Anna Lembke
Auteur van Dopamine Nation: Finding Balance in the Age of Indulgence
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Werken van Anna Lembke
Drug Dealer, MD: How Doctors Were Duped, Patients Got Hooked, and Why It's So Hard to Stop (2016) 46 exemplaren
Nação dopamina: Por que o excesso de prazer está nos deixando infelizes e o que podemos fazer para… (2022) 7 exemplaren
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There is a pleasure pain balance. Pleasure is balanced by pain. More pleasure leads to more pain in order to maintain the balance.
Here is a trivial example: The pleasure of chocolate, the pain of longing for more.
Here is a quick summary of possible strategies.
Chapter 4 Dopamine Fasting
DOPAMINE
- D - Data
- O - Objectives
- P - Problems
- A - Abstinence
- M - Mindfulness
- I - Insight
- N - Next Steps
- E - Experiment
Chapter 5:
Self-Binding
- Physical
- Chronological
- Categorical
Chapter 6: A Broken Balance
- Meditation to restore a level balance
Part 3: The Pursuit of Pain
Chapter 7 Pressing on the Pain Side
- Cold water immersion
- Exercise - “Exercise is immediately toxic to cells,”
- Pain to treat pain (including Acupuncture)
- Doing something hard (like talking to strangers)
- Addicted to pain (rat running wheel, extreme sports)
- Addicted to work
“If we consume too much pain, or in too potent a form, we run the risk of compulsive, destructive overconsumption.”
“But if we consume just the right amount, “inhibiting great pain with little pain,” we discover the path to hormetic healing, and maybe even the occasional “fit of joy.””
Chapter 8 Radical Honesty
“The average adult tells between 0.59 and 1.56 lies daily. Liar, liar, pants on fire.”
“Radical honesty—telling the truth about things large and small, especially when doing so exposes our foibles and entails consequences—is essential not just to recovery from addiction but for all of us trying to live a more balanced life in our reward-saturated ecosystem. It works on many levels.“
Section: Honesty Promotes Intimate Human Connections
“Intimacy is its own source of dopamine.”
“Any behavior that leads to an increase in dopamine has the potential to be exploited. What I’m referring to is a kind of “disclosure porn”…”
“In more than twenty years as a psychiatrist listening to tens of thousands of patient stories, I have become convinced that the way we tell our personal stories is a marker and predictor of mental health. “
“Patients who tell stories in which they are frequently the victim, seldom bearing responsibility for bad outcomes, are often unwell and remain unwell. They are too busy blaming others to get down to the business of their own recovery. By contrast, when my patients start telling stories that accurately portray their responsibility, I know they’re getting better.”
Section: Truth telling is contagious and so is lying
“Truth-telling engenders a plenty mindset. Lying engenders a scarcity mindset.”
Chapter 9 Prosocial Shame
“The thinking goes like this: 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. Shame is a maladaptive emotion.”
“Guilt is an adaptive emotion. My problem with the shame-guilt dichotomy is that experientially, shame and guilt are identical.”
“Yet the shame-guilt dichotomy is tapping into something real. I believe the difference is not how we experience the emotion, but how others respond to our transgression.”… (meer)