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133. Pay Attention! (Your Body Will Thank You)

133. Pay Attention! (Your Body Will Thank You)

Released Saturday, 8th June 2024
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133. Pay Attention! (Your Body Will Thank You)

133. Pay Attention! (Your Body Will Thank You)

133. Pay Attention! (Your Body Will Thank You)

133. Pay Attention! (Your Body Will Thank You)

Saturday, 8th June 2024
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6:00

a person in their late 80s,

6:02

90s having their hearing improved,

6:04

even with medical intervention, it's

6:06

a very rare thing. It wasn't until

6:09

after running the study that I realized

6:11

that even for the

6:13

comparison group, this was going

6:15

to be a very mindful

6:17

experience. Here were

6:19

people who as elderly men

6:21

were over cared for, not

6:25

in any way acting as

6:27

their younger selves, having given up much

6:29

of their vitality and so on, all

6:31

of a sudden were thrown into a

6:34

whole new environment where they

6:36

were in charge of their own lives, they were to

6:38

make their own meals and so on.

6:41

They went from being very cared for to now

6:43

being on their own. Had I

6:45

thought about that before the study, I

6:48

would have expected that they too would

6:50

improve just not as much as the

6:52

experimental group. So imagine we were colleagues

6:55

and we were having lunch before you did the

6:57

study. You told me you were planning to run

7:00

this experiment. Now let's assume that I

7:02

liked you and I wanted good things for your

7:04

career. I wouldn't be having lunch with you if

7:06

I didn't assume that. I

7:09

would have said, my God, do

7:11

not waste your time doing this

7:13

experiment. It is completely obvious that

7:15

you will find nothing. It

7:18

is preposterous to think

7:20

that listening to old radio shows

7:22

and watching old movies could possibly

7:25

impact anyone's eyesight. So save

7:27

your time and your research budget and

7:29

go do something worthwhile. I'm

7:31

sure plenty of other people must have said that to

7:33

you too, didn't they? No, I didn't talk to people

7:35

about it. So I didn't get to

7:38

hear their views. Otherwise, I might

7:40

have been discouraged. But you know, Steve,

7:42

I did research back in the 70s.

7:44

Judy Rodin and I did

7:46

research in nursing homes where

7:48

we gave people choices, encouraged

7:50

them to make decisions and

7:52

basically to come alive. In

7:55

retrospect, it was really teaching people

7:58

to be more mindful. And

8:00

18 months after the study, more

8:02

people in the experimental group were still

8:04

alive than in the group that was

8:06

just given tender loving care. So

8:09

I have a history of surprising

8:12

myself and people like you. I

8:15

guess it's because I start off with

8:17

less certainty than most people have.

8:21

I mark the edge of

8:23

the nurture part of the

8:25

nature-nurture continuum so that

8:27

my explanation for why this 90-year-old

8:30

seems to have more energy, let's say,

8:32

than this 40-year-old would not be because

8:34

of an assumption of a difference in

8:36

their genetic makeup. I

8:38

start off believing that so much

8:41

more is possible than most of

8:43

us realize. Now, my

8:45

first reaction to hearing the fine-gives-your-counterclockwise study

8:47

would have been, well, that

8:49

result will never be replicated. It has to

8:52

be a fluke. But it

8:54

actually has been replicated a number of

8:56

times, right? Yeah, and in different ways. I

8:58

mean, to me, the important thing was

9:01

the test of the mind-body

9:03

unity idea. The next

9:05

study in that series was a study

9:07

Ali Kraman and I did where we

9:09

took chambermades. And first

9:11

thing, we just asked them how much exercise

9:14

they get. And surprisingly, they don't think they

9:16

get any exercise because they think exercise is

9:18

what you're supposed to do after work. And

9:20

after work, they're just too tired. So

9:23

for the study, what we did was very simple.

9:26

We just taught half of them that their work

9:28

was exercise. Different things that

9:30

they're doing, making beds, cleaning the windows and

9:32

what have you, were likened to working in

9:34

different machines at the gym. And

9:37

so at the end of this, we

9:39

found that this group wasn't working any

9:42

harder, eating any differently. Everything

9:44

was basically the same as the

9:46

group that wasn't taught this change

9:48

in mindset. So there's no intervention

9:50

other than teaching? Exactly. Nothing can

9:52

possibly happen. But something happened. What

9:56

happened was by simply changing their

9:58

mindset, realizing that they were was

10:00

exercise. They lost weight. There was

10:02

a change in waist to hip

10:04

ratio, body mass index, and their

10:06

blood pressure came down. We

10:08

have such control, making ourselves

10:10

sick, making ourselves healthy, and

10:13

I think people are largely oblivious to this.

10:15

But let me tell you one more of

10:17

these mind-body studies. The most recent one I

10:20

did with my graduate student, Peter Ungle. So

10:22

we inflict a wound. Not a big wound

10:24

because we're not sadists. And even if we

10:26

were the powers that he would not let

10:28

us do it. So it's a

10:31

minor wound. And the people

10:33

who've got this wound are sitting

10:35

in front of a clock. Unbeknownst

10:37

to them, the clock is rigged.

10:39

So the clock is going twice as fast

10:42

as real time, half as fast

10:44

as real time, and in real

10:46

time. Now you would say, so what?

10:48

Who cares about the clock, right? The

10:51

wound will heal when it heals. But

10:53

it turns out that the wound healed

10:55

based on perceived time. Wow. In the

10:57

medical world, you ask the doctor, how

11:00

long is it going to take for

11:02

me to heal from whatever the surgery,

11:04

for example. And typically they're

11:06

going to give the longer

11:09

part of that so you don't feel bad

11:11

that you didn't heal quickly or maybe the

11:13

average healing. Science, whether it's

11:15

medical science, psychological science, only

11:17

gives us probabilities. When you

11:20

believe something is absolute, your

11:22

expectations are sealed and it

11:24

becomes a self-fulfilling prophecy. It

11:27

might be better for people to

11:29

be told the quickest healing time

11:31

that's known. And see, some people

11:33

heal as quickly as, because

11:35

they can't know. You

11:45

have one other study I want to talk about before

11:47

we get into broader issues. Only one? It's

11:51

the study you did where you went into a

11:53

nursing home and you were working

11:56

on memory loss. And so you asked the

11:58

nursing home residents, different questions

12:01

over the course of three weeks to test

12:03

whether they could remember things better.

12:05

Things like how many nurses names do you

12:07

know or whatnot. And

12:09

there actually you found something that I

12:11

expected, which is that if you challenge

12:14

people's memory and they know you want

12:16

them to remember better, they actually started

12:18

remembering a bunch of things. Yeah,

12:20

it's not so much the challenge is

12:22

that if there's no reason to remember,

12:24

you're not going to remember. During the

12:26

summers, I'm not teaching, let's

12:28

assume I'm playing tennis at 10 in the

12:31

morning every day, then Tuesday is the same

12:33

as Thursday and so on. And

12:35

even a simple question, what day is

12:37

today, I wouldn't quickly know. And

12:40

it's not because I'm old, it's because

12:42

it doesn't matter. And so

12:44

all we did in the study was to make

12:46

remembering matter and when it

12:48

mattered, people remembered. What makes

12:50

it your study is

12:52

that you went back two and a half

12:55

years later and the people who you

12:57

had intervened with by asking a few

12:59

questions over the course of three weeks, 7%

13:02

of them had died two and a half years later, 33

13:05

and 27% of those comparison groups had died. You

13:10

had through this intervention, seemingly radically

13:12

changed mortality rates to a degree

13:15

that I think you would be

13:17

hard pressed to find any pharmaceutical

13:19

compound, which has had that kind

13:21

of effect in a controlled

13:23

study. There are several studies

13:26

starting with the first one in the

13:28

nursing home where we gave people control,

13:30

made people mindful. People need to understand

13:33

when I'm talking about mindfulness, it has

13:35

nothing to do with meditation. Meditation

13:38

is a practice that you engage

13:40

in, presumably to result

13:42

in post meditative mindfulness. Mindfulness

13:45

as I study it is more immediate.

13:48

It's the very simple process of

13:50

noticing. And as you notice,

13:52

the neurons are firing and the

13:55

study that you suggested and several

13:57

others shows that it's literally and

13:59

figurative. enlivening. And if

14:01

you ask somebody how much of the

14:04

day are you noticing aware of what's

14:06

around you and so on, people would

14:08

think virtually all the time. Sadly,

14:12

much of the research has shown me

14:14

that virtually all of us, much of

14:16

the time, are mindless. We're not there.

14:19

And Steve, when you're not there, you don't

14:21

know you're not there. And it's because of

14:23

those absolutes that I mentioned a moment ago

14:25

that leads us not to be there. If

14:27

you knew what I was going to say

14:29

next, why would you listen to me? And

14:32

we're not paying attention. The system more or

14:34

less is turning itself off. And

14:37

being there is so easy. You

14:40

sit up and you pay attention. And

14:42

when you do that, you're engaged. And

14:44

it's exciting. And we have

14:46

so many findings of the advantages

14:48

of being mindful. The neurons are

14:50

firing. You end up happier, healthier.

14:52

In some sense, you light up.

14:54

People find you more appealing, more

14:56

charismatic, more authentic and trustworthy. We

14:58

even find that it leaves its

15:00

imprint on the things that you're

15:02

doing. If you do something mindfully

15:04

versus mindlessly, people tend to

15:06

prefer the mindful version of it. Everything

15:09

seems to change. I've been doing this

15:11

for, gosh, 45 years. It's just better

15:16

for us. We come

15:18

alive when we're engaged.

15:20

And becoming engaged follows

15:23

from our knowing that we don't know

15:25

and the fun in finding

15:27

out. We'll

15:31

be right back with more of my conversation

15:33

with psychologist Ellen Langer after this short break.

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16:57

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16:59

you move over and slow down, you're making

17:01

sure I can get home to celebrate with

17:03

my daughter. When you see flashing lights, remember,

17:06

they're not just roadside workers. Thank you for

17:08

moving over and slowing down. I'd

17:13

love to spend a little

17:15

time diving into how you

17:17

define mindfulness because I've always

17:19

struggled a little bit at

17:22

understanding what people mean by

17:24

that. How does

17:26

your version of mindfulness differ from

17:28

the more spiritual version that comes

17:30

out of Eastern religion? To

17:33

become mindful from the Eastern perspective, you

17:35

have to meditate. My work

17:37

is all about mindfulness without meditation, although

17:40

I did some very early working 80s

17:42

on meditation. Years

17:45

and years ago when I started studying

17:47

this, I was studying mindlessness. And

17:49

I was studying mindlessness because I would

17:52

walk into a store and walk into

17:54

a mannequin and apologize. And I'd say,

17:56

wait a second. I

17:58

noticed things that I was doing. doing that didn't quite

18:01

make sense to me. I wish

18:03

I could remember who this person was, but

18:05

there was somebody, not such a nice person,

18:07

maybe it's good that I don't remember who it was,

18:10

who said to me, you know, you are what

18:12

you study. And I said, that's interesting. And then

18:14

I turned it around and I started studying mindfulness.

18:17

One of the things I've heard you say about mindlessness

18:19

is that people, when they're in a mindless state, they're

18:22

typically in error, but rarely in

18:24

doubt. Yeah, no, that's very

18:26

important because when you're mindless, it's

18:29

not even that you're saying to yourself that

18:31

you're certain, you just proceed without

18:34

any doubt. And people

18:36

have run away from doubt without recognizing if

18:38

you don't have doubt, then you don't have

18:40

choice. People don't want doubt, but they want

18:42

choice. The most important

18:45

way from a top-down

18:47

perspective to become mindful is

18:49

to appreciate uncertainty, that

18:52

with everything changing, everything looking different

18:54

from different perspectives, you can't know.

18:57

Now, what happens is individually when we

19:00

don't know, sometimes we're afraid. I think

19:02

I'm supposed to know, I don't know,

19:04

I don't want anyone to know, I don't know, so

19:07

then I pretend or I avoid. And

19:09

I'm here to free everybody to say

19:11

nobody knows. I think

19:13

that the most powerful position one

19:16

should assume is one

19:18

of being confident, but

19:20

uncertain. Was there such

19:22

a word as mindfulness before you came

19:25

around? Did you invent it? It existed

19:27

in Buddhist literature, but in this country,

19:29

it was not on people's

19:31

tongues. Once I

19:33

started using the term mindfulness, I

19:35

started to become aware of Buddhism

19:38

and so on. And to me, it

19:40

was very exciting that things that

19:43

I had come to from this

19:45

Western scientific perspective were so in

19:48

line with that which had

19:50

been around for a very long

19:52

time from the more Eastern perspective.

19:55

I mean, now, every place you look, a while ago,

19:57

this was the funniest for me, I had to. I

20:00

just given a talk on mindfulness in

20:02

Chicago, and I go outside and around

20:04

the block end, there's a

20:06

restaurant, the Mindful Burger. You know?

20:09

Somebody once called me. It was

20:11

somebody doing your PhD, and

20:14

wanted to know was mindfulness a fad? And

20:16

I was a little offended, but I thought

20:19

about it for a moment. And

20:21

I said, okay, let's say you

20:23

burn your toast every morning, and

20:26

then somebody comes along and shows you all you

20:28

need to do is turn the dial down a

20:30

slight bit, and then the toast

20:32

is no longer going to burn. Is

20:34

it a fad? I mean, you're not gonna go back

20:37

eventually to burning your toast unless you preferred it

20:39

that way. It's not

20:41

just paying attention, because,

20:44

well, attention is necessary, it's

20:46

not sufficient. There has to

20:48

be the activity of coming

20:51

to understand something that was novel,

20:53

something that's new. When I

20:55

started to paint, I'm 50 years

20:57

old, and prior to that, if you

20:59

had asked me what color are leaves, I

21:02

would have said, mindlessly forgetting about the fall

21:04

when the leaves change color, I would have

21:06

said they're green. Then I

21:08

start painting, and I start seeing more.

21:11

You look at trees, and there are

21:13

hundreds of different colored greens that

21:16

change as the sun changes in the

21:18

sky, changes in the seasons,

21:20

and so on. Once you

21:22

wake up, there's just so much more. Everything

21:25

feels new and potentially

21:28

exciting. In

21:30

your studies, you teach people to

21:32

have a mindful approach. What's

21:35

the process of opening people up

21:37

to that state of being? There

21:39

are three things. The first was

21:42

for people to respect uncertainty and

21:44

to make a universal attribution for not

21:46

knowing rather than a personal attribution. Nobody

21:49

knows, so then everything is there to

21:51

be found out, and

21:53

that will necessarily make you mindful.

21:55

So the respect for uncertainty. The

21:57

second is ask yourself,

22:00

and you walk out your door and notice three

22:02

new things. Notice three new things about the person

22:04

you may be living with. Three different

22:06

ways of doing whatever you're doing. Look

22:09

for multiple answers to any question that

22:11

you're asked and so on. And

22:14

the third way is when

22:16

we're learning something, not to learn

22:18

it the way most of us

22:20

have sadly learned most of the

22:22

things we know with

22:24

absolutes. The best way

22:26

to learn is to learn conditionally.

22:29

Rather than is, you should learn

22:31

could be, would be, possibly, it

22:33

would seem that, might be. And

22:36

when you know that it could be,

22:38

you're open to possibilities that

22:40

otherwise won't occur to you. Right

22:43

now, we get our As in

22:46

school by memorizing facts, but these

22:48

facts are context dependent. The one

22:50

thing everybody knows is

22:52

how much is one in one. So

22:54

Steve, how much is one plus one?

22:57

One in one may be two, but if you're

22:59

using a base two number system, one plus one

23:02

is written as 10. If

23:04

you add one watt of chewing gum plus one

23:06

watt of chewing gum, one plus one equals one.

23:09

So now you have one plus one can be one, can

23:11

be two, can be 10. It's

23:13

a very different world that we create for

23:15

ourselves. Imagine a teacher asks young

23:17

students, how much is one plus one?

23:20

And little Steve says one,

23:22

what's going to happen? In most classrooms, a teacher

23:25

is going to try not to look at you

23:27

like you're stupid. You're going

23:29

to feel uncomfortable and possibly set

23:31

the stage for a lifetime

23:34

of feeling stupid. Where

23:36

if the teacher were mindful, the

23:38

teacher would say, little Stevie, how did you come

23:41

to that? And then you'd say,

23:43

if you add one pile of sand to one

23:45

pile of sand, one plus one is one. And

23:48

now everybody would have learned something.

23:50

So everything we're learning is absolutes,

23:53

makes us think we know and we don't know.

23:55

And when you think you know, you no longer pay

23:58

any attention. It makes us a value. of

24:00

other people who may see a different world.

24:03

I wouldn't have called it mindful when I was

24:05

a young academic doing my PhD,

24:07

but it was how I lived my

24:10

life because it was a

24:12

new adventure. I was trying to

24:14

find ways to say new things about the

24:17

world and I looked around with an open-minded

24:20

curiosity, unsure

24:22

what was true or untrue, willing

24:24

to challenge in a friendly sort

24:26

of way every piece of conventional

24:29

wisdom and any interesting research I

24:31

ever did was because somebody

24:33

said something and I thought, that doesn't

24:36

seem right. A lot of

24:38

times, turns out people were right, but sometimes

24:41

things people believe didn't turn out to be

24:43

true in the data. I just stopped

24:45

being an interesting academic because as I got

24:48

older, I became more and

24:50

more internally focused, not necessarily sure I

24:52

know the answers. I just found my

24:55

center was inside of me instead of

24:57

outside of me and that wasn't good

24:59

for making discoveries. Or

25:01

good for your health, probably. For me,

25:04

I know exactly what it is that

25:06

is in the way of

25:08

me being in a mindful state and that is that

25:10

my natural resting state

25:13

is a very active dialogue inside

25:16

my head and that dialogue takes up, I

25:19

don't know, 80% of all

25:21

of my attention and brain power. As

25:24

soon as I pause that dialogue, it is

25:26

like I flip a switch and

25:28

suddenly I'm noticing things around me and

25:30

I'm more playful. Is there

25:32

some evolutionary things in any way or

25:34

why is it so difficult for me,

25:36

even when I appreciate mindfulness, to

25:39

unlock it from this natural

25:42

state? So basically, really the question you're

25:44

asking is, why are you

25:47

so stressed? And we have a

25:49

culture that says, well, everybody's stressed,

25:51

work has to be stressful. I don't agree with

25:53

any of that. What people

25:55

need to understand is that

25:57

events don't cause stress, what causes stress.

26:00

of the views you take of the event.

26:02

If you open it up and take

26:04

a more mindful view, knowing that things

26:06

can be understood in multiple ways, you're

26:09

not likely to choose the one that's driving

26:12

you crazy. This is one

26:14

thing I say frequently now for which

26:16

I don't have data, but I believe

26:18

that stress is our biggest

26:20

killer. If you

26:22

took people who are given some

26:25

dread diagnosis and you let

26:27

them get used to it after a few

26:29

weeks, and then you start measuring their level

26:31

of stress, that would predict the

26:33

course of the disease over

26:35

and above genetics, nutrition, and dare

26:38

I say even treatment. That's how

26:40

important I think stress is to

26:42

our well-being. And again,

26:44

given that stress is psychological, that suggests

26:47

that we can control it. And I

26:49

think that there are lots of ways

26:51

that are not very hard for people

26:53

to do. Ask yourself the next time

26:56

you're stressed, is it a tragedy or

26:58

an inconvenience? I missed the

27:00

bus or I burnt the roast or I

27:02

didn't finish the project, so what? You

27:04

become wiser to these as you get older,

27:06

but this is the sort of thing I

27:09

try to teach my students in their early

27:11

years in college. Why do we

27:13

have to wait to learn this? Another

27:15

thing we might recognize is that most

27:17

of the things we're stressed about never

27:19

occur. So we should use

27:21

the rule, no stress before it's time. We

27:24

should not accept that things

27:26

have to be stressful. And

27:28

again, an example I've probably overused, but Steve,

27:31

you and I go out to dinner and

27:33

the food is great, wonderful, it's a win.

27:35

You and I go out to dinner and

27:37

the food is awful, wonderful. I'll eat less,

27:39

that'll be better for my waistline. For

27:41

me, I have a very clear

27:44

understanding that events are neither

27:46

good nor bad, but that the way

27:48

I understand them will make them so. It's

27:51

just a matter of recognizing that nothing

27:53

is important in and of itself. We

27:55

give it the importance, and

27:58

sometimes that works to our disadvantage. One

28:01

thing that's really helped me in that domain is

28:03

if I'm very agitated about

28:05

something angry or upset, I

28:08

pause and I think, let

28:11

me just focus on what I'm feeling in my

28:13

body. And when I do that,

28:15

I'm like, wait, is that anger or is

28:18

that hunger or tired? And

28:20

it's funny, you can't even tell the actual feelings in

28:22

the body, at least someone like me who's not very

28:24

attuned to my body. They all feel

28:26

the same. And once you pause and say, wait

28:28

a second, without the story, it doesn't

28:31

feel so bad. Exactly. Steve,

28:33

you mentioned the longevity

28:36

findings and the counterclockwise study.

28:38

And all of these were

28:40

obviously meaningful to me. But

28:43

there's something that I came up with

28:45

that doesn't sound as big,

28:47

but that was probably, for me,

28:49

the most important thing that I

28:51

came to in my career. And

28:54

that was the very simple understanding

28:57

that behavior makes sense from the actor's

28:59

perspective or else the actor wouldn't do it.

29:02

So for example, I'm very

29:04

gullible. I am. If

29:07

you say to me, Ellen, for a woman of

29:09

your age and your experience, it's pathetic. And

29:11

so I look back at my behavior and I

29:14

say, you're right, I'm going to try to not

29:16

be so gullible, but I'm always going to fail.

29:19

Because from my perspective, I'm not

29:21

intending to be gullible. I'm trusting.

29:24

And as long as I'm trusting, I'm going to

29:26

be gullible. So then I

29:28

realize that every single negative

29:30

characteristic we have to describe

29:32

ourselves or anybody else has

29:35

an equally strong but oppositely valenced

29:37

alternative. For every negative thing, there's

29:40

a positive version of it. And

29:43

that if you want to change people,

29:45

what you need to do is speak

29:48

to them from the perspective from which

29:50

the action is originating. You

29:52

want me to stop being gullible. You

29:55

have to get me to stop valuing being

29:58

trusting. And my guess is

30:00

you would probably like the fact that

30:02

I'm trusting now that you see it that way. Or try

30:05

to get me not to value it, in which case I'd

30:07

be able to change. But as long as I

30:09

value being trusting, I'm going to be gullible. We

30:12

did this in a study forever ago where we

30:14

had people, we gave them behavior

30:16

descriptions and said, circle those things

30:19

that you keep trying to change

30:21

about yourself and you fail. So

30:23

for me, I'd circle gullible, I'd

30:25

circle impetuous, impulsive, I

30:27

won't tell you the others.

30:29

And then you turn the

30:31

page over and in a mixed up

30:34

order of the positive versions of each

30:36

of these. And then we say to

30:38

people, circle those things you really value

30:40

about yourself. I value my being trusting

30:42

and spontaneous. Well, as long as

30:44

I do, I'm going to be vulnerable

30:47

to the insults on

30:49

the other side of the page. I

30:51

suspect that when people, the addicts

30:53

say, from the external perspective, people

30:55

think, well, it's horrible to be an addict, no one

30:57

would want to be an addict. But I

31:00

suspect what you've just described is

31:02

a good characterization of many addicts. There's

31:05

all sorts of positives that are coming

31:07

from the addictive behavior that probably if

31:09

you can get inside their head, they

31:11

don't want to let go of. And

31:13

of course, it's impossibly difficult to quit

31:15

something when you don't want to quit

31:17

it because it's working for you in

31:19

some way, shape or form. Exactly.

31:22

In one of my books, maybe several

31:24

of my books, I asked

31:26

the question, let's say, you're very anxious

31:28

and you do X and now you're

31:30

no longer anxious. Is it good to

31:32

do X? And every reason says, sure. And

31:36

then you add, take a drink or

31:38

whatever. If we didn't punish people for

31:41

the behaviors that make sense and

31:43

rather point out that it's successfully

31:46

achieving what they want, they'd be

31:48

stronger in finding alternative ways to

31:51

produce that outcome. You

31:53

don't say to somebody who's a heavy

31:55

drinker, you have to stop drinking because

31:57

it's hurting your liver. Nobody is drinking.

32:00

to hurt their liver. Their liver

32:02

is inconsequential the moment they're taking

32:05

the drink. This idea leads

32:07

to a very different

32:09

understanding of people, a very different

32:11

way of relating. If

32:13

you were involved with me and I

32:15

did something and you forgave me, I

32:18

don't want your forgiveness. What

32:20

I want is for you to understand why

32:22

I did what I did. And

32:24

then forgiveness becomes irrelevant.

32:27

I was asked many years ago to

32:30

give a sermon in one of the Harvard

32:32

churches, which was a bizarre thing for me

32:34

because I hadn't spent any time

32:36

in a church. I am Jewish. I don't

32:38

even know a whole lot about Judaism. But I

32:41

say yes. And now I'm trying to figure out

32:43

what am I gonna talk about? Forgiveness

32:45

sounds sort of religious. So

32:48

maybe I can build something around forgiveness. And

32:51

it was amazing, Steve, because as I

32:53

started thinking about this, what I came

32:55

up with was almost sacrilegious. So

32:58

if you ask 10 people, is forgiveness

33:00

good or bad? What are they gonna tell you?

33:03

It's good. It's good, right? Now,

33:05

if you ask 10 people, is blame good

33:07

or bad? What are they gonna tell you?

33:10

It's bad. It's bad, right. So

33:13

what that means is our forgivers

33:15

are our blamers. Now,

33:18

do you blame people for good things or

33:20

bad things? Bad things. Bad things. But things

33:22

in and of themselves are neither good nor

33:24

bad. So what do we have? We have

33:26

people who see the world negatively, who blame

33:28

and then forgive, which to me

33:31

seemed hardly divine. If

33:33

you blame, you certainly should learn

33:35

how to forgive. But as I

33:37

talk about in the mindful body,

33:39

if you understand it, it obviates

33:41

the necessity for blame. And

33:44

if you don't blame, then you don't need

33:46

to forgive. So we have lots of things

33:48

that sound good that have another

33:50

side to them. When you say to somebody,

33:52

try. You don't try to eat

33:55

an ice cream cone, you just eat it. Now,

33:58

trying is better than giving up. but

34:00

there's an even better way of being,

34:02

which is just to presume everything is

34:04

going to be fine. Presume you can

34:07

do it and go forward and don't

34:09

waste your time. We did a little

34:11

research on trying versus doing and

34:14

even with the doing of things,

34:16

people get themselves crazed. People think

34:18

they want perfection and

34:20

you can either do things perfectly

34:23

mindlessly or imperfectly

34:25

mindfully. Let's say

34:27

you're a golfer and oh, wouldn't it

34:29

be wonderful if you could get a hole in one

34:32

each time you swung the club? Well, no. After

34:34

the first couple of times, you'd see there's no

34:36

game there. What makes

34:39

the game is the imperfect performance.

34:42

If we recognize that it's

34:44

the challenge that's exciting for

34:46

us, we'd possibly enjoy

34:48

the so-called challenges more. I was

34:51

literally just now thinking

34:53

about golf as you brought it up

34:55

because my approach to golf

34:57

as an adult was, along with my

34:59

academic career, one of my most mindful

35:01

peers. I played a lot of golf

35:03

as a kid and I was completely

35:05

mindless in the way I did it.

35:07

I believed what the experts told me

35:09

and I followed religiously what

35:12

I was supposed to do and I really wasn't

35:14

very good. I went away from golf for maybe

35:17

25 years and then I came back to it with

35:19

a different perspective, which is, look, I figured out

35:22

all sorts of things in academics. Why shouldn't I

35:24

be able to figure out golf? I threw out

35:26

all of the rules and I approached it very

35:28

differently and I had an

35:31

amazingly joyful time. It was so

35:33

much fun to be

35:35

improving and learning. I

35:37

made one really important

35:40

miscalculation. The entire time

35:42

I was playing golf, I had this vision

35:44

that the better I got at golf, the

35:46

more fun it would be. Eventually,

35:49

I got pretty good. What was

35:51

interesting is that the better I

35:53

got, the less fun golf was

35:55

because there was less room for

35:57

error, there's less room for creativity.

36:00

the expectations of how good I

36:02

could be, maybe rose faster

36:04

than my physical and mental

36:06

limitations. I really wanted to

36:08

be a professional golfer on the senior golf

36:10

tour. And what was most interesting

36:13

and really lucky for me, and I've described

36:15

it before on this show, is

36:17

I actually went out and I was playing in a

36:19

pro-am with Steve Stricker, and I actually

36:21

played incredibly well and I shot two or three

36:23

under par on the front nine and I was

36:25

getting all sorts of attention. I almost had a

36:27

hole in one in a par four. And

36:30

I realized as I was standing there, this

36:32

is what I had always dreamed of doing

36:35

and I hated it. I didn't want

36:37

that dream at all. That one day

36:39

changed completely my relationship to golf and

36:42

actually for the better because then I stepped

36:44

back from this idea of improving and

36:47

I accepted golf as something

36:49

which was for me meditative

36:51

and fun and intensely personal.

36:54

And golf then became more fun again. I

36:59

played golf only a few times when I would

37:01

get to Florida and visit my father. We'd

37:03

go out to the course and I'd get a hole in

37:05

one. Well, this was outrageous because I don't know what I'm

37:07

doing. We spent a lot of time, where's

37:10

the ball? Only eventually

37:12

to see that it's in the cup. I always look

37:14

in the hole right away. I never find it there, but

37:16

I always look there first. That may be a gender difference,

37:18

I don't know. But what was

37:20

interesting is that it spoiled the game

37:22

for me. Every time I swung

37:25

the club, I was expecting a hole in

37:27

one. I do something when

37:29

I'm lecturing in person, look in the

37:31

audience for a very tall person and

37:33

there's almost always some guy who's six

37:35

five or so. And I asked him

37:37

to come to the stage. There

37:40

I am at five, three, he's six five.

37:42

We look silly together. And then all I do

37:44

is raise the question, should we do anything

37:47

physical the same way? It seems

37:49

ridiculous. Should we hold

37:51

the golf club, the tennis racket, anything?

37:54

And the rule that follows from

37:56

that for me goes well beyond

37:59

physical activities. which is the more

38:01

different you are from the person

38:03

who created the rule, the

38:06

more important it is for you to

38:08

basically ignore the rule or amend the

38:10

rule and do it your own way.

38:13

We don't realize that in some sense

38:16

everything that is was

38:18

at one point a decision. Somebody had

38:20

to decide how it should be and

38:23

if it were a decision that means initially

38:25

there was uncertainty and

38:27

then as soon as we make the decision we

38:29

forget all the uncertainty and act as if that's

38:32

the way it should be. An

38:34

example I use in the book is

38:36

imagine you want to know if a particular

38:39

drug is going to

38:41

be covered by your insurance. Now

38:44

how are these decisions made? Should

38:47

people be reimbursed for

38:49

Cialis? Okay, Viagra.

38:52

And the committee making this decision

38:54

were a group of lusty 50-year-old

38:57

men. versus a

38:59

group of nuns. When

39:02

you know there's some set of people

39:04

deciding this who may or may not be like

39:06

you or have the same values and

39:08

so on would make you

39:10

more likely to fight for what's good

39:12

for you. Not accept the

39:15

status quo because the status quo is

39:17

just one of many

39:19

potential ways things can be. That's

39:21

the piece with all of my work

39:23

that I think is important

39:26

for people to recognize whatever

39:28

is is only one way

39:31

it could be and if it

39:33

doesn't work then change it. You're

39:38

listening to People I Mostly

39:40

Admire with Steve Levitt and

39:43

his conversation with Ellen Langer.

39:45

After this short break they'll

39:47

return to talk about how

39:49

Langer hopes mindfulness could change

39:51

the medical system. Can

39:59

I cut 5% out of the of the budget and still have

40:01

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40:03

me. Co-Pilot for Microsoft 365

40:06

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40:14

Hey there, I'm Brad. I'm about to win

40:16

the Tuesday Night Bowling League Championship. I'm also

40:18

a highway worker for the Ohio Department of

40:20

Transportation. When you move over and slow down,

40:22

you're making sure I can bowl the winning

40:24

strike with my buddies. Remember, they're not just

40:26

roadside workers. Thank you for moving over and

40:28

slowing down. I'd

40:36

like to finish our conversation by focusing

40:38

on what seems to me to be

40:40

the most radical implication of Ellen Langer's

40:43

research, that the mind is

40:45

so powerful that just through belief we

40:47

can dramatically alter our physical state. As

40:54

I've read your body of research, one thing that I've

40:56

struggled with... You've read all of it? Oh

40:58

no, no one can read all of it. It's almost endless.

41:00

No, because I was going to ask you to remind me

41:03

of some of the errors. There's

41:06

a concept of mindfulness, and we've

41:08

talked about that. That can

41:10

exist completely absent from

41:13

the second strand of research,

41:15

which is this mind-bodied link. What

41:18

surprises me in every study is that

41:21

I'm very open, attuned, in agreement

41:23

with the idea that mindfulness is

41:25

valuable and powerful. What's

41:27

a bigger reach for me is that

41:30

I've really been indoctrinated into

41:32

the current state of medical

41:36

wisdom, which says that

41:39

mind and body are very different.

41:41

It's completely implausible that simply by

41:43

thinking or believing something different, you

41:45

could make pain go away. It's

41:48

interesting that for you, those two are the same

41:50

thing, but for me they're completely different. The

41:53

mind-body unity idea is

41:56

based on, and sometimes,

41:58

mindlessness. And if we

42:01

can do it mindlessly, chances are we

42:03

can do it better, faster, more efficiently,

42:06

mindfully. Let me give you an example.

42:08

So you take a placebo, and what

42:10

is a placebo? A sugar pill, something

42:12

that's inert by definition. But

42:14

you have a doctor give you this nothing that

42:17

you believe is something, and then you heal.

42:19

And we have people healing from all sorts

42:21

of things from the sugar pill. Well, if

42:24

it's not the pill that's making

42:26

you heal, what's making you heal? You're doing it

42:28

yourself. So part of my

42:30

work is, can we get rid of

42:32

the whole charade and help ourselves more

42:35

immediately without taking a nothing

42:37

pill, without somebody else giving it to

42:39

us? If I'm controlling my own health,

42:41

let me just control it. Let's

42:43

look at the medical world. It was not

42:46

that many decades ago that the

42:48

medical world believed that

42:50

one's psychology was totally

42:52

irrelevant to health. I'm sure doctors always

42:55

want you to be happy. But

42:57

they did not think that psychological

42:59

state has anything to do with illness.

43:01

The only way you were going to

43:04

become ill was if there was

43:06

an antigen present. Now, most

43:08

medical people have moved to the

43:10

point where people talk about a

43:13

biosocial model, where they know that

43:16

stress and these things matter. I don't

43:18

think they realize that it matters quite

43:20

as much as it does. When

43:23

I started writing The Mindful Body, it

43:25

was first going to be a memoir. So I have

43:27

a lot of personal stories in there. And

43:30

there was one experience that I had that stayed

43:32

with me all my life. I was

43:34

married when I was really, really

43:36

young. So I was 19. And

43:39

we went to Paris for a honeymoon.

43:42

And now you have to appreciate that for

43:44

me, I was now all grown up. It

43:46

was very important that everything I did revealed

43:48

that I was a mature woman of

43:51

the world, because after all, I was married. We're

43:53

in this restaurant. I order a mixed

43:55

grill. And on the

43:57

mixed grill was pancreas. my

44:00

then husband, which of these things is the

44:02

pancreas? He was more sophisticated than I,

44:04

he points to something. I eat

44:06

everything. I'm a big eater. I love food. I eat

44:09

with gusto, but moment of decision.

44:12

Can I eat the pancreas? Now,

44:15

I don't know why when I tell this

44:17

story, it doesn't follow naturally that if

44:19

I were a woman of the world, I

44:21

would have to eat pancreas. But to my

44:23

mind, as that young person, I believe that,

44:25

you know, it was a do or die

44:27

moment. So I started eating

44:29

the pancreas. He, in the meantime, starts

44:32

laughing. I'm getting

44:34

sick, literally sick. He's

44:36

laughing. Not nice, right? And I look at him

44:38

and say, why are you laughing? He

44:40

said, because that's chicken. You ate the

44:42

pancreas a while ago. So

44:45

I had literally made myself sick. And

44:48

that set me off on a career where

44:50

if I can literally make myself sick, maybe

44:52

I can literally make myself well. We

45:06

have some research on what I

45:08

call the borderline effect. So

45:11

if you give people medical

45:13

tests, there are some people

45:15

who fall right above the

45:17

line that would say that they have

45:19

it, right? There's always some

45:22

point where you have it and you

45:24

don't. If you liken it to when

45:26

a donut expires, you can

45:28

eat it until March 1st.

45:31

So now it's February 28th.

45:34

And it's 10 o'clock at night. You

45:36

have two more hours to eat the

45:38

donut. And it's ridiculous, right? So

45:41

the point of that being that the

45:43

person right above that cutoff point

45:45

and the person right below are

45:48

the same in all

45:50

meaningful ways. However, one is

45:52

going to get the diagnosis and one isn't.

45:55

And then if you watch them over time,

45:57

what tends to happen is the person who's

45:59

given the diagnosis becomes ill.

46:02

Which is interesting and surprising because

46:05

you'd expect the opposite because a

46:07

person who gets the diagnosis has

46:09

more reason to seek treatment and

46:12

is part of the system. I

46:14

mean, there are two possible explanations. One

46:16

is that when you're above that borderline,

46:19

the body-mind continuum leads you into sickness. The

46:21

other is that our health system just makes

46:23

you sicker and once you interact more with

46:25

it, you become sicker too. And

46:28

those aren't mutually exclusive. I

46:30

have been approached to build the Mindful

46:32

Hospital, which is very exciting for me.

46:35

And you just think of a hospital

46:37

that in essence it hasn't been redesigned

46:39

since it was first invented. You

46:41

have machinery that's updated and so

46:43

on. But when you go

46:45

to the hospital, you walk through the doors and

46:47

now you're stressed. And again, I told you

46:50

that I think stress makes you sicker.

46:52

In this Mindful Hospital, almost everything about

46:55

it would be quite different from the

46:57

experience we have right now. Who would

46:59

design a hospital where you get woken

47:01

up 17 times a night when

47:04

you're trying to sleep? But that's the

47:06

experience I've had with hospitals. Sometimes

47:08

you're awakened so that you can be given a

47:10

sleeping pill.

47:12

One of the things that I

47:14

find most distressing is the whole

47:16

notion of chronic illnesses. When

47:19

you're given a diagnosis that you have

47:21

a chronic illness, most people see that

47:23

as something that's uncontrollable.

47:25

There's nothing that can be done about it. And

47:28

all it really means is that the medical

47:30

world has not yet figured out a way

47:32

to handle it. It certainly doesn't

47:34

mean there's nothing that you can do for

47:37

it. So I started thinking about all

47:39

of the things we can do when we

47:41

have an illness where the medical world can't

47:43

help us. I don't think

47:46

people have a notion of body unity.

47:49

And what I mean by that is that

47:51

anything that affects any part of your body

47:53

is simultaneously affecting

47:56

every part of your body. So

47:58

doing some research now. let's say

48:00

lifting weights. All right,

48:02

so you're lifting weights and you expect

48:05

your triceps, your abs, whatever parts of

48:07

the body are going to prosper from

48:09

this. If you're aware that the

48:11

whole body is one, my

48:13

prediction is that your

48:15

stomach will be stronger and it will

48:18

be measurable down to your calves, your

48:20

toes, and so on. If

48:22

you don't have that belief, then you're not

48:24

going to get the benefit from it. So

48:26

you're doing that study right now? Yeah,

48:28

and when I get the results, I'm going to mail

48:30

them to you right away so you can say, can't

48:33

be. But if

48:35

we go back to chronic illnesses, mindfulness

48:37

is the best thing for our health.

48:39

And so all the while we have

48:41

this chronic illness, we increase our mindfulness,

48:44

our enjoyment, our engagement with the world we're

48:46

going to be affecting our health. Then

48:49

the last thing in this, I call

48:51

it attention to symptom variability. So

48:53

when you are diagnosed with a chronic

48:55

illness, people think that your symptoms are

48:57

going to stay the same or just get

48:59

worse. But it turns out

49:01

nothing moves in only one direction. There

49:04

are always little blips. Imagine the

49:06

stock market is increasing. It doesn't go

49:08

up in a straight line, it'll go

49:10

up, it'll go down a tiny bit, go up. So

49:12

when it's a little better, what's

49:15

happening? Why is it? So all

49:17

we do is we have people,

49:19

we call them periodically throughout the day, throughout

49:21

the week, and we ask them, how is

49:23

the symptom now? Is it better or worse

49:25

than the last time we called and why?

49:28

The and why is the important question. Well,

49:31

this procedure works. There are

49:33

four things that happen. The first,

49:36

when many people have chronic illnesses, they

49:38

feel helpless, which is bad for their health

49:40

and certainly for their happiness. So now you're

49:43

doing something for yourself. Second,

49:45

as soon as you notice that there are times

49:47

where you feel a little better, wow, that's good

49:49

because I thought I was always in maximum pain.

49:51

Third, when you ask the

49:53

question why and you start paying attention to when

49:56

it hurts, when it doesn't, what might be different

49:58

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