Dopamine Nation

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Anna Lembke
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Dutton 2021-8-24 Hardcover 9781524746728

具体描述

Anna Lembke is the medical director of Stanford Addiction Medicine, program director for the Stanford Addiction Medicine Fellowship, and chief of the Stanford Addiction Medicine Dual Diagnosis Clinic. She is the recipient of numerous awards for outstanding research in mental illness, for excellence in teaching, and for clinical innovation in treatment. A clinician scholar, she has published more than a hundred peer-reviewed papers, book chapters, and commentaries in prestigious outlets such as The New England Journal of Medicine and JAMA. She sits on the board of several state and national addiction-focused organizations, has testified before various committees in the United States House of Representatives and Senate, keeps an active speaking calendar, and maintains a thriving clinical practice.

This book is about pleasure. It’s also about pain. Most important, it’s about how to find the delicate balance between the two, and why now more than ever finding balance is essential. We’re living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting… The increased numbers, variety, and potency is staggering. The smartphone is the modern-day hypodermic needle, delivering digital dopamine 24/7 for a wired generation. As such we’ve all become vulnerable to compulsive overconsumption.

In Dopamine Nation, Dr. Anna Lembke, psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain…and what to do about it. Condensing complex neuroscience into easy-to-understand metaphors, Lembke illustrates how finding contentment and connectedness means keeping dopamine in check. The lived experiences of her patients are the gripping fabric of her narrative. Their riveting stories of suffering and redemption give us all hope for managing our consumption and transforming our lives. In essence, Dopamine Nation shows that the secret to finding balance is combining the science of desire with the wisdom of recovery.

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##A very well-written and well-structured introduction to pleasure, pain, their balance, and contemporary strategies. Concepts were redundant for me as a neuroscience student, but examples are helpful for illustrating how others, and by extension everyone including me, may fall into addiction – very sobering in that sense.

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##1. 在医疗被商业化的场景下,医生也是wage slave 所以也解释了“Why healers become dealers”。2. 近几十年,人们对疼痛太敏感了 both mentally and physically pain。止痛是心理学层面的延伸,传统医学认为,有时疼痛反而能够evoke 自身的免疫机制(?)3. Dopamine Fast,和边际效益递减一个道理,过犹不及,省着用,不然就脱敏了。

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##解释了各种addiction中pleasure和pain的平衡关系。学到最有操作性的是dopamine fast这个概念。限制使用高dopamine的事物,能让dopamine system重新敏感起来。另一点是如果想要戒掉一个坏习惯,要彻底断绝至少一个月,才能真的起效。过度的手机使用和进食都是addiction的形式。

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##比较基础入门级别

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