1 00:00:00,530 --> 00:00:02,960 The following content is provided under a Creative 2 00:00:02,960 --> 00:00:04,370 Commons license. 3 00:00:04,370 --> 00:00:07,410 Your support will help MIT OpenCourseWare continue to 4 00:00:07,410 --> 00:00:11,060 offer high quality educational resources for free. 5 00:00:11,060 --> 00:00:13,960 To make a donation or view additional materials from 6 00:00:13,960 --> 00:00:19,790 hundreds of MIT courses, visit MIT OpenCourseWare at 7 00:00:19,790 --> 00:00:21,040 ocw.mit.edu. 8 00:00:28,900 --> 00:00:30,810 PROFESSOR: What stresses you? 9 00:00:30,810 --> 00:00:34,270 You don't have to divulge something deeply personal, but 10 00:00:34,270 --> 00:00:38,050 in a general way stresses people? 11 00:00:38,050 --> 00:00:41,220 AUDIENCE: Lack of sleep 12 00:00:41,220 --> 00:00:41,500 PROFESSOR: Yeah, lack of sleep's 13 00:00:41,500 --> 00:00:42,907 a pretty good stressor. 14 00:00:42,907 --> 00:00:44,157 AUDIENCE: Exams. 15 00:00:47,245 --> 00:00:48,530 PROFESSOR: Exams and stuff like that, 16 00:00:48,530 --> 00:00:49,770 grades stuff like that. 17 00:00:49,770 --> 00:00:51,020 What else? 18 00:00:53,020 --> 00:00:55,070 So let's make up some things. 19 00:00:55,070 --> 00:00:58,270 Exams and grades if you're student, right? 20 00:00:58,270 --> 00:01:00,900 Deadlines of any kind throughout your life will 21 00:01:00,900 --> 00:01:02,260 stress you. 22 00:01:02,260 --> 00:01:05,430 Traffic when you're trying to get to the airport to make 23 00:01:05,430 --> 00:01:08,460 that flight, or trying to get to your job interview and 24 00:01:08,460 --> 00:01:10,380 traffic is twice as bad as you thought. 25 00:01:10,380 --> 00:01:11,910 Somebody in front of you seem to be driving 26 00:01:11,910 --> 00:01:13,160 exceptionally slowly. 27 00:01:17,310 --> 00:01:19,977 Sometimes family relationships, I think even in 28 00:01:19,977 --> 00:01:24,600 happy families, there's points of stress in terms of a how 29 00:01:24,600 --> 00:01:26,250 different views are dealt with. 30 00:01:26,250 --> 00:01:28,140 Maybe if you're a college student, what the rest of your 31 00:01:28,140 --> 00:01:33,260 life will be like, where it's not four years all set out in 32 00:01:33,260 --> 00:01:34,690 front of you approximately, right? 33 00:01:34,690 --> 00:01:37,890 But what the rest of your life will be about and mean that 34 00:01:37,890 --> 00:01:41,680 can be a stress if people talk too much it to you about that. 35 00:01:41,680 --> 00:01:45,240 What does not stress you compared to what we might 36 00:01:45,240 --> 00:01:48,480 imagine throughout evolution was stressful for 37 00:01:48,480 --> 00:01:50,370 mammals like us? 38 00:01:50,370 --> 00:01:53,770 You're mostly not worrying about being eaten or eating 39 00:01:53,770 --> 00:01:55,500 another person for dinner, right? 40 00:01:55,500 --> 00:01:59,380 OK that's not an everyday stress for you, but that's an 41 00:01:59,380 --> 00:02:03,100 everyday stress for mammals who're trying to survive 42 00:02:03,100 --> 00:02:05,770 because they're the food of another group, right? 43 00:02:05,770 --> 00:02:08,750 And trying to get their own food to live. 44 00:02:08,750 --> 00:02:13,250 So the kinds of stressors we now have in an industrialized 45 00:02:13,250 --> 00:02:17,520 economy or post-industrial economy is incredibly 46 00:02:17,520 --> 00:02:19,860 different than the stressors that occurred 47 00:02:19,860 --> 00:02:22,830 for most of our evolution. 48 00:02:22,830 --> 00:02:25,450 And I'm going to take a lot of these points from a wonderful 49 00:02:25,450 --> 00:02:27,835 book from a wonderful researcher and writer, Robert 50 00:02:27,835 --> 00:02:31,450 Sapolsky, Why Zebras Don't Get Ulcers. 51 00:02:31,450 --> 00:02:33,330 He asks in that sense what stresses a zebra? 52 00:02:33,330 --> 00:02:37,490 They're not worried about exams and deadlines and MCATS 53 00:02:37,490 --> 00:02:39,760 and things like this, right? 54 00:02:39,760 --> 00:02:43,760 OK what are the forms of stress that they face. 55 00:02:43,760 --> 00:02:46,990 And they're things like serious physical injury, 56 00:02:46,990 --> 00:02:51,910 predators and starvation, very fundamental things about 57 00:02:51,910 --> 00:02:54,110 living and surviving. 58 00:02:54,110 --> 00:02:58,640 Not careers, jobs, timetables, the kind of world we mostly 59 00:02:58,640 --> 00:03:01,580 live in, unless we have a health threat. 60 00:03:01,580 --> 00:03:03,440 And so what stress is, is the psychological and 61 00:03:03,440 --> 00:03:06,550 physiological response to a stimulus, a stressor, that 62 00:03:06,550 --> 00:03:09,830 alters the body's equilibrium. 63 00:03:09,830 --> 00:03:12,400 And when we talk about stress we can talk about two forms of 64 00:03:12,400 --> 00:03:15,370 it-- acute, what's instantaneous; and chronic 65 00:03:15,370 --> 00:03:17,350 what's consistent and goes on. 66 00:03:17,350 --> 00:03:22,070 So acute, physical stress would be an injury, chronic 67 00:03:22,070 --> 00:03:26,550 things are hunger or cancer, long term problems. 68 00:03:26,550 --> 00:03:30,110 An acute psychological stress would be a deadline, a chronic 69 00:03:30,110 --> 00:03:32,650 one would be chronic work pressure if you have it 70 00:03:32,650 --> 00:03:35,620 throughout the semester. 71 00:03:35,620 --> 00:03:40,840 An acute stressor socially is humiliation, a chronic one 72 00:03:40,840 --> 00:03:42,260 might be isolation. 73 00:03:42,260 --> 00:03:44,300 And we'll come back a little bit actually to social 74 00:03:44,300 --> 00:03:48,380 rejection as a stressor later on. 75 00:03:48,380 --> 00:03:51,030 So, Sapolsky's idea is this, that for animals in the 76 00:03:51,030 --> 00:03:54,630 wilderness, and for us maybe for a long time in evolution, 77 00:03:54,630 --> 00:03:58,840 stress is typically acute, physical, and responsive. 78 00:03:58,840 --> 00:04:03,650 Something happens, it's about your bodily survival, 79 00:04:03,650 --> 00:04:05,280 and then you act. 80 00:04:05,280 --> 00:04:08,650 For people in the world we live in, in this room, stress 81 00:04:08,650 --> 00:04:11,480 is often chronic, psychosocial-- 82 00:04:11,480 --> 00:04:13,600 it's not a physical threat mostly that's happening to 83 00:04:13,600 --> 00:04:15,950 you, it's something about your sense of yourself in the 84 00:04:15,950 --> 00:04:17,440 world, how you relate to people, how you 85 00:04:17,440 --> 00:04:19,350 relate to your goals-- 86 00:04:19,350 --> 00:04:20,600 and it's anticipatory-- 87 00:04:22,860 --> 00:04:24,970 we talked about it for pleasure also, the 88 00:04:24,970 --> 00:04:29,420 anticipation of reward turns on your dopamine system once 89 00:04:29,420 --> 00:04:33,110 you know what the reward will be, not the reward itself. 90 00:04:33,110 --> 00:04:37,250 But when it comes to fearful things, we also know that we 91 00:04:37,250 --> 00:04:38,730 can have dread. 92 00:04:38,730 --> 00:04:41,980 We dread upcoming things for quite some time before they 93 00:04:41,980 --> 00:04:44,020 even get here if we think they're going to be pretty 94 00:04:44,020 --> 00:04:45,030 unpleasant. 95 00:04:45,030 --> 00:04:48,350 And there's a neat study from Greg Berns about the 96 00:04:48,350 --> 00:04:51,640 neurobiology of dread in people. 97 00:04:51,640 --> 00:04:55,540 So it's an fMRI study, and in a way that was approved by 98 00:04:55,540 --> 00:04:56,630 human subjects. 99 00:04:56,630 --> 00:04:59,060 They were waiting for a cutaneous electrical 100 00:04:59,060 --> 00:05:00,340 shock to the foot. 101 00:05:00,340 --> 00:05:02,730 So it's a shock that's enough to be unpleasant but not 102 00:05:02,730 --> 00:05:04,610 enough to be dangerous. 103 00:05:04,610 --> 00:05:07,830 And people signed up voluntarily to do it, and at 104 00:05:07,830 --> 00:05:09,580 each trial you sit in the scanner. 105 00:05:09,580 --> 00:05:12,990 You're told what's the voltage level is going to be, compared 106 00:05:12,990 --> 00:05:16,370 to the most unpleasant they use in that experiment, and 107 00:05:16,370 --> 00:05:18,650 how long until it comes. 108 00:05:18,650 --> 00:05:22,400 So the voltage is how painful it's going to be, the duration 109 00:05:22,400 --> 00:05:25,900 of time, and something about how long dread can develop in 110 00:05:25,900 --> 00:05:28,830 anticipation of a painful stimulus. 111 00:05:28,830 --> 00:05:31,450 And at first you just got the got the warning, and here 112 00:05:31,450 --> 00:05:32,750 comes the pain. 113 00:05:32,750 --> 00:05:34,350 After a while, you get a choice and this is the 114 00:05:34,350 --> 00:05:35,720 interesting thing. 115 00:05:35,720 --> 00:05:37,770 Would you rather get, for example you could think about 116 00:05:37,770 --> 00:05:41,360 this, 90% voltage, that is, 9/10 as bad as the whole 117 00:05:41,360 --> 00:05:43,970 experiment ever has it, in three seconds-- 118 00:05:43,970 --> 00:05:46,150 so something pretty painful, pretty fast-- 119 00:05:46,150 --> 00:05:50,710 or would you rather have 60% voltage in 27 seconds. 120 00:05:50,710 --> 00:05:52,430 So you can decide for yourself, which would you 121 00:05:52,430 --> 00:05:53,170 rather have? 122 00:05:53,170 --> 00:05:53,890 And you can see the 123 00:05:53,890 --> 00:05:56,930 trading-off in people's choices-- 124 00:05:56,930 --> 00:06:00,540 the actual physical pain, which is greater than 90% 125 00:06:00,540 --> 00:06:03,980 versus the period of dread, the anticipation of something 126 00:06:03,980 --> 00:06:07,310 miserable coming up in the case where it's less pain but 127 00:06:07,310 --> 00:06:08,790 a longer run up. 128 00:06:08,790 --> 00:06:11,040 And what they found is that people varied in interesting 129 00:06:11,040 --> 00:06:12,420 ways, and they find some [INAUDIBLE] 130 00:06:12,420 --> 00:06:15,560 of this, but they found that what they call the extreme 131 00:06:15,560 --> 00:06:18,920 dreaders, that they would prefer more voltage now than 132 00:06:18,920 --> 00:06:21,410 to wait for any shock later on. 133 00:06:21,410 --> 00:06:25,440 Like, get it over with now, it's more painful for me to 134 00:06:25,440 --> 00:06:27,130 sit there and wait for something even though there's 135 00:06:27,130 --> 00:06:29,850 no painful stimulus than to just get it over with now. 136 00:06:29,850 --> 00:06:31,900 And maybe we all know the relief that when we anticipate 137 00:06:31,900 --> 00:06:34,670 something bad, having it happen sometimes is almost a 138 00:06:34,670 --> 00:06:39,070 relief to be past all that miserable dread. 139 00:06:39,070 --> 00:06:42,280 So, where in the brain does some of this occur? 140 00:06:42,280 --> 00:06:45,320 So, one area that we'll come back to-- a couple different 141 00:06:45,320 --> 00:06:47,830 areas-- one area I want to focus on is this middle of the 142 00:06:47,830 --> 00:06:50,380 brain, this area called the cingulate. 143 00:06:50,380 --> 00:06:54,100 And here, regardless of time and in all subjects, the more 144 00:06:54,100 --> 00:06:56,850 voltage you got, the bigger the brain response. 145 00:06:56,850 --> 00:06:59,230 OK, that's not very surprising, it's in a part of 146 00:06:59,230 --> 00:07:00,890 the brain-- we'll come to this a little bit later-- that's 147 00:07:00,890 --> 00:07:03,900 involved in the interpretation of pain. 148 00:07:03,900 --> 00:07:07,290 More voltage you get, it's easy to interpret it as worse. 149 00:07:07,290 --> 00:07:08,820 And then you say, what's the difference in the people who 150 00:07:08,820 --> 00:07:11,850 are the extreme dreaders, the people who would say no matter 151 00:07:11,850 --> 00:07:15,430 how bad the pain, I would rather have it now than wait 152 00:07:15,430 --> 00:07:18,470 for a lesser pain for a few more seconds. 153 00:07:18,470 --> 00:07:21,080 Give me the worst now, I have to get it over with. 154 00:07:21,080 --> 00:07:24,290 And what they found in the brains of those individuals, 155 00:07:24,290 --> 00:07:27,450 shown in red in this figure, is that even before anything 156 00:07:27,450 --> 00:07:30,970 was coming on in the same brain areas that responded to 157 00:07:30,970 --> 00:07:35,100 the pain, there was a rise in activation as if the pain was 158 00:07:35,100 --> 00:07:36,110 already happening. 159 00:07:36,110 --> 00:07:38,670 The same areas that are involved in responding to the 160 00:07:38,670 --> 00:07:42,090 pain, especially in the people who dreaded it the most, who 161 00:07:42,090 --> 00:07:46,240 would take more pain now to avoid the wait, those parts of 162 00:07:46,240 --> 00:07:50,170 the brain are already showing a pain-like response before 163 00:07:50,170 --> 00:07:52,040 anything has arrived, a physical 164 00:07:52,040 --> 00:07:53,390 manifestation of dread. 165 00:07:55,940 --> 00:07:57,660 So let's go back to mortality for a moment. 166 00:07:57,660 --> 00:08:01,810 So, in 1900, think about this, what were the major causes of 167 00:08:01,810 --> 00:08:04,670 death in the United States? 168 00:08:04,670 --> 00:08:07,680 And they were mostly from infectious disease and 169 00:08:07,680 --> 00:08:08,320 childbirth. 170 00:08:08,320 --> 00:08:11,800 Childbirth was extremely dangerous in 1900. 171 00:08:11,800 --> 00:08:15,100 So the most common causes of death were pneumonia, 172 00:08:15,100 --> 00:08:16,600 tuberculosis,-- 173 00:08:16,600 --> 00:08:18,940 if you know about this it won't surprise you, but if you 174 00:08:18,940 --> 00:08:20,720 haven't studied this in history recently-- 175 00:08:20,720 --> 00:08:25,740 influenza, flu, in 1918 it killed more Americans than 176 00:08:25,740 --> 00:08:29,520 World War I, which was high at that year it was killing many, 177 00:08:29,520 --> 00:08:32,059 many people, and childbirth and especially of course, 178 00:08:32,059 --> 00:08:33,860 that's going to be in young women. 179 00:08:33,860 --> 00:08:38,230 How about a few years ago in 2007, which is roughly now, 180 00:08:38,230 --> 00:08:40,000 how many people are dying of these things? 181 00:08:40,000 --> 00:08:43,100 Not so many in the United States, they're dying of 182 00:08:43,100 --> 00:08:45,580 diseases that are conceptualized as cumulative 183 00:08:45,580 --> 00:08:48,950 damage diseases, not an infection but things like 184 00:08:48,950 --> 00:08:51,790 heart disease, where over many years a combination of 185 00:08:51,790 --> 00:08:57,080 lifestyle and stress might harm your heart function, 186 00:08:57,080 --> 00:09:01,420 might promote the growth of cancer, might promote a stroke 187 00:09:01,420 --> 00:09:04,500 or cerebral-vascular disorders including stroke. 188 00:09:04,500 --> 00:09:08,140 And many of these diseases are viewed as a combination of 189 00:09:08,140 --> 00:09:11,920 long-term lifestyle things, maybe exposure to toxins in 190 00:09:11,920 --> 00:09:14,180 the environment, and some mixtures of those. 191 00:09:14,180 --> 00:09:19,780 Not a one-time, one-shot infection or child delivery, 192 00:09:19,780 --> 00:09:22,170 but long slow processes that finally 193 00:09:22,170 --> 00:09:24,970 culminate in mortality. 194 00:09:24,970 --> 00:09:28,310 So, many of our current ideas about stress come from a 195 00:09:28,310 --> 00:09:32,570 researcher named Hans Selye And in the 1930's, it turns 196 00:09:32,570 --> 00:09:34,870 out, he's one of the main people thinking about stress 197 00:09:34,870 --> 00:09:37,670 as an important thing in our life, but he was infamously 198 00:09:37,670 --> 00:09:41,130 not good for his handling of rats in the laboratory. 199 00:09:41,130 --> 00:09:44,010 Now have any of you handled rats in a 200 00:09:44,010 --> 00:09:46,160 laboratory by your hands? 201 00:09:46,160 --> 00:09:48,010 I see one hand going up there, any others? 202 00:09:48,010 --> 00:09:51,850 OK, how easy is it to handle them ? 203 00:09:51,850 --> 00:09:54,120 When you pick them up and do stuff, are they like thank you 204 00:09:54,120 --> 00:09:57,480 very much, I knew it was time for injection or time for 205 00:09:57,480 --> 00:09:59,860 feeding or whatever you do with them? 206 00:09:59,860 --> 00:10:00,540 No? 207 00:10:00,540 --> 00:10:02,820 Are they kind of squirreling around a lot and wiggling and 208 00:10:02,820 --> 00:10:05,820 not very happy when you pick them up, on the whole? 209 00:10:05,820 --> 00:10:08,260 About as happy as we would be if a giant picked us up and 210 00:10:08,260 --> 00:10:12,040 shook us, and injected us with the stuff for the day? 211 00:10:12,040 --> 00:10:17,870 I was only involved in one rat experiment ever and I can't 212 00:10:17,870 --> 00:10:19,870 claim to be a great success like Selye , but I can claim 213 00:10:19,870 --> 00:10:21,520 to be as bad as he was with handling rats. 214 00:10:21,520 --> 00:10:23,790 Because it was kind of scary, they were really mean and want 215 00:10:23,790 --> 00:10:24,340 to get out of your hand. 216 00:10:24,340 --> 00:10:25,590 Of course, from their perspective they're just 217 00:10:25,590 --> 00:10:27,960 trying to live the life they were meant to lead and you're 218 00:10:27,960 --> 00:10:29,700 fighting with them and you're forcing them into this thing 219 00:10:29,700 --> 00:10:30,870 that thing to get injected, and 220 00:10:30,870 --> 00:10:33,930 they're squirreling around. 221 00:10:33,930 --> 00:10:35,650 So, he was doing an experiment where they had extracted 222 00:10:35,650 --> 00:10:37,340 ovarian chemical, and they were trying to figure out what 223 00:10:37,340 --> 00:10:38,210 it does at the time. 224 00:10:38,210 --> 00:10:40,460 He injected the rats daily. 225 00:10:40,460 --> 00:10:43,620 And he was pretty bad, by his own admission, he would drop 226 00:10:43,620 --> 00:10:46,360 them on the floor and they would scurry behind tables. 227 00:10:46,360 --> 00:10:48,880 He would hunt them down and drag them out. 228 00:10:48,880 --> 00:10:50,970 And he would do this day in, day out for months because 229 00:10:50,970 --> 00:10:53,540 they were on a daily experimental schedule. 230 00:10:53,540 --> 00:10:56,490 And what he found, after months of this sort of 231 00:10:56,490 --> 00:10:59,960 inadvertent nonstop stressing of the rats, because of course 232 00:10:59,960 --> 00:11:02,300 the better thing to do if you're skilled is to just pick 233 00:11:02,300 --> 00:11:03,660 them up with authority, inject them, and 234 00:11:03,660 --> 00:11:05,710 put them back, right? 235 00:11:05,710 --> 00:11:09,030 All the fighting and stuff from the poor handling is not 236 00:11:09,030 --> 00:11:10,680 making them any happier. 237 00:11:10,680 --> 00:11:14,210 What he found in them is peptic ulcers, ulcers in their 238 00:11:14,210 --> 00:11:18,930 eating system, enlarged adrenal glands, shrunken 239 00:11:18,930 --> 00:11:21,920 immune tissue, but it wasn't about the ovarian chemical, it 240 00:11:21,920 --> 00:11:23,260 was also in his control rats. 241 00:11:23,260 --> 00:11:26,330 Basically he was giving all of them stress-induced 242 00:11:26,330 --> 00:11:28,760 physiological changes. 243 00:11:28,760 --> 00:11:31,640 And what he was impressed by, and many other people too, is 244 00:11:31,640 --> 00:11:35,410 that you can expose rats to a whole huge range of stressors, 245 00:11:35,410 --> 00:11:38,330 different things you do in their environment, and they 246 00:11:38,330 --> 00:11:42,260 all seem to converge on these ulcers, these enlarged adrenal 247 00:11:42,260 --> 00:11:44,340 glands, and shrunken immune tissue. 248 00:11:44,340 --> 00:11:46,190 A lot of different things that can stress you seem to 249 00:11:46,190 --> 00:11:49,330 converge upon a common biological pathway and 250 00:11:49,330 --> 00:11:51,320 consequences for the animal. 251 00:11:51,320 --> 00:11:54,340 So stress response is similar in a broad array of stressors, 252 00:11:54,340 --> 00:11:57,620 and if they go on for too long, people get sick, the 253 00:11:57,620 --> 00:11:59,360 chronic stress. 254 00:11:59,360 --> 00:12:02,780 So, you remember from your introductory biology courses 255 00:12:02,780 --> 00:12:05,600 and so on, that when we talk about the autonomic nervous 256 00:12:05,600 --> 00:12:07,780 system in people, there's a sympathetic and 257 00:12:07,780 --> 00:12:09,890 parasympathetic branch. 258 00:12:09,890 --> 00:12:13,060 The sympathetic goes from the brain to the spine to organs 259 00:12:13,060 --> 00:12:15,940 to blood vessels to sweat glands to muscles and hairs, 260 00:12:15,940 --> 00:12:17,580 that's why you get goosebumps when you're scared. 261 00:12:17,580 --> 00:12:20,450 That's the nerves innervating, that's when your 262 00:12:20,450 --> 00:12:22,030 hair stands on end. 263 00:12:22,030 --> 00:12:24,610 It turns on for emergency situations, arousal, 264 00:12:24,610 --> 00:12:25,800 activation-- 265 00:12:25,800 --> 00:12:28,730 the famous joke that it's related to the four F's, 266 00:12:28,730 --> 00:12:32,280 flight fright, and sex. 267 00:12:32,280 --> 00:12:33,760 I was so afraid I'd mess it up, I couldn't 268 00:12:33,760 --> 00:12:35,440 read the four word-- 269 00:12:35,440 --> 00:12:37,550 flight, fright fight, and sex. 270 00:12:37,550 --> 00:12:39,880 And it releases epinephrine and norepinephrine. 271 00:12:39,880 --> 00:12:40,800 Epinephrine and norepinephrine is the same thing as 272 00:12:40,800 --> 00:12:42,810 adrenaline and noradrenaline, one's English-American, and 273 00:12:42,810 --> 00:12:45,580 one's American-American, same thing. 274 00:12:45,580 --> 00:12:49,760 The parasympathetic is your zen, couch-potato system. 275 00:12:49,760 --> 00:12:53,285 It operates highly when you're asleep or you're eating or 276 00:12:53,285 --> 00:12:55,650 you're relaxing. 277 00:12:55,650 --> 00:12:57,560 And so you can talk about different organs and how 278 00:12:57,560 --> 00:13:00,790 they're responding to the two kinds of systems when one is 279 00:13:00,790 --> 00:13:03,870 up and one is down they're in mutual opposition or balance. 280 00:13:03,870 --> 00:13:06,240 So in the heart, when you're sympathetic, when you have to 281 00:13:06,240 --> 00:13:09,170 activate a run from being attacked and your heart rate 282 00:13:09,170 --> 00:13:11,515 speeds up, your parasympathetic system will 283 00:13:11,515 --> 00:13:12,840 turn it down. 284 00:13:12,840 --> 00:13:15,460 For the blood it's seceded to muscles, and when you're in 285 00:13:15,460 --> 00:13:18,110 sympathetic action and when you're in parasympathetic 286 00:13:18,110 --> 00:13:20,800 relaxation it's drawn from the muscles to other organs. 287 00:13:23,480 --> 00:13:26,360 Part of that response too is the hypothalamus, which 288 00:13:26,360 --> 00:13:28,740 releases corticotropin releasing hormone to the 289 00:13:28,740 --> 00:13:30,310 anterior pituitary. 290 00:13:30,310 --> 00:13:34,140 In about 15 seconds that releases ACTH into the blood, 291 00:13:34,140 --> 00:13:36,540 that reaches the kidney and a few minutes later that 292 00:13:36,540 --> 00:13:39,770 produces glucocorticoids, or steroids, or cortisol, that's 293 00:13:39,770 --> 00:13:42,980 often used as a marker for stress response, a brain to 294 00:13:42,980 --> 00:13:48,940 hypothalamus to pituitary to kidney circuit. 295 00:13:48,940 --> 00:13:53,190 And then we can talk about how what can be adaptive response 296 00:13:53,190 --> 00:13:56,900 in an acute emergency can become maladaptive if it's 297 00:13:56,900 --> 00:13:59,760 chronic and happens over and over again. 298 00:13:59,760 --> 00:14:03,180 So mobilization of energy good when you're escaping danger, 299 00:14:03,180 --> 00:14:05,600 but if you have it all the time maybe it leads to muscle 300 00:14:05,600 --> 00:14:08,200 weakness, myopathy, fatigue or diabetes. 301 00:14:08,200 --> 00:14:12,060 Increased cardiovascular tone good for escaping danger, 302 00:14:12,060 --> 00:14:14,360 stress-induced hypertension not good. 303 00:14:14,360 --> 00:14:19,140 Suppression of digestion, you don't want to start to spend 304 00:14:19,140 --> 00:14:21,950 energy on digestion when you're running for your life 305 00:14:21,950 --> 00:14:24,400 but if you suppress it too much it's associated with 306 00:14:24,400 --> 00:14:26,170 ulceration and colitis. 307 00:14:26,170 --> 00:14:28,110 Suppression of growth-- we'll come to that-- if you're in a 308 00:14:28,110 --> 00:14:32,740 growth period of your life, that's metabolically expensive 309 00:14:32,740 --> 00:14:34,040 to do, growth. 310 00:14:34,040 --> 00:14:37,020 You turn off growth mechanisms briefly when you're in 311 00:14:37,020 --> 00:14:39,490 sympathetic action. 312 00:14:39,490 --> 00:14:43,330 Reproduction is turned off or down, too much of that may 313 00:14:43,330 --> 00:14:46,160 lead to impotency loss of libido. 314 00:14:46,160 --> 00:14:48,070 Suppression of the immune system, again you're turning 315 00:14:48,070 --> 00:14:51,530 down energy spent on immune processes temporarily for 316 00:14:51,530 --> 00:14:53,910 emergency, too much of that you could have increased 317 00:14:53,910 --> 00:14:55,180 disease risk. 318 00:14:55,180 --> 00:14:57,390 Sharpening of cognition, you want to be as smart 319 00:14:57,390 --> 00:14:58,290 as you can be, right? 320 00:14:58,290 --> 00:15:01,580 Under danger circumstances, having your system in high 321 00:15:01,580 --> 00:15:04,240 gear all the time can lead to neuronal death, and I'll show 322 00:15:04,240 --> 00:15:07,040 you an example of hippocampal shrinkage that occurs with 323 00:15:07,040 --> 00:15:09,070 stress in that way. 324 00:15:09,070 --> 00:15:13,200 So everything that can be adaptive in one hand, can be 325 00:15:13,200 --> 00:15:17,350 related to stress-related disorders on the other hand in 326 00:15:17,350 --> 00:15:20,290 the heart or in the arteries. 327 00:15:20,290 --> 00:15:24,350 And here's a picture of a stomach ulcer. 328 00:15:24,350 --> 00:15:25,850 We'll come back to that because the ulcer is one of 329 00:15:25,850 --> 00:15:28,490 the great interesting stories of the second half of the last 330 00:15:28,490 --> 00:15:30,720 century, is the complete re-interpretation of why 331 00:15:30,720 --> 00:15:33,260 people get ulcers. 332 00:15:33,260 --> 00:15:35,460 So, let's talk about that now. 333 00:15:35,460 --> 00:15:38,300 So, the adaptive response when you're in an emergency is to 334 00:15:38,300 --> 00:15:39,670 suppress digestion, that's part of 335 00:15:39,670 --> 00:15:42,120 the sympathetic response. 336 00:15:42,120 --> 00:15:45,770 And stress has long been associated with getting ulcers 337 00:15:45,770 --> 00:15:48,330 which are holes in the walls of your organ. 338 00:15:48,330 --> 00:15:50,930 Now, for many, many, many years, physicians and 339 00:15:50,930 --> 00:15:54,370 scientists thought that getting ulcers in adults was 340 00:15:54,370 --> 00:15:58,150 associated with a combination of stress and diet. 341 00:15:58,150 --> 00:16:00,670 And people who had ulcers were told try to have less stress 342 00:16:00,670 --> 00:16:03,970 in your life and eat more bland food. 343 00:16:03,970 --> 00:16:06,430 And then Robert Warren and Barry Marshall won the Nobel 344 00:16:06,430 --> 00:16:07,670 Prize in 2005. 345 00:16:07,670 --> 00:16:10,320 But this is one of those stories in science where 346 00:16:10,320 --> 00:16:15,160 everybody literally ridiculed these people in conferences 347 00:16:15,160 --> 00:16:18,560 and papers they were literally ridiculed by the entire 348 00:16:18,560 --> 00:16:21,890 orthodox scientific field, because they put forth the 349 00:16:21,890 --> 00:16:23,950 idea, which had been around a little bit but they really 350 00:16:23,950 --> 00:16:28,340 pushed it, that this was due not to the combination of diet 351 00:16:28,340 --> 00:16:32,870 and stress but it was due to an actual specific bacterium. 352 00:16:32,870 --> 00:16:34,440 And people thought that's ridiculous because our 353 00:16:34,440 --> 00:16:37,810 stomachs are so acidic that no bacterium would survive in the 354 00:16:37,810 --> 00:16:40,560 acidic environment of our stomachs long enough to do any 355 00:16:40,560 --> 00:16:43,510 harm in this sort of chronic way. 356 00:16:43,510 --> 00:16:46,300 And part of the way, as they struggled to get data, they 357 00:16:46,300 --> 00:16:49,990 did these kind of funny experiments where Marshall 358 00:16:49,990 --> 00:16:52,510 went and took the bacterium they suspected and actually 359 00:16:52,510 --> 00:16:55,510 swallowed it to see what would happen, OK? 360 00:16:55,510 --> 00:16:58,720 This kind of weird, heroic self medical experiment. 361 00:16:58,720 --> 00:17:01,810 And he thought, like in 10 years I'll see if I have an 362 00:17:01,810 --> 00:17:04,420 ulcer, but what happened is within a couple of days he was 363 00:17:04,420 --> 00:17:06,869 having severe gastritis, severe disturbance of the 364 00:17:06,869 --> 00:17:08,660 stomach, and that was the first piece of 365 00:17:08,660 --> 00:17:11,400 evidence they could do. 366 00:17:11,400 --> 00:17:13,190 He couldn't find out if he would have an ulcer in the 367 00:17:13,190 --> 00:17:15,839 long run because his wife made him take medications right 368 00:17:15,839 --> 00:17:17,869 away after that. 369 00:17:17,869 --> 00:17:21,599 But still, that built up the case that it's a bacterium 370 00:17:21,599 --> 00:17:23,300 that's swallowed that causes the gastritis 371 00:17:23,300 --> 00:17:25,859 that leads to ulcers. 372 00:17:25,859 --> 00:17:28,210 And that if you get people antibiotic treatments that 373 00:17:28,210 --> 00:17:31,680 will treat the bacterium, they improve a lot. 374 00:17:31,680 --> 00:17:33,530 So, a complete re-understanding of what 375 00:17:33,530 --> 00:17:35,720 caused the disorder and how to treat it. 376 00:17:35,720 --> 00:17:38,640 So, some people say, well it was never about stress, it was 377 00:17:38,640 --> 00:17:41,210 always about the bacterium, that's it, it's a simple 378 00:17:41,210 --> 00:17:42,660 biological story. 379 00:17:42,660 --> 00:17:45,700 But there's two ways in which probably stress is relevant. 380 00:17:45,700 --> 00:17:49,750 One of them, the milder one, is that out 15% of cases of 381 00:17:49,750 --> 00:17:52,720 ulcer don't have any measurable bacterium, they 382 00:17:52,720 --> 00:17:54,170 don't seem to have that, OK? 383 00:17:54,170 --> 00:17:56,020 So who knows about that 15%. 384 00:17:56,020 --> 00:17:58,340 But here's the more amazing piece-- 385 00:17:58,340 --> 00:18:00,720 many, many, many of us have this bacterium, it's 386 00:18:00,720 --> 00:18:03,910 incredibly common widespread bacterium. 387 00:18:03,910 --> 00:18:05,950 But only 10% of the people who have the 388 00:18:05,950 --> 00:18:08,790 bacterium have ulcers. 389 00:18:08,790 --> 00:18:12,390 OK, so it seems like it's not just about having the 390 00:18:12,390 --> 00:18:15,030 bacterium, but it's interaction perhaps, between 391 00:18:15,030 --> 00:18:17,230 the bacterium and the stressors of your environment. 392 00:18:20,570 --> 00:18:24,120 There's not many stories about suppression of growth, but 393 00:18:24,120 --> 00:18:26,780 there's one historically interesting one, so this is at 394 00:18:26,780 --> 00:18:29,050 the edge of science, this is an anecdote. 395 00:18:29,050 --> 00:18:32,060 I'll show a clinical case, you can't do many experiments 396 00:18:32,060 --> 00:18:35,800 about this, about what's called psychogenic dwarfism, 397 00:18:35,800 --> 00:18:38,850 an inability to get to standard height that's thought 398 00:18:38,850 --> 00:18:40,670 to be based on psychological principles. 399 00:18:40,670 --> 00:18:44,960 So this is a story of a British Victorian family, 400 00:18:44,960 --> 00:18:47,960 their favorite son was killed at age 13, a 401 00:18:47,960 --> 00:18:50,040 tragic loss of a son. 402 00:18:50,040 --> 00:18:54,190 The bereaved mother takes to her bed for years, she doesn't 403 00:18:54,190 --> 00:18:58,060 leave her room or bad, and she ignores her surviving 404 00:18:58,060 --> 00:19:03,130 six-year-old son, constantly idealizing the boy who passed 405 00:19:03,130 --> 00:19:08,360 away, having almost no interest in the surviving son. 406 00:19:08,360 --> 00:19:11,000 And when he would come into the room, bringing her food to 407 00:19:11,000 --> 00:19:14,440 her room as she lay in her bed in severe depression, she 408 00:19:14,440 --> 00:19:16,970 would say to him David-- 409 00:19:16,970 --> 00:19:18,710 that's the boy who passed away-- 410 00:19:18,710 --> 00:19:20,582 oh David is that you? 411 00:19:20,582 --> 00:19:23,670 Oh, it's only you, she would say to the surviving son. 412 00:19:23,670 --> 00:19:27,660 So, depressed and discounting her surviving son. 413 00:19:27,660 --> 00:19:30,050 David was always perfect, the surviving son was an 414 00:19:30,050 --> 00:19:32,390 irritating reminder. 415 00:19:32,390 --> 00:19:35,920 He grew to only 5 feet as an adult, and he's famous for 416 00:19:35,920 --> 00:19:37,140 writing the play Peter Pan. 417 00:19:37,140 --> 00:19:39,860 So the next time you see the play, or see the movie, think 418 00:19:39,860 --> 00:19:44,080 about what childhood means to a person who had this kind of 419 00:19:44,080 --> 00:19:47,310 childhood, and grew to a very short stature. 420 00:19:47,310 --> 00:19:50,170 It was interpreted as a psychological response to a 421 00:19:50,170 --> 00:19:52,500 long period of stress, the lack of 422 00:19:52,500 --> 00:19:55,580 attachment from his mother. 423 00:19:55,580 --> 00:19:58,260 And here's a clinical case of a child who went into a 424 00:19:58,260 --> 00:20:01,610 hospital, you can see this picture of this child growing, 425 00:20:01,610 --> 00:20:05,700 he was in obviously a non-supportive environment. 426 00:20:05,700 --> 00:20:08,670 He enters a hospital and his growth hormone level is 5.9, 427 00:20:08,670 --> 00:20:10,830 it's very low. 428 00:20:10,830 --> 00:20:14,180 He takes to a nurse, and 100 days later it goes to 13, it 429 00:20:14,180 --> 00:20:14,850 more than doubles. 430 00:20:14,850 --> 00:20:16,750 He's gaining height considerably. 431 00:20:16,750 --> 00:20:20,490 The nurse goes on vacation, he goes back to his low levels of 432 00:20:20,490 --> 00:20:22,900 growth hormone and growth. 433 00:20:22,900 --> 00:20:26,380 She returns and he goes back to typical growth of height. 434 00:20:26,380 --> 00:20:29,660 So, very psychological relationship between his 435 00:20:29,660 --> 00:20:33,630 physical growth and his relationship to the nurse. 436 00:20:33,630 --> 00:20:39,420 And so we understand this to be extreme cases of emotional 437 00:20:39,420 --> 00:20:42,130 neglect or something like that in the homes, these are not 438 00:20:42,130 --> 00:20:45,610 small spats with your parents. 439 00:20:45,610 --> 00:20:48,600 But again, a relationship between a very chronic stress, 440 00:20:48,600 --> 00:20:53,800 an emotional one, and then physical growth. 441 00:20:53,800 --> 00:20:58,180 Now this is a famous chair, and the story goes like this. 442 00:20:58,180 --> 00:21:01,790 In the mid-1950's Meyer Friedman and Ray Rosenman were 443 00:21:01,790 --> 00:21:04,100 cardiologists on the West coast, and they had a 444 00:21:04,100 --> 00:21:05,700 cardiology practice. 445 00:21:05,700 --> 00:21:08,860 And they had a chair, and this is the chair, that sat in 446 00:21:08,860 --> 00:21:10,140 their waiting room. 447 00:21:10,140 --> 00:21:14,950 And they had a guy who came, in his name is lost to history 448 00:21:14,950 --> 00:21:17,390 although everybody agrees he gets credit for beginning this 449 00:21:17,390 --> 00:21:22,300 idea, and his job was to re-upholster the chairs. 450 00:21:22,300 --> 00:21:25,310 And he told these two physicians, I go to a lot of 451 00:21:25,310 --> 00:21:28,530 places and I work in a lot of offices, and nowhere do I go 452 00:21:28,530 --> 00:21:32,240 do I have to re upholster chairs as often as I do in 453 00:21:32,240 --> 00:21:33,390 your office. 454 00:21:33,390 --> 00:21:37,040 And this triggered a thought in these two people, because, 455 00:21:37,040 --> 00:21:40,690 don't forget that for many physicians, understandably, 456 00:21:40,690 --> 00:21:44,700 and maybe less so now, cardiology is like real 457 00:21:44,700 --> 00:21:47,860 biology and psychological stuff is kind of peripheral 458 00:21:47,860 --> 00:21:50,040 and edgy, may not really matter. 459 00:21:50,040 --> 00:21:54,590 OK so to Friedman and Rosenman's credit they say 460 00:21:54,590 --> 00:21:55,580 what is going on? 461 00:21:55,580 --> 00:21:56,930 Why does our chairs look like this? 462 00:21:56,930 --> 00:22:00,720 Now, sometimes you might have that experience yourself, have 463 00:22:00,720 --> 00:22:04,150 you ever stood in line in a way that's unbelievably 464 00:22:04,150 --> 00:22:06,290 irritating because you have somewhere to go, and there's 465 00:22:06,290 --> 00:22:09,190 somebody really slow in front of you or somebody working the 466 00:22:09,190 --> 00:22:10,680 line who's really slow? 467 00:22:10,680 --> 00:22:13,930 And you're going come on, I've got like minutes to go here, 468 00:22:13,930 --> 00:22:17,740 can't I get my coffee or my tea or whatever. 469 00:22:17,740 --> 00:22:20,590 Have you ever seen people jump from line to line in grocery 470 00:22:20,590 --> 00:22:23,640 stores because they cannot bear, they dread that moment 471 00:22:23,640 --> 00:22:26,160 when they get somebody who gets into the line where 472 00:22:26,160 --> 00:22:28,320 you're supposed to have 10 and they have 12? 473 00:22:28,320 --> 00:22:29,650 Have you seen that? 474 00:22:29,650 --> 00:22:32,050 None of us think that's quite fair play, but some of us say 475 00:22:32,050 --> 00:22:35,550 OK, wish they had 10 items, and some people are really 476 00:22:35,550 --> 00:22:36,430 mad, right? 477 00:22:36,430 --> 00:22:39,220 OK, so that's type A personality and we'll talk 478 00:22:39,220 --> 00:22:40,120 about that in a moment. 479 00:22:40,120 --> 00:22:42,440 And what they began to say is the patients are sitting in 480 00:22:42,440 --> 00:22:44,580 the office, fidgeting, fidgeting, fidgeting, where's 481 00:22:44,580 --> 00:22:44,910 the doctor? 482 00:22:44,910 --> 00:22:45,370 Where's the doctor? 483 00:22:45,370 --> 00:22:46,970 I have important things to do. 484 00:22:46,970 --> 00:22:50,140 And they're wearing down the arms and the chair because 485 00:22:50,140 --> 00:22:53,080 they're so fidgety waiting for that appointment to happen. 486 00:22:53,080 --> 00:22:55,730 Not just for one moment but for a long time and they're 487 00:22:55,730 --> 00:22:57,530 literally wearing down the chair. 488 00:22:57,530 --> 00:23:00,240 And they're showing up at a high rate to a cardiology 489 00:23:00,240 --> 00:23:03,460 practice of people with heart problems. 490 00:23:03,460 --> 00:23:07,510 And that's developed this idea that a huge threat-- 491 00:23:07,510 --> 00:23:10,870 and I'll qualify this in a moment 492 00:23:10,870 --> 00:23:12,325 with subsequent studies-- 493 00:23:12,325 --> 00:23:15,960 but in the 1960's, that type A personality, you've heard that 494 00:23:15,960 --> 00:23:17,990 phrase perhaps, type A personalities, this is where 495 00:23:17,990 --> 00:23:18,670 that began. 496 00:23:18,670 --> 00:23:20,550 It's become a widespread term. 497 00:23:20,550 --> 00:23:22,290 These are people who are immensely competitive, 498 00:23:22,290 --> 00:23:24,610 over-achieving, time-pressured, impatient, 499 00:23:24,610 --> 00:23:27,190 hostile, and they have increased risk of 500 00:23:27,190 --> 00:23:28,300 cardiovascular disease. 501 00:23:28,300 --> 00:23:31,330 And in the first analyses, the risk if you had this kind of 502 00:23:31,330 --> 00:23:33,760 personality was equal to smoking or very high 503 00:23:33,760 --> 00:23:34,520 cholesterol. 504 00:23:34,520 --> 00:23:37,200 I mean, there's a very high risk and that's why these 505 00:23:37,200 --> 00:23:40,420 chairs were being worn down by the type A personalities 506 00:23:40,420 --> 00:23:44,370 showing up with cardiac problems because they were 507 00:23:44,370 --> 00:23:49,390 stressing themselves all the time by everyday life events. 508 00:23:49,390 --> 00:23:51,930 And this picture sort of-- 509 00:23:51,930 --> 00:23:55,670 they had anecdotal things, they had a early morning 510 00:23:55,670 --> 00:23:58,390 group, a patient support group for type A individuals with 511 00:23:58,390 --> 00:24:01,670 cardiovascular disease to get together and say, OK when I'm 512 00:24:01,670 --> 00:24:03,620 really stressed out, I'm going to count to 513 00:24:03,620 --> 00:24:04,950 5 and relax, right? 514 00:24:04,950 --> 00:24:06,120 It was a support group. 515 00:24:06,120 --> 00:24:07,500 So, here is your car. 516 00:24:07,500 --> 00:24:10,120 So, now when you go park your car sometimes, there's some 517 00:24:10,120 --> 00:24:12,830 people depending on the situation who park forward 518 00:24:12,830 --> 00:24:14,220 into their spots. 519 00:24:14,220 --> 00:24:17,130 But if you know you have to get away super fast and you 520 00:24:17,130 --> 00:24:19,740 don't have a minute to waste, how do you park? 521 00:24:19,740 --> 00:24:20,940 You park backwards, right? 522 00:24:20,940 --> 00:24:23,700 So when you jump into your car you can hit that accelerator 523 00:24:23,700 --> 00:24:25,660 and you're out in two seconds. 524 00:24:25,660 --> 00:24:28,240 So all of the type A people are all lined up here, ready 525 00:24:28,240 --> 00:24:30,100 to race away out after the session. 526 00:24:30,100 --> 00:24:33,650 And here's the middle of the day mixed parking, some people 527 00:24:33,650 --> 00:24:36,090 front-end in, some people rear-end in. 528 00:24:36,090 --> 00:24:38,760 These are anecdotal, but this is the kind of thing they were 529 00:24:38,760 --> 00:24:41,500 noticing, that led to these ideas. 530 00:24:41,500 --> 00:24:44,920 So it turns out, in subsequent studies, that a lot of the 531 00:24:44,920 --> 00:24:48,770 effect wasn't as broad as they thought, but it does apply to 532 00:24:48,770 --> 00:24:51,410 people who are relatively young with cardiovascular 533 00:24:51,410 --> 00:24:55,450 problems, and the key psychological aspect is not 534 00:24:55,450 --> 00:24:57,850 the impatience and aggressiveness. 535 00:24:57,850 --> 00:25:01,970 Although if you work for somebody like that, you don't 536 00:25:01,970 --> 00:25:03,160 enjoy that, probably. 537 00:25:03,160 --> 00:25:05,730 But the key thing is whether the person feels in themselves 538 00:25:05,730 --> 00:25:09,230 hostility, not impatience but hostility, and especially when 539 00:25:09,230 --> 00:25:10,630 they suppress it. 540 00:25:10,630 --> 00:25:13,750 Like, they go, I'm so mad, I'm so mad, I'm so mad but I can't 541 00:25:13,750 --> 00:25:16,670 really hit the person in front of the line. 542 00:25:16,670 --> 00:25:19,570 And that person brewing with hostility and suppressing that 543 00:25:19,570 --> 00:25:21,650 rage is actually pushing up their risk of 544 00:25:21,650 --> 00:25:24,410 cardiovascular disorders. 545 00:25:24,410 --> 00:25:27,450 So again we talked about to adaptive stress-responses and 546 00:25:27,450 --> 00:25:30,960 for practically every one of them, what can be understood 547 00:25:30,960 --> 00:25:34,860 to be a stress-related disease when that form of stress 548 00:25:34,860 --> 00:25:36,810 continues chronically and unabated. 549 00:25:36,810 --> 00:25:40,320 And here's a picture of a neuron in a healthy animal 550 00:25:40,320 --> 00:25:43,200 with lots of dendrites and arborization, and the 551 00:25:43,200 --> 00:25:46,020 whithered neuron in a hippocampal animal given lots 552 00:25:46,020 --> 00:25:48,110 of stress in laboratory experiments. 553 00:25:48,110 --> 00:25:49,874 So you can see it at the neuronal level, you can see it 554 00:25:49,874 --> 00:25:51,640 at the behavioral level, you can see it at the disease 555 00:25:51,640 --> 00:25:58,280 level, chronic stress is toxic in many ways. 556 00:25:58,280 --> 00:26:03,200 So one form of stress that occurs after really terrible 557 00:26:03,200 --> 00:26:06,390 experiences is post-traumatic stress disorder. 558 00:26:06,390 --> 00:26:07,950 And you may have heard-- 559 00:26:07,950 --> 00:26:11,090 where do you hear it these days most of all, about 560 00:26:11,090 --> 00:26:13,124 post-traumatic stress disorder? 561 00:26:13,124 --> 00:26:13,900 AUDIENCE: The wars. 562 00:26:13,900 --> 00:26:15,220 PROFESSOR: The wars, right. 563 00:26:15,220 --> 00:26:18,760 The unabated wars in the Middle East, for American 564 00:26:18,760 --> 00:26:21,840 soldiers going over there under many tours of duty, 565 00:26:21,840 --> 00:26:24,080 under constant fear of explosion. 566 00:26:24,080 --> 00:26:26,860 For the civilian populations in those parts of the world 567 00:26:26,860 --> 00:26:30,890 under nonstop war threat for many, many years. 568 00:26:30,890 --> 00:26:36,620 So, if you did a brutal, vicious experiment of people 569 00:26:36,620 --> 00:26:39,350 under constant threat for their life, unfortunately you 570 00:26:39,350 --> 00:26:43,790 couldn't create a more perfect one than the Middle East, for 571 00:26:43,790 --> 00:26:46,520 both soldiers and civilians for the last decade, right? 572 00:26:46,520 --> 00:26:48,440 Constant threat and danger for people, 573 00:26:48,440 --> 00:26:50,960 everywhere, all the time. 574 00:26:50,960 --> 00:26:53,180 I was reading a story about one soldier, for example, 575 00:26:53,180 --> 00:26:56,930 civilians as well, who was standing in line to get his 576 00:26:56,930 --> 00:27:00,490 toothpaste, IED blows up and he loses his leg. 577 00:27:00,490 --> 00:27:02,450 That's what the life is like for those soldiers. 578 00:27:02,450 --> 00:27:05,720 And as you know, because in the US we have a volunteer 579 00:27:05,720 --> 00:27:10,070 army, soldiers are sent again and again for years 580 00:27:10,070 --> 00:27:11,570 altogether. 581 00:27:11,570 --> 00:27:14,310 And the civilians living there all the time, that's the world 582 00:27:14,310 --> 00:27:18,890 they're in, brutal stress induction. 583 00:27:18,890 --> 00:27:22,760 Just a few months ago, the number of American soldiers 584 00:27:22,760 --> 00:27:26,910 who died from suicide is now, on a monthly basis, exceeding 585 00:27:26,910 --> 00:27:28,810 those who die from war injuries. 586 00:27:28,810 --> 00:27:29,940 Think about that. 587 00:27:29,940 --> 00:27:33,520 The number of active American soldier who die from suicide 588 00:27:33,520 --> 00:27:37,190 is equal to or higher in many months nowadays than the 589 00:27:37,190 --> 00:27:41,040 number who died from war consequences of bombs and 590 00:27:41,040 --> 00:27:42,290 things like that. 591 00:27:42,290 --> 00:27:45,660 So, there's a lot of interest in PTSD from the war, from 592 00:27:45,660 --> 00:27:48,090 civilians having been exposed to the war, and then from 593 00:27:48,090 --> 00:27:50,240 individuals who have brutal episodes in their lives, 594 00:27:50,240 --> 00:27:52,280 tragically, of assault or rape. 595 00:27:52,280 --> 00:27:54,820 It's a severe anxiety disorder that can develop after 596 00:27:54,820 --> 00:27:56,430 exposure to any event which results in 597 00:27:56,430 --> 00:27:58,130 psychological trauma. 598 00:27:58,130 --> 00:28:00,290 People re-experience the original trauma through 599 00:28:00,290 --> 00:28:04,120 flashbacks, dreams, increased arousal, hyper-vigilance. 600 00:28:04,120 --> 00:28:07,520 And it's very common for anybody who goes through an 601 00:28:07,520 --> 00:28:11,820 emotionally brutal experience and it persists strongly in 602 00:28:11,820 --> 00:28:14,110 what's estimated about 20% of people who go through 603 00:28:14,110 --> 00:28:17,160 something like that. 604 00:28:17,160 --> 00:28:19,940 So people have tried to understand, what is the brain 605 00:28:19,940 --> 00:28:24,580 basis of PTSD, who is at risk for it, and how does it happen 606 00:28:24,580 --> 00:28:26,510 in the brain in a way that treatment might become more 607 00:28:26,510 --> 00:28:28,160 effective to help people. 608 00:28:28,160 --> 00:28:30,270 So one thing that was observed, and not everybody 609 00:28:30,270 --> 00:28:33,640 guessed this finding, is that individuals with smaller 610 00:28:33,640 --> 00:28:36,650 volumes of the hippocampus-- 611 00:28:36,650 --> 00:28:38,910 when they look at soldiers with PTSD they tend to smaller 612 00:28:38,910 --> 00:28:40,650 hippocampal volumes. 613 00:28:40,650 --> 00:28:45,830 So, let's ask the question, how could this be a cause or 614 00:28:45,830 --> 00:28:49,660 how could this be a consequence of a severely 615 00:28:49,660 --> 00:28:52,900 traumatic experience you have, like serving in a particularly 616 00:28:52,900 --> 00:28:55,200 brutal and nasty war-- 617 00:28:55,200 --> 00:28:56,110 or being a civilian in one. 618 00:28:56,110 --> 00:29:00,600 But these are soldier studies, so we'll focus on that. 619 00:29:00,600 --> 00:29:01,560 How can you tell? 620 00:29:01,560 --> 00:29:04,650 They come back from the war, they have PTSD they have 621 00:29:04,650 --> 00:29:07,140 smaller hippocampi. 622 00:29:07,140 --> 00:29:11,340 Was that a risk factor for becoming somebody with PTSD 623 00:29:11,340 --> 00:29:15,180 into a high-stress situation, or was it the way that the war 624 00:29:15,180 --> 00:29:17,340 situation made you have PTSD? 625 00:29:17,340 --> 00:29:19,400 Is it the cause, or the consequence? 626 00:29:19,400 --> 00:29:20,490 Does that make sense? 627 00:29:20,490 --> 00:29:24,600 OK, so here's an approach that people have taken. 628 00:29:24,600 --> 00:29:25,312 They did a twin study-- 629 00:29:25,312 --> 00:29:27,360 I'll show you the graph in a moment-- 630 00:29:27,360 --> 00:29:31,130 where one twin, this was for Vietnam now, went to serve in 631 00:29:31,130 --> 00:29:35,980 Vietnam, and one twin did not serve in the military at all. 632 00:29:35,980 --> 00:29:39,360 And these are identical twins. 633 00:29:39,360 --> 00:29:43,690 And then they asked is the hippocampus smaller in the 634 00:29:43,690 --> 00:29:45,820 twin who never went? 635 00:29:45,820 --> 00:29:48,640 And the logic was-- 636 00:29:48,640 --> 00:29:50,100 it's not a complete certainty-- 637 00:29:50,100 --> 00:29:54,530 but the logic is, if the twin who stays home in the US also 638 00:29:54,530 --> 00:29:58,360 has a smaller hippocampus, that suggests that it's a risk 639 00:29:58,360 --> 00:30:02,860 factor for PTSD, rather than the way that PTSD 640 00:30:02,860 --> 00:30:03,985 develops in the brain. 641 00:30:03,985 --> 00:30:05,230 Does that make sense? 642 00:30:05,230 --> 00:30:07,180 It might also play a role in that, but it's present even 643 00:30:07,180 --> 00:30:08,060 before that. 644 00:30:08,060 --> 00:30:09,580 And that's exactly what they found-- 645 00:30:09,580 --> 00:30:12,320 these graphs, I really have to get the projector fixed-- but 646 00:30:12,320 --> 00:30:14,910 there's two steep lines here on your notes you'll see. 647 00:30:14,910 --> 00:30:16,150 They're both pretty steep. 648 00:30:16,150 --> 00:30:19,840 The top one is the correlation between severity of PTSD in 649 00:30:19,840 --> 00:30:23,130 the soldiers who went and hippocampal volume. 650 00:30:23,130 --> 00:30:25,640 And the bottom is hippocampal volume in the twins who didn't 651 00:30:25,640 --> 00:30:29,090 go, and they look incredibly similar. 652 00:30:29,090 --> 00:30:32,440 That is, the larger hippocampus of either the twin 653 00:30:32,440 --> 00:30:36,350 who went to war or the twin who stayed home, the larger of 654 00:30:36,350 --> 00:30:38,850 either one correlated with the PTSD in the 655 00:30:38,850 --> 00:30:40,185 twin who went to war. 656 00:30:40,185 --> 00:30:41,080 Does that make sense? 657 00:30:41,080 --> 00:30:41,750 OK. 658 00:30:41,750 --> 00:30:44,480 So it's as if the genetic influence, or the early 659 00:30:44,480 --> 00:30:47,750 environmental influence at home, or both-- 660 00:30:47,750 --> 00:30:49,760 if you have a smaller hippocampus, you're at high 661 00:30:49,760 --> 00:30:51,390 risk for PTSD. 662 00:30:51,390 --> 00:30:53,800 Now, if you're not sent into war, you won't 663 00:30:53,800 --> 00:30:54,910 necessarily get PTSD. 664 00:30:54,910 --> 00:30:57,550 But if you're sent into war, then you're at high risk for 665 00:30:57,550 --> 00:30:59,310 getting PTSD. 666 00:30:59,310 --> 00:31:00,880 Is that OK? 667 00:31:00,880 --> 00:31:03,870 So, more recently people have begun to do pre/post studies, 668 00:31:03,870 --> 00:31:09,290 and this is one done in the Israeli military, 50 recruits 669 00:31:09,290 --> 00:31:12,880 before and after they did military service as 670 00:31:12,880 --> 00:31:14,380 paramedics. 671 00:31:14,380 --> 00:31:16,020 And what they found was that there was increased stress 672 00:31:16,020 --> 00:31:17,740 associated with a greater amygdala and hippocampal 673 00:31:17,740 --> 00:31:21,060 response fMRI to stress-related content. 674 00:31:21,060 --> 00:31:23,980 But the amygdala reactivity before stress-related contact 675 00:31:23,980 --> 00:31:27,660 predicted how many stress symptoms you have, and the 676 00:31:27,660 --> 00:31:28,630 hippocampus change over time 677 00:31:28,630 --> 00:31:29,890 correlated with stress symptoms. 678 00:31:29,890 --> 00:31:31,630 So now this goes a little bit differently, it says the 679 00:31:31,630 --> 00:31:36,250 amygdala function predicts who's at risk for having PTSD, 680 00:31:36,250 --> 00:31:39,610 and the hippocampal changes over time before and after 681 00:31:39,610 --> 00:31:42,190 your initial service go with the degree to which you 682 00:31:42,190 --> 00:31:44,424 exhibit the PTSD. 683 00:31:44,424 --> 00:31:47,240 I'll just say that. 684 00:31:47,240 --> 00:31:50,690 So, there's been a lot of work on understanding what can 685 00:31:50,690 --> 00:31:55,190 positively modify stress. 686 00:31:55,190 --> 00:31:59,730 What can you do, given stress you can't avoid, to do better 687 00:31:59,730 --> 00:32:00,980 and cope better with that? 688 00:32:00,980 --> 00:32:02,790 What can be the sources of resilience? 689 00:32:02,790 --> 00:32:04,250 And I'm going to give you examples, but I'm going to 690 00:32:04,250 --> 00:32:06,360 tell you the following, these are the categories that have 691 00:32:06,360 --> 00:32:09,250 come up in pretty well-controlled studies. 692 00:32:09,250 --> 00:32:11,500 Outlets for frustration, if you have a good outlet for 693 00:32:11,500 --> 00:32:15,670 frustration, that diminishes the toxic effects of stress. 694 00:32:15,670 --> 00:32:19,740 If you can predict bad things and feel you have control, 695 00:32:19,740 --> 00:32:22,890 even if you have bad things happen, you can cope with the 696 00:32:22,890 --> 00:32:23,990 consequences better. 697 00:32:23,990 --> 00:32:25,860 We talked about that in learned helplessness before, 698 00:32:25,860 --> 00:32:27,720 this was our theme before. 699 00:32:27,720 --> 00:32:30,340 If things seem to be getting better, even if they're pretty 700 00:32:30,340 --> 00:32:32,940 bad, if they seem to be getting better, that's a huge 701 00:32:32,940 --> 00:32:34,850 source of resilience. 702 00:32:34,850 --> 00:32:36,690 And social support is very powerful. 703 00:32:36,690 --> 00:32:37,770 So let me show you the empirical 704 00:32:37,770 --> 00:32:39,540 evidence for these things. 705 00:32:39,540 --> 00:32:42,740 So, here's a study where rats received shocks. 706 00:32:42,740 --> 00:32:44,750 They had a prolonged stress response, because they were in 707 00:32:44,750 --> 00:32:47,830 a situation of getting shocks and shocks and shocks. 708 00:32:47,830 --> 00:32:49,620 Heart rate goes up, glucocorticoid cortical 709 00:32:49,620 --> 00:32:51,820 secretion goes up, high rate of ulcers. 710 00:32:54,520 --> 00:32:56,290 Now you have other rats getting a similar thing, but 711 00:32:56,290 --> 00:32:58,570 they can gnaw on a wooden bar, or eat or 712 00:32:58,570 --> 00:32:59,750 drink, or run on a wheel. 713 00:32:59,750 --> 00:33:01,350 So, they have outlets for frustration. 714 00:33:01,350 --> 00:33:04,650 It doesn't prevent the shocks, it's just after they get a 715 00:33:04,650 --> 00:33:07,900 shock they'll go for a quick angry run on the wheel, OK, or 716 00:33:07,900 --> 00:33:10,170 they'll bite on something, OK? 717 00:33:10,170 --> 00:33:12,040 And they have fewer ulcers. 718 00:33:12,040 --> 00:33:15,020 So, just having an outlet for frustration 719 00:33:15,020 --> 00:33:18,120 reduces the toxic effects. 720 00:33:18,120 --> 00:33:20,070 Even another rat in the cage that they can go 721 00:33:20,070 --> 00:33:22,080 and bite helps, OK? 722 00:33:22,080 --> 00:33:24,830 Now that's not a nice thing for the other rats, but it's 723 00:33:24,830 --> 00:33:27,490 just like this common thing that we have, it's not the 724 00:33:27,490 --> 00:33:30,550 best human trait, this is an example of a rat trait as an 725 00:33:30,550 --> 00:33:33,870 example, but if somebody is as miserable as you, you feel 726 00:33:33,870 --> 00:33:36,640 better about things, OK? 727 00:33:36,640 --> 00:33:39,680 And baboons will attack bystanders 728 00:33:39,680 --> 00:33:40,640 after losing a fight. 729 00:33:40,640 --> 00:33:43,270 So, baboons, depending on where they are in the 730 00:33:43,270 --> 00:33:47,600 hierarchy, alpha male and so on, they lose a fight, they 731 00:33:47,600 --> 00:33:50,000 get themselves healthier in terms of glucocorticoids if 732 00:33:50,000 --> 00:33:51,990 after they lose a fight they go beat up a 733 00:33:51,990 --> 00:33:54,270 lower-ranking baboon. 734 00:33:54,270 --> 00:33:56,180 we're not recommending that as a nice way to behave, we're 735 00:33:56,180 --> 00:33:59,630 just saying, weirdly enough, these kinds of actions some 736 00:33:59,630 --> 00:34:00,580 outlet for frustration-- 737 00:34:00,580 --> 00:34:03,010 some are more constructive than others-- 738 00:34:03,010 --> 00:34:05,020 result in resilience in these animals. 739 00:34:05,020 --> 00:34:07,030 Fewer ulcers, lowering of glucocorticoids. 740 00:34:07,030 --> 00:34:10,909 So, some kind of outlet for stress. 741 00:34:10,909 --> 00:34:13,610 How about predictability and control? 742 00:34:13,610 --> 00:34:16,690 So if rats hear a warning before a shock, even though 743 00:34:16,690 --> 00:34:17,889 they get an equal number of shocks, 744 00:34:17,889 --> 00:34:19,380 they have fewer ulcers. 745 00:34:19,380 --> 00:34:22,670 So, as long as they can know the shock is coming, they have 746 00:34:22,670 --> 00:34:26,239 all the dread of that too, but they feel like I know what's 747 00:34:26,239 --> 00:34:29,699 going on, and that literally results in fewer ulcers. 748 00:34:29,699 --> 00:34:35,190 If food is delivered to a rat at intermittent intervals they 749 00:34:35,190 --> 00:34:37,790 can predict versus random delivery, they're more 750 00:34:37,790 --> 00:34:39,030 stressed with the random delivery. 751 00:34:39,030 --> 00:34:39,940 Again, prediction-- 752 00:34:39,940 --> 00:34:42,030 equal amount of food, but if they can predict it, they feel 753 00:34:42,030 --> 00:34:43,940 like they know what's going on. 754 00:34:43,940 --> 00:34:47,990 Rats are given a lever to avoid the shock, even if the 755 00:34:47,990 --> 00:34:49,670 lever is disconnected to the shocks, the 756 00:34:49,670 --> 00:34:51,400 stress response is reduced. 757 00:34:51,400 --> 00:34:53,480 So, it's kind of an outlet too, like here's a lever I'm 758 00:34:53,480 --> 00:34:55,900 pushing, it doesn't do anything, but they 759 00:34:55,900 --> 00:34:57,560 feel like, who knows? 760 00:34:57,560 --> 00:34:59,580 I feel like I have some control. 761 00:34:59,580 --> 00:35:01,080 Same thing with people, they did experiments where they 762 00:35:01,080 --> 00:35:03,400 give obnoxious noises, and one person has a 763 00:35:03,400 --> 00:35:05,400 button to stop the noise. 764 00:35:05,400 --> 00:35:08,240 They're less hypertensive whether the button 765 00:35:08,240 --> 00:35:09,070 is pressed or not. 766 00:35:09,070 --> 00:35:12,170 So they don't even have to press, but if they feel like, 767 00:35:12,170 --> 00:35:14,840 they feel like they might have control that's already a 768 00:35:14,840 --> 00:35:17,340 protective measure for stress. 769 00:35:17,340 --> 00:35:19,550 And there's famous studies looking at occupational 770 00:35:19,550 --> 00:35:22,100 stress, because some jobs have very high 771 00:35:22,100 --> 00:35:22,910 demand and low control. 772 00:35:22,910 --> 00:35:26,010 The most famous one that I know of is from pilots in 773 00:35:26,010 --> 00:35:28,370 World War II in the British Air Force. 774 00:35:28,370 --> 00:35:30,720 And they compared the pilot, who sat up front and rode the 775 00:35:30,720 --> 00:35:32,900 plane, versus the gunner-- 776 00:35:32,900 --> 00:35:35,850 and if you think of those airplanes from books or movies 777 00:35:35,850 --> 00:35:37,900 there's a little turret down and there's a gunner shooting 778 00:35:37,900 --> 00:35:39,520 at the other planes and they're shooting back at him-- 779 00:35:39,520 --> 00:35:42,450 does he feel like he has any control? 780 00:35:42,450 --> 00:35:43,340 No. 781 00:35:43,340 --> 00:35:45,260 Wherever the pilot's going he's like, no don't go there, 782 00:35:45,260 --> 00:35:46,890 don't go there they're all just shooting at him. 783 00:35:46,890 --> 00:35:49,090 So, and then they look at the life expectancy and health of 784 00:35:49,090 --> 00:35:51,990 the people and the pilots did a lot better than the gunners 785 00:35:51,990 --> 00:35:53,170 after the war. 786 00:35:53,170 --> 00:35:55,710 Because the gunners just went out day-in, day-out and they 787 00:35:55,710 --> 00:35:58,220 just went wherever the pilot took them and the shots were 788 00:35:58,220 --> 00:35:58,680 coming out. 789 00:35:58,680 --> 00:36:01,570 So everybody was at risk, but the pilots felt they had 790 00:36:01,570 --> 00:36:04,420 control and the gunners felt they had no control. 791 00:36:04,420 --> 00:36:05,810 So, many different examples. 792 00:36:05,810 --> 00:36:07,970 Here's a very famous one, and I read somewhere they're 793 00:36:07,970 --> 00:36:10,250 making a movie of this, I don't know exactly how they'll 794 00:36:10,250 --> 00:36:12,770 make compelling, but here we go. 795 00:36:12,770 --> 00:36:16,670 So this is a study from Judy Rodin and Ellen Langer where 796 00:36:16,670 --> 00:36:17,900 they looked at the sense of predictability 797 00:36:17,900 --> 00:36:19,310 in a nursing home. 798 00:36:19,310 --> 00:36:21,300 And they took people at randomly assigned, from 799 00:36:21,300 --> 00:36:23,270 randomly selected different floors. 800 00:36:23,270 --> 00:36:26,290 And group A, in the nursing home, got to make many 801 00:36:26,290 --> 00:36:27,800 decisions for themselves. 802 00:36:27,800 --> 00:36:30,580 They got to decide where to receive their visitors, when 803 00:36:30,580 --> 00:36:33,190 to watch a movie, what house plant to take care of-- they 804 00:36:33,190 --> 00:36:34,660 all took care of a house plant. 805 00:36:34,660 --> 00:36:38,260 These are sort of minor things but people in a nursing home 806 00:36:38,260 --> 00:36:39,510 don't have a huge range of things 807 00:36:39,510 --> 00:36:40,710 they can control anyway. 808 00:36:40,710 --> 00:36:42,660 But they took these things they could put under their 809 00:36:42,660 --> 00:36:44,680 control, and group B got no 810 00:36:44,680 --> 00:36:46,000 instructions to make decisions. 811 00:36:46,000 --> 00:36:48,490 They got a plant, but the staff took care of the plants. 812 00:36:48,490 --> 00:36:50,970 So everybody gets a plant, but one group, they're saying make 813 00:36:50,970 --> 00:36:52,420 the decisions you can for yourself. 814 00:36:52,420 --> 00:36:54,880 And the other group, the nurses and doctors made all 815 00:36:54,880 --> 00:36:58,580 the decisions they could for those individuals. 816 00:36:58,580 --> 00:36:59,920 They look at what happened one and a half 817 00:36:59,920 --> 00:37:01,510 years later after this. 818 00:37:01,510 --> 00:37:03,410 Not only the group A, the people who are making 819 00:37:03,410 --> 00:37:05,820 decisions for themselves in the nursing home, report 820 00:37:05,820 --> 00:37:07,350 themselves to be more cheerful, 821 00:37:07,350 --> 00:37:09,550 more active, and alert. 822 00:37:09,550 --> 00:37:11,810 They were also objectively healthier and, kind of 823 00:37:11,810 --> 00:37:16,180 amazingly, only half as many had died, literally died. 824 00:37:16,180 --> 00:37:18,500 So it's an extremely compelling-- 825 00:37:18,500 --> 00:37:20,450 I've shown you so many sources of evidence, from controlled 826 00:37:20,450 --> 00:37:23,740 animal things to anecdotal things to kind of a controlled 827 00:37:23,740 --> 00:37:27,240 experiment with humans with random assignment here, where 828 00:37:27,240 --> 00:37:31,450 the sense that a person has control is incredibly powerful 829 00:37:31,450 --> 00:37:35,130 not only for their happiness, but it literally seems to 830 00:37:35,130 --> 00:37:38,840 fight off stress-related diseases in their body, in 831 00:37:38,840 --> 00:37:40,745 their hearts and their life expectancy. 832 00:37:43,470 --> 00:37:45,390 Now the psychological modifiers of the stress 833 00:37:45,390 --> 00:37:48,220 response are going to vary depending on who you are and 834 00:37:48,220 --> 00:37:48,940 the culture you're in. 835 00:37:48,940 --> 00:37:50,430 I'm going to show you one experiment about that, we'll 836 00:37:50,430 --> 00:37:51,890 talk a little bit later about different cultures. 837 00:37:51,890 --> 00:37:55,190 But here's one about what counts as predictably and 838 00:37:55,190 --> 00:37:58,820 control, it'll vary by culture. 839 00:37:58,820 --> 00:38:02,060 So, we'll talk more about this in social psychology, but 840 00:38:02,060 --> 00:38:05,620 social psychologists like to talk about one giant 841 00:38:05,620 --> 00:38:08,440 distinction around the world as a simplified way of 842 00:38:08,440 --> 00:38:11,590 organizing a huge complexity of cultures-- 843 00:38:11,590 --> 00:38:15,000 individualist cultures and collectivist cultures. 844 00:38:15,000 --> 00:38:17,650 Individualist cultures tend to emphasize the individual-- 845 00:38:17,650 --> 00:38:19,590 be yourself, be all that you can be, OK? 846 00:38:19,590 --> 00:38:22,930 You're the one, you're the special person. 847 00:38:22,930 --> 00:38:28,400 That's thought to be common as a cultural mode in 848 00:38:28,400 --> 00:38:30,140 the US and in Europe. 849 00:38:30,140 --> 00:38:33,470 Over time, just in the last decade, people decided the US 850 00:38:33,470 --> 00:38:36,220 is like way, way out of control, different than the 851 00:38:36,220 --> 00:38:37,860 rest of the world in this. 852 00:38:37,860 --> 00:38:41,110 The US would send this message to everybody, the way to be 853 00:38:41,110 --> 00:38:43,965 happy and successful is to be super individualistic. 854 00:38:46,550 --> 00:38:48,860 Europe, a little less so. 855 00:38:48,860 --> 00:38:52,650 And other cultures, Japan South Korea, China received a 856 00:38:52,650 --> 00:38:54,290 lot of attention-- and East Asia-- 857 00:38:54,290 --> 00:38:56,050 tend to be more like we're in this together. 858 00:38:56,050 --> 00:38:59,650 Now this is super simplifying over many people, many 859 00:38:59,650 --> 00:39:00,580 situations. 860 00:39:00,580 --> 00:39:02,900 But cultures do send messages. 861 00:39:02,900 --> 00:39:05,710 Where you grow up, everything from your household to your 862 00:39:05,710 --> 00:39:07,580 town you're in, the school you're in, the 863 00:39:07,580 --> 00:39:08,940 country you're in. 864 00:39:08,940 --> 00:39:11,480 They send you messages of ways to be. 865 00:39:11,480 --> 00:39:13,810 I mean, we live in them. 866 00:39:13,810 --> 00:39:16,500 And here's an example, an experiment that shows, 867 00:39:16,500 --> 00:39:19,200 depending on the cultural influences, roughly speaking, 868 00:39:19,200 --> 00:39:22,640 averaging out across people and families, you can view one 869 00:39:22,640 --> 00:39:28,110 thing or another as a better, healthier, happier control. 870 00:39:28,110 --> 00:39:29,690 So here's the experiment-- 871 00:39:29,690 --> 00:39:31,830 and there's a bunch these, but this is one. 872 00:39:31,830 --> 00:39:34,240 In an elementary school, I think it was in San Francisco, 873 00:39:34,240 --> 00:39:37,370 7 to 9 year olds who are either from Asian-American 874 00:39:37,370 --> 00:39:38,920 families or Anglo-American families. 875 00:39:38,920 --> 00:39:40,780 So that's the cultural thing, trying to look at this 876 00:39:40,780 --> 00:39:43,070 cultural versus individualist. 877 00:39:43,070 --> 00:39:45,780 Parenthetically, Asian-American families in the 878 00:39:45,780 --> 00:39:49,280 US are probably somewhere in-between Asian families in 879 00:39:49,280 --> 00:39:52,440 Asia and Anglo-American families in the US, right? 880 00:39:52,440 --> 00:39:55,140 Probably somewhere in between. 881 00:39:55,140 --> 00:39:57,260 So they did an experiment with Ms. Smith, the teacher, and 882 00:39:57,260 --> 00:40:00,930 she has six markers and six piles of anagrams, and 883 00:40:00,930 --> 00:40:03,960 somebody got to pick which anagrams you would work on to 884 00:40:03,960 --> 00:40:05,350 do your best and solve, OK? 885 00:40:05,350 --> 00:40:08,520 So, typical school little exercise, you try to do well. 886 00:40:08,520 --> 00:40:12,210 And they divided all these children into three groups. 887 00:40:12,210 --> 00:40:14,570 In one group the children chose which anagrams they 888 00:40:14,570 --> 00:40:16,170 would you do. 889 00:40:16,170 --> 00:40:18,450 In one group, the teacher chose it. 890 00:40:18,450 --> 00:40:21,990 And one, they said we've communicated with your mother 891 00:40:21,990 --> 00:40:25,180 and she says this is the anagram set for you. 892 00:40:25,180 --> 00:40:26,930 OK, so you could think in your own life. 893 00:40:26,930 --> 00:40:30,220 If you arrive to class tomorrow at MIT and people 894 00:40:30,220 --> 00:40:32,640 told you, here's a problem set. 895 00:40:32,640 --> 00:40:35,520 You pick the problems, I pick the problems, or I emailed 896 00:40:35,520 --> 00:40:37,500 your mother and she said you should really try those 897 00:40:37,500 --> 00:40:38,620 problems, OK? 898 00:40:38,620 --> 00:40:39,860 Well you're older you wouldn't-- 899 00:40:39,860 --> 00:40:42,010 you'd be weirded out, right? 900 00:40:42,010 --> 00:40:43,620 But 7 to 9 year olds. 901 00:40:43,620 --> 00:40:45,070 They sort of take that, right? 902 00:40:45,070 --> 00:40:46,900 Alright, here's the interesting thing. 903 00:40:46,900 --> 00:40:49,470 So we're going to talk about performance on the anagrams. 904 00:40:49,470 --> 00:40:53,210 So this is actual performance, what seems like a 905 00:40:53,210 --> 00:40:54,450 self-controlled thing. 906 00:40:54,450 --> 00:40:57,490 For the children who are from Anglo-American families, they 907 00:40:57,490 --> 00:41:00,990 performed best when they picked the anagrams set. 908 00:41:00,990 --> 00:41:02,580 The anagram sets were all equal difficulty. 909 00:41:02,580 --> 00:41:04,970 Just like, I picked it I know what I'm doing, OK? 910 00:41:04,970 --> 00:41:07,640 Four times better than the teacher and two and a half 911 00:41:07,640 --> 00:41:09,190 times better than when the mother picked. 912 00:41:09,190 --> 00:41:11,580 That is, there's something about picking that set that 913 00:41:11,580 --> 00:41:14,170 makes them feel like that's the right set for them, and 914 00:41:14,170 --> 00:41:17,190 they perform best. 915 00:41:17,190 --> 00:41:19,000 For the children from Asian-American families, on 916 00:41:19,000 --> 00:41:22,400 average they perform best when the mother had selected the 917 00:41:22,400 --> 00:41:23,640 anagram set. 918 00:41:23,640 --> 00:41:27,060 30% better than themselves, and twice 919 00:41:27,060 --> 00:41:29,010 as well as the teacher. 920 00:41:29,010 --> 00:41:33,030 So all this is saying is, culture influences all of us 921 00:41:33,030 --> 00:41:34,980 in various ways, in complicated ways. 922 00:41:34,980 --> 00:41:37,350 This is one of the easiest things to identify, is this 923 00:41:37,350 --> 00:41:39,520 kind of a cultural difference. 924 00:41:39,520 --> 00:41:41,940 But the important thing is, it's psychological what you 925 00:41:41,940 --> 00:41:44,600 perceive as a source of control, right? 926 00:41:44,600 --> 00:41:47,300 So the way we interpret this is, for children who are 927 00:41:47,300 --> 00:41:50,290 exposed heavily to an Anglo-American emphasis on 928 00:41:50,290 --> 00:41:53,020 independent selfness. 929 00:41:53,020 --> 00:41:57,960 You're the one, you believe you do best the most control 930 00:41:57,960 --> 00:42:00,240 is exerted, when you choose. 931 00:42:00,240 --> 00:42:04,340 And, apparently, for these Asian-American children, they 932 00:42:04,340 --> 00:42:07,720 feel the best control has been exerted when their mother had 933 00:42:07,720 --> 00:42:10,170 selected for them the anagram they're most 934 00:42:10,170 --> 00:42:11,820 likely to succeed on. 935 00:42:11,820 --> 00:42:13,910 And the performance goes with that belief for 936 00:42:13,910 --> 00:42:16,600 both groups of children. 937 00:42:16,600 --> 00:42:18,170 I always worry about these things, and we're going to 938 00:42:18,170 --> 00:42:20,840 talk a little more about stereotypes, because you 939 00:42:20,840 --> 00:42:22,890 sometimes feel like you're supporting stereotypes, but 940 00:42:22,890 --> 00:42:24,100 these are real studies and they didn't have to 941 00:42:24,100 --> 00:42:25,450 play out that way. 942 00:42:25,450 --> 00:42:29,580 And it's obviously this doesn't say every 943 00:42:29,580 --> 00:42:31,030 Anglo-American is this way, and every 944 00:42:31,030 --> 00:42:32,420 Asian-American is that way. 945 00:42:32,420 --> 00:42:35,700 But cultures do influence us, otherwise the other choice is 946 00:42:35,700 --> 00:42:37,170 cultures don't influence us. 947 00:42:37,170 --> 00:42:39,630 And all the data says that culture matters. 948 00:42:39,630 --> 00:42:42,050 The world we grow up in, the values we're exposed to. 949 00:42:42,050 --> 00:42:46,990 OK here's another kind of brutal experiment about sense 950 00:42:46,990 --> 00:42:50,560 of control from 1957. 951 00:42:50,560 --> 00:42:52,330 This is truly life and death. 952 00:42:52,330 --> 00:42:57,650 So, they were interested in understanding really about 953 00:42:57,650 --> 00:43:01,630 survival for animals for water temperature and endurance. 954 00:43:01,630 --> 00:43:04,140 And they put the rats in a jar, and they asked, brutally, 955 00:43:04,140 --> 00:43:07,330 how long does a rat swim before drowns? 956 00:43:07,330 --> 00:43:10,410 OK, this is a brutal experiment, as you can-- 957 00:43:10,410 --> 00:43:12,410 And the goal there was more to understand things about 958 00:43:12,410 --> 00:43:14,200 temperature, and whether people could survive different 959 00:43:14,200 --> 00:43:14,580 temperatures. 960 00:43:14,580 --> 00:43:16,270 It wasn't just to be mean to rats, OK? 961 00:43:16,270 --> 00:43:20,250 The science goal was to understand thermal survival 962 00:43:20,250 --> 00:43:22,480 for people, in the long run. 963 00:43:22,480 --> 00:43:24,110 But one thing they noticed was this-- 964 00:43:24,110 --> 00:43:27,510 some rats gave up in about 15 minutes, others would struggle 965 00:43:27,510 --> 00:43:31,170 as long as possible, and would go for an hour 966 00:43:31,170 --> 00:43:33,280 before they gave up. 967 00:43:33,280 --> 00:43:37,410 Some would surrender quickly, and some would fight as long 968 00:43:37,410 --> 00:43:40,040 as a rat can possibly flight, OK? 969 00:43:40,040 --> 00:43:41,200 Now what's the difference between those 970 00:43:41,200 --> 00:43:44,020 rats who give up early-- 971 00:43:44,020 --> 00:43:45,403 Yeah? 972 00:43:45,403 --> 00:43:48,790 AUDIENCE: Did they give up after 60 minutes or 60 hours? 973 00:43:48,790 --> 00:43:51,110 PROFESSOR: 60 hours, I'm sorry, it is 60 hours. 974 00:43:51,110 --> 00:43:51,740 OK? 975 00:43:51,740 --> 00:43:53,190 Yeah it is fantastic, I'm sorry. 976 00:43:53,190 --> 00:43:55,200 Yes, you're right, I mis-said that because-- 977 00:43:55,200 --> 00:43:56,390 yes that's correct. 978 00:43:56,390 --> 00:44:01,490 But it's huge, OK, and yes 60 hours. 979 00:44:01,490 --> 00:44:02,830 There we go, it is hours. 980 00:44:02,830 --> 00:44:03,590 OK, thank you. 981 00:44:03,590 --> 00:44:04,200 Is that unbelievable? 982 00:44:04,200 --> 00:44:05,000 AUDIENCE: [INAUDIBLE] 983 00:44:05,000 --> 00:44:07,590 PROFESSOR: But for life and death you might do that. 984 00:44:07,590 --> 00:44:08,510 For life and death? 985 00:44:08,510 --> 00:44:10,010 AUDIENCE: [INAUDIBLE] 986 00:44:10,010 --> 00:44:13,540 PROFESSOR: But you can't do anything else. 987 00:44:13,540 --> 00:44:14,880 I know, it's kind of amazing. 988 00:44:14,880 --> 00:44:17,090 What's amazing to them is not necessarily the 60 hours, 989 00:44:17,090 --> 00:44:19,830 which is pretty impressive itself, it's that some just 990 00:44:19,830 --> 00:44:23,410 gave up really fast and some just went as long as you could 991 00:44:23,410 --> 00:44:26,300 go before you would expire, no matter what. 992 00:44:26,300 --> 00:44:28,750 And I think what it is, they did an experiment-- this is a 993 00:44:28,750 --> 00:44:31,500 little bit like the Seyle experiment, but on purpose. 994 00:44:31,500 --> 00:44:35,160 But before they put the rats into here, they picked up the 995 00:44:35,160 --> 00:44:36,940 rats they let them wiggle around, and they would put 996 00:44:36,940 --> 00:44:39,800 them in and out of the water, and then they would put them 997 00:44:39,800 --> 00:44:41,740 in this fatal final experiment. 998 00:44:41,740 --> 00:44:44,630 And then practically all of the rest went for 999 00:44:44,630 --> 00:44:46,970 the 60 hours of effort. 1000 00:44:46,970 --> 00:44:48,100 Why? 1001 00:44:48,100 --> 00:44:50,100 You can't really know, you can't ask the rat, right? 1002 00:44:50,100 --> 00:44:52,600 But the interpretation is they went in and out, they went in 1003 00:44:52,600 --> 00:44:53,590 and out, they struggle-- 1004 00:44:53,590 --> 00:44:55,200 they had hope. 1005 00:44:55,200 --> 00:44:57,440 Literally, as far as we can understand, they had hope. 1006 00:44:57,440 --> 00:44:59,410 Because before they were taken out, OK? 1007 00:44:59,410 --> 00:45:01,420 And if you have hope, you struggle for 1008 00:45:01,420 --> 00:45:03,070 a long, long time. 1009 00:45:03,070 --> 00:45:05,390 And if you're hopeless for some reason if you don't have 1010 00:45:05,390 --> 00:45:08,940 hope, you give up fast. 1011 00:45:08,940 --> 00:45:12,310 So it's very compelling that this sense of self control, 1012 00:45:12,310 --> 00:45:15,060 including hope, makes a tremendous difference in 1013 00:45:15,060 --> 00:45:16,140 performance. 1014 00:45:16,140 --> 00:45:19,205 And it's very psychologically malleable in people, what 1015 00:45:19,205 --> 00:45:23,500 counts, for them, as sources of hope and control. 1016 00:45:23,500 --> 00:45:25,510 How about social support? 1017 00:45:25,510 --> 00:45:28,700 So in primates, after a stress response, among strangers, 1018 00:45:28,700 --> 00:45:29,900 they're worse. 1019 00:45:29,900 --> 00:45:32,300 If they're among animals they know, they're better. 1020 00:45:32,300 --> 00:45:34,540 And this is measured by glucocorticoids, an objective 1021 00:45:34,540 --> 00:45:36,020 measure in monkeys. 1022 00:45:36,020 --> 00:45:38,290 That they're better if they're among monkeys they know. 1023 00:45:38,290 --> 00:45:41,630 So, you could think in your own life, family, friends. 1024 00:45:41,630 --> 00:45:46,300 Intuitively are they sources of support? 1025 00:45:46,300 --> 00:45:47,550 Yes. 1026 00:45:49,480 --> 00:45:52,570 So, they do stressor experiments with people. 1027 00:45:52,570 --> 00:45:54,260 A really good one is to tell somebody they're about to do 1028 00:45:54,260 --> 00:45:57,060 public speaking task, that turns out to scare people, or 1029 00:45:57,060 --> 00:45:58,910 a difficult math task, or they're about to argue with a 1030 00:45:58,910 --> 00:46:01,200 stranger about a controversial topic. 1031 00:46:01,200 --> 00:46:03,220 They have less cardiovascular response if they're with a 1032 00:46:03,220 --> 00:46:06,610 supportive friend present when they get the instruction, OK? 1033 00:46:06,610 --> 00:46:08,880 So if you're told you're going to do something, like have a 1034 00:46:08,880 --> 00:46:10,890 really unpleasant argument with somebody, but there's 1035 00:46:10,890 --> 00:46:13,050 somebody you know with you, who you know, you have less of 1036 00:46:13,050 --> 00:46:15,795 a physiological response for the dread, if you want, or the 1037 00:46:15,795 --> 00:46:17,700 stress of the upcoming event. 1038 00:46:17,700 --> 00:46:18,930 And then, so those are controlled 1039 00:46:18,930 --> 00:46:19,780 experiment with people. 1040 00:46:19,780 --> 00:46:23,120 And there's epidemiological observation that people with 1041 00:46:23,120 --> 00:46:26,210 spouses and close friends live longer, that when spouses die, 1042 00:46:26,210 --> 00:46:29,850 the risk of dying increases for the surviving spouse, that 1043 00:46:29,850 --> 00:46:33,390 parents of children killed in war have a higher risk of 1044 00:46:33,390 --> 00:46:36,810 disease and mortality but only if they're divorced and 1045 00:46:36,810 --> 00:46:39,740 widowed, that patients with severe coronary disease had 1046 00:46:39,740 --> 00:46:41,520 three times the death rate over five years if they lack 1047 00:46:41,520 --> 00:46:42,220 social support. 1048 00:46:42,220 --> 00:46:44,810 So these are all correlation studies, all of them would 1049 00:46:44,810 --> 00:46:47,250 have alternative interpretations, but they are 1050 00:46:47,250 --> 00:46:49,780 all consistent with these experimental studies that 1051 00:46:49,780 --> 00:46:54,230 social support is an incredibly powerful buffer for 1052 00:46:54,230 --> 00:46:59,450 resilience for stress and threat. 1053 00:46:59,450 --> 00:47:03,410 Here's another one, perception of life improving. 1054 00:47:03,410 --> 00:47:05,540 So, rats getting shocks. 1055 00:47:05,540 --> 00:47:11,520 Rat number one got 10 hours a day, rat number 1056 00:47:11,520 --> 00:47:13,320 two got 50 per hour. 1057 00:47:13,320 --> 00:47:16,650 And day two, all rats get 25 per hour. 1058 00:47:16,650 --> 00:47:19,500 So rat number one, life is getting worse. 1059 00:47:19,500 --> 00:47:22,690 Rat number two, life is getting better. 1060 00:47:22,690 --> 00:47:27,030 And it's the group that goes from 10 to 25 that gets 1061 00:47:27,030 --> 00:47:28,330 hypertensive, OK? 1062 00:47:28,330 --> 00:47:30,840 So if you think things are getting better things can 1063 00:47:30,840 --> 00:47:32,030 still be pretty bad. 1064 00:47:32,030 --> 00:47:35,400 But if they feel like they're better, then you're going to 1065 00:47:35,400 --> 00:47:37,110 be happier. 1066 00:47:37,110 --> 00:47:38,240 As a side note-- 1067 00:47:38,240 --> 00:47:40,490 I should have put this in as a note but-- there's a work from 1068 00:47:40,490 --> 00:47:42,060 Danny Kahneman on perception of pain. 1069 00:47:42,060 --> 00:47:46,250 So he talked about people who went in to dentists, which can 1070 00:47:46,250 --> 00:47:49,650 be sometimes unpleasant, and had them rate the pain 1071 00:47:49,650 --> 00:47:50,250 periodically. 1072 00:47:50,250 --> 00:47:52,130 And what he found is that, when you look back in your 1073 00:47:52,130 --> 00:47:54,990 memory of how bad your experience was, he could 1074 00:47:54,990 --> 00:47:57,170 predict it largely by two numbers-- 1075 00:47:57,170 --> 00:48:02,400 the peak pain response you report and the change near the 1076 00:48:02,400 --> 00:48:04,330 end if it's getting better. 1077 00:48:04,330 --> 00:48:07,100 So what he discovers, weirdly enough, is this-- 1078 00:48:07,100 --> 00:48:11,320 if you have peak pain responses that are similar 1079 00:48:11,320 --> 00:48:15,900 with the dentist, if you add more pain but it's getting 1080 00:48:15,900 --> 00:48:19,120 lower, people will feel like they had less pain overall, 1081 00:48:19,120 --> 00:48:20,380 even though you added pain. 1082 00:48:20,380 --> 00:48:22,530 Because if you just stop, it just stops. 1083 00:48:22,530 --> 00:48:24,560 But now you've got a little bit of pain, and it's getting 1084 00:48:24,560 --> 00:48:26,000 better and better and better. 1085 00:48:26,000 --> 00:48:28,750 So you're adding pain, but the perception is, at the end it 1086 00:48:28,750 --> 00:48:29,670 was getting better. 1087 00:48:29,670 --> 00:48:30,690 Does that make sense? 1088 00:48:30,690 --> 00:48:32,570 OK, you're adding pain, but it's getting less 1089 00:48:32,570 --> 00:48:33,190 and less and less. 1090 00:48:33,190 --> 00:48:35,020 But it's still an add, because you're adding it. 1091 00:48:35,020 --> 00:48:37,200 People, in their mind, they'll say it was 1092 00:48:37,200 --> 00:48:39,480 less painful overall. 1093 00:48:39,480 --> 00:48:41,820 Because, what counts for them at the end is the 1094 00:48:41,820 --> 00:48:43,450 getting-betterness. 1095 00:48:43,450 --> 00:48:47,650 Getting better, even if it's bad, is a hugely powerful way 1096 00:48:47,650 --> 00:48:49,030 the people view things in terms of how 1097 00:48:49,030 --> 00:48:51,050 miserable life can be. 1098 00:48:51,050 --> 00:48:53,630 So here's a graph that summarizes, here's risk of 1099 00:48:53,630 --> 00:48:54,480 ulcer in rats. 1100 00:48:54,480 --> 00:48:57,300 If there's another rat present, if they get a warning 1101 00:48:57,300 --> 00:48:59,680 signal for control, a lever for responsive, if things seem 1102 00:48:59,680 --> 00:49:01,600 to be getting better, if they have friends. 1103 00:49:01,600 --> 00:49:05,400 All these things change the physiological consequence of 1104 00:49:05,400 --> 00:49:07,960 very rough structures in the laboratory. 1105 00:49:07,960 --> 00:49:10,980 And, as far as we could measure, it seems to happen in 1106 00:49:10,980 --> 00:49:12,350 people as well. 1107 00:49:12,350 --> 00:49:14,100 So it's kind of a dual story, right? 1108 00:49:14,100 --> 00:49:16,510 There's fantastic stressors that we have in daily life in 1109 00:49:16,510 --> 00:49:18,560 the world we live in that are chronic and unabating in many 1110 00:49:18,560 --> 00:49:22,180 ways, but quite well-identified things they 1111 00:49:22,180 --> 00:49:25,260 can help us manage those much, much better. 1112 00:49:25,260 --> 00:49:27,630 Or become victims of them, much, much more likely. 1113 00:49:31,040 --> 00:49:36,260 OK, I'm going to talk a bit about a couple studies about 1114 00:49:36,260 --> 00:49:38,760 pain and romance. 1115 00:49:38,760 --> 00:49:41,320 So, and this goes back to an idea we talked about before, 1116 00:49:41,320 --> 00:49:41,990 but let me just remind you. 1117 00:49:41,990 --> 00:49:43,235 This idea of embodied cognition. 1118 00:49:43,235 --> 00:49:46,390 That the nature of the human mind largely determined by the 1119 00:49:46,390 --> 00:49:47,460 form of the human body. 1120 00:49:47,460 --> 00:49:50,820 That bottom-up physiology has a bigger role in our mental 1121 00:49:50,820 --> 00:49:52,620 life than we might think. 1122 00:49:52,620 --> 00:49:55,760 And I'm going to talk about emotional pain. 1123 00:49:55,760 --> 00:49:58,080 And two things that are very painful emotionally-- 1124 00:49:58,080 --> 00:50:00,050 and if you've gone through , you know this-- they're 1125 00:50:00,050 --> 00:50:02,090 shockingly painful sometimes. 1126 00:50:02,090 --> 00:50:05,380 If you haven't had it recently, they're social 1127 00:50:05,380 --> 00:50:11,350 rejection or romantic rejection, right? 1128 00:50:11,350 --> 00:50:14,820 It's a sad thing, but it's true that I think those are 1129 00:50:14,820 --> 00:50:17,560 shockingly painful for many people, even if you didn't 1130 00:50:17,560 --> 00:50:18,910 think it was going to be that bad. 1131 00:50:18,910 --> 00:50:22,780 The shock of being rejected socially or romantically is a 1132 00:50:22,780 --> 00:50:24,990 pretty brutal experience emotionally. 1133 00:50:24,990 --> 00:50:28,230 I'm going to show you guys from pretty strong evidence 1134 00:50:28,230 --> 00:50:31,310 that it's because, when you have that kind of pain it 1135 00:50:31,310 --> 00:50:36,850 literally turns on the same pain system as heat or shocks. 1136 00:50:36,850 --> 00:50:37,200 OK? 1137 00:50:37,200 --> 00:50:39,220 Literally the same one gets turned on as far as we can 1138 00:50:39,220 --> 00:50:39,620 measure it. 1139 00:50:39,620 --> 00:50:43,400 So, here's a thing just remind you that pain has is comprised 1140 00:50:43,400 --> 00:50:44,810 of having two part. 1141 00:50:44,810 --> 00:50:46,910 A sensory one that's the objective response to the 1142 00:50:46,910 --> 00:50:51,060 pain, and what people call affective, that is, how much 1143 00:50:51,060 --> 00:50:52,650 you suffer from that pain. 1144 00:50:52,650 --> 00:50:54,120 So we could measure the objective one and the 1145 00:50:54,120 --> 00:50:55,230 subjective one. 1146 00:50:55,230 --> 00:50:58,590 And a bunch of studies have suggested that, for example 1147 00:50:58,590 --> 00:51:00,850 somatosensory cortex, this the cortex that represents your 1148 00:51:00,850 --> 00:51:05,270 body, if you get physical pain like a shock or heat gun, 1149 00:51:05,270 --> 00:51:07,760 responds to the amount of that. 1150 00:51:07,760 --> 00:51:10,190 Whereas something like the anterior sineal, this part of 1151 00:51:10,190 --> 00:51:12,530 the brain viewed from the top, or this part viewed from the 1152 00:51:12,530 --> 00:51:14,510 side, interprets that pain. 1153 00:51:14,510 --> 00:51:17,490 So we know that people can withstand pain sometimes, we 1154 00:51:17,490 --> 00:51:19,300 think this doesn't care about that. 1155 00:51:19,300 --> 00:51:21,530 This is a part of your mind, or a component of your mind, 1156 00:51:21,530 --> 00:51:23,750 supported by this part of the brain, that tells you how much 1157 00:51:23,750 --> 00:51:27,430 you suffer subjectively from an objective thing. 1158 00:51:27,430 --> 00:51:29,240 And part of reason they think that is the 1159 00:51:29,240 --> 00:51:31,400 study, a hypnosis study. 1160 00:51:31,400 --> 00:51:33,030 So we talked before, is hypnosis real or not? 1161 00:51:33,030 --> 00:51:34,060 This is one of the things that should convince 1162 00:51:34,060 --> 00:51:34,530 you a little bit. 1163 00:51:34,530 --> 00:51:37,510 I was as skeptical as anybody but this is me apart 1164 00:51:37,510 --> 00:51:40,060 So these are individuals who are highly hypnotic, only 1165 00:51:40,060 --> 00:51:42,960 those are in this kind of a study, who get pain. 1166 00:51:42,960 --> 00:51:44,960 And they're told to imagine that the 1167 00:51:44,960 --> 00:51:49,110 pain is always identical. 1168 00:51:49,110 --> 00:51:52,340 it's always identical, but they're hypnotically suggested 1169 00:51:52,340 --> 00:51:53,890 that it's high or low. 1170 00:51:53,890 --> 00:51:57,060 So in this primary response to pain in the somatosensory 1171 00:51:57,060 --> 00:51:58,800 cortex, not much difference. 1172 00:51:58,800 --> 00:52:02,170 But in the interior cingulate in the interpretation of pain, 1173 00:52:02,170 --> 00:52:03,440 a big difference. 1174 00:52:03,440 --> 00:52:06,420 Here's how much it is when they think it's a low pain by 1175 00:52:06,420 --> 00:52:08,470 hypnotic suggestion, here's the response when they think 1176 00:52:08,470 --> 00:52:09,380 it's high pain. 1177 00:52:09,380 --> 00:52:11,710 So this change in brain response is 1178 00:52:11,710 --> 00:52:13,470 purely hypnotic effect. 1179 00:52:13,470 --> 00:52:16,340 The painful stimulus is always constant. 1180 00:52:16,340 --> 00:52:16,740 Right? 1181 00:52:16,740 --> 00:52:19,370 But that supports of you that this part is brain response is 1182 00:52:19,370 --> 00:52:22,820 an interpretation rather than a simple objective response to 1183 00:52:22,820 --> 00:52:24,000 the pain itself. 1184 00:52:24,000 --> 00:52:27,180 There's many sources of evidence for that. 1185 00:52:27,180 --> 00:52:31,450 So here's a study from Matt Lieberman at UCLA, where you 1186 00:52:31,450 --> 00:52:34,330 come into a scanner and you're playing a game with somebody. 1187 00:52:34,330 --> 00:52:36,380 Sometimes they tell you there's a person 1188 00:52:36,380 --> 00:52:37,530 playing with you. 1189 00:52:37,530 --> 00:52:40,410 It's very simple and it just shows you that even as adults 1190 00:52:40,410 --> 00:52:42,810 we retain some of our childhood feelings, which is a 1191 00:52:42,810 --> 00:52:47,000 game very simple computerized catch. 1192 00:52:47,000 --> 00:52:49,120 And sometimes a person who's supposedly playing with you 1193 00:52:49,120 --> 00:52:51,950 outside the room throws the ball back to you. 1194 00:52:51,950 --> 00:52:56,020 And sometimes the person is really mean and they exclude 1195 00:52:56,020 --> 00:52:59,490 you from playing catch on the computer. 1196 00:52:59,490 --> 00:53:02,640 So, this is about as silly a version as you can get for 1197 00:53:02,640 --> 00:53:06,080 young adults participants for pain, but hey we don't like 1198 00:53:06,080 --> 00:53:08,750 being left out even when it's some weird experiment. 1199 00:53:08,750 --> 00:53:11,010 And set up a little bit so you really believe the other 1200 00:53:11,010 --> 00:53:13,730 people in the experiment have left you out of the ball 1201 00:53:13,730 --> 00:53:14,730 tossing game. 1202 00:53:14,730 --> 00:53:18,580 And here's what turns on, right in the middle of this 1203 00:53:18,580 --> 00:53:22,260 pain region, the interior cingulate for this pain of 1204 00:53:22,260 --> 00:53:26,230 social rejection under such a mild circumstance, OK? 1205 00:53:26,230 --> 00:53:28,950 And, by the way, they do the same experiment and they tell 1206 00:53:28,950 --> 00:53:31,080 you it's a computer who's deciding whether to toss you 1207 00:53:31,080 --> 00:53:32,960 the ball, you don't have a problem. 1208 00:53:32,960 --> 00:53:35,330 It's only when you believe it's a person who's choosing 1209 00:53:35,330 --> 00:53:36,740 to exclude you. 1210 00:53:36,740 --> 00:53:37,490 OK? 1211 00:53:37,490 --> 00:53:39,940 So this was published in Science because they said, 1212 00:53:39,940 --> 00:53:44,450 look being left out of a group is as painful as if we had 1213 00:53:44,450 --> 00:53:46,910 given you a shock or thermal gun. 1214 00:53:46,910 --> 00:53:50,190 And it could sound ridiculous, but look it's the same system 1215 00:53:50,190 --> 00:53:50,930 that's responding. 1216 00:53:50,930 --> 00:53:53,770 OK so just recently a paper was published where they said, 1217 00:53:53,770 --> 00:53:55,770 let's go all the way, this is just a little laboratory 1218 00:53:55,770 --> 00:53:56,660 experiment. 1219 00:53:56,660 --> 00:54:00,910 Let's grab people who recently self report a very unhappy 1220 00:54:00,910 --> 00:54:06,260 romantic breakup, OK, where somebody left them. 1221 00:54:06,260 --> 00:54:09,430 So they gave them both physical pain and they looked 1222 00:54:09,430 --> 00:54:10,720 at its relation to romantic pain. 1223 00:54:10,720 --> 00:54:14,290 So participants felt intensely rejected as a result of 1224 00:54:14,290 --> 00:54:16,630 recently experiencing an unwanted romantic 1225 00:54:16,630 --> 00:54:17,800 relationship breakup. 1226 00:54:17,800 --> 00:54:20,580 What's the word we use for that when somebody-- 1227 00:54:20,580 --> 00:54:21,700 isn't there a word? 1228 00:54:21,700 --> 00:54:23,400 Help me out here. 1229 00:54:23,400 --> 00:54:24,600 AUDIENCE: [INAUDIBLE] 1230 00:54:24,600 --> 00:54:24,860 PROFESSOR: Dumped. 1231 00:54:24,860 --> 00:54:26,530 Yeah, this is when somebody dumps you. 1232 00:54:26,530 --> 00:54:27,390 Oh my god, I'm really hurt. 1233 00:54:27,390 --> 00:54:29,910 And what's wrong with me? 1234 00:54:29,910 --> 00:54:31,720 It's easy to laugh about years later. 1235 00:54:31,720 --> 00:54:33,950 I could tell, I have a story or two, but I won't 1236 00:54:33,950 --> 00:54:36,100 drag you into my-- 1237 00:54:36,100 --> 00:54:40,390 but almost everybody lives through a version of this some 1238 00:54:40,390 --> 00:54:41,100 time in their lives. 1239 00:54:41,100 --> 00:54:43,640 So it's surprisingly intense. 1240 00:54:43,640 --> 00:54:45,880 So what they did, this is a tough experiment. 1241 00:54:45,880 --> 00:54:47,850 They had them view pictures of ex-partners, the 1242 00:54:47,850 --> 00:54:49,110 person who left them. 1243 00:54:49,110 --> 00:54:49,400 OK? 1244 00:54:49,400 --> 00:54:51,390 I don't even know how they're going to-- please bring us all 1245 00:54:51,390 --> 00:54:52,750 the pictures that are now covered with 1246 00:54:52,750 --> 00:54:55,290 tears and stuff, right? 1247 00:54:55,290 --> 00:54:57,230 And you view those pictures, they also had you bring in 1248 00:54:57,230 --> 00:54:59,270 pictures of other friends, people you knew. 1249 00:54:59,270 --> 00:55:02,390 And you and either thought about the ex-partners and how 1250 00:55:02,390 --> 00:55:04,170 you were rejected, or you viewed pictures of your 1251 00:55:04,170 --> 00:55:05,190 friends and you thought about good 1252 00:55:05,190 --> 00:55:06,020 things about your friends. 1253 00:55:06,020 --> 00:55:08,380 So they controlled for looking at a face. 1254 00:55:08,380 --> 00:55:11,060 And here's where they find. 1255 00:55:11,060 --> 00:55:12,760 Here's physical pain and social pain in 1256 00:55:12,760 --> 00:55:14,100 the anterior cingulate. 1257 00:55:14,100 --> 00:55:16,160 Pretty much turning on the same part of the brain. 1258 00:55:16,160 --> 00:55:20,320 When you see the person who dumped you and when you get a 1259 00:55:20,320 --> 00:55:22,720 heat gun applied to you that exerts physical pain. 1260 00:55:22,720 --> 00:55:25,390 And in brain region after brain region that which 1261 00:55:25,390 --> 00:55:29,490 responds to physical pain is also turned on with the pain 1262 00:55:29,490 --> 00:55:32,900 of looking at somebody who dumped you recently and you 1263 00:55:32,900 --> 00:55:36,580 still feel that feeling of rejection. 1264 00:55:36,580 --> 00:55:40,890 So now all of this is social rejection is very painful. 1265 00:55:40,890 --> 00:55:44,260 Romantic rejection is very painful, painful literally. 1266 00:55:44,260 --> 00:55:44,840 OK? 1267 00:55:44,840 --> 00:55:46,450 It's not a metaphor, it's not a story. 1268 00:55:46,450 --> 00:55:48,750 It's literally the same system in your brain that feels 1269 00:55:48,750 --> 00:55:50,950 physical pain, feels this emotion pain. 1270 00:55:50,950 --> 00:55:52,200 Emotional pain is very powerful. 1271 00:55:55,580 --> 00:55:57,210 And here's an amazing follow up with this. 1272 00:55:57,210 --> 00:55:59,506 And this is the kind of study-- it'd be interesting to 1273 00:55:59,506 --> 00:56:00,210 see this replicated-- 1274 00:56:00,210 --> 00:56:01,940 but it kind of makes sense. 1275 00:56:01,940 --> 00:56:08,540 So they randomly assign people to 2000 milligrams a pain 1276 00:56:08,540 --> 00:56:10,820 medication like Tylenol, Excedrin for three weeks or 1277 00:56:10,820 --> 00:56:11,510 they got placebos. 1278 00:56:11,510 --> 00:56:14,050 So you don't know what you've got, a double blind study. 1279 00:56:14,050 --> 00:56:16,030 They provide daily reports of how their day was. 1280 00:56:16,030 --> 00:56:19,660 By day 15, they reported less painful responses to rejection 1281 00:56:19,660 --> 00:56:20,990 in their daily lives. 1282 00:56:20,990 --> 00:56:24,040 And they also had less brain response to social rejection, 1283 00:56:24,040 --> 00:56:27,380 by taking drugs that work on pain. 1284 00:56:27,380 --> 00:56:29,850 And they don't even know it's a double blind comparison. 1285 00:56:29,850 --> 00:56:31,200 Now there's all kinds of issues-- 1286 00:56:31,200 --> 00:56:32,700 for those of you, I've just got to tell you this-- to 1287 00:56:32,700 --> 00:56:35,010 chronically take these drugs, you get ulcers 1288 00:56:35,010 --> 00:56:36,470 and things like this. 1289 00:56:36,470 --> 00:56:38,760 so don't do that. 1290 00:56:38,760 --> 00:56:42,450 But it just pushes the point that there's some incredibly 1291 00:56:42,450 --> 00:56:45,480 interesting relationship between emotional pain and 1292 00:56:45,480 --> 00:56:50,640 physical pain that's very striking. 1293 00:56:50,640 --> 00:56:53,520 OK now I'm going to go on for the last few minutes to 1294 00:56:53,520 --> 00:56:54,220 another topic. 1295 00:56:54,220 --> 00:56:56,600 And again it's one of these topics about racial relations 1296 00:56:56,600 --> 00:56:59,370 in the US that's always a very difficult 1297 00:56:59,370 --> 00:57:00,170 topic in our culture. 1298 00:57:00,170 --> 00:57:05,210 And I hope I communicate it correctly, and appropriately. 1299 00:57:05,210 --> 00:57:08,670 So we talked before about stereotyped threat, and this 1300 00:57:08,670 --> 00:57:10,940 is a threat that a person feels-- 1301 00:57:10,940 --> 00:57:13,310 this is another form of stress-- 1302 00:57:13,310 --> 00:57:16,130 that others' judgments or one's own actions will confirm 1303 00:57:16,130 --> 00:57:18,500 a negative stereotype about one's group. 1304 00:57:18,500 --> 00:57:22,290 And that, for example, in multiple studies that 1305 00:57:22,290 --> 00:57:26,890 African-Americans when a test framed about a kind of a test 1306 00:57:26,890 --> 00:57:29,220 of people might think African-Americans won't do 1307 00:57:29,220 --> 00:57:32,180 well, do less well, when they just take the test they do 1308 00:57:32,180 --> 00:57:33,420 perfectly well. 1309 00:57:33,420 --> 00:57:35,695 And then we talked about that whatever stereotype might 1310 00:57:35,695 --> 00:57:39,170 apply to you, when it's invoked people under-perform 1311 00:57:39,170 --> 00:57:40,210 in that area. 1312 00:57:40,210 --> 00:57:44,400 And we interpret that as a sort of a stress that's not 1313 00:57:44,400 --> 00:57:47,120 letting people perform at their best. 1314 00:57:47,120 --> 00:57:51,750 So I'm going to talk about that stress element, but we're 1315 00:57:51,750 --> 00:57:53,040 going to do an exercise. 1316 00:57:53,040 --> 00:57:55,040 And I need you to be sensitive on this, and 1317 00:57:55,040 --> 00:57:55,930 hopefully I'll do it. 1318 00:57:55,930 --> 00:58:00,360 This is the most common way that psychologists measure 1319 00:58:00,360 --> 00:58:04,070 attitude something about the stereotypes that inhabit the 1320 00:58:04,070 --> 00:58:05,590 minds of people who live in this country. 1321 00:58:05,590 --> 00:58:07,490 So we're going to do it as an exercise if you're willing to 1322 00:58:07,490 --> 00:58:10,550 do, you just tap with one hand or the other. 1323 00:58:10,550 --> 00:58:12,070 And we'll just try it you don't have to do 1324 00:58:12,070 --> 00:58:14,700 this at your desk. 1325 00:58:14,700 --> 00:58:17,150 I read about this kind of research for a number of years 1326 00:58:17,150 --> 00:58:19,440 before I ever did it as a demonstration when I was at a 1327 00:58:19,440 --> 00:58:19,910 conference. 1328 00:58:19,910 --> 00:58:21,940 And somebody works in this field did it and i it was kind 1329 00:58:21,940 --> 00:58:23,020 of striking when it happened. 1330 00:58:23,020 --> 00:58:25,390 So it's up to you anyway. 1331 00:58:25,390 --> 00:58:27,270 So think about whether you want to do this, but here's 1332 00:58:27,270 --> 00:58:28,960 what we're going to do. 1333 00:58:28,960 --> 00:58:32,970 So the experiment has two kinds of stimuli, basically. 1334 00:58:32,970 --> 00:58:35,250 One of them are adjectives that are pleasant or 1335 00:58:35,250 --> 00:58:35,630 unpleasant. 1336 00:58:35,630 --> 00:58:38,840 everybody agrees that murderer or sicknesses is unpleasant, 1337 00:58:38,840 --> 00:58:43,470 everybody agrees cheer and peace are pleasant. 1338 00:58:43,470 --> 00:58:49,480 The second category or stimuli that are relevant are names 1339 00:58:49,480 --> 00:58:52,260 that are selected in these experiments to be usually 1340 00:58:52,260 --> 00:58:55,070 thought of-- and of course it's a generalization-- 1341 00:58:55,070 --> 00:59:00,610 to be found for people who are European-Americans and more 1342 00:59:00,610 --> 00:59:03,280 likely to be associated with African-Americans. 1343 00:59:03,280 --> 00:59:04,630 OK? 1344 00:59:04,630 --> 00:59:07,500 All right, I mean you'll see, the experiment has to work 1345 00:59:07,500 --> 00:59:09,210 this way but I'll talk with you about other versions of it 1346 00:59:09,210 --> 00:59:10,610 that don't depend on exactly this. 1347 00:59:10,610 --> 00:59:11,160 OK? 1348 00:59:11,160 --> 00:59:12,510 it doesn't really matter. 1349 00:59:12,510 --> 00:59:16,010 you can think about things and ask questions in a minute. 1350 00:59:16,010 --> 00:59:20,980 So what I'm going to ask you to do, This you're going to 1351 00:59:20,980 --> 00:59:24,730 see a list like this of adjectives. 1352 00:59:24,730 --> 00:59:34,460 Go from top to bottom if it's an unpleasant word you tap 1353 00:59:34,460 --> 00:59:36,400 with your left on your desk, it it's a pleasant word with 1354 00:59:36,400 --> 00:59:37,000 the right hand. 1355 00:59:37,000 --> 00:59:38,140 From top to bottom. 1356 00:59:38,140 --> 00:59:39,580 And I'll just read you the times 1357 00:59:39,580 --> 00:59:40,790 as we go, on a stopwatch. 1358 00:59:40,790 --> 00:59:41,410 Ready? 1359 00:59:41,410 --> 00:59:47,420 So left hand if it's unpleasant, right hand if it's 1360 00:59:47,420 --> 00:59:49,490 pleasant, OK? 1361 00:59:49,490 --> 01:00:05,600 Here we go 9 seconds, 10 seconds, or 11 seconds, 13 1362 01:00:05,600 --> 01:00:07,360 seconds, 14. 1363 01:00:07,360 --> 01:00:08,760 OK all right, there's some practice effect 1364 01:00:08,760 --> 01:00:10,010 and all that stuff. 1365 01:00:15,920 --> 01:00:21,100 OK now you're going to have the names. 1366 01:00:21,100 --> 01:00:25,430 Tap with you left hand if it's a name that's more typical of 1367 01:00:25,430 --> 01:00:27,120 an African-American, your right hand if it's more 1368 01:00:27,120 --> 01:00:28,430 typical of a European-American. 1369 01:00:28,430 --> 01:00:28,690 Ready? 1370 01:00:28,690 --> 01:00:29,940 Go. 1371 01:00:37,510 --> 01:00:54,282 5,6,7,9,10,11,12,13 OK. 1372 01:00:54,282 --> 01:00:57,970 OK, tap with your left hand if the adjective is an unpleasant 1373 01:00:57,970 --> 01:01:00,650 adjective or the name of an African-American, your right 1374 01:01:00,650 --> 01:01:02,680 hand if it's pleasant or the name of a 1375 01:01:02,680 --> 01:01:03,830 typical white American. 1376 01:01:03,830 --> 01:01:06,720 OK so now it's a mixed list. 1377 01:01:06,720 --> 01:01:07,950 Ready? 1378 01:01:07,950 --> 01:01:25,330 Go 5 10 12,13,14,15. 1379 01:01:25,330 --> 01:01:27,480 OK, so by about 15 we got pretty much everybody. 1380 01:01:31,900 --> 01:01:35,810 OK, we'll do this now, left for a name typically 1381 01:01:35,810 --> 01:01:38,130 associated in this kind of experiment for a white 1382 01:01:38,130 --> 01:01:39,560 American, right for a black American. 1383 01:01:39,560 --> 01:01:39,950 Ready? 1384 01:01:39,950 --> 01:01:41,200 Go. 1385 01:01:49,600 --> 01:01:59,440 8, 9, 10, 11, 12,13,14 OK. 1386 01:01:59,440 --> 01:02:01,380 Now this is the last one coming up. 1387 01:02:01,380 --> 01:02:05,360 So now it's going to be left hand if it's a unpleasant 1388 01:02:05,360 --> 01:02:09,900 adjective or a white American name, on the right if it's a 1389 01:02:09,900 --> 01:02:12,290 pleasant or a black American name. 1390 01:02:12,290 --> 01:02:13,710 Ready? 1391 01:02:13,710 --> 01:02:14,960 Go. 1392 01:02:23,230 --> 01:02:36,900 8 9, 10, 11, 12,13, 14,15 ,16, 17,18,19, 20, 21, 1393 01:02:36,900 --> 01:02:38,270 Still tapping, right? 1394 01:02:38,270 --> 01:02:40,400 All right, so this is a shock, right? 1395 01:02:40,400 --> 01:02:42,420 I mean if you don't know this lecture, it's a shock. 1396 01:02:42,420 --> 01:02:46,500 And it's a shock because this effect, which you heard 1397 01:02:46,500 --> 01:02:50,040 yourself, happens in 1398 01:02:50,040 --> 01:02:52,220 undergraduates across this country. 1399 01:02:52,220 --> 01:02:55,550 People who are very convinced that racism is wrong, they 1400 01:02:55,550 --> 01:03:00,050 hold no stereotypes themselves and with racism is wrong, 1401 01:03:00,050 --> 01:03:01,250 they're definitely right about that. 1402 01:03:01,250 --> 01:03:05,670 Definitely don't foster a stereotype, I 1403 01:03:05,670 --> 01:03:08,090 mean you don't either. 1404 01:03:08,090 --> 01:03:10,305 But in experiment after experiment in a country, and 1405 01:03:10,305 --> 01:03:13,680 there's literally hundreds of these published, people on 1406 01:03:13,680 --> 01:03:16,880 average are faster when they have to do unpleasant and 1407 01:03:16,880 --> 01:03:20,600 black or unpleasant white as if it were easier to associate 1408 01:03:20,600 --> 01:03:21,390 these two concepts. 1409 01:03:21,390 --> 01:03:25,440 And we just did now you are the easy condition you were 1410 01:03:25,440 --> 01:03:27,450 all done in about 15 seconds. 1411 01:03:27,450 --> 01:03:31,090 In the more difficult condition, the unpleasant or 1412 01:03:31,090 --> 01:03:33,830 white condition, there was still tapping occurring at 20 1413 01:03:33,830 --> 01:03:35,430 could have gone to 25 or 30. 1414 01:03:35,430 --> 01:03:37,440 OK so you had that experience, too. 1415 01:03:37,440 --> 01:03:39,690 I heard you going I think giggling, I think 1416 01:03:39,690 --> 01:03:41,470 just because of shock. 1417 01:03:41,470 --> 01:03:44,920 Because you say, if you're like me, you say I harbor no 1418 01:03:44,920 --> 01:03:47,640 prejudices, how did this happen to me? 1419 01:03:47,640 --> 01:03:51,150 So this experiment, and you could look up a lot of 1420 01:03:51,150 --> 01:03:53,890 information about this from Mazarin Banaji at Harvard, 1421 01:03:53,890 --> 01:03:55,760 who's sort of the leader of this, with Tony Greenwald. 1422 01:03:55,760 --> 01:03:59,420 They have a huge amount of evidence about this. 1423 01:03:59,420 --> 01:04:03,820 So one thing you kind of laughed at, because it was so 1424 01:04:03,820 --> 01:04:05,590 silly almost, the way we set up here, 1425 01:04:05,590 --> 01:04:07,720 were the names, right? 1426 01:04:07,720 --> 01:04:09,470 Because it was kind of a funny list of names. 1427 01:04:09,470 --> 01:04:11,680 I could tell you the experiment work identically, 1428 01:04:11,680 --> 01:04:14,740 just about, if you show pictures of 1429 01:04:14,740 --> 01:04:15,910 white or black people. 1430 01:04:15,910 --> 01:04:19,070 So the names is not an issue in that case, OK? 1431 01:04:19,070 --> 01:04:20,570 So it's a shocking thing. 1432 01:04:20,570 --> 01:04:23,860 And where does it come from that people are faster for 1433 01:04:23,860 --> 01:04:25,990 white and pleasant than black and pleasant? 1434 01:04:25,990 --> 01:04:31,860 That occurs in 75% or people who are white and about 50% of 1435 01:04:31,860 --> 01:04:32,510 people who are black. 1436 01:04:32,510 --> 01:04:35,500 So it's not as if black people reverse that pattern, it's 1437 01:04:35,500 --> 01:04:36,760 just they're even. 1438 01:04:36,760 --> 01:04:40,600 And on average for white people they find just easier 1439 01:04:40,600 --> 01:04:45,340 to associate white things with pleasant things than black 1440 01:04:45,340 --> 01:04:46,990 names or faces with pleasant things. 1441 01:04:46,990 --> 01:04:47,778 Yeah? 1442 01:04:47,778 --> 01:04:49,892 AUDIENCE: Was the experiment ever done any other way, where 1443 01:04:49,892 --> 01:04:54,620 you would tap first or [INAUDIBLE]? 1444 01:04:54,620 --> 01:04:55,600 PROFESSOR: Yes, yes. 1445 01:04:55,600 --> 01:04:59,460 So you are absolutely correct that in the demonstration now, 1446 01:04:59,460 --> 01:05:01,410 I slightly loaded up the order of these 1447 01:05:01,410 --> 01:05:02,810 things to make it work. 1448 01:05:02,810 --> 01:05:08,190 But why I give you this website is to tell you that in 1449 01:05:08,190 --> 01:05:11,160 hundreds of experiments where that's all controlled for by 1450 01:05:11,160 --> 01:05:12,880 reversing the order, half the time and stuff, 1451 01:05:12,880 --> 01:05:13,920 it all plays out. 1452 01:05:13,920 --> 01:05:14,390 OK? 1453 01:05:14,390 --> 01:05:17,510 It's a demonstration today, slightly loaded it that way 1454 01:05:17,510 --> 01:05:18,950 but there's hundreds of experiments where 1455 01:05:18,950 --> 01:05:19,820 it all plays out. 1456 01:05:19,820 --> 01:05:21,800 In these numbers are first the actual experiments where it 1457 01:05:21,800 --> 01:05:23,180 all plays out. 1458 01:05:23,180 --> 01:05:25,990 People worry about whether the frequency of the names, that a 1459 01:05:25,990 --> 01:05:30,210 name like Chip might be more frequent, common than a name 1460 01:05:30,210 --> 01:05:32,360 that's an African American name, just by shear number. 1461 01:05:32,360 --> 01:05:35,740 So therefore the pictures get it out of the equation. 1462 01:05:35,740 --> 01:05:38,140 People have worried about lots of things about this. 1463 01:05:38,140 --> 01:05:41,430 I think almost everybody agrees the basic phenomenon 1464 01:05:41,430 --> 01:05:44,270 holds up under well-controlled experimental designs. 1465 01:05:44,270 --> 01:05:46,100 That's an excellent question. 1466 01:05:46,100 --> 01:05:47,250 Any other questions about this? 1467 01:05:47,250 --> 01:05:50,950 It's a very disturbing thing, partly it shows you that 1468 01:05:50,950 --> 01:05:53,930 stereotypes are out there, unfortunately, to this day. 1469 01:05:53,930 --> 01:05:56,980 Even with an African American president, stereotypes are out 1470 01:05:56,980 --> 01:05:58,650 there, in people's heads. 1471 01:05:58,650 --> 01:06:01,560 They used to call it a test of implicit 1472 01:06:01,560 --> 01:06:03,050 attitudes because it-- 1473 01:06:03,050 --> 01:06:06,900 but now is this really an attitude to the person has in 1474 01:06:06,900 --> 01:06:07,300 their head? 1475 01:06:07,300 --> 01:06:08,770 Or is it really they know about a 1476 01:06:08,770 --> 01:06:10,160 stereotype that's out there? 1477 01:06:10,160 --> 01:06:12,420 It's still problematic to have the stereotypes out there, 1478 01:06:12,420 --> 01:06:14,170 even if it's not the one you believe in, 1479 01:06:14,170 --> 01:06:15,340 subscribe to, or live by. 1480 01:06:15,340 --> 01:06:16,083 Yeah? 1481 01:06:16,083 --> 01:06:18,383 AUDIENCE: [INAUDIBLE] actually [INAUDIBLE] for the 1482 01:06:18,383 --> 01:06:20,865 experiment. 1483 01:06:20,865 --> 01:06:27,860 And whether they found that it was more associated with your 1484 01:06:27,860 --> 01:06:29,110 own proof-- 1485 01:06:34,310 --> 01:06:36,780 PROFESSOR: So with African Americans it's about 50-50 on 1486 01:06:36,780 --> 01:06:38,670 average, across them. 1487 01:06:38,670 --> 01:06:39,490 It not reverse. 1488 01:06:39,490 --> 01:06:43,870 It's not like, my group is awesome, all other groups are 1489 01:06:43,870 --> 01:06:46,140 not so awesome as my group because I'm in my group. 1490 01:06:46,140 --> 01:06:48,590 It could be that, and that also would be problematic as 1491 01:06:48,590 --> 01:06:49,990 much as anything. 1492 01:06:49,990 --> 01:06:51,350 But it doesn't seem to play out that way. 1493 01:06:51,350 --> 01:06:54,080 It seems to play out a little bit to what you might call-- 1494 01:06:54,080 --> 01:06:56,160 and then this will change, my guess is-- to what is the 1495 01:06:56,160 --> 01:06:58,770 dominant group in a society. 1496 01:06:58,770 --> 01:07:00,840 And now the US is changing in this regard, OK? 1497 01:07:00,840 --> 01:07:04,590 But it's not changed yet. 1498 01:07:04,590 --> 01:07:06,760 And you get these kinds of things in lots of domains, 1499 01:07:06,760 --> 01:07:08,490 we've talked about that before it's not just 1500 01:07:08,490 --> 01:07:09,610 about black and white. 1501 01:07:09,610 --> 01:07:11,540 But the last thing I'll show you-- 1502 01:07:11,540 --> 01:07:13,950 we'll be done in five minutes, it's just two slides. 1503 01:07:13,950 --> 01:07:16,570 It's sort of a follow up on this. 1504 01:07:16,570 --> 01:07:19,220 So here's an experiment that was done at Dartmouth. 1505 01:07:19,220 --> 01:07:22,130 And they had white participants complete this 1506 01:07:22,130 --> 01:07:25,270 task that you just did under better control circumstances. 1507 01:07:25,270 --> 01:07:28,130 So for each person they could measure by how quickly they 1508 01:07:28,130 --> 01:07:31,680 responded in the computer the difference between responding 1509 01:07:31,680 --> 01:07:33,740 to black and white names in relation to pleasantness. 1510 01:07:33,740 --> 01:07:37,270 So some person might be 10 milliseconds, different 1511 01:07:37,270 --> 01:07:39,930 somebody might be 200 milliseconds different. 1512 01:07:39,930 --> 01:07:42,940 People vary. 1513 01:07:42,940 --> 01:07:45,760 But then they had them go to a different room-- 1514 01:07:45,760 --> 01:07:47,370 and this is the critical thing-- to interact with 1515 01:07:47,370 --> 01:07:49,690 either a black or white experimenter. 1516 01:07:49,690 --> 01:07:52,200 All the participants in this experiment were white. 1517 01:07:52,200 --> 01:07:55,760 Then they were told the reason we're doing this is, we want 1518 01:07:55,760 --> 01:07:57,800 to videotape you making comments about the college 1519 01:07:57,800 --> 01:08:00,350 fraternity system and racial profiling after 9/11. 1520 01:08:00,350 --> 01:08:02,600 That's kind of a cover story, although the racial word was 1521 01:08:02,600 --> 01:08:06,120 probably meant for them to think a little bit about the 1522 01:08:06,120 --> 01:08:07,000 test they did. 1523 01:08:07,000 --> 01:08:09,150 They go into a room they interact with a black or white 1524 01:08:09,150 --> 01:08:12,420 experiment then they go back to the original room and they 1525 01:08:12,420 --> 01:08:15,580 perform a cognitively demanding task, the Stroop 1526 01:08:15,580 --> 01:08:18,560 task where you have to name colors that are in the wrong 1527 01:08:18,560 --> 01:08:21,180 color, which you've seen many times in 1528 01:08:21,180 --> 01:08:22,170 this course you already. 1529 01:08:22,170 --> 01:08:24,880 And here's what they find. 1530 01:08:24,880 --> 01:08:27,630 if you're a white person and you had a white experimenter, 1531 01:08:27,630 --> 01:08:30,310 this is the performance on the Stroop task. 1532 01:08:30,310 --> 01:08:34,710 It's unrelated to how you did on the IAT test. 1533 01:08:34,710 --> 01:08:38,750 This is the IAT test, the people who are more along here 1534 01:08:38,750 --> 01:08:41,660 had a bigger gap between black and white, OK? 1535 01:08:41,660 --> 01:08:43,180 So they varied. 1536 01:08:43,180 --> 01:08:46,140 But look at the people who went and took the IAT test 1537 01:08:46,140 --> 01:08:48,950 like you just did, again under more controlled circumstances. 1538 01:08:48,950 --> 01:08:51,804 Now they go and do the Stroop and look at the more their 1539 01:08:51,804 --> 01:08:55,779 score reflected knowledge of the stereotype, the more the 1540 01:08:55,779 --> 01:08:58,600 knowledge of that stereotype influenced in some way their 1541 01:08:58,600 --> 01:08:59,600 performance-- 1542 01:08:59,600 --> 01:09:01,479 that's along this axis-- 1543 01:09:01,479 --> 01:09:06,439 the worse they did on the sort of cognitively demanding task. 1544 01:09:06,439 --> 01:09:14,160 As if the stress that harms performance is occurring on 1545 01:09:14,160 --> 01:09:17,260 both sides of racial groups, right? 1546 01:09:17,260 --> 01:09:19,790 We already said that stereotype threat can diminish 1547 01:09:19,790 --> 01:09:23,040 performance for people when they're working in the area 1548 01:09:23,040 --> 01:09:24,200 where there's a stereotypes that they're not 1549 01:09:24,200 --> 01:09:25,390 supposed to do well. 1550 01:09:25,390 --> 01:09:28,020 Just thinking about that diminishes their performance. 1551 01:09:28,020 --> 01:09:31,370 And now for the other group for the white participants, 1552 01:09:31,370 --> 01:09:33,439 just thinking about the stereotyping-- 1553 01:09:33,439 --> 01:09:34,770 and you may have that too. 1554 01:09:34,770 --> 01:09:36,450 Just thinking like, what I do? 1555 01:09:36,450 --> 01:09:37,700 Why was I slower for that? 1556 01:09:37,700 --> 01:09:39,710 I'm not a prejudiced person, how did I do that? 1557 01:09:39,710 --> 01:09:43,529 The more their performance looked like that, the worse 1558 01:09:43,529 --> 01:09:44,819 they did on this task. 1559 01:09:44,819 --> 01:09:48,370 As if again, now they were having a part of their mind in 1560 01:09:48,370 --> 01:09:50,430 the wrong place or over-aroused and 1561 01:09:50,430 --> 01:09:52,740 under-performing. 1562 01:09:52,740 --> 01:09:56,460 So everybody's falling victim, on both sides of this 1563 01:09:56,460 --> 01:09:59,600 prospective, to these racial stereotypes. 1564 01:09:59,600 --> 01:10:02,990 Whether you're black or white, it's disturbing to have that 1565 01:10:02,990 --> 01:10:05,930 thought and it diminishes your ability think clearly. 1566 01:10:05,930 --> 01:10:10,060 So in that sense stereotypes makes you stupider on 1567 01:10:10,060 --> 01:10:12,100 performance in a cognitively demanding task. 1568 01:10:12,100 --> 01:10:15,250 there's so many forms of stress and the one good thing 1569 01:10:15,250 --> 01:10:17,880 is, psychologists are getting better and better at 1570 01:10:17,880 --> 01:10:20,000 discovering sources of resilience. 1571 01:10:20,000 --> 01:10:22,570 And we talked earlier in the course, it includes resilience 1572 01:10:22,570 --> 01:10:23,420 from stereotyped threat. 1573 01:10:23,420 --> 01:10:26,520 We'd like to just get rid of stereotypes today, but pending 1574 01:10:26,520 --> 01:10:28,640 that we've talked about things like essays and so on that 1575 01:10:28,640 --> 01:10:31,430 work surprisingly risk effectively sometimes. 1576 01:10:31,430 --> 01:10:32,680 OK thanks very much.