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The Problem With Modern Therapy

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The Problem With Modern Therapy

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316 segments

0:00

Okay, theory of constructed emotion.

0:04

This is this is wild, guys. Theory of

0:06

constructed emotion suggests that 50% of

0:09

the emotion that we experience up to

0:12

50%.

0:15

Modifiable.

0:16

We create our emotional experience. And

0:20

the reason that we are so emotionally

0:23

[ __ ] up is because no one taught us

0:25

that. See, we go through life thinking

0:28

that our feelings are not ours to

0:29

control. And this is what's so

0:31

unfortunate. We have this like weird

0:34

therapy speak kind of epidemic going on

0:37

where people are like, you're entitled

0:38

to your feelings, right? Your feelings

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are true. We sort of take feelings as

0:45

something that we are given and it it's

0:48

sort of like the feeling is not

0:49

changeable. It's not modifiable. You

0:51

shouldn't even try to change it. You

0:52

should just accept it. Like if you feel

0:54

angry, you're entitled to feel angry. We

0:58

what we sort of say is that if you have

0:59

an emotion, you should accept what it

1:02

is. Accept your emotion. Don't try to

1:04

change it. Don't try to control it.

1:05

Don't try to suppress it. And then down

1:07

the road, sure, your feelings are valid.

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Your conclusions based on those feelings

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may not be valid. The behaviors that the

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feeling is driving you to do may not be

1:16

appropriate, but the feeling itself is

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not something that you have any control

1:20

over. So just accept it. Your feelings

1:22

are true. not the consequences of the

1:24

feeling. We're not saying if you feel

1:26

angry you should attack people. That is

1:28

wrong. But the feeling itself is totally

1:30

fine. That's not what the Buddha said.

1:32

And this is what's so interesting is

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like you know an a psych in psychiatry

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we get trained that there's no such

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thing as a good feeling or a bad

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feeling. They're just all feelings. And

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there's a good argument for that, right?

1:42

So we've evolved to have anger and

1:44

anxiety for reasons. They all serve an

1:46

evolutionary purpose. But hold on a

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second. Don't we strive for more

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positive feelings? We have words

1:53

positive feeling and negative feeling.

1:54

That just happens to not be true. So

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here's the here's the insane thing. You

1:59

can actually control what you feel. And

2:02

by control, I don't mean suppress. You

2:05

can control what your emotional gen what

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emotion is generated in response to a

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particular situation. And that sounds

2:14

insane except it's not. And we do this

2:17

every single day because when someone

2:20

comes in with a generalized anxiety

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disorder and experiences anxiety when

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they're ordering a hot dog and when they

2:28

go to work and when they're checking out

2:29

at the grocery store, we will literally

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alter their the creation of emotion

2:35

within them over the course of

2:36

treatment. That is literally what we

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will do, what we will train them in.

2:42

Interesting, right? Because we look at

2:44

some people and we envy them because

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they're like, "Oh my god, this person

2:48

responds to this situation with so much

2:50

resilience, whereas I feel hopeless in

2:52

the same situation. There's something

2:54

special about them." And but hold on a

2:57

second. The only way that that's true is

2:59

if we start with the assumption

3:03

that the emotion that I create is not

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modifiable by me. And as we have sort of

3:09

moved towards this emotional acceptance,

3:12

we've actually given up like we've sort

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of thrown in the towel on a very very

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very

3:19

difficult battle, very important battle,

3:21

which is that you can actually generate

3:23

a certain kind of emotion. You can alter

3:26

your emotional experience. Another

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really good example of this is imposttor

3:29

syndrome. When you look at people with

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imposter syndrome and they do a good

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job, they generate a certain kind of

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emotion which is fear.

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So literally what happens in their head

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is they when they do a good job they

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attribute their successes to

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circumstances and they attribute the

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successes of other people. When somebody

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else does a good job it is through their

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hard work, talent or effort. When I do a

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good job, it is because of my

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circumstances or luck. The situation is

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the same. I got an A, you got an A. When

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I look at you, my mind generates a

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certain kind of answer. When my mind

4:01

looks at me, it generates a different

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kind of answer. Those two things also

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generate a different kind of emotion. So

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when I look at somebody else succeed, I

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feel admiration. I feel happy for them.

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When I look at myself succeed, I feel

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panic. And this is torture. It's

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adaptive. Because when I do a good job

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and I feel panic, what do you think I do

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next time? I don't relax. That panic

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drives me to keep doing well. Keep doing

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well, keep doing well. Which is why we

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see so much imposter syndrome at places

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like, so I went to medical school at

4:31

TUS. I did residency at Harvard. way

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more imposter syndrome at Harvard than

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there is at TUS. Toughs is like a bunch

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of people who are like basically kind of

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chilling. We like work pretty hard. We

4:41

do a pretty good job. We're not the

4:42

smartest group kids in the class. We're

4:44

sort of okay with that, right? We got

4:46

some gumption. When people hear about

4:48

our coaching program, their first

4:50

response is usually, "Why would I work

4:52

with another human being when I can

4:54

watch YouTube videos all on my own?"

4:56

Working with a coach is about amplifying

4:59

your time and effort. We're great at

5:01

wanting things and even making some

5:03

progress, but we usually struggle with

5:05

follow-through or have some kind of

5:07

setback. And that's exactly where

5:08

working with a coach can help. Coaches

5:10

provide personalized support to help you

5:12

set appropriate goals, make progress,

5:14

and even work through setbacks. Just let

5:17

us know what your goals are, what kind

5:19

of support you're looking for, and we'll

5:20

match you with the best coach for your

5:22

unique needs. Check out the link in the

5:24

description below to see if coaching is

5:26

right for you. But you can literally

5:28

create your emotional experience. You

5:30

can create which emotions come up in the

5:32

first place. And I think Buddhism is I

5:34

think the best system for this. Hinduism

5:38

in that way is kind of like eh not so

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concerned about that. They're like

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transcend the mind entirely. Just like

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leave it all behind. Whereas the

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Buddhists, they're like cultivate

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compassion, cultivate equinimity, you

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know, cultivate all these positive

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emotions. So you can change the way that

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you emotionally react to things. you can

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generate a different set of emotions.

5:58

And at the beginning, this requires a

6:00

little bit of work because you have to

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usually it starts with cognition.

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Literally think about the situation in a

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different way. Cultivate compassion for

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this person. What is it like to be this

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person? Let me really try to understand.

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And another really good example of this

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is like take a look at think about

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someone who's like your bully. And often

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times bullies the weird thing, right, is

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that bullies are often times popular.

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And so you think to yourself like why is

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someone this way when they have

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everything? When they have friends,

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they're captain of the football team.

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Like what must it be like to have so

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many of the things that I don't have?

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The things that would make me content?

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The things that would make me feel so

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much happier? And if I had all of those

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things, what would have to be going on

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inside me to be an ass to other people?

6:47

Changes your perspective. And then what

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happens? This is the cool part. This is

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why it requires training, conditioning,

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neuroplasticity. The first time that we

6:56

think a different way, it's really hard.

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And then as we think a different way

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again and again and again and again,

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then it starts to become automatic. This

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is what we do in psychotherapy for

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generalized anxiety disorder. We alter

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the baseline emotional response that

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people have as they navigate through the

7:13

world. And you can do it too. When

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you're talking about me changing at the

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fundamental level and not the

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environment, are you talking about

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changing the ego sense of self? I'm

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actually talking about even a deeper

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layer than that. So your ego or your

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sense of self is your identity. What

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we're talking about is changing the

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automatic response that is generated by

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you in a particular situation. Ego

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responds to that.

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How does ego death affect that? It's

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going to [ __ ] it's going to be a

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riot. Okay. Near-death experiences and

7:43

personal values. Near-death experiences

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reportedly foster value transformations

7:48

and decrease suicidal ideiation.

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89 survivors of near-death experiences

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judged values related to material and

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social success as less important than

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did 175 control subjects. So, here's

8:01

what's really interesting. I observed

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something very strange as a

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psychiatrist.

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If you look at the data on risk factors

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for suicide, one of the

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risk factors, no surprise, is a history

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of prior suicide attempts. Another risk

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factor is completed suicide

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in the family. Now, there's a problem

8:22

with these risk factors, which is that

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what we do with risk factors is we look

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at a large population. Let's say we look

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at 10,000 people and we look at let's

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say the thousand people the 10,000

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people who attempted suicide and then we

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discover that okay out of the 10,000

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people that attempted suicide 3,000 of

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them attempted it before. So we say

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that's a risk factor. Makes sense,

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right? But 7,000 people didn't attempt

8:45

it before. So often times even though

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something is a risk factor, it's not a

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risk factor for everybody. And something

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really strange happened. And I I once

8:54

had a patient and they had a history of

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multiple suicide attempts and I was

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doing a a safety assessment one day and

9:00

I said, you know, do I need to be

9:01

worried about you attempting suicide?

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And my patient said no. And I said, why

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is that? And he said, well, you the last

9:08

time I attempted suicide, I realized

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that I'm trying to kill myself and there

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is something within me that wants to

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live more than I want to die. So even

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though I want to end my life, my heart

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wants to keep living. My liver is

9:22

detoxifying things. My respiratory, my

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lungs are like breathing no matter how

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much I want to stop. So something in me

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wants to live more than I want to die.

9:33

And that's why I won't try to kill

9:34

myself. And I was like, that's a really

9:36

[ __ ] profound answer, man. So here's

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the other thing.

9:42

One of the most protective factors, and

9:44

I'm not suggesting that you go do this,

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and if you're, you know, having thoughts

9:47

about hurting yourself, you should

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absolutely see a mental health

9:49

professional and call 911 and go to the

9:52

emergency room. I really believe that

9:53

stuff, okay? I believe that as someone

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who's worked in the emergency room and

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helped people when they're thinking

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about suicide,

10:00

immediately tried suicide, I really

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don't think it's a good option. But the

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weird thing is that a passion for life

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can sometimes come from almost dying.

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And this is something that I know sounds

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crazy, but it's actually not when you

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think about it, right? When someone

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almost dies and they survive, they have

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a zest

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for life. And it's really interesting

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because if you look at this paper, what

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they sort of show is that when someone

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almost dies, they divest and detach from

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social and material success. And it kind

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of makes sense like sometimes when

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people someone almost dies that their

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subjective experience will be as like it

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made me realize what's important in

10:45

life. And that a lot of their lust for

10:49

life improves because they no longer

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care about money as much. they no longer

10:54

care about being well-liked as much. The

10:58

really interesting thing is that if you

11:00

look at this paper, there's actually um

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let me show you guys. It's fascinating.

11:04

Yeah. So, it did not find that the study

11:06

group valued self-actualization,

11:08

altruism, or spiritual spirituality more

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highly than did the control group. I

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think this is a really cool finding

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because it's not like spir almost dying

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brings you closer to God or makes you

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meditate more or anything like it.

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Actually, doesn't do that. doesn't make

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you like a better human being.

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All it does is causes you to divest from

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material and social success as things

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that are important to you.

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And it decreases your desire to die.

11:40

Fascinating.

Interactive Summary

The video discusses the theory of constructed emotion, suggesting that up to 50% of our emotional experience is modifiable and created by us. It challenges the common belief that feelings are uncontrollable and should simply be accepted, arguing that this approach hinders personal growth. The speaker explains that we can actively control and generate emotions in response to situations, drawing parallels with therapeutic interventions for anxiety and imposter syndrome. The video also touches upon near-death experiences and their impact on personal values, noting that while they don't necessarily make people more spiritual, they often lead to a decreased focus on material and social success and a reduced desire to die.

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