The Dr. Hyman Show - How To Strengthen And Repair Our Relationships With Others

Episode Date: March 20, 2023

This episode is brought to you by Paleovalley, ButcherBox, and Athletic Greens. Depending on what form they take, our relationships with others can either make our lives fulfilling and joyful or stres...sful and even sad. Everyone has the intention to live well and feel happy, but so many of our choices derail us from those goals. Investing our time and energy into our relationships (even the one we have with ourselves) might be the key. In today’s episode, I talk with Dr. Robert Waldinger, Esther Perel, and Angelika Alana about why relationships are so important to our health and how to be the best version of yourself in them. Dr. Robert Waldinger is a professor of psychiatry at Harvard Medical School, director of the Harvard Study of Adult Development at Massachusetts General Hospital, and cofounder of the Lifespan Research Foundation. Dr. Waldinger received his AB from Harvard College and his MD from Harvard Medical School. He is a practicing psychiatrist and psychoanalyst, and he directs a psychotherapy teaching program for Harvard psychiatry residents. Dr. Waldinger is also a Zen master (roshi) and teaches meditation in New England and around the world. Esther Perel, psychotherapist and New York Times bestselling author, is recognized as one of today’s most insightful and original voices on modern relationships. Fluent in nine languages, she helms a therapy practice in New York City and serves as an organizational consultant for Fortune 500 companies around the world. Her celebrated TED Talks have garnered more than 30 million views and her bestselling books, Mating in Captivity and The State of Affairs, are global phenomena translated into nearly 30 languages. Angelika Alana is the founder and CEO of the Somatic Healing Institute. She has been featured in Vanity Fair, Well+Good, and Modern Luxury. She certifies coaches and facilitators in her transformational body-based healing method. She has traveled and studied extensively in Indonesia, Brazil, Australia, and the UK, and is a massive foodie with her husband Patrick Drake, cofounder of Hello Fresh. This episode is brought to you by Paleovalley, ButcherBox, and Athletic Greens.  Paleovalley is offering my listeners 15% off their entire first order. Just go to paleovalley.com/hyman to check out all their clean Paleo products and take advantage of this deal. For a limited time, new subscribers to ButcherBox will receive two pounds of 100% grass-fed, grass-finished beef free in every box for the life of your subscription plus $20 off. To receive this offer, go to ButcherBox.com/farmacy. Right now when you purchase AG1 from Athletic Greens, you will receive 10 FREE travel packs with your first purchase by visiting athleticgreens.com/hyman. Full-length episodes of these interviews can be found here: Dr. Robert Waldinger Esther Perel Angelika Alana

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Starting point is 00:00:00 Coming up on this episode of The Doctor's Pharmacy. When you feel like there's somebody in the world who's got your back, that's what each of us needs in order to thrive, in order to feel okay. Hi, this is Lauren Feehan, one of the producers of The Doctor's Pharmacy podcast. Relationships are a key factor when it comes to creating better health, happiness, and joy in our lives. And we know loneliness is a major stressor and risk factor for disease. But it's not always easy. Many of us are carrying around old baggage, easily triggered and stuck in ruminating thoughts that began in childhood.
Starting point is 00:00:36 It takes work, but investing our time and energy into our relationships and ourselves pays off in so many ways. In today's episode, we feature three conversations from the doctor's pharmacy on why relationships are an integral part of good health and how to improve them. Dr. Hyman speaks with Dr. Robert Waldinger on how we can get to know each other better, with Esther Perel on why we fight and how to repair, and with Angelica Alana on working on ourselves to show up best in our relationships. Let's jump in. How does connections and relationships foster health? And how does loneliness biologically create disease and shorter lifespans? Because that's fascinating to me as a functional medicine doctor.
Starting point is 00:01:21 I kind of want to know the why and the cause. Absolutely. Well, let me give an example. So let's say you have something really upsetting happen during your day, right? And you find that you're thinking about it, you're kind of ruminating about it. And then at the end of the day, there's somebody you can talk to. Maybe somebody at home, or maybe you call somebody up, somebody who's a good listener, a sympathetic listener. You can literally feel your body calm down as you get to talk about it, right? And you can literally feel your body return to equilibrium from that fight or flight mode, that agitation. Because what we know is that when you're upset,
Starting point is 00:02:06 that your body secretes stress hormones, circulating levels of cortisol go up, inflammation goes up, and then the body's meant to return to equilibrium. But what if you don't have anybody to talk to about what's upsetting you? And so what we find is that good relationships seem to be stress regulators. It's quite amazing. I noticed when I was researching in my book on longevity that I came upon a study that cuddling actually changes your epigenome, that just physical affection and connection. And it's true, you know, when you're with people who you have a deep connection with, who love you, who, you know, their nervous system is also sort of grounded, I would say,
Starting point is 00:02:57 I just feel my nervous system start to kind of calm down at the same time. And I think that the data on all this, really around social genomics, which is what is the biology and the effects of our social relationships and connections on our gene expression and everything downstream from that, that you talked about, like inflammation. It's really, it's quite amazing. And so this is, this is really an important study because it, you know, it wasn't focused so much on what makes people sick, but what makes people thrive, right? What makes people live a long time and have a happy life? So what was sort of the surprising and interesting findings? What were the surprising and interesting findings that you had from the study? What are the important lessons that you
Starting point is 00:03:37 learned about relationships in particular, but also in general, when you had this sort of, you know, 80 years of data on all these men who you studied. Yeah. Well, the finding that relationships keep us happier and healthier was a surprise at first. It began to emerge in the 1980s. And at first, people running our study didn't believe the data because, yeah yeah we know the mind and the body are connected you know how could your relationships at age 50 predict whether you're going to get type 2 diabetes in older age or whether you're going to get arthritis how could that possibly happen and then other studies began to find the same thing and And that's where we begin to believe it.
Starting point is 00:04:25 So no one study, even my famous longitudinal study, 85 years, no one study of this kind can prove anything. But if you have many studies pointing in the same direction, then we begin to have much more confidence. And we began to say, my gosh, this is real. This is powerful. And so I think one of the things that surprised us is the finding that loneliness and poor quality relationships are as damaging to your health as cigarette smoking, as obesity. So that these things that we consider so dangerous for us
Starting point is 00:05:08 are no more dangerous than isolation and loneliness. Yeah. Yeah. And it's so interesting. We have such a, quote, connected society, but we're still often so isolated and disconnected from each other. We we have social media but it doesn't feel very social often drives more stress in our nervous systems than than actually healing from the nature of the way we kind of interact and it's just uh it's kind of a it's kind of a weird moment i think in history where we've lost our tribal communities we've lost our connections we live in these nuclear families or these single-parent families i was a single parent. And, you know, we kind of navigate life in these little bubbles of isolation. And, you know, it's unusual to see today, you know, big extended families and
Starting point is 00:05:54 communities and, you know, you have to really work at it. So I wonder, you know, how did these people actually cultivate it? What were the life skills and hacks that allowed them to keep, maintain, build, and nurture these relationships that actually determine their healthspan and their lifespan? Well, one thing to point out is that not everybody was successful at cultivating this. So some of the stories in our book, we have stories of our real participants, and their names are disguised to protect their privacy. But we have stories about their lives, and not all the stories are happy. Not all the stories have happy endings, because some of these people weren't successful. But the ones who were seem to get it that making relationships a priority, no matter where you were at home,
Starting point is 00:06:49 at work, out in the community, that focusing on people really made a difference, really helped you cultivate this kind of well-being. And so some of our folks got it right away. Some of our folks got it right away. Some of our folks learned that lesson as they got older, as they had more life experience. You know, yeah. I was sort of thinking about my father, you know, and how isolated he was. I mean, he was married, but he really kind of focused on his career and focused on being successful and kind of lost a lot of his friends and ended up, you know, really without a lot of friends as he got older. And then I invited him to this men's work.
Starting point is 00:07:35 I've done men's work for 30 years. And we had this thing called Spirit Camp. And we would go up to this sort of camp, like a YMCA camp, on top of this mountain in the Berkshires. And I invited him to come, and my friend invited his father to come. And they were both like the same age, 79 years old. And they were both kind of New York Jews from Brooklyn. They both were kind of atheists. They both joined the Navy at 17.
Starting point is 00:08:04 They were very similar. They were both were, you know, joined the Navy at 17. They were very similar. And they were all tall, interesting characters. And they kind of bonded and developed this incredible friendship. And I saw how much it enriched my father's life. And even on his deathbed, like this guy, Jerry, his friend was calling him on the phone. And, you know, I just realized how important those things are. And we often don't prioritize them in our lives. And I think it sounds like, you know, I just realized how important those things are. And we often don't prioritize them in our lives. And I think it sounds like, you know, the people in the study who prioritize them actually did much better. We asked our original people this question. We said, who could you call in the middle of the night if you were sick or scared.
Starting point is 00:08:47 And some people couldn't list anybody. Oh, my goodness. Some people who were married couldn't list anybody. And then some people could list several people. And I think what your dad found was a friend. He found a real friend who would call him when he was sick and who would be there, who would have his back. And I think one of the things we've learned is so powerful from our study is what we call in my jargon, secure attachment, that when you feel like there's somebody in the world who's got your back,
Starting point is 00:09:20 who you could go to if you were really in trouble, That's what each of us needs in order to thrive, in order to feel okay about our lives. Yeah, it's true. I mean, I don't want to make this about me, but just reflecting on how true this is. I remember when I was a little boy, I was very isolated. I was kind of a weird, nerdy kid. I hid in my room, read a lot of books.
Starting point is 00:09:43 It's paid off in the end. Yeah, me too. Paid off in the end yeah paid off in the end but uh me too i you know i really didn't have anybody who who saw me as a kid and then i went out west and i i went backpacking i was 18 i met this guy on the top of this mountain and we were both going to be in ithaca in the fall and you know we we kind of bonded and we we really have this incredible friendship for like 45 years. And he just, I'm in Baja, and he just left. And we had this, you know, mountain biking trip here. And, you know, we talked and we just like, I don't, he's been such an integral part of my life throughout everything. And has helped me feel like I have that secure attachment, like I have somebody to call.
Starting point is 00:10:22 And now I've obviously developed many, many more people I can call, but it's having that gave me a sense of being okay. Like somehow life was quite different before and after that experience. So I don't know how to tell people to form those attachments or how do you find those people? How do you build that? Like, I just wonder if there were any insights from the study about how to actually create it. Cause you can say, oh, I want you to eat more vegetables. Okay, I got that. Oh, I want you to exercise more. Okay, I got that.
Starting point is 00:10:48 But I want you to have deeper connections and relationships. How do you get here to there if you're in that isolation stage? Well, one thing is to be active. So you and your friend had to arrange that he would come be with you in Baja, right? You both had to go out of your way. You had to carve out the time. You had to make the arrangements. You had to be active. And I think one of the things many of us, myself included, can fall into is the sense of, oh, my good friends are my good friends. The friendships will take care of themselves. I don't really have to do anything. And what we came to understand from our research is, is something that, that
Starting point is 00:11:30 we're thinking about as a kind of social fitness analogous to physical fitness where, you know, you work out one day and then you don't say to yourself, well, I've done that. I don't have to do that ever again. Right. You don't do that. Right. And the same vegetable, I don't good now. Exactly. Exactly. So you don't do that. You say, okay, I need to, I need to have a routine. I need to, this is a practice both of self-care, you know, of diet, of exercise, but also a self self-caring practice of tending to important relationships. So part of it is actively maintaining the relationships that you've built to make sure they stay close, get closer. Another then is if you're isolated, to find ways to have contact with people. And often, one of the best ways is to have contact
Starting point is 00:12:28 around a shared interest. So you happened to meet your friend on a mountaintop, which meant that you were both interested, at least that day, in taking a break, right? Yeah. So and you could connect around the trail, around nature, you could share things, right? So what if you volunteer for a cause you're passionate about? And so you might be shy. But if you're, if you're right next to people who also care about climate change, or about saving the world in some other way or about gardening or about golf, fishing or whatever, right? Fishing, anything that what you find is that the shared interest provides a place to start conversations and that by starting those conversations, you can begin to get to know someone. I'll say one more thing, which we find constantly, is that bringing curiosity is a huge benefit to making a relationship. So we all love
Starting point is 00:13:36 it when somebody is curious about us. Like, you know, Mark, if I ask you more about yourself, you'll want to talk about it, right? You know, you asked me about my Zen Mark, if I ask you more about yourself, you'll want to talk about it, right? You know, you asked me about my Zen life, and I told you about it a little bit before we started this podcast. And so what we find is that when you ask people about themselves, they feel your interest. They feel seen. And when they get to tell you about themselves they feel known and so if you can just bring bring curiosity you don't have to bring anything else uh notice something you know i noticed something in your zoom background in your
Starting point is 00:14:16 notice something that's on a co-worker's desk you know a photo or a little object, just be curious and you will strike up conversations that turn out to be meaningful. You know, Robert, I think you just hit on something so fundamental, which is that all of us want really one thing, which is to be seen and known and heard and gotten, you know, and how rare that is and how simple it is to actually create that experience for someone by just being curious about them. Tell me more about yourself or ask, like, you know, like I went to dinner with some friends here in Mexico. I said, so how did you guys meet? What's your love story? And then the whole, like, it was like an hour and a half conversation and it was great. It was so entertaining and fun. And, you know, they felt
Starting point is 00:15:05 like we cared about them and it deepened our connection. And so I think, I think it's not that hard to do, but so many of us are just tired and burnt out and focused on what we have to do and getting through the next thing and, you know, on our own lives. And, but, but stopping that and taking a breath and, and actually figuring out how to get curious about people in your life will 100% create real connections. So that's such a beautiful, beautiful nugget. And I think we kind of lost the art of questions. I have a friend, Andrew, who's like, he's like the master. Like he'll just go in and ask you these piercing questions that you literally, you know, probably may or may not
Starting point is 00:15:45 want to share with anybody, but like they get, they get to the real essence of what matters and what you care about and who you are. And, and those are, now they're just talking about the weather or whatever. It's like having a more, a more deeper sense of inquiry about another person's heart and soul and mind. It's a beautiful, it's beautiful. So that's a great nugget. You know, the other thing we can do is we can do that with people we think we know really well. So research tells us another interesting thing. So how much do you know your partner?
Starting point is 00:16:14 Let's say you're in an intimate partnership. What they find is that we're most attuned to our partner's feelings when we first get together. Because think about it. You're trying to figure out, is this person into me? Like, what's going on with this person, right? So you're really paying attention. And then what they find is that partners know each other less well, they know each other's feelings less accurately, the longer they're in the relationship, you would think it would be the opposite. So one of the tips that
Starting point is 00:16:46 we find we can give to people for livening up old relationships is to bring that curiosity to a relationship, to somebody you feel you know everything about. One of my Zen teachers taught me this. The instruction in a meditation was, what's here right now that I have never noticed before? And if you could bring that curiosity to, you know, having dinner with your longtime partner, that could get you into a much more interesting and interested space. I do couples therapy. I have a real predilection for working with couples because I find it one of the most fascinating relational systems that we have at this moment. A couple can really induce bliss and hell in a level that is amazing.
Starting point is 00:17:41 So do families, for that matter. And I work with families as well. Here's the thing. It used to be that when people came to couples therapy, they came actually for their children. They didn't come to couples therapy. They came and slowly we would identify that there was something maybe in the relationship that also was interacting with the challenges that the
Starting point is 00:18:06 child was having. Couples therapy really became a discipline of its own in the center that it is today when the expectations around intimate relationships began to rise. The more we expect from the couple and the more we need couples therapy to help us with those expectations when the couple was not the central unit of the family but because the family was more important than the couple and people stay together for the family yeah today not the children and not the family it really will keep people together they may keep them a few more years but ultimately
Starting point is 00:18:44 what keeps people together is the quality of the relationship between the two people. Yeah, right. So therefore, couples therapy becomes a much more sought-after practice. I don't just do communication. I was thinking, I was editing another podcast session, and it's an incredible session. It's the first session of season five that I'm producing now.
Starting point is 00:19:08 And they come in and he says, you know, we are both people who like things to be done, who like to do things our way. And I said, that's okay. That's interesting. But what I'm hearing also is that you are two people who like other people to do things your way. Yeah, that's what they meant. Right.
Starting point is 00:19:30 So then I ask, you know, on what how did you learn, you know, to say yes. And how did you learn to say no? a whole story of how basically his father would continuously belittle him, lecture to him, be contemptuous. We would start with the conversation, son, and then what followed was often berating him for all the things that he wasn't doing right and living up to expectations. And she grows up with a drug addicted mother, father who commits suicide. And she is the adult in the house from that little girl raises her two children. They say to me at one point, we fight about everything we don't communicate. And I say, I don't think you fight about everything at all. Actually, I think you're fighting about the same thing all the time. The moment he experiences you as saying to him, you're incompetent.
Starting point is 00:20:34 You're not doing it well. You're not doing it right. He is in that original wound of him, of his. And the moment he says, you're not going to tell me what to do. You know, I'm doing it. I'm out of here. And he goes for a break. You think I'm once again, all alone with all the responsibilities and the four children on my shoulders. And I will always be alone. And I will never have anybody by my side. And you fight about that original wound. That's what every argument is actually about. The same story over and over.
Starting point is 00:21:09 You know, and that was so illuminating for them that it wasn't about the chore chart that they had she had made. And it wasn't about the kids. And it wasn't about his parents. It was about, you know, I don't want to be inadequate. And I don't want to be alone. Those were the themes that each one was really, and then we started to work. So that becomes different than just communicating. How do you say things nicer?
Starting point is 00:21:37 Yeah, yeah. How do you get people to kind of move past those really primordial conditionings of childhood? That's the $64,000 question. Yes. I think the most important thing is that you teach people two things. When I say teach, it means you help them see two things. You help them separate the past from the present. The fact that this brings back vividly the experience of back then doesn't mean that it is actually what used to happen back then. The past and the present sometimes feel like they come together into one, but they are not.
Starting point is 00:22:18 And the second thing is that you then say at seven, you were helpless. At seven, you couldn't respond. At seven, you couldn't just leave the house and say, this is dangerous for me to be here. You, you know, whereas now you are an adult and you have choices. So, and then you go and you basically help them, first of all, through the body to separate the past from the present. In this moment, I get that tension, like I want to start fighting, like this man was a master of defiance, you know, but he got all his confidence through defiance, which means that it was pseudo confident.
Starting point is 00:23:07 And when she would actually say, go ahead and do things, I'm with you, I support you, then he would start to talk about all his doubts. He was always sure only when he was in opposition. When he was in a fight, and he knew what he wanted. But when he had somebody who was actually loving and giving, then he didn't know what to do with himself. And you go through the body and you track the feeling because a feeling is also embodied, you know, then you articulate the experience. And then you know what I really did with them, I really had a lot of fun, they had a lot of fun. I said lay down flat on the floor.
Starting point is 00:23:38 And then I said now continue the argument. Do you know that you can't fight when you're lying flat? Yeah. Or if you take your clothes off, I think that's another thing I've heard from couples, everybody take their clothes off. It's hard to have a fight. You know, it's like we are meant to fight in straight up position like mammoths, you know? So then it opened up a completely different, and it went from the fighting to the action behind the fighting, which is often the fear of loss, which is often, will you leave me? Will you be there for me? Et cetera. And then you go deeper, deeper, deeper. And that takes some time.
Starting point is 00:24:17 That's so beautiful. Esther, you've been at the front seat of literally probably hundreds, if not thousands of relationships in ways that most people don't ever have insight into by simply the virtue of your job. Just like I've seen so many people who've been sick. You've seen so many people who've had relationship challenges. So in that perspective, looking back after decades of doing this, what do you define as the success of relationships day to day? Like what are the keys to a successful relationship? And what are the things that really destroy relationships?
Starting point is 00:24:48 Yeah, I will start with what destroys. And I'm taking notes. I'm taking notes. I will really refer to the work of John Gottman and John and Julie Gottman here on what destroys them. You know, they have a wonderful way of kind of separating between the masters and the disasters. And they talk about the four horses of apocalypse.
Starting point is 00:25:10 Yeah. And basically what will kill relationships is chronic criticism, defensiveness, stonewalling, and the killer of them all is contempt. Because contempt, and this we know also in large scale traumas is contempt is the dehumanizing contempt is whatever you feel or think is irrelevant and doesn't matter you don't even reach me so that those those four horses of apocalypse i think kind of summarize things well and add a lot of things. Defensiveness. Criticism, defensiveness, and stonewalling, basically shutting down, right?
Starting point is 00:25:49 Shutting people out. Yes, yes. Being walled off. And contempt, which is basically, you know, shame is one side and contempt. Shame is contempt for oneself and contempt for the other. It goes in both directions. Yeah. I think when I once wanted to write a paper,
Starting point is 00:26:11 I wanted to write a paper about what are creative couples. Because we talk about lasting couples, we talk about stable couples, but we rarely talk about what is creative couples or what you may include in successful couples. And what was fascinating is what you said before. The majority of people, when I said, do you know couples who have a spark, couples who inspire you? And people would, on occasion, come up with one, maybe two, often none.
Starting point is 00:26:42 It was really scary to them because if I said, can you come up with entrepreneurs, with artists, with writers, with intellectuals, people have lists of people that inspire them. But here is everybody wanting to be in a relationship and not many people, you know, can think about, yeah, I like that. I want to do this. I never wrote the paper because what people ended up saying seemed rather banal to me, as in, I know that. But then I have been sitting on this thing for years thinking, actually, maybe it's not that known. But what they said was this, and that was very interesting. This is not in order. One is admiration. Admiration for your partner. It's not respect.
Starting point is 00:27:28 It's different. Admiration always implies a level of idealization. It's I look up to you. I admire you for who you are as a person, as a human being. More than just in your role as a partner, as a parent. So that was one big one. Two, the relationship is basically a foundation with wings. Meaning there's a solid anchor of trust.
Starting point is 00:28:05 And that solid anchor of trust interacts with the ability to take risks in life and in the relationship and to be playful. It's what I often have looked at the combination between or the integration between our need for security and safety and predictability and reliability and our need for change and novelty and exploration and discovery. These two fundamental human needs. I think that the best relationships have a nice balance between what is togetherness and what is separateness. They have, people have their own lives. But before I even continue, I think the best thing to say is this, there is no one size fits all. It's all, yeah, yeah. I can't tell you one. It's like you with health. It's not like you have a sense in health that it's an interaction
Starting point is 00:28:51 of different parts. Of course, yeah. But if it is more of this or more of that, you know, some couples have Venn diagrams that are completely overlapping. They do everything together. They spend all their time together, and it works beautifully yeah and some other very creative and successful couples are much more differentiated and actually they have a strong core but with big individual lives you know separate yeah so there is no one size fits all i really would love that to be actually my opening line to your question before I even say what makes for success. People who feel free in a relationship, that makes for success. For sure, people who feel oppressed or under surveillance or who have to constantly lie or hide or, you know, not say what they bought or what this, you know, that kind of stuff. Those are major differences that I would add to the Gottman list.
Starting point is 00:29:47 You know, it's a degree of autonomy matched with a deep sense of belonging. These two together is a beautiful dance. It's beautiful. But I think there's some really practical ways that you talk about for people to achieve whatever it is their best relationship is, right? Boundaries, routines, rituals. You know, what are the kinds of things that you help people establish within their relationship to build that foundation, that structure? Because it's not something that we know automatically. It's not something we actually are taught. How do you help people build those structures in those relationships and help them get to that?
Starting point is 00:30:25 So it's very interesting. This couple that I was mentioning before where he kind of walled himself off with no needs because he was all alone and there was nobody who could help him anyway. And she is like permeated by all these voices. I thought that I had done a rather limited session with them i really thought i didn't really reach them i didn't really go underneath the noise etc and then i get a letter today that you never know you know you never know about how much some of the tiny things that i did that i thought were almost slightly you know they were not basically i would say it's one thing to say how about you tell esther about this versus
Starting point is 00:31:16 shutting your partner up and talking for them of course you want to to bring something up but you also want to let them tell their own story. How about when you have a problem or a question about sex or about children, you don't first go to your mother and grandmother, but you also go first to your partner. Yeah. And you set a boundary with all the people from your family so that you can create a more sacred space with your partner. The boundary is not always inside the relationship. It's between the relationship and the outside
Starting point is 00:31:50 world. How about you are able to make a request that isn't a protest. So say what you need rather than what the other person is or is not doing. Just make a request and stick to that. And adding up these things, basically, they write to me three weeks later and say, there's been a fundamental shift. We haven't had a single fight. I was able to no longer go and talk to my mother about everything. He feels much more open to me because I'm much less critical with him. And I appreciate his openness. And that makes me more fond of him. And that makes him more sexual with me and more expressive of his desire for me. And it becomes the opposite of the escalation in the negative direction is now kind of escalating.
Starting point is 00:32:39 Yeah. The going up in the positive direction. That's the work. Yeah, it's so powerful. It's so powerful. One of the things that you've learned after decades of working with couples and relationships that are sort of nuggets of wisdom that you would lead people with about that could help them with relationships that they may be struggling with. You know, what are the things that people should anchor to? And, of course, there's your book, Mating in Captivity and the State of Affairs and your podcast and all that,
Starting point is 00:33:07 which is great. People should dive into that in your TED Talks. But I wonder if you could kind of distill down what you've really learned. The first thing I would say, and I think I have really, really learned it from the millions of people that listen to Where Should We Begin,
Starting point is 00:33:24 is that you're not alone. These days, on the one hand, we have unprecedented expectations of our couples' lives. But at the same time, we are also in a machine of fake news on social media. So people curate and posture and filter and you kind of don't know where is the truth you know when people lived in the village you hear you heard the fights of the neighbors and you heard the frolics of the neighbors now your best friends can come and tell you that they're breaking up and you never saw it coming yeah right nobody tells you the truth about what goes on in the couple's relationships and yet and then you're left thinking these are everybody's great right they're doing great and we are alone with our problems.
Starting point is 00:34:07 And so I think really Where Should We Begin showed me that when you listen deeply to the stories of others, you see yourself in front of your own mirror. And you don't feel as alone and you get the tools for the conversations that you want to have. I think that's the first thing I really realized that this is a unit that doesn't talk. Friends talk to friends. Couples often talk to nobody about what's really going on. They may be struggling with infidelity. They may be struggling with infertility. They may be struggling with bipolarity and mental health issues. They may be struggling with unresolved grief. They may be struggling with economic hardships, with unemployment, with addictions, and they won't talk about it to anybody because they have to present themselves a certain way. And it breaks
Starting point is 00:34:56 my heart sometimes to see how alone people are with some of these major, major challenges. So that's the first thing I've really learned is to make sure that that's part of the game too is to give people a tool to make hard conversations less difficult the second thing that i have really learned is this couple that i was describing where i thought oh my god this is you know they really came in to say, we need you to tell us, are we broken? Are we beyond repair? And I thought, at the end of the session, I thought, I don't know where this is going. And I have been so many times surprised by people where I think there's not much left here.
Starting point is 00:35:41 And then when you change one thing like this woman she stopped trying to change him and she went ahead and took responsibility for her contribution and she changed a few things about her own behavior and it just unleashed a cascade of changes for the for the better and that is a real important piece. Sometimes it looks like everything is interconnected and it's like impossible heap of nuisance. And yet, if you make one shift, it has the power because systems are interdependent parts to activate everything else.
Starting point is 00:36:24 That's the second thing that is very important. The third thing is that there is a big difference between what you feel inside and how what you experience inside affects the people around you. You may be depressed and feel weak and hopeless and helpless and anedoniconic but when you are in relationship with those who love you you often wield all the power yeah because you activate everybody around you to try to make you feel better to give you advice to lift you up and in the end they feel defeated and deflated like you so power doesn't always come from the top down. Power often comes from the bottom up,
Starting point is 00:37:10 from places that are not nearly that obvious. I think we really don't understand enough the complex interplay of power dynamics in relationships. If you want to change the other, change yourself. And maybe the last thing I would say is beyond most issues that people argue about, there generally are three themes. Control and power, care and closeness, and respect and recognition. Whose priorities matter? Who has the power here can i trust you do you have my back yeah and do you value me yeah those are huge these are these
Starting point is 00:37:56 are the three major themes that many many couples basically struggle, but it comes in the forms of talks about sex and money and family and, but that's not the issue. It's not the issue. It's the emotional crucible in which those issues play off. How do we know if we're in a toxic relationship versus a healing relationship? Well, step one is you're in projection. You're not aware of your own integrated pain, your partner's pain, and you're blaming one another essentially, and trying to have that person meet your needs and refusing to meet your own needs, which is a big one. I want you to say all the things. Yeah. Yeah. Well, I think that's the first fallacy relationship that our partner's job is to meet our needs. That is not their job.
Starting point is 00:38:44 Ding, ding, ding. That's our job. That's our job. Yes. Yes. And that points to, which is very useful information. So when we see that in ourselves, we don't have to shame ourselves. We can look at that and go, okay. So for example, me, I had this unmet need in my childhood. So my greatest unmet need from my perspective as a child was that I just needed a safe and stable place. So before I did this healing work, I was running around looking for a man to give me a safe and stable place, but refusing to give it to myself. And that was my inner 10 year old running my love life and sex life. And most of us who haven't done any relational healing work have a 10 year old,
Starting point is 00:39:23 a 12 year old, a seven year old running our love life and our sex life. Yeah. Which is, I didn't get this need met. And I'm going to find someone who reminds me of the person who didn't meet the need. And I'm going to play out my unfinished business with my parents, with them and hope that they meet the need, even though I'm refusing to meet it myself. So yes, step one, owning your needs, which by the way, actually makes it easier for other people to meet your needs. That's the kind of like mind bending part of that. When you, when you come to someone and you're not saying I need you to do this or else, and you say, you know, I recognize it's my responsibility to create a safe and stable place for me. And I will always be the one to do that for myself. And if I, you know,
Starting point is 00:40:01 I will always come back to at least aiming to do that for myself. I know it's my responsibility, but can you help me? Different energy, right? And so moving into a healing relationship is taking ownership of your own work. And then who are the people in your life, whether it's romantic partners, friends, family members, who empower you to do your own work. They can't do it for you, but they can love, support, encourage, and empower you to do your own personal development work to, as the cliche, become a better person through them loving you, supporting you, and you doing your own work. A toxic relationship is one in which you feel consistently disempowered from doing your healing work. Yeah. You know, it's interesting. I found a new framework that's really helped me in my current relationship, which has really been extraordinary. And that is
Starting point is 00:40:57 there's me, there's her, there's us. And then there's this third entity which is the the stuff that we bring into the relationship you know the traumas the triggers the fears that aren't really who we truly are but are things that we've brought in and instead of being obstacles they're opportunities to actually together hold them outside of the container of the relationship and look at them and be curious about them and explore them without judgment, without fear or without having to have a certain outcome, but just in an honest, clear and curious way, go, hmm, gee, this is coming up for me and instead of me going oh that means you don't like me or that means blah blah blah it's like oh okay uh this is interesting where
Starting point is 00:41:55 is that from what's that about you know how am i showing up that's creating that or where is that a place where we can learn about what's driving us and how do we become free from it it's a very different framework you know because i often see people sort of in relation again you know i'm not meeting you're not meeting my needs you're not meeting my needs it's like it's like i'm not going to do what you want me to do until you do what i want to do and it's like this crazy weird dynamic that just doesn't get anywhere and it's it's like it's it's like if you look at love as a container for creating your own spiritual evolution then it becomes a very different perspective uh on how to actually be in the relationship it's not about it's not about
Starting point is 00:42:42 them fixing you or you fixing them it's about being curious together about how to evolve together yes and individually yes and what you just described so beautifully is what we touched on earlier which is this idea of undifferentiating unblending from your reaction but still looking at it and sharing about it curiously one of my good friends, Sadhu Simone is an amazing Buddhist teacher. And he says, the quality of your curiosity is the quality of your liberation. And I love that. It's what you're saying. It's can I create enough space to look at what I'm feeling, not disassociate from it, not disconnect, not shove it down. No, have it leak out sideways. But can I just have enough space so we can be curious about what's here and learn how to grow from it and shift from when i win you lose or vice versa this win lose power struggle yep into how do we compassionately and creatively get both of
Starting point is 00:43:40 our needs met takes creativity yeah or how do we how do we actually realize that our happiness isn't really about the other person meeting our needs but us becoming whole human beings and meeting each other as two whole human beings in the context of love it's something we don't really have a model for we're not i certainly you know did not have that model for me as a boy. It certainly isn't modeled in our culture. It's certainly modeled in books and movies and TV. And so we're kind of flying blind a little bit. And what's really exciting is that there's sort of this emerging consciousness around love and sexuality and redefine what love is that kind of is exploring
Starting point is 00:44:25 a totally new way of thinking about it. I read a book called All About Love by Bell Hooks, who's recently died, a woman who was really insightful, talking about the nature of love. And it kind of was great because it kind of taught me that a lot of the ideas, the concepts, the beliefs, the conditioning, the norms are kind of fabricated. And what would love look like if we kind of shed those? And we ask ourselves, you know, what do we want? How do we create a different way of being with someone? whether they're triggers or things that cause us to kind of have some physical sensation or body of fear or disconnect as a gift as an opportunity to look at ourselves and to look at what's happening and to be able to transmute that into a really different way of relating to somebody
Starting point is 00:45:17 yes yes and we need skills it's about upsk right? I didn't know about conscious communication, right? I didn't know about regulating my nervous system. I didn't know about being hijacked by my emotions, my reactions and my triggers or how to get space from that. Like that's my aim is to upskill my clients, right? Not just the somatic healing work, but also to give them and upskill them in relationships, in sex. Like what are the skills we actually need to succeed? Because, and also this healing relationship, it's not about perfection, but you do want, as you're sharing, what is the vision and intention for your relationship? It might look totally different. Is it that you want to spiritually evolve together? Is it that you want to create a safe space to do your own healing such that your relationship
Starting point is 00:46:02 becomes a healing presence for your kids, for your family, for your community. Like what is the intention of even being with one another? Like why are you together so that when you forget, because Lord knows you will, hopefully one of you can remain in your mature adult and can help to empower the other to remember why we're here, to remember what is the style of communication we've agreed on. We don't use name calling. We don't use raise voices. I love you, but I won't allow that. That's not within our framework. We have different skills. We have a different intention and learning how to repair after rupture. Because even if you have all the best intentions, me and my husband have,
Starting point is 00:46:42 we still, I still act like a petulant child sometimes and i think oh wow still got work to do but i have the skills now to repair yeah exactly yeah i think that's right i think you know a lot of us it's almost like you know we wouldn't imagine getting in a car where you know everything was unpredictable where the car was for right which we've left the brakes was time on the gas would go forward, you know, it would flip around backwards. I mean, we wouldn't we'd be terrified. But that's exactly how we navigate emotionally in relationships. It's like, like some crazy person driving the car. Right. And blaming and blaming the other person in the passenger seat for you know, how it's's driving exactly and and so learning how to kind
Starting point is 00:47:25 of get a hold of the control a control switch is on our amygdala which is our ancient we call it our fight or flight response but in medicine we learned they were the four f's the feeding which is our baby around food fight or flight and reproduction that was the fourth f i thought you were going to say fawn flight fight freeze flight fawn but no i like that the fourth f yes very important and so our behavior really is often triggered by these ancient survival mechanisms that aren't really serving us anymore yes and i'm sort of curious about a lot of these ancient techniques around embodied sexuality. And there's more and more talk about it. There's more courses that people can take. There's things
Starting point is 00:48:14 that actually help people discover that. And I'm super curious about it and exploring it myself. And I think that it's sort of almost criminal that we don't have a cultural narrative of how to get through these challenging aspects of love relationship and sexuality and that's why your work is so important sort of gives people a roadmap you know to figure things out which which really we don't have a language for we don't have a framework for and yet and yet it exists i mean it's it's been there throughout you know historical cultures uh you know whether it's tantra or other you know ways of thinking about love relationship uh healing the mind perception buddhism all of it you know i think
Starting point is 00:48:57 a friend of mine wrote susan pie wrote the four noble truths of love you know it's like it's all about how do we how do we get out of this sort of projection of our of our conditioning our trauma our lineages and bring that into relationship and and actually start to heal that that that's really what seems like the work that we have to do because right now we're in such a divisive society there's so much conflict you know not just in relationship in love relationships in family relationships, in family relationships, but in society as a whole. I mean, it's just sort of staggering to me the amount of conflict. I mean, there always was, I guess, throughout history, but it just seems to be ramped up and polarized more than I've ever known. I mean, America didn't seem to be two Americas before,
Starting point is 00:49:43 and now it seems to be completely two Americas, which is so tragic. Yeah. I mean, Ken Wilber, who I mentioned earlier, describes expansion of consciousness as the ability to expand what we're aware of and care for. So to both be aware of and caring of. And I think that for me, that looks like, and what I see people learn how to do through the somatic healing work is hold more complexity with care that I can make a mistake. I can hurt myself or someone else, and I can still be a good human being.
Starting point is 00:50:16 I'm still worthy of love. I'm still, I can have a really period of low of depression and be overcome with sadness. And I'm still valuable. I still have value. There's this complexity, this ability to hold more with more care. And I think if we each were able to do that on an individual level, we'd be able to hold more complex human beings in front of us that people can say something you don't like and still be worthy of love and belonging. People can have a different opinion to you and still be worthy of your time and connection you know yeah it's so true i mean i deal with all sorts of people as a doctor i can't choose who comes in my office i can't choose what
Starting point is 00:50:55 they believe what their religious beliefs are their political beliefs and at the end of the day everybody's a human being and that's where i start and and you know i you know i remember one day my office had a muslim a christian a rabbi i had a top republican the top democrat it was like it was like the united nations of medicine or something and i and i was like you know what this is all so crazy we're all just struggling with the same things we all care about the same things we all want to be happy we all want our families to be good we all want to live in a better world i mean you know we all have different views of how to get there for sure but i think that that uh our common humanity has been forgotten and and that just really breaks my heart and
Starting point is 00:51:40 it seems to me that your work is really about getting connected to your own humanity and your own center of the universe where you're actually an embodied human that's looked at yourself carefully, that's healed the things that need to be healed, that's learned how to love yourself and others in a more integrated way. It's the most important work we have to do. I remember reading a quote. I can't remember the exact one uh from dalai lama but essentially it's like we want to heal the world we have to start with ourselves you know and i think yeah it may seem like a narcissistic pursuit but it really isn't if we don't take care of ourselves we can't be there in the world to show up for others you know and i think that's what it's all about yeah and the body doesn't discriminate you
Starting point is 00:52:26 know your body if whatever mistakes you make you know your body's just striving even when even when we're sick the body's always striving to try and deal with the toxins and the stress and everything to try and create um a homeostasis it's like our body doesn't discriminate and what's so beautiful about the body is it's always right here right right now. Your body is never anywhere else, but right here, right now. And that's what I really love about this powerful path of body-based healing. And I think that when we get in touch with our body, we do become more present. And when we're connected to our body, I believe we're connected to the gift of getting to be alive of you, this moment, this body, this life, exactly as it is right now. And that's, for me, has been the most profound
Starting point is 00:53:11 pathway or gateway into better sex and liberation and truly allowing myself to be seen by my husband, which I found excruciatingly vulnerable, right? I knew how to do the fourth F, but did I know how to make love, how to be seen? No, that took me learning and developing and better relationships, learning how to love my darkness and still say, wow, okay, that was not kind or I lost my temper there and I'm still worthy of love and belonging to take responsibility for. And then that allows me to do it with other people. I look, okay, wow, that person lost their temper. They didn't feel good. Okay. They're still with it. Can we repair? So it's like all of this
Starting point is 00:53:50 work internally that does bleed outward and that is really tangible. That's what I love about the body too, is you have an experience of it. It's not just ideology. It's not just concept. You feel it in your own way, through your own lens, whether it's spiritual or religious or secular, and then you have that experience and no one or nothing can take it from you. I hope you enjoyed today's episode. One of the best ways you can support this podcast is by leaving us a rating and review below. Until next time, thanks for tuning in. Just a reminder that this podcast is for educational purposes only. This podcast is not a substitute for professional care by a doctor or other qualified medical professional. This podcast
Starting point is 00:54:32 is provided on the understanding that it does not constitute medical or other professional advice or services. If you're looking for help in your journey, seek out a qualified medical practitioner. If you're looking for a functional medicine practitioner, you can visit ifm.org and search their find a practitioner database. It's important that you have someone in your corner who's trained, who's a licensed healthcare practitioner, and can help you make changes, especially when it comes to your health.

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