The Path to Enough

足够的道路

Hidden Brain

社会科学

2023-07-18

50 分钟
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This week, we bring you the second part of our conversation on the perils of too much pleasure. Psychiatrist Anna Lembke explains the neuroscience behind compulsive consumption, and how it alters our brains. She also shares techniques she’s learned from her patients to overcome the lure of addictive substances and behaviors.
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  • This is hidden brain.

  • I'm Shankar Vedantam.

  • It seems like the simplest choice in the world.

  • Given the option between pain and pleasure, we ought to choose pleasure.

  • Is it better to be hungry or full?

  • Better to be tired or alert?

  • Better to watch another episode of our favorite tv show?

  • Or do the dishes?

  • It isn't just our own minds that tell us to choose the path of enjoyment and indulgence.

  • Our friends remind us that life is short.

  • Say no to dessert or another round of drinks, and someone might call you a spoiled sport.

  • At Stanford University, psychiatrist Anna Lembke has heard the same messages.

  • But as a scientist, she's also studied the way our brains balance pain and pleasure.

  • The two sit on opposite ends of a neural seesaw, and the brain constantly attempts to bring them into equilibrium, or what is known as homeostasis.

  • When we press down hard and often on the pleasure side of the seesaw, triggering bursts of the neurotransmitter dopamine.

  • Ana says the brain automatically compensates by pressing down on the other side, producing a dopamine deficit.

  • Over time, as people press down too much or too often on the pleasure side of the equation, the brain compensates so forcefully that we start to walk around with a chronic dopamine deficit.

  • This can manifest as anxiety, irritability, and depression.

  • There is complex neurochemistry behind the process of homeostasis, but Ana has come up with a simple way to visualize this.

  • When you press down on one side of the seesaw, imagine a bunch of gremlins inside your head jumping on the other side of the seesaw.