The Problem With Modern Therapy
316 segments
Okay, theory of constructed emotion.
This is this is wild, guys. Theory of
constructed emotion suggests that 50% of
the emotion that we experience up to
50%.
Modifiable.
We create our emotional experience. And
the reason that we are so emotionally
[ __ ] up is because no one taught us
that. See, we go through life thinking
that our feelings are not ours to
control. And this is what's so
unfortunate. We have this like weird
therapy speak kind of epidemic going on
where people are like, you're entitled
to your feelings, right? Your feelings
are true. We sort of take feelings as
something that we are given and it it's
sort of like the feeling is not
changeable. It's not modifiable. You
shouldn't even try to change it. You
should just accept it. Like if you feel
angry, you're entitled to feel angry. We
what we sort of say is that if you have
an emotion, you should accept what it
is. Accept your emotion. Don't try to
change it. Don't try to control it.
Don't try to suppress it. And then down
the road, sure, your feelings are valid.
Your conclusions based on those feelings
may not be valid. The behaviors that the
feeling is driving you to do may not be
appropriate, but the feeling itself is
not something that you have any control
over. So just accept it. Your feelings
are true. not the consequences of the
feeling. We're not saying if you feel
angry you should attack people. That is
wrong. But the feeling itself is totally
fine. That's not what the Buddha said.
And this is what's so interesting is
like you know an a psych in psychiatry
we get trained that there's no such
thing as a good feeling or a bad
feeling. They're just all feelings. And
there's a good argument for that, right?
So we've evolved to have anger and
anxiety for reasons. They all serve an
evolutionary purpose. But hold on a
second. Don't we strive for more
positive feelings? We have words
positive feeling and negative feeling.
That just happens to not be true. So
here's the here's the insane thing. You
can actually control what you feel. And
by control, I don't mean suppress. You
can control what your emotional gen what
emotion is generated in response to a
particular situation. And that sounds
insane except it's not. And we do this
every single day because when someone
comes in with a generalized anxiety
disorder and experiences anxiety when
they're ordering a hot dog and when they
go to work and when they're checking out
at the grocery store, we will literally
alter their the creation of emotion
within them over the course of
treatment. That is literally what we
will do, what we will train them in.
Interesting, right? Because we look at
some people and we envy them because
they're like, "Oh my god, this person
responds to this situation with so much
resilience, whereas I feel hopeless in
the same situation. There's something
special about them." And but hold on a
second. The only way that that's true is
if we start with the assumption
that the emotion that I create is not
modifiable by me. And as we have sort of
moved towards this emotional acceptance,
we've actually given up like we've sort
of thrown in the towel on a very very
very
difficult battle, very important battle,
which is that you can actually generate
a certain kind of emotion. You can alter
your emotional experience. Another
really good example of this is imposttor
syndrome. When you look at people with
imposter syndrome and they do a good
job, they generate a certain kind of
emotion which is fear.
So literally what happens in their head
is they when they do a good job they
attribute their successes to
circumstances and they attribute the
successes of other people. When somebody
else does a good job it is through their
hard work, talent or effort. When I do a
good job, it is because of my
circumstances or luck. The situation is
the same. I got an A, you got an A. When
I look at you, my mind generates a
certain kind of answer. When my mind
looks at me, it generates a different
kind of answer. Those two things also
generate a different kind of emotion. So
when I look at somebody else succeed, I
feel admiration. I feel happy for them.
When I look at myself succeed, I feel
panic. And this is torture. It's
adaptive. Because when I do a good job
and I feel panic, what do you think I do
next time? I don't relax. That panic
drives me to keep doing well. Keep doing
well, keep doing well. Which is why we
see so much imposter syndrome at places
like, so I went to medical school at
TUS. I did residency at Harvard. way
more imposter syndrome at Harvard than
there is at TUS. Toughs is like a bunch
of people who are like basically kind of
chilling. We like work pretty hard. We
do a pretty good job. We're not the
smartest group kids in the class. We're
sort of okay with that, right? We got
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right for you. But you can literally
create your emotional experience. You
can create which emotions come up in the
first place. And I think Buddhism is I
think the best system for this. Hinduism
in that way is kind of like eh not so
concerned about that. They're like
transcend the mind entirely. Just like
leave it all behind. Whereas the
Buddhists, they're like cultivate
compassion, cultivate equinimity, you
know, cultivate all these positive
emotions. So you can change the way that
you emotionally react to things. you can
generate a different set of emotions.
And at the beginning, this requires a
little bit of work because you have to
usually it starts with cognition.
Literally think about the situation in a
different way. Cultivate compassion for
this person. What is it like to be this
person? Let me really try to understand.
And another really good example of this
is like take a look at think about
someone who's like your bully. And often
times bullies the weird thing, right, is
that bullies are often times popular.
And so you think to yourself like why is
someone this way when they have
everything? When they have friends,
they're captain of the football team.
Like what must it be like to have so
many of the things that I don't have?
The things that would make me content?
The things that would make me feel so
much happier? And if I had all of those
things, what would have to be going on
inside me to be an ass to other people?
Changes your perspective. And then what
happens? This is the cool part. This is
why it requires training, conditioning,
neuroplasticity. The first time that we
think a different way, it's really hard.
And then as we think a different way
again and again and again and again,
then it starts to become automatic. This
is what we do in psychotherapy for
generalized anxiety disorder. We alter
the baseline emotional response that
people have as they navigate through the
world. And you can do it too. When
you're talking about me changing at the
fundamental level and not the
environment, are you talking about
changing the ego sense of self? I'm
actually talking about even a deeper
layer than that. So your ego or your
sense of self is your identity. What
we're talking about is changing the
automatic response that is generated by
you in a particular situation. Ego
responds to that.
How does ego death affect that? It's
going to [ __ ] it's going to be a
riot. Okay. Near-death experiences and
personal values. Near-death experiences
reportedly foster value transformations
and decrease suicidal ideiation.
89 survivors of near-death experiences
judged values related to material and
social success as less important than
did 175 control subjects. So, here's
what's really interesting. I observed
something very strange as a
psychiatrist.
If you look at the data on risk factors
for suicide, one of the
risk factors, no surprise, is a history
of prior suicide attempts. Another risk
factor is completed suicide
in the family. Now, there's a problem
with these risk factors, which is that
what we do with risk factors is we look
at a large population. Let's say we look
at 10,000 people and we look at let's
say the thousand people the 10,000
people who attempted suicide and then we
discover that okay out of the 10,000
people that attempted suicide 3,000 of
them attempted it before. So we say
that's a risk factor. Makes sense,
right? But 7,000 people didn't attempt
it before. So often times even though
something is a risk factor, it's not a
risk factor for everybody. And something
really strange happened. And I I once
had a patient and they had a history of
multiple suicide attempts and I was
doing a a safety assessment one day and
I said, you know, do I need to be
worried about you attempting suicide?
And my patient said no. And I said, why
is that? And he said, well, you the last
time I attempted suicide, I realized
that I'm trying to kill myself and there
is something within me that wants to
live more than I want to die. So even
though I want to end my life, my heart
wants to keep living. My liver is
detoxifying things. My respiratory, my
lungs are like breathing no matter how
much I want to stop. So something in me
wants to live more than I want to die.
And that's why I won't try to kill
myself. And I was like, that's a really
[ __ ] profound answer, man. So here's
the other thing.
One of the most protective factors, and
I'm not suggesting that you go do this,
and if you're, you know, having thoughts
about hurting yourself, you should
absolutely see a mental health
professional and call 911 and go to the
emergency room. I really believe that
stuff, okay? I believe that as someone
who's worked in the emergency room and
helped people when they're thinking
about suicide,
immediately tried suicide, I really
don't think it's a good option. But the
weird thing is that a passion for life
can sometimes come from almost dying.
And this is something that I know sounds
crazy, but it's actually not when you
think about it, right? When someone
almost dies and they survive, they have
a zest
for life. And it's really interesting
because if you look at this paper, what
they sort of show is that when someone
almost dies, they divest and detach from
social and material success. And it kind
of makes sense like sometimes when
people someone almost dies that their
subjective experience will be as like it
made me realize what's important in
life. And that a lot of their lust for
life improves because they no longer
care about money as much. they no longer
care about being well-liked as much. The
really interesting thing is that if you
look at this paper, there's actually um
let me show you guys. It's fascinating.
Yeah. So, it did not find that the study
group valued self-actualization,
altruism, or spiritual spirituality more
highly than did the control group. I
think this is a really cool finding
because it's not like spir almost dying
brings you closer to God or makes you
meditate more or anything like it.
Actually, doesn't do that. doesn't make
you like a better human being.
All it does is causes you to divest from
material and social success as things
that are important to you.
And it decreases your desire to die.
Fascinating.
Ask follow-up questions or revisit key timestamps.
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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