Is addiction a choice? | Big Questions with Gabor Maté
By Penguin Books UK
Summary
## Key takeaways - **Addiction Not a Choice**: The criminal justice system makes the utterly unscientific, unfounded, and false assumption that people choose to be addicted. Addiction is an attempt to soothe the pain imposed by childhood trauma, as every female patient Gabor Maté met in Vancouver's Downtown East Side had been sexually abused as a child, and all men had been severely traumatized. [00:43], [01:16] - **Trauma Rewires Brain**: Traumatic experiences shape the brain's physiology and essential brain circuits in a way that biases the brain towards addictive behaviors, including with substances. This is simply brain science that's not even vaguely controversial. [01:38], [01:49] - **Broad Addiction Definition**: Addiction is any behavior that a person finds temporary pleasure or relief in and therefore craves, but suffers negative consequences in the long term as a result and does not give up. It includes drugs like heroin or alcohol, but also gambling, shopping, eating, work, internet, pornography, sex, and power. [02:12], [02:43] - **Everyone Has Addictions**: In this particular stressful culture, virtually all of us have some addictive patterns in our lives, or have had. Why are we ostracizing a particular segment of the addicted population? [03:04], [03:14] - **Myth of Normal Health**: A lot of us are normal and unhealthy at the same time; normal is a statistic but doesn't say anything about healthy. Illnesses of body and mind are normal responses to an abnormal culture, as health is a spectrum, not a binary of healthy versus unhealthy. [00:10], [04:45] - **Society Makes Us Sick**: Anxiety, childhood ADHD diagnoses, autoimmune diseases, obesity, and metabolic diseases in children are rising internationally due to this society's ruthless competition, isolation, poor food, pollutants, and other emotional and physical factors. Illness is a normal response to this very unhealthy culture. [07:11], [08:16]
Topics Covered
- Addiction Soothes Childhood Trauma
- Addiction Spans All Behaviors
- Normal Masks Unhealthy Culture
- Society Breeds Chronic Illness
- Become Your Authentic Self
Full Transcript
not, that, I'm, claiming, to, be a, fully, cooked, meal, but, I'm, certainly much, more, ripe, than, I, used, to, be, a, lot of, us, are, normal, and, unhealthy, at, the same, time
can, people, change, who, they, are they, need, to, become, who, they, are hello, my, name, is, Gabor, mate and, I'm, here, at, penguin, in, England, to
answer, some, big, questions [Music] so, the, Assumption, in, legal, circles, and
throughout, the, whole What's, rightly, called, the, criminal justice, system, because, it, is, a, criminal system the, criminal, justice, system
in, his, criminality, makes, the, utterly unscientific, unfounded, and, false assumption, that, people, choose, to, be addicted, now, first, of, all, I, worked, with
severely, drug, addicted, people, in vancouverton, East, Side, the, Western, was the, most, notorious, area, of, drug, use, by the, way, it, was, in, Vancouver's, downtown east, side, in, my, 12, years, of, work, there, I
met, not, a, single, female, patient, who, had not, been, sexually, abused, as, a, child the, who, the, heck, chooses, to, be, sexually abused, as, a, child all, the, men, had, been, severely traumatized, in, multiple, ways, who, the
heck, chooses, to, be, traumatized, in childhood, the, addiction, then, is, an attempt, to, soothe, the, pain that's, imposed, by, childhood, trauma nobody, wakes, up, in, the, morning, says, my ambition, is, to, become, a, drug, addict, and
break, the, law I, mean, think, about, it it's, a, response, to, pain not, only, that, those, traumatic experiences, shape, the, brain, itself
the, physiology, of, essential, brain circuits, in, a, way, that, will, bias, that brain, towards, addictive, behaviors including, with, substances, I, won't, go into, the, neurophysiology, of, it, now, but
it's, simply, brain, science, that's, not even, vaguely, controversial, but, of, course even, Physicians, don't, learn, about, it, let alone, judges, lawyers, or, prosecutors another, point, is, that, if, we, actually
understand, what, an, addiction, is we, realize, that, it, drugs, are, only, a small, part, of, the, addictive, Spectrum, I Define, addiction, as, manifested, in, any behavior, that, a, person
finds, temporary, pleasure, or, relief, in and, therefore, craves, but, suffers negative, consequences, in, the, long, term as, a, result, of, but, does, not, give, up despite, negative, consequences, so, craving pleasure, relief, in, a, short, term
harm inability, to, give, it, up, that's, what, an addiction, is, now, we, notice, in, that definition, I, said, nothing, about, drugs
yes, they, could, involve, substances, some illegal, like, heroin, some, even, more, toxic than, heroin, but, legal, like, alcohol, the
definition, also, includes, people, are addicted, to, gambling, to, shopping, to eating, to, work, to, the, internet, to pornography, to, sex
to, power to, a, whole, lot, of, other, human, behaviors why, are, we, ostracizing, a, particular segment, of, the, addicted, population, where virtually, all, of, us
in, this, particular, stressful, culture have, some, addictive, patterns, in, our lives, or, have, had, so, it's, a, criminal and, this, whole, belief, that, addiction, is
a, choice, is, so, in, scientific, as, it, would be, laughable, if, it's, consequences weren't, so, tragic so, the, method, normal
uh, what, does, it, actually, mean, well knowing, first, of, all, is, is, a, statistic but, it, doesn't, say, anything, about healthy, or, not, healthy, just, as, it's, in, a certain, range
now, in, medicine, there's, legitimate, use of, the, word, normal, where, where, the, norm is, actually identifiable, with, natural, and, healthy
but, for, example to, give, you, an, egregious, the, fanciful scenario, if, everybody, in, London, tortured their, pets than, not, torturing, your, pet, would, be
abnormal that's, just, a, statistical, statement it's, got, nothing, to, do, with, health, or well-being, or, naturalness
now, in, New, Society, a, lot, of, behaviors practices, policies, cultural, enormous are, not, just, the, norm, in, the, statistical sense, in, that, most, people, engage, in, them but, they're, also, confused, with, healthy
and, natural riches, I've, been, seeing, in, this conversation, they're, not so, that's, what, I, mean, first, of, all, by the, death, of, normal does, this, admit, that, what, we've, got, here
is, normal, it's, not not, when, it, comes, to, understanding, human needs and, human, health, in, a, holistic, sense, the other, sense, in, which, I, talk, about, the myth, of, normal, is, that
there's, this, belief, that, there's, those of, us, that, are, quote, unquote, healthy, and then, there's, the, rest, of, them, who, are abnormal, I'm, saying, no, first, of, all Health, whether, physical, or, mental, is, a spectrum, it's, not, that, you, can, sort, of
deal, in, it, the, healthy, from, the unhealthy these, are, normal, these, are, not, normal that's, a, very, dangerous, game, number, one number, two, the, illnesses, of, body, and
mind, are, actually, normal, responses to, an, abnormal, cultural, Amelia reflectable, human, beings, is, that, we're not, solitary, isolated, creatures, either
physiologically, or, psychologically emotionally, or, spiritually, so, our physiology, is, bound, up, in, fact, it's, a unit, with, our, emotional, and
psychological, spiritual, existence that's, the, reality, of, human, beings, the second, reality, is, that, none, of, that, can be, separated, from, a, social, an, emotional environment, so, that, how, we, feel, about
ourselves has, a, huge, impact, on, our, physiology and, how, we, feel, about, ourselves, is, very much, determined, by, our, relationships
neutral, onwards, from, our, existence, in the, womb, you're, being, affected, by, the emotional, states, of, our, mothers, that's been, demonstrated, in, multiple
studies, it's, not, even, in, doubt, but, the emotional, states, of, our, mothers, depend on, so, much, else, other, than, just, how, they feel, as, individuals, on, their, social class, on, their, relationship, with, their
Partners, if, any on, their, own, childhood, experiences including, traumas, on, the, work, they, have to, do, and, many, other, social, factors and, I'm, only, talking, about, in, the, womb
so, already children, or, infants, of, mothers, who, are straight, stressed, during, pregnancy, have biological, markers, of, that, stress, in their, bodies, already, at, Birth
these, influences, act, on, us throughout, our, childhood, and, of, course throughout, our, adult, existence, because what, we, are, is
at, what, has, been, called, bio, psychosocial creatures, our, biology, is, not, separable from, our, psychological, emotional experiences, in, a, social, context
so, therefore, the, nature, of, the, world that, we, live, in, has, much, to, do, with, our physiological, health, and, with, our, mental health, is, the, society, making, us, sick let's, look, at, the, statistics, anxiety, is
rising, internationally, childhood diagnosis, of, ADHD, and, other mental, health, conditions, is, rising internationally, the, rate, of, autoimmune
disease, is, rising, so, in, a, sense, what, I'm saying, is, that, there's, qualities, of, this particular, society that, actually, make, people, sick, some, of those, qualities, are, physical
such, as, the, food, that, we, eat, and, the pollutants, in, the, environment many, others, are, emotional, and psychological, such, as, the, ruthless
competition, it, isolates, people, from, each other, in, in, Britain, they, had, to, appoint a, minister, of, loneliness, the, rates, of obesity, are, rising, throughout, the, world dramatically
children, are, not, developing, metabolic diseases, that, only, adults, used, to, have in, the, United, States seventy, percent, of, the, population, of, the adult, population, is, at, least, on, one medication
50, Center, on, two, medications so, yes, I'm, saying, in, this, book, that's, my whole, point, is, that, this, particular culture, this, particles, Society promotes, illness, so, that, illness, is, not
an, aberrant, event, it's, not, an abnormality it's, a, normal, response, to, what, is basically, a, very, unhealthy, culture, and by, culture, I, don't, just, mean, the
physical, aspects, of, it, but, also, the emotional, political, and, social, aspects people, change, who, they, are they, need, to, become, who, they, are my, whole, point, in, this, book, and, what
have, I, ever, learned, as, a, physician, and as, a, therapist, and, a, teacher, and, just, as a, human, beings, who, myself, had, my, own struggles to, become, myself, it's, not, a, question, of changing, who, we, are, it's, a, question, of
becoming, who, we, are, and, my, whole critique, of, this, culture, is, it, takes, us away, from, Who, We, Are and, it's, a, struggle, to, get, back, to, that no, but, can, people, achieve, that, yes
I, can, tell, you, personally the, answer, is, yes, not, that, I'm, claiming to, be a, fully, cooked, meal, but, I'm, certainly much, more, ripe, than, I, used, to, be, in, a very, positive, sense, I've, seen, all, kinds
of transformations, in, people I've, seen, people, with, significant illnesses finding, that, disease, some, teaching, that led, them, back, to, themselves
which, actually, promoted, their, healing can, people, change, to, become, themselves the, answer, is, very, much, yes, in, fact it's, a, need, of, human, beings
and, a, woman, would, alienated, from, who, we are, disconnected, from, we, are, we, suffer we, suffer, and, we, suffer, mentally, or spiritually, and, very, often, physically, as well
because, God, exists, there's, one, of, those questions, where, one, would, have, to, really understand, what, the, questioner, means, by God, I, grew, up, as, a militant, atheist
now, as, a, child, I, mean, no, I, grew, up, in communist, Hungary, leaving, Hungary, when, I was, 13, after, the, Hungarian, Revolution there, was, a, joke, in, Eastern, Europe, you
could, be, honest, and, intelligent or, a, member, of, the, kindness, party, in fact, you, could, be, any, two, of, those, three things, but, not, all, three, at, the, same time if, you're, honest, and, intelligent, you couldn't, belong, to, the, party, if, you, if
you're, honest, and, belong, to, the, party you, couldn't, be, very, intelligent, and, so on, and, I, had, the, same, relationship, to God, God, could, be omniscient, all, good, and, all-powerful, in
fact, two, of, those, three, things, but, not three, at, the, same, time, if, God, was all-powerful, and, all, good, then, it doesn't, know, very, much, otherwise, why, did he, let, my, parents, my, grandparents, died
in, a, die, in, Auschwitz and, why, did, I, almost, as, an, infant, end, up in, an, oven, myself so, it, could, be, all, good, and, all, powerful but, he, can't, know, much
or he, can, be, all-powerful, and, all-knowing but, they, can't, be, very, good and, so, on
so, the, God, that, I, was, faced, with, this image, of, the, all-knowing, all, prayerful all, good, entity, that, had, some, kind, of, a
physical, existence, in, some, other, realm that, ruled, this, Earth, was, nonsense, to, me from, the, time, that, I, knew, my, mind that, there's, something, greater, and
deeper, in, that, concept that, had, to, do, with, the, Oneness, of, all and, the, connection, and, the, power, and intelligence, of, the, universe
and, the, goodness that's, around, us I, had, no, concept, of, that, I'm, not, a worshiper but, I'm, no, longer, uncomfortable, with, the
word, of, God, when, I, think, of, the, word, I do, mean, it, in, that, all-encompassing phase, for, which, the, word, itself, is really, quite, inadequate and, it's, inadequate, mostly, because, how
it's, been, used, but, that, there's, such, an experience, of, Holiness, and, godness I, fully, accept, that not, that, I've, fully, have, had, it, but, I also, know, that, it's, real, it's, not, a
question, of, belief, and nobody, can, or, should, ever, be, talked, into any, particular, way, of understanding, God, it's, more, an experiential
reality, than, uh, certainly, is, a, concept or, just, as, a, rigid, belief, so, yes, in, that sense yes in, most, other, senses, that, the, word, is
used, no thank, you, for, watching, you, can, get, my book, The, Myth, of, normal, in, hardcover audio, or, ebook by, clicking, the, link, below, in, the description
and, thanks, again
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