TwosWrite things down

Dopamine Nation by Anna Lembke copy

Dopamine Nation by Anna Lembke copy

by fz2jjqxzgv@ · 90 things on Twos

Finding balance in the Age of Indulgence
Introduction
The problem
We’ve transformed the world from a place of scarcity to a place of overwhelming abundance
Part 1: The Pursuit of Pleasure
Chapter 1: Our Masturbation Machines
Addiction is the continued and compulsive consumption of a substance or behavior despite its harm to self and/or others
One of the biggest risk factors for getting addicted to any drug is easy access to that drug
The positive impact of prohibition on alcohol consumption and related morbidity is widely underrecognized
Human beings are social animals. When we see others behaving in a certain way online, those behaviors seem “normal” because other people are doing them
Chapter 2: Running from Pain
We’ve lost the ability to tolerate even minor forms of discomfort. We’re constantly seeking to distract ourselves from the present moment, to be entertained
Chapter 3: The Pleasure-Pain Balance
What goes up must come down
Every pleasure exacts a price, and the pain that follows is longer lasting and more intense than the pleasure that gave rise to it
Our brains are not evolved for this world of plenty
Part 2: Self-Binding
Chapter 4: Dopamine Fasting
DOPAMINE
D = Data
The simple facts of consumption
What you are using, how much, and how often
O = Objectives
What does it do for you?
Objectives for using
Even seemingly irrational behavior is rooted in some personal logic
P = Problems
High-dopamine drugs always lead to problems. Health problems, relationship problems, moral problem. If not right away, then eventually
A = Abstinence
Stop using for a month. At first you’ll feel worse due to withdrawal. But if you can get through the first two weeks, there’s a good chance that in the second two weeks you’ll start feeling better
Consider your current behavior in light of your future self
At two weeks, patients are usually still experiencing withdrawal. They are still in a dopamine deficit state
20% of patients don’t feel better after a dopamine fast
The drug wasn’t the main driver of the psychiatric drug
M = Mindfulness
Observe the mind without judgement
Staying in the observer position is essential to getting to know our brains and ourselves in a new way
I = Insight
Abstaining from our drug of choice for at least four weeks gives clarifying insight into our behaviors
N = next steps
Decide how you want to proceed
E = experiment
Chapter 5: Space, Time, and Meaning
Self-binding is intentionally and willingly creating barriers between ourselves and our drug of choice in order to mitigate compulsive overconsumption
Let your feelings crest over you like a wave. Be patient, and with time, you will feel better
Binding ourselves is a way to be free
Chapter 6: A Broken Balance?
Any drug that presses on the pleasure side has the potential to be addictive
Part 3: The Pursuit of Pain
Chapter 7: Pressing on the Pain Side
We have to remember that we will feel pleasure after pain, and we’re remarkably amnestied about this sort of thing
Chapter 8: Radical Honesty
Lying in a world of plenty risks isolation, craving, and pathological overconsumption
Radical honesty promotes awareness of our actions, fosters intimate human connections, leads to a truthful autobiography, which holds us accountable not just to our present but also to our future selves, and is contagious
What behavior do you want to change?
Why do you want to make that change?
What would you be giving up if you stopped that behavior?
What is one step you can take to change that behavior?
Telling the truth draws people in, especially when we’re willing to expose our own vulnerabilities. They see in our brokenness their own vulnerability and humanity. They are reassured that they are not alone in their doubts, fears, and weaknesses
Consuming leads to isolation and indifference, as the drug comes to replace the reward obtained from being in relationship with others
Patients who tell stories in which they are frequently the victim, seldom bearing responsibility for bad outcomes, are often unwell and remain unwell
I am responsible
Truth-telling engenders a plenty mindset. Lying engenders a scarcity mindset
Parents who stop smoking pot are followed by children who do the same
When the people around us are reliable and tell us the truth, including keeping promises they’ve made to us, we feel more confident about the world and our own future in it
When resources are scare, people are more invested in immediate gains, and are less confident that those rewards will still be forthcoming in some distant future
The feeling of plenty comes from a source beyond the material world
Believing in or working toward something outside ourselves, and fostering a life rich in human connectedness and meaning, can function as social glue by giving us a plenty mindset even in the midst of abject poverty
Chapter 9: Prosocial Shame
Shame makes us feel bad about ourselves as people, whereas guilt makes us feel bad about our actions while preserving a positive sense of self
We are all flawed, capable of making mistakes, and in need of forgiveness
Instead of getting frustrated, how can you help them get what they need?
When we’re accountable to ourselves, we’re able to hold others accountable
It is not our perfection but our willingness to work together to remedy our mistakes that creates the intimacy we crave
Conclusion: Lessons of the Balance
Find a way to immerse yourself fully in the life that you’ve been given
The world is something worth paying attention to
The rewards of finding and maintaining balance are neither immediate nor permanent. They require patience and maintenance. We must have faith that actions today that seem to have no impact in the present moment are in fact accumulating in a positive direction, which will be revealed to us only at some unknown time in the future
Healthy practices happen day by day
Lessons of the balance
The relentless pursuit of pleasure (and avoidance of pain) leads to pain
Recovery begins with abstinence
Abstinence resets the brains reward pathway and with it our capacity to take joy in simpler pleasures
Self-binding creates literal and meta cognitive space between desire and consumption, a modern necessity in our dopamine-overloaded world
Medications can restore homeostasis, but consider what we lose by medicating away our pain
Pressing on the pain side resets our balance to the side of pleasure
Beware of getting addicted to pain
Radical honesty promotes awareness, enhances intimacy, and fosters a plenty mindset
Pro social shake affirms that we belong to the human tribe
Instead of running away from the world, we can find escape by immersing ourselves in it