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Dr. Alia Crum: Science of Mindsets for Health & Performance | Huberman Lab Podcast #56



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Welcome to the Huberman Lab Podcast,
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where we discuss science and science-based tools
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for everyday life.
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I'm Andrew Huberman,
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and I'm a professor of neurobiology and ophthalmology
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at Stanford School of Medicine.
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Today, my guest is Dr. Alia Crum.
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Dr. Crum is a tenured professor of psychology
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at Stanford University and the founder and director
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of the Stanford Mind and Body Lab.
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Her work focuses on mindsets,
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how what we think and what we believe
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shapes the way that our physiology,
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our biology reacts to things like what we eat
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or stress or exercise.
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Indeed, as you will soon learn
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from my discussion with Dr. Crum,
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what you believe about the nutritional content of your food
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changes the way that food impacts your brain and body
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to a remarkable degree.
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And the same is true for mindsets about exercise
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and stress and even medication.
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For instance, recent work from Dr. Crum's laboratory
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shows that what we believe about the side effect profiles
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of different drug treatments
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or different behavioral treatments
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has a profound impact on how quickly those treatments work
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and the effectiveness of those treatments.
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I just want to mention one particular study
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that just came out from a graduate student
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in Dr. Crum's laboratory, Lauren Howe, H-O-W-E,
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showed that how kids react to a treatment
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for peanut allergies can be profoundly shaped
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by whether or not those kids were educated
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about the side effects of the treatment,
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such that if they learned that the side effects
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were a by-product of a treatment that would help them,
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and they learned a little bit
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about why those side effects arose
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and that the side effects might even help them
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in route to overcoming their peanut allergy,
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had an enormous impact
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on how quickly they move through the treatment
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and indeed how much they suffered
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or in this case did not suffer from those side effects.
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And that is but one example that you will learn about today
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as we discuss what mindsets are,
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the number of different mindsets that exist,
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and how we can adopt mindsets
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that make us more adaptive, more effective,
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allow us to suffer less
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and to perform better in all aspects of life.
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I personally find the work of Dr. Alia Crum
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to be among the most important work
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being done in the fields of biology and psychology
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and the interface of mind-body.
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Everything that she's done up until now and published,
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and indeed the work that she continues to do,
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has shaped everything within my daily routines,
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within my work routines, within my athletic routines.
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And we probably shouldn't be surprised
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by the fact that Dr. Crum works on all these things.
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She was not only an incredibly accomplished
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tenured research professor,
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she's also a clinical psychologist,
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and she was also a division one athlete
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and an elite gymnast at one period in her life.
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So she really walks the walk
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in terms of understanding what mindsets are
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and applying them in different aspects of life.
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I'm sure you're going to learn a ton from this conversation
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as did I, and come away with many, many actionable items
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that you can apply in your own life.
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In fact, as we march into today's conversation,
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you might want to just put in the back of your mind
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the question, what is my mindset about blank?
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So for instance, ask yourself,
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what is my mindset about stress?
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What is my mindset about food?
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What is my mindset about exercise?
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What is my mindset about relationships of different kinds?
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Because in doing that, you'll be in a great position
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to extract the best of the information
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that Dr. Crum presents,
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and indeed to adapt those mindsets
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in the way that is going to be most beneficial for you.
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Before we begin, I'd like to emphasize that this podcast
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is separate from my teaching and research roles at Stanford.
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It is, however, part of my desire and effort
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to bring zero cost to consumer information about science
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and science-related tools to the general public.
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In keeping with that theme,
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I'd like to thank the sponsors of today's podcast.
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And now my conversation with Dr. Alia Crum.
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Great to have you here.
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Great to be here.
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Yeah.
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For the record, it's Alia Crum, but you go by Ali, correct?
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That is correct.
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Dr. Ali Crum.
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Or just Ali.
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Okay, great.
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Well, I've been looking forward
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to talking to you for a long time.
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Just to start off, you've talked a lot
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and worked a lot on the science of mindsets.
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Could you define for us what is a mindset
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and what sort of purpose does it serve?
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Of course, yeah.
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Mindsets have been described or defined in a lot of ways.
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We define mindsets as core beliefs
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or assumptions that we have about a domain
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or category of things that orient us
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to a particular set of expectations,
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explanations, and goals.
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So that's kind of jargon-y.
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I can distill it down for you.
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So mindsets are an assumption that you make about a domain.
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So take stress, for example, the nature of stress.
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What's your sort of core belief about that?
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And mindsets that we've studied about stress are,
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do you view stress as enhancing, good for you,
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or do you view it as debilitating and bad for you?
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Those mindsets, those core beliefs orient our thinking.
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They change what we expect will happen to us
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when we're stressed, how we explain the occurrences
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that happen or unfold when we're stressed,
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and also change our motivation
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for what we engage in when we're stressed.
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So we have mindsets about many things,
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mindsets about stress, mindsets about intelligence,
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as Carol Dweck's work has shown,
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mindsets about food, mindsets about medicine, you name it.
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It's sort of distilling down those core assumptions
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that really shape and orient our thinking and action.
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I've heard you say before that mindsets simplify life
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in some way by constraining the number of things
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that we have to consider.
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And it sounds to me like we can have mindsets
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about many things, as you said.
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What are some different mindsets?
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I think many people are familiar with our colleague,
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Carol Dweck's notion of growth mindset,
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that if we're not proficient at something
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that we should think about not being proficient yet,
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that we are on some path to proficiency.
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But what are some examples of mindsets
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and how early do these get laid down
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or do we learn them from our parents?
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Maybe if you could just flesh it out a bit for us
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in terms of what you've observed in your own science
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or your own life even.
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Yeah, sure, so I think it's important with Carol Dweck's
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work, a lot of people kind of get focused
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on growth motivation and all these things.
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But her work really originated from thinking about
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what she called as implicit theories or core beliefs
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about the nature of intelligence or ability, right?
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So do you believe that your baseline levels of intelligence
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or your abilities are fixed, static, set
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throughout the rest of your life?
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Or do you believe that they can grow and change?
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Now, those are oversimplified generalizations
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about the nature of intelligence.
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And the reality is, as it always is, complex
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and it's a bit of both and it's all these things.
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But as humans, we need these simplifying systems
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to help us understand a complex reality.
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So those assumptions that we jump to,
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oh, intelligence is fixed or intelligence is malleable,
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they help us to simplify this complex reality,
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but they're not inconsequential, right?
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They matter in shaping our motivation.
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And as she has shown, if you have the mindset
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that intelligence is malleable,
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you're motivated to work harder to grow your intelligence.
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If you have a setback and you're learning, you think,
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okay, there's something there that I can grow
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and learn and build from.
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If you have the mindset that it's fixed,
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why work harder at math
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if you don't think you're good at it?
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So in retrospect, it's pretty clear
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how these mindsets can affect our motivation.
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What our work has aimed to do is to expand
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the range of mindsets that we are studying, focused on,
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and also understand and expand the range
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of effects that they have.
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So by and large, we focused on mindsets
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in the domain of health and health behaviors.
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So I mentioned mindsets about stress.
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We've also looked at mindsets about food and healthy eating.
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So do you have the mindset that foods that are good for you,
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healthy foods are disgusting and depriving?
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Or do you have the mindset
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that healthy foods are indulgent and delicious?
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Now, you know, it could be a variety of different foods.
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You might have different thoughts
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about different healthy foods,
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but generally people, at least in our culture in the West,
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have this view that stress is debilitating,
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healthy foods are disgusting and depriving.
link |
00:13:20.160
And those mindsets, whether or not they're true or false,
link |
00:13:23.480
right or wrong, they have an impact.
link |
00:13:25.440
And they have an impact
link |
00:13:26.440
not just through the motivational mechanisms
link |
00:13:28.760
that Dweck and others have studied,
link |
00:13:30.440
but as our lab has started to reveal,
link |
00:13:32.600
they also shape physiological mechanisms
link |
00:13:36.360
by changing what our bodies prioritize and prepare to do.
link |
00:13:41.320
So those are just two examples, mindsets about stress,
link |
00:13:43.680
mindsets about food.
link |
00:13:44.920
We've looked at mindsets about exercise.
link |
00:13:47.680
Do you feel like you're getting enough?
link |
00:13:50.440
Or do you feel like you're getting an insufficient amount
link |
00:13:52.960
to get the health benefits you're seeking?
link |
00:13:56.560
Mindsets about illness.
link |
00:13:58.920
Do you view cancer as an unmitigated catastrophe?
link |
00:14:04.200
Or do you view cancer as manageable
link |
00:14:06.440
or perhaps even an opportunity?
link |
00:14:09.520
We've looked at mindsets about symptoms and side effects.
link |
00:14:12.480
Do you view side effects as a sign
link |
00:14:15.600
that the treatment is harmful?
link |
00:14:18.080
Or do you view side effects
link |
00:14:19.200
as a sign that the treatment is working?
link |
00:14:21.480
Again, these are sort of core beliefs or assumptions
link |
00:14:24.200
you have about these domains or categories,
link |
00:14:26.960
but they matter because they're shaping,
link |
00:14:29.280
they're synthesizing and simplifying the way we're thinking,
link |
00:14:32.520
but they're also shaping what we're paying attention to,
link |
00:14:34.960
what we're motivated to do,
link |
00:14:36.280
and potentially even how our bodies respond.
link |
00:14:39.040
Yeah, I'd love to talk about this notion
link |
00:14:41.480
of mindset shaping, how our bodies respond.
link |
00:14:45.200
And maybe as an example of this,
link |
00:14:47.280
if you could share with us this now famous study
link |
00:14:50.520
that you've done with a milkshake study,
link |
00:14:54.320
if you wouldn't mind sharing the major contours
link |
00:14:58.000
of that study and the results,
link |
00:14:59.240
because I think they're extremely impressive
link |
00:15:01.320
and they really speak to this interplay
link |
00:15:02.800
between mindset and physiology.
link |
00:15:04.760
Certainly, yeah.
link |
00:15:05.600
This was a study that I ran as a graduate student at Yale.
link |
00:15:08.760
Yale University.
link |
00:15:10.160
I was working with Kelly Brownell and Peter Salovey.
link |
00:15:13.320
Peter Salovey had done a lot of work
link |
00:15:14.800
on really coining the term emotional intelligence,
link |
00:15:17.480
studying that.
link |
00:15:18.320
He's now the president of Yale, right?
link |
00:15:19.160
He's now the president of Yale, yes.
link |
00:15:20.000
So he's done well.
link |
00:15:21.080
He's done well for himself
link |
00:15:22.280
and for the university and society.
link |
00:15:24.720
And Kelly Brownell, who was doing a lot of research
link |
00:15:27.120
on food and obesity, and I had come in
link |
00:15:30.560
doing some previous work on mindsets
link |
00:15:32.520
about exercise and placebo effects and exercise
link |
00:15:35.320
and was in this sort of food domain and this emotions
link |
00:15:39.480
and food domain, and it really occurred to me
link |
00:15:42.660
that there was a very simple question
link |
00:15:44.560
that hadn't been probed yet.
link |
00:15:46.120
And that was, do our beliefs about what we're eating
link |
00:15:50.560
change our body's physiological response to that food,
link |
00:15:54.760
holding constant the objective nutrients of that thing?
link |
00:15:59.160
So that question might sound outrageous at first,
link |
00:16:02.400
but it was, it's really not outrageous
link |
00:16:04.900
if you're coming from a place of having
link |
00:16:06.560
studied in depth placebo effects.
link |
00:16:09.680
Placebo effects are this, in medicine at least,
link |
00:16:12.740
are this sort of robust demonstration
link |
00:16:15.800
in which simply taking a sugar pill, taking nothing,
link |
00:16:20.260
under the impression that it's a real medication
link |
00:16:22.840
that might relieve your asthma,
link |
00:16:25.080
reduce your blood pressure, boost your immune system,
link |
00:16:28.360
can lead to those physiological effects
link |
00:16:31.440
even though there's no objective nutrients.
link |
00:16:33.640
And we have more evidence on placebo effects
link |
00:16:36.240
than we have for any other drug
link |
00:16:38.080
because of the clinical trial process
link |
00:16:40.880
in which all new drugs and medications are required
link |
00:16:45.760
to outperform a placebo effect.
link |
00:16:47.880
So we have a lot of data on the placebo effect.
link |
00:16:50.320
Now, you know, we can get nuance there.
link |
00:16:53.840
We don't have a lot of data comparing the placebo effect
link |
00:16:56.640
to doing nothing, which is important
link |
00:16:59.480
for distilling mindset effects or belief effects
link |
00:17:02.840
from sort of natural occurring changes in the body.
link |
00:17:06.140
But anyways, going back to this question,
link |
00:17:07.640
it was like, all right, we've moved from, you know,
link |
00:17:10.040
medications solving our health crises
link |
00:17:12.920
to behavioral medicine solving our health crises,
link |
00:17:17.000
increase people's exercise, get them to eat better.
link |
00:17:20.480
To what degree are these things influenced
link |
00:17:22.680
by our mindsets or beliefs about them?
link |
00:17:25.160
So to test this question, we ran a seemingly simple study.
link |
00:17:30.160
This was done at the Yale Center for Clinical
link |
00:17:33.180
and Translational Research.
link |
00:17:35.060
And we brought people into our lab under the impression
link |
00:17:39.380
that we were designing different milkshakes
link |
00:17:42.180
with vastly different metabolic concentrations,
link |
00:17:45.500
nutrient concentrations that were designed
link |
00:17:48.300
to meet different metabolic needs
link |
00:17:49.820
of the patrons of the hospital, right?
link |
00:17:51.500
So you're gonna come in,
link |
00:17:52.620
you're gonna taste these milkshakes,
link |
00:17:54.260
and we're gonna measure your body's
link |
00:17:55.820
physiological response to them.
link |
00:17:58.140
This was a within subjects design.
link |
00:18:00.260
So it was the same people consuming
link |
00:18:03.740
two different milkshakes, two different time points
link |
00:18:06.260
separated by a week.
link |
00:18:07.940
And at one time point, they were told
link |
00:18:09.700
that they were consuming this really high fat,
link |
00:18:12.380
high caloric, indulgent milkshake.
link |
00:18:15.020
It was like 620 calorie, super high fat and sugar.
link |
00:18:19.820
The other time point, they were told that it was a low fat,
link |
00:18:22.620
low calorie, sensible sort of diet shake.
link |
00:18:25.980
In reality, it was the exact same shake.
link |
00:18:28.060
It was right in the middle.
link |
00:18:29.100
It was like 300 calories,
link |
00:18:30.860
moderate amount of fats and sugars.
link |
00:18:33.020
And we were measuring their body's gut peptide response
link |
00:18:36.300
to this shake.
link |
00:18:37.120
And in particular, we were looking at the hormone ghrelin.
link |
00:18:40.100
So as you know, ghrelin, hunger,
link |
00:18:43.340
medical experts call it the hunger hormone,
link |
00:18:46.140
rises in ghrelin, signal, seek out food.
link |
00:18:50.220
And then theoretically, in proportion
link |
00:18:52.620
to the amount of calories you consume,
link |
00:18:54.560
ghrelin levels drop, signaling to the brain,
link |
00:18:57.220
okay, you don't need to eat so much anymore,
link |
00:18:59.900
you can stop eating, and also revving up the metabolism
link |
00:19:02.700
to burn the nutrients that were just ingested.
link |
00:19:05.780
What we found in this study was that
link |
00:19:07.740
when people thought they were consuming
link |
00:19:10.460
the high fat, high calorie, indulgent milkshake,
link |
00:19:14.180
in response to the shake, their ghrelin levels dropped
link |
00:19:17.620
at a threefold rate stronger than when they thought
link |
00:19:20.880
they were consuming the sensible shake.
link |
00:19:23.660
So essentially, their bodies responded
link |
00:19:26.460
as if they had consumed more food,
link |
00:19:29.340
even though it was the exact same shake at both time points.
link |
00:19:33.480
So this was really interesting and important
link |
00:19:38.040
for two reasons, really.
link |
00:19:39.220
One was that it was, to my knowledge,
link |
00:19:41.700
one of the first studies to show any effects
link |
00:19:44.620
of just believing that you're eating something different
link |
00:19:47.360
on your physiology.
link |
00:19:48.780
Lots of studies have shown that believing
link |
00:19:51.620
you're eating different things changes your taste,
link |
00:19:54.220
you know, and even your satisfaction and fullness after,
link |
00:19:57.140
but this shows that it has a metabolic
link |
00:19:59.020
or a physiological component.
link |
00:20:01.380
But the second piece was really important as well,
link |
00:20:04.620
and especially for me, this was one study
link |
00:20:07.420
that really transformed the way I think
link |
00:20:09.500
about how I approach eating, and that was the manner
link |
00:20:13.260
in which it affected our physiology
link |
00:20:16.620
was somewhat counterintuitive.
link |
00:20:18.580
So I had gone in thinking the better mindset to be in
link |
00:20:22.620
when you eat is that you're eating healthy, right?
link |
00:20:24.900
Like, you know, it just makes sense.
link |
00:20:26.220
Like, placebo effects, think you're healthy,
link |
00:20:27.780
you'll be healthy, you know?
link |
00:20:28.620
But that was a far too simplistic way of thinking about it,
link |
00:20:32.280
and in fact, it was the exact opposite,
link |
00:20:34.640
because thinking that they were eating
link |
00:20:37.260
when these participants thought they were eating sensibly,
link |
00:20:40.980
their bodies left them still feeling physiologically hungry,
link |
00:20:45.860
right, not satiated, which could potentially
link |
00:20:48.980
be corresponding to slower metabolism and so forth.
link |
00:20:52.740
So if you're in the interest of maintaining
link |
00:20:55.200
or losing weight, what's the best mindset to be in?
link |
00:20:58.260
It's to be in a mindset that you're eating indulgently,
link |
00:21:01.040
that you're having enough food, that you're getting enough.
link |
00:21:04.500
And at least in that study, we showed that
link |
00:21:06.780
has a more adaptive effect on ghrelin responses.
link |
00:21:10.620
So interesting, and especially interesting to me
link |
00:21:13.460
as a neuroscientist who has worked on aspects
link |
00:21:17.460
of the nervous system that are involved
link |
00:21:19.020
in conscious perception, like vision and, you know,
link |
00:21:21.420
motion and color perception and so forth,
link |
00:21:23.900
but also our lab has worked and is increasingly working
link |
00:21:27.900
on autonomic functions that are below
link |
00:21:29.900
our conscious detection.
link |
00:21:31.220
In this case, a lie about how much something
link |
00:21:36.940
these milkshakes contain affected a subconscious process,
link |
00:21:39.880
because I have to imagine that the ghrelin pathway
link |
00:21:42.580
is not one that I can decide, oh, you know,
link |
00:21:44.620
this particular piece of chocolate
link |
00:21:46.220
is going to really reduce my ghrelin
link |
00:21:47.980
because it's very nutrient rich, as opposed to one,
link |
00:21:51.020
if you told me that a different piece of chocolate,
link |
00:21:52.540
for instance, is low calorie or sugar-free chocolate
link |
00:21:56.140
or something of that sort.
link |
00:21:57.140
The ghrelin pathway, however, it seems based on your data,
link |
00:22:01.740
that the ghrelin pathway is susceptible to thoughts,
link |
00:22:06.340
which is incredible.
link |
00:22:07.700
But then again, there must be crossover
link |
00:22:09.860
between conscious thought and these subconscious
link |
00:22:13.060
or kind of autonomic pathways.
link |
00:22:14.820
So it's really remarkable.
link |
00:22:17.420
It raises a question that I just have to ask
link |
00:22:21.140
because increasingly, so I'm involved in, you know,
link |
00:22:25.060
online discussions and, you know, social media.
link |
00:22:27.100
And one of the most barbed wire topics out there,
link |
00:22:30.380
and that's being generous,
link |
00:22:31.980
is this topic of which diet or nutrients are best.
link |
00:22:35.020
You've got people who are strictly plant-based,
link |
00:22:38.740
you've got people who are omnivores,
link |
00:22:40.420
you've got people who are carnivores,
link |
00:22:41.940
you have every variation, you have intermittent fasting,
link |
00:22:44.740
also called time-restricted feeding.
link |
00:22:46.300
And it seems like once a group kind of plugs into
link |
00:22:50.600
a particular mode of eating that they feel works for them,
link |
00:22:53.500
for whatever reason, energy-wise, mentally,
link |
00:22:55.780
maybe they're looking at their blood profiles,
link |
00:22:57.340
maybe they're not,
link |
00:22:58.700
but once they feel that it sort of, it works for them,
link |
00:23:02.940
each camp seems to tout all the health benefits
link |
00:23:05.940
and how great they feel.
link |
00:23:07.340
Could it be that mindset effects are involved there,
link |
00:23:11.260
that people are finding the nutritional program
link |
00:23:13.940
that they feel brings them the most enrichment of life,
link |
00:23:17.660
but also nutrients,
link |
00:23:19.380
and that their health really is shifting
link |
00:23:21.500
in a positive direction,
link |
00:23:22.400
but not necessarily because of the food constituents,
link |
00:23:24.740
but because of the community and the ideas
link |
00:23:27.020
and the reinforcement.
link |
00:23:28.020
Yeah, and the belief that this is the right way
link |
00:23:30.420
of doing something.
link |
00:23:31.900
I think 100%, 100% it has something to contribute.
link |
00:23:37.180
You know, I don't want to,
link |
00:23:38.380
I'm not going to weigh in on the debate.
link |
00:23:40.180
What I will most certainly weigh in on
link |
00:23:43.500
is the notion that,
link |
00:23:46.540
look, going back to the placebo effect, right,
link |
00:23:48.660
we have a outdated understanding of what that is,
link |
00:23:51.820
which is based on this randomized control trial.
link |
00:23:54.420
You compare a drug to a placebo.
link |
00:23:57.300
If the drug works better than the placebo,
link |
00:23:59.380
you say great, the drug works.
link |
00:24:01.340
If the drug doesn't outperform the placebo,
link |
00:24:03.380
you say the drug doesn't work.
link |
00:24:05.340
That's really oversimplified.
link |
00:24:07.100
It's a good test for the specific efficacy of the drug.
link |
00:24:09.820
It's not a good test for understanding
link |
00:24:12.400
the total impact of that drug.
link |
00:24:15.020
Because in the reality of things,
link |
00:24:17.300
if a drug outperforms a placebo,
link |
00:24:20.300
then you start prescribing it,
link |
00:24:22.940
but the reality is that the total effect of that drug
link |
00:24:27.180
is a combined product of the specific chemical attributes
link |
00:24:32.700
of that drug and whatever's going on in the placebo effect,
link |
00:24:36.580
which is, at least from our perspective,
link |
00:24:39.140
it's beliefs, it's social context,
link |
00:24:42.220
and it's your body's natural ability
link |
00:24:44.220
to respond to something.
link |
00:24:46.040
So that's in the placebo effect example.
link |
00:24:48.940
The same is true for everything we do or consume.
link |
00:24:53.180
So when it comes to what diet you're eating,
link |
00:24:57.660
both are true.
link |
00:24:58.740
It does matter what it is,
link |
00:25:01.380
and it matters what you think about that diet
link |
00:25:05.380
and what others around you in our culture
link |
00:25:08.540
think about that diet,
link |
00:25:09.620
because those social contexts inform our mindsets.
link |
00:25:13.420
Our mindsets interact with our physiology
link |
00:25:17.580
in ways that produce outcomes that are really important.
link |
00:25:20.920
So let's not get dualistic and say,
link |
00:25:24.100
it's either all in the mind or not in the mind.
link |
00:25:26.440
Let's also not be unnecessarily combative
link |
00:25:29.260
and say, oh, it should be all plant-based
link |
00:25:31.280
or keto or whatever.
link |
00:25:34.540
All of those things are a combined product
link |
00:25:36.780
of what you're actually doing
link |
00:25:38.660
and what you're thinking about.
link |
00:25:40.380
If you believe in it, if you don't,
link |
00:25:42.140
if you're skeptical or in some cases,
link |
00:25:44.980
you think you should be eating a certain way
link |
00:25:47.300
and then you don't live up to that,
link |
00:25:49.620
it might have an adverse effect
link |
00:25:52.260
because of the stress and the anxiety associated with that.
link |
00:25:55.940
Very interesting.
link |
00:25:57.620
Along the lines of belief effects,
link |
00:26:00.100
can we call these belief effects or mindsets?
link |
00:26:02.820
Is there a difference between these,
link |
00:26:06.220
what I'm calling belief effects,
link |
00:26:07.660
and placebo effects?
link |
00:26:09.540
I mean, are placebo effects distinctly different
link |
00:26:11.460
from mindset effects or are they more or less the same?
link |
00:26:14.620
They're related.
link |
00:26:15.460
So I think placebo effects maybe should be reserved
link |
00:26:20.340
for the conditions in which you're actually taking a placebo
link |
00:26:24.060
which is an inactive substance.
link |
00:26:27.260
When you get out of that sort of placebo versus drug realm
link |
00:26:31.780
and you start looking at placebo effects,
link |
00:26:35.220
I use quotes with my hands here, in behavioral health,
link |
00:26:38.740
the term kind of becomes confusing
link |
00:26:40.700
because you're not, you know, in the milkshake study,
link |
00:26:43.100
we didn't give people a placebo milkshake, right?
link |
00:26:45.860
We just changed what they believed about it.
link |
00:26:48.340
So how I like to think about it is that placebo effects
link |
00:26:52.220
as they're traditionally construed
link |
00:26:54.260
are made up of three things.
link |
00:26:55.580
It's the social context, mindsets or beliefs,
link |
00:26:59.540
and the natural physiological processes
link |
00:27:02.900
in the brain and body that can produce the outcomes.
link |
00:27:06.540
And so we could just call them belief effects
link |
00:27:10.820
because the beliefs are triggering
link |
00:27:12.740
the physiological processes
link |
00:27:14.700
and the beliefs are shaped by the social context.
link |
00:27:18.460
Does that make sense?
link |
00:27:19.300
It makes sense.
link |
00:27:20.260
Yeah, there was a paper a year or two ago
link |
00:27:22.220
published in Science Magazine
link |
00:27:25.100
about brain regions involved in psychogenic fever
link |
00:27:28.940
that if people, or you can actually do this
link |
00:27:32.060
in animal models too, think that they are sick,
link |
00:27:33.660
you get a genuine one to three degree increase
link |
00:27:36.620
in body temperature,
link |
00:27:37.620
one to three degrees Fahrenheit increase
link |
00:27:39.260
in body temperature, which was pretty impressive.
link |
00:27:41.700
And I guess it plays into, you know,
link |
00:27:43.660
symptomology generally.
link |
00:27:44.980
So I'm a believer in belief effects.
link |
00:27:47.660
Well, it's also, and I would just say that, you know,
link |
00:27:50.500
the term that we use in our field
link |
00:27:52.660
is nocebo effect for that,
link |
00:27:54.540
which is sort of the placebo's ugly step-sister, you know,
link |
00:27:58.540
it's when negative beliefs cause negative consequences.
link |
00:28:02.220
So you are told you will have, you know,
link |
00:28:05.300
it's very well demonstrated
link |
00:28:07.260
that when people are told about certain side effects,
link |
00:28:09.880
they're far more likely to experience those side effects
link |
00:28:14.340
when people think that they're sick or going to get sick,
link |
00:28:17.840
sometimes that can create, you know,
link |
00:28:19.780
the physiological symptoms.
link |
00:28:22.220
And, you know, there's, you know, various debates
link |
00:28:25.620
that it's not only that physiology changes,
link |
00:28:28.300
it's also that your attention changes.
link |
00:28:31.120
So we're experiencing things like fatigue and headache
link |
00:28:35.220
and upset stomach all the time.
link |
00:28:37.980
And then when you take a drug and somebody says,
link |
00:28:40.380
you're going to feel fatigue and headache,
link |
00:28:42.660
you start noticing that you're tired and have headaches
link |
00:28:45.280
and attribute it to the drug.
link |
00:28:46.500
So some of the mechanisms are attention
link |
00:28:49.580
and some of them are real changes in physiology.
link |
00:28:53.200
I'd love for you to tell us about the hotel workers study.
link |
00:28:58.760
Yeah, sure.
link |
00:28:59.600
I know you get asked these questions all the time,
link |
00:29:01.440
but I find these, just these results also amazing.
link |
00:29:04.880
Yeah, no, I think that this is a really good example
link |
00:29:08.360
of this phenomenon, right?
link |
00:29:11.800
That the total effect of anything is a combined product
link |
00:29:14.560
of what you're doing and what you think about
link |
00:29:16.960
what you're doing.
link |
00:29:18.200
So this was a study that I ran with Ellen Langer way back
link |
00:29:21.780
when I was an undergrad, actually, we started this study.
link |
00:29:24.760
Ellen Langer's a professor of psychology at Harvard
link |
00:29:27.540
and she's done a lot of really fascinating work
link |
00:29:30.280
on her flavor of mindfulness, which is distinct
link |
00:29:33.840
from a more Eastern, Buddhist sort of mindfulness-based
link |
00:29:40.340
work.
link |
00:29:41.300
And she actually was the one who said to me originally,
link |
00:29:47.000
I was an athlete at the time, I was a ice hockey player
link |
00:29:49.800
and I was training constantly and one day,
link |
00:29:53.680
I'll never forget it, she said, you know,
link |
00:29:55.120
you know the benefit of exercise is just a placebo, right?
link |
00:29:59.220
And I was like, well, that's outrageous.
link |
00:30:00.640
Ellen's known for saying very provocative,
link |
00:30:04.380
but also very wise things.
link |
00:30:06.560
And that statement really got me thinking about that.
link |
00:30:09.360
So we designed this study together and that was to look at,
link |
00:30:12.920
you know, how would you study if exercise,
link |
00:30:15.860
the benefits of exercise were a placebo,
link |
00:30:17.680
how would you even test that?
link |
00:30:19.160
Because, you know, what does it mean
link |
00:30:20.880
to give a placebo exercise?
link |
00:30:22.560
So we sort of flipped it on its head
link |
00:30:23.960
and we found a group of people who were getting
link |
00:30:26.780
a lot of exercise, but weren't aware of it,
link |
00:30:30.200
that they were, right?
link |
00:30:31.100
So this, we settled on a group of hotel housekeepers.
link |
00:30:34.760
So these were women working in hotels
link |
00:30:38.040
who were on their feet all day long, pushing carts,
link |
00:30:41.680
changing linens, climbing stairs, you know,
link |
00:30:45.440
cleaning bathrooms, vacuuming.
link |
00:30:47.880
It was clear that they were getting above and beyond
link |
00:30:50.040
at least the surgeon general's requirements at that time,
link |
00:30:53.100
which were to accumulate 30 minutes
link |
00:30:55.560
of moderate physical activity per day.
link |
00:30:58.880
But what was interesting was when we went in
link |
00:31:00.720
and surveyed them and asked them,
link |
00:31:02.520
hey, how much exercise do you think you're getting?
link |
00:31:05.340
A third of them said zero, like I don't get any exercise.
link |
00:31:09.920
And the average response was like a three
link |
00:31:12.360
on a scale of zero to 10.
link |
00:31:14.240
So it's clear that even though these women were active,
link |
00:31:18.440
they didn't have that mindset, right?
link |
00:31:20.200
They had the mindset that their work was just work,
link |
00:31:23.720
hard, maybe thankless work that led them to feel tired
link |
00:31:26.920
and in pain at the end of the day,
link |
00:31:30.320
but not that it was good for them,
link |
00:31:31.920
that it was good exercise.
link |
00:31:33.600
So what we did was we took these women
link |
00:31:35.280
and we randomized them into two groups
link |
00:31:37.520
and we told half of them that their work was good exercise.
link |
00:31:42.520
In this case, it was true factual information.
link |
00:31:45.580
We oriented them to the surgeon general's guidelines.
link |
00:31:48.340
We oriented them to the benefits
link |
00:31:49.900
that they should be receiving.
link |
00:31:51.760
And then we had measured them previously
link |
00:31:54.100
on their physiological metrics like weight
link |
00:31:57.000
and body fat and blood pressure.
link |
00:32:00.060
And we came back four weeks later and we tested them again.
link |
00:32:02.960
And what we found was that these women,
link |
00:32:05.120
even though they hadn't changed anything in their behavior,
link |
00:32:08.640
at least that was detectable to us,
link |
00:32:10.360
they didn't work more rooms,
link |
00:32:12.560
they didn't start doing pull-ups or push-ups
link |
00:32:15.440
in between cleaning hotel rooms as far as I'm concerned.
link |
00:32:18.300
They didn't report any changes in their diet,
link |
00:32:21.560
but they had benefits to their health.
link |
00:32:23.760
So they lost weight,
link |
00:32:25.120
they decreased their systolic blood pressure
link |
00:32:27.980
by about 10 points on average.
link |
00:32:30.120
And they started feeling better about themselves,
link |
00:32:33.960
their bodies and their work, not surprisingly.
link |
00:32:37.400
That's amazing, how should we conceptualize that result
link |
00:32:42.440
in light of all of our efforts
link |
00:32:45.680
to get more out of exercise, right?
link |
00:32:47.880
Because earlier you mentioned it from the milkshake study
link |
00:32:50.000
and our perceptions about nutrient density,
link |
00:32:52.840
that it's a little bit, the right message
link |
00:32:56.020
that actually a little bit counterintuitive,
link |
00:32:57.760
that if you think, oh, this is very low calorie,
link |
00:33:01.600
nutrient sparse, then it's good for me
link |
00:33:04.680
in the context of losing weight, for instance.
link |
00:33:06.360
But it turns out the opposite is true
link |
00:33:07.600
because as you told us, the body responds differently
link |
00:33:11.600
when you think something is nutrient dense
link |
00:33:13.360
and can actually suppress hunger more.
link |
00:33:15.080
So in light of this result, if I were to say,
link |
00:33:18.360
okay, my current understanding of the literature
link |
00:33:22.920
is that getting somewhere between 150 and 180 minutes
link |
00:33:26.120
per week of cardiovascular exercise
link |
00:33:27.780
is probably a good idea for most people.
link |
00:33:30.040
If I tell myself that it's not just a good idea,
link |
00:33:32.700
but that it's extremely effective
link |
00:33:34.100
in lowering my blood pressure
link |
00:33:35.640
and maintaining healthy weight, et cetera, et cetera,
link |
00:33:38.920
according to these results,
link |
00:33:39.880
it will have an enhanced effect on those metrics.
link |
00:33:42.440
Is that right?
link |
00:33:43.260
Definitely.
link |
00:33:44.100
So this is a really important point
link |
00:33:45.920
because what this reveals is that we have to be
link |
00:33:49.960
more thoughtful in how we go about motivating people
link |
00:33:55.040
to exercise or teaching people about the benefits.
link |
00:33:58.380
Our current approach is just to basically tell people
link |
00:34:02.720
writ large, you know, here's what you need to get.
link |
00:34:05.280
Here's what you need to get good for, you know,
link |
00:34:06.920
to get enough benefits to receive the,
link |
00:34:09.480
enough exercise to receive the health benefits.
link |
00:34:12.000
The problem with that approach is that
link |
00:34:14.400
most people aren't meeting those benefits yet
link |
00:34:18.700
or aren't meeting those requirements yet.
link |
00:34:21.240
And the risk with that is that,
link |
00:34:26.400
well, the intention with that is to motivate them
link |
00:34:29.120
because, you know, public health officials think,
link |
00:34:31.000
well, if I just tell people you need to get more exercise
link |
00:34:33.240
because it's good for you, they'll do it.
link |
00:34:35.100
We know now that that doesn't work,
link |
00:34:36.760
that these guidelines are not motivational.
link |
00:34:39.560
They don't change our behavior.
link |
00:34:40.800
And what our work adds to that is that
link |
00:34:43.600
not only is it not motivational,
link |
00:34:45.320
it also creates potentially a mindset that, you know,
link |
00:34:50.520
makes people worse off than they were
link |
00:34:53.680
without knowing about the guidelines.
link |
00:34:55.720
So again, it's tricky.
link |
00:34:57.420
I'm not saying that mindset is everything.
link |
00:35:00.600
Certainly exercise is good for us and use is helpful for us.
link |
00:35:04.900
It's one of the things we have the best data on.
link |
00:35:07.800
So I'm not saying, oh, exercise is all a placebo.
link |
00:35:11.020
What I am saying is that we need to be more mindful about
link |
00:35:14.860
how do we motivate people to exercise,
link |
00:35:17.080
but how do we help people to actually reap the benefits
link |
00:35:19.680
of the exercise they are already doing?
link |
00:35:22.880
Now, Octavia Zart, who was a grad student in my lab,
link |
00:35:26.520
ran a number of interesting studies along these lines.
link |
00:35:30.780
One in which she looked at three
link |
00:35:33.160
nationally representative data sets,
link |
00:35:36.100
which had this interesting question in them,
link |
00:35:38.660
which was how much exercise do you get relative to others?
link |
00:35:43.600
Do you get about the same, a little more, a lot more?
link |
00:35:47.740
Do you get a little less or a lot less, right?
link |
00:35:49.860
So, you know, the audience, your listeners,
link |
00:35:52.040
you could all answer this.
link |
00:35:53.800
And then in these data sets,
link |
00:35:55.720
what she did was she had, you know,
link |
00:35:57.560
pulled from data that tracked death rates
link |
00:36:00.000
over the next 21 years.
link |
00:36:02.120
And a couple interesting things revealed themselves.
link |
00:36:05.440
One was that the correlations between these perceptions
link |
00:36:09.120
of exercise relative to others
link |
00:36:11.160
and people's actual exercise is measured
link |
00:36:13.840
through accelerometer data, as well as more rigorous,
link |
00:36:18.080
sort of, what did you do today kind of data.
link |
00:36:21.420
Those don't correlate much at all.
link |
00:36:24.000
People lie.
link |
00:36:25.060
Well, people lie, but also- Or misperceive.
link |
00:36:27.040
They misperceive and, or, you know,
link |
00:36:29.360
who's to say it's misperceiving?
link |
00:36:31.040
There's just, everything's relative, right?
link |
00:36:32.960
If you're, I used to do triathlons very seriously.
link |
00:36:37.100
So if you were to ask me now,
link |
00:36:38.320
I feel like I'm totally inactive, right?
link |
00:36:40.880
Because I'm not doing anything near what I used to.
link |
00:36:42.880
And if that's my focus set, right,
link |
00:36:46.000
I feel like I'm not exercising much.
link |
00:36:49.000
But if I think about, you know,
link |
00:36:50.760
compared to other people, given what I know about,
link |
00:36:53.280
you know, national representative statistics,
link |
00:36:56.680
then I could feel like, oh, I'm getting a lot, right?
link |
00:36:59.680
So you can see how these perceptions are decoupled
link |
00:37:04.960
from objective reality.
link |
00:37:07.680
And what we found in these studies is that
link |
00:37:10.880
that one question mattered,
link |
00:37:14.200
in some cases more than objective activity,
link |
00:37:18.040
but in all cases, controlling for objective activity
link |
00:37:21.020
and predicting death rates.
link |
00:37:22.280
And in some, in one of those samples,
link |
00:37:24.340
it was a 71% higher risk of death rate,
link |
00:37:27.640
you know, if people rated themselves
link |
00:37:30.160
as feeling like they were getting less activity than others.
link |
00:37:33.480
So, yeah.
link |
00:37:35.320
That's a big deal.
link |
00:37:36.400
It's a big deal.
link |
00:37:37.220
And again, you know, that study is cross-sectional,
link |
00:37:39.720
longitudinal, it was not experimental.
link |
00:37:43.060
But, you know, combined these really sort of, you know,
link |
00:37:47.600
coalesced to say, hey, this is important too, right?
link |
00:37:51.760
Like, let's figure out ways to be active
link |
00:37:54.380
and get people active,
link |
00:37:55.480
but let's also not make people feel horrible
link |
00:37:57.660
about themselves when they're not getting enough.
link |
00:38:00.640
And going back to the hotel study,
link |
00:38:02.920
again, I mentioned that I did that at a time
link |
00:38:04.680
when I was a Division I ice hockey player at the time.
link |
00:38:08.080
We were training all the time,
link |
00:38:09.880
and I was in an unhealthy mindset about that.
link |
00:38:13.340
I never felt like I was getting enough.
link |
00:38:15.160
I would, you know, come off a two-hour practice
link |
00:38:19.140
into a weightlifting session,
link |
00:38:20.780
and then I would get on the elliptical for 30 minutes
link |
00:38:23.840
because I thought I had to do that also, you know?
link |
00:38:26.960
My teammates who were with me at the time
link |
00:38:29.040
could attest to that.
link |
00:38:30.400
And so that study was really helpful for me
link |
00:38:33.160
to realize that I needed to pay attention,
link |
00:38:35.820
not just to what I was doing,
link |
00:38:37.160
but also take care of my mindset about that.
link |
00:38:40.320
And I think the essence is how do you get people
link |
00:38:43.520
to feel like they're getting enough?
link |
00:38:45.160
It's a sense of enoughness that really matters.
link |
00:38:48.080
I can see the dilemma
link |
00:38:49.100
because you don't want people thinking
link |
00:38:50.760
that exercise and its positive effects are so potent
link |
00:38:56.880
that they can get away with a three-minute walk each day
link |
00:39:00.560
and that they're good because most likely they are not.
link |
00:39:05.760
But again, you don't want them
link |
00:39:09.200
to be so back on their heels psychologically
link |
00:39:11.240
that they don't even do that
link |
00:39:12.880
or that they never exceed that by very much.
link |
00:39:16.480
But it seems like the message from the milkshake study
link |
00:39:20.200
and what we're talking about now in terms of exercise
link |
00:39:22.200
would be to really communicate to the general public
link |
00:39:25.160
that food has a potency,
link |
00:39:29.000
even healthy foods have a potency to give us energy,
link |
00:39:31.920
to fuel our immune system and endocrine system, et cetera.
link |
00:39:36.200
And that exercise has a remarkable potency
link |
00:39:38.680
and that that potency can be enhanced
link |
00:39:41.000
by believing in or understanding that potency.
link |
00:39:45.960
Is that an accurate way to state it?
link |
00:39:47.640
Totally, that's exactly right and that's where I really feel
link |
00:39:51.400
like we need to push and what I try to do in our research
link |
00:39:54.760
is to not just show, oh, mindset matters,
link |
00:39:56.720
isn't that interesting?
link |
00:39:57.560
But it's both matter, right?
link |
00:40:01.840
Both exercise and what you think about it matter.
link |
00:40:04.060
Both what you eat
link |
00:40:04.980
and how you think about what you eat matter.
link |
00:40:07.520
And so we really as individuals and as a society
link |
00:40:10.760
need to work on what is the right way to cultivate
link |
00:40:15.400
both behaviors and mindsets about those behaviors
link |
00:40:18.680
that serve us.
link |
00:40:19.680
And in the food context, this again,
link |
00:40:22.820
that milkshake study really changed me on a personal level
link |
00:40:26.000
because I had been somebody who was constantly
link |
00:40:29.840
trying to restrain my eating, right?
link |
00:40:32.160
I wanted to maintain or lose weight, look fit
link |
00:40:37.200
and so I was like, well, I should diet,
link |
00:40:39.360
I should have low calorie, low carb, low this, low that.
link |
00:40:42.280
But what that was doing was putting me
link |
00:40:44.200
into this constant mindset of restraint.
link |
00:40:47.640
And what that study suggested was that that mindset
link |
00:40:51.500
was potentially counteracting any benefit, right?
link |
00:40:57.380
Or any objective effects of the restrained diet
link |
00:41:01.520
because my brain was saying, okay, you're restraining,
link |
00:41:03.940
maybe my body was responding to that
link |
00:41:06.840
but the brain was also saying, eat more food,
link |
00:41:10.540
stay hungry because you need to survive.
link |
00:41:13.320
And so the answer isn't, oh, we'll throw everything
link |
00:41:17.240
into the wind and just drink indulgent milkshakes
link |
00:41:19.860
all day long.
link |
00:41:20.700
The answer is eat healthy foods, right?
link |
00:41:25.700
Based on the latest science and what we know to be true
link |
00:41:28.560
about nutrients and our body's response to them.
link |
00:41:31.340
But try to do so in a mindset of indulgence,
link |
00:41:34.600
a mindset of satisfaction, a mindset of enjoyment, right?
link |
00:41:38.280
That is really the trick and that's what I at least
link |
00:41:41.040
try to do in my own life.
link |
00:41:43.040
I love that and as I get more involved
link |
00:41:45.080
in the public facing health communications,
link |
00:41:48.440
this comes up again and again.
link |
00:41:49.880
How should we conceptualize our behavior?
link |
00:41:51.920
How should we think about all these options
link |
00:41:54.160
that are offered to us?
link |
00:41:55.060
And I'm excited that the potency of mindsets
link |
00:41:58.820
are coming through again and again.
link |
00:42:01.280
So I have a question about this.
link |
00:42:02.440
I don't know if this study has ever been done
link |
00:42:04.620
but a lot of these mindset effects are something
link |
00:42:07.400
that years ago I felt I did vis-a-vis sleep
link |
00:42:11.940
because I was in graduate school and as a postdoc
link |
00:42:15.240
and even as an undergraduate, I had so much work to do
link |
00:42:17.540
that I decided I would sleep when I was dead in quotes.
link |
00:42:20.920
Not a good idea from what we know.
link |
00:42:23.280
However, I found that a couple nights of minimal sleep
link |
00:42:28.200
or even an all-nighter and I could do pretty well.
link |
00:42:30.440
Eventually it would catch up with me.
link |
00:42:32.300
Has there ever been a study exploring whether or not
link |
00:42:34.240
the effects of sleep deprivation can be impacted
link |
00:42:37.440
by these mindset effects?
link |
00:42:39.120
Because over the years, I keep learning more and more
link |
00:42:42.160
about how much sleep I need and I've really emphasized sleep
link |
00:42:44.280
and I do feel much better when I'm getting it.
link |
00:42:46.400
But as new parents know or students know or athletes know
link |
00:42:51.400
or anyone that lives a normal life finds sometimes
link |
00:42:54.040
that they don't get a good night's sleep.
link |
00:42:56.740
Would believing that we can tolerate that
link |
00:42:58.740
and push through it and function just fine
link |
00:43:00.920
and then it's not going to kill us or give us Alzheimer's,
link |
00:43:04.620
could that help us deal with a poor night's sleep
link |
00:43:07.340
or even two or chronic sleep deprivation?
link |
00:43:10.440
Certainly, I would guess.
link |
00:43:12.320
There's been one study to my knowledge that's tested that.
link |
00:43:16.120
Dragana and colleagues and they looked at,
link |
00:43:19.780
they had people come in and they gave them sort of a,
link |
00:43:22.880
I think it was a sham sort of EEG test
link |
00:43:26.540
to sort of figure out how, you know,
link |
00:43:29.720
this was done a number of years ago.
link |
00:43:31.160
Now we actually have devices to test this
link |
00:43:33.720
but theirs was this sham test and then they gave people
link |
00:43:37.000
fake feedback about the quality of their sleep
link |
00:43:40.720
and, you know, how it had been the night before.
link |
00:43:43.520
And they also asked the participants
link |
00:43:46.880
how they felt about their sleep and essentially
link |
00:43:50.320
what they found was that this sham feedback,
link |
00:43:54.500
if they were told that they had gotten lower quality sleep,
link |
00:43:57.820
led to deficits in a variety of cognitive tasks
link |
00:44:02.300
and that was sort of decoupled from their actual,
link |
00:44:06.400
you know, qualities of sleep, at least as self-reported.
link |
00:44:09.280
So that's one study that attest to this.
link |
00:44:11.500
I think certainly, I mean, I would, you know,
link |
00:44:14.440
I would bet a lot of money, I haven't run this myself
link |
00:44:17.780
but that your mindsets can push around your, you know,
link |
00:44:21.960
cognitive functioning, physiological effects of sleep.
link |
00:44:25.540
But once again, it's not all or nothing, right?
link |
00:44:28.520
There are real important benefits of sleep
link |
00:44:31.480
and how far we can push around that through our mindset
link |
00:44:35.360
is an open question.
link |
00:44:37.000
You know, the result that you mentioned
link |
00:44:39.240
is really interesting because a lot of people
link |
00:44:40.680
use these sleep trackers now.
link |
00:44:42.080
They're using rings or wristbands.
link |
00:44:43.800
In fact, my lab has worked pretty closely with a company
link |
00:44:46.160
they supply us data on how well people are sleeping
link |
00:44:48.560
and you get a score.
link |
00:44:50.280
People get the score back and when they see that score,
link |
00:44:52.840
they might think based on these results,
link |
00:44:54.480
oh, my sleep, my recovery score, my sleep score was poor.
link |
00:44:57.360
I shouldn't expect much for myself today
link |
00:44:59.480
or it makes sense that my memory would be going
link |
00:45:02.600
for this reason and I'll probably lose a few friends
link |
00:45:04.680
for saying this, but hopefully I'll gain a few as well.
link |
00:45:06.600
That's why I like to just do a subjective score for myself.
link |
00:45:11.080
If I wake up in the morning, I just decide,
link |
00:45:12.980
okay, did I sleep well or not?
link |
00:45:14.520
I don't like seeing a number.
link |
00:45:15.960
I don't like getting a readout from a device.
link |
00:45:18.940
That's me.
link |
00:45:19.780
I know a lot of people like it and they can be very useful,
link |
00:45:21.760
but gosh, it seems that these belief effects
link |
00:45:24.520
are weaving in at all levels.
link |
00:45:28.080
I'd love for us to talk about stress
link |
00:45:30.060
because your lab has worked extensively on this
link |
00:45:33.560
and if you would, could you tell us at some point
link |
00:45:38.400
about the study that you've done about informing people
link |
00:45:40.500
about the different effects of stress,
link |
00:45:42.640
but also if there's an opportunity,
link |
00:45:45.400
some takeaways about how we could each conceptualize stress
link |
00:45:49.280
in ways that would make it serve us better
link |
00:45:52.280
as opposed to harm us
link |
00:45:53.560
in our mental and physical performance.
link |
00:45:55.600
Great.
link |
00:45:56.440
Yeah, so I had come off the heels of doing some research
link |
00:46:00.480
and exercise and diet and finding these provocative
link |
00:46:06.240
and also counterintuitive effects with respect
link |
00:46:09.560
to how we should try to motivate people, right?
link |
00:46:13.120
And as I was thinking about this and this grouping
link |
00:46:18.280
of going from medicines to saving us,
link |
00:46:21.880
to behaviors to saving us and how those behaviors
link |
00:46:25.200
might be influenced by mindsets,
link |
00:46:27.760
the obvious next thing to think about was stress, right?
link |
00:46:31.760
Because it's like, okay, well, you wanna be healthier,
link |
00:46:33.480
fix your diet, fix your exercise and stress less.
link |
00:46:37.280
And so I started doing some digging
link |
00:46:40.140
into the nature of stress and a couple things were clear.
link |
00:46:43.760
One was that the public health message was very clear, right?
link |
00:46:48.040
That stress was bad, right?
link |
00:46:50.200
Unmitigated and harmful on our health,
link |
00:46:55.160
our productivity, our relationships, our fertility,
link |
00:46:58.520
our cognition, you name it, right?
link |
00:47:01.840
The messages that were out there by and large
link |
00:47:05.280
oversimplified messages focused
link |
00:47:07.920
on the damaging consequences of stress.
link |
00:47:11.220
But as you know, if you actually dive deeper
link |
00:47:13.880
into the literature on stress and the origins of stress,
link |
00:47:16.840
what you find is that the literature,
link |
00:47:19.480
like most literatures is not so clear cut.
link |
00:47:21.720
And in fact, there's a large amount of evidence
link |
00:47:24.700
to support the fact that the experience of stress,
link |
00:47:28.580
meaning encountering adversity or challenge
link |
00:47:31.240
in one's goal-related efforts,
link |
00:47:34.840
does not have to be debilitating.
link |
00:47:37.320
And in many cases, the body's response was designed
link |
00:47:40.440
to enhance our ability to manage at those moments, right?
link |
00:47:44.560
So some research showing that stress narrows our focus,
link |
00:47:48.700
increases our attention, speeds up the rate
link |
00:47:51.200
at which we're able to process information.
link |
00:47:53.400
There was some research out there showing this phenomenon
link |
00:47:56.600
of physiological toughening, the process by which
link |
00:48:00.800
the release of catabolic hormones and the stress response
link |
00:48:03.680
recruit or activate anabolic hormones,
link |
00:48:06.120
which help, as you know, build our muscles,
link |
00:48:08.780
build our neurons to help us grow and learn.
link |
00:48:12.400
And there was a whole body of emerging research
link |
00:48:14.600
on post-traumatic growth or this phenomenon
link |
00:48:17.800
in which even the experience of the most traumatic stressors
link |
00:48:21.520
and the most chronic and enduring stressors
link |
00:48:24.420
could lead not to destruction,
link |
00:48:26.480
but in fact to the exact opposite,
link |
00:48:28.320
to an enhanced sense of connection with our values,
link |
00:48:32.960
connection to others, sense of joy and passion for living.
link |
00:48:38.480
And so, you know, I found that to be interesting.
link |
00:48:42.800
And, you know, my work since then has been not to try
link |
00:48:47.080
to argue that stress is enhancing and not debilitating,
link |
00:48:49.840
but try to point out that the true nature of stress
link |
00:48:54.040
is a paradox.
link |
00:48:55.040
The true nature of stress is manifold and complex
link |
00:48:58.680
and lots of things can happen.
link |
00:49:01.200
But to question what's the role of our mindset about stress
link |
00:49:05.240
in shaping our response to stress?
link |
00:49:08.240
So some work had already been done looking at
link |
00:49:11.700
your perception of the stressor, right?
link |
00:49:14.020
So do you view a stressor like a challenging exam
link |
00:49:17.780
or a health diagnosis as a challenge or a threat?
link |
00:49:20.920
And that had shown pretty convincingly
link |
00:49:23.800
that when you view stressors more as a challenge,
link |
00:49:26.280
less as a threat,
link |
00:49:27.560
that your brain and body responds more adaptively.
link |
00:49:32.680
What our question was was to take the sort of
link |
00:49:35.000
psychological construal one step higher in abstraction.
link |
00:49:38.560
So not just the stressor, but the nature of stress, right?
link |
00:49:42.320
Do you, you know, at that core level,
link |
00:49:45.160
do you view stress as something that's bad,
link |
00:49:48.160
is going to kill us and therefore should be avoided?
link |
00:49:50.760
Or do you view stress as natural
link |
00:49:54.080
and something that's going to enhance us?
link |
00:49:56.760
And so we set out to design a series of studies
link |
00:50:00.040
to test the extent to which these mindsets
link |
00:50:02.920
about stress mattered.
link |
00:50:05.360
We first, this again was with Peter Salovey
link |
00:50:08.280
and Sean Aker originally.
link |
00:50:10.400
We designed a measure to test people's mindsets
link |
00:50:13.580
about stress, simple questions like
link |
00:50:16.360
what extent do you believe or agree or disagree
link |
00:50:19.540
with statements like stress enhances my performance
link |
00:50:22.880
in productivity, stress heightens my vitality and growth,
link |
00:50:28.480
things like that.
link |
00:50:29.320
And we found in a number of correlational studies
link |
00:50:32.000
that that more enhancing stress mindset
link |
00:50:34.560
was linked to better health outcomes,
link |
00:50:38.760
better wellbeing and higher performance.
link |
00:50:41.340
So then we set out to see if we could change
link |
00:50:43.680
people's mindsets.
link |
00:50:45.240
And in our first test of this, we decided to do so
link |
00:50:47.880
by creating these multimedia films
link |
00:50:50.600
that showcased research, anecdotes, facts about stress,
link |
00:50:56.760
all true, but oriented towards one mindset or the other.
link |
00:51:01.680
So you can imagine one set of films showed
link |
00:51:04.600
basically the messages that were out there
link |
00:51:06.360
in the public health context.
link |
00:51:08.000
The other showed, hey, stress has been linked
link |
00:51:13.480
to these things, but in fact, the body stress response
link |
00:51:15.680
was designed to do this.
link |
00:51:16.800
Did you know it could do that?
link |
00:51:17.840
And we had empowering images like LeBron James
link |
00:51:22.080
making the free throw in the final minute
link |
00:51:23.960
versus missing it, right?
link |
00:51:25.440
So all of these things are true possibilities,
link |
00:51:28.720
but oriented to two different mindsets about stress.
link |
00:51:32.720
So either people saw a video that basically made it seem
link |
00:51:35.400
like stress will diminish you, crush you, reduce you,
link |
00:51:38.680
or a video, very similar, stress will grow you,
link |
00:51:42.900
bring out your best and maybe even take you
link |
00:51:45.440
to heightened levels of performance
link |
00:51:46.960
that you've never experienced before.
link |
00:51:48.600
Exactly, exactly.
link |
00:51:49.960
So yeah, examples in the sports.
link |
00:51:51.820
We also had like true leaders emerge
link |
00:51:54.080
in the moments of greatest stress, you know, Churchill.
link |
00:51:57.000
And so all those examples are out there
link |
00:51:59.440
for both the enhancing nature and the debilitating nature.
link |
00:52:02.400
And our question was, does orienting people
link |
00:52:05.760
to different mindsets change how they respond to stress?
link |
00:52:09.600
So this study was done in the wake
link |
00:52:11.300
of the 2008 financial crisis.
link |
00:52:14.460
We worked with UBS, a company, a financial service company
link |
00:52:19.240
that was undergoing pretty massive amounts of layoffs.
link |
00:52:22.320
So these employees were stressed about being laid off.
link |
00:52:25.660
They were taking on more pressure.
link |
00:52:27.480
It was just a tough time.
link |
00:52:29.200
And we randomized them into three conditions.
link |
00:52:32.760
And this was all pre-work before getting a training
link |
00:52:36.240
on stress, but the three different conditions,
link |
00:52:39.380
some watched no videos,
link |
00:52:41.000
some watched the stress will crush you videos,
link |
00:52:43.520
and some watched the stress could enhance you videos.
link |
00:52:47.200
And what we found was that just, you know,
link |
00:52:49.500
it was a total of nine minutes of videos
link |
00:52:51.800
over the course of the week led to changes
link |
00:52:54.140
in their mindsets about stress,
link |
00:52:56.040
which led to changes in their physiological symptoms
link |
00:53:00.240
associated with stress.
link |
00:53:01.560
So people who watched the enhancing films
link |
00:53:03.920
had fewer backaches, muscle tension,
link |
00:53:06.480
insomnia, racing heart, and so forth.
link |
00:53:09.880
And they also reported performing better at work
link |
00:53:14.000
compared to those who watched the debilitating videos.
link |
00:53:16.900
Now, interestingly, we didn't make anyone worse
link |
00:53:19.240
with the debilitating videos, which was good.
link |
00:53:21.960
We had told the IRB we didn't expect that
link |
00:53:25.600
because that message was already out there.
link |
00:53:27.960
That's what they were already seeing.
link |
00:53:29.280
That wasn't new to them.
link |
00:53:31.080
It was more of this enhancing perspective
link |
00:53:34.000
that turned out to be inspiring.
link |
00:53:37.240
I love that study.
link |
00:53:38.080
And I know we both have friends and ties
link |
00:53:41.600
in the special operations community
link |
00:53:43.200
through just sort of happenstance.
link |
00:53:45.360
And we can, maybe we'll get into that a little later,
link |
00:53:47.840
but a good friend from that community always says,
link |
00:53:50.860
you know, there are only three ways to go through life
link |
00:53:53.480
at any moment, which is either back on your heels,
link |
00:53:55.520
flat-footed, or forward center of mass.
link |
00:53:57.680
And I said, well, what's the key to forward center of mass?
link |
00:54:00.160
And he said, stress is what places you
link |
00:54:01.920
in forward center of mass,
link |
00:54:03.400
meaning leaning forward and into challenge.
link |
00:54:05.480
And I know that you've actually looked at that community
link |
00:54:07.840
and it does really seem like that's a mindset
link |
00:54:10.040
that either they have going in or that they cultivate
link |
00:54:12.840
through the course of their training.
link |
00:54:15.200
But this notion that stress is what puts us in forward motion
link |
00:54:20.040
is true physiologically, right?
link |
00:54:21.760
I mean, adrenaline's major role is to place us
link |
00:54:23.920
into a moment of, or bias us towards action.
link |
00:54:26.880
That's why we tremble.
link |
00:54:27.700
It's the body trying to initiate action.
link |
00:54:30.440
But actually this is probably a good opportunity.
link |
00:54:33.200
If there's anything interesting to extract
link |
00:54:34.800
from the study on seal teams, what was it?
link |
00:54:38.840
Yeah, no, I loved working with the seals.
link |
00:54:43.680
One of the interesting things we found,
link |
00:54:45.060
so we've studied this, measured this mindset
link |
00:54:49.600
in several different populations.
link |
00:54:51.200
And in every single one that we have tested so far,
link |
00:54:55.320
the average had been on the debilitating side of the scale.
link |
00:54:58.520
People just saying stress is bad.
link |
00:54:59.840
Stress is bad, right?
link |
00:55:01.080
And, you know, it's like with measures of growth
link |
00:55:05.240
and fixed mindsets about intelligence,
link |
00:55:07.520
people are in the middle,
link |
00:55:09.240
but oftentimes have a more positive mindsets
link |
00:55:11.480
about intelligence.
link |
00:55:13.040
That was not the case with stress.
link |
00:55:14.600
It's still not the case.
link |
00:55:15.900
I'm trying to get the message out there,
link |
00:55:17.560
except for this group of Navy SEALs
link |
00:55:20.320
where they're actually recruits,
link |
00:55:22.440
so people who were going through basic training
link |
00:55:24.680
in order to become Navy SEALs.
link |
00:55:26.920
And we found that they, on average,
link |
00:55:30.520
had stress as enhancing mindset,
link |
00:55:33.160
perhaps not surprisingly, right?
link |
00:55:34.640
If you're going in to devote your whole life
link |
00:55:36.600
to being a Navy SEAL, you must have some inclination
link |
00:55:40.380
that stress is a source of strength for you.
link |
00:55:44.360
But what we found with them,
link |
00:55:45.460
we measured this at the beginning of their basic training,
link |
00:55:48.520
with BUDDS training, and then looked at
link |
00:55:51.160
how well they succeeded through that program.
link |
00:55:53.720
So as you know, this is an extremely rigorous program.
link |
00:55:57.480
You know, at the time it was only like 10 or 20% of-
link |
00:56:01.400
Still is.
link |
00:56:02.240
Trainees make it through.
link |
00:56:03.060
The numbers have never shifted from about that.
link |
00:56:05.560
No matter how hard pressures on the community change,
link |
00:56:08.840
the numbers are still, on average, about 15%.
link |
00:56:11.720
Yeah, wow.
link |
00:56:12.560
So what we found was that our measure predicted that rate.
link |
00:56:17.080
So people who even within that range
link |
00:56:19.240
had a more stress-enhancing mindset
link |
00:56:21.040
were more likely to complete training, become a SEAL.
link |
00:56:24.160
They also had faster obstacle course times,
link |
00:56:26.920
and they were rated by their peers more positively.
link |
00:56:30.540
So, you know, again, let's break this down, right?
link |
00:56:34.360
This doesn't mean, and people get me,
link |
00:56:37.200
people get this wrong sometimes.
link |
00:56:38.640
They think that I'm saying
link |
00:56:41.040
that a stress-enhancing mindset means
link |
00:56:42.720
you should like stress, right?
link |
00:56:44.680
Well, maybe SEALs do.
link |
00:56:46.840
But that's not what we're saying, right?
link |
00:56:48.620
Having a stress-enhancing mindset doesn't mean
link |
00:56:51.640
the stressor is a good thing, right?
link |
00:56:53.680
It doesn't mean it's a good thing
link |
00:56:55.060
that you have to go into combat and it's not pretty, right?
link |
00:56:59.380
It doesn't mean that getting a cancer diagnosis
link |
00:57:02.720
is a good thing or being in abject poverty is a good thing.
link |
00:57:05.560
These are not good things.
link |
00:57:07.480
But the experience of the stress associated with that,
link |
00:57:10.520
the challenge, the adversity,
link |
00:57:12.520
that experience can lead to enhancing outcomes
link |
00:57:17.600
with respect to not just our cognition,
link |
00:57:21.040
but our health, our performance, and our wellbeing.
link |
00:57:24.040
So that mindset, right, how does that work, right?
link |
00:57:27.560
Well, it works through a number of different pathways.
link |
00:57:30.760
One is that it changes fundamentally
link |
00:57:32.940
what we're motivated to do.
link |
00:57:34.780
So if you, you know, just imagine
link |
00:57:37.560
we're stressed about something,
link |
00:57:39.000
maybe a global pandemic, for example,
link |
00:57:42.120
for instance, you know, and you think that stress is bad,
link |
00:57:48.160
then what's your motivation, right?
link |
00:57:50.160
Your motivation is to, well, first you get worried
link |
00:57:53.160
about the stress, right?
link |
00:57:54.200
Now, not only do you have the pandemic,
link |
00:57:55.680
you're stressed about the stress of the pandemic.
link |
00:57:58.040
But second is your reaction is typically
link |
00:58:00.040
to do one of two things.
link |
00:58:01.000
It's either to freak out and do everything you can
link |
00:58:04.480
to make sure that this doesn't affect you,
link |
00:58:06.400
you know, negatively, or to check out and say,
link |
00:58:09.340
oh, it's not a big deal, I'm not gonna deal with it.
link |
00:58:11.240
You know, you're basically in denial.
link |
00:58:12.760
So people who have a stress and debilitating mindset,
link |
00:58:15.720
and we've shown this in our research,
link |
00:58:17.360
tend to go to one or the other of those extremes.
link |
00:58:19.720
They freak out or they check out.
link |
00:58:21.980
Why, because if stress is bad,
link |
00:58:23.200
you need to either get rid of it and deal with it
link |
00:58:25.640
or it needs to not exist, right?
link |
00:58:28.220
If you have a stress-enhancing mindset,
link |
00:58:30.760
the motivation changes, right?
link |
00:58:32.360
Then the motivation is how do I utilize the stress
link |
00:58:36.360
to realize the enhancing outcomes?
link |
00:58:38.680
What can we do here, right, to learn from this experience
link |
00:58:43.400
to make us stronger, fitter, you know,
link |
00:58:46.880
have better science and treatments for the future,
link |
00:58:50.000
deepen my relationships with others,
link |
00:58:53.000
improve, you know, my priorities, and so forth, right?
link |
00:58:55.580
So the motivation changes, the affect around it changes.
link |
00:58:59.560
It doesn't make it easy to deal with,
link |
00:59:01.580
but what we've shown in our research
link |
00:59:03.040
is that people who have a stress-enhancing mindset
link |
00:59:05.760
have more positive affect, not necessarily less
link |
00:59:09.000
negative affect, and it potentially changes physiology.
link |
00:59:13.240
We have a few studies that show that people who are,
link |
00:59:18.300
you know, inspired to adopt more enhancing mindsets
link |
00:59:21.560
have more moderate cortisol response,
link |
00:59:24.240
and they have higher levels of DHEA levels
link |
00:59:28.060
in response to stress.
link |
00:59:29.280
So more work needs to be done on the physiology,
link |
00:59:32.080
but I'd love your take on the mechanisms
link |
00:59:35.600
through which that's possible.
link |
00:59:37.120
Yes, and DHEA, of course, has an anabolic hormone
link |
00:59:40.880
in both men and women.
link |
00:59:42.400
Very interesting because we had a guest on this podcast.
link |
00:59:46.360
He actually is a PhD scientist
link |
00:59:48.540
who runs the UFC Performance Training Institute.
link |
00:59:51.800
His name is Duncan French, and his graduate work
link |
00:59:54.720
at UConn Storrs was very interesting.
link |
00:59:56.560
It was in exercise science and physiology.
link |
00:59:58.840
What he showed was that if you could spike
link |
01:00:01.480
the adrenaline response, I think they did this
link |
01:00:03.640
through first-time skydive or something like that,
link |
01:00:06.200
that testosterone went up.
link |
01:00:09.240
Now, this spits in the face of everything that we're told
link |
01:00:12.000
about stress and testosterone levels, right?
link |
01:00:15.820
And this has also been looked at in females with estrogen,
link |
01:00:19.640
although, of course, there's estrogen, testosterone
link |
01:00:22.400
in both males and females,
link |
01:00:23.300
but that's how they designed the study.
link |
01:00:24.880
So it turns out that at least in the short term,
link |
01:00:27.880
that a very stressful event can raise anabolic hormones.
link |
01:00:32.800
And I think that people forget at a mechanistic level
link |
01:00:35.980
that adrenaline is epinephrine,
link |
01:00:37.880
and epinephrine is derived, biochemically derived,
link |
01:00:40.960
from the molecule dopamine.
link |
01:00:42.680
If you look at the pathway and even just Google it
link |
01:00:44.640
and go images, you'll see that adrenaline
link |
01:00:47.240
is made from dopamine, and dopamine
link |
01:00:50.080
and these anabolic hormones have a very close,
link |
01:00:52.080
they're sort of close cousins.
link |
01:00:53.120
They work together in the pituitary and hypothalamus.
link |
01:00:55.480
So it makes sense that one could leverage stress
link |
01:00:59.960
toward growth and towards anabolism as opposed
link |
01:01:03.480
to cannibalism, which is not saying cannibalism
link |
01:01:06.280
as in eating other people, but catabolic processes
link |
01:01:09.840
is I guess the right way to refer to it.
link |
01:01:11.760
But what's again, remarkable to me is that all
link |
01:01:13.840
of these brain structures that control dopamine,
link |
01:01:15.700
epinephrine, testosterone, and estrogen,
link |
01:01:18.260
they're all thought to be in the subconscious,
link |
01:01:19.920
meaning below our ability to flip a switch
link |
01:01:24.280
and turn them on or off.
link |
01:01:25.840
And yet mindset seemed to impact them.
link |
01:01:28.280
So all that to say that there's a clear mechanistic basis
link |
01:01:34.000
by which this could all work.
link |
01:01:35.800
And so on the one hand, I'm surprised
link |
01:01:38.760
because these are incredible results.
link |
01:01:40.440
On the other hand, I'm not surprised
link |
01:01:41.560
because there's a physiological substrate there
link |
01:01:43.400
that could readily explain them.
link |
01:01:45.320
Yeah, and I think figuring out exactly how it works
link |
01:01:49.040
is really, you know.
link |
01:01:50.960
We should do that.
link |
01:01:51.800
We should do that.
link |
01:01:52.620
We should collaborate.
link |
01:01:53.460
We've got common friends in both departments,
link |
01:01:54.800
so we should do it.
link |
01:01:55.760
Why not?
link |
01:01:56.600
I just wanna mention, you know, the way I think
link |
01:02:00.160
about mindset, and again, I think we need to study this.
link |
01:02:03.160
I'm not a neuroscientist, so I haven't looked at this,
link |
01:02:05.240
but this is something we could do.
link |
01:02:07.160
But the way I think about mindset is that it's,
link |
01:02:09.840
mindsets are kind of a portal
link |
01:02:11.800
between conscious and subconscious processes.
link |
01:02:16.360
They operate as a default setting of the mind, right?
link |
01:02:20.940
So if, you know, if sort of programmed in there,
link |
01:02:25.720
you have stress equals bad, right?
link |
01:02:29.500
That is gonna, you know, that's gonna be something
link |
01:02:34.000
maybe conscious, right?
link |
01:02:36.040
But it doesn't have to be conscious, right?
link |
01:02:38.800
People don't have to know their mindsets about stress
link |
01:02:40.880
until they're asked, really.
link |
01:02:43.520
That's been programmed in through our upbringing,
link |
01:02:46.240
through public health messages, and through media,
link |
01:02:49.480
and other things, and it kind of sits there
link |
01:02:51.920
as an assumption in the brain,
link |
01:02:53.360
and the brain is then figuring out
link |
01:02:56.600
how should it respond to this situation.
link |
01:02:59.320
And if the assumption, the default,
link |
01:03:01.040
the programming is stress is bad,
link |
01:03:04.260
that's gonna, through our subconscious,
link |
01:03:06.840
trigger all the things that's like, okay, well,
link |
01:03:08.680
I need to like, you know, rev up the things that protect me
link |
01:03:13.320
versus rev up the things that help me grow.
link |
01:03:16.340
And so that's at least how I think about it.
link |
01:03:19.280
And what's cool about it is that because it operates
link |
01:03:23.200
as a sort of portal, it communicates with more,
link |
01:03:25.880
you know, subconscious physiological processes,
link |
01:03:28.960
but it can also be accessed through our consciousness, right?
link |
01:03:32.080
So just talking about this, right, for your listeners,
link |
01:03:36.560
they're now invited to bring their stress mindsets
link |
01:03:40.720
up to the consciousness and say,
link |
01:03:42.440
what is my stress mindset?
link |
01:03:44.220
How am I thinking about stress?
link |
01:03:46.000
Can I reprogram that?
link |
01:03:47.640
Can I start to think about it as more enhancing?
link |
01:03:51.040
That takes a little bit of a conscious work potentially,
link |
01:03:54.240
but then once you do that,
link |
01:03:56.640
that can kind of operate in the background,
link |
01:03:59.080
influencing how your body responds.
link |
01:04:00.920
And you don't have to say, okay, I'm stressed.
link |
01:04:02.560
I better tell my, you know, anabolic hormones.
link |
01:04:06.400
That doesn't work that way.
link |
01:04:08.440
But these mindsets can help with the translational process.
link |
01:04:12.560
I love the idea that mindsets are at the interface
link |
01:04:14.680
between the conscious and subconscious.
link |
01:04:16.760
And I think there's a lot to unpack there,
link |
01:04:20.140
but it clearly is the case that the mindsets,
link |
01:04:25.560
they sort of act as heuristics, right?
link |
01:04:27.120
And as we talked about earlier,
link |
01:04:29.040
they can limit what the number of things to focus on.
link |
01:04:31.660
Because one thing that is really stressful
link |
01:04:33.460
is trying to focus on everything all the time.
link |
01:04:35.240
I mean, trying to navigate the public health
link |
01:04:37.000
around anything, the public health information
link |
01:04:39.560
around anything is kind of overwhelming.
link |
01:04:40.920
As you mentioned for stress,
link |
01:04:42.000
you see a lot in the stresses will crush you,
link |
01:04:44.060
and then you can also find evidence
link |
01:04:45.920
that stress will grow you.
link |
01:04:47.360
So how should we, the listeners, think about stress?
link |
01:04:53.440
I mean, what's the most adaptive way to think about stress?
link |
01:04:57.240
And should we talk about our stress?
link |
01:04:59.280
Should we not talk about our stress?
link |
01:05:02.140
Is there a short list of ways
link |
01:05:04.640
that we can cope with stress better?
link |
01:05:07.000
Or I should be careful with the word cope.
link |
01:05:09.140
Is there a way that we can leverage stress to our advantage?
link |
01:05:12.440
Great, yeah, and that's an important nuance
link |
01:05:15.880
in your language, which is,
link |
01:05:17.520
people have, by and large, come from a place
link |
01:05:20.100
of how do you manage stress?
link |
01:05:21.720
How do you cope with it?
link |
01:05:22.720
Which implies, how do you fight against it?
link |
01:05:26.280
Vacation, massages, yoga classes, and yeah.
link |
01:05:29.280
Fight against it or check out from it, right?
link |
01:05:32.040
And yeah, the real challenge is how do we leverage it?
link |
01:05:35.280
How do we utilize it?
link |
01:05:36.600
How do we work with it?
link |
01:05:38.640
And I have a lot of thoughts on this.
link |
01:05:40.580
The first and most important thing
link |
01:05:42.720
is to clarify our definition of stress.
link |
01:05:47.280
So I think people often associate,
link |
01:05:50.200
the stress mind, negative stress mindset,
link |
01:05:52.080
is so insidious
link |
01:05:55.920
that now people define stress
link |
01:05:58.080
with its negative consequences.
link |
01:06:00.520
So the first step is to decouple that
link |
01:06:02.600
and to realize that stress is a neutral, right,
link |
01:06:07.840
yet to be determined effect
link |
01:06:10.120
of experiencing or anticipating
link |
01:06:13.760
adversity in your goal-related efforts.
link |
01:06:16.880
So let me unpack that a little more.
link |
01:06:18.520
You can be in the midst of it
link |
01:06:20.520
or you could just be worried about something happening.
link |
01:06:23.480
That's one aspect.
link |
01:06:24.920
Second is adversity or challenge,
link |
01:06:27.200
so something that's working against you.
link |
01:06:29.920
But the third piece is critical
link |
01:06:31.520
and that is in your goal-related efforts.
link |
01:06:34.760
What that means is that
link |
01:06:36.040
we only stress about things we care about,
link |
01:06:39.480
things that matter to us.
link |
01:06:41.740
So this is really important, right,
link |
01:06:44.840
because stress is linked with,
link |
01:06:49.040
it's the other side of the coin
link |
01:06:51.440
of things we care about, right?
link |
01:06:53.500
And so I think that's the first thing to realize, right,
link |
01:06:56.960
that as humans, we stress because we care
link |
01:07:02.520
and we don't stress about things we don't care about.
link |
01:07:06.360
So the simplified example I like to use is,
link |
01:07:09.220
you know, if Johnny was failing school,
link |
01:07:12.680
that wouldn't stress you out
link |
01:07:14.340
unless Johnny was your son or you were Johnny
link |
01:07:18.680
or you really cared about
link |
01:07:20.360
the educating the Johnnies of the world, right?
link |
01:07:22.300
It only becomes stressful to the extent
link |
01:07:24.320
that you care about it.
link |
01:07:25.860
So why are we trying to fight or run away or hide
link |
01:07:30.420
or merely cope with our stress
link |
01:07:32.080
or, you know, overcome it through our massages
link |
01:07:34.940
when the stress is connected to the things we care about?
link |
01:07:40.200
So then the question becomes, okay, if that's true,
link |
01:07:43.320
how can I better utilize or leverage
link |
01:07:47.380
or respond to the inevitable stresses
link |
01:07:50.780
that we're going to experience?
link |
01:07:52.880
I'm not saying go out and seek out more stress.
link |
01:07:55.560
What I am saying is that you're gonna experience stress
link |
01:07:57.880
if you have any cares or values or passions
link |
01:08:00.120
and most all of us do.
link |
01:08:02.160
And so then what do you do?
link |
01:08:05.240
And we've developed a three-step approach
link |
01:08:08.120
to adopting a stress-enhancing mindset.
link |
01:08:10.540
And briefly, the first step is to just acknowledge
link |
01:08:14.300
that you're stressed, to own it, see it, be mindful of it.
link |
01:08:20.880
The second step is to welcome it.
link |
01:08:24.000
Why would you welcome it?
link |
01:08:25.240
You welcome it because inherently in that stress
link |
01:08:28.760
is something you care about.
link |
01:08:30.300
So you're using it as an opportunity to reconnect
link |
01:08:32.960
to what is it that I care about here?
link |
01:08:35.800
And then the third step is to utilize the stress response
link |
01:08:39.720
to achieve the thing that you care about,
link |
01:08:43.120
not spend your time, money, effort, energy,
link |
01:08:45.940
trying to get rid of the stress.
link |
01:08:48.740
Does that make sense?
link |
01:08:49.580
I can-
link |
01:08:50.420
Makes sense.
link |
01:08:51.240
And I love it.
link |
01:08:52.080
As somebody who's laboratory studies
link |
01:08:52.900
the physiological effects of stress,
link |
01:08:54.240
the effects that impress me the most are, for instance,
link |
01:08:57.820
the narrowing of visual attention
link |
01:08:59.980
that then drives a capacity to parse time more finely,
link |
01:09:05.520
which then drives a capacity to process information faster.
link |
01:09:08.960
It's almost like a superpower.
link |
01:09:11.400
And yes, it can feel uncomfortable often,
link |
01:09:16.520
but I love the idea that acknowledging it, embracing it,
link |
01:09:22.000
and then understanding its power and leveraging that power,
link |
01:09:26.420
I think is in, what I like so much about that framework
link |
01:09:29.680
is that the stress response is very generic.
link |
01:09:32.520
Unlike the relaxation response,
link |
01:09:33.920
we don't actually have to train up the stress response.
link |
01:09:36.080
So we all kind of get this as a freebie.
link |
01:09:39.100
And then it sounds like it's a question
link |
01:09:40.320
of what we end up doing with that.
link |
01:09:41.780
Right.
link |
01:09:42.620
And Hans Selye, father of stress, said himself,
link |
01:09:44.680
it's a nonspecific response, right?
link |
01:09:47.040
So it occurs, it's what you're doing with it.
link |
01:09:50.080
It's how you're channeling it.
link |
01:09:51.720
And yeah, like we talked about before,
link |
01:09:53.920
what most people do is they stress about the stress,
link |
01:09:57.600
which then over-exacerbates it.
link |
01:09:59.600
Or they check out from the stress,
link |
01:10:01.320
which leads to depression and anhedonia,
link |
01:10:04.080
because by checking out from stress,
link |
01:10:05.980
you're also checking out from the things we care about.
link |
01:10:08.480
And substance abuse.
link |
01:10:09.520
Exactly.
link |
01:10:10.360
Our colleague, Anna Lemke, who also,
link |
01:10:11.720
we had the good fortune of having as a guest
link |
01:10:13.120
on this podcast, talked a lot about this,
link |
01:10:15.000
that so much of substance abuse,
link |
01:10:18.760
because she runs the addiction clinic
link |
01:10:20.080
over on the med side of campus,
link |
01:10:24.160
it takes over people's lives
link |
01:10:26.080
because of this increased ability to find a solution
link |
01:10:31.120
to the stress that then eventually becomes
link |
01:10:32.720
its own stressor and its own problem.
link |
01:10:35.900
Well, I love that mindset and framework.
link |
01:10:40.220
I'd love for you to tell us just a bit
link |
01:10:42.840
about what you're up to right now
link |
01:10:45.360
and what's most exciting to you now.
link |
01:10:47.140
If you are able or willing to talk about
link |
01:10:50.940
some of the work that's on the way,
link |
01:10:52.460
I saw a brief mention of something
link |
01:10:54.240
on your publication's website of a paper
link |
01:10:57.160
about influencers, online influencers and nutrition.
link |
01:11:00.800
That might not be the main thrust of what you're up to,
link |
01:11:02.600
but if you're able to tell us about it,
link |
01:11:04.100
sort of interesting,
link |
01:11:04.940
given that a lot of the communication
link |
01:11:06.560
in and around this podcast takes place through social media.
link |
01:11:09.480
And I've kind of launched into this landscape now
link |
01:11:12.840
where I'm constantly bombarded with health information
link |
01:11:16.480
and influencers, a term I didn't even know until a couple.
link |
01:11:21.720
You are one.
link |
01:11:22.560
Well, one could argue one way or the other,
link |
01:11:24.760
but so what is the deal with influencers?
link |
01:11:28.640
Are they doing something good for health information
link |
01:11:31.080
or are they ruining the landscape?
link |
01:11:33.860
And don't try and protect my feelings.
link |
01:11:36.240
Because I now know that stress is actually an asset.
link |
01:11:39.840
Yes, well, that work is part of a body of work
link |
01:11:44.540
that we've been sort of venturing into,
link |
01:11:47.460
which is to understand where do these mindsets come from?
link |
01:11:51.880
I mentioned sort of public health entities
link |
01:11:54.120
as one source of, say, our mindsets about stress.
link |
01:11:58.640
But I think that our mindsets are influenced
link |
01:12:01.400
by four different sources.
link |
01:12:04.360
First is our upbringing,
link |
01:12:06.160
how our parents talked about things
link |
01:12:09.180
like when we're stressed or food or other things.
link |
01:12:12.880
Second is culture and media.
link |
01:12:15.880
So movies, you know, podcasts, and now social media.
link |
01:12:24.040
Third is influential others.
link |
01:12:26.480
So what doctors say to us or close friends or peers.
link |
01:12:29.920
And fourth is your conscious choice.
link |
01:12:32.680
So, you know, we talked about that a little.
link |
01:12:34.920
You do have, we have, as humans,
link |
01:12:37.720
have the ability to be mindful of
link |
01:12:40.400
and to change our mindsets.
link |
01:12:43.140
But, you know, the social media and influencer stuff
link |
01:12:46.620
has been, in part, an attempt to understand
link |
01:12:49.760
where do our mindsets about things
link |
01:12:51.260
like healthy foods come from?
link |
01:12:53.480
And Brad Turnwald, who is a former grad student in my lab,
link |
01:12:56.560
has done a series of really interesting studies on this,
link |
01:12:59.360
showing that, you know, if you rate the nutritional quality
link |
01:13:02.800
of the, you know, top grossing movies in the last 20 years,
link |
01:13:07.980
or you look at the Instagram accounts
link |
01:13:10.180
of all the most influential people on Instagram,
link |
01:13:14.360
what you, and you analyze the nutrition content
link |
01:13:17.240
of what they're eating, what he's shown is that,
link |
01:13:20.400
you know, depending on the study,
link |
01:13:22.000
70 to 90% of those movies or influencers
link |
01:13:26.800
would fail the legal standards for advertising in the UK.
link |
01:13:31.760
So they're putting out their nutrition contents
link |
01:13:35.400
that are, you know, maybe not surprisingly,
link |
01:13:37.600
but undeniably unhealthy.
link |
01:13:40.500
And, you know, to me, that's interesting and important.
link |
01:13:44.320
It shows that where are we getting this mindset
link |
01:13:48.280
that, you know, those unhealthy foods
link |
01:13:51.000
are pleasurable, desirable.
link |
01:13:53.400
What's maybe even more interesting than that
link |
01:13:55.600
is some of the work that he and others in our lab have done
link |
01:13:59.000
to show that the ways people are talking about
link |
01:14:02.280
the foods they're eating really matter too.
link |
01:14:04.360
So generally, what we found is that
link |
01:14:06.980
when people talk about unhealthy foods,
link |
01:14:09.920
they use a language that connotes a sense of excitement,
link |
01:14:15.800
fun, sexiness, danger, indulgence,
link |
01:14:20.200
basically anything good and desirable, right?
link |
01:14:22.600
This would be like cookies, cakes, high sugar.
link |
01:14:24.800
Sorry, yeah, sorry.
link |
01:14:25.640
Just really unhealthy.
link |
01:14:26.480
Like truly unhealthy foods or, yeah,
link |
01:14:29.360
that's actually the objective,
link |
01:14:32.520
what health means is challenging,
link |
01:14:34.020
but yeah, high fat, high sugar.
link |
01:14:35.640
I think there's pretty good agreement now
link |
01:14:37.240
that excessive sugar isn't good.
link |
01:14:39.720
And highly processed.
link |
01:14:40.960
Yeah, highly processed excessive sugar.
link |
01:14:42.360
I think there's general consensus.
link |
01:14:43.720
I'm sure someone will, if you're gonna come after anyone,
link |
01:14:45.420
come after me, I'll stand behind that statement.
link |
01:14:47.780
But on the other hand, when people are talking about,
link |
01:14:50.600
if they do, which, you know,
link |
01:14:52.560
healthy foods aren't portrayed in media,
link |
01:14:54.500
they aren't portrayed by influencers, rarely ever.
link |
01:14:57.900
And when they are, they're often talked about
link |
01:15:00.120
with language that conveys a sense of deprivation.
link |
01:15:04.160
It's, you know, it's nutritious, but it's sort of boring.
link |
01:15:07.800
It's bland.
link |
01:15:08.640
It's less tasty.
link |
01:15:09.480
Recovery from the holidays.
link |
01:15:10.320
Sort of the post-holiday reset.
link |
01:15:11.760
Exactly.
link |
01:15:12.600
Right.
link |
01:15:13.440
And this is really important because, you know,
link |
01:15:16.440
you're doing all this work trying, you know,
link |
01:15:17.980
and others are doing all this work trying to inform people
link |
01:15:21.040
about what actually is good for them.
link |
01:15:23.120
And meanwhile, there's this, you know, hurricane of other,
link |
01:15:27.960
you know, a force that's telling people,
link |
01:15:31.300
that's seeping into our minds that, sure,
link |
01:15:34.400
those might be good for you, but those foods are not fun
link |
01:15:37.040
or sexy or indulgent or desirable
link |
01:15:39.340
in any way, shape or form, right?
link |
01:15:41.440
And it's also paid advertising for fast foods
link |
01:15:45.680
and sugary beverages and other things.
link |
01:15:47.640
So it's not surprising that we have this mindset
link |
01:15:52.080
that healthy foods are the less desirable thing to eat
link |
01:15:55.120
because of those cultural and social forces.
link |
01:15:58.140
What our work has just tried to do is to reveal that,
link |
01:16:01.800
you know, quantify it as a way to say,
link |
01:16:04.720
all right, let's maybe be a little bit more mindful
link |
01:16:06.880
about how we talk about healthy foods.
link |
01:16:09.480
And could, you know, if you're a movie producer,
link |
01:16:12.280
can you be a little bit more mindful to showcase healthy
link |
01:16:16.040
and delicious foods and have the characters talk about them
link |
01:16:18.560
in ways that are more appealing?
link |
01:16:20.540
There's a lot of room for people who produce this content
link |
01:16:25.360
to have an impact, not just on, you know, what people do,
link |
01:16:28.880
but what they think about the foods they're eating.
link |
01:16:31.800
It's really interesting.
link |
01:16:32.680
I hadn't thought about it until now,
link |
01:16:35.320
but it makes sense that any food that's packaged
link |
01:16:37.400
and can be sold can be woven into a film
link |
01:16:40.560
or promoted by a celebrity influencer,
link |
01:16:44.340
not a health influencer per se,
link |
01:16:46.960
but a celebrity influencer because they'll get paid, right?
link |
01:16:49.680
It's part of the ecosystem that allows them an income
link |
01:16:53.200
and it feeds back on sales to the company.
link |
01:16:55.660
And whereas things that can't be commoditized,
link |
01:16:59.940
it's more difficult, right?
link |
01:17:02.200
It's hard to, whoever makes oranges and sells oranges
link |
01:17:07.120
is unlikely to promote oranges in a celebrity post
link |
01:17:11.500
or in a movie because oranges can be purchased
link |
01:17:13.600
from many, many sources.
link |
01:17:15.040
There's no identifiable source of oranges
link |
01:17:18.380
as there is with a packaged food, for instance.
link |
01:17:20.960
Yeah, but the interesting thing we found in those studies
link |
01:17:23.400
is that it wasn't driven by promoted content
link |
01:17:27.520
or branded content.
link |
01:17:29.080
There's some of that, certainly,
link |
01:17:30.600
and yeah, all of the promoted and branded content
link |
01:17:34.440
is usually for processed high-sugar foods,
link |
01:17:37.240
but 90% or more of these foods that they were showing
link |
01:17:41.380
were not promoted or branded.
link |
01:17:43.280
And so there's a lot of flexibility
link |
01:17:47.240
in what these producers or influencers could show
link |
01:17:51.680
on their media, although it goes both ways, right?
link |
01:17:54.160
It's not just the producers
link |
01:17:56.240
and the influencers' responsibility.
link |
01:17:59.000
The public is reacting to this and we showed too
link |
01:18:01.920
that people respond more positively.
link |
01:18:05.560
They're more likes on posts about unhealthy foods.
link |
01:18:10.120
So it's a, yeah, it's a sort of distasteful
link |
01:18:15.120
and it's a distasteful culture around healthy eating
link |
01:18:20.560
and we really have a lot to do to change it.
link |
01:18:23.160
Yeah, well, it's dopamine circuits through and through,
link |
01:18:25.640
just the sight of some very calorie-dense,
link |
01:18:28.880
extremely tasty food drives those dopamine circuits.
link |
01:18:35.900
And I realized that there are people out there
link |
01:18:38.240
who derive the same sort of or similar levels of pleasure
link |
01:18:42.040
from healthy foods and that's a wonderful thing
link |
01:18:43.620
if one can accomplish that.
link |
01:18:44.640
So we just need more of that is what it sounds like.
link |
01:18:47.000
Yeah, exactly, and that's what's really inspiring
link |
01:18:49.120
to me at least is that it is possible, right?
link |
01:18:53.240
I mean, people think, oh, well, vegetables
link |
01:18:54.760
are just inherently less tasty than ice cream.
link |
01:18:57.280
And it's like, well, that's not necessarily true.
link |
01:18:59.600
Also, it doesn't have to be a competition, right?
link |
01:19:01.660
I don't have to get my three-year-old to hate ice cream
link |
01:19:05.200
in order for it to like broccoli.
link |
01:19:07.640
There's a lot more I can be doing to help shape
link |
01:19:10.040
a more positive, approach-oriented, indulgent mindset
link |
01:19:14.120
around healthy, nutritious vegetables
link |
01:19:17.760
and fruits and other foods, right?
link |
01:19:20.400
In addition to having her like ice cream, right?
link |
01:19:22.560
And that's totally fine.
link |
01:19:23.800
Sounds like a really interesting study.
link |
01:19:25.080
When it's published, will you just let me know and I'll-
link |
01:19:26.960
Yeah, I think it was actually released this week.
link |
01:19:28.920
Oh, great. I will be sure to-
link |
01:19:30.440
JAMA Internal Medicine.
link |
01:19:31.960
JAMA Internal, okay.
link |
01:19:33.840
Great journal.
link |
01:19:34.680
I will definitely talk about it on social media
link |
01:19:37.960
and elsewhere.
link |
01:19:39.980
Sounds very interesting.
link |
01:19:41.040
What else are you up to lately that's,
link |
01:19:42.980
my favorite question to ask any scientist or colleague,
link |
01:19:45.240
by the way, is what are you most excited about lately?
link |
01:19:48.840
What are you up late thinking about
link |
01:19:51.520
and getting up early thinking about?
link |
01:19:53.360
Yeah, so hands down the thing I'm most excited,
link |
01:19:56.160
well, I guess there's so many things.
link |
01:19:58.480
The thing that I'm most into right now,
link |
01:20:01.080
we're doing the most work in is, you know,
link |
01:20:02.860
I started by getting inspired
link |
01:20:04.800
by placebo effects in medicine.
link |
01:20:07.140
I did a long stint in placebo or belief-like effects
link |
01:20:11.200
in behavioral health.
link |
01:20:12.640
And now we're moving back into medicine.
link |
01:20:15.480
So I'm really interested in looking at
link |
01:20:17.840
how we can work with active drugs and treatments
link |
01:20:22.320
to make them better and make the experience of them better
link |
01:20:26.180
by instilling different mindsets.
link |
01:20:29.200
So one study we did along those lines,
link |
01:20:31.360
we worked with kids undergoing treatment for food allergies,
link |
01:20:36.600
so allergies to peanuts, for example.
link |
01:20:38.760
This was with Kari Nadeau,
link |
01:20:40.120
who's the head of the Stanford Allergy Center here.
link |
01:20:42.640
She has a great treatment for food allergies.
link |
01:20:45.520
Basically, kids take gradually increasing doses
link |
01:20:48.600
of the thing they're allergic to, like peanuts.
link |
01:20:51.860
And over the course of six or seven months,
link |
01:20:54.560
these kids become, you know, less reactive to peanuts.
link |
01:20:59.760
And the problem with that treatment
link |
01:21:01.800
is it's really difficult
link |
01:21:05.200
because they're having all sorts of negative symptoms
link |
01:21:08.160
and side effects.
link |
01:21:09.420
These kids are getting itchy mouths, an upset stomach,
link |
01:21:12.800
they're puking, and it's scary
link |
01:21:14.920
because they're literally eating the thing
link |
01:21:17.640
that they've been told might kill them, right?
link |
01:21:20.200
And what we did in the study
link |
01:21:21.960
was we attempted to improve the experience
link |
01:21:24.560
and outcomes of that by reframing mindsets
link |
01:21:28.880
about the symptoms and the side effects.
link |
01:21:31.560
So as it was being conducted before,
link |
01:21:34.200
the kids were told, look,
link |
01:21:36.200
these side effects are just an unfortunate byproduct
link |
01:21:39.120
of this treatment,
link |
01:21:40.880
and you have to sort of endure them to get through it.
link |
01:21:44.000
But what we found in our conversation with Kari
link |
01:21:46.280
was that the reality of those side effects
link |
01:21:49.120
was not so negative.
link |
01:21:50.640
In fact, they were mechanistically linked to the body
link |
01:21:55.600
learning how to tolerate peanuts or the allergen.
link |
01:21:59.280
And so what we did was we worked within a trial,
link |
01:22:02.740
they were all getting the treatment,
link |
01:22:04.640
but half of them helped to see this more positive mindset,
link |
01:22:09.240
that symptoms and side effects from this treatment
link |
01:22:12.240
were a positive signal that the treatment was working
link |
01:22:15.480
and their bodies were getting stronger.
link |
01:22:17.840
And what we found was that that mindset
link |
01:22:19.920
led to reductions in anxiety,
link |
01:22:23.000
fewer symptoms when at the highest doses,
link |
01:22:26.000
and most interestingly of all, they had better outcomes.
link |
01:22:30.120
So based on immune markers
link |
01:22:32.280
that were a sign of the allergic tolerance,
link |
01:22:34.640
those who had this mindset throughout
link |
01:22:36.280
had better outcomes to the treatment.
link |
01:22:38.620
So that's just one example.
link |
01:22:40.120
I think my goal is really to move us beyond
link |
01:22:43.560
the placebo versus drug, mindset versus behavior,
link |
01:22:50.280
to get to a place where we can blend them together
link |
01:22:53.120
and maximize the benefit of these treatments.
link |
01:22:56.000
So we're doing a lot of studies like that,
link |
01:22:59.000
how can we improve treatment for cancer
link |
01:23:01.760
with different mindsets.
link |
01:23:03.460
We've done some work recently with the COVID-19 vaccine
link |
01:23:08.600
and symptoms and side effects.
link |
01:23:10.280
So that's what I'm really passionate about right now.
link |
01:23:14.240
Incredible.
link |
01:23:15.600
I can't wait to read that study.
link |
01:23:16.760
Is that one out or on the way?
link |
01:23:18.960
Okay, well then I will also read and communicate with you
link |
01:23:22.760
and then about that study, who knows,
link |
01:23:24.040
maybe you would come on Instagram
link |
01:23:25.320
and do a little Instagram live
link |
01:23:27.620
to make sure that I don't screw up the delivery
link |
01:23:31.000
and that we can hear it direct
link |
01:23:32.560
from the person who ran the study.
link |
01:23:34.380
I find this issue of side effects really interesting.
link |
01:23:38.400
I don't take a lot of prescription drugs,
link |
01:23:40.160
but recently I was prescribed a few
link |
01:23:42.900
and the list of side effects is, you know, it's incredible.
link |
01:23:47.720
I mean, it just goes on and on and on.
link |
01:23:49.240
I realized some of that is legal protections.
link |
01:23:51.320
It's hard for me to believe that they're actually
link |
01:23:53.240
expecting anyone to read those
link |
01:23:54.460
because you need a high powered microscope
link |
01:23:57.000
to read this print, it's truly fine print.
link |
01:23:59.480
But I did realize that in reading over the side effects
link |
01:24:02.640
that you prime, one primes themselves
link |
01:24:05.620
to experience those side effects.
link |
01:24:07.300
And so now I just rip up the side effects thing
link |
01:24:09.440
and or the sheet and just throw it away.
link |
01:24:11.380
I just take it as recommended.
link |
01:24:14.260
Do you think it works in the other direction too?
link |
01:24:16.440
Where if an effective medication
link |
01:24:19.880
is supposed to have result A, B or C
link |
01:24:23.680
and you are told again and again
link |
01:24:26.000
how effective it is for that treatment,
link |
01:24:28.000
that it could amplify the effect.
link |
01:24:29.920
So in other words, it's not strictly a placebo.
link |
01:24:33.120
It's not nocebo as you described before,
link |
01:24:35.620
but that perhaps at a lower dose,
link |
01:24:38.160
a given medication could have a amplified effect
link |
01:24:41.400
or at a appropriate dose, if you will,
link |
01:24:44.280
it could have a super physiological effect.
link |
01:24:46.680
Has that ever been demonstrated?
link |
01:24:49.800
To some degree, I think where it gets tricky is
link |
01:24:52.560
for a long time people thought the effects of placebos
link |
01:24:55.320
were expectancy based.
link |
01:24:57.120
So you expect to get a benefit and that benefit occurs.
link |
01:25:02.420
There's certainly some truth to that,
link |
01:25:05.000
but I think the mindset approach is more powerful
link |
01:25:08.120
because it helps us understand the mechanisms, right?
link |
01:25:11.020
So if you just expect that your blood pressure will go down,
link |
01:25:18.400
what are the mechanisms through which that expectation
link |
01:25:21.160
would lead to your blood pressure going down?
link |
01:25:23.280
It's hard to even understand that, right?
link |
01:25:26.320
But if you have the mindset that you're in good hands,
link |
01:25:31.920
that this is being taken care of,
link |
01:25:34.800
that this illness is not going to kill you, right?
link |
01:25:39.480
That you're being treated well.
link |
01:25:41.880
Then you can start to unpack the mechanisms
link |
01:25:45.280
through which blood pressure could be relieved.
link |
01:25:47.020
Maybe it's anxiety reduction.
link |
01:25:49.560
Maybe it's changing the sort of anticipation
link |
01:25:53.920
or the prioritization of what the body needs to focus on.
link |
01:25:57.960
And so I really think that the work of the future
link |
01:26:01.920
needs to be on getting more sophisticated about
link |
01:26:05.620
what is the mindset that we're instilling
link |
01:26:07.520
when we say something will work or it won't work?
link |
01:26:09.600
And how do we understand the mechanisms
link |
01:26:12.260
through which that changes physiology?
link |
01:26:14.740
So to answer your question, I think that that could be true,
link |
01:26:17.520
but it depends on what actually is the mindset
link |
01:26:20.160
you're evoking.
link |
01:26:21.040
I know you're a parent,
link |
01:26:24.040
and to the other parents out there,
link |
01:26:25.900
but also to kids and people who don't have kids,
link |
01:26:28.660
what is the best way to learn and teach mindsets?
link |
01:26:32.000
I mean, clearly a conversation like this informs me
link |
01:26:34.940
and many other people out there about mindsets
link |
01:26:37.680
and how we can adopt them.
link |
01:26:39.220
But it also seems to me that if we have the opportunity
link |
01:26:43.760
to teach mindsets and really cultivate certain mindsets,
link |
01:26:47.200
that the world would be a much better place.
link |
01:26:49.320
Yes.
link |
01:26:50.240
How does one go about that?
link |
01:26:51.840
Given that we're kids and we are all being bombarded
link |
01:26:54.880
with conflicting information all the time,
link |
01:26:56.540
how do we anchor to a mindset?
link |
01:27:00.240
Yeah, and you're getting at my other major passion
link |
01:27:04.280
right now, which is what we're calling in our lab,
link |
01:27:07.000
meta mindset.
link |
01:27:08.640
I'm working on this with Chris Evans and others,
link |
01:27:11.120
and that is how do we consciously
link |
01:27:14.240
and deliberately change our mindsets?
link |
01:27:17.080
And the first step is really simple,
link |
01:27:20.040
and that's just to be aware that you have them,
link |
01:27:22.800
that the world, your beliefs,
link |
01:27:25.240
aren't sort of an unmitigated reflection of reality
link |
01:27:28.520
as it objectively is.
link |
01:27:30.280
They are filtered through our interpretations,
link |
01:27:32.880
our expectations, our frameworks,
link |
01:27:36.080
and simplifications of that reality.
link |
01:27:38.540
And as your work and as you know so well,
link |
01:27:43.480
most of what goes on in our brain
link |
01:27:45.080
is an interpretation of reality.
link |
01:27:47.700
Mindsets are just the simplified core assumptions
link |
01:27:50.560
about things.
link |
01:27:51.840
And the first step is to realize that we have them.
link |
01:27:56.180
The second step is to start to think about
link |
01:27:59.260
what the effects of those mindsets are on your life
link |
01:28:02.280
to sort of play out the story, right?
link |
01:28:04.220
Okay, I have this mindset that stress is debilitating.
link |
01:28:07.560
How is that making me feel?
link |
01:28:10.100
What is that leading me to do?
link |
01:28:11.680
Is this mindset helpful or harmful?
link |
01:28:15.000
The question isn't is the mindset right or wrong?
link |
01:28:17.240
Because you can find evidence for or against it.
link |
01:28:20.200
We can fight about it till we're exhausted.
link |
01:28:23.220
The question is is it helpful or harmful?
link |
01:28:26.960
And then you can go about seeking out ways
link |
01:28:31.080
to adopt more useful mindsets.
link |
01:28:34.880
So we've been doing a lot of work
link |
01:28:36.960
on how to actually do that.
link |
01:28:38.320
How do you consciously change it?
link |
01:28:39.980
Sometimes it's really simple.
link |
01:28:42.320
I think in cases where we don't have
link |
01:28:44.020
a lot of prior experience,
link |
01:28:45.220
like the kids with allergies who are getting treatment,
link |
01:28:50.240
they didn't have any other mindsets about symptoms.
link |
01:28:53.900
So we just had the luxury of setting it, right?
link |
01:28:57.080
When it comes to healthy food,
link |
01:28:58.680
I think it's harder to change people's mindsets
link |
01:29:01.500
because we have a lot of baggage weighing us down.
link |
01:29:05.000
As a parent, for me, I guess my number one piece of advice
link |
01:29:09.960
is to lighten up trying to get your kids
link |
01:29:14.300
to do certain things and focus more on helping them
link |
01:29:18.980
to adopt more adaptive mindsets.
link |
01:29:22.080
So I'm by no means an expert at this,
link |
01:29:25.500
but I'm testing it with my own child.
link |
01:29:27.820
In real time, the real kind of experiment.
link |
01:29:31.480
It's how do I resist the urge to force my child
link |
01:29:36.280
to eat her dinner so that she can have her dessert, right?
link |
01:29:39.760
Because that's the real urge.
link |
01:29:40.960
It's like, no, you need to do that.
link |
01:29:42.960
Because when you start thinking about it
link |
01:29:44.960
in terms of mindset, you realize,
link |
01:29:47.760
oh, that's just reinforcing to her
link |
01:29:50.320
that the dessert is the exciting, fun thing to have.
link |
01:29:53.560
And this thing that I have to do must be horrible,
link |
01:29:56.320
so horrible that my parent is forcing me to do it, right?
link |
01:30:00.420
So it's letting go a little bit of the behavior,
link |
01:30:04.620
the objective reality,
link |
01:30:05.920
and really thinking about the subjective reality
link |
01:30:09.400
and focusing on adaptive mindsets.
link |
01:30:12.800
So my goal as a parent has been to try to help her
link |
01:30:16.680
instill a healthy mindset about eating,
link |
01:30:19.620
that healthy foods are indulgent and delicious,
link |
01:30:22.620
that the experience of stress is inevitable,
link |
01:30:25.580
that it's natural and that it can help,
link |
01:30:29.240
going through stressful experience can help her learn,
link |
01:30:32.040
grow, and become a more connected and happier individual.
link |
01:30:36.080
And with exercise and physical activity,
link |
01:30:39.380
we haven't really gotten to that yet,
link |
01:30:40.720
but we will with time.
link |
01:30:43.080
Yeah, it's great.
link |
01:30:44.200
I wrote down, and I'm going to keep this
link |
01:30:45.880
in the front of my mind going forward,
link |
01:30:48.520
to continually ask,
link |
01:30:49.920
what is the effect of my mindset about X?
link |
01:30:52.560
And just to evaluate that, about exercise,
link |
01:30:54.800
about food, about school, about stress,
link |
01:30:56.380
about relationships, about relationship to self, et cetera,
link |
01:31:00.080
and to really think about that in a series of layers.
link |
01:31:03.000
So you think that would be a useful exercise?
link |
01:31:05.200
Definitely.
link |
01:31:06.020
And you know, and your work speaks to the,
link |
01:31:08.000
I mean, the mindful, it's not,
link |
01:31:10.880
I would, yeah, really urge against
link |
01:31:13.840
people getting dogmatic about their mindset also, right?
link |
01:31:16.800
Like, oh, I need to have the right mindset.
link |
01:31:18.560
And if I don't have the right, you know, it's like, okay.
link |
01:31:20.960
Mindset is a piece of the puzzle.
link |
01:31:23.020
It's a piece of the puzzle that's really empowering
link |
01:31:26.420
because we have access to it and we can change it.
link |
01:31:29.380
But it is just one piece of a puzzle.
link |
01:31:31.240
So treat yourself like a scientist.
link |
01:31:33.200
Look at your life, look at your mindsets,
link |
01:31:35.480
see what's serving you, see what isn't.
link |
01:31:38.400
Find more useful, adaptive, and empowering mindsets
link |
01:31:42.240
and live by those.
link |
01:31:45.720
I love it.
link |
01:31:46.720
Now, in one version of this kind of discussion,
link |
01:31:50.760
I would have asked the question I'm gonna ask next
link |
01:31:53.440
at the beginning, but I'm going to ask it
link |
01:31:56.440
now close to the end, which is you're a unique constellation
link |
01:32:00.260
of accomplishments and attributes.
link |
01:32:03.640
And I only know a subset of them, of course,
link |
01:32:06.080
because today's the first time that we've met in person,
link |
01:32:08.280
even though I've known your work for a long time
link |
01:32:09.760
and we're colleagues across campus.
link |
01:32:11.720
So you run your laboratory where you do research.
link |
01:32:15.860
You were also an athlete in university, a serious athlete.
link |
01:32:20.440
And then you're also a clinical psychologist.
link |
01:32:22.560
Is that right?
link |
01:32:23.840
I was trained as a clinical psychologist.
link |
01:32:25.600
So my PhD is in clinical psychology.
link |
01:32:28.240
And I did, you know, all my pre and post internships
link |
01:32:33.240
with stress and trauma.
link |
01:32:35.520
Do you see patients or did you see patients at that time?
link |
01:32:37.320
I did, yes, I don't anymore.
link |
01:32:39.320
Okay, that's a very unique constellation
link |
01:32:41.520
of practitioner and researcher.
link |
01:32:44.640
So what are the mindsets that you try and adopt
link |
01:32:49.000
on a regular basis as a consequence
link |
01:32:51.940
or in relation to those things,
link |
01:32:53.480
sort of athlete, researcher, clinician?
link |
01:32:56.160
You know, for yourself, as you move through life,
link |
01:32:58.400
do you have an overarching mindset
link |
01:33:00.680
that all challenge is good?
link |
01:33:04.120
Or do you have any kind of central mindsets
link |
01:33:06.800
that help you navigate through, you know,
link |
01:33:09.880
has to be a pretty complex set of daily routines,
link |
01:33:12.900
given everything that you juggle.
link |
01:33:14.520
But I think that people like you are unique
link |
01:33:17.440
in that you have the inside knowledge
link |
01:33:20.360
of how this stuff works.
link |
01:33:22.060
And you've also existed in these different domains.
link |
01:33:24.300
And I know a lot of listeners have a more athletic
link |
01:33:26.800
slant to their life or a more cognitive,
link |
01:33:30.940
or some are raising kids or some people are just,
link |
01:33:32.740
you know, are doing any number of things.
link |
01:33:34.980
So this is where I think it would be useful
link |
01:33:36.460
for people to hear, what do you do?
link |
01:33:38.540
This is what I'm asking.
link |
01:33:39.980
Yeah, well, it's certainly true in my case
link |
01:33:42.380
that research is me-search, right?
link |
01:33:45.260
Everything that I study as an intellectual
link |
01:33:48.940
has come from my own experience or my own failings, right?
link |
01:33:53.220
And when I was, you know, really intensely exercising
link |
01:33:58.500
and training, those were the questions I asked.
link |
01:34:01.820
When I was dealing with eating and, you know,
link |
01:34:04.660
concerns about my weight, those were the questions I asked.
link |
01:34:07.700
When I was stressed about my dissertation,
link |
01:34:10.940
I decided to do my dissertation on stress, right?
link |
01:34:13.580
You know, now I think we're in the midst
link |
01:34:15.580
of a global pandemic.
link |
01:34:17.260
It's, you know, how can our mindsets be useful here?
link |
01:34:22.260
You know, so I, you know, I don't think
link |
01:34:24.220
there's a obvious answer to your question
link |
01:34:27.660
other than the guiding light for me
link |
01:34:30.700
has been an undercurrent of understanding
link |
01:34:35.140
that our mindsets matter.
link |
01:34:36.140
I think I got that very clearly and deeply as a child,
link |
01:34:40.060
both through my experiences as an athlete.
link |
01:34:43.440
You know, I know many of your listeners are athletes.
link |
01:34:45.940
Any athlete knows that you can be the same physical being
link |
01:34:49.540
from one day to the next, one moment to the next,
link |
01:34:52.060
and perform completely differently
link |
01:34:54.940
just depending on what you're thinking.
link |
01:34:57.020
I was a gymnast growing up, and if you can't visualize,
link |
01:35:01.000
if you can't see something in your mind,
link |
01:35:02.560
then you have no chance when you get up there
link |
01:35:04.520
on the balance beam, right?
link |
01:35:05.860
And I also, my father was a martial artist,
link |
01:35:08.540
a teacher of meditation, so this kind of mind-body work
link |
01:35:12.040
was baked into me from an early age.
link |
01:35:15.160
And I think what I've done recently
link |
01:35:17.020
is to try to understand it scientifically,
link |
01:35:19.960
and more importantly, to figure out
link |
01:35:23.340
how can we do better with this, right?
link |
01:35:26.540
How can we, you know, we're all talking about AI
link |
01:35:29.380
taking over the world and technology this
link |
01:35:31.640
and personalized medicine that, and it's like,
link |
01:35:34.240
we have done so little, relatively so little
link |
01:35:38.600
with the human resource, our human brains,
link |
01:35:43.340
that the potential for which is so great.
link |
01:35:48.340
And we've done almost nothing, you know,
link |
01:35:51.340
take the placebo effect.
link |
01:35:53.140
We know a lot about what it is.
link |
01:35:55.420
We've done almost nothing to leverage that in medicine,
link |
01:35:59.000
consciously and deliberately.
link |
01:36:00.760
So my, what keeps me going,
link |
01:36:04.500
what gets me through the hard times
link |
01:36:06.040
is just that burning question of what is going on here
link |
01:36:09.620
and what more can I do with the power of my mind?
link |
01:36:13.040
Well, I and millions of other people are so grateful
link |
01:36:16.800
that you do this work.
link |
01:36:17.640
It's so important and it's truly unique.
link |
01:36:20.140
Tell us where people can learn more about your research,
link |
01:36:22.940
where they can find you online.
link |
01:36:24.500
I'm gonna try and persuade you to take more
link |
01:36:26.180
of a social media presence going forward,
link |
01:36:29.380
but whether or not I succeed in that effort or not,
link |
01:36:32.180
where can people find you?
link |
01:36:34.020
Ask questions, find your papers, learn more.
link |
01:36:37.340
I'd love to have you back for a conversation in the future,
link |
01:36:39.700
but in the meantime.
link |
01:36:41.060
Yeah, no, it's really, it's been such an honor
link |
01:36:43.180
getting to chat with you on just,
link |
01:36:44.820
you have such an impact on the world
link |
01:36:47.240
and I look forward,
link |
01:36:48.080
I hope we can do some science together also.
link |
01:36:50.180
Absolutely, absolutely.
link |
01:36:51.020
Yeah, all our papers and materials and interventions
link |
01:36:55.540
are housed on our website, mbl.stanford.edu.
link |
01:37:01.480
We also have a link there too,
link |
01:37:03.020
that takes you to Stanford SPARK,
link |
01:37:04.820
which stands for Social Psychological Answers
link |
01:37:07.520
to Real World Questions.
link |
01:37:08.900
We have a lot of toolkits on that website,
link |
01:37:12.640
including a toolkit for this rethink stress approach
link |
01:37:16.140
of acknowledging, welcoming, and utilizing your stress.
link |
01:37:20.460
And then I guess I'm on Twitter, oleacross.
link |
01:37:24.860
I don't do much there, but maybe I will start too.
link |
01:37:28.080
Well, those are all great resources.
link |
01:37:29.300
We will provide links to all of those
link |
01:37:31.060
for our listeners and viewers.
link |
01:37:32.920
And I also hope to convince you to write a book
link |
01:37:37.020
or many books in the future.
link |
01:37:38.760
The world needs to know about this,
link |
01:37:40.100
but thank you so much for taking time
link |
01:37:42.820
out of your exceedingly busy schedule
link |
01:37:44.700
to talk to us about these ideas.
link |
01:37:46.620
I learned so much.
link |
01:37:47.460
I'm going to definitely think about
link |
01:37:49.600
what is the effect of my mindset about blank
link |
01:37:52.300
in every category of life,
link |
01:37:54.340
and really just on behalf of everybody and myself.
link |
01:37:57.940
Thank you so much.
link |
01:37:59.300
Yeah, thank you.
link |
01:38:00.140
And I guess I just want to end by saying,
link |
01:38:01.980
I think this work is really the tip of the iceberg
link |
01:38:05.000
of what can and should be done.
link |
01:38:07.100
And so I really invite you, your listeners,
link |
01:38:10.820
and anybody who's inspired by this work
link |
01:38:13.800
if they want to share stories
link |
01:38:15.580
or want to partner on a collaboration to please reach out.
link |
01:38:20.380
Great, well, and the comment section on YouTube
link |
01:38:22.240
is a great place to do that as well.
link |
01:38:24.720
You will hear from them.
link |
01:38:25.780
Great.
link |
01:38:26.620
All right, great.
link |
01:38:27.460
Thank you so much, Allie.
link |
01:38:28.340
Thank you.
link |
01:38:30.120
Thank you for joining me for my conversation
link |
01:38:31.860
with Dr. Alia Crum.
link |
01:38:33.900
I'm guessing by now you can appreciate the enormous impact
link |
01:38:37.420
that mindsets have on our biology and our psychology
link |
01:38:40.900
and how those interact at the level of mind and body.
link |
01:38:44.540
If you'd like to learn more about Dr. Crum's work
link |
01:38:46.780
and perhaps even be a research subject
link |
01:38:49.000
in one of their upcoming studies on mindsets,
link |
01:38:51.540
you can go to mbl.stanford.edu.
link |
01:38:55.120
There you will also see a tab for support,
link |
01:38:58.000
where if you like, you can make a tax deductible donation
link |
01:39:01.120
to support the incredible research
link |
01:39:02.860
that Dr. Crum and her colleagues are doing.
link |
01:39:05.040
If you're learning from
link |
01:39:05.960
and or enjoying the Huberman Lab Podcast,
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01:39:08.120
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01:39:09.900
That's a terrific zero cost way to support us.
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In addition, please subscribe to us on Apple and Spotify.
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01:39:33.540
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link |
01:39:35.180
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link |
01:39:37.380
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01:39:38.500
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01:39:41.060
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01:39:42.860
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01:39:47.020
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link |
01:39:48.980
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link |
01:39:50.460
And there I teach neuroscience in short form,
link |
01:39:53.460
sometimes videos, sometimes text slides.
link |
01:39:55.780
Some of that information overlaps
link |
01:39:57.300
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link |
01:39:58.660
Some of it is distinct from what you find on the podcast.
link |
01:40:01.380
On previous episodes of the Huberman Lab Podcast,
link |
01:40:03.860
I often discuss supplements.
link |
01:40:05.380
While supplements aren't necessary or used by everybody,
link |
01:40:08.380
many people derive tremendous benefit from them.
link |
01:40:11.180
An important consideration when using supplements
link |
01:40:13.140
is that they be sourced from the highest quality sources.
link |
01:40:16.440
For that reason, we partner with Thorne, T-H-O-R-N-E,
link |
01:40:19.520
because Thorne supplements use the highest quality
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01:40:21.340
ingredients and the greatest degree of precision
link |
01:40:23.680
in terms of what's listed on the bottle
link |
01:40:25.140
is actually what you will find in their products.
link |
01:40:27.820
And that is not true for all supplement companies.
link |
01:40:29.620
If you'd like to see the supplements that I take,
link |
01:40:31.180
you can go to Thorne, that's thorne.com
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01:40:34.420
slash the letter U slash Huberman.
link |
01:40:36.980
And you can get 20% off any of those supplements.
link |
01:40:39.620
In addition, if you navigate into the Thorne site
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01:40:41.860
through that portal, thorne.com slash U slash Huberman,
link |
01:40:45.100
you can also get 20% off any of the other supplements
link |
01:40:47.780
that Thorne makes.
link |
01:40:49.020
In closing, I'd like to thank you once again
link |
01:40:50.620
for joining me for my discussion about mindsets
link |
01:40:52.960
with Dr. Alia Crum.
link |
01:40:54.700
And as always, thank you for your interest in science.
link |
01:40:57.500
And I'll see you in the next one.