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May 2024
52m 35s

[Hors-serie] Rewire your dopamine system...

GREGORY POUY
About this episode

Anna Lembke est une psychiatre de renom,  et diectrice de la clinique de médecine de l'addiction et du double diagnostic de l'université de Stanford  et autrice de "Dopamnine nation".

C'est la médecin de référence dans le documentaire "the Social dilemna"  (derrière nos écrans de fumée) que vous avez sans doute vu! Autant dire que c'est une invitée qui mérite très largement un épisode en anglais.


Je vous propose une conversation approfondie sur le monde fascinant de l'addiction, de l'emprise des opioïdes aux dépendances numériques qui façonnent nos vies modernes. 

Anna partage son point de vue sur la façon dont notre recherche du plaisir conduit à une douleur accrue et à la dépendance, en se plongeant dans les mécanismes du cerveau, le concept de déséquilibre de la dopamine et les répercussions psychologiques de nos choix de mode de vie.

Nous évoquons également le travail remarquable d'Anna dans ce domaine, mis en lumière dans son livre « Dopamine Nation », et sa participation au documentaire percutant « The Social Dilemma ».

 En outre, elle aborde le sujet controversé des psychédéliques tels que la psilocybine et la MDMA, en examinant à la fois leur potentiel thérapeutique et les dangers de la dépendance.

Cet épisode regorge d'histoires marquantes, de conseils d'experts sur la gestion de la dépendance et du point de vue unique d'Anna sur les raisons pour lesquelles la société doit s'efforcer de faire preuve de modération dans notre monde d'abondance constante. 

Que vous luttiez contre vos propres addictions, que vous connaissiez quelqu'un qui en souffre ou que vous soyez simplement fasciné par la psychologie humaine, cette conversation ne manquera pas de vous éclairer et de vous inspirer. 

Installez-vous confortablement pour un épisode qui offre non seulement des défis, mais aussi des voies pleines d'espoir vers la guérison et l'équilibre.

Les questions que l'on traite :

1. Can you explain how the brain's response to opioids can lead to increased pain rather than relief?

2. You mentioned a gradual tapering off approach for stopping opioid use. What are the key stages of this process, and why is it preferred over abrupt cessation?

3. In regards to digital device addiction, what are some practical strategies individuals can adopt to manage their device use effectively?

4. How does the pursuit of the perfect self through biohacking and social media contribute to addiction? Can you provide examples?

5. Discussion on "dopamine nation" suggests a mismatch between our ancient brain wiring and today’s world of abundance. How does this mismatch contribute to modern day addictions?

6. What role do governments, schools, and corporations have in addressing the global dopamine deficit state you mentioned? Could you outline some interventions they could implement?

7. Considering the positive and negative impacts of psychedelics you discussed, how should regulations around the therapeutic use of substances like psilocybin and MDMA evolve?

8. With your deep dive into the impact of exercise on dopamine production, what advice would you give to someone looking to balance pleasure and pain through physical activity?

9. You shared an impactful story about a patient named Jacob. Could you discuss how individual stories like his shape your approach to addiction treatment and public advocacy?

10. The concept of an "addictive personality" was briefly mentioned. Could you delve deeper into how understanding one’s baseline dopamine levels and genetic factors could aid in personalized addiction treatment plans?



Timelaps : 

00:00 Pleasure and pain co-located in brain. Opponent-process mechanism.

05:26 Balancing pleasure and pain for better well-being.

09:41 Swimming provides resistance and rhythmic breathing benefits.

12:09 All drugs release dopamine, but preferences vary.

14:56 Overcoming struggles to find joy again.

20:46 Internet addiction and self-reflection on behavior.

22:25 Using addictive substances to self-medicate mental illness.

27:11 Genetic predisposition increases vulnerability to addiction.

28:23 Work and exercise become addictive in today's world.

33:19 Dopamine nation: Ancient wiring vs modern abundance.

35:33 Overstimulation has led to global dopamine deficit.

39:11 We remember pleasure, forget pain and gremlins.

41:22 Documentary reveals technology's addictive impact on society.

45:57 Identify phone habits, use consciously, avoid addiction.

47:52 Limit smartphone use by turning it off.

51:48 Addiction affects everyone in modern society.


Traduit avec DeepL.com (version gratuite)

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