Physiological Needs Quotes

For our physiology to calm down, heal, and grow we need a visceral feeling of safety. No doctor can write a prescription for friendship and love: These are complex and hard-earned capacities. You don't need a history of trauma to feel self-conscious and even panicked at a party with strangers – but trauma can turn the whole world into a gathering of aliens.

We are empathic beings who feel for each other. Our very success as a species is rooted in our ability to be aware of each other's needs, to notice each other's pain and to experience deeply felt physiological and emotional empathy.

Because drugs have become so profitable, major medical journals rarely publish studies on nondrug treatments of mental health problems.31 Practitioners who explore treatments are typically marginalized as “alternative.” Studies of nondrug treatments are rarely funded unless they involve so-called manualized protocols, where patients and therapists go through narrowly prescribed sequences that allow little fine-tuning to individual patients’ needs. Mainstream medicine is firmly committed to a better life through chemistry, and the fact that we can actually change our own physiology and inner equilibrium by means other than drugs is rarely considered.

The need of one human being for the approval of his fellow humans, the need for a certain cult of fellowship - a psychological, almost physiological need for approval of one's thought and action. A force that kept men from going off at unsocial tangents, a force that made for social security and human solidarity, for the working together of the human family. Men died for that approval, sacrificed for that approval, lived lives they loathed for that approval. For without it man was on his own, an outcast, an animal that had been driven from the pack. It had led to terrible things, of course - to mob psychology, to racial persecution, to mass atrocities in the name of patriotism or religion. But likewise it had been the sizing that held the race together, the thing that from the very start had made human society possible. And Joe didn't have it. Joe didn't give a damn. He didn't care what anyone thought of him. He didn't care whether anyone approved or not.

A few years ago I heard Jerome Kagan, a distinguished emeritus professor of child psychology at Harvard, say to the Dalai Lama that for every act of cruelty in this world there are hundreds of small acts of kindness and connection. His conclusion: "To be benevolent rather than malevolent is probably a true feature of our species." Being able to feel safe with other people is probably the single most important aspect of mental health; safe connections are fundamental to meaningful and satisfying lives. Numerous studies of disaster response around the globe have shown that social support is the most powerful protection against becoming overwhelmed by stress and trauma. Social support is not the same as merely being in the presence of others. The critical issue is reciprocity: being truly heard and seen by the people around us, feeling that we are held in someone else's mind and heart. For our physiology to calm down, heal, and grow we need a visceral feeling of safety. No doctor can write a prescription for friendship and love: These are complex and hard-earned capacities. You don't need a history of trauma to feel self-conscious and even panicked at a party with strangers - but trauma can turn the whole world into a gathering of aliens.

An undirected sex drive isn’t a quirk of ace experience; it’s another way of saying “being horny,” which can afflict anyone because horniness does not need to include sexual attraction. Imagine a gay man with a high sex drive surrounded by women. It is possible for him to feel horny and want to get laid even if he’s not interested in anyone around him. Sexual attraction, then, is horniness toward or caused by a specific person. It is the desire to be sexual with that partner—libido with a target. To use a food metaphor: a person can feel physiological hunger, which would be like sex drive, without craving a specific dish, which would be more like sexual attraction.

And sugar also resembles alcohol and tobacco in that it is a material for which people rapidly develop a craving, and for which there is nevertheless no physiological need.

What will bring peace is inward transformation, which will lead to outward action. Inward transformation is not isolation, is not withdrawal from outward action. On the contrary, there can be right action only when there is right thinking and there is no right thinking when there is no self-knowledge. Without knowing yourself, there is no peace. An Ideal is merely an escape, an avoidance of what is, a contradiction of what is. An ideal prevents direct action upon what is. To have peace, we will have to love, we will have to begin not to live an ideal life but to see things as they are and act upon them, transform them. As long as each one of us is seeking psychological security, the physiological security we need; food, clothing and shelter, is destroyed. Some of you will nod your heads and say, “I agree”, and go outside and do exactly the same as you have been doing for the last ten or twenty years. Your agreement is merely verbal and has no significance, for the world’s miseries and wars are not going to be stopped by your casual assent. They will be only stopped when you realize the danger, when you realize your responsibility, when you do not leave it to somebody else. If you realize the suffering, if you see the urgency of immediate action and do not postpone, then you will transform yourself.

Complexly traumatized children need to be helped to engage their attention in pursuits that do not remind them of trauma-related triggers and that give them a sense of pleasure and mastery. Safety, predictability, and "fun" are essential for the establishment of the capacity to observe what is going on, put it into a larger context, and initiate physiological and motoric self-regulation.

My wife is pregnant, and her physician told her that physiologically and medically speaking, there are three different kinds of humans: men, women, and pregnant women. I think the same idea applies to you, Edward. There are grown-ups, children, and then you. You don’t feel like a kid anymore, right?” Edward nods. “But you won’t be an adult for years. You’re something else, and we need to figure out what you are, so we can figure out how to help you.

Social support is not the same as merely being in the presence of others. The critical issue is reciprocity: being truly heard and seen by the people around us, feeling that we are held in someone else’s mind and heart. For our physiology to calm down, heal, and grow we need a visceral feeling of safety. No doctor can write a prescription for friendship and love: These are complex and hard-earned capacities.

Understanding the physiological and neurological features of spiritual experiences should not be interpreted as an attempt to discredit their reality or explain them away. Rather, it demonstrates their physical existence as a fundamental, shared part of human nature. Spiritual experiences cannot be considered irrational, since we have seen that, given their physiological basis, experiencers' descriptions of them are perfectly rational... All human perceptions of material reality can ultimately be documented as chemical reactions in our neurobiology; all our sensations, thoughts, and memories are ultimately reducible to chemistry, yet we feel no need to deny the existence of the material world; it is not less real because our perceptions of it are biologically based... It is not rational to assume that the spiritual reality of core experiences is any less real than the more scientifically documentable material reality.

When a person has a reaction to something in their environment, there’s a 90 second chemical process that happens in the body; after that, any remaining emotional response is just the person choosing to stay in that emotional loop. Something happens in the external world and chemicals are flushed through your body which puts it on full alert. For those chemicals to totally flush out of the body it takes less than 90 seconds. This means that for 90 seconds you can watch the process happening, you can feel it happening, and then you can watch it go away. After that, if you continue to feel fear, anger, and so on, you need to look at the thoughts that you’re thinking that are re-stimulating the circuitry that is resulting in you having this physiological response over and over again.

To me, the best, if not the only function of imaginative writing, is to lead the human imagination outward, to take it into the vast external cosmos, and away from all that introversion and introspection, that morbidly exaggerated prying into one's own vitals—and the vitals of others—which Robinson Jeffers has so aptly symbolized as "incest." What we need is less "human interest," in the narrow sense of the term—not more. Physiological—and even psychological analysis—can be largely left to the writers of scientific monographs on such themes. Fiction, as I see it, is not the place for that sort of grubbing.

Did I need medication? Or did I need someone to talk to? Someone, that is, who would do more than charge the going rate for nodding and whip out a prescription pad before the first fifty minutes were up. Was I physiologically depressed? At an innate biochemical disadvantage? Or was reaching for the pad just the way things were done because the doc had been well patronized by the drug reps and had plenty of samples in her file cabinet?

I wish people could understand that masking is so much more than biting your tongue and forcing yourself to be as average as possible. It's about supressing basic physiological needs. It's about hiding the parts of yourself that come naturally, so they don't seem unnatural to others. It's physical. It's insidious.

The Church and morality say, “A race, a people is destroyed by vice and luxury.” My reconstituted reason says: when a people is perishing, physiologically degenerating, the effects of this are vice and luxury (that is, the need for stronger and stronger, more and more frequent stimuli, the kind of stimuli that are familiar to every exhausted nature).

Years later I realised he left sex out when he came to Maslow’s list of physiological needs. I don’t blame him.

The strength of a human being is in one's hierarchical level, characterised by say separation from physiological needs upwards.

There are always those people who say something like: “Debriefing? I don’t need no stinking debriefing!” and we believe them. But the debriefing is not necessarily for them; it is for their buddy, partner, spouse and their children.

For a person with ADD, tuning out is an automatic brain activity that originated during the period of rapid brain development in infancy when there was emotional hurt combined with helplessness. At one time or another, every infant or young child feels frustration and psychological pain. Episodic experiences of a distressing nature do not induce dissociation, but chronic distress does—the distress of the sensitive infant with unsatisfied attunement needs, for example. The infant has to dissociate chronic emotional pain from consciousness for two reasons. First, it is too overwhelming for his fragile nervous system. He simply cannot exist in what we might call a state of chronic negative arousal, with adrenaline and other stress hormones pumping through his veins all the time. It is physiologically too toxic. He has to block it out. Second, if the parent’s anxiety is the source of the infant’s distress, the infant unconsciously senses that fully expressing his own emotional turmoil will only heighten that anxiety. His distress would then be aggravated—a vicious cycle he can escape by tuning out.

Yoga has been superficially misunderstood by certain Western writers, but its critics have never been its practitioners. Among many thoughtful tributes to yoga may be mentioned one by Dr. C. G. Jung, the famous Swiss psychologist. “When a religious method recommends itself as ‘scientific,’ it can be certain of its public in the West. Yoga fulfills this expectation,” Dr. Jung writes.10 “Quite apart from the charm of the new and the fascination of the half-understood, there is good cause for Yoga to have many adherents. It offers the possibility of controllable experience and thus satisfies the scientific need for ‘facts’; and, besides this, by reason of its breadth and depth, its venerable age, its doctrine and method, which include every phase of life, it promises undreamed-of possibilities. “Every religious or philosophical practice means a psychological discipline, that is, a method of mental hygiene. The manifold, purely bodily procedures of Yoga11 also mean a physiological hygiene which is superior to ordinary gymnastics and breathing exercises, inasmuch as it is not merely mechanistic and scientific, but also philosophical; in its training of the parts of the body, it unites them with the whole of the spirit, as is quite clear, for instance, in the Pranayama exercises where Prana is both the breath and the universal dynamics of the cosmos…. “Yoga practice...would be ineffectual without the concepts on which Yoga is based. It combines the bodily and the spiritual in an extraordinarily complete way. “In the East, where these ideas and practices have developed, and where for several thousand years an unbroken tradition has created the necessary spiritual foundations, Yoga is, as I can readily believe, the perfect and appropriate method of fusing body and mind together so that they form a unity which is scarcely to be questioned. This unity creates a psychological disposition which makes possible intuitions that transcend consciousness.

As a successful young man, I have developed myself to a level where physiological needs, safety and security needs, social needs and ego needs are no more challenge to me. I do not think about how to sleep with a girl on the street. I do not think about how to make the guy next door my friend. I do not think about how to be happy with my achievements. I know how to! The only thing I make a go at and keep on going strong for is actualizing myself; life fulfilling itself in me; Becoming who I want to be so that I can do someone a world of good as I really want to.

If you turn to a branch of those sciences that try to give a solution to the questions of life--to physiology, psychology, biology, sociology--there you will find an astounding poverty of thought, a very great lack of clarity, completely unjustified claims to answer questions that lie outside their subject and never-ending contradictions between one thinker and others, and even within himself. If you turn to a branch of the sciences that is not concerned with solving the questions of life but answers its own scientific, specialized questions, then you are captivated by the power of human intellect but you know in advance that there are no answers to the questions of life. These sciences directly ignore the questions of life. They say, "We have no answers to 'What are you?' and 'Why do you live?' and are not concerned with this; but if you need to know the laws of light, of chemical compounds, the laws of the development of organisms, if you need to know the laws of bodies and their forms and the relation of numbers and quantities, if you need to know the laws of your own mind, to all that we have clear, precise, and unquestionable answers.

It is eminently reasonable that men should seek to associate with those who share their convictions and values. It is impossible to deal or even to communicate with men whose ideas are fundamentally opposed to one’s own (and one should be free not to deal with them). All proper associations are formed or joined by individual choice and on conscious, intellectual grounds (philosophical, political, professional, etc.)—not by the physiological or geographical accident of birth, and not on the ground of tradition. When men are united by ideas, i.e., by explicit principles, there is no room for favors, whims, or arbitrary power: the principles serve as an objective criterion for determining actions and for judging men, whether leaders or members.

Liberalism rests on an abstract and ahistorical conception of the individual self and its realisation. What is needed is an examination of the historical and physiological evolution of human agency (which is what [Nietzsche] attempts in a Genealogy of Morality) in order to demonstrate the existence of different human types and different moralities.

Physiological arousal or activation drives people to talk and share. We need to get people excited or make them laugh. We need to make them angry rather than sad.

Being loved is not a biological need.

Once your needs for food and water are fulfilled, you move up to the next set of needs, security, and then the next and the next, but the important thing is that, according to Maslow, until your physiological needs are satisfied, you can’t even worry about security or social needs, let alone “self-actualization,” which is when you start to, like, make art and think about morality and quantum physics and stuff.

We face no such difficulty if we see that what is being transmitted genetically is not ADD or its equally ill-mannered and discombobulating relatives, but sensitivity. The existence of sensitive people is an advantage for humankind because it is this group that best expresses humanity’s creative urges and needs. Through their instinctual responses the world is best interpreted. Under normal circumstances, they are artists or artisans, seekers, inventors, shamans, poets, prophets. There would be valid and powerful evolutionary reasons for the survival of genetic material coding for sensitivity. It is not diseases that are being inherited but a trait of intrinsic survival value to human beings. Sensitivity is transmuted into suffering and disorders only when the world is unable to heed the exquisitely tuned physiological and psychic responses of the sensitive individual.

Environmental influences also affect dopamine. From animal studies, we know that social stimulation is necessary for the growth of the nerve endings that release dopamine and for the growth of receptors that dopamine needs to bind to in order to do its work. In four-month-old monkeys, major alterations of dopamine and other neurotransmitter systems were found after only six days of separation from their mothers. “In these experiments,” writes Steven Dubovsky, Professor of Psychiatry and Medicine at the University of Colorado, “loss of an important attachment appears to lead to less of an important neurotransmitter in the brain. Once these circuits stop functioning normally, it becomes more and more difficult to activate the mind.” A neuroscientific study published in 1998 showed that adult rats whose mothers had given them more licking, grooming and other physical-emotional contact during infancy had more efficient brain circuitry for reducing anxiety, as well as more receptors on nerve cells for the brain’s own natural tranquilizing chemicals. In other words, early interactions with the mother shaped the adult rat’s neurophysiological capacity to respond to stress. In another study, newborn animals reared in isolation had reduced dopamine activity in their prefrontal cortex — but not in other areas of the brain. That is, emotional stress particularly affects the chemistry of the prefrontal cortex, the center for selective attention, motivation and self-regulation. Given the relative complexity of human emotional interactions, the influence of the infant-parent relationship on human neurochemistry is bound to be even stronger. In the human infant, the growth of dopamine-rich nerve terminals and the development of dopamine receptors is stimulated by chemicals released in the brain during the experience of joy, the ecstatic joy that comes from the perfectly attuned mother-child mutual gaze interaction. Happy interactions between mother and infant generate motivation and arousal by activating cells in the midbrain that release endorphins, thereby inducing in the infant a joyful, exhilarated state. They also trigger the release of dopamine. Both endorphins and dopamine promote the development of new connections in the prefrontal cortex. Dopamine released from the midbrain also triggers the growth of nerve cells and blood vessels in the right prefrontal cortex and promotes the growth of dopamine receptors. A relative scarcity of such receptors and blood supply is thought to be one of the major physiological dimensions of ADD. The letters ADD may equally well stand for Attunement Deficit Disorder.

There are so many ways to complete the cycle, it’s not possible to catalogue all of them here. Physical activity, affection, laughter, creative expression, and even just breathing have something in common as strategies, though: you have to do something. One thing we know for sure doesn’t work: just telling yourself that everything is okay now. Completing the cycle isn’t an intellectual decision; it’s a physiological shift. Just as you don’t tell your heart to continue beating or your digestion to continue churning, the cycle doesn’t complete by deliberate choice. You give your body what it needs, and allow it to do what it does, in the time that it requires.

Nature’s ultimate goal is to foster the growth of the individual from absolute dependence to independence — or, more exactly, to the interdependence of mature adults living in community. Development is a process of moving from complete external regulation to self-regulation, as far as our genetic programming allows. Well-self-regulated people are the most capable of interacting fruitfully with others in a community and of nurturing children who will also grow into self-regulated adults. Anything that interferes with that natural agenda threatens the organism’s chances for long-term survival. Almost from the beginning of life we see a tension between the complementary needs for security and for autonomy. Development requires a gradual and ageappropriate shift from security needs toward the drive for autonomy, from attachment to individuation. Neither is ever completely lost, and neither is meant to predominate at the expense of the other. With an increased capacity for self-regulation in adulthood comes also a heightened need for autonomy — for the freedom to make genuine choices. Whatever undermines autonomy will be experienced as a source of stress. Stress is magnified whenever the power to respond effectively to the social or physical environment is lacking or when the tested animal or human being feels helpless, without meaningful choices — in other words, when autonomy is undermined. Autonomy, however, needs to be exercised in a way that does not disrupt the social relationships on which survival also depends, whether with emotional intimates or with important others—employers, fellow workers, social authority figures. The less the emotional capacity for self-regulation develops during infancy and childhood, the more the adult depends on relationships to maintain homeostasis. The greater the dependence, the greater the threat when those relationships are lost or become insecure. Thus, the vulnerability to subjective and physiological stress will be proportionate to the degree of emotional dependence. To minimize the stress from threatened relationships, a person may give up some part of his autonomy. However, this is not a formula for health, since the loss of autonomy is itself a cause of stress. The surrender of autonomy raises the stress level, even if on the surface it appears to be necessary for the sake of “security” in a relationship, and even if we subjectively feel relief when we gain “security” in this manner. If I chronically repress my emotional needs in order to make myself “acceptable” to other people, I increase my risks of having to pay the price in the form of illness. The other way of protecting oneself from the stress of threatened relationships is emotional shutdown. To feel safe, the vulnerable person withdraws from others and closes against intimacy. This coping style may avoid anxiety and block the subjective experience of stress but not the physiology of it. Emotional intimacy is a psychological and biological necessity. Those who build walls against intimacy are not self-regulated, just emotionally frozen. Their stress from having unmet needs will be high.

Physiological stress, then, is the link between personality traits and disease. Certain traits — otherwise known as coping styles — magnify the risk for illness by increasing the likelihood of chronic stress. Common to them all is a diminished capacity for emotional communication. Emotional experiences are translated into potentially damaging biological events when human beings are prevented from learning how to express their feelings effectively. That learning occurs — or fails to occur — during childhood. The way people grow up shapes their relationship with their own bodies and psyches. The emotional contexts of childhood interact with inborn temperament to give rise to personality traits. Much of what we call personality is not a fixed set of traits, only coping mechanisms a person acquired in childhood. There is an important distinction between an inherent characteristic, rooted in an individual without regard to his environment, and a response to the environment, a pattern of behaviours developed to ensure survival. What we see as indelible traits may be no more than habitual defensive techniques, unconsciously adopted. People often identify with these habituated patterns, believing them to be an indispensable part of the self. They may even harbour self-loathing for certain traits — for example, when a person describes herself as “a control freak.” In reality, there is no innate human inclination to be controlling. What there is in a “controlling” personality is deep anxiety. The infant and child who perceives that his needs are unmet may develop an obsessive coping style, anxious about each detail. When such a person fears that he is unable to control events, he experiences great stress. Unconsciously he believes that only by controlling every aspect of his life and environment will he be able to ensure the satisfaction of his needs. As he grows older, others will resent him and he will come to dislike himself for what was originally a desperate response to emotional deprivation. The drive to control is not an innate trait but a coping style. Emotional repression is also a coping style rather than a personality trait set in stone. Not one of the many adults interviewed for this book could answer in the affirmative when asked the following: When, as a child, you felt sad, upset or angry, was there anyone you could talk to — even when he or she was the one who had triggered your negative emotions? In a quarter century of clinical practice, including a decade of palliative work, I have never heard anyone with cancer or with any chronic illness or condition say yes to that question. Many children are conditioned in this manner not because of any intended harm or abuse, but because the parents themselves are too threatened by the anxiety, anger or sadness they sense in their child — or are simply too busy or too harassed themselves to pay attention. “My mother or father needed me to be happy” is the simple formula that trained many a child — later a stressed and depressed or physically ill adult — into lifelong patterns of repression.

Just as the human body doesn’t have a single “most important” organ, several elements are essential for the creation of life. In the following section, you’ll find information on those elements and their chemical significance (as well as physiological important).

Underneath your sexuality is the drive and desire to be known and loved. God created you as a sexual being so that you might understand what it means to long, to desire, and to crave intimate oneness. Your sexuality was never meant to be an isolated physiological urge that is expressed apart from the rest of who you are as a woman. You have longings to share your heart, soul, and body with another person because God made you a deeply relational and spiritual woman. Your greatest need for intimacy however is to know the god who created you.

I don't myself think much of science as a phase of human development. It has given us a lot of ingenious toys; they take our attention away from the real problems, of course, and since the problems are insoluble, I suppose we ought to be grateful for distraction. But the fact is, the human mind, the individual mind, has always been made more interesting by dwelling on the old riddles, even if it makes nothing of them. Science hasn't given us any new amazements, except of the superficial kind we get from witnessing dexterity and sleight-of-hand. It hasn't given us any richer pleasures, as the Renaissance did, nor any new sins-not one! Indeed, it takes our old ones away. It's the laboratory, not the Lamb of God, that taketh away the sins of the world. You'll agree there is not much thrill about a physiological sin. We were better off when even the prosaic matter of taking nourishment could have the magnificence of a sin. I don't think you help people by making their conduct of no importance-you impoverish them. As long as every man and woman who crowded into the cathedrals on Easter Sunday was a principal in a gorgeous drama with God, glittering angels on one side and the shadows of evil coming and going on the other, life was a rich thing. The king and the beggar had the same chance at miracles and great temptations and revelations. And that's what makes men happy, believing in the mystery and importance of their own little individual lives. It makes us happy to surround our creature needs and bodily instincts with as much pomp and circumstance as possible. Art and religion (they are the same thing, in the end, of course) have given man the only happiness he has ever had.

So we would say in yoga that the subtle precedes the gross, or spirit precedes matter. But yoga says we must deal with the outer or most manifest first, i.e. legs, arms, spine, eyes, tongue, touch, in order to develop the sensitivity to move inward. This is why asana opens the whole spectrum of yoga’s possibilities. There can be no realization of existential, divine bliss without the support of the soul’s incarnate vehicle, the food-and-water-fed body, from bone to brain. If we can become aware of its limitations and compulsions, we can transcend them. We all possess some awareness of ethical behavior, but in order to pursue yama and niyama at deeper levels, we must cultivate the mind. We need contentment, tranquility, dispassion, and unselfishness, qualities that have to be earned. It is asana that teaches us the physiology of these virtues.

This is because the outcomes of life are not governed by passion; they are governed by principle. You may not think what you did this morning was important, but it was. You may not think that the little things add up, but they do. Consider the age-old brainteaser: Would you rather have $1 million in hand today or a penny that doubles in value every day for the next month? The $1 million right now sounds great, but after a 31-day month, that one penny would be worth over $10 million. Making big, sweeping changes is not difficult because we are flawed, incompetent beings. It’s difficult because we are not meant to live outside of our comfort zones. If you want to change your life, you need to make tiny, nearly undetectable decisions every hour of every day until those choices are habituated. Then you’ll just continue to do them. If you want to spend less time on your phone, deny yourself the chance to check it one time today. If you want to eat healthier, drink half a cup of water today. If you want to sleep more, go to bed 10 minutes earlier tonight than you did last night. If you want to exercise more, do it now for just 10 minutes. If you want to read, read one page. If you want to meditate, do so for 30 seconds. Then keep doing those things. Do them every single day. You’ll get used to not checking your phone. You’ll want more water, and you’ll drink more water. You’ll run for 10 minutes, and you won’t feel like you have to stop, so you won’t. You’ll read one page, grow interested, and read another. At our most instinctive, physiological level, “change” translates to something dangerous and potentially life-threatening. No wonder why we build our own cages and stay in them, even though there’s no lock on the door. Trying to shock yourself into a new life isn’t going to work, and that’s why it hasn’t yet.

Sometimes, traumatized individuals have an investment in being ill and may form a kind of attachment to their symptoms. There are innumerable reasons (both physiological and psychological) to explain why this attachment occurs. I don’t think it’s necessary to go into detail on this subject. The important thing to keep in mind is that we can only heal to the degree that we can become unattached from these symptoms. It is almost as if they become entities unto themselves through the power we give them. We need to release them from our minds and hearts along with the energy that is locked in our nervous systems.

A software engineer named Tom kicks off, describing with great passion his relief at learning that there was “a physiological basis for the trait of sensitivity. Here’s the research! This is how I am! I don’t have to try to meet anyone’s expectations anymore. I don’t need to feel apologetic or defensive in any way.

To the degree that the internal capacity to attend to our own core needs develops, we experience self-regulation, internal organization, expansion, connection, and aliveness, all attributes of physiological and psychological well-being. Supporting the healthy development of the core capacities is central to the NARM approach.

The physiological effects of hunger alone stop us from fully engaging in the world and reaching our full potential. Our bodies and brains just don't function properly when they're deprived of nourishment. And since diet culture has been aimed primarily at women for the past 100 years, hunger could be seen as one of the most effective tools for suppressing female advancement. It keeps us thinking about things like waistlines and sugar substitutes rather than the need for social, political, and economic equality. Which is what led Wolf to famously write, "Dieting is the most potent political sedative in women's history." In other words, we cannot take on the world while we're hungry.

DO YOU HAVE OR HAVE YOU EXPERIENCED IN THE PAST SIX MONTHS . . . — PART A — ■ A feeling you’re constantly racing from one task to the next? ■ Feeling wired yet tired? ■ A struggle calming down before bedtime, or a second wind that keeps you up late? ■ Difficulty falling asleep or disrupted sleep? ■ A feeling of anxiety or nervousness—can’t stop worrying about things beyond your control? ■ A quickness to feel anger or rage—frequent screaming or yelling? ■ Memory lapses or feeling distracted, especially under duress? ■ Sugar cravings (you need “a little something” after each meal, usually of the chocolate variety)? ■ Increased abdominal circumference, greater than 35 inches (the dreaded abdominal fat, or muffin top—not bloating)? ■ Skin conditions such as eczema or thin skin (sometimes physiologically and psychologically)? ■ Bone loss (perhaps your doctor uses scarier terms, such as osteopenia or osteoporosis)? ■ High blood pressure or rapid heartbeat unrelated to those cute red shoes in the store window? ■ High blood sugar (maybe your clinician has mentioned the words prediabetes or even diabetes or insulin resistance)? Shakiness between meals, also known as blood sugar instability? ■ Indigestion, ulcers, or GERD (gastroesophageal reflux disease)? ■ More difficulty recovering from physical injury than in the past? ■ Unexplained pink to purple stretch marks on your belly or back? ■ Irregular menstrual cycles? ■ Decreased fertility?

Social support is not the same as merely being in the presence of others. The critical issue is reciprocity: being truly heard and seen by the people around us, feeling that we are held in someone else’s mind and heart. For our physiology to calm down, heal, and grow we need a visceral feeling of safety. No doctor can write a prescription for friendship and love:

fellow humans, the need for a certain cult of fellowship—a psychological, almost physiological need for approval of one’s thought and action. A force that kept men from going off at unsocial tangents, a force that made for social security and human solidarity, for the working together of the human family. Men died for that approval, sacrificed for that approval, lived lives they loathed for that approval. For without it a man was on his own, an outcast, an animal that had been driven from the pack. It had led to terrible things, of course—to mob psychology, to racial persecution, to mass atrocities in the name of patriotism or religion. But likewise it had been the sizing that held the race together, the thing that from the very start had made human society possible. And

While we cannot say that any personality type causes cancer, certain personality features definitely increase the risk because they are more likely to generate physiological stress. Repression, the inability to say no and a lack of awareness of one’s anger make it much more likely that a person will find herself in situations where her emotions are unexpressed, her needs are ignored and her gentleness is exploited. Those situations are stress inducing, whether or not the person is conscious of being stressed. Repeated and multiplied over the years, they have the potential of harming homeostasis and the immune system. It is stress — not personality per se — that undermines a body’s physiological balance and immune defences, predisposing to disease or reducing the resistance to it.

Do we stop needing our mom? Not at all. Over time, without maternal comfort, we do learn to bury the need. But the need doesn’t go away. Unmet needs for maternal nurturance and protection fester like an angry infection. The body holds the memory of emotional pain and, over time, may generate chronic distress and insecurity. When distress is the norm, it becomes toxic. Toxic stress creates physiological inflammation, weakening the immune system.

But the end does happen. Unavoidably. All relationships between living beings end somewhere, somehow. That's just the way it is. One party dies, or is called away by other biological needs. Emotions are transient by nature. They're temporary states brought on by neuro-physiological changes that aren't meant to be long-lasting. The nervous system must revert back to homeostasis. All relationships associated with affective events are destined to end.

At our most instinctive, physiological level, “change” translates to something dangerous and potentially life-threatening. No wonder why we build our own cages and stay in them, even though there’s no lock on the door. Trying to shock yourself into a new life isn’t going to work, and that’s why it hasn’t yet. You don’t need to wait until you feel like changing to start changing. All you need is to make one microshift at a time and then let the energy and momentum build.

Findings such as these can change the way we handle chronic stress. When we are mired in stress, what we desperately need to do is minimize the novelty in our lives. We need familiarity. But quite often we seek out the exact opposite, responding to chronic stress at work, for example, by taking a vacation in some exotic place, thinking that the change of scenery will do us good. And under normal circumstances it does. But not when we are highly stressed, because then the novelty we encounter abroad can just add to our physiological load. Instead of traveling, we may be better off remaining on home turf, surrounding ourselves with family and friends, listening to familiar music, watching old films. Exercise, of course, can help, in fact there are few things better at preparing our physiology for stress. But when someone is this far into chronic stress its effects, suggests Stephen Porges, are mostly analgesic, possibly because exercise treats us to a shot of natural opioids. Again, what we really need is familiarity.

neuroscientists monitored guitarists playing a short melody together, they found that patterns in the guitarists’ brain activity became synchronized. Similarly, studies of choir singers have shown that singing aligns performers’ heart rates. Music seems to create a sense of unity on a physiological level. Scientists call this phenomenon synchrony and have found that it can elicit some surprising behaviors. In studies where people sang or moved in a coordinated way with others, researchers found that subjects were significantly more likely to help out a partner with their workload or sacrifice their own gain for the benefit of the group. And when participants rocked in chairs at the same tempo, they performed better on a cooperative task than those who rocked at different rhythms. Synchrony shifts our focus away from our own needs toward the needs of the group. In large social gatherings, this can give rise to a euphoric feeling of oneness—dubbed “collective effervescence” by French sociologist Émile Durkheim—which elicits a blissful, selfless absorption within a community.

You must control bugs,” I say. “Bugs no eat fruit,” it answers. In other words, how can you control an animal except with fruit? “Change sap for bugs. Like this.” I show a chemical. “Sap will control animals.” “Bugs no eat fruit.” “Bugs drink sap.” “Yes,” it says. “Bugs no eat fruit.” “Change sap for bugs because bugs drink sap, no eat fruit.” “Bugs no eat fruit.” I realize that we are related plants, both bamboos, in fact, and our shared physiology is the only reason I can have a conversation of any complexity. The hedge along the river is too small to have many sentient roots. The presence of other snow vines triggers an aggressive growth, but this hedge has lived alone and is content to lead a manicured little life parasitizing its aspens and putting down more guard roots than it needs, thus serving the humans without realizing it. It has no need for intelligence, none at all. “Change sap for bugs,” I repeat, hoping that repetition will of itself prove persuasive. “Big animals eat bugs.” “Bugs no eat fruit.” “Big animals eat bugs.” “Big animals eat bugs,” the snow vine repeats. I have made progress. “Yes,” I say. “Change sap for bugs.” “Big animals eat bugs.” “Yes. Change sap for bugs. Like this.” “Bugs eat sap,” it says. “Bugs are pests.” “Bugs are good. Big animals eat bugs like fruit.” The snow vine stammers some meaningless chemical compounds and finally says, “Bugs are like fruit.” This is very significant progress. “Bugs are like fruit,” I agree. “Bugs eat sap. Change sap. Sap will control two animals.” “Sap will control bugs. Big animals eat bugs.” “Yes. You must change sap for bugs and animals.” “I will change sap for bugs and animals.” At last! “Yes. Change sap like this.” I deliver some prototype chemicals.

Tell me," replied Faria, "what has hindered you from knocking down your father with a piece of wood torn from your bedstead, dressing yourself in his clothes, and endeavoring to escape?" "Simply the fact that the idea never occurred to me," answered Dantes. "Because," said the old man, "the natural repugnance to the commission of such a crime prevented you from thinking of it; and so it ever is because in simple and allowable things our natural instincts keep us from deviating from the strict line of duty. The tiger, whose nature teaches him to delight in shedding blood, needs but the sense of smell to show him when his prey is within his reach, and by following this instinct he is enabled to measure the leap necessary to permit him to spring on his victim; but man, on the contrary, loathes the idea of blood - it is not alone that the laws of social life inspire him with a shrinking dread of taking life; his natural construction and physiological formation" - Dantes was confused and silent at this explanation of the thoughts which had unconsciously been working in his mind, or rather soul; for there are two distinct sorts of ideas, those that proceed from the head and those that emanate from the heart.

Even in the best of times, when we’re not stressed or needy, many of us enjoy petting our dogs as much as any other aspect of dog ownership. This is not a trivial need. Quiet stroking can significantly change your body’s physiology, lowering your heart rate and blood pressure. It releases endogenous opiates, or internal chemicals that calm and soothe us and play a significant role in good health. Lucky for us, most of our dogs adore being touched. Most normal, well-socialized dogs cherish getting belly rubs and head massages and butt scratches. Many dogs like grooming so much that they’re willing to work for it, pawing or barking whenever needed to remind their human not to stop.

Yoga has been superficially misunderstood by certain Western writers, but its critics have never been its practitioners. Among many thoughtful tributes to yoga may be mentioned one by Dr. C. G. Jung, the famous Swiss psychologist. “When a religious method recommends itself as ‘scientific,’ it can be certain of its public in the West. Yoga fulfills this expectation,” Dr. Jung writes (7). “Quite apart from the charm of the new, and the fascination of the half-understood, there is good cause for Yoga to have many adherents. It offers the possibility of controllable experience, and thus satisfies the scientific need of ‘facts,’ and besides this, by reason of its breadth and depth, its venerable age, its doctrine and method, which include every phase of life, it promises undreamed-of possibilities. “Every religious or philosophical practice means a psychological discipline, that is, a method of mental hygiene. The manifold, purely bodily procedures of Yoga (8) also mean a physiological hygiene which is superior to ordinary gymnastics and breathing exercises, inasmuch as it is not merely mechanistic and scientific, but also philosophical; in its training of the parts of the body, it unites them with the whole of the spirit, as is quite clear, for instance, in the Pranayama exercises where Prana is both the breath and the universal dynamics of the cosmos. “When the thing which the individual is doing is also a cosmic event, the effect experienced in the body (the innervation), unites with the emotion of the spirit (the universal idea), and out of this there develops a lively unity which no technique, however scientific, can produce. Yoga practice is unthinkable, and would also be ineffectual, without the concepts on which Yoga is based. It combines the bodily and the spiritual with each other in an extraordinarily complete way. “In the East, where these ideas and practices have developed, and where for several thousand years an unbroken tradition has created the necessary spiritual foundations, Yoga is, as I can readily believe, the perfect and appropriate method of fusing body and mind together so that they form a unity which is scarcely to be questioned. This unity creates a psychological disposition which makes possible intuitions that transcend consciousness.” The Western day is indeed nearing when the inner science of self- control will be found as necessary as the outer conquest of nature. This new Atomic Age will see men’s minds sobered and broadened by the now scientifically indisputable truth that matter is in reality a concentrate of energy. Finer forces of the human mind can and must liberate energies greater than those within stones and metals, lest the material atomic giant, newly unleashed, turn on the world in mindless destruction (9).

The existence of sensitive people is an advantage for humankind because it is this group that best expresses humanity’s creative urges and needs. Through their instinctual responses the world is best interpreted. Under normal circumstances, they are artists or artisans, seekers, inventors, shamans, poets, prophets. There would be valid and powerful evolutionary reasons for the survival of genetic material coding for sensitivity. It is not diseases that are being inherited but a trait of intrinsic survival value to human beings. Sensitivity is transmuted into suffering and disorders only when the world is unable to heed the exquisitely tuned physiological and psychic responses of the sensitive individual.

Questioner: Is the study of science, psychology, physiology, etc., helpful for attaining Yoga-liberation or for intuitive understanding of the unity of Reality? Ramana Maharshi: Very little. Some theoretical knowledge is needed for Yoga and may be found in books, but practical application is what is needed. Personal example and instruction are the most helpful aids. As for intuitive understanding, a person may laboriously convince himself of the truth to be grasped by intuition, of its function and nature, but the actual intuition is more like feeling and requires practical and personal contact. Mere book learning is not of any great use. After Realisation all intellectual loads are useless burdens and are to be thrown overboard.

Among Norway rats, males ejaculate more sperm when copulating in the presence of male rivals, seemingly because the competition to reproduce persists all the way up the fallopian tube to the surface of the egg. For the same reason, an ape’s testicles are proportionate to the size of the male breeding pool. The male chimpanzee, surrounded by ruthless competition, has reproductive equipment that is truly prodigious, while the gorilla, living with a harem as the only male, has nothing to brag about. The evolutionary reason: A male without rivals needs no special adaptations to increase his odds of becoming a father. Once again, the social and the physiological cannot be separated any more than we can separate the length from the width of a rectangle.

Evolution is no longer our friend, because our environment has changed much faster than our genome ever could. Evolution wants us to get fat when nutrients are abundant: the more energy we could store, in our ancestral past, the greater our chances of survival and successful reproduction. We needed to be able to endure periods of time without much food, and natural selection obliged, endowing us with genes that helped us conserve and store energy in the form of fat. That enabled our distant ancestors to survive periods of famine, cold climates, and physiologic stressors such as illness and pregnancy. But these genes have proved less advantageous in our present environment, where many people in the developed world have access to almost unlimited calories.

Title IX opened a door fifty years ago that can never be closed again, but equality doesn’t end at the equal right to play. True equality in sports, like any other industry, requires rebuilding the systems so there’s an equal chance to thrive. I’m just one person telling a story to bring an embodied experience of the female athlete to life. I can’t create policy or NCAA best practices, or medical guidelines, but I have some ideas of where to start. We need policies like those created around concussions that specifically protect the health of the female body in sport. We need to create a formal certification to work with female athletes that mandates education on female physiology, puberty, breast development, menstrual health, and the female performance wave.

Witness modern marriage. All rationality has clearly vanished from modern marriage; yet that is no objection to marriage, but to modernity. The rationality of marriage — that lay in the husband's sole juridical responsibility, which gave marriage a center of gravity, while today it limps on both legs. The rationality of marriage — that lay in its indissolubility in principle, which lent it an accent that could be heard above the accident of feeling, passion, and what is merely momentary. It also lay in the family's responsibility for the choice of a spouse. With the growing indulgence of love matches, the very foundation of marriage has been eliminated, that which alone makes an institution of it. Never, absolutely never, can an institution be founded on an idiosyncrasy; one cannot, as I have said, found marriage on "love" — it can be founded on the sex drive, on the property drive (wife and child as property), on the drive to dominate, which continually organizes for itself the smallest structure of domination, the family, and which needs children and heirs to hold fast — physiologically too — to an attained measure of power, influence, and wealth, in order to prepare for long-range tasks, for a solidarity of instinct between the centuries. Marriage as an institution involves the affirmation of the largest and most enduring form of organization: when society cannot affirm itself as a whole, down to the most distant generations, then marriage has altogether no meaning. Modern marriage has lost its meaning — consequently one abolishes it.

Daily life makes us all susceptible to accumulating stress, mostly due to the non-stop demands and pressures of juggling work, home and personal responsibilities. This stress revs up the nervous system, causing the brain to flood the body with hormones that trigger overreacting, irrational thinking, and even insomnia. After years of unavoidable exposure to the stress reaction with no defense, the nervous system can become severely deteriorated, leaving us defenseless against mental or physical illness and disease.iv As it happens, meditation has been proven as one of the greatest counter-stress solutions.v When practiced daily, meditation can help to restore balance and re-supply much-needed rest to your physiology. Common side effects of daily meditation are increased energy and feelings of contentedness and inner happiness.vi

Man tends to regard the order he lives in as natural. The houses he passes on his way to work seem more like rocks rising out of the earth than like products of human hands. He considers the work he does in his office or factory as essential to the har­monious functioning of the world. The clothes he wears are exactly what they should be, and he laughs at the idea that he might equally well be wearing a Roman toga or medieval armor. He respects and envies a minister of state or a bank director, and regards the possession of a considerable amount of money the main guarantee of peace and security. He cannot believe that one day a rider may appear on a street he knows well, where cats sleep and chil­dren play, and start catching passers-by with his lasso. He is accustomed to satisfying those of his physio­logical needs which are considered private as dis­creetly as possible, without realizing that such a pattern of behavior is not common to all human so­cieties. In a word, he behaves a little like Charlie Chaplin in The Gold Rush, bustling about in a shack poised precariously on the edge of a cliff. His first stroll along a street littered with glass from bomb-shattered windows shakes his faith in the "naturalness" of his world. The wind scatters papers from hastily evacuated offices, papers labeled "Con­fidential" or "Top Secret" that evoke visions of safes, keys, conferences, couriers, and secretaries. Now the wind blows them through the street for anyone to read; yet no one does, for each man is more urgently concerned with finding a loaf of bread. Strangely enough, the world goes on even though the offices and secret files have lost all meaning. Farther down the street, he stops before a house split in half by a bomb, the privacy of people's homes-the family smells, the warmth of the beehive life, the furniture preserving the memory of loves and hatreds-cut open to public view. The house itself, no longer a rock, but a scaffolding of plaster, concrete, and brick; and on the third floor, a solitary white bath­ tub, rain-rinsed of all recollection of those who once bathed in it. Its formerly influential and respected owners, now destitute, walk the fields in search of stray potatoes. Thus overnight money loses its value and becomes a meaningless mass of printed paper. His walk takes him past a little boy poking a stick into a heap of smoking ruins and whistling a song about the great leader who will preserve the nation against all enemies. The song remains, but the leader of yesterday is already part of an extinct past.

For our purposes, the most important thing to note is that this whole kerfuffle serves as a perfect example of how a failure to consider the functional, social benefits of alcohol can seriously skew public debate on the topic. There is no need to quibble around the margins about HDL levels. The most important thing that neo-Prohibitionists and health authorities alike fail to consider in coming down on the side of total abstinence is that the obvious physiological and psychological costs of alcohol must be weighed against their venerable role as an aid to creativity, contentment, and social solidarity. Once we recognize the functional benefits of intoxication—its role in helping humans to adapt to our extreme ecological niche—the argument that we should strive for a completely dry world is difficult to sustain. We saw in Chapter Three how alcohol and

Today temperament continues to be a major focus of researchers in the fields of psychology, anthropology, physiology, and neurobiology. While they agree about the reality of temperament and the important role it plays in how children experience their world, they tend to use a variety of names to describe the temperament traits. I choose to use the terms coined by Dr. Stella Chess and the late Dr. Alexander Thomas because of their positive, parent-friendly approach. They include not only our typical energy level but also our speed in adjusting to new situations; the intensity of our emotions; our sensitivity to sights, sounds, smells, feelings, and tastes; and more. A child who is temperamentally active not only likes to move but needs to move. Telling this child to sit still for extended periods of time, and that he could do it if he really wanted to, is like telling you to ignore a full bladder. The pressure builds—a need that is inside and real.

As respects its isolation and its indifference to the basic requirements of all organic activity, the pecuniary power complex discloses a startling resemblance to a newly discovered center in the brain-that which is called the pleasure center. So far as is known, this pleasure center performs no useful function in the organism, unless it should prove that in some still obscure way it plays a part in more functional pleasure reactions. But in laboratory monkeys this localized center can be penetrated by electrodes which permit a micro-current to stimulate the nervous tissue in such a fashion that the flow of current-and hence the intensity of pleasure-can be regulated by the animal himself. Apparently the stimulation of this pleasure center is so rewarding that the animal will continue to press the current regulator for an indefinite length of time, regardless of every other impulse or physiological need, even that for food, and even to the point of starvation. The intensity of this abstract stimulus produces something like a total neurotic insensibility to life needs. The power complex seems to operate on the same principle. The magical electronic stimulus is money. What increases the resemblance between this pecuniary motivation and that of the cerebral pleasure center is that both centers, unlike virtually all organic reactions, recognize no quantitative limits. What has always been true of money, among those susceptible to its influence, applies equally to the other components of the power complex: the abstraction replaces the concrete reality, and therefore those who seek to increase it never know when they have had enough. Each of these drives, for power, for goods, for fame, for pleasure, may-it goes without saying-have as useful a part to play in the normal economy of a community as in the human body itself. It is by their detachment, their isolation, their quantitative over-concentration, and their mutual re-enforcement that they become perverse and life-corroding.

With or without 'college' we are able to use our senses by perceiving the world around us, that in turn shapes and creates ones own reality. Perception is reality. My 'reality' is not the same as your 'reality' since we all have a different mental database, life experience, physiology, different characteristics, environments we grew up and people we hang out with, etc. I might fall in love with a certain smell while it triggers bad memories for someone else. Same goes for the other senses while perceiving 'reality'. And how real is this so called 'reality' anyway? Our senses can be quite limited compared to a camera or other living creatures on the planet. There are sounds and colours humans can not detect with their senses. We in fact do not perceive the whole 'picture'. The most important things in life are unseen. My point is that we do not need hierarchic, indoctrinating, and capitalized institution called 'science' to tell us what, when, why, and how to think, experiment, sense, and live our lives. Long before there was any 'science', there was sense first.

Yes, there is a human nature and that human nature is build for love and contact. It is build for connection, it is build for mutual protection, it is build for mutual aid. And when we rear people in base of all society on the lines that transgress those needs, we're gonna get exactly what we have today. Which is a society which is increasingly conflicted, increasingly fractured, increasingly disconnected and where human pathology is, despite all the advances of medicine, chronic human pathology is on the rise. Western medicine does not recognize that the pathologies are manifestations of our life, that diseases don't have a life of their own, that diseases express the life of the individual. And if that individual's life is changed, so can the disease in many, many cases. And furthermore, that human beings have an innate healing capacity. There is a healing capacity in all living beings, plant or animal. And along with the wonders and contributions of Western medicine we could do so much more if we actually respected and evoked and encouraged that healing capacity that is within the individual, which is very much connected to the emergence of the true self. Now, for that, you need the truth. That means, we actually have to look at what is going on. And there is so much denial in this society. My own profession is a prime example. The average doctor does not hear the information I gave you about asthma. They couldn't explain it, even though the physiology is straightforward. For all the trauma in this society, the average physician does not hear the word "trauma" in all their years of training. Not that they don't get a lecture, not that they don't get a course, they don't even hear the word, except in the physical sense, physical trauma. Teachers are not taught that the human child's brain is still developing and that the conditions for healthy brain development is the presence of nurturing and responsive adults. And that schools are not knowledge factories, they are places where human development needs to be nurtured. That's a very different proposition for an educational system. And the courts don't get it. The courts think that if a human is behaving badly, it is a choice they're making, therefore they need to be punished. For some strange reason, certain minority groups have to be punished more than the average, like in my country 5% of the population is native, and they are 25% of the jail population now. And of course when we ask the question if the science is straightforward — as I believe it to be — and the conclusions are as clear as I believe them to be, why don't we just embrace it and follow it and do something about it? Well.. the reason for that is obvious, because if everything I just said happens to be true, which I firmly believe to be true, and if it is.. everything would have to change. How we teach parents would have to change, how we treat family would have to change, how we support young parents would have to change, how we pass laws, how we educate people, how we run the economy. We have to do something different. Getting to that something different has to begin with an inquiry and I hope I've said enough to encourage you to continue on that path of inquiry.

Of course none of this will stop us from wanting to know what it is that is really going on in consciousness and intelligence. I want to know too. Basically the arguments of this book are making the point that what is not going on is solely a great deal of computational activity-as is commonly believed these days-and what is going on will have no chance of being properly understood until we have a much more profound appreciation of the very nature of matter, time, space, and the laws that govern them. We shall need also to have much better knowledge of the detailed physiology of brains, particularly at the very tiny levels that have received little attention until recent years. We shall need to know more about the circumstances under which consciousness arises or disappears, about the curious matter of its timing, of what it is used for, and what are the specific advantages of its possession-in addition to many other issues where objective testing is possible. It is a very broad field indeed, in which progress in many different directions is surely to be anticipated.

The physiology of human beings is very much affected by the environment and that's what may be called and I refer to as the bio-psycho-social perspective. We think that this may be new. Well, it is revolutionary as far as mainstream medicine is concerned, but it is certainly not new. The Buddha said 2.500 years ago. He talked about the interconnection of everything, what he called "the interconnective core-rising" or "interdependent core-rising of phenomena". So he said "look at a raindrop. It doesn't just contain itself. In fact it contains the sky. Look at a leaf. It contains the sky, in terms of irrigation, it contains the earth, in terms of the materials that go into it and it contains the sun, in terms of the light that is needed to make it grow. And he said that "the birth and death of any phenomena are connected to the birth and death of all other phenomena. The one contains the many and the many contains the one. Without the one there cannot be the many and without the many there cannot be the one". And that was said 2.500 years ago. A lesson we are still trying to integrate, to understand and to apply to our lives.

From another corner of neuroscience, we’re learning about a neurotransmitter called dopamine. Though there are more than fifty neurotransmitters (that we know of), scientists studying substance problems have given dopamine much of their attention. The brain’s reward system and pleasure centers—the areas most impacted by substance use and compulsive behaviors—have a high concentration of dopamine. Some brains have more of it than others, and some people have a capacity to enjoy a range of experiences more than others, owing to a combination of genetics and environment. The thing about dopamine is that it makes us feel really good. We tend to want more of it. It is naturally generated through ordinary, pleasurable activities like eating and sex, and it is the brain’s way of rewarding us—or nature’s way of rewarding the brain—for activities necessary to our survival, individually or as a species. It is the “mechanism by which ‘instinct’ is manifest.” Our brains arrange for dopamine levels to rise in anticipation and spike during a pleasurable activity to make sure we do it again. It helps focus our attention on all the cues that contributed to our exposure to whatever felt good (these eventually become triggers to use, as we explain later). Drugs and alcohol (and certain behaviors) turn on a gushing fire hose of dopamine in the brain, and we feel good, even euphoric. Dopamine produced by these artificial means, however, throws our pleasure and reward systems out of whack immediately. Flooding the brain repeatedly with dopamine has long-term effects and creates what’s known as tolerance—when we lose our ability to produce or absorb our own dopamine and need more and more of it artificially just to feel okay. Specifically, the brain compensates for the flood of dopamine by decreasing its own production of it or by desensitizing itself to the neurotransmitter by reducing the number of dopamine receptors, or both. The brain is just trying to keep a balance. The problem with the brain’s reduction in natural dopamine production is that when you take the substance or behavior out of the picture, there’s not enough dopamine in the brain to make you feel good. Without enough dopamine, there is no interest or pleasure. Then not only does the brain lose the pleasure associated with using, it might not be able to enjoy a sunset or a back rub, either. A lowered level of dopamine, combined with people’s longing for the rush of dopamine they got from using substances, contributes to “craving” states. Cravings are a physiological process associated with the brain’s struggle to regain its normal dopamine balance, and they can influence a decision to keep using a substance even when a person is experiencing negative consequences that matter to him and a strong desire to change. Depending on the length of time and quantities a person has been using, these craving states can be quite uncomfortable and compelling. The dopamine system can and does recover, starting as soon as we stop flooding it. But it takes time, and in the time between shutting off the artificial supply of dopamine and the brain’s rebuilding its natural resources, people tend to feel worse (before they feel better). On a deep, instinctual level, their brains are telling them that by stopping using, something is missing; something is wrong. This is a huge factor in relapse, despite good intentions and effort to change. Knowing this can help you and your loved one make it across this gap in brain reward systems.

Dwarves are sequential hermaphroditic parthenogens," Ruby said, anticipating his question. "What?" "They can change back and forth from male to female and are capable of fertilizing themselves to make more dwarves. They exhibit what we regard as male characteristics, typically, but some favor a more feminine approach." Durham sat with his mouth hanging open. Ruby poked him in the tongue with her quill feather making him gag and sputter. "So, Ginny is, what, short for Regina? Virginia?" "I rather think it's long to 'Gin'," Ruby answered. "She's head of hazard team and Thud's second." "So, the changing sex thing. How does that work? Does it take a while or is it the sort of thing that might happen in the middle of a conversation?" "Hard to say," Ruby said. "Does she need to clear her throat or did she just become a male? Is he just pausing for thought or did he just impregnate himself mid-sentence?" She shrugged. "Dwarf physiology isn't really my field." "Is there an easy way to tell?" "Which sex a dwarf is at the moment? Not that I'm aware of but I haven't managed to think of a situation where it would matter, either, so I've not dwelt on it much.

It is clear, then, that the desire for certainty shapes our spaces of possibility, our perceptions, and our lives both personally and professionally. Usually, this need saves us. But it also sabotages us. This produces an ongoing tension between what we might think of as our conscious selves and our automatic selves. To overcome our inborn reflex that pushes us to seek certainty (sometimes at any cost), we must lead with our conscious selves and tell ourselves a new story, one that with insistent practice will change our future past and even our physiological responses. We must create internal and external ecologies that… celebrate doubt! This means the biggest obstacle to deviation and seeing differently isn’t actually our environment as such, or our” intelligence, or even—ironically—the challenge of reaching the mythical “aha” moment. Rather, it is the nature of human perception itself, and in particular the perceived need for knowing. Yet the deep paradox is that the mechanisms of perception are also the process by which we can unlock powerful new perceptions and ways to deviate. Which means that mechanism of generating a perception is the blocker… and the process of creating perception is the enabler of creativity

I have learned about these mechanisms from clinical populations that express difficulties in social connectedness. HIV patients provide an interesting example to elaborate on this point. In studying HIV patients, I have learned that often their caregivers feel unloved and frequently get angry attending to the needs of the infected individual. Parents of autistic children often report the same feelings and experiences. In both examples, although they often report feeling unloved, what they really are expressing is that the HIV-infected individual or the autistic child is not contingently responding to them with appropriate facial expressivity, eye gaze, and intonation in their voices. In both cases, the individual being cared for is behaving in a machinelike manner, and the caregivers feel disengaged and emotionally disconnected. Functionally, their physiological responses betray them, and they feel insulted. Thus, an important aspect of therapy is to deal not solely with the patient, but to also include the social context in which the patient lives with a focus on the parent–child or caregiver–client dyad. This will ensure that the parents or the caregivers will learn to understand their own responses as a natural physiological response.

Of course plants don’t have neurons or brains. But research was suggesting they might have analogous structures, or at least some physiology that could do similar things, and a cognitive capacity that deserved to be taken seriously. Plants produce electrical impulses, and seem to have nodes at the tips of their roots that serve as local command centers. Glutamate and glycine, two of the most common neurotransmitters in animal brains, are present in plants also, and seem to be crucial to how they pass information through their stems and leaves. They have been found to form, store, and access memories, sense incredibly subtle changes in their environment, and send highly sophisticated chemicals aloft on the air in response. They send signals to different body parts to coordinate defenses. Plant neurobiology “aims to study plants in their full sensory and communicative complexity,” they wrote. And what is a brain, really, other than a hunk of specialized, excitable cells, coursing with electrical impulses? “Plant neurobiology” was nonliteral, sure, but it wasn’t a stretch, its proponents said. We don’t need new words for things that are functionally similar—just new prefixes. Plant brains, plant synapses, plant thought. See, they said: Darwin was doing it a century ago.

   As these examples show, the physiology of the brain makes such reproductions possible. But, for them to take place, an abnormal mental state is always needed, which can justifiably be conjectured in Nietzsche’s case at the time when he wrote Zarathustra. One has only to think of the incredible speed with which this work was produced. There is an ecstasy so great that the tremendous strain of it is at times eased by a storm of tears, when your steps now involuntarily rush ahead, now lag behind; a feeling of being completely beside yourself, with the most distinct consciousness of innumerable delicate thrills tingling through you to your very toes; a depth of happiness, in which pain and gloom do not act as its antitheses, but as its condition, as a challenge, as necessary shades of colour in such an excess of light.9 So he himself describes his mood. These shattering extremes of feeling, far transcending his personal consciousness, were the forces that called up in him the remotest and most hidden associations. Here, as I said before, consciousness only plays the role of slave to the daemon of the unconscious, which tyrannizes over it and inundates it with alien ideas. No one has described the state of consciousness when under the influence of an automatic complex better than Nietzsche himself:

performance during PMS: Take 250 milligrams of magnesium, 45 milligrams of zinc, 80 milligrams of aspirin (baby aspirin), and 1 gram of omega-3 fatty acids (flaxseed and fish oil) each night for the 7 days before your period starts. Pretraining: Take 5 to 7 grams of branched-chain amino acid supplement (BCAAs) to fight the lack of mojo. These amino acids cross the blood-brain barrier and decrease the estrogen-progesterone effect on central nervous system fatigue. In training: Consume a few more carbohydrates per hour. In this high-hormone phase, aim for about 0.45 gram of carbohydrate per pound of body weight (about 61 grams for a 135-pound woman) per hour. In the low-hormone phase (first 2 weeks of the cycle), you can go a bit lower—about 0.35 gram of carbohydrate per pound of body weight (about 47 grams for a 135-pound woman) per hour. (For reference: 2.2 kilograms = 1 pound.) Post-training: Recovery is critical. Progesterone is extremely catabolic (breaks muscle down) and inhibits recovery. Aim to consume 20 to 25 grams of protein within 30 minutes of finishing your session. Overall you should aim to get 0.9 to 1 gram of protein per pound per day (a 135-pound woman needs about 122 to 135 grams of protein per day; see the Roar Daily Diet Cheat Sheet for Athletes for more information). THE MARTIAL ARTIST WHO BEAT HER BLOAT It may not be nice to fool Mother Nature, but there are definitely times when you need to trick her a little.

Brummer was unique. His world was known as a haven for those who still refused to embrace technology. Like most Dragolians, he was similar to the original template of a human being. For ages, Dragolians had refused the implementation of advanced genes within their population. Whereas most humans had infrared, telescopic, and fractional vision that permitted them to observe and scrutinize four or five different things at once at various depths, Dragolians did not. While most humans could survive with their gills under oceans or with their skin sealant secretion in the vacuum of space and hostilities of planet atmospheres, Dragolians couldn’t. They lacked double genitals, temperature control genes and other basic comforts that were standards on any individual. They still possessed the original brain schematic, refusing to compartmentalize areas to specific functions with enhanced nerve terminals. It had been proven long ago that a triple brain split into small sectors connected with each other was the most functional intellectual state. One part was mainly used for the conscious state, one for the virtual state, and the other as the control center of the body’s physiology while also doubling as the backup copy of the essential traits of the other two parts. This third part of the brain also was the input/output terminal that interacted between the two other minds and the cyber world. Even so, this was all likely to change in a few years as research was on the verge of eliminating the need for intestines making room in the abdominal cavity for a smaller second brain.

Sharon passed around a handout: "Triangle of Self-Actualization" by Abraham Maslow. The levels of human motivation. It resembled the nutrition triangle put out by the FDA, with five horizontal levels of multiple colors. I vaguely remembered it from my one college psychology course in the 1970's. "Very applicable with refugees," Sharon said. "Maslow theorized that one could not move to a higher level until the prior level was satisfied. The first level, the triangle base, is physiological needs. Like food and water. Until a person has enough to eat and drink, that's all one would be concerned with." I'd never experienced not being able to satisfy my thirst or hunger, but it sounded logical that that would be my only concern in such a situation. For the Lost Boys, just getting enough food and water had been a daily struggle. I wondered what kind of impact being stuck at the bottom level for the last fourteen years would have on a person, especially a child and teen. "The second level is safety and security. Home. A sanctuary. A safe place." Like not being shot at or having lions attack you. They hadn't had much of level two, either. Even Kakuma hadn't been safe. A refugee camp couldn't feel like home. "The third level is social. A sense of belonging." Since they'd been together, they must have felt like they belonged, but perhaps not on a larger scale, having been displaced from home and living in someone else's country. "Once a person has food, shelter, family and friends, they can advance to the fourth level, which is ego. Self-esteem." I'd never thought of those things occurring sequentially, but rather simultaneously, as they did in my life. If I understood correctly, working on their self-esteem had not been a large concern to them, if one at all. That was bound to affect them eventually. In what way remained to be seen. They'd been so preoccupied with survival that issues of self-worth might overwhelm them at first. A sure risk for insecurity and depression. The information was fascinating and insightful, although worrisome in terms of Benson, Lino, and Alepho. It also made me wonder about us middle-and upper-class Americans. We seldom worried about food, except for eating too much, and that was not what Maslow had been referring to. Most of us had homes and safety and friends and family. That could mean we were entirely focused on that fourth level: ego. Our efforts to make ourselves seem strong, smart, rich, and beautiful, or young were our own kind of survival skill. Perhaps advancing directly to the fourth level, when the mind was originally engineered for the challenges of basic survival, was why Prozac and Zoloft, both antidepressants, were two of the biggest-selling drugs in America. "The pinnacle of the triangle," Sharon said, "is the fifth level. Self-actualization. A strong and deeply felt belief that as a person one has value in the world. Contentment with who one is rather than what one has. Secure in ones beliefs. Not needing ego boosts from external factors. Having that sense of well-being that does not depend on the approval of others is commonly called happiness." Happiness, hard to define, yet obvious when present. Most of us struggled our entire lives to achieve it, perhaps what had brought some of us to a mentoring class that night.

Depression” is a problematic word. We all believe we know what it means because we toss it off so easily: “Oh, I’m depressed; I got a run in my stocking.” At the same time, when we are describing severe psychopathology, we presume that because the word is descriptive, it offers a definition as well. We move to the next step and presume that because we can take a picture of the brain and “see” depression, it therefore is real. It has been occurring to me more and more, not just from these conversations, but also from my work, that when the brain is in clearly different states—and the Diagnostic and Statistical Manual of Mental Disorders80 says they are the same pathology—maybe our definition of the psychopathology is too broad. We need to redefine the nature of suffering to understand how it may be a condition more like dukkha, instead of a disease with a physiological cause as specific as something like a brain lesion. That is not to deny that true psychopathology exists, or that the patients I take care of do not suffer from a brain disease. I believe very strongly that they do. But I also see patients who, with focused attention and by acquiring new skill sets, can bring themselves out of it in the same way that William James did when he decided to focus his attention from inside to outside. The ability to focus attention means your brain is in a different state. Maybe we ought to understand those as different definitions of illness. What I’ve learned from all of you is that maybe we have to start making those distinctions more strongly. That will allow us to focus attention on how to handle ourselves in a world with natural levels of suffering, and help us not stigmatize people who don’t have the brain capacity to even start. Those are two separate items.

HARRIS: It’s worth emphasizing the connection between perception and action. It’s one thing to talk about it in the context of catching a cricket ball, but when you talk about the evolutionary logic of having developed perceptual capacities in the first place, the link to action becomes even more explicit. We haven’t evolved to perceive the world as it is for some abstract epistemological reason. We’ve evolved to perceive what’s biologically useful. And what’s biologically useful is always connected—at least when we’re talking about the outside world—to actions. If you can’t move, if you can’t act in any way, there would have been very little reason to evolve a capacity for sight, for instance. SETH: Absolutely. The sea squirt—a very simple marine creature—swims about during its juvenile phase looking for a place to settle, and once it settles and starts filter feeding, it digests its own brain, because it no longer has any need for perceptual or motor competence. This is often used as an unkind analogy for getting tenure in academia. But you’re absolutely right: perception is not about figuring out what’s really there. We perceive the world as it’s useful for us to do so. This is particularly important when we think about perception of the internal state of the body, which we mentioned earlier. Brains are not for perceiving the world as it is. They didn’t evolve for doing philosophy or complex language, they evolved to guide action. But even more fundamentally, brains evolved to keep themselves and their bodies alive. The most basic cycle of perception and action doesn’t involve the outside world or the exterior surfaces of the body at all. It’s all about regulating the internal physiology of the body and keeping it within bounds compatible with survival. This gives us a clue about why experiences of mood and emotion, and the basic experiences of selfhood, have a fundamentally nonobject-like character.

My own observations had by now convinced me that the mind of the average Westerner held an utterly distorted image of Islam. What I saw in the pages of the Koran was not a ‘crudely materialistic’ world-view but, on the contrary, an intense God-consciousness that expressed itself in a rational acceptance of all God-created nature: a harmonious side-by-side of intellect and sensual urge, spiritual need and social demand. It was obvious to me that the decline of the Muslims was not due to any shortcomings in Islam but rather to their own failure to live up to it. For, indeed, it was Islam that had carried the early Muslims to tremendous cultural heights by directing all their energies toward conscious thought as the only means to understanding the nature of God’s creation and, thus, of His will. No demand had been made of them to believe in dogmas difficult or even impossible of intellectual comprehension; in fact, no dogma whatsoever was to be found in the Prophet’s message: and, thus, the thirst after knowledge which distinguished early Muslim history had not been forced, as elsewhere in the world, to assert itself in a painful struggle against the traditional faith. On the contrary, it had stemmed exclusively from that faith. The Arabian Prophet had declared that ‘Striving after knowledge is a most sacred duty for every Muslim man and woman’: and his followers were led to understand that only by acquiring knowledge could they fully worship the Lord. When they pondered the Prophet’s saying, ‘God creates no disease without creating a cure for it as well’, they realised that by searching for unknown cures they would contribute to a fulfilment of God’s will on earth: and so medical research became invested with the holiness of a religious duty. They read the Koran verse, ‘We create every living thing out of water’ - and in their endeavour to penetrate to the meaning of these words, they began to study living organisms and the laws of their development: and thus they established the science of biology. The Koran pointed to the harmony of the stars and their movements as witnesses of their Creator’s glory: and thereupon the sciences of astronomy and mathematics were taken up by the Muslims with a fervour which in other religions was reserved for prayer alone. The Copernican system, which established the earth’s rotation around its axis and the revolution of the planet’s around the sun, was evolved in Europe at the beginning of the sixteenth century (only to be met by the fury of the ecclesiastics, who read in it a contradiction of the literal teachings of the Bible): but the foundations of this system had actually been laid six hundred years earlier, in Muslim countries - for already in the ninth and tenth centuries Muslim astronomers had reached the conclusion that the earth was globular and that it rotated around its axis, and had made accurate calculations of latitudes and longitudes; and many of them maintained - without ever being accused of hearsay - that the earth rotated around the sun. And in the same way they took to chemistry and physics and physiology, and to all the other sciences in which the Muslim genius was to find its most lasting monument. In building that monument they did no more than follow the admonition of their Prophet that ‘If anybody proceeds on his way in search of knowledge, God will make easy for him the way to Paradise’; that ‘The scientist walks in the path of God’; that ‘The superiority of the learned man over the mere pious is like the superiority of the moon when it is full over all other stars’; and that ‘The ink of the scholars is more precious that the blood of martyrs’. Throughout the whole creative period of Muslim history - that is to say, during the first five centuries after the Prophet’s time - science and learning had no greater champion than Muslim civilisation and no home more secure than the lands in which Islam was supreme.

In the words of the master: infinity but without melody. In the second place, with regard to the overthrowing,--this belongs at least in part, to physiology. Let us, in the first place, examine the instruments. A few of them would convince even our intestines (--they _throw open_ doors, as Handel would say), others becharm our very marrow. The _colour of the melody is_ all-important here, _the melody itself_ is of no importance. Let us be precise about _this_ point. To what other purpose should we spend our strength? Let us be characteristic in tone even to the point of foolishness! If by means of tones we allow plenty of scope for guessing, this will be put to the credit of our intellects. Let us irritate nerves, let us strike them dead: let us handle thunder and lightning,--that is what overthrows.{~HORIZONTAL ELLIPSIS~} But what overthrows best, is _passion_.--We must try and be clear concerning this question of passion. Nothing is cheaper than passion! All the virtues of counterpoint may be dispensed with, there is no need to have learnt anything,--but passion is always within our reach! Beauty is difficult: let us beware of beauty!{~HORIZONTAL ELLIPSIS~} And also of _melody!_ However much in earnest we may otherwise be about the ideal, let us slander, my friends, let us slander,--let us slander melody! Nothing is more dangerous than a beautiful melody! Nothing is more certain to ruin taste! My friends, if people again set about loving beautiful melodies, we are lost!{~HORIZONTAL ELLIPSIS~} _First principle_: melody is immoral. _Proof_: "Palestrina". _Application_: "Parsifal." The absence of melody is in itself sanctifying.{~HORIZONTAL ELLIPSIS~} And this is the definition of passion. Passion--or the acrobatic feats of ugliness on the tight-rope of enharmonic--My friends, let us dare to be ugly! Wagner dared it! Let us heave the mud of the most repulsive harmonies undauntedly before us. We must not even spare our hands! Only thus, shall we become _natural_.{~HORIZONTAL ELLIPSIS~}

If we want to sum up the value of the priestly existence in the shortest slogan, we could at once put it like this: the priest is the person who alters the direction of ressentiment. For every suffering person instinctively seeks a cause for his suffering, or, more precisely, an agent, or, even more precisely, a guilty agent sensitive to suffering — in short, he seeks some living person on whom he can, on some pretext or other, unload his feelings, either in fact or in effigy: for the discharge of feelings is the most important way a suffering man seeks relief — that is, some anaesthetic — it’s his involuntarily desired narcotic against any kind of torment. In my view, only here can we find the true physiological cause of ressentiment, revenge, and things related to them, in a longing for some anaesthetic against pain through one’s emotions. People usually look for this cause, most incorrectly, in my opinion, in the defensive striking back, a merely reactive protective measure, a “reflex movement” in the event of some sudden damage and threat, of the sort a decapitated frog still makes in order to get rid of corrosive acid. But the difference is fundamental: in one case, people want to prevent suffering further damage; in the other case, people want to deaden a tormenting, secret pain which is becoming unendurable by means of a more violent emotion of some kind and, for the moment at least, to drive it from their consciousness — for that they need some emotion, as unruly an emotion as possible, and, in order to stimulate that, they need the best pretext available. “Someone or other must be guilty of the fact that I am ill” — this sort of conclusion is characteristic of all sick people, all the more so if the real cause of their sense that they are sick, the physiological cause, remains hidden (—it can lie, for example, in an illness of the nervus sympathicus [sympathetic nerve], or in an excessive secretion of gall, or in a lack of potassium sulphate and phosphate in the blood, or in some pressure in the lower abdomen, which blocks the circulation, or in a degeneration of the ovaries, and so on).

9:36a    ἰδὼν δὲ τούς ὄχλους ἐσπλαγχνίσθη πεϱὶ αὐτῶν seeing the crowds, his insides were moved with pity for them THE JEWS AND THE GREEKS could not succeed in making pity and compassion into a purely mental act. It sounds archaic, hardly short of embarrassing, to say that “Jesus saw the crowds and felt pity for them in his bowels.” But, in fact, any translation that omits compassion’s element of viscerality (for σπλάγχνα, the root of the verb here, means “viscera”, “bowels”, “womb”) has already betrayed the depth of Jesus’ divine and human pity. We all know how the strongest emotions—whether sorrow, fear, joy, or desire—are all initially registered in the abdominal region, and this physiological reaction is one of the proofs of the authenticity of our emotions. The same teacher, herald, and healer who surpassed all others in these crafts finally reveals himself in utter silence and inactivity in his deepest nature: the Compassionate One who is affected by suffering more elementally than the sufferers he sees around him. If Mary’s womb was proclaimed blessed for having borne such a Child, we now see in the Son the Mother’s most precious quality: wide-wombed compassion. When we allow ourselves to be moved in this way, we are already hopelessly involved with the object of our pity: no possibility here of a distanced display of “charity” that refuses to become tainted by contact with the stench of human misery. Jesus looks at the crowds, then, and is viscerally moved. What power in the gaze of a Savior who pauses in the midst of his activity in order to take into himself the full, wounded reality about him! Jesus never protects himself against the claims of distress. He is not content with emanating the truth, joy, and healing power that are his: he must become a fellow sufferer. His loving gaze is like an open wound that filters out no sorrow. He has already done so much for them; but as long as he sees misery, nothing is enough; and so he wonders what else remains to be done. His contemplative sorrow becomes a stimulant to his creative imagination. He nestles all manner of plight within his person, and every human need becomes a churning in his inward parts. He interiorizes the chaos of the surrounding landscape, but, by entering him, it becomes contained, comprehended, embraced and saved.

what makes life worth living when we are old and frail and unable to care for ourselves? In 1943, the psychologist Abraham Maslow published his hugely influential paper “A Theory of Human Motivation,” which famously described people as having a hierarchy of needs. It is often depicted as a pyramid. At the bottom are our basic needs—the essentials of physiological survival (such as food, water, and air) and of safety (such as law, order, and stability). Up one level are the need for love and for belonging. Above that is our desire for growth—the opportunity to attain personal goals, to master knowledge and skills, and to be recognized and rewarded for our achievements. Finally, at the top is the desire for what Maslow termed “self-actualization”—self-fulfillment through pursuit of moral ideals and creativity for their own sake. Maslow argued that safety and survival remain our primary and foundational goals in life, not least when our options and capacities become limited. If true, the fact that public policy and concern about old age homes focus on health and safety is just a recognition and manifestation of those goals. They are assumed to be everyone’s first priorities. Reality is more complex, though. People readily demonstrate a willingness to sacrifice their safety and survival for the sake of something beyond themselves, such as family, country, or justice. And this is regardless of age. What’s more, our driving motivations in life, instead of remaining constant, change hugely over time and in ways that don’t quite fit Maslow’s classic hierarchy. In young adulthood, people seek a life of growth and self-fulfillment, just as Maslow suggested. Growing up involves opening outward. We search out new experiences, wider social connections, and ways of putting our stamp on the world. When people reach the latter half of adulthood, however, their priorities change markedly. Most reduce the amount of time and effort they spend pursuing achievement and social networks. They narrow in. Given the choice, young people prefer meeting new people to spending time with, say, a sibling; old people prefer the opposite. Studies find that as people grow older they interact with fewer people and concentrate more on spending time with family and established friends. They focus on being rather than doing and on the present more than the future.

All addictions — whether to drugs or to nondrug behaviours — share the same brain circuits and brain chemicals. On the biochemical level the purpose of all addictions is to create an altered physiological state in the brain. This can be achieved in many ways, drug taking being the most direct. So an addiction is never purely “psychological” all addictions have a biological dimension. And here a word about dimensions. As we delve into the scientific research, we need to avoid the trap of believing that addiction can be reduced to the actions of brain chemicals or nerve circuits or any other kind of neurobiological, psychological or sociological data. A multilevel exploration is necessary because it’s impossible to understand addiction fully from any one perspective, no matter how accurate. Addiction is a complex condition, a complex interaction between human beings and their environment. We need to view it simultaneously from many different angles — or, at least, while examining it from one angle, we need to keep the others in mind. Addiction has biological, chemical, neurological, psychological, medical, emotional, social, political, economic and spiritual underpinnings — and perhaps others I haven’t thought about. To get anywhere near a complete picture we must keep shaking the kaleidoscope to see what other patterns emerge. Because the addiction process is too multifaceted to be understood within any limited framework, my definition of addiction made no mention of “disease.” Viewing addiction as an illness, either acquired or inherited, narrows it down to a medical issue. It does have some of the features of illness, and these are most pronounced in hardcore drug addicts like the ones I work with in the Downtown Eastside. But not for a moment do I wish to promote the belief that the disease model by itself explains addiction or even that it’s the key to understanding what addiction is all about. Addiction is “all about” many things. Note, too, that neither the textbook definitions of drug addiction nor the broader view we’re taking here includes the concepts of physical dependence or tolerance as criteria for addiction. Tolerance is an instance of “give an inch, take a mile.” That is, the addict needs to use more and more of the same substance or engage in more and more of the same behaviour, to get the same rewarding effects. Although tolerance is a common effect of many addictions, a person does not need to have developed a tolerance to be addicted.

These worm-eaten physiological casualties are all men of ressentiment, a whole, vibrating realm of subterranean revenge, inexhaustible and insatiable in its eruptions against the happy, and likewise in masquerades of revenge and pretexts for revenge: when will they actually achieve their ultimate, finest, most sublime triumph of revenge? Doubtless if they succeeded in shoving their own misery, in fact all misery, on to the conscience of the happy: so that the latter eventually start to be ashamed of their happiness and perhaps say to one another: ‘It’s a disgrace to be happy! There is too much misery!’ . . . But there could be no greater or more disastrous mis- understanding than for the happy, the successful, those powerful in body and soul to begin to doubt their right to happiness in this way. Away with this ‘world turned upside down’! Away with this disgraceful molly- coddling of feeling! That the sick should not make the healthy sick – and this would be that kind of mollycoddling – ought to be the chief concern on earth: – but for that, it is essential that the healthy should remain sep- arated from the sick, should even be spared the sight of the sick so that they do not confuse themselves with the sick. Or would it be their task, perhaps, to be nurses and doctors? . . . But they could not be more mis- taken and deceived about their task, – the higher ought not to abase itself as the tool of the lower, the pathos of distance ought to ensure that their tasks are kept separate for all eternity! Their right to be there, the prior- ity of the bell with a clear ring over the discordant and cracked one, is clearly a thousand times greater: they alone are guarantors of the future, they alone have a bounden duty to man’s future. What they can do, what they should do, is something the sick must never do: but so that they can do what only they should, why should they still be free to play doctor, comforter and ‘saviour’ to the sick? . . . And so we need good air! good air! At all events, well away from all madhouses and hospitals of culture! And so we need good company, our company! Or solitude, if need be! But at all events, keep away from the evil fumes of inner corruption and the secret, worm-eaten rottenness of disease! . . . So that we, my friends, can actually defend ourselves, at least for a while yet, against the two worst epidemics that could possibly have been set aside just for us – against great nausea at man! Against deep compassion for man! . . . If you have comprehended in full – and right here I demand profound apprehension, profound comprehension – why it can absolutely not be the task of the healthy to nurse the sick, to make the sick healthy, then another necessity has also been comprehended, – the necessity of doctors and nurses who are sick themselves: and now we have and hold with both hands the meaning of the ascetic priest.

By pressing the doctrine of disinterestedness and love into the foreground, Christianity by no means elevated the interests of the species above those of the individual. Its real historical effect, its fatal effect, remains precisely the increase of egotism, of individual egotism, to excess (to the extreme which consists in the belief in individual immortality). The individual was made so important and so absolute, by means of Christian values, that he could no longer be sacrificed, despite the fact that the species can only be maintained by human sacrifices. All "souls" became equal before God: but this is the most pernicious of all valuations! If one regards individuals as equals, the demands of the species are ignored, and a process is initiated which ultimately leads to its ruin. Christianity is the reverse of the principle of selection. If the degenerate and sick man ("the Christian") is to be of the same value as the healthy man ("the pagan"), or if he is even to be valued higher than the latter, as Pascal's view of health and sickness would have us value him, the natural course of evolution is thwarted and the unnatural becomes law. ... In practice this general love of mankind is nothing more than deliberately favouring all the suffering, the botched, and the degenerate: it is this love that has reduced and weakened the power, responsibility, and lofty duty of sacrificing men. According to the scheme of Christian values, all that remained was the alternative of self-sacrifice, but this vestige of human sacrifice, which Christianity conceded and even recommended, has no meaning when regarded in the light of rearing a whole species. The prosperity of the species is by no means affected by the sacrifice of one individual (whether in the monastic and ascetic manner, or by means of crosses, stakes, and scaffolds, as the "martyrs" of error). What the species requires is the suppression of the physiologically botched, the weak and the degenerate: but it was precisely to these people that Christianity appealed as a preservative force, it simply strengthened that natural and very strong instinct of all the weak which bids them protect, maintain, and mutually support each other. What is Christian "virtue" and "love of men," if not precisely this mutual assistance with a view to survival, this solidarity of the weak, this thwarting of selection? What is Christian altruism, if it is not the mob-egotism of the weak which divines that, if everybody looks after everybody else, every individual will be preserved for a longer period of time? ... He who does not consider this attitude of mind as immoral, as a crime against life, himself belongs to the sickly crowd, and also shares their instincts. ... Genuine love of man kind exacts sacrifice for the good of the species it is hard, full of self-control, because it needs human sacrifices. And this pseudo-humanity which is called Christianity, would fain establish the rule that nobody should be sacrificed.

And now I come to the first positively important point which I wish to make. Never were as many men of a decidedly empiricist proclivity in existence as there are at the present day. Our children, one may say, are almost born scientific. But our esteem for facts has not neutralized in us all religiousness. It is itself almost religious. Our scientific temper is devout. Now take a man of this type, and let him be also a philosophic amateur, unwilling to mix a hodge-podge system after the fashion of a common layman, and what does he find his situation to be, in this blessed year of our Lord 1906? He wants facts; he wants science; but he also wants a religion. And being an amateur and not an independent originator in philosophy he naturally looks for guidance to the experts and professionals whom he finds already in the field. A very large number of you here present, possibly a majority of you, are amateurs of just this sort. Now what kinds of philosophy do you find actually offered to meet your need? You find an empirical philosophy that is not religious enough, and a religious philosophy that is not empirical enough. If you look to the quarter where facts are most considered you find the whole tough-minded program in operation, and the 'conflict between science and religion' in full blast. The romantic spontaneity and courage are gone, the vision is materialistic and depressing. Ideals appear as inert by-products of physiology; what is higher is explained by what is lower and treated forever as a case of 'nothing but'—nothing but something else of a quite inferior sort. You get, in short, a materialistic universe, in which only the tough-minded find themselves congenially at home.If now, on the other hand, you turn to the religious quarter for consolation, and take counsel of the tender-minded philosophies, what do you find? Religious philosophy in our day and generation is, among us English-reading people, of two main types. One of these is more radical and aggressive, the other has more the air of fighting a slow retreat. By the more radical wing of religious philosophy I mean the so-called transcendental idealism of the Anglo-Hegelian school, the philosophy of such men as Green, the Cairds, Bosanquet, and Royce. This philosophy has greatly influenced the more studious members of our protestant ministry. It is pantheistic, and undoubtedly it has already blunted the edge of the traditional theism in protestantism at large. That theism remains, however. It is the lineal descendant, through one stage of concession after another, of the dogmatic scholastic theism still taught rigorously in the seminaries of the catholic church. For a long time it used to be called among us the philosophy of the Scottish school. It is what I meant by the philosophy that has the air of fighting a slow retreat. Between the encroachments of the hegelians and other philosophers of the 'Absolute,' on the one hand, and those of the scientific evolutionists and agnostics, on the other, the men that give us this kind of a philosophy, James Martineau, Professor Bowne, Professor Ladd and others, must feel themselves rather tightly squeezed. Fair-minded and candid as you like, this philosophy is not radical in temper. It is eclectic, a thing of compromises, that seeks a modus vivendi above all things. It accepts the facts of darwinism, the facts of cerebral physiology, but it does nothing active or enthusiastic with them. It lacks the victorious and aggressive note. It lacks prestige in consequence; whereas absolutism has a certain prestige due to the more radical style of it.

you'll wonder again, later, why so many psychologists remain so vocal about having more and better training than anyone else in the field when every psychologist you've ever met but one will also have lacked these identification skills entirely when it seems nearly every psychologist you meet has no real ability to detect deception. You will wonder, later, why the assessment training appears to have been reserved for the CIA and the FBI is it because we as a society don't want to imagine that any other professionals will need the skills? And what about attorneys? What about training programs for guardian ad litems or anyone involved in approving care for all the already traumatized and marginalized children? You'll have met enough of those children after they grow up to know that when a small girl experiences repeated rapes in a series of households throughout her childhood, then that little girl is pretty likely to have some sort of "dysfunction" when she grows up. And you won't have any tolerance for the people who point their fingers at her and demand that she be as capable as they are it is, after all, a free country. We all get the same opportunities. You'll want to scream at all those equality people that you can't ignore the rights of this nation's children you can't ignore them and then get pissed when any raped and beaten little girls and boys grow up to be traumatized and perhaps hurtful or addicted adults. No more pointing fingers only a few random traumatized people stand up later as some miraculous example of perfectly acceptable societal success and if every judgmental person imagines that I would be like that I would be the one to break through the barriers then all those judgmental people need to go back in time and prove it, prove to everyone that life is a choice and we all get equal chances. You'll want anyone who talks about equal chances to go back and be born addicted to drugs in complete poverty and then to be dropped into a foster system that's designed for good but exploited by people who lack a conscience by people who rape and molest and whip and beat tiny little six year olds and then you will want all those people to come out of all that still talking about equal chances and their personal tremendous success. Thank you, dear God, for writing my name on the palm of your hand. You will be angry and yet you still won't understand the concept of evil. You'll learn enough to know that it's not politically correct to call anyone evil, especially when many terrible acts might actually stem from a physiological deficit I would never use the word evil, it's not professional but you will certainly come to understand that many of the very worst crimes are committed by people who lack the capacity to feel remorse for what they've done on any level. But when you gain that understanding, you still will not have learned that these individuals are more likable than most people that they aren't cool and distant that they aren't just a select few creepy murderers or high-profile con artists you won't know how to look for a lack of conscience in noncriminal and quite normal looking populations no clinical professors will have warned you about people who exude charm and talk excessively about protecting the family or protecting the community or protecting our way of life and you won't know that these types would ever stick around to raise kids you will have falsely believed that if they can't form real attachments, they won't bother with raising children and besides most of them will end up in prison you will not know that your assumptions are completely erroneous you won't understand that many who lack a conscience keep their kids close and tight for their own purposes.

The Western medical model — and I don't mean the science of it, I mean the practice of it, because the science is completely at odds with the practice — makes two devastating separations. First of all we separate the mind from the body, we separate the emotions from the physiology. So we don't see how the physiology of people reflects their lifelong emotional experience. So we separate the mind from the body, which is not something that traditional medicine has done, I mean, Ayuverdic or Chinese medicine or shamanic tribal cultures and medicinal practices throughout the world have always recognized that mind and body are inseparable. They intuitively knew it. Many Western practitioners have known this and even taught it, but in practice we ignore it. And then we separate the individual from the environment. The studies are clear, for example, that when people are emotionally isolated they tend to get sick more quickly and they succumb more rapidly to their disease. Why? Because people's physiology is completely related to their psychological, social environment and when people are isolated and alone their stress levels are much higher because there's nothing there to help them moderate their stress. And physiologically it is straightforward, you know, it takes a five-year-old kid to understand it. However because in practice we separate them... when somebody shows up with an inflamed joint, all we do is we give them an anti-inflammatory or because the immune system is hyperactive and is attacking them we give them a medication to suppress their immune system or we give them a stress hormone like cortisol or one of its analogues, to suppress the inflammation. But we never ask: "What does this manifest about your life?", "What does this say about your relationships?", "How stressful is your job?", "To what extent do you lack control in your life?", "Where are you not authentic?", "How are you trying to work so hard to meet your attachment needs by suppressing yourself?" (because that is what you learn to do as a kid). Then we do all this research that has to do with cell biology, so we keep looking for the cause of cancer in the cell. Now there's a wonderful quote in the New York Times a couple of years ago they did a series on cancer and somebody said: "Looking for the cause of cancer inside the individual cell is like trying to understand a traffic jam by studying the internal combustion engine." We will never understand it, but we spend hundreds of billions of dollars a year looking for the cause of cancer inside the cell, not recognizing that the cell exists in interaction with the environment and that the genes are modulated by the environment, they are turned on and off by the environment. So the impact of not understanding the unity of emotions and physiology on one hand and in the other hand the relationship between the individual and the environment.. in other words.. having a strictly biological model as opposed to what has been called a bio-psycho-social, that recognizes that the biology is important, but it also reflects our psychological and social relationships. And therefore trying to understand the biology in isolation from the psychological and social environment is futile. The result is that we are treating people purely through pharmaceuticals or physical interventions, greatly to the profit of companies that manufacture pharmaceuticals and which fund the research, but it leaves us very much in the dark about a) the causes and b) the treatment, the holistic treatment of most conditions. So that for all our amazing interventions and technological marvels, we are still far short of doing what we could do, were we more mindful of that unity. So the consequences are devastating economically, they are devastating emotionally, they are devastating medically.

The traditional hospital practice of excluding parents ignored the importance of attachment relationships as regulators of the child’s emotions, behaviour and physiology. The child’s biological status would be vastly different under the circumstances of parental presence or absence. Her neurochemical output, the electrical activity in her brain’s emotional centres, her heart rate, blood pressure and the serum levels of the various hormones related to stress would all vary significantly. Life is possible only within certain well-defined limits, internal or external. We can no more survive, say, high sugar levels in our bloodstream than we can withstand high levels of radiation emanating from a nuclear explosion. The role of self-regulation, whether emotional or physical, may be likened to that of a thermostat ensuring that the temperature in a home remains constant despite the extremes of weather conditions outside. When the environment becomes too cold, the heating system is switched on. If the air becomes overheated, the air conditioner begins to work. In the animal kingdom, self-regulation is illustrated by the capacity of the warm-blooded creature to exist in a broad range of environments. It can survive more extreme variations of hot and cold without either chilling or overheating than can a coldblooded species. The latter is restricted to a much narrower range of habitats because it does not have the capacity to self-regulate the internal environment. Children and infant animals have virtually no capacity for biological self-regulation; their internal biological states—heart rates, hormone levels, nervous system activity — depend completely on their relationships with caregiving grown-ups. Emotions such as love, fear or anger serve the needs of protecting the self while maintaining essential relationships with parents and other caregivers. Psychological stress is whatever threatens the young creature’s perception of a safe relationship with the adults, because any disruption in the relationship will cause turbulence in the internal milieu. Emotional and social relationships remain important biological influences beyond childhood. “Independent self-regulation may not exist even in adulthood,” Dr. Myron Hofer, then of the Departments of Psychiatry and Neuroscience at Albert Einstein College of Medicine in New York, wrote in 1984. “Social interactions may continue to play an important role in the everyday regulation of internal biologic systems throughout life.” Our biological response to environmental challenge is profoundly influenced by the context and by the set of relationships that connect us with other human beings. As one prominent researcher has expressed it most aptly, “Adaptation does not occur wholly within the individual.” Human beings as a species did not evolve as solitary creatures but as social animals whose survival was contingent on powerful emotional connections with family and tribe. Social and emotional connections are an integral part of our neurological and chemical makeup. We all know this from the daily experience of dramatic physiological shifts in our bodies as we interact with others. “You’ve burnt the toast again,” evokes markedly different bodily responses from us, depending on whether it is shouted in anger or said with a smile. When one considers our evolutionary history and the scientific evidence at hand, it is absurd even to imagine that health and disease could ever be understood in isolation from our psychoemotional networks. “The basic premise is that, like other social animals, human physiologic homeostasis and ultimate health status are influenced not only by the physical environment but also by the social environment.” From such a biopsychosocial perspective, individual biology, psychological functioning and interpersonal and social relationships work together, each influencing the other.

To say that simple life-forms without nervous systems have pain is unnecessary and probably not correct. They certainly have some of the elements required to construct feelings of pain, but it is reasonable to hypothesize that for pain itself to emerge, as a mental experience, the organism needed to have a mind and that for that to pass, the organism needed a nervous system capable of mapping structures and events. In other words, I suspect that life-forms without nervous systems or minds had and have elaborate emotive processes, defensive and adaptive action programs, but not feelings. Once nervous systems entered the scene, the path for feelings was open. That is why even humble nervous systems probably allow some measure of feeling.5 It is often asked, not unreasonably, why feelings should feel like anything at all, pleasant or unpleasant, tolerably quiet or like an uncontainable storm. The reason should now be clear: when the full constellation of physiological events that constitutes feelings began to appear in evolution and provided mental experiences, it made a difference. Feelings made lives better. They prolonged and saved lives. Feelings conformed to the goals of the homeostatic imperative and helped implement them by making them matter mentally to their owner as, for example, the phenomenon of conditioned place aversion appears to demonstrate.6 The presence of feelings is closely related to another development: consciousness and, more specifically, subjectivity.

Examples include the patterns of muscular activation of the face. They are so closely associated with certain emotional states that their deployment in our faces can rapidly conjure up feelings such as joy and surprise. We do not need to look in the mirror to know that we are experiencing such states. In sum, feelings are experiences of certain aspects of the state of life within an organism. Those experiences are not mere decoration. They accomplish something extraordinary: a moment-to-moment report on the state of life in the interior of an organism. It is tempting to translate the notion of a report into pages of an online file that can be swiped, one at a time, telling us about one part or another of the body. But digitized pages, neat, lifeless, and indifferent, are not acceptable metaphors for feelings, given the valence component we just discussed. Feelings provide important information about the state of life, but feelings are not mere “information” in the strict computational sense. Basic feelings are not abstractions. They are experiences of life based on multidimensional representations of configurations of the life process. As noted, feelings can be intellectualized. We can translate feelings into ideas and words that describe the original physiology. It is possible, and not infrequent, to refer to a particular feeling without necessarily experiencing that feeling or simply experiencing a paler version of the original

We might map thumos and eros onto Maslow’s hierarchy of human needs by viewing thumos as the higher, social needs, and eros as the source and container of the physiological ‘life energy’—a term in which sense the word eros has often been used in Greek philosophy. As we can see, both horses had a place and function in the human soul, and when a healthy mind holds the reins, it can drive the ‘chariot’ forwards. The logos, therefore—the charioteer in the analogy—was of utmost importance. This was where intellect had its throne, and from which reason and logic emerged. Whereas the horses pulled in the directions of social status and biological needs, the logos desired nothing but learning and wisdom. Only by means of this mental function was the soul able to balance the impulses and urges of the two winged horses. According to Plato, people dominated by the logos or logistikon made great philosophers or politicians.

If victims deny their own terror, the danger they are in, and their rage, how can they understand their strict compliance with the captor’s every order, their state of extreme arousal, and their hypervigilance to the abuser’s needs, wants, and moods? Having denied the danger, terror, and rage, victims look to their environment and to their internal motivations for cues to explain their behavior and state of extreme arousal (cf. D. J. Bern 1972; Festinger 1957; Schachter and Singer 1962). Seeing themselves being compliant and even hypervigilant to the abuser’s needs, they interpret their physiological arousal and behavior as indicating they have strong positive feelings for the abuser (cf. Walster 1971; Walster and Berscheid 1971). The more extreme the state of arousal, the stronger the bond experienced by the victims. The more hypervigilant the victims are relative to the kindness shown by the abuser, the stronger the bond is interpreted to be. The harder the victims have to work to win over the abuser, the stronger the victims’ bond to the abuser (cf. Walster and Berscheid 1971).

Crocodiles have been on the planet for some sixty-five million years, looking just about like this one. They’ve evolved to be the most complex apex predator in their environment. They have a life expectancy similar to ours, and their physiology is surprisingly similar to ours as well: the same basic type of four-chambered heart, and a cerebral cortex. I marveled at the sixty-four long, very sharp, peg-like teeth. Here was an animal able to capture and kill animals much larger than itself. How ironic, I thought, that this-top-of-the-food-chain animal needs our help. As we motored up the river, I restrained the croc on the floor of the boat. I could feel Steve’s reverence for her. He didn’t just like crocodiles. He loved them. We finally came to a good release location. We got the crocodile out onto a sandbar and slipped the ropes and blindfolds and trappings off her. She scuttled back into the water. “She’ll be afraid of boats from now on,” Steve said. “She’ll never get caught again. She’ll have a good, healthy fear of humans, too. It’ll help keep her alive.” Forever afterward, Steve and I referred to the Cattle Creek rescue as our honeymoon trip. It also marked the beginning of Steve’s filming career. He was gifted with the ability to hunt down wildlife. But he hunted animals to save them, not kill them. That’s how the Crocodile Hunter was born.

To put it bluntly, our bodies are not well adapted to digest grains, and there is no physiological need to consume them.