Impaired Driving Quotes

We are medians because we will never have enough," Callum said hoarsely. "We aren't normal; we are gods born with pain built in. We are incendiary beings and we are flawed, except the weaknesses we pretend to have are not our true weaknesses at all. We are not soft, we do not suffer impairment or frailty—we imitate it. We tell ourselves we have it. But our only real weakness is that we know we are bigger, stronger, as close to omnipotence as we can be, and we are hungry, we are aching for it. Other people can see their limits, Tristan, but we have none. We want to find our impossible edges, to close our fingers around constraints that don't exist, and that," Callum exhaled. "That is what will drive us to madness.

The way the psychiatrist explained it to me,” Dad says, “being isolated in the dark for as long as your sister was drives people to the brink of insanity. It impairs their sense of time, their sleep cycles. Without being able to see, they suffer sensory deprivation.

Brain-imaging studies and psychological testing indicate that the same areas are also impaired in drug addiction. And what is the result? If it wasn’t enough that powerful incentive and reward mechanisms drive the craving for drugs, on top of that the circuits that could normally inhibit and control those mechanisms are not up to their task. In fact, they are complicit in the addiction process. A double whammy: the watchman is aiding the thieves.

Drowsy extroverts behind the wheel should be especially careful—at least until they increase their arousal levels by chugging coffee or cranking up the radio. Conversely, introverts driving in loud, overly arousing traffic noise should work to stay focused, since the noise may impair their thinking.

We emphasized the incongruity of not allowing children to smoke, drink, vote, drive without restrictions, give blood, buy guns, and a range of other behaviors because of their well-recognized lack of maturity and judgment while simultaneously treating some of the most at-risk, neglected, and impaired children exactly the same as full-grown adults in the criminal justice system.

Inadequate sleep impairs brain functioning, including working memory and long-term memory, attention, decision-making, hand-eye coordination, calculation accuracy, logical reasoning, and creativity.20 People who’ve been awake for nineteen hours (say, woke up at 7 A.M. and now it’s 2 A.M.) are as impaired in their cognitive and motor functioning as a person who is legally intoxicated.21 People who’ve slept just four hours the previous night are similarly impaired, as are those who’ve slept six or fewer hours every night for the last two weeks. Anything you wouldn’t do drunk—drive, lead a work meeting, raise a child—don’t try it if you’ve been awake for nineteen hours, slept only four hours the previous night, or slept fewer than six hours every night for two weeks.

Grief and anger shrink my world, and I resent this. They seem to paralyze my memory of happier times, of friends, places, things; options. Squeezed by the grip of intense, unsettling emotion, I grow smaller in my single-mindedness. I suppose it is partly because I have discarded a range of choices, impairing in some measure my freedom of will. I don't like this, but after a point I have small control over it. It makes me feel that I have surrendered to a kind of determinism, which irritates me even more. Then, vicious cycle, this feeds back into the emotion that drives me and intensifies it. The simple way of ending this situation is the headlong rush to remove its object. The difficult way is more philosophical, a drawing back, the reestablishment of control. As usual, the difficult way is preferable. A headlong rush may also result in a broken neck.

Said another way, if you wake up at seven a.m. and remain awake throughout the day, then go out socializing with friends until late that evening, yet drink no alcohol whatsoever, by the time you are driving home at two a.m. you are as cognitively impaired in your ability to attend to the road and what is around you as a legally drunk driver.

introverts function better than extroverts when sleep deprived, which is a cortically de-arousing condition (because losing sleep makes us less alert, active, and energetic). Drowsy extroverts behind the wheel should be especially careful—at least until they increase their arousal levels by chugging coffee or cranking up the radio. Conversely, introverts driving in loud, overly arousing traffic noise should work to stay focused, since the noise may impair their thinking.

I didn’t respond. It would only encourage her. Instead I looked at the display on the dashboard and thought of the dangers of talking on the phone while driving. My small city car had Bluetooth capabilities, but I never used it. I tended to become too focused when talking on the phone, which impeded my concentration on whatever else I was doing. It confirmed the studies that proved that talking on one’s phone, even when using a hands-free system, could impair one’s driving as profoundly as driving while inebriated.

Opioid circuits and dopamine pathways are important components of what has been called the limbic system, or the emotional brain. The circuits of the limbic system process emotions like love, joy, pleasure, pain, anger and fear. For all their complexities, emotions exist for a very basic purpose: to initiate and maintain activities necessary for survival. In a nutshell, they modulate two drives that are absolutely essential to animal life, including human life: attachment and aversion. We always want to move toward something that is positive, inviting and nurturing, and to repel or withdraw from something threatening, distasteful or toxic. These attachment and aversion emotions are evoked by both physical and psychological stimuli, and when properly developed, our emotional brain is an unerring, reliable guide to life. It facilitates self-protection and also makes possible love, compassion and healthy social interaction. When impaired or confused, as it often is in the complex and stressed circumstances prevailing in our “civilized” society, the emotional brain leads us to nothing but trouble. Addiction is one of its chief dysfunctions.

We aren't normal; we are gods born with pain built in. We are incendiary beings and we are flawed, except the weaknesses we pretend to have are not our true weaknesses at all. We are not soft, we do not suffer impairment or frailty - we imitate it. We tell ourselves we have it. But our only real weakness is that we know we are bigger, stronger, as close to omnipotence as we can be, and we are hungry, we are aching for it. Other people can see their limits, Tristan, but we have none. We want to find our impossible edges, to close our fingers around constraints that don't exist, and that - that is what will drive us to madness.

Outlawing drugs in order to solve drug problems is much like outlawing sex in order to win the war against AIDS. We recognize that people will continue to have sex for nonreproductive reasons despite the laws and mores. Therefore, we try to make sexual practices as safe as possible in order to minimize the spread of the AIDS viruses. In a similar way, we continually try to make our drinking water, foods, and even our pharmaceutical medicines safer. The ubiquity of chemical intoxicants in our lives is undeniable evidence of the continuing universal need for safer medicines with such applications. While use may not always be for an approved medical purpose, or prudent, or even legal, it is fulfilling the relentless drive we all have to change the way we feel, to alter our behavior and consciousness, and, yes, to intoxicate ourselves. We must recognize that intoxicants are medicines, treatments for the human condition. Then we must make them as safe and risk free and as healthy as possible. Dream with me for a moment. What would be wrong if we had perfectly safe intoxicants? I mean drugs that delivered the same effects as our most popular ones but never caused dependency, disease, dysfunction, or death. Imagine an alcohol-type substance that never caused addiction, liver disease, hangovers, impaired driving, or workplace problems. Would you care to inhale a perfumed mist that is as enjoyable as marijuana or tobacco but as harmless as clean air? How would you like a pain-killer as effective as morphine but safer than aspirin, a mood enhancer that dissolves on your tongue and is more appealing than cocaine and less harmful than caffeine, a tranquilizer less addicting than Valium and more relaxing than a martini, or a safe sleeping pill that allows you to choose to dream or not? Perhaps you would like to munch on a user friendly hallucinogen that is as brief and benign as a good movie? This is not science fiction. As described in the following pages, there are such intoxicants available right now that are far safer than the ones we currently use. If smokers can switch from tobacco cigarettes to nicotine gum, why can’t crack users chew a cocaine gum that has already been tested on animals and found to be relatively safe? Even safer substances may be just around the corner. But we must begin by recognizing that there is a legitimate place in our society for intoxication. Then we must join together in building new, perfectly safe intoxicants for a world that will be ready to discard the old ones like the junk they really are. This book is your guide to that future. It is a field guide to that silent spring of intoxicants and all the animals and peoples who have sipped its waters. We can no more stop the flow than we can prevent ourselves from drinking. But, by cleaning up the waters we can leave the morass that has been the endless war on drugs and step onto the shores of a healthy tomorrow. Use this book to find the way.

Reproductive hormones aren’t the only hormones that affect how you look and feel and think. Among the most influential are the hormones produced by your thyroid gland. Too little thyroid, and you feel like a slug. Hypothyroidism makes you feel like you just want to lie on the couch all day with a bag of chips. Everything works slower, including your heart, your bowels, and your brain. When we perform SPECT scans of people with hypothyroidism, we see decreased brain activity. Many other studies confirm that overall low brain function in hypothyroidism leads to depression, cognitive impairment, anxiety, and feelings of being in a mental fog. The thyroid gland drives the production of many neurotransmitters that run the brain, such as serotonin, dopamine, adrenaline, and noradrenaline. A

You want to believe that your hesitation makes you good, makes you better? It doesn’t. Every single one of us is missing something. We are all too powerful, too extraordinary, and don’t you see it’s because we’re riddled with vacancies? We are empty and trying to fill, lighting ourselves on fire just to prove that we are normal— that we are ordinary. That we, like anything, can burn.” He pivoted as one hand fell to his side, exasperated. “We are medeians because we will never have enough,” Callum said hoarsely. “We aren’t normal; we are gods born with pain built in. We are incendiary beings and we are flawed, except the weaknesses we pretend to have are not our true weaknesses at all. We are not soft, we do not suffer impairment or frailty—we imitate it. We tell ourselves we have it. But our only real weakness is that we know we are bigger, stronger, as close to omnipotence as we can be, and we are hungry, we are aching for it. Other people can see their limits, Tristan, but we have none. We want to find our impossible edges, to close our fingers around constraints that don’t exist, and that—” Callum exhaled. “That is what will drive us to madness.” Tristan glanced down at his forgotten toast, suddenly depleted. Callum’s voice didn’t soften. “You don’t want to go mad? Too bad, you are already. If you leave here the madness will only follow you. You’ve already gone too far, and so have I.

When Felix came to this crossroads, the orthopedic shoe to drop wasn’t his. It was Bella’s. Year by year, I witnessed the progression in her difficulties. Felix remained in astonishingly good health right into his nineties. He had no medical crises and maintained his weekly exercise regimen. He continued to teach chaplaincy students about geriatrics and to serve on Orchard Cove’s health committee. He didn’t even have to stop driving. But Bella was fading. She lost her vision completely. Her hearing became poor. Her memory became markedly impaired. When we had dinner, she had to be reminded more than once that I was sitting across from her. She and Felix felt the sorrows of their losses but also the pleasures of what they still had. Although she might not have been able to remember me or others she didn’t know too well, she enjoyed company and conversation and sought both out. Moreover, she and Felix still had their own, private, decades-long conversation that had never stopped. He found great purpose in caring for her, and she, likewise, found great meaning in being there for him. The physical presence of each other gave them comfort. He dressed her, bathed her, helped feed her. When they walked, they held hands. At night, they lay in bed in each other’s arms, awake and nestling for a while, before finally drifting off to sleep. Those moments, Felix said, remained among their most cherished. He felt they knew each other, and loved each other, more than at any time in their nearly seventy years together.

of nonprescription painkillers on the drive over but hadn't wanted to impair my reaction time with my prescribed ones in case we ran into trouble. The result, though, was that it'd barely even taken the edge off my pain.

So recognize that your dominance might be your greatest strength, but it’s also your greatest weakness and can impair your ability to scale the company if you’re not aware of it. If you can get over this hurdle and begin to trust others, it’s magical—because then you’ve got others out driving the business and wealth for you without you having to think about every component.

Consistent with clinical reports and patients’ own impressions, studies have found that serious depression can weaken several aspects of executive functioning.23 And it is this weakening—marked by an impaired ability to focus and concentrate effectively on a job or schoolwork—that often drives even the most reluctant sufferer into treatment. We do not yet have a detailed understanding of when and where low mood becomes costly. Few scientists have tried to reconcile the evidence that low mood has both benefits and costs.24 Most of the debate about depression has been polarized into mutually exclusive depression-is-good versus depression-is-bad camps.25 The time has come to bring these camps together to a more nuanced position.

The amygdala is the driving force (accelerator) of defensive responses and supporting physiological responses in the brain and body. The ventromedial prefrontal cortex (PFCVM) regulates (applies the brake to) the amygdala, thus adjusting the occurrence and intensity of defensive reactions as situations change. This mechanism is often impaired in people who suffer from problems with fear and anxiety (not because the amygdala is the source of feelings of fear or anxiety but because amygdala-dependent brain and body responses contribute ingredients that are assembled into a feeling of fear or anxiety).

Both experimental and epidemiological studies show that the driving impairments caused by talking on a cell phone are comparable to the effects of driving while legally intoxicated.

The van stops and he is ordered to get out. It is slow, painful going. Four policemen get out of the van too, as if concerned about his impaired ability to stand, move, walk. Again that playful deception of the mind: is the wood before him real or is he seeing things from the metaphors in his very recent thoughts fleshed out in the real world after a time-lag? Has he gone mad? Where is he? ‘Where is this?’ he asks. ‘Go. Walk. Go home,’ comes the answer. What was it that his mother used to say about such situations? Don’t spurn the goddess of wealth, waiting and ready at your hand, by pushing her away towards your feet. The thought of his mother brings a sudden constriction in his throat – have they robbed him of any kind of self-control, of masculinity? How will he ever find the words to ask her for forgiveness? He hobbles, stops, limps a bit more; no, he really cannot move. The policemen are watching him in silence. Should he crawl on all fours? He would be much faster if he did that. He tries walking on the sides of his feet; it is impossible after two steps. An axis of pain has brought together, in one rod, the discrete epicentres of where he has been worked upon – the right big toe, the soles of both feet, his raw, bloody left thigh – and is driving that into his entire body, from toe to head.

Until researchers started measuring the effects of cell-phone distractions under controlled conditions, nobody had any idea how profoundly they can impair a driver. It’s like driving drunk. Recall that large fractions of a second are consumed every time the brain switches tasks. Cell-phone talkers are more wild in their “following distance” behind the vehicle in front of them, a half second slower to hit the brakes in emergencies, and slower to return to normal speed after an emergency. In a half second, a driver going 70 mph travels 51 feet. Given that 80 percent of crashes happen within three seconds of some kind of driver distraction, increasing your amount of task switching increases your risk of an accident. More than 50 percent of the visual cues spotted by attentive drivers are missed by cell-phone talkers. Not surprisingly, they get in more wrecks than anyone except very drunk drivers. Putting on makeup, eating, and rubbernecking at an accident aren’t much better. One study showed that simply reaching for an object while driving a car multiplies the risk of a crash or near-crash by nine times.

Uriel faltered at the noise. He was off guard. Ba’al’s mace hit him broadside in the head, crushing his skull and launching him to the side in a heap. Angels could not die, they were heavenly flesh, that healed supernaturally. But even heavenly flesh could feel pain and be temporarily impaired. Uriel was out of commission for the moment. “Big mistake, god of broccoli,” yelled Gabriel. “Nobody hurts my little buddy without paying my price!” It was heartfelt if not a bit condescending toward his comrade angel. Gabriel launched into his own relentless fury of strokes, driving Ba’al back. Remiel joined him. Pan used his blades lightning fast to block and attack the swords of the other two angels.   Mikael hacked off the head of one nymph, and Raphael impaled another before the ten others leapt onto the two archons in a demonic pile up.

What’s more, when Grant plotted total revenue over the three months against employees’ scores on the 1-to-7 scale, he found a distinct, and revealing, pattern. Indeed, revenue peaked between 4 and 4.5—and fell off as the personality moved toward either the introvert or extravert pole. Those highest in extraversion fared scarcely better than those highest in introversion, but both lagged behind their coworkers in the modulated middle.31 “These findings call into question the longstanding belief that the most productive salespeople are extraverted,” Grant writes.32 Instead, being too extraverted can actually impair performance, as other research has begun to confirm. For example, two recent Harvard Business Review studies of sales professionals found that top performers are less gregarious than below-average ones and that the most sociable salespeople are often the poorest performers of all.33 According to a large study of European and American customers, the “most destructive” behavior of salespeople wasn’t being ill-informed. It was an excess of assertiveness and zeal that led to contacting customers too frequently.34 Extraverts, in other words, often stumble over themselves. They can talk too much and listen too little, which dulls their understanding of others’ perspectives. They can fail to strike the proper balance between asserting and holding back, which can be read as pushy and drive people away.* The answer, though, isn’t to lurch to the opposite side of the spectrum. Introverts have their own, often reverse, challenges. They can be too shy to initiate and too timid to close. The best approach is for the people on the ends to emulate those in the center. As some have noted, introverts are “geared to inspect,” while extraverts are “geared to respond.”35 Selling of any sort—whether traditional sales or non-sales selling—requires a delicate balance of inspecting and responding. Ambiverts can find that balance. They know when to speak up and when to shut up. Their wider repertoires allow them to achieve harmony with a broader range of people and a more varied set of circumstances. Ambiverts are the best movers because they’re the most skilled attuners. For most of you, this should be welcome news. Look again at the shape of the curve in that second chart. That’s pretty much what the distribution of introverts and extraverts looks like in the wider population.36 A few of us are extraverts. A few of us are introverts. But most of us are ambiverts, sitting near the middle, not the edges, happily attuned to those around us. In some sense, we are born to sell.

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…interoceptive confusion and body image distortions are forms of impaired embodied mentalizing and expressions of pre-mentalistic thinking. For example, psychic equivalence demonstrates how patients’ painful self and affect states are expressed though extreme body hatred and the mistaken belief that being “skinny” will bring them self-acceptance, "confidence," and agency. The teleological stance explains the obsessive drive for thinness as a method to obtain self-acceptance and the approval of others. In short, subjugation of the body is a confused attempt to gain mastery and control over feelings of ineffectiveness and lack of self-worth.

Whatever its effect on the autonomy of the child, the drive to banish contingency and to master the mystery of birth diminishes the designing parent and corrupts parenting as a social practice governed by norms of unconditional love. . . . Even if it does not harm the child or impair its autonomy, eugenic parenting is objectionable because it expresses and entrenches a certain stance toward the world—a stance of mastery and dominion that fails to appreciate the gifted character of human powers and achievements, and misses the part of freedom that consists in a persisting negotiation with the given.

The third key finding, common to both these studies, is the one I personally think is the most harmful of all. When participants were asked about their subjective sense of how impaired they were, they consistently underestimated their degree of performance disability. It was a miserable predictor of how bad their performance actually, objectively was. It is the equivalent of someone at a bar who has had far too many drinks picking up his car keys and confidently telling you, “I’m fine to drive home.

Do the benefits of being on top explain the dominance drive? Looking at the outsized canine teeth of a male baboon or the bulk and muscle of a male gorilla, one sees fighting machines evolved to defeat rivals in pursuit of the one currency recognized by natural selection: offspring produced. For males, this is an all-or-nothing game; rank determines who will sow his seed far and wide and who will sow no seed at all. Consequently, males are built to fight, with a tendency to probe rivals for weak spots, and a certain blindness to danger. Risk-taking is a male characteristic, as is the hiding of vulnerabilities. In the male primate world, you don’t want to look weak. So it’s no wonder that in modern society men go to the doctor less often than women and have trouble revealing their emotions even with an entire support group egging them on. The popular wisdom is that men have been socialized into hiding emotions, but it seems more likely that these attitudes are the product of being surrounded by others ready to seize any opportunity to bring them down. Our ancestors must have noticed the slightest limp or loss of stamina in others. A high-ranking male would do well to camouflage impairments, a tendency that may have become ingrained. Among chimpanzees it’s not unusual for an injured leader to double the energy he puts into his charging displays, thus creating the illusion of being in perfect shape.

The Emory researchers who identified the four phases of meditation found that when meditators slip out of the focused attention of the TPN and into Mind Wandering, the DMN activates. The wandering mind of the DMN has a “me” orientation, focusing on the self. It may flit from what’s going on at the moment (“Is that a mosquito buzzing?”) to future worries (“I’m nervous about next week’s exam”) to the past (“I’m so mad at my brother Jim for calling me a sissy at my fifth birthday party”). The precuneus contributes to both self-referential focus and episodic memory. Disturbing memories are played and replayed. The idle brain defaults to what is bothering us, both recent and long-past events. These egocentric musings of the wandering mind form the fabric of our sense of self. When you quiet your TPN in meditation, you open up a big empty space in consciousness. For a few moments, the brain is quiet, and you feel inner peace. Then the engine starts revving. The DMN kicks in, bringing with it a cascade of worries and random thoughts. You’re doing 2,000 RPM in Park, but going nowhere. And it gets worse. The DMN has a rich neural network connecting it with other brain regions. Through this, it busily starts recruiting other brain regions to go along with its whining self-absorption. It commandeers the brain’s CEO, the prefrontal cortex. This impairs executive functions like memory, attention, flexibility, inhibition, planning, and problem-solving. 2.5. Nerves from the Default Mode Network reach out to communicate with many other parts of the brain. The DMN also recruits the insula, a region that integrates information from other parts of the brain. It has special neurons triggered by emotions that we feel toward other people, such as resentment, embarrassment, lust, and contempt. We don’t just think negative thoughts; we feel them emotionally too. At this stage, the meditator isn’t just wallowing in a whirlwind of self-centered thoughts. The DMN has taken the brain’s CEO hostage, while through the insula it starts replaying all the slights, insults, and disappointments we’ve experienced in our relationships. The quiet meditative space we experienced just a few moments before has been destroyed. This drives meditators absolutely nuts. No sooner do they achieve nirvana, the still, quiet place of Bliss Brain, than the DMN serves up a smorgasbord of self-absorbed fantasies. It pulls us into negative emotional states—then drags the rest of the brain along behind it. The DMN. Hmm . . . that acronym reminds me of something: “the DeMoN.” The DMN is the demon that robs me of the inner peace I’m seeking through meditation

D. Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning. Oh right, keyboard heroes declaring on social media that "everyone's a little autistic" - nope. According to the DSM it has to really, really affect you. People with autism will miss days at work or have trouble with relationships, friends and family. They can't keep up in school because thirty kids with clicking pens and smelly deodorant drive them up the walls. They get kicked off the sports team because, according to them, something happened that wasn't in line with the rules (which was probably true, but the autistic in question just couldn't let it go). People who arrange their shoes by colour aren't "a little autistic", they're just shoe freaks.

The most serious adverse effects of the benzodiazepines occur when other sedative substances, such as alcohol, are taken concurrently. These combinations can result in marked drowsiness, disinhibition, or even respiratory depression. Infrequently, benzodiazepine receptor agonists cause mild cognitive deficits that may impair job performance. Persons taking benzodiazepine receptor agonists should be advised to exercise additional caution when driving or operating dangerous machinery.

After being awake for nineteen hours, people who were sleep-deprived were as cognitively impaired as those who were legally drunk. Said another way, if you wake up at seven a.m. and remain awake throughout the day, then go out socializing with friends until late that evening, yet drink no alcohol whatsoever, by the time you are driving home at two a.m. you are as cognitively impaired in your ability to attend to the road and what is around you as a legally drunk driver.

A small collection of limbs controlled by a flawed organic processor, prone to disease and age and death, constantly impaired by hormonal reactions and emotional drives, reliant upon chemical fuel and vulnerable to every form of cosmic radiation.

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When participants were asked about their subjective sense of how impaired they were, they consistently underestimated their degree of performance disability. It was a miserable predictor of how bad their performance actually, objectively was. It is the equivalent of someone at a bar who has had far too many drinks picking up his car keys and confidently telling you, “I’m fine to drive home.

chronic stress can greatly impair learning ability.

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But when the conditions are more subtle, things like office politics, opportunism, occasional rounds of layoffs and a general lack of trust among colleagues, we adapt. Like being at base camp on Everest, we believe that we are fine and can cope. However, the fact remains that the human animal is not built for these conditions. Even though we may think we’re comfortable, the effects of the environment still take their toll. Just because we become accustomed, just because it becomes normal, doesn’t mean it’s acceptable. On Everest, even after we’ve adapted, if we spend too long on the mountain, our internal organs start to break down. In an unhealthy culture, it’s the same. Even though we can get used to living with stress and low, regular levels of cortisol in our bodies, that doesn’t mean we should. A constant flow of cortisol isn’t just bad for organizations. It can also do serious damage to our health. Like the other selfish chemicals, cortisol can help us survive, but it isn’t supposed to be in our system all the time. It wreaks havoc with our glucose metabolism. It also increases blood pressure and inflammatory responses and impairs cognitive ability. (It’s harder to concentrate on things outside the organization if we are stressed about what’s going on inside.) Cortisol increases aggression, suppresses our sex drive and generally leaves us feeling stressed out. And here’s the killer—literally. Cortisol prepares our bodies to react suddenly—to fight or run as circumstances demand. Because this takes a lot of energy, when we feel threatened, our bodies turn off nonessential functions, such as digestion and growth. Once the stress has passed, these systems are turned on again. Unfortunately, the immune system is one of the functions that the body deems nonessential, so it shuts down during cortisol bursts. In other words, if we work in environments in which trust is low, relationships are weak or transactional and stress and anxiety are normal, we become much more vulnerable to illness.