又反过来抱怨对方“为什么就不能理解我”。这种行为的本质,是在情感上退行成一个孩子,强行要求女方扮演一位全知全能的“母亲”,期待对方无需自己付出任何沟通努力,就能洞悉并包容一切。 这种病态的情感互动模式在男女关系中极为普遍。如果女性自身的心理力量不够强大、无法坚定地捍卫边界并表达自我,往往就会走向严重的身体自我压抑(self-repression)。马泰强调,大量女性患上癌症和自身免疫性疾病,正是这种长期自我压抑的生理结果;身体最终会以疾病的形式替她们说“不”。这也是为什么女性服用抗抑郁药物的比例远高于男性——在某种意义上,她们是在同时为关系中的两个人服药。面对这种局面,女性通常只有两种结局:要么身体崩溃生病,要么终于成熟并划定界限说“我再也不忍了”;而当女方选择设立边界时,那些尚未成熟的男性往往会转头去寻找一个更加年轻、还没有能力为自己争取主权的“新母亲”。 ### [33:58](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2038s) 压抑情绪的生理机制:心理神经免疫学与健康的愤怒 针对压抑情绪对身体造成的实质伤害,马泰深入剖析了其背后的生理机制。压抑“健康的愤怒”(healthy anger)已被大量科学研究证实会直接破坏免疫系统功能。所谓的健康愤怒,是一种纯粹的即时边界防御机制:当有人侵犯了你的个人空间且不肯罢手时,你坚定地回击“你踩过界了,请出去”,一旦目的达成,这种愤怒便随之消散,它与具有毁灭性的长期慢性暴怒(chronic rage)截然不同。自然界的动物正是通过这种健康的攻击性来捍卫自身领地。 ```mermaid flowchart TD accTitle: 情绪系统与免疫系统的同构与统一 accDescr: 情绪系统与免疫系统承担相同的边界防御职能,并在心理神经免疫学层面构成统一整体。 subgraph Function ["共同的生理防御机能"] A["接纳滋养、健康与友善的事物"] B["阻击并清除毒素、有害异物与侵犯"] end subgraph Systems ["心理神经免疫学 (PNI) 统一体"] C["情绪系统\n(心理边界防御)"] D["免疫系统\n(漂浮的大脑/生理防御)"] E["神经系统与内分泌系统"] end C <--> D D <--> E C <--> E Systems --> Function ``` 从功能上看,人类的情绪系统与免疫系统扮演着完全相同的角色:允许滋养、健康与友好的事物进入,同时将有害、有毒的侵入者拒之门外。免疫系统就像一个“漂浮的大脑”,具备记忆力与反应能力;更关键的是,在生理学上,情绪系统、神经系统、内分泌系统和免疫系统并不是各自孤立的模块,而是一个不可分割的整体——这正是“心理神经免疫学”(Psychoneuroimmunology)数十年来所证实的核心事实。因此,当你强行压抑情绪边界时,你的免疫防线也会同步遭到压制。人体每天都会产生癌细胞,正常情况下免疫系统会识别出癌细胞表面缺乏正常细胞的标记蛋白并将其消灭;但如果免疫系统因长期的心理压抑而瘫痪或紊乱,它就会对恶性肿瘤视而不见,甚至反噬自身攻击健康器官。 ### [37:37](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2257s) 戴维·基森的肺癌研究:压抑如何击垮免疫屏障 马泰谈到医学界对身心联系的漠视时显得尤为激动。他提到早在1960年代,英国胸外科医生戴维·基森(David Kissen)就在临床手术中观察到了一个惊人的规律:在长期压抑情绪的人群中,肺癌的发生率显著更高。吸烟虽然无疑是肺癌的主要诱因,但统计数据显示,在100名吸烟者中,真正患上肺癌的其实只有大约10到15人。 - **情绪压抑与致癌风险的乘数效应**:基森医生的研究揭示,在同样接触香烟烟雾的情况下,正是那些长期在情感上习惯自我压抑的患者最终发展成了肺癌。 - **吸烟量与压抑程度的反比关系**:患者的情感压抑越深重,诱发肺癌所需的吸烟量和暴露时间反而越少。 这一半个多世纪前的医学发现充分证明,情绪压抑对人体生理功能具有巨大的破坏力。然而,主流医学界至今仍普遍缺乏将心理创伤与器质性病变综合考量的认知,错失了大量治愈患者的宝贵机会。 ### [39:01](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2341s) 依恋与真实的终极冲突:童年创伤如何埋下压抑的种子 这种自我压抑的生理模式,根源往往可以追溯到童年创伤。马泰阐述道,所有哺乳动物幼崽生来都有两项最基本的生存需求: 1. **依恋的需求(Attachment)**:对亲近、陪伴以及抚养者无条件关爱的本能渴望。大脑中有专门负责依恋关系的神经回路,婴儿若是脱离了照顾者的依恋联结便无法存活。 2. **真实自我的需求(Authenticity)**:与自己的身体感受和直觉(gut feelings)保持联结。在人类数百万年的演化史中,唯有听从内在直觉,人才能感知危险并懂得表达“要”与“不要”,以此保全自身。 当提到哈里王子(Prince Harry)时,马泰指出哈里一生都在承受无法展现“真实自我”的痛苦,被迫按照外界的期待扮演特定角色,以至于彻底迷失了真正的自我。在理想的抚养环境下,依恋与真实本该共存;但在现实中,两者的冲突构成了无数人的童年悲剧。 当幼童展现真实的愤怒或情绪失控时,许多心理学流派却提倡对愤怒的孩子进行惩罚,而非去理解愤怒背后的原因。比如两岁幼儿在晚饭前哭闹着想要饼干,遭到拒绝后因情绪调节机制尚未发育成熟而大发脾气;此时父母如果采取惩罚态度,实际上就是在向孩子传递一种附带条件的冷酷信息:“当你表现出愤怒或悲伤时,你就是不被接受的;你必须按照我认可的方式表现,才能获得爱。”面对依恋纽带受到威胁的绝境,幼小的孩子根本别无选择——如果身处父亲酗酒等功能失调的家庭,为了换取微薄的安全感与接纳,孩子只能彻底背叛自己的直觉,主动掐断真实的恐惧与悲伤,从而踏上终身情绪压抑的毁灭之路。 ### [43:04](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2584s) 依恋与自我断联:讨好型人格的童年根源 当一个年幼的孩子处于两难境地——是表达自己的悲伤、恐惧或愤怒,还是冒着破坏与抚养者关系的风险?加博尔·马泰(Dr. Gabor Maté)指出,在这种情况下孩子根本别无选择:为了生存,孩子必然会优先选择“依恋”(attachment),从而牺牲与“真实的自我”(authenticity)之间的连接。与其他创伤理论家的观点一致,马泰强调,创伤最本质、最糟糕的核心正是“与自我的断联”。为了维系与抚养者的依附关系,人们早早切断了与自身感受的联结,其代价是终其一生都在恐惧展现真实的自己。 史蒂文·巴特利特(Steven Bartlett)随即指出,这就是大众常说的“讨好型人格”(people pleasers)。马泰对此表示完全赞同,并举了美国知名歌手谢丽尔·克罗(Sheryl Crow)的经历:她在确诊乳腺癌后曾公开表示,癌症彻底改变了她;在此之前,她整日忙于迎合他人,脑海中总有一个声音在批评她、指责她做错了,而大病之后她终于不再理会那些声音。马泰解释道,讨好者之所以迎合他人,并非出于深思熟虑的自觉选择,而是一种刻入骨髓的生存机制——只有保持被喜爱、被接纳,才能确保依附关系的安全。然而,当这种模式被带入成年生活后,他们便置身于巨大的健康风险之中,这也是为什么马泰常说:“我总是替那些极度友善的人捏一把汗。” ```mermaid flowchart TD accTitle: 讨好型人格与身体患病的形成路径 accDescr: 展示从童年期牺牲自我以换取依附,到成年期压抑健康愤怒,最终身体以疾病形式表达抗议的完整过程。 subgraph 童年适应期 ["童年适应期"] A["抚养环境不接纳负面情绪"] --> B["面临抉择:表达自我 vs 维系依恋"] B --> C["为了生存选择依恋,放弃自我连接"] end subgraph 成年行为模式 ["成年行为模式"] C --> D["形成讨好型人格与界限缺失"] D --> E["无法说‘不’,长期压抑健康的愤怒"] end subgraph 生理与病理反应 ["生理与病理反应"] E --> F["慢性压力负荷对免疫与神经系统的损害"] F --> G["身体以重疾形式替个体说‘不’<br>(如多发性硬化症、渐冻症等)"] end ``` --- ### [45:01](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2701s) 两种“善良”与多发性硬化症:无法说“不”的代价 面对史蒂文关于“友善为何会对健康构成潜在风险”的提问,马泰厘清了两种截然不同的“善良”。一种是根植于自我内心、拥有稳固边界的真正慈悲与关怀;另一种则是源于内心深处的恐惧——因为他们自幼从未因其本来的面目而被接纳和爱护,只能将“表现得极度友善”作为获取爱与关注的唯一手段。 为了阐明这一点,马泰回顾了医学史与自己的临床经验: - **历史渊源**:早在 1870 年,法国神经病学家让-马丁·沙可(Jean-Martin Charcot)首次描述多发性硬化症(MS,一种严重的神经系统炎症)时,便凭借敏锐的临床直觉指出这是一种由压力驱动的疾病。如今已有大量研究证实压力与创伤如何诱发或加剧多发性硬化症,但现代医学院校却几乎从不对神经科医生教授这些身心关联。 - **温哥华 MS 患者互助群组的实验**:马泰在撰写《当身体说不》(*When the Body Says No*)期间,受邀向温哥华一个约 25 人的多发性硬化症互助小组做分享。他十分谨慎且带着歉意地提出自己的观察:患有此类自身免疫疾病的人,往往都是极度友善、习惯迎合他人、极难对人说“不”的人。话音刚落,全场患者异口同声地回应:“你说的完全就是我们。” - **荒谬的 100 美元借款测试**:现场一位女性患者坦言自己“根本不知道该怎么说‘不’”。为了验证这一点,马泰当场对她说:“太好了,那你现在给我 100 美元。”对方先是为难地推脱身上没带那么多现金;马泰随即步步紧逼:“没关系,楼外就有自动取款机,散会后我们一起去取出来给我就行。”该女士十分局促地小声说:“我……觉得这样做不太舒服。”马泰这才揭开谜底:“我只是在尝试让你对一个素昧平生、你完全不欠他任何东西的陌生人,当面拒绝一个荒谬的要求。”然而,这位患者连哪怕一句干脆的“不行”都无法说出口。 马泰进一步阐释,在儿童发展心理学中,一岁半左右的幼儿之所以在学会说“好”之前先频繁地说“不”,是因为“不”是自我界限的天然防线,是大脑在完成个体内化与独立(individuation)。当家庭环境压制并惩罚孩子的反抗时,孩子便学会了压抑自己的拒绝;而成年之后,这份被长期扼杀的“不”,最终会转由身体以多发性硬化症等严重器质性病变的形式爆发出来。 --- ### [48:36](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2916s) 渐冻症与极度友善:压抑健康愤怒的生理后果 谈到压抑自我与器质性病变的关系,马泰将话题引向了肌萎缩侧索硬化症(ALS,英国称运动神经元病,俗称渐冻症)。物理学家斯蒂芬·霍金在 21 岁确诊时曾被断言只能再活两年,最终却顽强生存了 55 年,这本身就证明了医学认知仍有局限。而多项针对渐冻症患者群体的临床研究表明,该群体普遍呈现出一种惊人一致的人格特质——“异乎寻常的友善”(extraordinarily nice)。 马泰分享了来自美国俄亥俄州克利夫兰诊所(Cleveland Clinic)的一项真实研究: - 该院的两位神经内科专家在国际运动神经元病大会上发表了一篇论文,专门探讨“为什么渐冻症患者都如此友善”。 - 在门诊正式确诊前,患者通常需要先接受肌电图与神经传导检测(EDX)。负责操作检测的技术员往往仅与患者接触片刻,就会在检测单旁边附注:“这个人不可能是 ALS,因为她不够友善”;或是“我很担心这名患者确实患有 ALS,因为他们实在太友善了”。 - 神经内科专家们惊奇地发现,尽管这种主观判断看似毫不严谨、毫无科学依据,但技术员的直觉预测竟无一例外地高度准确。 - 当马泰致电论文作者之一威尔本医生(Dr. Wilburn),询问同行对这一现象的反应时,对方回答说所有神经科医生在临床中其实都察觉到了这种现象,只是现代医学无法给出合理的机理解释。 马泰尖锐地指出,现代神经学界的盲区在于没有意识到:**那种外在无可挑剔的极度友善,本质上是对健康愤怒与防御本能的病态压抑**。愤怒本身是保护个体边界的重要生命力量;当一个人无法向外表达健康的愤怒时,免疫系统和神经系统就会承受慢性破坏。因此,友善若建立在自我牺牲和自我压抑之上,就成了致命的健康隐患。 --- ### [51:01](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3061s) 身体的抗议:当无法拒绝时,疾病替你说“不” 史蒂文对此深有共鸣。他联想到自己生活中最友善的一位女性朋友:她永远把所有人的需求置于自己之前,随时准备为别人提供服务,而她恰恰也是一个常年重病缠身、小病不断的人。史蒂文坦言,日常中人们很容易把“友善”停留在礼貌待人或说话好听的表层,但其深层机制却往往是慢性的“自我忽视”(self-neglect)。 马泰重申了他的核心论点:“**当人们不知道如何说‘不’时,身体就会以疾病的形式替他们说‘不’。**” - **疾病作为觉醒的契机**:对于许多遭遇重疾打击的人来说,生病往往是一记警钟。当他们终于被迫停下脚步,学会拒绝他人、停止讨好并守住自我边界时,往往能在临床上看到令人惊叹的康复与病情逆转。 - **现代医学范式的局限**:马泰对主流医疗体系的割裂表达了遗憾。当患者因慢性湿疹或自身免疫病就医时,医生往往只开具外用药或物理治疗方案,却极少探寻患者长期背负了多少心理重负。承担所有人的负荷而彻底无视自己的需求,会给下丘脑-垂体-肾上腺轴带来持续的生理毒性压力。 - **改变的困境**:史蒂文最后抛出了关键疑问——对于一个将“讨好”和“过度友善”刻进潜意识深处、从小便以此为生的人而言,当这种防御机制已经运行了数十年,他们究竟该如何调转航向、完成自我的重构? ### [52:58](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3178s) 讨好并非天性:四步练习找回说“不”的权利 加博尔·马特(Gabor Maté)博士指出,大多数习惯讨好他人的人很难主动做出改变,通常只有在身患重病、并从中领悟到教训时,改变的契机才会出现。然而,讨好型人格并非人类的“第一天性”(first nature),而是一种在极早期生命中形成的“第二天性”(second nature)。既然被称为“第二天性”,就意味着原本存在着更纯粹的原生状态。没有哪个人生来就是讨好者,绝不会有刚出生一天的婴儿躺在摇篮里懂事地想:“天哪,我又饿又尿湿了还很孤单,但爸爸妈妈工作太辛苦了,我最好别出声打扰他们。”婴儿总是扯开嗓子、极其响亮且直接地表达自身需求,这就是人类与生俱来的本能。压抑自我需求完全是后天习得的,但第一天性从未真正消失,只要能够恢复觉察,就随时可以找回它。 为了在身体用疾病说“不”之前重掌主动权,马特在《正常态的迷思》(*The Myth of Normal*)中设计了一套自我探问的疗愈练习。他以自己和史蒂文·巴特利特(Steven Bartlett)的日常情境为例:假设马特来到伦敦并邀请史蒂文喝咖啡,而史蒂文前一天整晚都在照顾生病的朋友,疲惫不堪且压力巨大,内心极度想拒绝;如果史蒂文为了避免让朋友失望或害怕对方不再喜欢自己,违心答应赴约,最终只会感到更加筋疲力尽、充满怨恨,并与自我彻底脱节。这种自我消耗正是长期讨好他人的缩影。 ```mermaid flowchart TD accTitle: 破除讨好模式的四步自我探问练习 accDescr: 展示马特博士在书中提出的四步反思法,引导个体从行为觉察深入到信念根源与身份重构。 subgraph 行为觉察与表面动机 A["1. 在生活的哪些地方,我明明想说'不'却违心说了'是'?"] --> B["2. 不敢拒绝背后的核心恐惧是什么?<br>(例如:害怕让对方失望、担心失去认可)"] end subgraph 溯源与信念重塑 B --> C["3. 我是从哪里习得这个信念的?<br>(童年压抑表达以换取父母喜爱的创伤模式)"] C --> D["4. 如果没有这个信念,我会成为一个怎样的人?<br>(找回真实天性与内在力量)"] end ``` 通过定期重复这四个问题的自我对话,人们完全可以扭转讨好模式: - **第一步:觉察行为**——在生活的哪些地方,我内心明明在喊“不”,嘴上却说不出口? - **第二步:看清动机**——不敢说“不”背后的核心信念是什么?(例如:“如果我拒绝,对方就会讨厌我”、“我的价值取决于别的人喜爱”)。 - **第三步:追溯根源**——我是从哪里习得这种信念的?(明白这是源于童年必须迎合父母以换取接纳的生存策略)。 - **第四步:重塑身份**——“如果没有了这个信念,我将会是谁?”(Who would I be without that belief?)。 --- ### [55:50](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3350s) 真实性对抗依恋:临终前最深沉的五大遗憾 当被问及“一旦放下信念不再讨好,会不会失去所有朋友”的顾虑时,马特坚定地表示:这么做不仅不会毁掉生活,反而会筛选出谁才是真正的朋友。真正的朋友会由衷地为之庆幸,感叹“太好了,我们终于看到你做真实的自己”;而那些只是为了索取支持、将其当成单向工具的人才会抽身离去。成人必须在“维持人际依恋”(attachment)与“活出真实自我”(authenticity)之间做出清醒的权衡。在童年时期,孩子为了生存别无选择,必须牺牲真实以确保依恋关系的稳定;但作为成年人,两者冲突带来的痛苦不可避免,关键在于个体选择承受哪一种痛苦:是承受做真实的自己、筛选掉虚假友谊的短期阵痛,还是承受背叛自我灵魂、最终导致肉体被疾病反噬的持久苦痛? 马特引用了澳大利亚姑息疗护护士布朗妮·维尔(Bronnie Ware)所著的《临终前最想挽回的五件事》(*The Top Five Regrets of the Dying*)。维尔长期在安宁病房陪伴那些因恶性肿瘤或慢性绝症而早逝的患者,倾听他们人生终点的剖白。这些临终者最普遍的第一大遗憾正是:“我没有勇气活出属于自己的人生,而是按别人的期望过了一生(没有做真实的自己)”;而第三大遗憾则是“我压抑了自己的感受,只为了不惹别人不快或不让人生气”。马特强调,追求真实(Authenticity)绝非时髦的新时代鸡汤口号,而是维持人类身心健康的最核心动力。 --- ### [58:10](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3490s) 集体与历史创伤:帝国荣光背后的遮羞布 马特将视角从个人创伤延伸至宏观社会。他分享了前一天参观威斯敏斯特教堂(Westminster Abbey)的见闻:大教堂内到处林立着辞藻华丽、雕刻精美的纪念碑,讴歌着大英帝国的历史功臣;然而在现实中,这些人大多是殖民者,依靠压迫、杀戮、掠夺与剥削世界各地的原住民建立功勋。英国主流社会之所以对“创伤”概念产生如此巨大的抵触情绪,是因为一旦承认创伤不仅是个人层面的伤口,更是一种深刻的社会性、集体性与历史性现实,统治精英就不得不正视一个残忍的事实——他们的财富、特权与地位,正是建立在对全球其他民族的残酷创伤之上。 马特特别提到,哈里王子(Prince Harry)之所以引起轩然大波,其中一个“罪名”就是戳破了这层窗户纸,直指王室的财富继承自殖民剥削的历史。史蒂文随即追问:既然绝大多数人都是代际创伤的产物,许多人不得不借由酒精、毒品、色情或社交媒体等成瘾行为来止痛,普通人又无法承担昂贵的心理治疗,那么面对这些深植于社会与生活中的自毁行为,到底该何去何从? --- ### [59:55](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3595s) 系统性预防与重塑:从身心医学到社会司法 面对史蒂文关于治愈出路的提问,马特直言当下的医疗体系存在严重缺陷,对情绪与心理压力在身心疾病中的巨大破坏力缺乏足够认知。现代医学实践与前沿科学研究之间存在着令人抓狂的巨大鸿沟,绝大多数全科医生和精神科医生从未接受过身心关联与创伤影响的系统培训。 治愈与改变必须从两个层面着手推进,首先是宏观维度的系统性改革与早期预防: 1. **革新医学教育与临床诊断**:必须对医护人员普及身心一体科学与创伤认知。当患者带着慢性疲劳综合征或关节发炎等问题就诊时,医生除了开具有效药物外,更应主动关切患者的生命状态,问一句:“你的生活里最近正在经历什么?” 2. **从源头支持年轻家庭,遏制代际压力**:多项科学研究证实,当父母长期承受经济困窘与情绪高压时,其子女体内的压力激素(如皮质醇)水平会呈现病态异常,直接为成年的慢性病埋下祸根。社会必须减轻年轻家庭的经济生存压力,消除不确定性、失控感与信息匮乏这三大导致身体陷入长期生理应激的核心诱因。 3. **推行创伤知情的教育体系**:哈佛大学研究表明,大脑从胎儿期一直发育到成年早期,其健全发育的关键前提是与成年人保持安全、具有支持性的情感联结。教师必须认识到,所谓的“问题儿童”或课堂违纪行为,往往是家庭创伤在学校的情绪投射与呼救。学校的应对方式不该是体罚与停课排斥,而是提供情绪安全保障。 4. **矫正扭曲的司法惩戒机制**:当前的刑事司法系统往往缺乏真正的公正,沦为二次惩罚受害者的机器。以加拿大为例,原住民人口仅占全国总人口的 6%,却占据了监狱女性服刑人员的 50%。社会先是将最深重的历史与社会创伤强加给这群弱势群体,任由创伤扭曲他们的行为,随后又动用国家机器将他们投进监狱施以惩戒。 马特指出,解决创伤的根本之道在于让医疗、教育、法律三大系统深刻理解儿童发展与创伤机理;在社会层面的系统革新之外,个体层面的疗愈探索同样存在具体的落地路径。 ### [01:03:28](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3808s) 自我疗愈的途径:心理治疗之外的觉醒资源 心理咨询和治疗确实价格昂贵,而且许多人即便接受了治疗,也未必能遇到适合自己的专业方案。如果经济条件无法承担高昂的专业咨询费用,走向图书馆去阅读经典书籍同样是极佳的自愈途径。除了加博尔·马泰博士自己的著作外,他强烈推荐了五本深刻探讨创伤与疗愈的代表作: * 理查德·施瓦茨(Dick Schwartz)关于内部家庭系统(Internal Family Systems)的著作《没有坏的内在部分》(*No Bad Parts*) * 贝塞尔·范德考克(Bessel van der Kolk)关于创伤身心印记的经典《身体从未忘记》(*The Body Keeps the Score*) * 彼得·莱文(Peter Levine)探讨身体创伤释放的《唤醒老虎》(*Waking the Tiger*) * 奥普拉·温弗瑞(Oprah Winfrey)与布鲁斯·佩里(Bruce Perry)合著的《你经历了什么?》(*What Happened to You?*) * 布鲁斯·佩里探讨儿童创伤的著作《被当成狗养的男孩》(*The Boy Who Was Raised as a Dog*) 当得知主持人史蒂芬·巴特利特已经读过彼得·莱文的著作时,马泰欣慰地表示彼得·莱文不仅是他的挚友,更是他在创伤领域的导师,两人经常合作。这些书籍都提供了切实可行的自救建议。此外,互联网上还充斥着海量的优质免费资源——例如两人生前一年的深度对谈视频,当天早上查看时已获得250万人次的观看,让无数人免费受益;各种公开演讲与互助小组也是无需高昂成本即可获得的疗愈支撑。 ### [01:04:55](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=3895s) 创伤意识与“康复”的本质:不是借口,而是寻回真实的自我 针对当下心理学普及带来的过度标签化倾向,史蒂芬提出质疑:人们是否可能陷入“过度创伤化”(over-traumatizing)的误区,将生活中的一举一动都归咎于“创伤反应”,从而终日背负着“我本质上已经损坏”的无力感? ```mermaid flowchart TD accTitle: 创伤认知的正反路径 accDescr: 对比将创伤当成受害者借口与将创伤视作寻回真实自我赋权工具的两种路径。 subgraph Trap["消极陷阱:逃避责任"] A["过度标签化一切行为"] --> B["自认是损坏的次品"] B --> C["推卸当下的个人责任"] end subgraph Healing["积极赋权:复原与成长"] D["觉察旧有创伤印记"] --> E["卸下婴儿期的无助投射"] E --> F["找回未曾磨灭的第一天性(True Self)"] end ``` 马泰坚决反驳了“人已被损坏”的说法。他从语义本身切入剖析“康复”(recovery)的内涵:所谓“recover”,本质是把原本属于你、却被你遗忘或丢失的东西重新找回来。人在康复过程中找回的正是自己的“真实自我”(True Self)与“第一天性”(First Nature),它从未真正消失,没有任何人是天生的残次品。 理解创伤绝不是剥夺个体的力量,而是为了让人重新掌握主导权: * **破除无谓的情绪内耗**:马泰提到自己此前因英国媒体围绕哈里王子(Prince Harry)事件的报道而心生波澜,但一旦看清这种烦躁完全源自早期的旧有心理程序,而非当下本身,他便能瞬间将其放下。 * **拒绝将创伤当成免责借口**:创伤觉察不是为了逃避责任。一个成年人不能理直气壮地对伴侣说“我对你怨恨、惩罚你,是因为我婴儿时期母亲压力太大没照顾好我”;相反,只有觉察到自己是在强求伴侣扮演母亲来全方位照顾自己时,才能彻底放下这种婴儿式的索取——因为自己已不再是当年那个弱小、无助、缺乏资源的婴儿。 ### [01:07:17](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4037s) 健康的愤怒 vs. 毁灭性的暴怒:从“红雾”到身心机制 谈及情绪表达时,必须明确区分“健康的愤怒”(healthy anger)与“失控的暴怒”(rage)。健康的愤怒完全立足于当下,它的唯一功能是边界防卫,就如同母熊保护幼崽一样本能而纯粹,传达的核心信号是“你侵犯了我的领地,请退出去”。一旦边界确立、目的达成,健康的愤怒就会迅速平息。 相反,在公共场合因为服务员漏上了一道菜而大发雷霆,绝非捍卫边界,而是潜藏创伤的外化。史蒂芬分享了他一位挚友的典型案例:该朋友常在被别人指出错误时瞬间失去理智,陷入被他们称为“红雾”(red mist)的极端暴怒状态——这也是哈里王子对自己暴怒状态的同款描述。在疫情封锁初期,两人因讨论病毒高危人群(长者还是年轻人)产生分歧,当史蒂芬调出英国国家医疗服务体系(NHS)官网数据证实长者风险更高时,朋友瞬间理智崩塌,被彻底“触发”。 针对这一现象,马泰进行了深刻的神经生理学与病理学剖析: | 维度 | 健康的愤怒(Healthy Anger) | 失控的暴怒(Rage / Red Mist) | |:--- |:--- |:--- | | **触发机制** | 应对当下真实的物理或心理边界侵犯 | 极小的外因扣动了深埋心中的“弹药库” | | **神经反射** | 目的达成后立即自行消退 | 如同癫痫发作(epileptic fit),神经回路层层招募,越烧越烈 | | **心理根源** | 自我完整性的即时防护 | 童年长期遭受否定、不被理解与尊重的痛苦记忆喷发 | | **生理后果** | 保护身心完整性,维持机体健康 | 发作后2小时内,心肌梗死与中风风险**翻倍**(血管收缩、血压飙升、凝血因子激增) | 暴怒的英文表述“a fit of rage”与癫痫发作(epileptic fit)有着惊人的内在相似性:脑内局部的异常放电不断招募更多神经回路,最终席卷整个神经系统导致失控。枪械的扳机本身极小,它之所以能引发毁灭性爆炸,全因枪膛里早有大量火药。史蒂芬那位朋友正是因为在童年时期积攒了太多的委屈与愤怒,任何微小的反驳都成了致命的扳机。 那位朋友后来向儿童心理学家求助,证实了这一创伤根源:他童年时个头比同龄人矮了整整一头,同时患有诵读困难症,学业极为吃力。周围人与成绩单将他定性为“愚蠢”,他甚至曾无意中看到母亲与外婆之间的短信,言语间充满了对他未来前途的贬低与绝望。这种植根骨髓的“我毫无智力、我不够聪明”的耻辱感,在成年后化为待爆的火药。史蒂芬拿出官方证据的反驳,在无意识中精准重演了他童年智力被否定的灭顶之痛。 ### [01:12:33](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4353s) 标签的伤害:哈里王子的 ADD 与对异常环境的正常反应 加博尔·马特(Gabor Maté)博士回到哈里王子(Prince Harry)的话题。哈里王子童年时曾被称为“愚蠢”(stupid)、“笨蛋”(thicko)以及“淘气不听话”(naughty),但他根本不是这些人格贬损标签所描述的那样。他仅仅是因为承受了巨大的压力,从而在集中精力和保持注意力上出现了困难。史蒂文·巴特利特(Steven Bartlett)补充道自己的朋友也有注意力缺陷多动障碍(ADHD)。马特博士指出,哈里在自传中提到曾被诊断患有创伤后应激障碍(PTSD),并非马特凭空编造。马特对哈里说,童年时注意力涣散、难以集中并被大人判定为愚蠢,这实际上就是 ADD(注意力缺陷障碍)。 马特明确强调,指出这一点并不是说哈里患有某种“疾病”,而是在说明那是“身处异常环境中的正常生理与心理反应”(a normal response to abnormal circumstances)。然而,当时许多英国精神病学界人士因马特提出这一诊断而大为光火("got their knickers tied in a knot")。马特对此感到不可思议:他是在告诉当事人其本质上从未愚蠢过,也不存在病态缺陷,而是在承受巨压。孩子们在成长过程中常遭受这类人格暗杀式的批判,内心往往积压着巨大的愤怒;一旦日后有人在相关议题上否定他们,就会立刻引爆这些潜藏的创伤扳机。 ```mermaid flowchart TD accTitle: 童年创伤反应与负面标签的形成 accDescr: 解释异常家庭压力如何导致注意力障碍,并被外界错误贴上负面标签,进而埋下长期的创伤扳机。 subgraph Trauma["环境与创伤源头"] A["异常家庭与成长压力"] --> B["注意力涣散 / 难以专注"] end subgraph Misjudgment["外界的错误归因"] B --> C["外界贴负面标签<br/>('愚蠢' / '笨蛋' / '淘气')"] C --> D["内在积压剧烈愤怒与创伤"] end subgraph MatéView["马特博士的解读"] B -.-> E["异常环境下的正常适应反应<br/>(非器质性疾病)"] D --> F["成年后极易被外界否定触发怒火"] end ``` --- ### [01:13:58](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4438s) 创伤的诱因机制:马特博士的个人创伤与“未被看见” 谈到心理扳机(triggers),马特表示如果别人骂他“愚蠢”,他完全不会被激怒,因为他从小就对自己的智商有清晰的自我认知,从不怀疑自己的才智。但若有人“看不见他”(not seeing me)——即忽视他的存在、否定他的本质或歪曲他的人格——便会彻底触发他的防御与创伤反应。 为了解释为何“未被看见”会成为致命扳机,马特讲述了自己极为残酷的童年背景: - **纳粹占领与非人化对待**:马特出生于纳粹占领布达佩斯的前两个月,随后匈牙利犹太人遭到大清洗。纳粹根本不把犹太婴儿当作人类看待,而是视为害虫(vermin)。 - **母亲的惊恐与分离**:母亲整整一年都活在死亡的阴影下抚养两个月大的婴儿。为了保全马特的性命,母亲在马特一岁多时忍痛将他托付给陌生人,马特整整 5 周未能见到母亲。 - **父亲的缺席**:父亲被强征至纳粹劳工营(forced labor),无法陪伴在他身旁。 对于幼年的马特来说,“不被看见”在字面意义上就等于面临灭顶之灾与生命威胁。因此成年之后,一旦遭遇他人的漠视或曲解,那种濒临死亡的深层恐惧便会重新翻涌。马特总结道,真正的疗愈之道在于“学会全然看见自己”(to see myself)。如果能做到自我确证,他人是否理解便不再重要;当自己依旧因为别人的误解而大动肝火时,说明内心深处仍然在指望他人来定义自己。 --- ### [01:16:03](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4563s) 练习自我观照与斩断对社交媒体的执念 针对史蒂文提出的“如何全然看见自己”,马特承认这极难做到。在健康的成长环境下,孩子是通过父母接纳的目光来认识并确认自我的;若童年从未获得这种镜映,成年后就必须通过刻意练习重新学习。 马特举例说明:两天前他在做完一场周一晚间的演讲后,曾陷入严重的焦虑,怀疑自己发挥得不够完美;但他随后觉察到,自己已经全力以赴准备并倾注心血讲了两个小时的真话,“就算不是最好又如何?”在那一刻的自责中,他其实又一次“没有看见自己”。这也是马特推崇冥想的原因——不带评判地如实觉察内心发生的一切。 此外,史蒂文提到应清理生活中阻碍自我觉知的干扰(例如社交媒体)。马特对此进行了精确的区分: - **戒除执念而非完全禁用**:不必强行将社交网络彻底剥离生活,关键在于斩断对其的情感依附(attachment)。 - **摆脱评判机制**:马特不去看 YouTube 视频下的观众评论,不在意谁点赞或谁批评;他虽有官方 Facebook 账号,但从不亲自打理。 - **使用工具,而不被工具所奴役**:写书离不开互联网检索,但绝不能让外界虚拟的赞许或攻击牵着鼻子走。 --- ### [01:18:07](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4687s) 赞助商插播:LinkedIn Jobs 与 Huel 史蒂文在中途播报了两则节目赞助商内容: - **LinkedIn Jobs**:商业成功的核心在于优秀人才的吸纳。通过 LinkedIn Jobs 可以快速且免费物色合格候选人;企业发布职位时可添加专有的紫色 `#hiring` 头像框,详情访问 `linkedin.com/doac`。 - **Huel RTD**:便携式代餐饮品(Ready-to-Drink),单瓶提供全面营养,包含 26 种必需维生素与矿物质、20 克蛋白质以及缓释碳水化合物,有助于忙碌日程中保持健康能量供给。 --- ### [01:19:52](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4792s) 浅层呼吸、背景压力与古老的呼吸觉知 史蒂文分享了现代刺激引发的普遍困境:许多人长期处于微弱的“慢性背景压力”(chronic subtle background stress)中。他回忆起与《呼吸》(Breath)一书作者詹姆斯·内斯特(James Nestor)的对话,发现自己频繁陷入“浅层呼吸”——看手机时呼吸微弱、凌晨 1 点躺在床上失眠时呼吸短促、录制播客思考时亦是如此,体内仿佛长期缺氧。 马特博士高度赞同对呼吸的关注,并指明有意识的呼吸是现代人自救的核心法门: - **埃克哈特·托利(Eckhart Tolle)的开示**:知名灵性导师托利曾提出,与其急于寻找心理治疗师或参加静修营,不如在日常生活中每天主动进行几次有意识的深呼吸,这种随时随地的自我归位比很多复杂手段都要有效。 - **佛陀与阿难的对话**:佛陀的大弟子阿难曾询问佛陀是否仍在修行冥想、修习何种法门,佛陀回答道:“观照呼吸。” - **呼吸即当下**:马特强调自己并非宣扬特定宗教,但佛教将“对呼吸的觉知”视作通往真实世界最重要的门户,这是对抗现代无休止过度刺激与焦虑的关键锚点。 ### [01:21:55](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4915s) 现代社会的慢性压力、炎症与文化撕裂 史蒂文·巴特利特(Steven Bartlett)提出疑问:人类在进化上是否真的能够承受当下生活中如此巨大且持续不断的刺激与压力?如今,由慢性炎症引发的各类疾病正以惊人的速度吞噬生命。针对压力问题,人们究竟该怎么做?这种生活常态到底是否“正常”或“没问题”?加博尔·马泰(Dr. Gabor Maté)回应道,这确实已经成了社会的“常态”(the norm),从这个意义上说它是“普遍”的;但它绝不代表“没问题”(okay)。要判断它是否健康,必须审视其造成的深远恶果。 在个人层面上,正如先前所讨论的,全球范围内的心理健康疾患正在急剧蔓延,自身免疫性疾病的发生率也居高不下;而在社会与文化层面上,当今社会的冲突、阵营分化以及互不包容的程度达到了很长一段时间以来的顶峰。这些都是生活在高压文化中所承受的代价。因此,马泰博士直言:“如果你想要这些后果,那它就是没问题的;但如果你不想要,它就绝对不正常。这完全取决于我们追求什么样的生活。” ### [01:23:06](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4986s) 亲密关系的本质:学会独处与以真实为土壤的共同成长 谈话转向现代人面临的亲密关系困境。史蒂文指出,过去几十年来社会发生了深刻变革,性别观念的转变引发了认知错位,加之约会软件彻底主导了社交——约有 50% 的情侣最初是在网络上结识的,导致许多人面对恋爱产生无力感甚至选择放弃。史蒂文分享了自己的领悟:我们彼此都是一面镜子,他之所以找到真爱,并非向外找寻到了什么,而是先下功夫清理了自己内心阻碍连接的障碍。马泰博士对此高度赞同,指出真正的关系建立在“有能力独处且能与自己安然相处”的前提上,这与“感到孤独”(being lonely)截然不同。唯有能够扎根于自我、面对自身真实的人,才能建立有深度且积极的关系。 马泰博士观察到,许多人进入亲密关系只是为了让对方替自己解决内在问题。最初的“热恋期”里一切看似完美无瑕,但当现实降临,当初那个令人神魂颠倒的伴侣瞬间就会沦为仇敌,招致极度的怨恨。马泰坦承,在与妻子携手走过的漫长岁月里,当自己感到失望或未获满足时,他也曾对妻子产生过强烈的恨意,因为他本质上是在向外索求,指望伴侣来填补自己内在的空虚,而“没有任何人能从外部填满你”。只有当一个人不再依赖外界来证明或完整自己时,才能步入真正健康的关系。 亲密关系本身可以成为彼此共同成长的试验场。每个人都背负着创伤和功能失调,容易被对方触动防御机制,但关键在于双方是否“致力于追求真相”(committed to the truth)。马泰表示,自己与妻子无论经历多少风雨,最珍贵的一点在于“真相永远比谁对谁错更重要”。对他而言,自己的婚姻是他一生中最重要的成长土壤与蜕变学校,其塑造力甚至超过了所有看过的书籍与接受过的心理治疗。 ```mermaid flowchart TD accTitle: 亲密关系成长与分化动态图 accDescr: 展示伴侣双方在面对创伤与个人成长时的三种不同走向路径 subgraph Ground ["关系基石"] A["具备独处能力与内在完整"] --> B["以追求真相为核心的关系"] end subgraph Dynamic ["成长分化走向"] B --> C{"一方开始成长,另一方停滞"} C --> D["成长方放弃自我退回原状(几乎不可能)"] C --> E["停滞方受到触动,开始同步成长(关系深化)"] C --> F["观念断层无法弥合,最终走向分离(Split)"] end ``` - **关系的匹配机制**:人们总是在相同的情感发展水平或创伤修复层级相遇,恰如“水往低处流,自会寻平”(water finding its own level)。 - **失衡与决裂**:当一方开始自我觉醒与成长,而另一方拒绝改变时,关系往往难以为继;成长者很难倒退,若停滞者不跟进,分裂便不可避免。 - **家庭角色的错位冲突**:马泰观察到一种极为普遍的婚姻危机:当婴儿降生后,母亲的情感精力自然倾向脆弱的新生儿,而心智未成熟的丈夫会因失去关注而心生妒忌。此时女性往往面临荒谬的抉择——是去照顾那个刚出生几天或几个月的婴儿,还是去照顾那个“35岁的大号婴儿”(35-year-old baby)?当妻子把精力收回给孩子、拒绝再像母亲一样照顾丈夫时,许多无法忍受这种落差的男性就会让婚姻陷入崩溃。 ### [01:28:10](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5290s) 性冷淡与无性婚姻的根源:情感亲密与安全感的前置 史蒂文询问在马泰的行医经验中,无性关系(sexless relationships)与床笫冷淡的真正成因是什么。马泰剖析道,当今社会过早地将身体接触推进到性层面,把身体亲密置于情感亲密之前。所谓亲密(intimacy),其词源核心代表着“最内在的自我”(innermost);当肉体结合早于情感的真实袒露,性就会从人们真正的内在渴望中脱节。缺乏情感联结的性行为,最终只能沦为机械化的生理运动,这对普遍更看重深层情感安全感的女性而言尤为致命。 此外,伴侣间的“亲子动态”(parent-child dynamic)对性欲有着毁灭性的打击。当一方在亲密关系中承担了全部或大部分情绪托底工作,充当起照料者的“父母”角色时,两人的性吸引力就会被彻底扼杀。正如心理学家玛莎·派伊(Marcia Pye)曾告诫史蒂文的:“永远不要管你的伴侣叫妈妈或爸爸。” 马泰进一步指出,主流文化盲目鼓吹性吸引力,然而许多公认的性感符号在现实中都是遭受严重创伤的女性——例如玛丽莲·梦露(Marilyn Monroe),她童年遭遇虐待,成年后又被包括肯尼迪总统在内的权贵玩弄,却被包装成全世界男人的性幻想对象,这本身就是极度扭曲的性文化。对于女性而言,性唤起与绽放的前提是绝对的“安全感”。所谓的“性冷淡”(frigidity)或身体僵冻(freeze),本质上是一种面对威胁时的恐惧应激反应,而非本性;唯有在安全的环境与真实坦诚的情感亲密滋润下,这种冰冻才会消融。正如马泰的妻子所言:“真实才是最性感的(Truth is sexy)。” ### [01:31:45](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5505s) 现代社会的痛苦流行病:有毒文化与短期悲观 加博尔·马泰医生(Dr. Gabor Maté)谈到,当今社会中普遍蔓延着越来越强烈的痛苦与迷茫,年轻人正面临着前所未有的严峻挑战。在美国,儿童自杀率持续攀升,越来越多的孩子因为各种心理或行为问题而不得不依靠药物治疗。放眼全美成年人口,有高达 70% 的人至少在服用一种处方药,且至少有四分之一的女性正在服用抗抑郁药或抗焦虑药。马泰指出,英国的统计数据同样呈现出这种不断恶化的上升趋势。这些现象正是他所定义的“有毒文化”(Toxic Culture)的集中爆发。他的著作《正常态的迷思》(The Myth of Normal)不仅在英美畅销,还被翻译引进到北马其顿、泰国、越南、北欧及东欧等世界各地,这恰恰证明了这场痛苦是一场全球性的流行病。面对这一危机,人们既可以将其简单视作不可解释的厄运或不幸,也可以深入探究其真正根源——即人与人之间的相处方式、抚育后代的方式以及对待自我的方式。马泰直言,尽管解决之道客观存在,但对许多人而言现实正变得愈发艰难,且短期内毫无好转的迹象。 主持人史蒂芬·巴特利特(Steven Bartlett)随即询问马泰是否感到悲观。马泰引用了诺姆·乔姆斯基(Noam Chomsky)曾说过的一句名言:“在战略上我是个乐观主义者,但在战术上我是个悲观主义者”("Strategically, I'm an optimist and tactically, I'm a pessimist.")。马泰解释道,从长期来看,他坚信人类拥有成长、蜕变以及在个体与社会层面回归深度理智与健全自我的能力;如果他不相信人类的这种潜力,他宁可呆在家里安心读书、听音乐。然而着眼于当下与短期现实,世界正在变得越来越灰暗。人类在找回更好的自我之前,注定还要走过一段漫长而艰险的泥泞道路。 - **儿童与青年心理危机**:儿童自杀率上升,各类精神类处方药物的儿童使用者激增。 - **成人用药数据**:美国 70% 的成年人至少在服用一种处方药;至少 25% 的美国女性在服用抗抑郁或抗焦虑药物,英国相关数据亦在同步攀升。 - **全球共鸣**:《正常态的迷思》在东欧、东南亚等全球多国翻译出版,反映出精神与生理痛苦的全球普遍性。 ```mermaid flowchart TD accTitle: 战略乐观与战术悲观的认知模型 accDescr: 展示马泰借用乔姆斯基观点所建立的对人类现状与未来的双重视角。 subgraph Tactical["战术层面:短期悲观"] A["现代有毒文化"] --> B["儿童自杀率攀升 / 药物泛滥"] A --> C["成年人焦虑与抑郁激增"] B & C --> D["短期内社会困境与暗色持续加剧"] end subgraph Strategic["战略层面:长期乐观"] E["人类内在潜能"] --> F["自我疗愈与转化能力"] F --> G["个体与社会的深度健全意识"] end D -.->|历经漫长艰难之路| G ``` --- ### [01:34:47](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5687s) 审视真正意图:言行脱节与工作狂的自我欺骗 在探讨了宏观社会的系统性问题后,史蒂芬希望将话题落回切实可行的解决方案上,探讨个体在家庭与个人生活中究竟该做些什么。马泰指出,第一步必须明确自己真正的核心目标是什么。史蒂芬试着梳理了自己的目标:投身于能够服务他人、让自己充满充实感与挑战性的工作;保持健康以长期投入事业;建立充实、真诚、不加掩饰且坦率的人际关系;组建一个纯粹美好的家庭,尽可能让孩子免受创伤,并建立一种自己童年时从未与父母拥有过的亲密亲子连接。马泰对此肯定道,科学早已证实追求人生意义与目标感能够直接带来生理层面的健康。 然而,马泰随即抛出了一个直击灵魂的审视机制:一个人必须严格审视自己生活中有哪些因素在支持这些目标,又有哪些因素在暗中破坏它们,进而全力削减破坏性因素、强化支持性因素。更重要的是,人的真实意图绝不能仅凭嘴上冠冕堂皇的说辞来衡量。马泰剖析了自己的亲身经历:当年作为一个年轻的父亲,若有人询问他的目标,他会极其真诚地宣称“我的目标是让孩子们幸福”;但如果审视他当年的实际生活方式——一个狂热的工作狂医生,永远不在孩子身边,时刻在外部寻找“被需要感”,渴望成为他人生命中不可或缺的中心——那么他真正的潜意识意图其实是“自我重要感”(Self-Importance)。口头上所宣称的崇高意向与实际的生命轨迹产生了巨大的割裂。马泰强调,任何人都必须勇敢地看清自己嘴上说的意图与行动所反映出的意图,并促成两者的统一。 - **言行一致的意图审查**:了解一个人真实意图的唯一途径是观察其如何度过时间与生活,而非听其言论。 - **工作狂医生的亲身案例**:马泰自述曾以“为了孩子的幸福”为由行事,但其工作狂行为背后真正的驱动力是对自我重要感与被认可感的病态渴求。 --- ### [01:38:12](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5892s) 被遗漏的核心目标:内心平静与“几乎起效”的陷阱 史蒂芬承认,梳理时间分配与言行匹配是一项非常棒的练习,但他敏锐地察觉到自己在说出那些宏大目标时依然存在某种疏离感。人们在回答目标时,往往倾向于给出那些能博得提问者好感与赞许的标准答案。马泰当即指出,史蒂芬遗漏了一个最为根本的目标——“内心平静”(Inner Peace)。马泰直言,没有内心平静,其他所有崇高的目标都无法被真正妥善地实现,即便勉强实现,也是以严重牺牲自我为代价。如果打着服务他人这一崇高旗号四处奔波,却彻底摧毁了自己的内心平静,那就已经误入歧途。马泰笑称这番话不仅是对史蒂芬说的,更是在对自己说。内心平静绝非自私的目标,恰恰是在拥有了内在的安全与宁静之后,人们才能真正怀抱慈悲与诚实对待他人。 马泰引用了埃克哈特·托利(Eckhart Tolle)关于“内在目标”与“外在目标”的论述,指出史蒂芬此前列出的全是外在目的,这正是割裂感的来源。工作狂群体最致命的误区,在于妄想通过在外部世界追逐目标、赢取外在认可、斩获荣誉或将新书推上畅销榜首来“赚取”内心平静。当一本书登上畅销榜时,人确实会感受到片刻的宁静与满足,但这种外在刺激具有极强的成瘾性。马泰在此引用了著名童年创伤研究专家文斯·费利蒂(Dr. Vincent Felitti)的名言:“一种‘差一点就彻底起效’的东西,人是最难戒断的”("It's hard to get enough of something that almost works.")。这种短暂的外部平静就像饮鸩止渴,长此以往换来的只有工作狂带来的身心俱疲。马泰以过来人的沉痛经验强调,外部成就无论多么辉煌,都绝不可能提供真正的内心平静,因为平静从不由外向内产生。当史蒂芬反问马泰如今践行得如何时,马泰坦率地表示自己绝不敢打满分(仅看过去一周的忙乱就知道),但他比过去做得好得多,并且对现在的状态与未来充满了前所未有的泰然与安心。 - **内在目标与外在目标**:援引埃克哈特·托利理论,说明外在成就(事业、服务他人、畅销榜)若缺少内在平静作为基石,必然导致自我枯竭。 - **文斯·费利蒂(Vince Felitti)洞见**:“很难对那种‘几乎起效’的东西感到满足”,精准揭示了用外在成就替代内在治愈的心理成瘾机制。 - **践行心得**:真正的改变在于持续觉察,接纳自身的不完美,但坚定地在生活中向内心平静调准方向。 ### [01:41:21](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6081s) 苦难作为导师与在变老中真正成长 当被问及当前听众最需要听到的一点是什么时,加博尔·马泰(Gabor Maté)博士强调,我们绝不应该为了教育而故意将苦难强加给孩子或任何人,因为生活本身就会带来属于它的苦难。然而,当苦难降临时,人们通常有两种截然不同的应对方式:一种是试图摆脱它、麻痹自己不去感受它;另一种则是主动从中学习。痛苦与苦难若能被正确对待,便会成为人生极具启发性的导师。 ```mermaid flowchart TD accTitle: 面对苦难与危机的两种路径 accDescr: 展示面对生活危机与苦难时的不同选择及其对应结果。 A["苦难与危机降临"] --> B["逃避与麻木"] A --> C["接纳与学习"] B --> D["丧失自我 / 心理停滞"] C --> E["发掘危机中的机会"] E --> F["在变老中真正成长,活出真实自我"] ``` 马泰博士提到,中文里的“危机”二字由“危险”和“机会”组合而成。当危机出现时,危险虽在,但其中也孕育着学习与蜕变的机遇。生命中存在着一种名为“在变老中成长”(growing older)的状态——不仅是生理岁数的增加,而是在衰老的同时保持心智与精神的生长。这种成长的核心,就是让自己变得越来越真实(authentic)。虽然在日常生活中他也并非次次都能做到,但这正是人生的探索旅程:人们不必随着岁月萎缩,而是可以不断舒展、向内生长。 --- ### [01:42:50](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6170s) 脆弱性是成长与深度连接的前提 史蒂芬·巴特利特(Steven Bartlett)顺着“成长”的话题提到了“脆弱”(vulnerability),并指出很多人包括他自己,长期以来都将展现脆弱视为一种巨大风险。马泰博士从词源学角度剖析,“脆弱”(vulnerability)源自拉丁语词根 *vulnerare*,意为“伤害”(to wound)。从受孕到死亡,任何生命体在生理和情感上都是深刻脆弱、容易受创的,这是一种客观存在。 当孩子在成长中感到安全、被看见且被理解时,他们便有信心接纳自己的脆弱,因为他们确信自己有能力应对伤害;相反,如果孩子在童年遭受创伤、缺乏理解、独自承受情感孤立,脆弱就会带来无法承受的剧痛,迫使他们彻底封闭脆弱感以求自保。然而自然界的法则是:**没有脆弱,就没有生长**。 - 树木绝不会在粗硬坚厚的主干部位生长,而是在柔嫩脆弱、极易被虫鸟啃食的新芽处抽枝发芽。 - 像螃蟹这样的甲壳纲动物无法在坚硬的外壳中变大;唯有经历痛苦的蜕壳,暴露自身柔软脆弱的身躯,才能实现身形的增长。 - 情感层面的脆弱同样是心理成长的必经之路。现代文化往往教导人们否认、封闭脆弱或借由外界转移注意力,其沉重代价便是心智始终停留在幼稚状态并丧失真实的自我。 - 史蒂芬也结合播客制作的体验补充道,脆弱是建立人与人之间深度联结的强大媒介;主持人愿意坦白内心的脆弱,嘉宾才能获得敞开心扉的安全感。正如朋友聚会时,比起闲聊纽卡斯尔联队(Newcastle)在某场比赛中以 1:0 爆冷击败曼城(Manchester City)的八卦,坦诚分享彼此内心的挣扎才能带来真正深刻的交流。 --- ### [01:45:54](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6354s) 最后一天的两个电话:爱与全然的感激 节目进入尾声的标志性交接环节——前一位未公开姓名的嘉宾留给马泰博士一个问题:“如果今天是你在地球上的最后一天,你被允许打两个电话,一个打给你最爱的人,另一个打给全世界,你会分别对他们说什么?” 马泰博士沉思片刻后,借用约翰·列侬(John Lennon)当年的经典歌词作为对全世界的回答:“你所需要的只是爱”(All you need is love)。而当史蒂芬追问打给最爱之人的电话内容时,马泰平静地回答,自己甚至什么都不必说,因为“她全都知道”。如果非要在那一天对她说一句话,那就是:“谢谢你,感谢你为我付出的一切。” 随即,马泰博士修正了对全世界的留言。他坦言,与其好为人师地给出“你需要爱”的劝诫,不如同样向全世界道一声真诚的“谢谢”: > “感谢这人间的一切,感谢童年与成年时期的所有挣扎、磨难与痛苦,感谢为人父母的体验,感谢我的职业历程……谢谢你,生活赠予了我太多。” --- ### [01:47:37](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6457s) 被铭记的方式:助人重见完整性与代际疗愈 对于希望如何被后人铭记,马泰博士坦言,希望自己被看作是一个“竭尽全力去带来改变、并且确实带来了改变的人”。他收到了来自世界各地的海量读者来信,读者们普遍反映他的著作彻底重塑了他们与自我的关系,让他们终于看清并理解了自己。 马泰提到,《正常态的神话》(*The Myth of Normal*)收获的最棒的一条评价,是一位年轻人对他说的:“谢谢你,读完这本书,我想起了我是谁。”马泰指出,他的工作核心是让那些敞开心扉的人看清真相:人们并不是残破不堪或无法修复的受损品;“健康”(health)一词的词根正是“完整”(wholeness),他的使命正是帮助人们发掘自身内在的完整性,认识到自己本质无缺,只是需要面对并化解一些过去的创伤。史蒂芬赞同地提到,正如马泰著作反复探讨的,成年人应当向孩子们本真纯粹的天性学习。 史蒂芬对马泰的影响力表达了由衷的敬意,认为马泰的自我评价过于谦逊。他以自己的伴侣为例:伴侣的生活在个人及专业层面都被马泰的理论深刻改变;她此番未能赶到伦敦演播室,正是因为正在法国南部为一大群女性举办疗愈静修营(retreat),而静修营的核心工作全盘建立在马泰的著作与教学之上。史蒂芬感慨道: - 马泰不仅直接启发了个体,更深刻影响了新一代的导师与心理治疗师。 - 这种影响引发了如同多米诺骨牌般的连锁反应:面对世代相传的创伤(generational trauma),马泰等先驱在遭遇诸多对立观点与阻力的情况下坚持真理,最终催生了能够抵抗创伤的“代际疗愈”(generational healing)。 - 马泰博士对此倍感欣慰,他分享道,如今无论在伦敦还是全球各地,走在街上前来致谢的不仅有同龄人,更涌现出大量年纪只有他四分之一的年轻一代,这让他深信自己的努力正在切实改变世界。 ### [01:51:20](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6680s) 对加博尔·马泰博士的致谢与节目录制寄语 在访谈尾声,Steven Bartlett 向加博尔·马泰博士(Dr. Gabor Maté)致以诚挚的谢意,由衷赞赏对方的慷慨分享与深刻洞见。Steven 动情地表示,马泰博士的智慧不仅彻底改变了他个人的生活认知,而且正通过节目向全球传播,持续启迪并治愈着世界各地无数正在收听与观看的受众。马泰博士也对此表达了感谢,整场触及创伤、疾病与人际边界的深刻对话在温暖而充满敬意的氛围中落下帷幕。 ### [01:51:33](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6693s) 赞助商支持:Whoop 利用 AI 赋能个性化健康管理 访谈结束后,Steven 介绍了节目的长期赞助伙伴——智能穿戴设备品牌 Whoop。Steven 指出,人工智能(AI)是他长期密切关注且极具热情的领域,但公众探讨往往局限于技术本身,较少聚焦于 AI 如何切实成为让日常生活变得更美好的积极力量。作为 Whoop 的深度用户,Steven 表示这款设备从未离开过自己的手腕,并特别推荐了其搭载的全新功能 "Whoop Coach"。该功能利用先进的 AI 技术,深度整合分析用户全天候的健康与体能指标,为每位佩戴者提供定制化的日常指引。 Steven 举例说明,用户可以直接向 Whoop Coach 提出各种具体的健康疑问,例如询问“我为什么会这么累?”("Why am I so tired?")或是要求“你能帮我制定一套力量训练方案吗?”("Can you help me build a strength training program?")。AI 系统会依据个人的睡眠、恢复与负荷数据,给出完全专属的针对性答复。Steven 建议希望在健康与体能管理上更进一步的观众访问专属网址 `join.whoop.com/ceo`,获取为期一个月的免费 Whoop 会员体验。 ```mermaid flowchart LR accTitle: Whoop Coach AI 数据流与个性化建议流程 accDescr: 展示从手环监测生理数据到 AI Coach 处理并生成个性化建议的完整闭环 subgraph S1["数据采集与分析"] A["Whoop 手环实时监测体征"] --> B["Whoop Coach 高级 AI 引擎整合"] end subgraph S2["个性化输出反馈"] B --> C["疲劳与身体恢复状态诊断"] B --> D["定制专属力量训练计划"] end ``` - **核心功能定位**:Whoop Coach 结合前沿 AI 技术与手环监测数据,充当全天候的专属健康与体能教练。 - **具体交互场景**:支持自然语言问询疲劳起因、调整作息计划,以及量身规划力量训练方案。 - **听众专属权益**:通过链接 `join.whoop.com/ceo` 注册可获得为期 1 个月的免费会员体验。 ## Notable quotes > [00:00](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=0s) 当人们不懂得如何说‘不’时,身体就会替他们说‘不’。 — 加博尔·马泰医生 (Dr. Gabor Maté) > [01:36](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=96s) 只要我坚守自己所知道的真理,我就能保持健康;可一旦我忘记了那些道理,我也同样会陷入糟糕的泥潭。 — 加博尔·马泰医生 (Dr. Gabor Maté) > [06:45](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=405s) 够了!受够了你在聚光灯下的公共形象与你在私下生活中的真实状态之间如此巨大的鸿沟! — 雷 (Rae) > [12:25](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=745s) 你说过最勇敢的话是什么?——救命。 — 查理·麦克西(《男孩、鼹鼠、狐狸和马》) > [29:22](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=1762s) 没有任何健康的男人想和自己的母亲上床,也没有任何健康的女人想和自己的儿子上床。 — 加博尔·马泰医生 (Dr. Gabor Maté) > [43:04](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=2584s) 我总是替那些极度友善的人捏一把汗。 — 加博尔·马泰医生 (Dr. Gabor Maté) > [01:12:33](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=4353s) 如果身处异常环境,注意力涣散其实是正常的适应反应,而非器质性疾病。 — 加博尔·马泰医生 (Dr. Gabor Maté) > [01:28:10](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5290s) 真实才是最性感的(Truth is sexy)。 — 雷 (Rae) > [01:31:45](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5505s) 在战略上我是个乐观主义者,但在战术上我是个悲观主义者。 — 诺姆·乔姆斯基 (Noam Chomsky) > [01:38:12](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=5892s) 一种‘差一点就彻底起效’的东西,人是最难戒断的。 — 文斯·费利蒂 (Dr. Vincent Felitti) > [01:42:50](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6170s) 没有脆弱,就没有生长。 — 加博尔·马泰医生 (Dr. Gabor Maté) > [01:47:37](https://www.youtube.com/watch?v=L7zWT3l3DV0&t=6457s) 谢谢你,读完这本书,我想起了我是谁。 — 读者 ## Mentioned 加博尔·马泰医生 (Dr. Gabor Maté), 斯蒂芬·巴特利特 (Steven Bartlett), 哈里王子 (Prince Harry), 戴安娜王妃 (Princess Diana), 查尔斯三世 (King Charles III), 伊丽莎白二世女王 (Queen Elizabeth II), 雷 (Rae Maté), 查理·麦克西 (Charlie Mackesy), 《男孩、鼹鼠、狐狸和马》 (The Boy, the Mole, the Fox and the Horse), 约翰·列侬 (John Lennon), 阿什利·蒙塔古 (Ashley Montagu), 达西亚·纳瓦埃斯 (Darcia Narvaez), 戴维·基森 (David Kissen), 谢丽尔·克罗 (Sheryl Crow), 让-马丁·沙可 (Jean-Martin Charcot), 斯蒂芬·霍金 (Stephen Hawking), 布朗妮·维尔 (Bronnie Ware), 理查德·施瓦茨 (Dick Schwartz), 贝塞尔·范德考克 (Bessel van der Kolk), 彼得·莱文 (Peter Levine), 奥普拉·温弗瑞 (Oprah Winfrey), 布鲁斯·佩里 (Bruce Perry), 詹姆斯·内斯特 (James Nestor), 埃克哈特·托利 (Eckhart Tolle), 玛丽莲·梦露 (Marilyn Monroe), 诺姆·乔姆斯基 (Noam Chomsky), 文斯·费利蒂 (Dr. Vincent Felitti), 《当身体说不》 (When the Body Says No), 《正常态的迷思》 (The Myth of Normal), 《备胎》 (Spare), LinkedIn Jobs, Huel, Whoop ## Video description If you enjoyed this video, you will love my first conversation with Dr Gabor Mate, which you can find here: https://www.youtube.com/watch?v=uPup-1pDepY 0:00 Intro 03:45 🤝 How Vocalising Stress Enhances Emotional Control and Understanding 08:03 📵 Importance of Disconnecting: Mental Health and Taking Sabbaticals from the Internet 13:26 🔄 Healing Childhood Wounds: Acknowledging Unmet Needs and Self-Discovery 23:17 💡 Reconnecting with Childhood Intuition: Gut Feelings and Emotional Clarity 24:36 🧠 Gut-Brain Connection: Childhood Trauma and Grounding Techniques 27:50 🤝 Autoimmune Diseases and Emotional Patterns: Breaking the Cycle 30:57 💑 Emotional Intimacy in Relationships: Avoiding Mothering Dynamics 37:34 🤝 Suppressing Healthy Anger and its Impact on Immunity 43:43 🙅‍♂️ Trauma and Authenticity: Overcoming People-Pleasing Habits 48:41 🧠 Repressed Anger and its Link to Illnesses like ALS 49:08 🩺 ALS Patients' Niceness and its Connection to Health 52:11 🚪 Setting Boundaries: Key to Healing and Self-Discovery 01:00:46 🏥 Preventing Trauma-Related Illnesses: Addressing Emotional Needs 01:11:31 💔 Childhood Experiences and Adult Health: Heart Attacks and Strokes 01:12:28 🧠 Impact of Negative Labels on Self-Worth: Childhood to Adulthood 01:15:26 🙅‍♂️ Childhood Emotional Recognition: Importance of Self-Awareness 01:20:47 🌬️ Shallow Breathing and Chronic Stress 01:24:18 💑 Building Genuine Emotional Intimacy for Meaningful Relationships 01:34:43 🎯 Defining Goals: Work, Health, Relationships, and Emotional Wellness 01:36:06 🤔 Aligning Intentions with Actions: Strengthening Goal-Oriented Living 01:38:27 🧘 Pursuing Inner Peace: Importance of Emotional Harmony and Well-Being 01:44:41 💖 Embracing Vulnerability and Growth: Authenticity in Personal Development 01:46:56 🙏 Gratitude and Connection: Fostering Wholeness and Meaningful Bonds You can purchase Dr. Mate’s most recent book, ‘The Myth of Normal: Trauma, Illness & Healing in a Toxic Culture’, here: https://amzn.to/40unjpo Follow Gabor: Instagram: https://bit.ly/46vt340 Twitter: https://bit.ly/3RSjGYo Listen on: Apple podcast - https://podcasts.apple.com/gb/podcast/the-diary-of-a-ceo-by-steven-bartlett/id1291423644 Spotify - https://open.spotify.com/show/7iQXmUT7XGuZSzAMjoNWlX Join this channel to get access to perks: https://www.youtube.com/channel/UCGq-a57w-aPwyi3pW7XLiHw/join FOLLOW ► Instagram: https://www.instagram.com/steven/ Twitter: https://twitter.com/SteveBartlettSC Linkedin: https://www.linkedin.com/in/steven-bartlett-56986834/ Sponsors: Huel: https://g2ul0.app.link/G4RjcdKNKsb Whoop: join.whoop.com/CEO Linkedin: linkedin.com/doac [Source](https://www.youtube.com/watch?v=L7zWT3l3DV0)

Source quotes

[0:00] 加博尔·马泰医生 (Dr. Gabor Maté): 当人们不懂得如何说‘不’时,身体就会替他们说‘不’。 [1:36] 加博尔·马泰医生 (Dr. Gabor Maté): 只要我坚守自己所知道的真理,我就能保持健康;可一旦我忘记了那些道理,我也同样会陷入糟糕的泥潭。 [6:45] 雷 (Rae): 够了!受够了你在聚光灯下的公共形象与你在私下生活中的真实状态之间如此巨大的鸿沟! [12:25] 查理·麦克西(《男孩、鼹鼠、狐狸和马》): 你说过最勇敢的话是什么?——救命。 [29:22] 加博尔·马泰医生 (Dr. Gabor Maté): 没有任何健康的男人想和自己的母亲上床,也没有任何健康的女人想和自己的儿子上床。 [43:04] 加博尔·马泰医生 (Dr. Gabor Maté): 我总是替那些极度友善的人捏一把汗。 [72:33] 加博尔·马泰医生 (Dr. Gabor Maté): 如果身处异常环境,注意力涣散其实是正常的适应反应,而非器质性疾病。 [88:10] 雷 (Rae): 真实才是最性感的(Truth is sexy)。 [91:45] 诺姆·乔姆斯基 (Noam Chomsky): 在战略上我是个乐观主义者,但在战术上我是个悲观主义者。 [98:12] 文斯·费利蒂 (Dr. Vincent Felitti): 一种‘差一点就彻底起效’的东西,人是最难戒断的。 [102:50] 加博尔·马泰医生 (Dr. Gabor Maté): 没有脆弱,就没有生长。 [107:37] 读者: 谢谢你,读完这本书,我想起了我是谁。

Source quotes

[53:02] Dr. Gabor Maté: This contest between attachment and authenticity can be a painful one, but you can decide which kind of pain you want.... Which pain would you rather have? The pain of being authentic and losing some friendships that were no friendships at all, or the pain of losing yourself and all its implications and all its impacts on the body? [87:00] Dr. Gabor Maté: Do I look after the 3-day-old baby or the 3-month-old baby, or do I look after the 35-year-old baby? And to the extent that the mother chooses to look after the 35-year-old baby, she's depriving the 3-month-old. [88:48] Rae Maté: Truth is sexy. [98:11] Dr. Vincent Felitti: It's hard to get enough of something that almost works. [107:37] Anonymous Reader: Thank you. I read that book and I remembered myself.

Original transcript

[0:00] 70% of the adult population is at least [0:02] on one medication. Quarter of women are [0:04] on antidepressants. The rate of [0:06] childhood is going up. Worldwide, [0:09] there's this epidemic of distress. What [0:11] can we do about that? So, the first step [0:13] would be to Dr. Gabor Maté [0:16] Legendary thinker Celebrated speaker and [0:18] best-selling author [0:19] Highly sought after for his expertise on [0:21] addiction, trauma, childhood [0:23] development, and stress. People [0:25] pleasers, these are the people that tend [0:26] to develop diseases. When people don't [0:28] know how to say no, the body will say no [0:30] for them. That niceness is a repression [0:32] of healthy anger, and that repression of [0:34] healthy anger has huge implications to [0:37] your health. And when you repress your [0:38] immune system, you're more likely to [0:40] have that immune system turn against [0:41] you. People who emotionally repress are [0:43] more likely to get cancer. And emotional [0:45] repression is one of the impacts of [0:47] childhood trauma. We interrupt this film [0:49] to tell you we are getting reports that [0:51] The people's princess is dead. Harry was [0:53] a traumatized child. How he's told about [0:56] his mother's death is that it was an [0:58] accident, "Your mother didn't make it." [1:00] His father touches Harry on the knee and [1:02] says, "But it'll be okay." and leaves [1:04] the room. This 12-year-old, nobody held [1:06] him. And children can be traumatized not [1:09] just by terrible things happening to [1:10] them, but just by not having their needs [1:13] met, by not being seen, not being heard, [1:15] not being held. Those are wounding for a [1:17] child. But my interview with Prince [1:19] Harry, I had a gut feeling all along [1:21] that I shouldn't agree to do the [1:22] interview. It really got to me. I lost [1:25] myself. What happened? [1:36] Gabor [1:38] There's a question we often ask each [1:39] other [1:40] in flippant conversations, which we [1:42] usually kind of brush away because it's [1:44] the convenient thing to do. Yeah. That [1:46] question is the question I wanted to [1:48] start by asking you, which is [1:50] how are you? [1:51] Yeah. [1:52] Um [1:57] So, that question is for me brings up, [1:59] you know, two dimensions. One is how am [2:01] I at this present moment, which is, you [2:02] know, how am I at this moment, you know, [2:04] which is all there is. [2:05] I'm well. I'm I I feel rather peaceful [2:09] inside. [2:10] Um [2:11] I'm very happy to be here with you. [2:14] If you'd asked me 2 days ago, I wouldn't [2:16] have said that. I would have said I was [2:18] feeling somewhat anxious and uh [2:20] and kind of troubled, you know? So, um [2:24] as a in the moment answer, I'm well, and [2:27] I also know how to [2:29] keep well as long as I [2:32] stick with what I know. And when I [2:34] forget what I know, then I can be very [2:36] not well. And [2:38] so, the last year since we've met has [2:40] been in many ways a tough year for me. [2:42] Um also one of deep learning. So, [2:44] if the question is how have I been, I'd [2:47] say I've been up and down, and I've had [2:49] real challenges that I've had to learn [2:51] from. How am I right now? I'm really [2:54] well, thank you. [2:56] 2 days ago, if I'd asked you that [2:57] question, your answer would have been [2:58] anxious and troubled. Yeah. Why? [3:00] I gave a talk on Monday night to 2,100 [3:03] people. And uh I just didn't think I did [3:06] my best here in London. And I thought, [3:08] "Oh boy, I could have done better. I let [3:10] people down." Um I I allowed myself [3:13] judgments and self-doubts to really um [3:15] dominate my my thinking. And um [3:19] you know, as much as I think I'm [3:22] uh immune to that kind of self-doubt, [3:24] evidently I'm not. Um so, that's what [3:27] happened. [3:29] When you say um you let it cloud your [3:31] thinking, what are the What were the [3:32] symptoms of that? So, you you gave a [3:34] talk 2 days ago to 2,100 people. [3:36] Yeah. [3:36] And you didn't feel you did your best. [3:38] You went home that night. What was going [3:40] on in your head? What are the symptoms [3:41] of that [3:42] feeling? Um constant um [3:47] Mm. [3:49] Cyclical [3:51] self-criticism of I could have been more [3:53] present, I could have been more [3:55] grounded, [3:57] more attuned with the audience, perhaps. [4:00] But, you know, just all these [4:01] self-criticisms, [4:03] which then are accompanied by certain [4:05] feelings in the body, like kind of a a [4:08] roiling in my belly and so on. And uh [4:11] that's what I went through. [4:13] And what was the remedy for that? [4:17] Cuz we can all relate. Yeah. Earlier [4:19] this year, [4:21] um [4:22] also feeling in a state of [4:23] discombobulation, [4:25] uh just a few months ago, I did [4:26] something radical. I did a 2-week total [4:29] sabbatical from the internet. No cell [4:31] phone, no emails, no no checking on [4:35] Amazon how my book books are doing, you [4:38] know, all this self-referential [4:40] uh [4:41] uh ego enhancement stuff. And it just [4:44] really made a difference. Uh by the end [4:45] of 2 weeks, I was a different person. [4:47] And so, I'm keeping it up. And one of [4:50] the things you learn is you start [4:52] noticing [4:54] these body states that you're in and the [4:56] mental mm [4:58] hoops that you jump through, but you [5:00] don't identify with them. So, [5:03] what's the worst case scenario? I didn't [5:05] do the best possible job. Okay, what's [5:08] the headline in the newspaper? Human [5:10] being fails to do his best on a [5:12] particular occasion. What's the big [5:14] deal? [5:16] You know? So, [5:17] it's a matter of observing this all all [5:20] this stuff and not identifying with it. [5:22] Not letting it take you over [5:25] as it tends to. [5:27] I was reading something that said [5:29] when we [5:31] vocalize or share our stress, it moves [5:33] it from the emotional center of our [5:35] brain to the much more rational center [5:37] of our brain, Yeah. where we can kind of [5:39] step outside of the video game and hold [5:41] the controller, per se. Exactly. [5:43] Yeah, it's the um [5:45] um midfrontal cortex of our brain um [5:49] that has insight and um [5:51] um social connection and uh uh [5:55] awareness, you know, [5:57] which so often goes offline as soon as [6:00] some emotion takes over, some anxiety or [6:03] anger or [6:05] resentment takes over. Uh the midfrontal [6:09] cortex tends to go offline. And uh the [6:11] more trauma you experience as a child, [6:14] the more likely that is to happen, so [6:15] that your [6:17] insightful [6:19] capacities, the executive functions get [6:21] taken over by some deeper emotional [6:24] dynamics. [6:25] And so, um [6:27] one of the [6:28] benefits to me of meditation is [6:31] is it restores that [6:33] uh executive function, so that I'm not [6:36] taken over or [6:38] too long taken over by emotional [6:41] dynamics that [6:43] just sweep me away. [6:45] For 2 weeks this year, you said you went [6:46] offline. Yeah. Why? [6:49] Sometimes people say to me uh I I wrote [6:52] this book that I know that you have on [6:53] your desk, When the Body Says No. And [6:55] and my contention is when people don't [6:57] know how to say no, the body will say it [6:59] in the form of illness. And uh [7:02] I I can tell you hundreds of times [7:04] people have said to me, "Your book has [7:05] saved my life." And my response has [7:07] always been, "Maybe I should read it [7:09] myself." Because the fact is I'm quite [7:11] capable of giving advice and dispensing [7:13] wisdom that I don't follow myself. [7:16] And that was the case. So, I became [7:18] quite stressed, and my relationship with [7:20] my wife, Rae, became very fraught. [7:23] And she said, [7:24] "Enough. [7:26] Enough of this gap between who you are [7:28] there in public and how you are in [7:30] private." [7:31] So, that was the big incentive for me, [7:33] cuz uh [7:35] uh [7:35] we're coming up to our 54th anniversary, [7:38] and on the whole, I'd rather stay [7:39] married than not. [7:41] Everything else being considered. [7:43] But also for myself, I don't really like [7:44] I don't want to be that guy anymore who [7:47] who can speak [7:49] the truth [7:50] that a lot of people consider to be a [7:52] truth [7:53] so articulately, [7:55] but not follow it myself. So, I just [7:57] don't want to be that person. And that [7:59] takes practice. And that's why I get [8:01] That's why I take the to take a break [8:03] from the internet. [8:04] And what was interesting is [8:08] I had my cell phone on airplane mode, so [8:10] nobody could get through me. [8:11] Couple days Couple times a day, I'd [8:13] still pick up the cell phone. [8:15] And I say, "What are you doing?" [8:17] There's nothing on it, cuz you it's on [8:18] the internet. But [8:20] the compulsion [8:22] to try and get some from the outside [8:25] to fill some [8:27] some gap within. I just kept noticing [8:29] it. By the end of 2 weeks, it wasn't so [8:32] strong anymore. [8:34] Um [8:35] so, [8:36] I did it because I needed to for the [8:38] sake of my own mental health. [8:41] An up and down year for you, you said. [8:43] Yeah. Yeah, yeah. [8:46] Is that Is that the the down you were [8:48] talking about? [8:49] Well, I remember a conversation my [8:52] conversation with you. And I and I think [8:55] I remember you telling me that [8:57] you had this goal of becoming a [8:59] millionaire. When I was younger, yeah. [9:00] When I was younger. And then it's when [9:02] you achieve that goal [9:04] that you realize that [9:07] that ain't all there is. That you're [9:09] still left very much with your internal [9:12] demons. [9:14] And that's a very common lesson. I mean, [9:16] there's two ways to [9:19] to wake up. One is failure, where you [9:21] keep asking yourself, you know, but but [9:23] but but success is even more because you [9:26] think that once you get something, [9:28] then you'll be happy, and you know? So, [9:30] I thought, "Okay, well, jeez, I could, [9:32] you know?" So, this book, The Myth of [9:34] Normal, you know, best-seller [9:35] internationally and published in 35 [9:37] languages, I should be happy. No. The [9:40] more I got involved with it, the more I [9:41] toured with it, the more engaged with [9:44] the outside I became, the more miserable [9:45] miserable I became inside. [9:47] So, the very success of the book and it [9:49] allowed to sweep sweep It swept me away, [9:52] and I lost myself, you know? So, that [9:54] was one thing. And I did this very long, [9:56] exhausting tour. I wasn't taking care of [9:58] myself. And then there was the [10:01] uh my interview with Prince Harry and [10:03] all the um [10:05] uh fru-fra around it before it and after [10:07] it. And I allowed that allowed that to [10:10] take me over as well. Really? Yeah, [10:12] yeah. [10:13] Yeah. I mean, [10:15] retrospect, I can see what happened, but [10:18] at the time I was too caught up in it to [10:19] notice. [10:21] You know? So, [10:22] what I'm saying is that it doesn't [10:24] matter what I know, if I don't pay [10:27] attention, rigorous attention, to what's [10:29] going on inside, and if I keep looking [10:32] to the outside to give me meaning and [10:34] give me um validation, [10:37] then [10:39] I can lose myself. [10:41] And that's what happened. [10:43] Your interview with Prince Harry, [10:48] how did that cause you to lose yourself? [10:51] Well, in two ways. One is um [10:54] I had a gut feeling all along that I [10:56] shouldn't agree to doing it the way they [10:57] set it up. Because of the way it was set [11:00] up is in order to watch it, people have [11:02] to buy a copy of Harry's book. [11:04] And I thought this is not fair. 4 [11:06] million people have already bought the [11:07] book. Why can't they watch this [11:09] interview? Do they have to buy another [11:10] copy? In other words, I believed that [11:13] this should be a free public service [11:15] on the part of two people who can have a [11:17] very interesting conversation. But out [11:20] of sheer opportunism, I agreed to it. [11:22] So, I didn't follow my gut feeling. So, [11:23] I lost myself even in agreeing to the [11:26] format. And afterwards, Harry and I both [11:29] wanted it released to the public for [11:30] free, but the lawyers said you can't do [11:32] that because this was advertised as a [11:35] one-time-only event, and you could they [11:37] could be a class action suit. [11:39] So, um [11:41] the result was that I agreed to [11:42] something that I didn't really like. [11:45] Not that I didn't like the idea of [11:46] talking with him. I didn't like the idea [11:48] of putting this behind a paywall. So, I [11:50] lost myself just in agreeing to it. [11:52] Number one. [11:54] Number two, then there was the [11:55] incredible social media and British [11:57] media reaction to it that was for the [12:00] most part [12:02] so negative and so demeaning and so [12:04] dismissive and so distorted that I [12:07] barely even know how to talk about it. I [12:09] thought by this age I would know better, [12:12] but you know what? It really got to me. [12:14] It really got to me. I mean, uh I can [12:17] give you examples, but um [12:19] eventually what happened was [12:21] that I was really in a [12:23] negative state of mind, and [12:25] have you read the book The um The Fox, [12:28] the Mole, the Horse, and the Boy, and [12:30] the and the Horse? I bought it last [12:31] week. It's upstairs in my bag. [12:33] Wonderful. So, great It's a great little [12:35] book great big book, although very few [12:38] words in it, mostly just these wonderful [12:40] drawings. Charlie Mackesy, um he's [12:43] really channeling wisdom in that book, [12:44] and the horse is the most grounded of [12:48] the four characters of the four friends, [12:50] and he's asked, [12:51] "What's the most courageous thing you've [12:52] ever said?" And the horse says, [12:55] "Help." [12:56] So, it's so difficult to ask for help, [12:59] but I did. You know, in the middle of [13:01] all this fru-fra and my upset, and I [13:04] called a [13:05] friend of mine, a psychiatrist, [13:07] um [13:09] and I said, "I'm just in a bad state." [13:12] And he said, "What's going on for you?" [13:13] And I said, "Well, there's all this bad [13:14] press and all the [13:16] social media distortion of who I am and [13:18] my motives." He said, "What is it about [13:20] that you bothers you so much?" [13:22] And I said, "Not being seen." [13:27] Not being seen is one of the needs of [13:28] the child. [13:29] But he said to me, [13:31] "Okay, look, Gabor, when you were an [13:33] infant, you not being seen for who you [13:35] are as a human being almost cost you [13:37] your life." [13:38] Which it did. [13:40] As soon as he said that, I said, "Yeah." [13:43] This isn't about the present. [13:45] This is an old, unresolved, not yet [13:47] fully resolved wound. Age 79, I'm still [13:51] upset at not being seen. I don't care if [13:53] people agree with me um or they viewed [13:56] my ideas, but I want them to see me and [13:58] what I'm actually saying, not some [14:00] distorted version created by their own [14:02] minds. And And when he said that, "That [14:06] not being seen really threatened your [14:08] life." I said, "Yeah. That's what's [14:10] going on." And then I could relax. I [14:12] said, "This is So what what somebody [14:14] else says? I don't live in the British [14:15] press. I don't live in somebody else's [14:17] mind. Here I am, [14:20] you know? Let them think and say what [14:22] they say. But [14:24] it took somebody to wake me up to that. [14:27] So, that's what happened. [14:30] You said you could share examples of how [14:31] it got to you. [14:33] Of Yeah. [14:35] Well, oh boy, um they called me a stern, [14:39] overbearing [14:41] merchant of pain. [14:44] You know? Uh [14:49] At some point in the interview, you [14:52] know, when Harry was um And here's the [14:53] thing was See, Harry really was a [14:55] traumatized child. Um And you can when [14:58] you read his book, you you can see why, [15:01] you know, he [15:03] And people couldn't understand how this [15:05] is possible. How could somebody so [15:06] privileged, [15:07] at the very apex of society, in gilded [15:10] palaces, be traumatized? Total [15:12] misunderstanding of trauma. [15:14] Um it's true. [15:16] Uh people have it much tougher in many [15:19] ways, but as an infant, as a sensitive [15:22] infant, to be born into a [15:25] a loveless marriage where the father's [15:27] having an affair even before he's born, [15:29] where the mother's a troubled, very [15:31] sensitive, very creative, warm-hearted, [15:33] but [15:34] mm very unbalanced young woman. So, [15:37] Harry describes in his book [15:40] Spare, that he's 12 years old when his [15:43] mother's killed. [15:45] How he's told about his mother's death [15:48] is that his father, then Prince Charles, [15:50] comes into his room early in the morning [15:53] and says, [15:54] "Something terrible happened. There was [15:56] an accident. Your mother didn't make [15:57] it." [15:59] Then there's a few moments of awkward [16:00] silence, and finally [16:02] Charles touches Harry on the knee and [16:05] says, "But it'll be okay." And leaves [16:07] the room. [16:08] And this is how this 12-year-old was [16:10] told. [16:11] Nobody held him. [16:13] Um Charles himself was only doing what [16:16] happened to him [16:18] when when Queen Elizabeth went on a [16:21] international four- or five-month royal [16:23] tour, leaving the five-year-old kid [16:26] behind. When she returned to England, [16:29] she greeted him by shaking his hand. [16:32] And [16:34] now [16:35] what I said to Harry was that even [16:38] animals [16:40] hold and touch their kids. [16:43] Their infants, mammals, that's what they [16:44] do. [16:45] Because mother rats, when the baby's [16:48] born, they lick their babies. [16:51] And the way the mother rat uh [16:53] rat licks the baby, this has been shown [16:55] in laboratory, influences the brain [16:57] development of the child. And those [16:59] babies that get the right kind of [17:01] licking, it's called grooming, they have [17:04] better brains as adults. [17:07] Premature infants used to be put in [17:09] incubators, and nobody used to touch [17:10] them. [17:11] Then it was found out that if I just by [17:14] stroking their backs 10 minutes a day, [17:16] that promotes healthy brain development. [17:18] And the great British-American uh [17:21] anthropologist Ashley Montagu wrote a [17:23] book called Skin: The Human Significance [17:25] of Touch. [17:27] So, I was saying that touch is [17:28] important. You not being held and not [17:30] being touched was a deprivation. [17:33] And I said, "Mammals, [17:35] monkeys, you know what happens when a [17:36] baby elephant is born? This is [17:38] fascinating. [17:40] The mother ele- I read this in the book [17:42] called The Evolved Nest, for which I [17:44] wrote the preface, [17:45] by a wonderful psychologist called [17:47] Darcia Narvaez. When a when an infant [17:49] element elephant is born, [17:52] and the mother goes into labor, all the [17:54] other mother elephants stand around in a [17:56] circle. When the infant plops on the [17:57] ground, they all stroke them with their [17:59] trunks. [18:01] So, touch and being held is so important [18:06] for mammals. And I was saying, "Animals [18:09] do journalist, who I don't know what she [18:12] was listening to, said, "I said the [18:15] royal family treats their kids like [18:16] animals." [18:17] I said, "No. I wish they had." [18:20] So, I mean, the distortion is just [18:23] laughable if it wasn't if I hadn't taken [18:26] it so personally, [18:27] for the reasons I already explained. For [18:29] you to take it [18:32] so [18:33] personally, which led you to call a [18:35] psychiatrist, Yeah. a man like you with [18:38] the knowledge you have that writes books [18:39] about the mind and stress and the body [18:41] and all these things, [18:44] you must have been in a pretty dark [18:46] place. I was in a dark place, and I [18:48] wasn't But look, [18:50] I'm a human being like the rest, and [18:52] what Charlie Mackesy says in [18:54] in that book is that the most courageous [18:57] thing you can do is ask for help. [18:59] Mm. It's true. You know, there's that I [19:01] don't know if you remember the Beatles [19:02] song Help, I need somebody, and and John [19:04] Lennon sings, "When I was younger, so [19:06] much younger than today, I didn't need [19:08] anybody's help in any way." [19:10] But now, those days are gone. I'm much [19:13] less self-assured. He's actually saying [19:16] that when he was younger, he believed he [19:19] didn't need help. [19:20] But the reason he believed he didn't [19:22] need help, that he has to make it on his [19:23] own, cuz he was so traumatized as a [19:25] child. [19:26] His uh father left him when he was born. [19:30] Um his mother left. [19:32] He was brought up by an aunt, and Lennon [19:34] grows up feeling abandoned, that I can [19:36] do this on my own. I don't need anybody. [19:39] You know? And uh later on, he realizes, [19:43] "I need help." [19:44] But as actually, we're all born needing [19:47] help. We're all born uh [19:49] needing to be understood, to be attuned [19:53] to be seen, to have our emotions [19:56] received and validated. That's one of [19:57] the essential needs of children. [20:00] As I make the point in The Myth of [20:01] Normal, and children can be traumatized [20:04] not just by terrible things happening to [20:06] them, but just by not having their needs [20:08] met. [20:09] By not being seen, not being heard, not [20:11] being held, those are wounding for a [20:13] child. Which is what the meaning of the [20:15] word trauma means. So, you don't need [20:17] terrible things to happen. [20:19] It's so difficult for people to [20:20] understand that. [20:22] You know, they they they think for [20:23] trauma, you need [20:25] horrific events. Well, horrific events [20:28] can be very traumatic. But you can wound [20:30] people, [20:32] sensitive people. The sensitive child or [20:34] any child can be hurt [20:36] just because the parents are too [20:37] stressed and unavailable emotionally to [20:39] really see them for who they are. [20:42] I've struggled with that in my life, [20:43] especially being um [20:46] a CEO, I think. I've struggled to ask [20:49] for help when I need it. [20:50] Because you kind of see yourself as the [20:53] helper. [20:54] And also, I've struggled with the idea, [20:58] maybe I don't know where I got this [20:59] story from, that people like me, maybe [21:02] because I'm a man, [21:03] maybe because I'm um [21:06] the head of businesses, [21:09] we have to figure it out on our own. [21:11] And the cost of repress repressing [21:15] how I feel [21:17] has become more and more evident over [21:19] time. Yeah, how so? Just like I think I [21:23] When I was younger, I never experienced [21:25] anxiety before. And then as I had more [21:28] difficult moments in business where I [21:29] tried to solve the problem in my mind [21:31] for the first time that like 25, 26, 27, [21:34] 28, 29, 30 that I experienced like fully [21:37] fledged what I'd call anxiety where I [21:39] just couldn't get a [21:42] thought out of my head and I felt it in [21:44] my body. My breath was short, this [21:46] constant state of like angst. Yeah. Um [21:49] and [21:51] and yeah, I just thought I could deal [21:53] with it myself. I thought I could think [21:54] my way through it. Yeah. Um was that the [21:57] hardest the the hardest moment in terms [21:59] of your own psychology in your adult [22:01] life in recent times? [22:03] Let me answer that question in a moment, [22:04] but let me ask you a question that [22:06] occurs to me, if I may. Yeah, please. Um [22:08] it's like with beautiful women, [22:11] they sometimes have a really hard time [22:13] cuz they can never know [22:17] that somebody [22:18] want me for who I really am, [22:20] or they're just attracted to my physical [22:23] features. [22:25] So, for somebody who at a young age [22:27] becomes quite wealthy and successful, [22:30] um [22:31] how do you know when somebody's [22:32] approaching you? [22:34] Are they [22:35] approaching you cuz they want something [22:37] from you, or because they really care [22:38] about you? I mean, that must be a [22:39] problem for you, I imagine. 100%. [22:42] 100%. You never really know or [22:43] understand what your relationships are. [22:45] Yeah. [22:46] You know? Yeah. Huh. So, it it must be [22:48] confusing sometimes. It is. And you I [22:51] typically fall back onto the [22:53] relationships I had before. Yeah. Yeah. [22:55] Cuz I can trust those ones. Yeah. So, I [22:56] have the same my [22:58] best friends, people I spend my time [22:59] with on my birthday, there's five, you [23:01] know, five people there, are the five [23:03] people that were there 10 years ago. [23:05] Yeah. Unless, I think, [23:07] we get reconnected to our gut feelings, [23:10] then our gut feelings will tell us what [23:12] is real and what isn't. But the problem [23:14] for many of us is that we get [23:16] disconnected from our gut feelings very [23:17] early in life, like in a [23:19] in this room of 2,100 at the Troxy on [23:22] Monday night, um I think I asked this [23:24] question, I always do it. Uh have you [23:26] had the experience of having a strong [23:28] gut feeling about something and not [23:30] paying attention to it, ignoring it, and [23:32] being sorry afterwards? [23:34] Mhm. Almost everybody puts their hand [23:35] up. [23:36] That's a child sign of childhood [23:38] wounding. [23:40] Because we're born connected to our gut [23:41] feelings. No baby is disconnected from [23:44] their gut feelings. Something happens to [23:46] make us disconnect. What is a gut [23:48] feeling? [23:50] In it from a physiological perspective, [23:52] because gut feeling is used as a word to [23:53] describe, you know, an intuition or, you [23:56] know, [23:57] Well, the real gut feeling is really [23:58] happening in the gut. [24:01] In the Western way of looking at it, we [24:04] tend to look upon the intellect and and [24:05] and the intellectual brain as the only [24:07] brain that we have, but actually our [24:10] brain is a far more complicated um [24:13] structure. [24:14] And our heart has a nervous system, [24:17] which is connected to the brain up here. [24:19] And there's a kind of knowing in the [24:20] heart. Sometimes people say, "I knew it [24:21] in my heart." And they did. [24:24] If they're connected. [24:26] Gut feelings are what all animals [24:28] possess. It warns them of danger or when [24:30] it's safe and when it isn't safe. Not in [24:32] the brain. Um the gut is connected to [24:35] the brain. The the gut sends more [24:37] connections to the brain than the brain [24:39] sends to the gut. [24:41] And the gut has more of the [24:44] neurotransmitter serotonin in it than [24:46] the brain does. [24:48] So that the gut feelings are here to [24:50] tell us about what is safe and what [24:52] isn't. And when the brain in the gut [24:56] and the brain in the heart and the brain [24:58] in up here in this in the head are [25:01] connected, then we're grounded and [25:03] present and very alert and very aware of [25:05] what's going on. But when childhood [25:07] trauma interferes with those [25:09] connections, which it does, then we [25:11] start to just work from up here, and we [25:13] can think we can figure things just from [25:15] up here. [25:17] But actually, when you think about human [25:19] beings, where did we evolve? We evolved [25:21] for millions of years out in nature. How [25:24] long does any creature in nature survive [25:26] if they don't pay attention to their gut [25:28] feelings? [25:30] So, to go back to your question about [25:32] me, [25:33] I used to believe I really used to [25:35] believe [25:36] into my 40s that I everybody else could [25:39] be stressed, but I couldn't be. [25:42] And it's like you and your anxiety. Um [25:46] I think the reason you [25:48] I didn't feel the stress cuz I had [25:50] coping mechanisms. [25:52] Like working hard [25:54] and um [25:55] getting people's attention or using my [25:58] smarts. [26:00] And and [26:02] uh having status and all this kind of [26:04] stuff, you know? [26:05] And then that broke down. I realized I I [26:08] could be stressed like everybody else, [26:09] but literally, I had to I I had this [26:12] belief, and it's almost unbelievable to [26:13] me now, that I used to believe that I [26:16] couldn't everybody else could be [26:17] stressed, but I couldn't be. [26:19] That's what I thought. [26:22] Yeah. [26:24] Your wife, when you went through that [26:26] Yeah. dark moment, if I was her, what [26:28] would I have observed? [26:32] Well, first of all, and I talk about [26:35] this in The Myth of Normal, and really [26:37] my wife came on stage at the Troxy on [26:38] Monday night and talked about this. I [26:40] asked her to. [26:42] Women have 80% of autoimmune disease in [26:44] this society. [26:46] So that um [26:48] diseases where the immune system attacks [26:50] the body happens to women much more than [26:53] to men. [26:54] Things like rheumatoid arthritis, [26:55] systemic lupus, chronic fatigue, [26:58] fibromyalgia, [26:59] um [27:00] inflammatory diseases of the gut, [27:03] um [27:04] and and so on. [27:06] Why? [27:07] So, [27:08] um [27:10] those diseases tend to happen to people [27:13] not just according to my own [27:14] observation, although it's very much my [27:17] own observation when I was working in [27:19] family practice and palliative care [27:22] before I did addiction medicine, I [27:24] noticed that who got sick and who didn't [27:26] wasn't accidental. [27:27] Um as the subject of my book When the [27:29] Body Says No, and then again in The Myth [27:32] of Normal, people tended to be [27:36] compulsively concerned with the [27:37] emotional needs of others rather than [27:38] their own, [27:40] identified with duty, role, and [27:42] responsibility, so they're [27:44] they're working the world rather than [27:47] their own um [27:49] true selves. [27:50] They tended to suppress healthy anger. [27:53] So, they tended to be very very nice and [27:54] peacemakers. [27:56] And they tended to believe that they're [27:58] responsible for other people feel, and [28:00] that they must never they must [28:01] disappoint anybody, two fatal beliefs. [28:03] So, these are the people that according [28:05] to my observation, but according to a [28:07] whole lot of research as well that I [28:09] didn't even know about, but I've since [28:11] found them, elegant research, these are [28:13] the people that tend to develop [28:15] autoimmune disease. Now, in this [28:17] society, [28:18] which gender is more acculturated, [28:21] programmed to suppress their healthy [28:23] anger, to be the peacemakers, to be the [28:25] caregivers? Women. This is a function of [28:29] a reality that a lot of people deny, but [28:31] it's a patriarchal society, but which we [28:33] can talk about, but it's not a [28:34] conspiracy, it's just how it works. So, [28:37] me in my marriage, I expect my wife to [28:39] absorb my stresses. And if I'm unhappy, [28:43] guess who I blame? And who do I take it [28:45] out on? So, she would experience [28:47] somebody who's [28:48] um can be hostile for no reason and [28:51] blaming and [28:53] she used to walk on eggshells. [28:56] Now, um [28:58] thank God, she's not the type to do that [29:00] for too long, and at some point she'll [29:02] call my bluff. [29:03] And then I either wake up or she says, [29:07] "Thank you very much, but enough of [29:08] this." You know? [29:10] And so, she would experience somebody [29:11] who's irritable [29:13] and [29:14] unreasonably blaming [29:16] and not taking care of their own needs, [29:18] and then expecting her to take care of [29:20] them for me. [29:22] And um [29:24] we both had to grow up. Now, she was [29:26] programmed that way as a child. [29:28] Her parents had a lot of problems, and [29:30] she became the peacemaker and a [29:32] caregiver emotionally. [29:34] And then she carries that role into her [29:36] marriage with me. [29:37] And here's where the bad news is of her [29:39] people, we always marry somebody at the [29:42] same level of emotional development or [29:44] trauma resolution as we are. [29:46] So, when we met, we were two traumatized [29:48] people not even realizing it. And then [29:50] we played out our traumas, and I played [29:53] it out in the typical male way, [29:55] which is to be aggressive and demanding [29:57] and resentful [29:59] if she wasn't around to mother me. [30:03] And um that's what she would have seen. [30:05] And this dynamic can still arise [30:08] except when it does, [30:10] she puts a stop to it right away. And I [30:13] have the [30:14] grace and the wisdom I now to [30:16] understand, yeah, I'm doing it again. In [30:18] fact, I haven't done it since then. [30:20] Because I just don't want to be that [30:21] guy. [30:23] You know, but that's what she would have [30:24] seen. [30:25] And what was going on inside your head? [30:27] Were you anxious? Were you depressed? [30:30] I was anxious and um [30:33] then I want her her soothing. I want her [30:37] I how should I say this? Um [30:41] There's an interesting sexual dynamic [30:43] between men and women. [30:44] The men very often [30:46] expect the unconsciously expect their [30:48] women to mother them. [30:51] To give them the mothering that [30:53] they didn't fully receive as kids. [30:55] And the women take on that role because [30:57] they're acculturated in this society to [30:59] do that. [31:00] But then what happens sexually? [31:02] No healthy guy wants to sleep with his [31:04] mother. And no healthy woman wants to [31:06] sleep with her son. [31:07] So, that [31:08] the the order and the you know, the the [31:11] the passion kind of drains out because [31:13] of this unconscious dynamic of women [31:16] mothering men and and men men demanding [31:18] that they do. [31:20] So, then I become frustrated. [31:22] And [31:24] then who do I blame for that? I blame [31:26] her rather than looking at how did I [31:28] contribute to how did I have create this [31:30] situation? [31:32] So, um [31:33] all that stuff played out in our [31:35] marriage. [31:36] And we've had to learn a lot from [31:38] what didn't work. [31:40] In my relationship when I was most [31:43] anxious, [31:44] it's also when my relationship nearly [31:48] ended. Mhm. [31:50] Um with my partner because like you [31:52] said, I inadvertently took it out on her [31:55] Yeah. because I felt that she should [31:56] understand how I'm feeling and basically [31:58] adapt to me. [32:00] Exactly. And she didn't, and so [32:04] there was conflict because I felt like [32:06] she was misunderstanding me. Yeah. And [32:08] wasn't like acting in the right way to [32:11] meet the needs that I had. Like she [32:12] couldn't under You know, and and so that [32:15] I think I wore her down, and then there [32:17] was kind of like as you say that [32:19] ultimatum [32:21] Yeah. moment where she's basically [32:22] saying, "Listen, should I just go?" [32:24] Yeah. And what you probably didn't do, [32:26] and what I didn't do for a long time, is [32:28] just to go to her and say, "You know [32:30] what? I'm feeling anxious." Yeah, that [32:31] was the That's what happened after. You [32:33] know, you know, and I'm feeling [32:35] unsettled. And I realize that I have [32:37] resentful feelings towards you, you [32:39] know? [32:40] Instead of owning it, we acted out. [32:43] Yeah. And then we Why don't they [32:44] understand us? Yeah. And [32:46] actually So, what we're actually [32:48] demanding is that we can be children [32:50] emotionally, and they be the mothers who [32:53] without any [32:55] effort on our part will understand and [32:57] see us. [32:58] You know, and this is a strong dynamic [33:02] um in men-female relationships. And what [33:05] tends to happen is is that men then [33:08] Women at some point get to the [33:10] if they're healthy enough. Now, if [33:12] they're not If they're not strong enough [33:14] to assert themselves, you know what [33:15] happens? They get sick. Mhm. And uh [33:19] I know this is a mouthful, but a lot of [33:23] women's cancers and autoimmune diseases [33:25] are precisely because of this [33:26] self-repression. And I could talk about [33:28] that at great length, the physiology of [33:30] it. But either that the body will [33:33] somehow say no for them. That's why [33:35] women are on much more likely to be on [33:36] antidepressants cuz they're taking the [33:38] medication for both of them. [33:40] You know, and so either the woman gets [33:43] ill somehow or she asserts herself and [33:46] says, "I'm not doing this anymore." At [33:48] which point the guy will go seeking a [33:50] younger mother who's not yet mature [33:52] enough to assert herself. [33:54] And this happens all the time in [33:56] relationships. [33:58] The cost of self-repression, the cost of [34:00] sort of emotional repression. I think [34:01] everybody is guilty at some point in [34:04] their life of repressing their emotions. [34:05] I think men Yeah. do it a lot as well. I [34:07] mean, if you look at the suicidality [34:09] Yeah. in the UK among men, men tend to [34:11] act it out on themselves like that, [34:12] yeah. [34:13] What is the cost of self-repression that [34:15] you talked about? The physiological [34:17] mechanism of what's going on when we [34:19] repress our emotions and how we feel? [34:21] It's It's been well studied not just by [34:23] me, but others [34:25] and documented that repression of [34:28] healthy anger [34:29] um [34:30] disturbs the immune system. [34:32] Now, why should that be the case? Now, [34:35] healthy anger [34:36] is simply [34:38] when somebody is intruding on your space [34:42] and they won't desist. You say, "You're [34:45] in my space. Get out." That's healthy [34:48] anger. It's in the moment. When it's [34:50] done its job, it's finished with. [34:53] It's different from chronic rage, which [34:55] is a whole other thing. [34:57] Now, [34:58] in other words, anger is a boundary [35:00] defense. [35:01] That's all it is. Animals do it. Ah, get [35:04] out of my space. [35:05] You know, now [35:07] the emotional system in general has the [35:09] job [35:11] uh the human emotional system [35:15] in general has the [35:17] role of allowing in what is nurturing [35:20] and loving and healthy and welcome and [35:23] to keep out what isn't. That's the job [35:25] of the emotional system. [35:27] Let me ask you a trick question. What's [35:29] the job of the immune system? [35:35] Okay, I'll answer. [35:36] It's to keep out what is unhealthy and [35:38] unwelcome and toxic and to let in what [35:41] is nurturing and healthy. [35:43] So, the immune system is like is can be [35:45] called a floating brain. [35:47] It has a memory. It has a reactive [35:48] capacity. [35:51] And um [35:53] it [35:55] res- allows in nutrients and vitamins [35:58] and healthy bacteria and keeps out and [36:00] destroys what isn't, toxins and [36:03] unhealthy invading organisms and so on. [36:06] In other words, the immune system and [36:08] the emotional system have exactly the [36:09] same role. [36:13] That's the first point. The second point [36:14] is they're not separate systems. [36:17] Physiologically speaking, [36:19] the emotional system, the nervous [36:20] system, hormonal apparatus, and the [36:22] immune system are all one system. [36:25] And there's a whole new science when I [36:27] say new, 60, 70, 80 years old called [36:30] psychoneuroimmunology [36:32] that studies the unity. So, it's not [36:34] even that all these things are [36:35] connected, they're one. [36:37] So, therefore, when you're suppressing [36:39] one aspect of it, you're also [36:40] suppressing the other. So, people that [36:42] repress healthy anger, they have [36:44] diminished immune activity. [36:46] And this has been demonstrated. [36:49] So, [36:50] so the repression of emotions has a [36:53] physiological function. And when you [36:55] repress your immune system, you're more [36:57] likely to have that immune system turn [36:58] against you [37:00] or to fail you when it comes to [37:02] malignancy. [37:03] The immune system like you and I have [37:05] cancer cells in our bodies probably [37:06] every day cuz na- nature makes mistakes. [37:09] That's not a problem. The immune system [37:11] recognizes them as [37:13] cancer cells don't have on their [37:15] surfaces markers [37:17] that our normal cells do. So, the immune [37:19] system says, "This is a foreigner. It's [37:21] an enemy. I'm going to destroy it." [37:23] But when you repress your emotions, you [37:25] can also undermine your immune system, [37:28] and then your immune system will not [37:30] recognize the malignancy and not destroy [37:32] it. It allows it to [37:35] to proliferate. [37:37] There was a British surgeon in the 1960s [37:40] who operated on Am I talking too much? [37:42] No, you know, there's no such thing on [37:43] this podcast. [37:44] Okay. [37:46] Because I just get so passionate about [37:48] this stuff. [37:49] Uh and the reason I get so passionate [37:51] about it is cuz it's so important in [37:52] healing. And we as physicians could do [37:55] so much more for people if we understood [37:57] these scientific facts, but we don't as [37:59] a profession. Anyway, there was a day [38:02] There was a British um [38:04] thoracic surgeon called David Kissen in [38:06] the 1960s who noticed what I noticed in [38:10] my practice, that um [38:14] people emotionally repressed are more [38:15] likely to get lung cancer. [38:18] Now, [38:19] it's true that [38:21] most people who get lung cancers are [38:24] smokers. [38:25] But out of 100 smokers, only about 10 or [38:28] 15 get lung cancer. [38:30] Which doesn't mean that lung smoking [38:32] isn't the major contributor to lung [38:33] cancer. It is. [38:36] But he found that it was those of his [38:38] patients that were emotionally repressed [38:40] that were likely to get the lung cancer [38:42] as a result of the smoking. [38:44] And the more repressed they were, the [38:45] less smoking they had to do in order to [38:47] get lung cancer. [38:48] This is This guy noticed this in the [38:50] 1960s. So, emotional repression has huge [38:53] implications physiologically. And [38:55] emotional repression [38:57] is one of the uh [38:59] impacts of childhood trauma. [39:01] Why? [39:02] The child is born with [39:05] some fundamental needs. [39:07] One of them, as I've articulated [39:10] earlier, is for attachment, for [39:12] closeness, proximity, [39:14] unconditional loving acceptance by um [39:18] caring adults. [39:19] Not just the human child, [39:21] all mammalian children have that need. [39:24] Without that, they don't survive. [39:26] So, that's called attachment. [39:28] The seeking of closeness and proximity [39:30] for the purpose of being taken care of [39:33] or to take care of the other. And our [39:34] brains are wired for attachment. [39:37] We have circuits in our brain [39:39] dedicated to the attachment [39:40] relationships. And that's so important [39:42] all through our lives, but especially [39:44] when we're infants and young children. [39:46] Now, but we have another need. We've [39:49] already talked about it. I just haven't [39:50] named it. The other need is for [39:52] authenticity. We used to be ourselves, [39:54] connected to our bodies and our gut [39:56] feelings. [39:57] Because again, without access to our gut [39:59] feelings, we don't survive. [40:01] Uh out there in nature, where we evolved [40:03] and where we lived until [40:06] 15,000 years ago. You know, and so that [40:10] authenticity is very important, to be [40:12] connected to yourself, so that you know [40:14] when you're safe and when you're not. Uh [40:17] you know what you want and what you [40:18] don't want. You know how to say no when [40:20] you don't want something. You know how [40:21] to say yes when you do. That's [40:23] authenticity. Auto the self, being [40:26] ourselves. And [40:29] to go back to Harry, his [40:31] challenge all his life [40:33] was that he wasn't allowed to be [40:35] authentic. He had to play a certain role [40:37] and fit into a certain set of [40:38] expectations of how to be and who to be. [40:41] And he could never figure out who am I [40:42] really? [40:43] You know, in that context. But that's so [40:45] general. So many of us face that [40:47] challenge of who are we really? Who are [40:49] we authentically? [40:51] As opposed to what's expected of us. [40:53] Now, so we have these two needs. [40:55] Attachment on the one hand [40:58] authenticity in the other. [41:00] Ideally, the two are not in conflict. [41:04] Ideally, you can be in a relationship or [41:07] I can be in a relationship where we can [41:09] be ourselves and be accepted and [41:12] connected with. [41:14] And that's ideal all our lives. [41:17] But what happens to a young child where [41:19] if they're authentic, they're not [41:21] accepted? [41:22] So for example, [41:24] um certain psychologists [41:26] recommend that angry children should be [41:30] uh punished for their anger. [41:32] Rather than [41:34] their anger being understood as to what [41:35] it's all about and the child being [41:38] taught different ways to express it. [41:40] They just to be punished for it. And by [41:43] different ways. [41:45] By the way, if you're parent of a [41:47] 2-year-old and if you don't frustrate [41:49] your child, you're probably not doing a [41:51] good job cuz your 2-year-old may want a [41:53] cookie before dinner. And you say, "No, [41:55] cookie before dinner." Uh [41:57] I want a cookie, you know. And in a [41:59] minute they're throwing a tantrum. Cuz [42:01] what do even adults do when they're [42:02] frustrated? They throw tantrums. [42:05] Children, that's just what they do. They [42:07] have no self-regulation yet. [42:09] So the 2-year-old gets upset. [42:12] Now you punish them. [42:14] You give them a message, "You're not [42:16] acceptable to me when you're angry. When [42:18] you're angry. [42:19] You have to be a certain way for me to [42:21] accept you. [42:22] Or you mustn't be sad. Cheer up. [42:25] What's you know, what's wrong with you? [42:26] You know? [42:28] So when children are given this message [42:30] of conditionality, [42:32] that you're acceptable to me [42:35] only if you behave in ways that I [42:38] approve of, [42:40] otherwise [42:41] the attachment relationship is [42:43] threatened, [42:44] then a child is faced with this choice, [42:46] which is not a choice at all. [42:48] Do I stay attached to my parents? [42:51] If my parent if my father's an [42:52] alcoholic, [42:54] and uh [42:56] the only way I can find acceptance is by [43:00] repressing my emotions and not show my [43:02] sadness and my fear, [43:04] then do I show my sadness and my fear or [43:06] my anger? [43:08] Or [43:10] do I threaten the relationship? Well, [43:11] there's no choice at all. The child will [43:14] choose the attachment. [43:17] And therefore they give up connection to [43:19] themselves. [43:20] Which is the essence of trauma. That [43:22] disconnection from ourselves, not in my [43:24] own words, in the words of other trauma [43:26] theorists, um [43:28] who I agree with, [43:29] the worst aspect of trauma is the [43:31] disconnection from ourselves. And we do [43:33] that for the sake of making maintaining [43:35] attachments. Which means for the rest of [43:37] our lives, we'll be afraid to be [43:39] ourselves. [43:41] Is this what they call people pleasers? [43:42] People uh exactly. [43:44] So um [43:45] Sheryl Crow, the American singer and [43:47] musician, um [43:49] developed breast cancer. [43:51] And she said that since my breast cancer [43:53] I've been a different person. Until [43:55] then, I was always trying to please [43:56] others. [43:58] And now, and there was used to be voices [44:00] in my head that were always telling me [44:01] that I was wrong. I don't listen to them [44:03] anymore. [44:05] You know, so that uh [44:07] people pleasers are the ones who gave [44:10] up, not by conscious choice, but as a [44:12] matter of survival, their authenticity [44:15] in order to stay liked and accepted and [44:17] attached with. But then they carried [44:19] that on in the rest of their lives. [44:21] And they're at risk. I always worry for [44:23] the very nice people. [44:25] I think this is fascinating. I looked at [44:28] the back end of our YouTube channel and [44:30] it says that since this channel started, [44:32] 69.9% [44:33] of you that watch it frequently haven't [44:36] yet hit the subscribe button. So, I have [44:38] a favor to ask you. If you've ever [44:40] watched this channel and enjoyed the [44:41] content, if you're enjoying this episode [44:42] right now, please can I ask a small [44:44] favor? Please hit the subscribe button. [44:45] Helps this channel more than I can [44:46] explain. And I promise, if you do that, [44:49] to return the favor, we will make this [44:51] show better and better and better and [44:54] better and better. That's a promise I'm [44:55] willing to make you if you hit the [44:56] subscribe button. Do we have a deal? You [44:58] always worry for the very nice people. [45:01] Yeah. You talk a [45:03] a lot about that in When the Body Says [45:05] No. Yeah. Why is being nice a potential [45:09] risk to one's health? [45:12] Well, there's two there's two places to [45:14] be very nice from. One is just genuine [45:16] human compassion and concern for others, [45:19] but you're still grounded in yourself. [45:21] That's great. [45:23] But a lot of people are very nice [45:25] because they afraid not to be. [45:28] Because they weren't liked who they [45:29] were, they weren't loved for who they [45:30] were. Being nice was their way of [45:32] gaining the the love and the attention [45:33] they needed. Let me tell you a story. In [45:36] uh [45:37] uh in 1870, there was a Frenchman [45:40] neurologist called Jean-Martin Charcot, [45:42] who was the first one to describe [45:45] multiple sclerosis, which is an [45:47] inflammation of the nervous system. Very [45:49] debilitating. [45:51] And Charcot said [45:53] in 1870, without any scientific [45:55] research, but just from his own [45:57] observation, that this was a [45:59] stress-driven disease. [46:01] Okay? Now, since then, there's been a [46:03] lot of research to show how stress and [46:06] trauma potentiate multiple sclerosis. [46:09] And that's not even controversial. Not [46:11] that any neurologists knows that, they [46:12] don't get taught this stuff in medical [46:14] school, but the research is there. And I [46:16] presented it in in my books. And [46:19] in any case, [46:20] when I was writing When the Body Says [46:21] No, [46:22] a group of a self-help group of multiple [46:25] sclerosis patients phoned me and said, [46:27] "Would you come and talk to us? [46:29] Cuz we understand you're working on [46:30] stress and and illness." [46:32] And I said, "Yeah, sure, I'll come and [46:33] talk to you." And there's about 25 [46:35] people in the group. [46:37] This is in Vancouver, Canada. And I gave [46:39] them very tentatively apologetically [46:42] apologetically, I said, "Look, I don't [46:43] know this for sure, but the sense I get [46:46] from my work in family practice and [46:48] palliative care is that the people that [46:49] develop your condition and other [46:52] conditions tend to be people to be [46:53] pleasers. That they have a they tend to [46:55] have difficulty saying no. They tend to [46:57] be very nice people." [46:59] And I I said, "You know, I'm sorry if [47:01] I've offended you. I don't mean to. I'm [47:02] just giving you something very [47:04] tentative. I haven't done the research [47:05] yet. I'm just giving you my [47:07] observations." They said, "You just [47:09] described us." [47:11] And they all said that. And there's a [47:13] woman who says in the group who says, "I [47:16] don't even know how to say no." [47:18] I said, "Terrific. Give me $100 right [47:21] now." [47:22] She says, [47:23] "Well, I don't I don't I don't have $100 [47:25] with me right now." I said, "It's not a [47:26] problem." I said, [47:29] "Outside the outside this building [47:30] there's an ATM machine. We can go and [47:32] after the meeting we can go out, you can [47:34] get $100 and give it to me." [47:36] She says, "Uh [47:38] I'm not comfortable doing that." [47:41] I said, "Listen, I'm just trying to get [47:44] you to say no to a ridiculous demand by [47:48] a perfect stranger to whom you you owe [47:51] nothing whatsoever." She said, "I can't [47:53] say the word." [47:56] Because in childhood, [47:58] and by the way, when you have kids, [48:00] you're going to find out what the word [48:03] no means because at age 1 and 1/2, all [48:05] kids start saying no. [48:07] They say that long before they say yes. [48:10] Why? [48:11] Because that no is their boundary [48:13] defense of I have to figure out who I [48:15] am. I'm not going to accede to your [48:17] demands. I need to figure out what I [48:18] want. Put your shoes on. No. [48:21] And the parents think this is something [48:22] wrong. There's nothing wrong. It's [48:23] nature individuating the child. [48:27] When families punish that, the child [48:30] will repress the no and the body will [48:32] say in the form of multiple sclerosis, [48:35] for example. [48:36] Niceness, ALS, amyotrophic lateral [48:39] sclerosis or known in Britain as motor [48:41] neuron disease. [48:43] Um [48:44] Stephen Hawking was diagnosed with it at [48:46] age 21. He was told he'd be dead within [48:49] 10 2 years. He lived another 55 years. [48:52] Doctors don't know everything. You know, [48:54] um [48:55] but there's been studies on ALS [48:57] patients. They're extraordinarily nice. [49:00] So, um [49:02] there was a from a Cleveland Clinic in [49:05] Ohio, a major referral clinic, two [49:08] neurologists published a paper at an [49:10] international [49:11] ALS or motor neuron congress, why are [49:14] ALS patients so nice? And what they [49:16] described was that when people came to [49:19] their [49:20] office for diagnosis before they met the [49:23] physician, [49:24] they had underwent EDX electrodiagnostic [49:27] testing of the nerves. And the [49:28] technicians who performed the test would [49:31] write on the side of the test, "This [49:32] person can't have ALS. She's not nice [49:35] enough." Or "I'm afraid this person has [49:37] ALS. They're too nice. And the [49:39] physicians, the neurologist specialist [49:41] said, despite the shortness of their [49:43] contact with their patients and the [49:45] obviously unscientific nature of their [49:47] observations, invariably, they turned [49:49] out to be right. [49:52] And then I called Dr. Wilburn who did [49:54] this study and I said, what did the [49:56] other staff what did the other [49:57] neurologists say [49:58] when you presented this? They said, oh, [50:00] I said, yeah, we all noticed this. We [50:01] just can't explain it. Since then, [50:03] there's been a study where they've asked [50:05] neurologists about their patients [50:08] and the answer is, all their ALS [50:10] patients are extraordinarily nice. [50:12] Now, what do neurologists don't do [50:15] is they don't make the connection that [50:17] that we that that that that that [50:19] niceness is a repression of healthy [50:20] anger and that repression of healthy [50:22] anger plays a role in the onset of that [50:26] disease. [50:27] So, it's not a accidental connection. [50:30] So, why do I write very nice people? Cuz [50:32] they're putting themselves at risk. [50:35] Again, niceness can come from genuine [50:37] concern for others, [50:40] but that's not [50:42] accompanied by an ignoring of yourself. [50:44] You also care for yourself. Then you can [50:46] be as nice as you want. [50:48] But you also know how to say no. [50:50] And you also know how to set boundaries. [50:52] You don't know how to and you know how [50:53] to be angry if you need to be. [50:55] But the niceness that comes from [50:57] self-repression, [50:58] that's the one that hurts. [51:01] There's clearly going to be a lot of [51:03] very nice people hearing that. [51:05] That know they're nice, that know [51:06] they're people pleasers, that know [51:07] they've experienced in their lives the [51:09] consequences of [51:12] putting everyone else before themselves. [51:14] Yeah. I can It's funny, as you were [51:16] talking, I was thinking about the person [51:17] that I know who I think is nicest. Yeah. [51:21] And that individual is sick all the [51:23] time. Yeah. And I just connected that [51:26] dot in my head. That I remember making a [51:28] joke to her about, oh, you're sick [51:29] you're sick a lot, like whatever, you're [51:31] sick a lot. And then also thinking, oh [51:33] my god, she is probably the nicest. [51:36] Nice is an interesting word because that [51:38] can be [51:39] misconstrued as like, hiya, or like, you [51:41] know, Yeah. saying nice things to [51:43] someone else, but it's really at a [51:44] deeper level. [51:46] From what I've observed in that person, [51:47] putting everyone else before them. Okay. [51:50] Or chronically serving other people's [51:52] needs before their own. [51:54] Well, so, my contention is, as I said [51:57] earlier, when people don't know how to [51:58] say no, the body will say no for them in [52:00] the form of illness. And for and for a [52:02] lot of people with serious illness, the [52:04] illness is the wake-up call. [52:06] Yeah. And they actually learn. And when [52:08] they do, that can make a difference to [52:10] the course of their illness. Sometimes, [52:12] not always, but I've seen examples of [52:14] remarkable healing when people learn to [52:17] say no and stop being people pleasers. [52:20] And I just only wish [52:22] that physicians understood this. So, [52:24] when somebody comes to them with chronic [52:26] eczema and all these other chronic [52:28] conditions, they would not just provide [52:30] the physical treatment, but they would [52:32] also talk to the person about how much [52:34] stress do they taking on. It's very [52:35] stressful to take on everybody else's [52:38] issues and ignoring your own. It's very [52:40] stressful. That stress has a [52:42] physiological impact on the body. [52:44] How does someone who is a people pleaser [52:47] how do they turn that ship around? [52:49] Because it's [52:50] they'll hear that, but because their [52:52] niceness or their people pleasing is so [52:54] deep within them and it started so [52:55] early, [52:56] they're not going to they're not going [52:58] to change. Most of them won't change. [53:00] Well, [53:02] they may change if they get sick. You [53:05] know, and if they learn something from [53:06] it. I've had a lot of people tell me [53:07] that. Um [53:09] But it is happens very early. Uh but [53:12] it's everybody's second nature, not [53:14] their first nature. It's a very [53:16] interesting phrase, second nature. It [53:18] means that there is a first nature. Now, [53:19] no baby is born as a people pleaser. [53:22] No baby is lies there no one-day-old [53:24] baby lies there thinking, [53:26] gosh, um I'm hungry and wet and and and [53:30] and lonely, but gosh, mom and dad have [53:32] been worked so hard, I better not bother [53:34] them. [53:35] You know, babies will express their [53:37] needs very volubly and very articulately [53:39] and very loudly. [53:41] That's how we're born. We're meant to be [53:43] born that way. [53:44] So, that this suppression of that is our [53:47] second nature. [53:49] And that first nature never goes away. [53:52] We can always retrieve it. But you have [53:54] to become conscious of it. So, and when [53:57] the body says no, I lay out certain [53:58] principles of healing. Um in the myth of [54:01] normal, I will actually teach this [54:02] exercise. Ask yourself this question, [54:05] where in your life are you not saying [54:06] no? [54:07] Where where no wants to be said, but [54:09] you're not saying it. Like let me [54:11] actually let me give an example. [54:13] Let's say I come to London and and and [54:16] we're friends and I call you up, hey [54:17] Stephen, here I am. Do you want to have [54:19] coffee? [54:20] Um [54:21] but you've been up all night helping a [54:23] sick friend. [54:24] Or [54:25] otherwise, you're just too stressed to [54:28] want to meet me right now. [54:31] Your desire is to say no. [54:34] But what if you suppress that no? [54:36] And you say yes for the fear of [54:38] displeasing me or disappointing me or [54:40] losing my friendship. If I say no, Gabor [54:43] won't like me anymore. [54:45] What's going to be the impact on you if [54:47] you keep behaving that way? [54:50] Physically, what's going to be the [54:51] impact? [54:52] I'm going to be going to be more tired, [54:55] more exhausted, probably going to be [54:57] more stressed. All that. Yeah. You're [54:59] going to be resentful. [55:00] Disconnected from Yeah, exactly. You [55:02] know, so so it's not a this so [55:04] this person, they need to the [55:07] I I teach this exercise in the book [55:09] about [55:10] where am I not saying no? [55:12] And [55:13] what is my belief behind saying not [55:15] saying no? I don't want to upset Gabor [55:17] if he's coming to me. [55:17] Exactly. And and and I and I depend on [55:19] Gabor's liking. Yes. You know. Uh which [55:22] means [55:23] as a child, you depended on your [55:25] parents' liking and you had to suppress [55:27] your no's to be liked. Thirdly, where [55:29] did I learn this belief that if I say [55:31] no, I'm not likable or I'm guilty or I'm [55:33] not worthwhile, you know? And the fourth [55:36] question is, um [55:38] who would I be without that belief? [55:41] You know, uh and so if if your friend [55:43] does this exercise regularly, believe [55:45] me, she can turn it around. But it takes [55:47] some practice. Who would I be without [55:50] that belief? Yeah. When I [55:53] put myself in her shoes or I put myself [55:55] in a people pleaser's shoes, I wouldn't [55:57] I'm a people pleaser in in certain [55:59] environments, but I wouldn't say I'm [56:00] generally. Yeah. Um I can imagine [56:03] someone would respond to that and say, [56:04] well, I'd lose all my friends. [56:06] She'd find out who her friends really [56:08] were. [56:09] Because the real friends would celebrate [56:11] it. [56:12] They'd say, oh, finally, we're so glad [56:14] to see you being yourself. [56:16] The friends that were just using her or [56:18] relying on her to be their supporter [56:21] um unconditionally, [56:23] uh will turn away. And I say this to [56:26] people, [56:27] this contest between attachment and [56:29] authenticity can be a painful one, [56:32] but you can decide which kind of pain [56:34] you want. [56:35] As a child, you had no choice. [56:38] As an adult, it's true, if you're [56:40] authentic, you might lose some [56:41] attachment relationships. That's going [56:43] to be painful. But which pain would you [56:45] rather have? The pain of being authentic [56:47] and losing some friendships that were no [56:49] friendships at all? [56:51] Or the pain of [56:53] of of of losing yourself and all its [56:55] implications and all its impacts on the [56:57] body. So, [56:59] um [57:00] it it would be difficult for her and [57:02] it's true, some relationships that she [57:04] has now that would fade away, [57:06] but my god, she'd also attract much more [57:09] genuine and authentic relationships. And [57:11] her true friends would really celebrate [57:13] her. [57:14] You know, now let me tell you something [57:16] that just occurred to me, but forget it. [57:17] The there was a [57:19] um book written by an Australian nurse [57:21] about 12 years ago. [57:23] And she this nurse, like I used to work [57:25] in palliative care with dying people, [57:26] she works with in hospice with dying [57:28] people. And these are people who tend to [57:30] die of of of malignancy and chronic [57:32] illness well before that time. [57:35] And she wrote a book called the the the [57:37] top five regrets of dying people. [57:39] Bronnie Ware. [57:40] And uh [57:42] you know what the top regret was? That I [57:43] wasn't being myself. [57:46] That I wasn't true to myself. [57:48] I wasn't being authentic. That's the top [57:50] regret of dying people. And and the um [57:53] the third one was that I didn't express [57:56] my feelings for fear of disturbing or or [57:59] displeasing others. So, authenticity is [58:02] not just a new age concept. It's [58:04] actually a central dynamic in staying [58:07] healthy human beings. [58:10] Oh, one more thing. So, yesterday I was [58:12] in Westminster Abbey. [58:16] And I was looking at all these [58:18] beautifully and articulately worded [58:20] monuments [58:22] to all these colonialists. [58:26] To all the people that oppressed and [58:29] murdered [58:30] and robbed [58:32] and despoiled [58:34] native people all over the world. [58:36] They're the heroes of the British [58:37] Empire. [58:39] And I think one of the reasons there's [58:42] such a strong pushback against the idea [58:44] of trauma in this society [58:46] is if you recognize trauma, which exists [58:49] not only on the personal individual [58:51] level, but very much on the collective [58:53] level, [58:55] the ruling elites in this country would [58:57] have to come to terms with the fact that [58:59] their wealth is based on the [59:01] traumatization of foreign peoples, which [59:04] incidentally [59:05] was one of the crimes of Harry. Is that [59:07] he pointed that out. [59:09] The the that let's face it, the royalty, [59:12] the wealth that I was born into [59:15] was achieved at the despoilation and [59:17] oppression of people around the world. [59:20] So, trauma [59:21] is not just a personal issue. It's very [59:23] much a social and collective and [59:25] historical issue. What's the cure? [59:28] You know, cuz if we're if we're many of [59:29] us are byproducts of generational trauma [59:32] and we're seeking different ways to ease [59:34] our pain through through the means of [59:36] addiction, whether it's pornography or [59:38] heroin or alcohol. [59:40] Um we can't all afford expensive [59:43] therapists. [59:46] But we exhibit those self-destructive [59:48] behavior patterns maybe every single [59:49] day, maybe with social media addictions [59:51] or whatever. [59:53] What do we do? [59:55] Unfortunately, uh the health care [59:57] systems around the world have very poor [60:00] appreciation of the emotional [60:03] contribution to people's [60:05] physical or mental ill health. [60:08] And most physicians and most [60:10] psychiatrists are not trained in it. [60:12] Unfortunately, there's a huge um [60:15] gap between science and research on the [60:17] one hand and medical practice on the [60:19] other. It's maddening sometimes to [60:21] contemplate it. Um [60:24] So, the first step would be to educate [60:26] the the caregivers. [60:28] Just educate doctors about the actual [60:30] science of the mind-body connection and [60:33] the impacts of trauma. [60:35] Educate them. [60:36] So, when you go to a physician with um [60:39] say chronic fatigue [60:41] or um [60:42] inflammation of your joints, [60:45] they don't just give you the necessary [60:46] medication, which I'm not against, but [60:49] they'll also ask you, "What's going on?" [60:52] You know? So, [60:53] that's the first thing. [60:55] Second thing is let's prevent the [60:57] problem. [60:58] So, [60:59] let's support young families to be [61:01] really there for their kids. [61:03] So that [61:04] families don't have to struggle [61:05] economically. [61:06] And the parents are so stressed. [61:09] Um [61:10] As I may have mentioned, I've forgotten [61:12] now, [61:13] when parents are emotionally stressed, [61:15] economically stressed, according to a [61:18] number of studies, the kids' stress [61:20] hormone levels are abnormal. [61:23] And that is a harbinger of future [61:26] disease. [61:28] And so, let's look after young families. [61:31] Let's make people feel secure. [61:33] Uncertainty, lack of control, [61:36] uh lack of information, these are some [61:38] of the drivers of physiological stress. [61:41] So, let's create a society where there's [61:43] a more sense of mutual acceptance and [61:46] commonality and and and social support. [61:50] You know? [61:51] Let teachers be educated that the kids [61:54] who are so-called misbehaving are kids [61:56] who are actually troubled. [61:58] Troubled because of stuff at home and [62:01] that the solution is not to exclude them [62:03] or to punish them, [62:05] but to actually give them emotional [62:06] support in the classroom and in the [62:08] schools. Let the schools be [62:11] the human brain, [62:13] according to a Harvard study, develops [62:16] um [62:18] from before birth. It's an ongoing [62:20] process that begins before birth and [62:22] continues into adulthood. [62:25] The necessary conditions for human brain [62:27] development is safe, [62:29] uh supportive emotional relationship [62:31] with adults. [62:33] Let everybody who deals with children, [62:35] from social workers to teachers to [62:37] daycare workers to kindergarten um [62:39] supervisors to to parents, understand [62:42] the emotional needs of kids. [62:44] And and provide that safety. Uh let the [62:47] justice system, so-called, about which [62:50] there's very little just, [62:51] um [62:52] uh [62:53] in Canada, [62:55] 50% of the women in jail are indigenous. [62:58] They make up 6% of the population. 50% [63:01] of the jail population. You call that [63:03] justice? You take the most traumatized [63:05] people [63:06] who then act out their traumas and then [63:08] you punish them for it. So, let the [63:10] medical system, let the educational [63:12] system, let the legal system understand [63:15] child development and trauma. [63:18] Now, in terms of the adult, to answer [63:19] your question more specifically, so [63:21] there's a social answer, Mhm. but then [63:24] there's the individual answer. [63:26] Yeah, a lot of people can't afford good [63:28] therapy. It's true. It's expensive and [63:30] and and even if there's a lot of people [63:32] who are get therapy but not getting [63:33] appropriate therapy. [63:35] Well, if you can't afford therapy, [63:38] go to the library, read some books. [63:41] My own, but not just my own. I could [63:44] rattle off five other books you should [63:45] read. Read Dick Schwartz's [63:48] book on internal family systems called [63:50] No Bad Parts. Read Bessel van der Kolk's [63:52] book on trauma called The Body Keeps the [63:54] Score. Read Peter Levine's book Waking [63:56] the Tiger on trauma. Read Oprah [63:59] Winfrey's and Bruce Perry's book What [64:01] Happened to You? Read Bruce Perry's book [64:04] called uh [64:05] The Boy Who Was Raised as a Dog. [64:08] Um [64:09] I mean, have you even read Peter Levine? [64:11] Oh, yeah. [64:12] Oh, good. Oh, good. Wonderful. I'm glad [64:13] to hear that. He's one of my mentors and [64:15] friends. [64:16] And we often work together. Uh so, this [64:19] is and and and all of these books will [64:22] have some [64:23] advice about how to help yourself, [64:26] including my books. Then, there's a lot [64:29] of stuff on the internet. So, this [64:31] uh the interview that you and I had a [64:33] year ago, [64:34] I checked this morning, has been seen by [64:36] 2 and 1/2 million people. I'm sure it's [64:38] helped a lot of people. It's a lot that [64:41] you can get, just, you know, freely. [64:42] Nobody's going to get charged to [64:45] you know, on the YouTube. Um [64:47] lots of my talks are available. Lots of [64:49] talks by other really good people [64:50] available. Do that. There's self-help [64:53] groups [64:54] of all kinds. [64:55] Um Is there a risk here? This is what [64:57] the the one side of the narrative [65:00] sometimes argue that you can kind of [65:02] over-traumatize [65:04] your life in terms of over-labeling [65:07] everything that you do as a trauma. So, [65:09] you know, and [65:11] I mean, the [65:12] that always happens, right? When when [65:14] people become [65:15] aware of something, they become [65:17] over-aware and they start over-labeling [65:19] and saying, "That's a trauma response. [65:20] That's a trauma response. That's a [65:22] trauma response." And they kind of live [65:23] with a feeling that they are inherently [65:25] broken. [65:26] Yeah, but my point is that nobody's [65:28] broken. [65:29] Um Actually, I talked about our first [65:32] nature. [65:33] That's always there. [65:35] When people recover, it's an interesting [65:37] word, recovery. What does it mean to [65:38] recover? [65:40] When you recover something, what are you [65:41] doing? [65:43] Going back to You're finding it. [65:46] Oh, yeah. Actually, yeah. That's the [65:47] definition of the word, isn't it? What [65:48] do people find when they recover? They [65:50] find their true selves. [65:52] That's what they'll tell you. That true [65:54] self never went away. Nobody's damaged [65:56] goods. Nobody's broken. [65:58] To talk about trauma is not to [65:59] disempower people, but to empower them. [66:02] If I learn that my response to the [66:04] British media [66:06] and the Harry [66:09] issue [66:10] was [66:11] actually it's nothing to do with the [66:12] present moment. It's actually some old [66:15] programming. [66:17] Oh, okay. Now I can drop it. Are you [66:19] glad it happened? [66:20] I'm glad that everything happened cuz [66:21] everything is learning. [66:23] Nothing in this this life is wasted if [66:25] you know how to use it properly. And um [66:28] so, what I'm saying is that [66:30] to under- to to be aware of trauma is [66:32] not to lose power, but to gain it [66:33] because it's not an excuse. I can't keep [66:36] going to my wife and saying, "I'm being [66:38] resentful of you and and punishing you [66:40] because my mother didn't take good care [66:41] of me when I was a baby cuz she was too [66:43] stressed." [66:44] You know? [66:45] I mean, that that that's lack of [66:48] responsibility. [66:49] But to for me to understand that my [66:52] demands on my wife to take care of me [66:54] like a mother would of a baby [66:56] actually is my trauma response, then I [66:58] can drop it. Cuz I'm not a baby anymore. [67:01] I don't need [67:02] I'm not that helpless. I'm not that [67:04] resourceless. [67:06] Um I'm not that um [67:07] ungrounded. So, that [67:10] when you recognize trauma, it's not in [67:11] order to use it as an excuse, but to [67:14] actually to overcome it. [67:15] That's the whole point. [67:17] When we talked about the suppression of [67:19] our emotions and anger, you used the [67:21] word healthy anger. Yeah. When you you [67:23] know, cuz there's a there's a risk, [67:24] isn't there, when you're [67:25] saying that anger can be a positive [67:27] thing, that people will then assume that [67:29] berating someone behind a counter or a [67:32] waitress in a restaurant because they [67:34] got one item on your order wrong is [67:36] standing up for your boundaries. I've [67:38] done it. [67:39] Yeah. [67:41] No, it's not. [67:42] So, healthy anger is in the moment. [67:44] And it's just a boundary defense. [67:47] It's not outrage. It's you're in my [67:50] space, get out. [67:52] That's its purpose. That's its only [67:53] purpose. [67:54] Or to protect something like a You want [67:57] to see anger? [67:58] Um [68:01] Try and tell a mother bear [68:03] not to [68:04] be close to their [68:06] to their cubs, you know? You'll find out [68:07] what healthy mother anger is all about, [68:09] you know? That's just healthy. [68:12] The kind of rage you're talking about, [68:15] have you ever had that kind of rage? [68:18] Definitely on a spectrum. I've got I've [68:20] got So, the reason I struggle with the [68:21] answer is because I've got a friend [68:22] that's fully shown me what the [68:25] that's the extreme side of that is, [68:27] where we used to call it the red mist [68:29] with him, where he would literally lose [68:30] control. [68:31] is incidentally what Harry used to call [68:32] his anger. [68:33] Oh, really? [68:34] Yeah. Yeah. My friend So, my friend um [68:37] my friend, one of my best friends in the [68:38] world, he he talks about this all the [68:39] time is he had you could trigger him by [68:42] saying something, usually by [68:44] saying he was wrong about something. [68:46] Yeah. Or something like that. Yeah. And [68:48] then he would just lose it. So, I [68:52] remember the first [68:53] the last time it happened was [68:55] and the pandemic rolled in, I was [68:58] staying with him [68:59] at in his apartment cuz the lockdown and [69:02] I was living in America at the time. And [69:04] we were discussing the virus. And I said [69:06] to him, um I think people that are older [69:10] and that have certain health um [69:13] situations are more at risk. And he said [69:15] to me, "No, people that are younger are [69:17] more at risk." And I said and I showed [69:19] it an NHS um website which said, "No, [69:21] it's people that are older are more at [69:22] risk." [69:22] Yeah. And he just went into this red [69:24] mist. Okay. He was totally triggered and [69:26] lost control of his emotions. Okay, so [69:28] if you observed him then, what you would [69:30] have noticed is [69:31] remember what I said about healthy [69:32] anger? It's in the present moment. Once [69:34] it's done its job, it's gone. [69:35] Yeah. Your friend, the angrier he gets, [69:37] the angrier he gets. [69:38] Yeah. So the the rage just keeps [69:40] building on itself. Now we talk about a [69:42] fit of anger. [69:44] It's a good word. [69:45] You know where else we talk about fits? [69:47] It's epileptic fits. [69:49] In epileptic fits, [69:50] certain electrical miswiring in the [69:53] brain then recruits other brain circuits [69:56] and it gets more and more and more until [69:57] whole the whole body shaking and the [69:59] person may even lose consciousness and [70:01] soil themselves and so on. That's an [70:03] epileptic fit. A fit of anger is the [70:05] same. The the a fit of rage is the same. [70:09] So that the more severe it gets, the [70:12] more of his brain circuits it recruits. [70:13] So rather than expending itself, [70:15] doing its job and then being gone, it [70:19] actually gets worse and worse and worse. [70:21] That's unhealthy anger and triggering is [70:23] a good word. [70:24] Because look at what the word triggering [70:26] means. [70:27] Now if you look at a weapon, [70:28] how big a part of the weapon is the [70:30] trigger? [70:32] This big. [70:33] For the trigger to set off anything, [70:35] there has to be ammunition there. There [70:37] has to be [70:38] um explosive material there. [70:42] So your friend is carrying a lot of [70:44] explosive material. I can tell you, your [70:47] friend never felt understood or [70:49] validated as a child. And he's still [70:51] carrying the rage of that. So you [70:53] trigger him [70:54] and then [70:56] by disagreeing with him and all the pain [70:59] of invalidation, all the rage of not [71:01] being understood now gets triggered and [71:03] recruits more and more of his brain [71:05] circuits. Now I can tell you something. [71:07] Healthy anger is essential for our [71:09] physical integrity. [71:10] That rage, in the absolute in the in the [71:13] aftermath of a rage episode, your risk [71:16] of a heart attack or stroke doubles for [71:18] for the next 2 hours, according to [71:20] studies. Because what happens? Your [71:22] blood pressure goes up, [71:23] your blood vessels narrow, and the [71:25] clotting factors in your blood increase. [71:27] So of course you are at more risk. So [71:29] the repression of anger can lead to [71:31] chronic illness, but so can rage lead to [71:35] uh heart attacks and uh and strokes and [71:38] so on. So anger is a delicate thing. [71:41] Shall I say something about my friend [71:42] that we found out because he then went [71:45] to a childhood psychologist Oh, good. [71:47] himself. And that's why I said that was [71:49] the last time. So you can imagine that [71:50] was 3 years ago. Yeah. The pandemic, 2 3 [71:52] years ago. He went to a childhood [71:53] psychologist and what they uncovered [71:55] through their work was that as a kid he [71:57] he was not only um a foot shorter than [72:00] all the other kids, [72:01] Yeah. but he was both dyslexic and [72:03] struggled a lot intellectually. So um [72:06] the people around him and on his report [72:07] card [72:09] basically called him stupid as a child. [72:11] And then he actually found a text I [72:12] think he found a text message at some [72:14] point between his mom and his nan Yeah. [72:15] where they were diminishing his chances [72:17] of success. And he grew up with this [72:20] deep sense of like I am not intelligent. [72:25] A deep deep sense of it. And it's come [72:27] out in all of these ways as an adult. [72:28] And that you're right. [72:31] Yeah. That's what was going on in that [72:32] moment. I was challenging I was taking [72:33] him back probably. Well, and you know [72:35] what? That again to come back to Harry, [72:36] that's what happened to him. [72:38] They called him stupid and thicko and [72:41] naughty. [72:43] And he was none of none of those things. [72:45] He just had trouble of concentrating and [72:47] being attention because of all the [72:48] stress. [72:50] My friend has ADHD as well. Yeah, yeah. [72:52] And and so in his book he describes that [72:55] he'd been told he had post-traumatic [72:56] stress. I didn't diagnose him with all [72:58] this stuff. It's in his book. I said, [73:00] "You know what? But I think given how [73:02] you you were distracted as a kid, you [73:04] had trouble paying attention, [73:06] um they called you stupid, [73:09] this is ADD. And um [73:12] I wasn't saying he's got a disease. I [73:14] was saying you actually that was a [73:16] normal response that you had to an [73:18] abnormal situation [73:20] where that you were under a lot of [73:21] stress and they made you wrong for it. [73:23] They called you naughty. They called you [73:24] stupid. They called you thicko. You're [73:26] not any of that. [73:28] Now the whole bunch of British [73:29] psychiatrists got their knickers tied in [73:31] a knot because I made that diagnosis, [73:34] you know. [73:35] Um [73:36] My God, people. I was saying to the guy, [73:39] "You don't have a disease. You have a [73:40] normal response [73:42] to abnormal circumstances. You were not [73:44] stupid ever." [73:46] But but children undergo this character [73:48] assassination like you offended. And [73:50] imagine the rage inside him. [73:53] So when you disagree with him, you're [73:54] triggering all that. [73:57] It's just that's just how it works. Now [73:58] interestingly enough, people call me [74:00] stupid. [74:03] That's not a trigger for me. Yeah, it's [74:04] not for me. Because I know I'm not. You [74:07] know, I I always grew up with a sense of [74:09] my own intelligence, not to overstate [74:11] it, but I know never had any doubt about [74:13] it. But certain things you can do Yeah. [74:16] like not see me [74:18] and that'll trigger me. [74:20] And for context for anybody that doesn't [74:22] know why you not being seen triggers [74:25] you, [74:26] Well, look. [74:28] I was born you know, I [74:30] may have mentioned this last year. So I [74:31] was born [74:32] 2 months before the Nazis occupied [74:34] Budapest. Then they started [74:36] exterminating all the Hungarian Jews. So [74:38] literally, my life was under threat cuz [74:41] they didn't see me as a human being. [74:43] They saw me as vermin. [74:45] You know, now not that I knew that [74:46] directly, but my mother, can you imagine [74:49] what it was like for her to have a [74:51] 2-month-old and living under the risk of [74:53] death all the time for a whole year. [74:56] And then [74:58] as I mentioned before, she gave me to a [74:59] stranger to save my life. [75:02] And I didn't see her for 5 weeks. Well, [75:04] that's not being seen. And my father's [75:07] not there to see me cuz he's in forced [75:08] labor. [75:09] So literally, not being seen threatened [75:11] my life. [75:13] So no wonder [75:14] when people uh [75:16] when that happens now, you know, [75:19] that for me is the trigger. [75:21] Now the of course the answer is [75:25] is to see myself. [75:27] If I fully see myself, it doesn't matter [75:29] whether you see me or not. You know, so [75:31] if you see me, [75:34] if you're not seeing me, if you're [75:35] distorting [75:38] who I am in your mind and in your words [75:41] bothers me, it's only because I'm still [75:43] counting on you [75:45] uh or other people [75:47] to see me cuz I don't know how to see [75:49] myself. If I'm fully confident in [75:50] myself, I'll say, "Gee, it's too bad, [75:53] you know, uh Steven doesn't see me. [75:55] Well, maybe we'll talk talk about it or [75:58] maybe [75:59] he'll never understand it, but [76:01] I don't live in his mind." How do I [76:03] fully see myself? [76:04] It's hard to do, right? [76:06] It's it's it's hard to do because [76:09] when you were seen, it's not hard to do. [76:13] Because you children see themselves [76:15] through their parents' eyes. Yeah. [76:17] But when you were not seen, then you [76:20] have to learn it. This is one of the [76:22] things to go back to meditation. That's [76:25] not the only way. First of all, notice [76:27] all the ways that you're not seeing [76:28] yourself. Like 2 days ago, when I had [76:31] this anxiety about how maybe I didn't [76:33] give my best talk on Monday evening, [76:35] you know what? I did my best. May not [76:37] have been perfect, but I prepared for [76:39] it. I put myself out there for 2 hours. [76:42] And um [76:43] I spoke a lot of truth. [76:45] Might not have been the best, but so [76:47] what? But [76:48] but but but at that moment I wasn't [76:50] seeing myself. [76:51] You know, I could still lose it. So [76:53] meditation, [76:55] which is the form of meditation that at [76:57] least I am learning, [76:59] is about just noticing and seeing what's [77:01] going on inside without judgment. [77:04] So being aware. [77:06] So let's practice. And you also [77:07] suggested [77:09] removing the things from your life that [77:11] will stop you from seeing yourself, like [77:14] social media. [77:16] Well, because that can be a lot of [77:19] friction. [77:19] remove social media from my life, but [77:21] what I can remove is my attachment to [77:23] it. [77:25] For example, [77:26] I don't have to look at the comments [77:28] on all my talks on YouTube. Who says [77:32] what, who likes it, who doesn't like it. [77:34] You know, I'm not on Facebook. I don't [77:36] have a [77:37] I have a professional Facebook page, but [77:39] I don't [77:40] administer it. [77:41] Um [77:42] but people go on Facebook [77:44] and who says what, who likes me, who [77:46] doesn't like me. [77:47] You know, [77:48] they can wean themselves off that. So we [77:50] may not be able to stay off social media [77:53] um [77:54] to write my books. Thank God for the [77:57] internet. But I don't have to [78:00] be attached to it. So it's it's it's [78:02] it's using it, but not letting it use [78:04] you. [78:06] Which is very hard. [78:07] A new podcast sponsor that I'm super [78:09] excited to talk about with all of you is [78:11] LinkedIn Jobs. Hiring, as I would know, [78:14] is one of the most important steps in [78:15] your business. Without good people, [78:18] there is no company. Trust me. I found [78:20] out along the way that your business is [78:22] nothing without good people. 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Let me know which [79:44] flavor is your favorite and also tell me [79:46] if it ends up adding value to your life [79:48] in the form of making you nutritionally [79:49] complete on those difficult days. [79:52] Yeah, the the social media and all these [79:53] things, these stimuli, they I I feel [79:55] like they've [79:56] I'm concerned that many of us are living [79:58] in a state of chronic stress, mild [80:03] background Yeah. stress. Yeah. And I say [80:05] that a lot because the amount of times [80:07] that I catch myself, I spoke to James [80:09] Nestor who talks a lot about breathing [80:10] and breath. Yeah. [80:11] And the amount of times that I now catch [80:13] myself very shallow in breath Mhm. after [80:16] just looking at my my phone or thinking [80:19] about something. [80:21] Yeah. Let's get my get some oxygen back [80:22] into me. In bed at 1:00 a.m. as I'm [80:24] trying to sleep, catch my breath being [80:26] shallow. During this podcast when I [80:27] start thinking about something, my [80:28] breath gets really shallow. Looking at [80:30] my phone, my breath gets really shallow. [80:31] I live in this [80:33] I feel like I'm living in a state of [80:34] like constant subtle [80:37] background stress. Yeah. [80:39] Well, I'm I'm glad you mentioned breath [80:41] because um [80:43] it's one of the [80:44] to go back to the question of what [80:45] people can do for themselves, they can [80:47] learn to breathe. [80:48] And Eckhart Tolle is a spiritual [80:50] teacher. Um [80:52] he says that [80:54] um [80:55] rather than go to retreats and [80:57] therapists, just take a few conscious [80:59] breaths several times a day. [81:01] I mean, not that not to dismiss the [81:03] other, but that's more important than [81:05] anything else. [81:06] And interestingly enough, the Buddha, [81:09] when he was teaching his monks, [81:12] in fact, one of the Buddha's assistants, [81:14] Ananda, [81:15] asked him um [81:17] "Oh holy one, do you still meditate?" [81:19] And he said, "Yes." "And what kind of [81:21] meditation do you practice?" says [81:22] Ananda. [81:24] And uh Buddha says, "Observing the [81:26] breath." So, in Buddhist meditation, and [81:29] I'm not here to advocate for any [81:30] particular pathway, and I'm not a [81:33] practitioner of any religion, but [81:36] he this this this is very wise man. [81:40] Um he taught [81:42] awareness of breath as the most [81:43] important portal into into reality. What [81:46] do you think that the antidote is for [81:50] the way we've designed our lives to be [81:52] constant in this sort of stressful [81:53] stimulation and [81:55] cuz we're clearly I was just wondering [81:57] if human beings are supposed to endure [81:59] this much constant stimulus and stress [82:01] in their lives, and with, you know, [82:02] chronic inflammation and all these kinds [82:04] of things are now killing people at [82:06] alarming rates. The the you know, the [82:08] the diseases that are caused by [82:09] inflammation. [82:11] What can we do about our stress? And is [82:13] it is it okay? Maybe it's okay. [82:16] Well, um it's the norm, so you can say [82:19] it's normal. Is it okay? Well, [82:22] the question is to be answered by [82:24] looking at what the impacts are. [82:26] And what are the impacts? [82:28] You know, the impacts are very serious. [82:31] For um you can see it on the individual [82:34] level and in terms of mental health [82:35] conditions, as I said earlier, are [82:37] burgeoning internationally. Um [82:41] autoimmune conditions are uh but if you [82:43] look at it on also on the social level, [82:46] there's more conflict, there's more um [82:48] division, there's more intolerance [82:52] in our culture than it has been for [82:54] quite a while. These are the impacts of [82:56] the stressful culture that we live in. [82:58] So, is it okay? [83:00] Yeah, if you want to if you want this, [83:01] it's okay. But if you don't, it's not [83:04] okay. It depends what you want. [83:06] Relationships. Yeah. [83:08] Romantic relationships. Yeah. Um [83:11] thought a lot about the role that our [83:12] trauma plays in our ability to form [83:15] relationships. Obviously, society's [83:17] changed quite profoundly in the last [83:19] couple of decades. Different sort of [83:21] gender transformations have caused [83:23] certain mismatches and difficulties with [83:25] people connecting. The world has gone [83:27] very digital now, so dating apps run the [83:29] run a lot of dating. I think 50% of [83:31] people originally meet online. That's [83:33] their first point of contact. Dating is [83:35] very very hard for people, and there's a [83:36] lot of people that are kind of giving up [83:37] on it. Mhm. Um attachment, dating, [83:41] trauma, [83:42] um I've come to learn that we are [83:44] mirrors. I think I found love in my life [83:46] when [83:47] not when I [83:49] discovered anything externally, but when [83:51] I did a lot of work to figure out the [83:54] the barriers that were standing in my [83:56] way of connection. [83:57] Well, you just answered your own [83:58] question. [83:59] Oh, really? Yeah. [84:00] We can't form proper relationships until [84:03] we have the capacity to be alone [84:06] and be comfortable with ourselves. [84:08] You know, and the more comfortable you [84:10] can be alone, [84:12] which is different from being lonely, by [84:13] the way. [84:14] Um the more capacity to be actually to [84:16] be to be alone to be with yourself and [84:19] to grow on yourself [84:20] in your own truth, the more likely [84:22] you're able to form meaningful and [84:24] positive relationships. [84:26] And rather than asking me, [84:28] a lot of people want into relationships [84:29] to solve their problems. [84:31] Then there's the initial in love phase [84:33] where everything is just ideal, you [84:35] know, and then reality hits. [84:38] And then all of a sudden, that person [84:40] who you're so infatuated with becomes [84:43] your enemy, and you hate them so much. [84:45] You know, I mean, [84:47] I've experienced such hatred for my wife [84:50] over the years. [84:52] And uh [84:53] when I've been disappointed or [84:55] dissatisfied, you know, because I was [84:58] looking to her to fill me with, and [85:01] nobody can fill you from the outside. [85:04] So, so once you no longer need it, [85:07] um [85:08] once you no longer are dependent on it, [85:12] then you can enter into a healthy [85:14] relationship. Or, to put it more [85:16] positively, [85:18] a relationship can be a real ground for [85:21] mutual growth. [85:23] So, you can enter into a relationship. [85:26] You're not going to be perfect. You're [85:27] never going to be perfect. [85:29] Um [85:30] carry a certain degree of trauma, [85:32] certain degree of dysfunction, certain [85:33] things that trigger you, as we said [85:34] earlier. [85:36] But you But if both people are committed [85:38] to the truth, which my wife and I have [85:40] been. I mean, that's one thing you can [85:41] say about ourselves, you know. [85:43] For all the stuff that we've been [85:45] through, ultimately the truth mattered [85:46] more than who's right and who's wrong. [85:49] So, if you're committed to the truth and [85:51] working it out, and if the fundamental [85:54] love is there, then you can grow [85:56] together. And so, for me, [85:58] the relationship has been the most [86:00] important growth [86:02] growing ground of my life, not the [86:03] therapy that I've had or the reading [86:05] that I've done. Uh not that I'm [86:07] dismissing any of that, [86:09] but the actual relationship has been my [86:11] um [86:12] most important schooling [86:15] in in in in how to become authentic. [86:17] There's no real chance of a good [86:18] relationship if one or more parties in [86:21] that relationship aren't committed to [86:22] truth and they're committed to [86:24] being right or to victory or It happens [86:27] all the time. [86:28] As I said earlier, people always meet at [86:30] the same level of of of of emotional [86:34] development or trauma resolution, [86:37] so that water finding its own level. [86:40] But when one person starts growing and [86:42] the other doesn't, [86:44] it becomes impossible. [86:46] Either the person that does the growing [86:48] gives it up and goes back to their [86:49] previous self, which is almost [86:51] impossible, [86:52] or the other person is challenged to [86:54] start growing themselves, or they're [86:56] going to split. [86:58] That That's just what's going to happen. [87:00] And [87:01] again, to go back to the situation [87:03] between men and women, this is what [87:05] tends to happen, and I've seen it [87:08] in my own marriage, I've seen it in as a [87:10] physician, as an observer of human [87:12] beings. [87:14] The couple are kind of getting along, [87:16] but then the children come along. [87:18] Now, the mother's caring energy has to [87:20] go towards the children, [87:23] where it needs to go. [87:25] The father [87:27] may feel now a bit of a [87:29] their nose is a bit out of joint, cuz [87:31] now they're not getting the attention. [87:33] And now the woman has a decision to [87:35] make. Do I look after the 3-day-old baby [87:38] or the 3-month-old baby, or do I look [87:40] after the 35-year-old baby? And [87:44] to the extent that the mother chooses to [87:46] look after the 35-year-old baby, she's [87:49] depriving the 3-month-old. [87:51] A lot of women then make a choice that I [87:54] need to look after my kids, and I can't [87:55] put all this caring energy [87:57] mothering caring energy into my husband [87:59] anymore. [88:00] And then relationships get into trouble [88:02] cuz the guys can't stand it. [88:04] I've seen this over and over and over. [88:06] I'm not saying it's universal, but it's [88:08] very common. [88:10] Sex. [88:12] In your practice, I imagine you've come [88:15] across this quite quite often where [88:16] there's a sexless relationship, and [88:19] that's causing issues. What is typically [88:22] the true cause of that? Mhm. Um that [88:26] disconnect in the in the with intimacy, [88:27] with sex, in the bedroom, cuz a lot of [88:29] people are struggling with that. Yeah. [88:32] Well, first of all, [88:33] I think um today we jump into sexuality [88:36] way too early. [88:38] In other words, [88:39] um [88:41] we talk about intimacy, [88:43] but intimacy really means the innermost. [88:46] And we tend to have physical intimacy [88:48] before we have emotional intimacy. [88:50] So that um people jump into bed rather [88:53] quickly. I'm not being prude or I'm not [88:54] being prudish here. [88:56] I'm not [88:57] prescribing that you should only get [88:59] have sex when you get married or [89:00] anything like that. [89:01] But when we enter into sexuality early, [89:05] without the emotional intimacy and the [89:06] emotional authenticity, [89:09] then the sex become divorced becomes [89:11] divorced from our [89:13] uh our real needs. [89:15] And especially for women [89:17] who who tend to [89:20] And I I can't speak of everybody, but in [89:22] general, women tend want to have more [89:25] intimacy emotionally. [89:27] Um [89:28] that becomes very hard. And if the [89:29] emotional intimacy doesn't follow, sex [89:32] becomes kind of mechanical. [89:34] Becomes mechanical. Yeah. [89:35] Um [89:36] So, that's one big reason. The other [89:38] reason we already talked about this sort [89:40] of parenting dynamic between the [89:41] genders. Yeah. Uh now, I know we're only [89:44] talking about the two major genders now. [89:46] There's all kinds of gender variations [89:48] these days and uh but these dynamics [89:50] exist in all kinds of context. So, that [89:52] when one partner is doing all the [89:54] emotional carrying or most of the [89:55] emotional carrying, this is parent-child [89:57] relationship that really deadens the [89:59] sexual drive. [90:01] You know what I'm saying here? Sorry? [90:02] Mercia Pye. [90:04] She's a a psychologist. She actually [90:06] said to me the other day, "Never call [90:08] your partner mommy or daddy." Yeah. For [90:10] this very reason. Yeah, well, oh oh [90:12] good. That's that's a good way to put [90:14] it. [90:15] I I think it's because we um we put [90:18] sexuality um [90:20] And this society, of course, just [90:22] glorifies sexuality. [90:24] You know, and if you look at some of the [90:27] most famous sex symbols, who were they? [90:30] Um abused women. [90:32] You know, like a Marilyn Monroe, deeply [90:34] traumatized child. [90:36] And abused [90:39] as an adult by President Kennedy and [90:42] just about everybody. [90:44] And she was the [90:46] the woman everyone wanted to sleep with. [90:49] You know, so that is really distorted [90:51] sexuality here. And for women [90:53] especially, [90:55] uh safety is so important for sexuality. [90:57] Yeah. Um as we talk about frigid women, [91:01] um but when do people freeze? [91:04] It's a fear response. [91:06] It's It's nobody's true nature. [91:08] It's just a response. And usually [91:09] something happened to them or something [91:11] is happening now. So, that then [91:13] un-melting can happen [91:15] in a condition of safety. And then the [91:17] intimacy, the emotional intimacy is [91:19] there, [91:20] which creates the safety for the sexual [91:22] opening. And that's the dynamic in my [91:24] marriage as well. You know, uh [91:26] you know what my wife says what my wife [91:28] says, she says, "Truth is sexy." [91:33] Such a good point. Yeah. [91:35] Is there anything in your practice that [91:37] you're increasingly [91:39] being confronted with in the last couple [91:41] of years that you weren't seeing as much [91:43] as [91:44] when you first started? [91:45] Um what I see out there is increasing [91:47] distress in this society and and people [91:49] are more confused. And young people are [91:51] just so challenged. And uh [91:54] the the in the United States, the the [91:56] rate of childhood suicide is going up. [91:58] You know, suicide. [92:01] You know, um more and more kids are [92:03] being medicated for all kinds of [92:05] conditions. Um [92:07] in the US, 70% of the adult population [92:10] is at least on one medication. [92:13] Um [92:14] um a quarter of women at least in the US [92:17] are on antidepressants or anti-anxiety [92:18] medications. [92:20] Th- those numbers are going up in [92:21] Britain as well from all the statistics [92:23] that I see. So, I see is a a growing um [92:27] manifestations of of of distress, what I [92:30] call a toxic culture. I see that all the [92:32] time. And [92:34] look, I I mean the fact that this book, [92:35] The Myth of Normal, is being published [92:37] in North Macedonia and Thailand and [92:39] Vietnam and in in in in Northern Europe [92:42] and in Eastern Europe and [92:44] it's just worldwide there's this [92:45] epidemic of distress. [92:48] That's what I'm seeing. [92:49] And [92:51] I'm saying people, [92:53] either we can look upon this as some [92:55] unexplainable misfortune [92:57] and bad luck, [92:59] or we can actually look for the actual [93:00] causes of it in the way we that relate [93:02] to each other, [93:04] in the way that we raise our children, [93:06] in the way that we approach ourselves. [93:08] And I'm saying that solutions are [93:10] possible, [93:11] but yeah, the world is getting more and [93:13] more difficult for a lot of people. I do [93:15] see that. And I don't think it's going [93:17] to get better anytime soon. [93:19] You're not optimistic. [93:21] So, [93:22] Noam Chomsky once said that [93:25] when he was asked if he's optimistic or [93:27] pessimistic, he says uh [93:29] he says, [93:30] "Strategically, I'm an optimist and [93:31] tactically, I'm a pessimist." [93:33] Uh which means that in the long term, I [93:35] do believe in people. I mean, and I'm [93:37] the same way. I do believe in human [93:39] beings. I do believe in the human [93:40] capacity to [93:42] to grow, to transform, to [93:44] to come to a deeper grounded sanity in [93:47] themselves both on an individual and a [93:49] social level. [93:50] I do believe in that. If I didn't [93:52] believe that, I would just stay at home [93:54] and [93:55] read books and listen to music. Um [93:58] I do believe in that. I'm optimistic in [94:00] that sense. [94:01] But at the same time, I think in the [94:03] short term, it's getting darker and [94:05] darker. And you can see that so many [94:07] manifestations of that. So, [94:09] yeah, I am optimistic. I believe in [94:11] humanity and human beings. [94:13] And I think we have a hard road to [94:16] to travel before we [94:19] get to our [94:21] better sense of self. [94:23] Um I have to close this conversation by [94:27] seeking some solutions. You used the [94:29] word solutions there and you talked [94:31] about this better sense of self. On an [94:33] We've talked about it from a social [94:35] level, what governments can do to change [94:37] Yeah. education systems and [94:38] Yeah. on an individual level, on a [94:41] family level, [94:44] what can [94:45] what can I do? [94:47] Well, um [94:49] first of all, you need to define what [94:52] your actual goals are. [94:53] Okay, so let me try. [94:56] I want to be I want to do work that [94:57] helps serves others. I want to do work [94:59] that I [95:01] um [95:03] I find fulfilling and that keeps me [95:05] challenged. Yeah. And I want to [95:07] which incidentally serves your health [95:09] cuz it's been shown that people that [95:10] live a life of purpose and meaning, [95:13] they're physiologically healthier. I [95:14] want to be healthy because I want to do [95:16] all of these things for longer. Yeah. [95:18] Yeah. [95:18] Um I want to have relationships that are [95:20] full and true and raw and honest. [95:25] Okay. Um and I want to [95:29] I think that's it. That's the work and [95:30] personal. And then I want to raise a [95:32] family that is [95:35] beautiful and [95:37] pure and free of as much trauma as I can [95:39] possibly make them be. [95:41] And I want to be close to my children in [95:43] a way that I wasn't close to my parents. [95:45] Yeah. [95:46] Well, then the question you're going to [95:47] have to you have to ask yourself is [95:50] um what factors in your life support [95:53] those goals [95:54] and what don't. [95:56] What activities are you engaged in that [95:57] will support those aims? What will [96:00] undermine them? [96:01] And uh [96:02] seek to diminish or eliminate the ones [96:05] that are undermining your goals and uh [96:08] and and strengthen the ones that are [96:09] supporting it. You know, that's what it [96:11] is. And um [96:13] you know, [96:16] and your intentions, by the way, [96:18] are not [96:19] only superficially the ones you [96:21] articulate. If I want to know your real [96:23] intentions, I have to look at how you [96:24] live your life, not what you say about [96:26] it. So, [96:28] wh- when I was a young parent, [96:30] if you had asked me, "What is your goal? [96:32] What's your intention?" I would have [96:33] said it's the happiness of my children. [96:36] And I would have said that totally [96:37] sincerely. [96:39] If you had looked at how I lived my life [96:41] as a workaholic doctor, [96:43] not available to my kids, always right [96:45] there looking for [96:46] mm being important and serving others [96:49] and and and and and you know, being at [96:50] the center [96:52] of people's lives because I was so [96:54] essential to them, [96:55] my actual intention was self-importance. [96:59] My stated intention, [97:01] the be- the the happiness of my [97:03] children, as much as I would have meant [97:04] it sincerely, [97:07] did not jive with how I was living my [97:09] life. [97:10] So, what you need to ask yourself is [97:12] what anybody needs to ask themselves is [97:16] look at your intentions, both the [97:18] conscious ones [97:19] and also the ones that show up when you [97:21] look at how you actually live your life, [97:24] and bring the two into alignment. [97:26] So, look at again what serves your [97:28] intentions [97:29] and what undermines it. Mhm. And look at [97:32] that seriously. That would be my answer. [97:35] It's so difficult to distinguish between [97:36] the two sometimes because [97:40] I mean, on the surface, the the [97:42] the system you gave there of actually [97:44] looking at how I'm allocating my time [97:46] and is my time being allocated towards [97:48] things that would further what I'm [97:50] saying my intentions are is a very [97:51] useful exercise to run. [97:54] But, you know, as I said those things [97:56] that I said as my stated goals, [97:59] I do find a disconnect, I think. I think [98:02] those things have been handed to us. [98:03] When we when you ask someone their [98:05] goals, they will say things [98:07] that will make the person asking the [98:09] question think well of them. [98:11] Because there's one goal that you didn't [98:12] state. [98:14] Which is I stayed away from the selfish [98:16] goals? No. [98:18] What's what what's the one I didn't [98:19] state? [98:19] Inner peace. [98:23] Mhm. Because without inner peace, you're [98:25] not going to be able to serve any of [98:26] those goals properly. [98:28] Mhm. Or if you were, you'd do it at some [98:30] risk to yourself. And so, um [98:33] h- how would that be for you as a goal, [98:34] inner peace? [98:38] And then, if [98:40] running around serving others in the [98:42] name of this so-called higher goal [98:44] undermines your inner peace, [98:48] then you're not on the right track. Mhm. [98:50] And you know who I'm talking to? I'm [98:51] talking to myself. Mhm. Talking to me as [98:53] well. Yeah. Yeah. Yeah. Inner peace is [98:55] not a selfish goal. [98:57] Uh it's from a position of safety uh [99:00] sorry, a position of inner peace [99:02] that we can speak compassionately and [99:04] truthfully to others, that we can um [99:07] serve our other goals. But, you know, [99:10] Eckhart Tolle talks about our inner [99:12] purpose and our external purpose. [99:14] And [99:15] you stated a bunch of external purposes. [99:17] And that's why there's the dis- I [99:19] believe Mhm. if I may pardon the the [99:21] diagnosis, but [99:23] or the analysis, but but that's why that [99:25] disconnect that you mentioned. [99:28] Cuz the goals that you stated were [99:29] largely external. Mhm. [99:31] And what are the internal goals? [99:34] Inner peace. Very good. Yeah. Now, you [99:36] have to put that into the mix. [99:38] And once you be once you do, I don't [99:40] believe that Now, nobody handed that to [99:42] you. [99:44] I just [99:45] I think this is the issue with the [99:46] workaholics is we think that the path to [99:48] inner peace is just by [99:50] aiming at the external goals. Like I [99:52] think I think maybe at some level that's [99:53] what I believe. [99:55] Workaholics think they can work their [99:57] way or validate external validate or [99:59] trophy their way or number one book [100:02] their way to inner peace. Because [100:04] temporarily, when your book shows up as [100:06] number one on the best-sellers list or [100:07] it shows up at all, you feel some inner [100:09] peace. [100:10] But it's addictive. And [100:13] there's a wonderful physician and [100:15] researcher [100:16] Vince Felitti, [100:18] who studied childhood trauma quite a bit [100:20] and um [100:21] showing its relationship to adult [100:23] negative outcomes. And he said, "It's [100:25] hard to get enough of something that [100:26] almost works." [100:29] And uh [100:30] so yeah, you can get that temporary [100:32] inner peace, but look at the long-term [100:34] consequences of the workaholism. It's [100:36] not inner peace. I can tell you that. [100:39] You know, I can tell you after long [100:40] experience. [100:41] Doesn't matter even how successful you [100:43] are out there. We started the [100:44] conversation with this. It's never going [100:46] to give you inner peace. Inner peace [100:47] doesn't come from the outside. [100:49] That's not a goal anybody ever handed to [100:51] you. [100:52] That's something that [100:54] you have to come to yourself. You know [100:56] this. How are you acting in line with [100:58] what you know? [101:00] Are you Are you doing it well? [101:02] You know what? [101:04] Um [101:05] I'm not going to give myself 100% by any [101:07] means. I mean, just look at this week. [101:10] But I'm doing so much better than I ever [101:12] did. [101:13] And I'm so much more comfortable about [101:15] it and so much more comfortable about [101:16] the future as well. [101:17] You know, I am. [101:19] What is the one thing that we didn't [101:21] discuss [101:22] that maybe is the most important thing [101:24] for my audience that are listening right [101:27] now? [101:31] That [101:33] not that we should impose suffering on [101:35] any children or anybody in order to [101:36] teach them anything. Life will bring its [101:38] own suffering. [101:40] But when suffering comes along, there's [101:43] two things we can do with it. [101:45] Um [101:46] we can try and just get rid of it, not [101:49] to feel it, to numb ourselves, [101:51] or we can actually learn from it. [101:53] So, suffering and pain can be big [101:55] teachers if you know how to relate to [101:57] them. [101:58] So, when illness comes along, when a [102:00] crisis comes along in your life, [102:02] you might notice that the Chinese word [102:04] for cri- for crisis is made up of two [102:07] character letters meaning [102:09] uh danger and opportunity. Really? So, [102:11] when there's a crisis, there's danger, [102:14] but there's also opportunity to learn [102:16] and to grow. [102:18] And um [102:19] there's such a thing as growing older. [102:21] In other words, not just getting older, [102:24] but actually growing older. [102:26] And you actually still keep growing as [102:28] you get older. [102:29] And that growing older actually has to [102:32] do with [102:33] becoming more and more authentic to [102:34] yourself. [102:35] So, sometimes I do that successfully, [102:37] sometimes I don't. But that's really the [102:40] journey. And I'd recommend that journey [102:42] to everybody. You can actually grow [102:44] older. In other In other words, you [102:45] don't have to shrink. [102:47] You can actually grow. [102:50] When you said the word growth there, it [102:51] reminded me of something you said in a [102:52] topic we haven't actually talked about, [102:54] which I did want to speak to you about, [102:55] which is vulnerability. [102:57] Yeah. I remember you making this [102:58] interesting connection. I saw it [102:59] somewhere online between vulnerability [103:01] and and growth. Yeah. And vulnerability [103:04] is a risk for a lot of people. It's [103:06] always felt like a risk for me. So, [103:08] vulnerability comes from the Latin word [103:10] vulnerare, to wound. [103:12] To wound? Yeah, that's vulnerare, to [103:14] wound. And so, [103:17] as human beings or as any living [103:20] creature, we're all profoundly [103:21] vulnerable. [103:23] From the moment that we're conceived to [103:25] the moment we die, [103:27] we can be wounded. We can be wounded [103:29] physically, we can be wounded [103:30] emotionally. That's just a given. [103:33] Um [103:34] when children are [103:37] safe and seen and understood, [103:41] they can accept their vulnerability cuz [103:43] they have the confidence that they can [103:46] um deal with it. [103:48] But when children are traumatized or um [103:50] not understood, not seen, [103:54] the vulner- and they're alone [103:56] emotionally, the vulnerability becomes [103:57] too painful to bear. [103:59] So, we shut down our sense of [104:01] vulnerability in order not to feel the [104:04] pain. [104:05] But when you look at life, nothing grows [104:07] without vulnerability. So, a tree [104:09] doesn't grow where it's hard and thick, [104:11] does it? It goes where it's tender and [104:13] soft and there's these shoots that are [104:15] very vulnerable. They can be eaten by [104:16] animals or insects. [104:18] A a crustacean animal like a crab [104:22] cannot grow inside a hard shell. [104:25] What does it have to do when it needs to [104:26] grow? It molts [104:29] and becomes this soft creature that's [104:31] very vulnerable. But without that [104:33] vulnerability, there's no growth. [104:35] Without emotional vulnerability, [104:37] there's also no growth. And so much of [104:39] our culture [104:40] is designed to deny vulnerability and to [104:43] shut it down or to somehow distract [104:46] ourselves from it. And what's the cost? [104:49] And the cost is that we we stay immature [104:52] and that we lose ourselves. [104:54] That's what the cost is. So, I also [104:56] think vulnerability is the is And I've [104:58] just learned this from doing this [104:59] podcast that vulnerability is a great [105:01] connector. Yeah. When I much of the [105:03] reason why I have good conversations on [105:05] this podcast, I think it's because I'm [105:07] willing to be open myself. Yeah. [105:09] Which which then allows your client your [105:11] your your your guest the safety to [105:14] open up themselves. [105:15] And in your personal life with your [105:17] friends, I mean, what's more I mean, you [105:19] can talk about [105:21] the scandal of Newcastle beating [105:23] Manchester City in the [105:26] in some game recently by one to nothing. [105:29] Which is not I don't say to talk about [105:31] it if that's interesting to you, but [105:33] which is more meaningful to you? [105:35] That or when you actually share [105:37] Share your struggle. that you struggle [105:39] in your what's going on for you. I mean, [105:41] there's [105:42] no contest. [105:43] But so much of this culture [105:45] is designed to distract ourselves from [105:48] our vulnerability. [105:54] Okay, but we have a closing tradition on [105:55] this podcast where the last guest leaves [105:57] a question for the next guest not [105:58] knowing who they're going to leave it [105:59] for. Yeah. Question that's been left for [106:01] you, it's quite a long one. [106:02] Um [106:04] Today is your last day on Earth. Yeah. [106:09] You're allowed to make two phone calls. [106:13] One phone call [106:15] to the person you love the most and the [106:17] second phone call [106:19] to the entire world. [106:22] What do you say on both of those phone [106:24] calls? [106:33] What John Lennon sang all those years [106:34] ago. All you need is love. [106:39] And the phone call to the person you [106:40] love the most? [106:43] To the person I love the most, I don't [106:45] have to say anything at all. [106:49] Why? [106:50] Cuz she knows. [106:55] But if you were calling her on that last [106:57] day, [106:58] I'd say thank you. [107:00] What for? [107:02] For everything. [107:04] And uh [107:05] you know what? I may even say that to [107:07] the world. [107:08] I may even say thank you, you know, I [107:10] mean, for um [107:13] for all the struggles and the travails [107:14] and troubles and tribulations of [107:17] childhood and adulthood and parenting [107:20] and career and all this. [107:23] Thank you. [107:24] You You've given me so much. [107:27] That's what I would say. [107:29] You know, I mean, if if I wasn't giving [107:30] advice, [107:32] which is all you need is love, which is [107:33] advice. No, forget that. I'd say I'd [107:35] just say thank you. [107:37] How do you want to be remembered? [107:41] As somebody who did his best to make a [107:42] difference. [107:49] And who made a difference. [107:51] Which I know I have, by the way. So, [107:54] um not that everybody agrees with me, [107:56] but I also know I've made a difference. [107:58] What difference do you think you've [107:59] made? [108:01] How How to say this without sounding [108:04] egotistical? Um [108:08] But I get so many messages from around [108:09] the world. I mean, literally from around [108:11] the world. [108:12] That reading my books has transformed [108:14] people's relationship to themselves, to [108:16] make them understand themselves. [108:18] Um [108:19] I think um [108:20] I mentioned maybe in a different [108:22] interview that [108:23] the best [108:25] review I ever had of The Myth of Normal [108:27] was that um [108:29] some young guy said to me, "Thank you. I [108:31] read that book and I remembered myself." [108:34] So, um [108:35] my work [108:37] for those who are open to it, really [108:39] helps to connect them to themselves and [108:41] to see themselves clearly. [108:43] And that's that's a gift. [108:45] In a world where it's increasingly hard [108:46] to see who you really are. Yeah, and [108:48] it's hard for people to see themselves. [108:50] And so, people don't see themselves as [108:52] broken or as ir- irretrievably damaged, [108:55] but actually they can begin to see their [108:57] capacity for wholeness, which [108:59] incidentally is the root of the word [109:01] health, is wholeness. And uh so, um [109:06] that's the difference I'm I'm making is [109:09] that people can see themselves not as [109:11] broken and damaged, but there's actually [109:14] fundamentally whole with some stuff to [109:16] work through. That's it. [109:18] We can learn so much from children, [109:20] can't we? So much of your work brings us [109:21] back to the first nature as you describe [109:23] it of children. Yeah. Well, [109:27] a lot of parents will tell you and [109:29] you'll find out is that the greatest [109:31] teachers are your are your children, if [109:33] you're willing to learn. [109:37] Gabor, thank you. Thank you so much. I [109:40] it's a difficult question to ask someone [109:42] else about the impact they've made on [109:43] the world, but I but even what you said [109:44] I think is a huge understatement because [109:47] the people that I know close to me, like [109:49] my partner, who [109:51] like my partner, who [109:53] just I mean, her life I think has been [109:58] changed personally, but also [109:59] professionally. Much of the reason she [110:01] does the work she does, she's the reason [110:03] why she's not here to meet you cuz she [110:04] would have fly she would have got on the [110:05] next flight to fly here is because she's [110:07] doing a retreat in the south of France [110:08] with a big group of women. Much of the [110:10] work she does there is built on the work [110:12] that you've [110:14] written about in your books and taught [110:15] online. [110:16] So, not only have you impacted people [110:18] personally, but you've impacted the next [110:20] generation of teachers [110:23] and therapists. [110:25] Um which is going to be a generational [110:27] It's like a domino's effect. It's It was [110:29] counteracting the generational trauma is [110:31] the generational healing [110:33] that has come about because of people [110:34] like you um who are wizards in our [110:36] culture and that are willing in the face [110:38] of often great um you know, [110:41] adversaries who take a different stance [110:44] to persist with truth. [110:46] Well, thank you. And And one of the [110:47] things that most en- enlighten me is [110:50] that when I go about London or any city [110:52] in the world just about these days, it's [110:54] all kinds of young people coming up to [110:55] me thanking me. It's not people my I [110:56] mean, [110:57] people of all ages, but I'm just so [110:59] enthused by how young generations, like [111:02] people one quarter my age, are coming up [111:05] to me to thank me. Well, that shows me [111:06] that it's making a difference. 100%. If [111:08] she could have been here now, she was so [111:10] annoyed. She realized she'd booked a [111:12] retreat on the same day that you were [111:13] coming to to London cuz you didn't get [111:15] to meet you last time cuz she was in [111:16] Bali, so Oh, well, some other time. [111:18] She'll be watching this, trust me. She's [111:20] probably watching live right now. But [111:22] But thank you so much, Gabor, again for [111:23] your generosity and your wisdom. It's [111:24] changed my life and it continues to [111:25] change many other people that are [111:27] listening to this but all around the [111:28] world. So, thank you. Thanks so much. [111:33] As you guys may know, this podcast is [111:34] sponsored by one of my favorite brands [111:36] in all the world, which is Whoop. AI is [111:38] a topic I've spoken about various times [111:39] on this podcast, and it's a topic that [111:41] I'm pretty obsessed with, but we don't [111:43] often talk about how it could be used as [111:45] a force to make our lives even better. [111:47] Whoop is using the power of AI to drive [111:49] meaningful positive change. My Whoop [111:52] doesn't leave my wrist, and their new [111:54] feature, which is called Whoop Coach, [111:56] uses the power of advanced AI to [111:58] synthesize all of your health and [112:00] fitness data and to provide you with [112:02] personalized recommendations to support [112:04] you on your health and fitness journey. 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