Podchaser Logo
Home
When Virtues Become Vices

When Virtues Become Vices

Released Monday, 10th October 2022
Good episode? Give it some love!
When Virtues Become Vices

When Virtues Become Vices

When Virtues Become Vices

When Virtues Become Vices

Monday, 10th October 2022
Good episode? Give it some love!
Rate Episode

Episode Transcript

Transcripts are displayed as originally observed. Some content, including advertisements may have changed.

Use Ctrl + F to search

0:00

This

0:00

episode is supported by Mastercard.

0:03

A forest for the Trees, an immersive show,

0:06

is now open in LA. make

0:08

an impact by visiting. Every

0:10

ticket sold plants two trees in support

0:12

of Mastercard's priceless planet coalition.

0:15

get yours at a forest l a

0:17

dot com. A

0:19

few decades ago when I was in my twenties.

0:22

I lived with a guy in New York City. We

0:24

were roommates. You know, he was

0:26

obviously an alcoholic. And he was -- Mhmm.

0:29

-- on the wagon when I knew him. But he was always

0:31

telling me these amazing stories of these incredible

0:33

things that happened to him and and

0:35

he would laugh about it but was most

0:37

clear was that actually he was a

0:39

wreck during that period. He was miserable.

0:42

He ruined all his relationships. He

0:44

squandered all of his money. He disappointed

0:46

his parents again and again and again

0:48

and So I finally asked him, were

0:51

you happy during that time? And he said, what

0:53

are you kidding me? was completely miserable.

0:55

Mhmm. I said, did you know that? He said, yeah.

0:57

It was totally obvious. to me and everybody

0:59

else that I was a completely miserable

1:02

person. I knew

1:02

I was unbelievably unhappy. And I said,

1:05

so why did you keep doing

1:07

it? I

1:08

thought about it. And

1:09

he said, you know, I guess

1:11

I prefer to be drunk and happy.

1:14

Mhmm.

1:15

Now that kind of blew my mind. But

1:18

then when I thought about it a little bit more,

1:20

I wondered and and I still do wonder

1:22

today how unusual is

1:24

it?

1:25

Maybe a lot of people do that.

1:27

Maybe lots people in all different

1:29

walks of life with different kinds of behaviors

1:32

sacrifice their happiness for their

1:34

Addictions. Maybe

1:36

I do that too.

1:44

Welcome back to how to build a happy life.

1:47

I'm Arthur Brooks, Harvard professor

1:49

and contributing writer at The Atlantic.

1:51

and I'm Rebecca Rashid, a producer

1:54

at the

1:54

Atlantic.

1:57

I know I've talked to you about this before,

1:59

but

1:59

I have this bad habit of using

2:02

work as an excuse for everything.

2:05

It's sort of been

2:07

this

2:08

habit, I guess, you can call sort

2:11

of addictive behavior in the backdrop

2:13

of my life that I didn't

2:15

admit or really recognize because

2:18

It also had so many positive

2:21

impacts in my It gave me

2:23

a sense of

2:24

purpose, a sense

2:26

of

2:27

identity sort of

2:29

answered the why am

2:31

I here and doing what I'm doing?

2:33

Question. So how does something

2:35

like work become

2:37

an addiction.

2:39

You could be talking about anything that's

2:41

addictive quite frankly. It just happens to be

2:43

the strivers drug of choice, which is

2:45

accomplishment, which is achievement. If

2:48

you work all night, people say good for

2:50

you. And so the result is we

2:52

get more and more affirmation. and

2:54

we start seeing our rewards coming through

2:56

these hard struggles. It's

2:58

never quite satisfying because it's never

3:00

quite enough And so

3:03

you keep going back again and again again, hit

3:05

the lever, get the cookie, hit the lever, get

3:07

the cookie, and and that's a work addiction.

3:10

underlying that is something even deeper, which is a

3:12

success addiction.

3:14

What

3:14

I'm curious about is how these things

3:16

that were taught are good habits

3:20

how do those things become as harmful as

3:23

debilitating addiction or or

3:25

threatened to become that harmful?

3:27

And I guess I'm

3:29

curious for someone like you, how

3:32

has workaholism played out in your life?

3:36

I'm

3:36

not.

3:36

immune from anything. And and I guess the irony

3:39

is that I specialize in the science of happiness and

3:41

I fall prey to a lot of these things myself.

3:44

There's a

3:45

lot of vice that we can engage Almost

3:47

everything that we do that's really good when

3:49

we push it to the limit, when we pat ourselves

3:51

in the back, when it becomes a source of pride,

3:53

when it crowds out love relationships, virtues

3:56

can become vices.

4:03

Today,

4:04

we want to understand how our

4:07

expectations of a Happy Life for

4:09

complicated by the disease of

4:11

addiction. The complexities

4:13

of addiction and addiction treatment can't

4:15

be covered in one episode. but

4:18

we do want to identify our tendencies

4:20

towards addictive behaviors and how

4:22

it affects our well-being. The

4:24

realities for those impacted by

4:26

addictive are wide ranging. But

4:28

defining addictions, effects on

4:30

our identities, behaviors and desires

4:33

may help us parse out the hide between

4:35

where we are and where we wanna be.

4:39

Thank you for joining us. Sure.

4:41

I'm happy you too. Thank you for inviting

4:44

me. And Aniston's great. So

4:46

-- Yeah. Good. -- your office is like a studio. I

4:48

don't know what you're doing there. I mean, you've got these what

4:50

you're teddy bears in the background or something.

4:52

I do actually. I do. I can do

4:54

it with you. Yeah.

4:56

I can show you. My

4:58

name is Anna Lenke. I'm a psychiatrist

5:01

and professor sir at Stanford University

5:03

School of Medicine, and

5:06

I'm the chief of our addiction medicine, Juul

5:08

Diagnosis Clinic.

5:10

I don't we're recording. Right? Becca.

5:14

Okay. Okay. You're gonna show me a horse, though.

5:16

This is Shakira. This is Shakira.

5:21

And I think

5:22

she's supposed

5:23

to represent a therapy donkey.

5:26

I got it. Yeah. We're sure

5:28

we're experimenting with therapy donkeys.

5:30

Anna Lemke and I sat down to discuss

5:32

her work treating patients with addiction.

5:35

Dr. Lemke specializes in

5:37

dopamine, a

5:38

chemical in the brain that lies behind

5:40

desire and plays an important

5:42

role in our addictive behaviors. In

5:45

twenty twenty one, doctor Lemke published

5:47

the book, Dopamine Nation, finding

5:49

balance in the age of indulgence.

5:52

Now, we'll save dopamine in its complex

5:55

function in the brain for another time,

5:57

but I do want to discuss the

5:59

fact that many of

5:59

us are at risk.

6:01

Maybe you find yourself building your life

6:04

around certain substances or

6:06

devices or just habits

6:08

that you feel like you can't live without.

6:10

She

6:11

argues that many of our addictions today

6:13

are not from things we would consider

6:15

immediately addictive, like drugs and

6:17

alcohol, but

6:18

from behaviors that are even thought of

6:20

as healthy or beneficial, things

6:22

like exercise and work

6:25

things

6:25

we thought were virtues.

6:29

But

6:29

what you crave and what you

6:31

really want are

6:32

usually not the same things.

6:35

I realized that I was actually

6:37

a bad psychiatrist early on in my

6:39

career because I was not

6:41

asking patients about drug

6:43

and alcohol use. And the reason I wasn't asking

6:45

them is because I would have had no idea

6:48

how to address those problems if they had happened

6:50

to say, yes, have a

6:52

problem with that. So it

6:54

was a kind of a don't ask, don't tell policy,

6:56

which by the way was completely normative for

6:58

psychiatrists at the time and

7:00

is still quite a prevalent

7:02

practice. Why? Because we don't learn

7:04

a

7:04

lot in medical school or even psych residency

7:07

about

7:07

how to screen or intervene for

7:09

substance use disorders or other addictions.

7:12

Our audience should understand that you're not

7:14

confessing to be having some unusual,

7:16

you know, deficit in your training. I mean,

7:18

this is just something that psychiatrists are

7:21

usually trained to treat people with mood

7:23

disorders and behavioral problems.

7:24

Yeah, you know, I had a patient

7:27

who had a bad outcome.

7:29

You know, she was in a rollover car accident.

7:31

Her brother called me to let me know,

7:33

I said, my goodness, how did it happen?

7:35

He said, well, she's been

7:37

using again, and I said, using what?

7:39

And he said, using heroin, isn't

7:41

that what you've been treating her for?

7:44

And that was really the moment that I realized,

7:46

oh my goodness. III

7:48

something's gone terribly wrong here. I

7:51

was harming my patients out of my own

7:53

ignorance and neglect of this very serious

7:55

problem. So that was about twenty more

7:57

than twenty years ago. So then there was a huge

7:59

kind of like,

7:59

okay, I need figure this stuff out. And

8:02

then since then, you know, I've just sort of become

8:04

a person who does this work with

8:06

a lot of joy I might add -- Mhmm. --

8:08

because it's a great population to treat when people

8:10

with addiction get better, the ripple effect

8:12

is enormous. I do the work with

8:14

a lot of joy,

8:15

and I'm very grateful that

8:17

I get to do it.

8:18

So to be a little bit clearer about

8:20

this, I mean, obviously, when people think about addiction,

8:22

they're thinking about, you know, heroin or

8:24

alcohol or gambling or pornography. but there

8:26

are a lot of things that we do, notwithstanding

8:29

the fact that they're not entirely good for us.

8:31

You know, I I have a huge sweet

8:33

tooth. I mean, ever since I was a little

8:35

kid, I mean, it's the, you know, eight table sugar.

8:37

I still eat sugar cubes if I was like a

8:39

horse or something. And I know

8:41

that that's not really good for me. So I do it relatively

8:44

moderately, and I understand that I'm doing

8:46

it because the benefit of the pleasure it

8:48

gives me outweighs the cost to

8:50

you know, hyping up my, you

8:53

know, my insulin response at that particular

8:55

moment. Let me ask you the

8:56

most basic question of all. What's

8:58

an addiction?

9:00

So addiction is broadly defined

9:03

as the continued compulsive use

9:05

of a substance or a behavior

9:07

despite harm to self and

9:09

or others. The key piece is

9:11

really the behaviors and whether

9:13

or not they cross this threshold

9:15

of impairing function. And

9:17

that by the way is really the key piece for diagnosing

9:20

any psychiatric disorder. We

9:22

diagnose it based on what we call

9:24

phenomenology or patterns of

9:26

behavior over time that are very

9:28

similar across different demographic

9:30

groups, points in history,

9:33

And what we see is that despite

9:35

those differences in individuals, there

9:37

are very classic patterns or

9:39

manifestations of patterns that

9:41

ultimately we group in these different

9:43

buckets schizophrenia, major depression,

9:45

OCD addiction. I

9:47

always like to emphasize that there's no

9:49

brain scan or blood test

9:51

to date to diagnose

9:53

any mental illness, including non

9:55

addiction. Tell me

9:56

about the patients who come see Dr.

9:59

Ansellemke,

9:59

What are they suffering from?

10:02

So the types of patients that I have

10:04

are patients struggling with all different forms

10:06

of addiction. not just addiction to drugs and

10:08

alcohol, but also to all kinds of

10:10

behaviors, pornography, gambling,

10:13

shopping, digital products,

10:15

so online pornography, compulsive

10:17

masturbation is a huge and growing

10:19

problem. Deaming disorder

10:21

is something that we're seeing more and more of

10:23

especially among young men.

10:26

And they often also have

10:28

co occurring conditions like

10:30

depression, anxiety, psychotic

10:33

disorders. even previously

10:36

healthy and adaptive behaviors,

10:38

behaviors that I think we broadly as

10:40

culture would think of as healthy

10:42

advantageous behaviors now

10:44

have become drugified such

10:47

that they are made more potent,

10:49

more accessible more novel,

10:51

more ubiquitous, and

10:53

therefore, they have the potential for addiction

10:55

where they didn't have that before. And I

10:57

used myself as an example in reading, I mean, I

10:59

think we all of us grew up with

11:01

this idea that reading is healthy. And

11:03

if your kid's reading a book, you know, that's gotta

11:05

be good. And yet, In

11:07

my early forties, I

11:10

actually got addicted to

11:12

romance novels. And the Twilight

11:14

Saga was my gateway drug, which is in

11:16

and of self embarrassing because it's a, you

11:18

know, a vampire romance series written

11:20

for teenagers and obviously I was a middle aged

11:22

woman. I was not the only middle aged

11:24

woman who's reading Twilight. It was kind of a

11:26

thing then. I read it

11:28

once and then I read it again and I

11:30

was on my third reading and then it

11:32

wasn't quite joint for me what it had done the

11:34

fourth time. So I then explored

11:36

other Vampire Romance novels, and then I

11:38

went to werewolves and necromancers

11:41

and suit actors and, you know,

11:43

you name it. And then the real

11:45

kind of tipping point for me was my

11:47

friend, Susan, who I'm throwing

11:49

under the bus here. So you should get a Kindle. And

11:51

when I got a Kindle, that was really that

11:53

was the beginning of the end because,

11:56

I mean, this was very embarrassing. But, you know, I

11:58

was like, it was impacting

11:59

my ability to function. I was staying

12:02

up later and later at night. I

12:04

was not fully present for my kids and

12:06

my husband the way I really wanted to be

12:08

and that was really the crazy thing about it. Like,

12:10

the things I really care about

12:13

kind of started to be compromised in

12:15

a way that I wasn't fully in control

12:17

of. Essentially, what was

12:19

happening was that I just it was a

12:21

fantasy escape world and

12:23

I just the more I read,

12:24

the more I just wanted to be in that

12:27

world, and the less I wanted to be in the real

12:29

world. The also, the less

12:31

interesting the real world, came to me. So the

12:33

saliance and the positive

12:35

and reinforcing qualities of the real

12:37

world slowly began to diminish. And of

12:39

course, the neuroscience explains

12:41

this beautifully, and it's really important

12:43

for us to understand it,

12:45

because, you know, quantity and frequency matter,

12:47

the more we do our drug, the more we

12:49

want to do our drug, And

12:51

that's really kind of the way we get

12:53

hooked. Howard Bauchner: Tell me a more

12:55

typical story of perhaps one of your

12:57

patients that comes in And my

12:59

guess is they're not coming in when the, you

13:01

know, the elevator is now in, you

13:03

know, the first basement. They're they've

13:05

gone thirty down thirty two floors. at this point,

13:07

and they when they're coming to see you, it's

13:09

pretty bad. So typically, what

13:12

would addiction look like? Or maybe

13:14

even a specific case of a patient when they

13:16

when they get to you?

13:17

So, you know, what we see

13:19

here is patients, for

13:21

example, maybe, you

13:23

know, a middle aged man who

13:26

has used pornography through

13:28

most of his young adult life.

13:30

And then in the early nineties,

13:32

there's the Internet, and then all of a sudden,

13:34

it's more available It's

13:36

more graphic. And then,

13:38

you know, the early two thousands comes

13:40

around and, you know, he gets his

13:42

smartphone. And now we're talking twenty

13:44

four seven access, highly potent

13:46

images, and things start to fall

13:48

apart. Now this person is

13:51

experiencing tolerance finding

13:53

that online pornography alone is not

13:55

sufficient, starting to, for example, engage

13:57

prostitutes, why does

13:59

partners

13:59

spending more and more time and resources

14:03

chasing down this particular feeling,

14:05

threatening, you know, his employment

14:07

by using a work, knowing

14:08

that he's doing that. and

14:10

yet feeling such an enormous compulsion

14:12

that he can't help himself feeling

14:15

horrible

14:15

about himself, enormous stigma

14:17

unable to stop, although he tries repeatedly to

14:19

do that. And eventually, you know, comes to see

14:21

me essentially feeling suicidal, feeling

14:24

like, you know, I don't wanna live

14:26

anymore. I I can't stop this

14:28

behavior. I have so so much shame.

14:30

I'm so depressed. I don't even

14:32

enjoy it. And yet, I cannot stop. You know,

14:34

will you help me? And so,

14:35

and it's the exact same narrative

14:37

that we see with people who are severely addicted

14:39

to drugs,

14:40

severely addicted to

14:41

alcohol, which is a drug, People

14:44

start out using fun or to

14:46

solve a problem.

14:46

The drug works for them initially, so

14:49

they return to using it over time.

14:51

They escalate their use. They build tolerance.

14:53

They need more and more.

14:54

Eventually, it stops working, but

14:56

they can't stop. And then it even potentially

14:58

turns on them. and causes the

15:00

very problem that they're trying to solve, but they

15:02

still can't stop. Exercise too

15:05

has become drugified. Right? So

15:07

the ways in which these machines allow

15:10

us to stretch the

15:12

human physical limits

15:15

beyond what what we really are

15:17

meant to do, the way that social media,

15:19

you know, invites this

15:21

NVIDIA's comparison around

15:23

sports and around exercise, the way

15:25

that we're constantly counting ourselves.

15:27

So these are like healthy, previously

15:29

healthy behaviors that have now become

15:31

vulnerable to

15:31

this problem of addiction. Well,

15:34

it's I just isn't that encouraging, you

15:36

know? Yeah. But you know

15:39

No. We're not really. I mean, I think it's really

15:41

important because this is really where we're going with

15:43

this conversation. session is that there are a whole

15:45

bunch of areas of behavior that we've been told since

15:47

we were little kids that are really

15:49

wonderful, you know. And and, you know,

15:52

that if you work hard, that's

15:53

always in everywhere great. And if you

15:56

get a's in school, that's always in everywhere

15:58

great. And if you get promotions and raises

15:59

and the admiration of others. That's

16:02

just a wonderful thing. Do

16:04

you

16:04

see workaholics

16:05

in your clinic? So

16:08

typically, we will not see patients who come

16:10

in for workaholism as a

16:12

chief complaint because they won't

16:14

identify that as their

16:16

problem. It's

16:17

a little bit like you don't see very

16:19

many narcissists coming in for

16:21

care because it's the people around

16:24

them who are showing up for

16:26

treatment not the narcissist themselves.

16:28

But what we do see is people

16:30

who come in with serious drug and alcohol

16:32

problems or pornography addiction and

16:34

they also are addicted to

16:36

work. And the way that comes out

16:38

is this kind of work hard, play

16:40

hard

16:40

mentality where people push themselves

16:43

so hard at work and

16:45

exhaust themselves beyond the limits

16:47

of what their minds

16:47

and bodies can do. and then reward

16:50

themselves at the end of a very hard

16:52

work day or a very hard work week

16:54

or a hard work month with the kind of

16:56

a binge or overuse

16:58

pattern. So it's this sort of seesaw,

17:00

this work hardwired, which has become so

17:02

normative. And of course, the one drives the

17:04

other, but the overworking because

17:08

we're depleted after that.

17:10

Instead of having that sense of being

17:13

full

17:13

up, know,

17:14

with the joy of

17:16

a job well done or having achieved

17:18

excellence, which are all good things.

17:20

we assumed instead come away from that

17:23

work experience, drained, depleted.

17:25

And now we're looking to reward

17:28

ourselves, right, to make up with what's

17:30

my compensation? And the

17:32

compensation is often drug and alcohol

17:34

use or some kind of addictive behavior,

17:36

which then you get into this terrible

17:38

sea salt phenomenon. Yeah. We're not

17:40

you know, that other thing your

17:42

mother does not brag about is that you're you're

17:44

so good at leachure.

17:46

I

17:46

mean, she can take vacations like

17:49

nobody I've ever seen. I mean, they're they're

17:51

she's so relaxed. It's it's unbelievable. I

17:53

mean, she really she leaves the world behind and

17:56

no. No. it's you know, she's

17:58

carrying five

17:58

cell phones and Again,

17:59

I think work has

18:01

become vulnerable to the same kinds of

18:04

transformations that we see any

18:06

drug. It's more potent, you

18:08

know, in the sense that especially

18:10

when you're talking about jobs

18:12

in the higher

18:13

socioeconomic ladder.

18:15

work made

18:16

more potent by the bonuses

18:19

and stock options, and the

18:21

other ways in which the

18:23

more you work, the more you'll

18:25

potentially make, which is not true

18:27

by the way for for

18:29

low wage earners who are increasingly

18:32

dropping out of the workforce We

18:34

we can work twenty four seven because of

18:36

the technology and the phones and the

18:38

devices and the Internet. And we're often

18:41

expected to work twenty four seven to

18:43

be available And remember,

18:45

quantity and frequency matter when it comes

18:47

to changing

18:48

our brain and entering, you

18:50

know, addicted brain the more of our

18:52

drug we use and the more of

18:54

it and more often the more potent it is,

18:56

the more likely we are to change our brain

18:59

and become addicted to it. And

19:01

this is the other way that

19:03

work has been turned into something

19:05

that's potentially very

19:07

unhealthy is that for

19:09

many of us now, the work that we do

19:11

is really detached from

19:13

the meaning of the work. So

19:15

we're no longer deeply involved with

19:18

the actual end product.

19:20

It's more problematic because, you

19:22

know, it's highly socially acceptable.

19:25

One of the most to me

19:27

fascinating and enduring themes

19:30

in the disease of addiction is

19:33

the role of control

19:36

and this wanting to have

19:38

this illusion

19:38

of control over our

19:41

lives

19:41

drugs become a way to

19:43

do that. And even when we get to

19:45

a point where we know the drug isn't

19:48

working, we're so terrified

19:49

to let go and

19:51

to not be, you know, the person driving

19:53

this really crazy crazy bus

19:56

down this really careening down

19:58

this steep hill, you know, headed for

19:59

No, Brian. Right? The no

20:02

breaks the inevitable crash.

20:04

But at least, you know, I'm still

20:06

sitting

20:06

in the driver's seat. And

20:08

so this becomes really, you know,

20:11

key to

20:12

addiction recovery is

20:15

really,

20:15

really, it's an enormous leap of faith.

20:18

Right? It's asking people to give up this

20:20

thing that they have used their

20:22

entire lives to self sues

20:25

to, you know, get

20:27

that feeling that they they need in

20:29

order to feel kind of

20:31

whole. And even when it stops working? Does the

20:33

the the fear associated

20:35

with having to let that go? And then what,

20:37

you know, the not knowing? Well, what

20:39

will that be like? What

20:41

what will that existence be like for me? I mean, the

20:43

terror of the unknown

20:44

is so strong. So what do they

20:46

do? What no. No. What do they do? What

20:48

do we do? Look,

20:51

I missed a lot of my kid's childhood. Yeah.

20:54

Because I was on the wheel. I

20:56

was on this

20:56

treadmill. I was doing it too. What what

20:59

do we Well, thank

21:00

you for your openness and for sharing,

21:02

you know, some of that. Regretta, that's

21:04

really powerful and, you know, someone like you

21:06

is willing to be open in

21:08

that way. Very, very helpful. So thank you

21:10

for that's a great gift. It's

21:13

amazing to me that we have

21:15

an opportunity to change our

21:17

lives at any point in our

21:19

lives. I have seen people with

21:21

severe lifelong addictions in their

21:23

60s, 70s, and 80s, get

21:25

into recovery, and absolutely transform

21:27

their lives for the better, transform

21:29

their family and friends' lives for

21:31

the

21:31

better. Just really beautiful,

21:34

wonderful things can have in any stage

21:36

of life.

21:37

So I just I just want to say

21:40

that because I think it's

21:42

never too late and we all

21:44

make mistakes we we all make mistakes and we all have

21:46

regrets. But you can

21:48

change your life at any point in your life and you

21:50

can decide to live in a

21:52

different way and to let go

21:54

of that thing that you've been hanging on to,

21:56

which you thought was your life raft but which

21:58

was really, you know,

21:59

your anchor.

22:01

This

22:07

episode is supported by Mastercard.

22:10

Making an impact on forest restoration is

22:12

as easy as buying a ticket.

22:14

A forest for the trees, an immersive

22:16

new experience from the Atlantic

22:18

Super Blue and artist Glen

22:21

Kyno will inspire you to reimagine

22:23

your relationship with the natural world.

22:25

And since every tickets sold will plant

22:28

two trees in support of Mastercard's priceless planet

22:30

coalition, you can know that by

22:32

visiting, you've already made a

22:34

difference. Get your tickets now at

22:36

a forest l a dot com.

22:38

That's a forest l a

22:41

dot com.

22:46

Would you say

22:49

there are

22:51

probably a lot more people who are

22:53

suffering from addiction than

22:55

those who were diagnosed and those that or or those

22:58

who even know that that's the case?

23:00

I would say that that's true in the

23:02

modern age. There's so much more

23:05

access to highly potent and

23:07

reinforcing drugs and behaviors. But also

23:08

just in general, it's underdiagnosed because

23:11

there's no infrastructure

23:11

inside of medicine or there's a

23:14

limited infrastructure inside of medicine to

23:16

treat addiction. And so

23:17

it's a type of thing that

23:19

people generally don't

23:19

want to see because there aren't a

23:22

lot

23:22

of good pathways for folks. We have

23:24

pretty good treatments that we've

23:26

known about for decades, so it's

23:28

not that we don't know what works

23:31

It's that we've not built the

23:33

infrastructure inside of medicine to deliver

23:35

that care. And that's

23:37

that's not related to the lack

23:40

of evidence for the treatments. It's

23:42

related to other factors having to do

23:44

with payment structures, stigma,

23:47

you know, doctors who treat addiction

23:49

medicine are generally not

23:52

compensated for that work.

23:54

So

23:54

their their ways to

23:56

do this is the bottom line, and this is

23:58

a story of hope.

23:59

Yeah. Now we

24:02

could get into a whole show in and of itself about

24:04

how what recovery looks like.

24:06

But that's traditionally about

24:08

more conventional addictions. But it sounds

24:10

to me given the fact that

24:12

the primary damage that work all with some success

24:15

addiction do is to our

24:17

relationships. And and these are very fear

24:19

based addictions. you know,

24:21

human

24:21

beings are complicated in and of

24:23

themselves. You put two together and you just

24:25

magnified the complexity. And so

24:27

many people have

24:28

the experience of

24:30

trying harder at relationships and

24:33

not having it work out.

24:35

And so, you know, the drug is

24:37

so much more reliable right? And why

24:39

am I gonna give up this thing that at least gives me

24:41

some transitory relief or

24:44

escape for really a

24:46

big gamble or what feels like a

24:48

big gamble? and kind of not

24:50

even having the basic

24:52

tools for knowing how to go

24:54

about

24:54

renewing and strengthening, you know,

24:56

those relationships

24:57

with people in our lives Not

24:59

to mention the fact that now so many people are addicted

25:01

to the Internet and their devices and

25:03

are self soothing, you

25:04

know, with strangers in various ways,

25:07

you know, on the Internet that

25:09

that

25:10

those

25:11

opportunities, you know, to

25:13

build intimate connections in our real lives,

25:15

it it has become more challenging.

25:18

This is what we get when we are

25:20

willing to give up our drug. What we

25:22

get is these wonderful,

25:25

quite intangible things

25:27

that you can't buy and you can work

25:29

for, but not in the same way. And and

25:32

chief among them is certainly

25:33

meaningful and intimate relationships

25:36

with other people. And I guess the last

25:39

point is one that you've been making

25:41

implicitly throughout, which is that none of

25:43

this is gonna be a problem you can solve,

25:45

unless you're honest. Right. You know, this is

25:47

one of the interesting things about, you know, I've known a

25:49

lot of addicts. You've treated a lot of addicts.

25:51

And one thing that fuels addiction

25:54

Always

25:54

is lies, lies

25:56

to

25:56

yourself, lies to others. It's just

25:59

this

25:59

perpetual act of

26:02

lying.

26:02

Right. Right. It's this

26:04

kind of radical honesty, this willingness

26:06

to be open and truthful, not just

26:08

about how we're spending our time, what we're consuming, what drugs

26:10

we're using, what we're doing on the

26:12

Internet, what we're reading, but also

26:15

just about little things, why we

26:17

were five minutes like for the meaning,

26:19

you know,

26:20

why the the keys went missing?

26:22

You

26:22

know, who ate that last piece of chocolate

26:25

pie? You know, thing little those

26:27

little lies that we tell, you know,

26:29

just instinctually to sort

26:31

of hide our selfishness or

26:33

our mistakes. that's

26:35

where we have to really intentionally focus

26:37

and try to tell the truth. Because

26:39

when we do that, you know,

26:42

we're telling a truthful, autobiographical narrative.

26:44

And we must do that in

26:46

order to be able to know where we've been, where we

26:48

are, and where we want to go.

26:50

how do we make more intimate relationships? Well,

26:52

we tell the truth to the

26:54

people that we care about and

26:56

we stop lying to them. That's

26:58

so key. And that becomes a huge

27:01

part of recovery. Right? So

27:03

when people stop using their drugs, they're

27:05

so terrified, to be honest, towards their

27:07

loved one about what they've been doing

27:09

or, you know, especially, let's say, they they

27:11

told their loved one that they stopped and they

27:13

really didn't. And it would be nice to be

27:15

able to skirt around that and not have to tell

27:17

the truth. but if you

27:19

don't go back and and tell the truth and

27:20

apologize and make amends, then

27:23

you you're not gonna be

27:24

able to ultimately get to that

27:26

place where you have those relationships that

27:28

are so incredibly sustaining

27:31

and renewing and powerful

27:34

and Make the need for these drugs so

27:36

much less.

27:38

Now

27:44

that you've spent

27:47

the bulk of your professional career

27:49

studying how some

27:51

of

27:51

your early behaviors and your passion

27:53

for what you did may have been

27:55

a certain type of workaholism. What

27:58

do you think you would have done differently

28:00

if you knew what you know now?

28:02

It's a good

28:03

question, you know, in the first year of my

28:06

marriage. I remember being on

28:08

vacation, we were camping. And I

28:10

just couldn't handle it, and I had to go

28:12

home because I I needed to get

28:14

back to work. And and

28:16

those behaviors followed me. You know,

28:18

when I finally left the music business

28:20

and got my doctorate and became an

28:22

academic and and and I just couldn't

28:24

work enough I couldn't I

28:26

couldn't achieve enough. I had to catch up with

28:28

everybody my age because I went to

28:30

college when I was thirty and I

28:32

finished my doctorate when I was in my mid

28:34

thirties, and I was I was years behind everybody else. And

28:36

so I thought, okay, this is really just a question

28:38

of catching up with everybody else And

28:40

so I was working twice as hard as everybody

28:42

else, probably.

28:44

And the result is, I've, you know, published a

28:46

lot of articles and taught a lot classes, my career

28:48

went really, really well. And

28:50

my family life continued to suffer

28:52

quite frankly. And how

28:54

many nights was I the last

28:56

one to leave the office, and I sacrificed the first

28:59

hour with my kids, so my kids were little. I don't

29:01

remember a lot. Not because I was

29:03

drunk. I don't drink. one

29:05

of the reasons I don't drink is because I have alcohols

29:07

in my family and I know it's too dangerous,

29:10

but

29:11

here's the key thing to ask

29:14

yourself whether it's workaholism or or maybe you're

29:16

just wondering if you're drinking a little bit

29:18

too much is to interrogate

29:21

that. A life that's unexamined is

29:23

one in which you're helpless against

29:25

these these ravagers that

29:27

come from addictive behavior. And

29:30

then When you look in the mirror and you're

29:32

quite honest with yourself, then you

29:34

can actually start to manage these

29:36

things. Here's the most encouraging thing

29:39

of all. When people understand what they're

29:41

doing and are honest with themselves,

29:43

they're willing to own up to the fact that

29:45

they are being managed by

29:47

their desire. that they're being managed by

29:49

their cravings. That

29:51

process is the beginning of of

29:53

getting freedom.

30:02

That's all for this week's episode of How to

30:04

Build A Happy Life. This

30:06

episode was produced by me,

30:07

Rebecca Rashid, and hosted by

30:09

Arthur Brooks, editing by

30:11

AC Valdez and Claudine

30:13

Abbib. Fact check by Anna Alvarado. Our

30:17

engineer

30:17

is Matthew Silencing.

30:23

This

30:29

episode

30:29

is supported by Mastercard.

30:32

Making an impact on forest restoration

30:34

is as easy as buying a ticket.

30:36

Now open, a forest for the trees

30:38

is an immersive experience from

30:41

the Atlantic Super Blue, and artist Glen Kyno

30:43

that will inspire you to reimagine

30:45

your relationship with the natural

30:46

world. For every tickets

30:48

sold, two trees will be planted in

30:50

support of conservation international

30:52

and Mastercard's priceless planet

30:54

coalition, an initiative aiming to

30:56

restore one hundred million trees

30:58

by twenty twenty five. So as

31:01

you're guided through this surreal forest

31:03

filled with magic and music, all

31:05

hidden in a twenty eight thousand

31:07

square foot space in downtown LA, reflect

31:09

on the power of our forests and know

31:11

that you've already been a force for

31:13

change. Get your tickets

31:14

now and learn how you can do even more

31:16

to contribute to the global reforestation effort

31:19

at a forest l a dot

31:22

com. That's a forest la

31:24

dot com.

Unlock more with Podchaser Pro

  • Audience Insights
  • Contact Information
  • Demographics
  • Charts
  • Sponsor History
  • and More!
Pro Features