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(gentle music)
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Our earliest experiences
being in the womb
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form the template of
who we believe we are,
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about how we see other people,
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and our place in the world.
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When I see human faces, I see beauty,
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I see tremendous suffering
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and enormous potential for transcendence.
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A Greek playwright wrote
that the Gods created us
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human beings so that we
have to suffer into truth.
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Our job as human beings is to learn
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from our suffering and to grow from it.
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We don't have to keep
perpetuating pain for ourselves
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and inflicting suffering onto others.
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In working with so many other people,
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I've learned that working
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through trauma can teach us so much wisdom
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and can reveal the
beauty of our existence,
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that because of trauma,
you had lost sight of.
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(gentle music)
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(rain pattering)
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My name is Gabor Maté and
I'm a retired medical doctor
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and these days I travel the world speaking
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and teaching about child
development, health,
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illness, stress and trauma.
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And speaking about trauma is really part
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of the zeitgeist these days.
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And I'm very passionate
about it for a simple reason:
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because in 30 years or
more of medical practice
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and of addiction medicine,
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what I found was that the common template
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for virtually all
afflictions, mental illness,
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physical disease is in fact trauma.
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And there's a wisdom in trauma
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when we realize that our
traumatic responses and imprints
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are not ourselves and that
we can work them through
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and thus become ourselves.
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(gentle music)
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(people chattering)
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Virtually every week there's a study
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that more and more people are needing
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or seeking help for mental health issues.
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More and more youth are
diagnosed with anxiety,
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many more kids are diagnosed
with the whole plethora
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of childhood conditions, such as ADHD,
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(Attention Deficit Hyperactive Disorder).
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Depression is rising,
youth suicide is rising,
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addictions are rising.
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Genuinely, it's an epidemic.
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20% of youth or more are
now diagnosable with anxiety
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according to all the recent studies.
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That's one-fifth.
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And those are all only people
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who are sufficiently
anxious to be diagnosed.
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We're talking about an epidemic.
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- When you grew up in a
circumstance like I grew up,
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you're waiting for
somebody to scream at you,
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you're waiting for something to be thrown,
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you don't know if you're going to eat,
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you don't know if you're
going to be evicted.
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So you're constantly anxious and stressed.
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I used to think this was a rarity
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but when I talked to people,
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a huge number of people have
these traumatic experiences
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as a child that carry,
they carry with them.
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It's like a monkey on your back.
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(disembodied whispering)
(soft music)
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- Trauma is an overwhelming threat
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that you don't how to deal with.
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So trauma is not the bad
things that happen to you,
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but what happens inside you
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as a result of what happens to you.
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(police radio chatter)
(sirens wailing)
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- My father was shot and
killed on December 25th, 1999.
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They found his body in
someone's front yard.
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So essentially I didn't
have anybody to raise me.
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So I was raised in the
juvenile court system.
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I've lived on the streets
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since I was 10-years-old by myself.
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The law didn't scare me.
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I mean, they could have locked me up,
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I mean what's the difference?
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Nobody out here is gonna miss me.
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- My mother, alcoholic. Bad alcoholic.
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My father, sex addiction.
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His sex addiction ruined our whole family.
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Cheating. Caused divorce.
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(man and woman shouting)
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I started heroin at 26.
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That's what really destroyed me.
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It just takes the pain away.
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I tried building my dream so many times.
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I don't really have a dream no more.
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- So trauma fundamentally means
a disconnection from self.
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Why do we get disconnected?
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Because it's too painful to be ourselves.
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That then becomes a lifelong dynamic.
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I no longer know how
to deal with emotions.
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It means that in relationships
when I feel a bit hurt,
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I immediately withdraw
so I don't have to feel
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those emotions that I
don't know what to do with.
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So there's a disconnect.
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It also means that when
I have a gut feelings,
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I don't follow them.
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So I create situations of risk for myself.
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The trauma also affects
how our brains develop.
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Certain key brain circuits
that have to do with
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how we react and respond
and regulate ourselves,
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how we handle stress, how we
interact with other people,
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how much empathy and insight we have,
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how much compassionate we have.
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These functions of the mid-frontal cortex
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are limited and constricted by trauma
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because we now know
that the brain develops
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in interaction with the environment.
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So the brains of traumatized children
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don't look like the brains
of non-traumatized children.
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- [Boy] You can take it, please.
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- [Man] I've had enough of your crap.
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You're gonna start acting like a young man
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instead of a toddler.
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- [Woman] As a matter of fact,
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her ass is on punishment right now
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and she ain't even gonna
go the fuck back outside.
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- [Teenager] What the fuck are you doing?
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Dad, I swear to god.
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- [Boy] No, no, wait.
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- [Man] There's no other way for
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you to learn this.
- Dad.
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Please, stop.
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(gentle music)
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- During your first 18 years of life,
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if a parent or other
adult in the household
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often or very often would swear at you,
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insult you, put you down or humiliate you,
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step inside the circle.
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(inmates chattering)
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If a parent or other
adult in the household
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often pushed, grabbed, slapped
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or threw something at you,
step inside the circle.
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If a parent or other
adult in the household
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often or very often ever hit you so hard
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that you had marks or were
injured, step inside the circle.
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If you often felt that no
one in your family loved you,
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step inside the circle.
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Step inside the circle.
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(tense music)
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I think society got prison wrong
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and they're seeing
what's wrong with people
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instead of what happened to people.
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Our mission at Compassion Prison Project
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is to transform communities and prisons
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with compassionate action.
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An adverse childhood
experience is a terrible event
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that continues to happen to a child.
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And there's no way to know
when it's gonna happen again,
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which puts the kid into
a hypervigilant state.
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I have eight of those
aces, and when I found out
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I have eight adverse childhood experiences
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and that my behavior was a direct result
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of the trauma that I
experienced in childhood,
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it changed my life.
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Men and women in prison, 64% of them
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have six or more of those.
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(wind blowing)
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(car engine roaring)
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(birds chirping)
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(laughing)
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(foot step approaching)
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- Hi. Gabor.
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- Monique.
- Monique?
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Hi, Gabor.
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(laughing)
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I feel like I'm in a throne.
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I wanna talk to you guys about why
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you think you got addicted,
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about what may have
happened to you as a child,
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the way you saw yourself as
being deficient, somehow.
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- I was kidnapped at 16 and sold off.
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So that's a trauma and
that's just something that's
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in my life that you
can't turn around, right?
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- [Gabor] Kidnapped by whom?
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- It was a taxi driver who
took me and a girlfriend
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when we were 16.
- Okay.
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- [Alicia] And held us
for six months in a motel
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and sold off my virginity.
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(tense music)
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car engine roaring)
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- [Gabor] And the police was looking
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for you all that time, and...
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- Well, my mom just thought
that I had run away from home,
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so she didn't look for me.
- She didn't look for you?
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- [Alicia] No.
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- I really need your permission to
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continue or not to continue.
- It's okay.
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I give my permission.
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- The taxi driver knew
exactly who to kidnap.
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(car engine roaring)
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The predator can always tell
who is without proection.
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Anybody hit you as a child?
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- [Alicia] Yes, my father.
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He would spank us and take a belt to us.
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- Do you remember how that felt to you?
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- Like I just remember the pain of it,
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instead of thinking, oh, why?
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Why did I deserve this?
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I just remember the pain and the...
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- [Gabor] And how long did that go on for?
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- Well until I was approximately 16
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and started fighting back.
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- So, 10 or 11 years?
- Yeah.
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- Okay.
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Let's say you're the
mother of the five-year-old
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and this five-year-old
is being hit with a belt,
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and she's in pain.
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She doesn't understand, you know,
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she's just, it just hurts.
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And it hurts emotionally
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because this man who is supposed
to love me is beating me.
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So when you're being hit like that,
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there's only two possibilities.
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My father is a bad person or hates me
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or I'm a bad person.
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So the only protection is to believe that,
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oh, I'm not lovable.
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Let's say you're the mother
of the five-year-old.
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Who would you want that
five-year-old to talk to?
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- [Alicia] Myself.
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- Okay. Who did you talk to?
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- Nobody.
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- That's the trauma.
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In other words, by the time
you were five-years-old,
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you were completely alone.
(child sobbing)
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What I'm suggesting really, Alicia,
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is that your mother was traumatized, too.
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Do you know anything about her childhood?
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- Well, she was abused as a child as well
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from an alcoholic father.
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- See, she learned in her childhood
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not to pay attention to her feelings.
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That's the only way she could survive.
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- [Alicia] Yeah.
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- So the reason she didn't know it
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was not because she didn't love you,
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but because she herself
was shut down inside.
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And that's what I'm saying,
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it's multi-generational
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- Mm-hm.
- Okay?
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- It sucks.
- Yeah.
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You can't pick out who's at fault here.
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It didn't begin with anybody.
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It goes on and on and on from
one generation to the next.
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(gentle music)
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- We were talking about
the effects of slavery
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on our behavior, and
I'll be honest with you,
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I ain't agree with it
when I first heard it.
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But then when he talked
about the discipline
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I had a flashback of how
I used to get whipped
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00:14:03,170 --> 00:14:04,080
with a bullwhip.
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Naked.
261
00:14:07,130 --> 00:14:08,210
I hadn't put the two and two together,
262
00:14:08,210 --> 00:14:11,630
but I realized, that's
how slaves were whipped,
263
00:14:11,630 --> 00:14:13,130
because it was generational trauma
264
00:14:13,130 --> 00:14:16,430
passed on from one
mother to another mother
265
00:14:16,430 --> 00:14:18,970
to another mother and
then passed on to me.
266
00:14:18,970 --> 00:14:22,100
I still got marks on my
legs and stuff behind that.
267
00:14:22,100 --> 00:14:24,060
And I just remembered there
was no one I could run to.
268
00:14:24,060 --> 00:14:25,600
No one that would help me.
269
00:14:25,600 --> 00:14:27,690
And she just was telling
me how much she loved me
270
00:14:27,690 --> 00:14:30,150
as she cried and she
beat me with a bullwhip.
271
00:14:32,110 --> 00:14:37,120
(soft, tense music)
(soft vocalizing)
272
00:14:41,870 --> 00:14:44,290
(soft music)
273
00:14:46,960 --> 00:14:48,590
- [Woman] He's the best-selling
author of four books
274
00:14:48,590 --> 00:14:51,880
published in 12 languages
sold on five continents.
275
00:14:52,920 --> 00:14:55,800
Please welcome Dr. Gabor Maté.
276
00:14:55,800 --> 00:14:59,390
(applause)
(cheering)
277
00:14:59,390 --> 00:15:01,310
- I actually wrote my speech out tonight,
278
00:15:01,310 --> 00:15:04,230
which I don't usually do
but maybe of nervousness
279
00:15:04,230 --> 00:15:06,690
in front of this group of strong women.
280
00:15:06,690 --> 00:15:07,900
(audience laughing)
281
00:15:07,900 --> 00:15:10,400
The truth is that guys
are afraid of women.
282
00:15:10,400 --> 00:15:11,360
(audience laughing)
283
00:15:11,360 --> 00:15:14,030
I don't know if you
realize that, but that's,
284
00:15:14,030 --> 00:15:17,070
a lot of the stuff that we
do is totally out of fear.
285
00:15:17,070 --> 00:15:17,910
Well,
286
00:15:19,620 --> 00:15:23,620
When you felt bad as a
kid, who did you speak to?
287
00:15:24,710 --> 00:15:27,460
When the pain is there and
there's no one to share it with,
288
00:15:27,460 --> 00:15:30,420
and the child's got
very limited resources,
289
00:15:30,420 --> 00:15:32,090
to deal with that, and what they do
290
00:15:32,090 --> 00:15:34,210
is they disconnect from themselves.
291
00:15:35,050 --> 00:15:36,880
When you disconnect from yourself,
292
00:15:36,880 --> 00:15:38,510
you no longer have yourself.
293
00:15:38,510 --> 00:15:39,930
You've lost yourself.
294
00:15:39,930 --> 00:15:41,310
When we talk about trauma,
295
00:15:42,510 --> 00:15:46,390
we usually think of something
terrible happening to a person
296
00:15:46,390 --> 00:15:48,850
but that's not the only trauma there is.
297
00:15:48,850 --> 00:15:50,400
As the other kind of trauma may not
298
00:15:50,400 --> 00:15:53,610
have to do with terrible
things happening to you.
299
00:15:53,610 --> 00:15:55,110
- Most people look at my childhood
300
00:15:55,110 --> 00:15:57,150
and they're like: damn, you had an awesome
301
00:15:57,150 --> 00:16:02,160
childhood, and because I had everything.
302
00:16:02,160 --> 00:16:06,660
I come from upper, upper middle
class, you know, in Idaho,
303
00:16:07,660 --> 00:16:10,630
and I got everything given to me,
304
00:16:10,630 --> 00:16:12,880
but that was their way of parenting.
305
00:16:12,880 --> 00:16:13,840
They'd give me everything.
306
00:16:13,840 --> 00:16:16,170
So I'd shut up and wouldn't bug them.
307
00:16:16,170 --> 00:16:18,010
They were too busy, they
were always working.
308
00:16:19,840 --> 00:16:22,810
- So children don't get
traumatized because they get hurt.
309
00:16:22,810 --> 00:16:24,520
Children get traumatized because
310
00:16:24,520 --> 00:16:26,600
they're alone with the hurt.
311
00:16:26,600 --> 00:16:28,140
- I'm a lifer inmate.
312
00:16:28,140 --> 00:16:30,560
I'm here on a first degree murder.
313
00:16:30,560 --> 00:16:32,730
I committed my crime
when I was 20-years-old.
314
00:16:32,730 --> 00:16:36,820
And I asked myself what events in my life
315
00:16:36,820 --> 00:16:38,900
brought me to the point
where I could think
316
00:16:38,900 --> 00:16:40,860
that it's okay to take a human life?
317
00:16:41,740 --> 00:16:43,870
And it had to deal with a lot of
318
00:16:43,870 --> 00:16:46,250
adverse childhood experiences.
319
00:16:46,250 --> 00:16:49,080
My main one as to why I
started going downhill
320
00:16:49,080 --> 00:16:52,580
was being abandoned by my father.
321
00:16:52,580 --> 00:16:53,500
I looked up to him.
322
00:16:54,380 --> 00:16:56,130
I wanted to be just like my dad.
323
00:16:56,960 --> 00:16:58,090
He was my hero.
324
00:16:59,590 --> 00:17:01,470
When I turned eight or nine-years-old,
325
00:17:02,470 --> 00:17:05,510
he got deported to Mexico,
and that devastated me.
326
00:17:05,510 --> 00:17:07,560
As a kid, my mom used to tell me,
327
00:17:07,560 --> 00:17:11,520
Mi hijo, pray to God
that he will come back,
328
00:17:11,520 --> 00:17:12,690
but he never came.
329
00:17:16,860 --> 00:17:19,820
- A baby that you don't
pick up will actually die.
330
00:17:19,820 --> 00:17:21,610
Even if you feed them and you change them
331
00:17:21,610 --> 00:17:23,280
and look after them,
332
00:17:23,280 --> 00:17:26,700
because they get overwhelmed
by their feelings
333
00:17:26,700 --> 00:17:28,540
and they get over stressed.
334
00:17:28,540 --> 00:17:33,540
And so the baby needs the
mother's and the father's brain
335
00:17:34,460 --> 00:17:38,920
to regulate her own brain,
to regulate her emotions.
336
00:17:38,920 --> 00:17:41,590
It's not just that you're overwhelmed.
337
00:17:41,590 --> 00:17:43,760
It's also there's nobody
there to hold you.
338
00:17:44,800 --> 00:17:47,310
(baby crying)
339
00:17:48,270 --> 00:17:50,850
There's a huge school of
thought in North America
340
00:17:50,850 --> 00:17:53,440
that teaches mothers to
help their babies sleep
341
00:17:53,440 --> 00:17:54,730
by ignoring their crying.
342
00:17:58,480 --> 00:17:59,740
Nevermind the mother's milk,
343
00:17:59,740 --> 00:18:02,200
the infant just wants to attach,
344
00:18:02,200 --> 00:18:05,070
because the only way the infant
can attach is physically.
345
00:18:11,870 --> 00:18:15,290
When he's not being held, he's
not being attached to them.
346
00:18:15,290 --> 00:18:18,130
When that's done night
after night after night,
347
00:18:18,130 --> 00:18:20,090
that's traumatic. And we're still telling
348
00:18:20,090 --> 00:18:21,300
mothers to do that.
349
00:18:25,510 --> 00:18:27,800
If you actually look
at genuine human needs,
350
00:18:27,800 --> 00:18:30,640
if you connect the gut and
the heart and the soul,
351
00:18:30,640 --> 00:18:32,350
then there's nothing more normal
352
00:18:32,350 --> 00:18:34,900
than a child sleeping
in the arms of a parent.
353
00:18:41,860 --> 00:18:45,820
So I've often thought about
the sources of my own issues.
354
00:18:45,820 --> 00:18:49,120
An infant two months of age in Hungary,
355
00:18:49,120 --> 00:18:52,700
when the Germans, the Nazis,
marched into the country
356
00:18:52,700 --> 00:18:55,330
and they began to exterminate
the Jewish population.
357
00:18:55,330 --> 00:18:57,420
So that was my first year of life,
358
00:18:57,420 --> 00:19:00,920
with a terrorized mother,
grandparents killed in Auschwitz,
359
00:19:00,920 --> 00:19:03,300
a father away in forced labor,
360
00:19:03,300 --> 00:19:08,300
antisemitism, the ever nearing
shadow of annihilation,
361
00:19:09,010 --> 00:19:11,140
and ultimately a
separation from my mother.
362
00:19:12,930 --> 00:19:14,390
I was a little short of one-year-old
363
00:19:14,390 --> 00:19:17,230
when my mother had to
hand me to a stranger
364
00:19:17,230 --> 00:19:18,730
in the ghetto of Budapest
365
00:19:20,480 --> 00:19:23,530
and send me away to some
relatives in hiding,
366
00:19:23,530 --> 00:19:26,280
so we didn't see each other for six weeks,
367
00:19:26,280 --> 00:19:28,370
and she didn't know if
she would live or not.
368
00:19:28,370 --> 00:19:30,580
In her diary she said: "this was
369
00:19:30,580 --> 00:19:32,830
the hardest six weeks of her life."
370
00:19:35,040 --> 00:19:37,920
That was the experience of the first
371
00:19:37,920 --> 00:19:40,340
nearly year and a half of my life.
372
00:19:40,340 --> 00:19:42,590
And sometimes I thought, well, gee,
373
00:19:42,590 --> 00:19:44,720
I must have received a lot
of love at the same time
374
00:19:44,720 --> 00:19:47,340
otherwise I'd be a lot more
crazy than I actually am.
375
00:19:50,850 --> 00:19:51,850
For trauma to happen,
376
00:19:51,850 --> 00:19:54,770
you don't need second World
War and you don't need racism,
377
00:19:54,770 --> 00:19:55,980
you don't need genocide,
378
00:19:55,980 --> 00:20:00,360
and you don't need the privations of war.
379
00:20:00,360 --> 00:20:04,480
You just need parents who are so alienated
380
00:20:04,480 --> 00:20:06,610
from their own gut
feelings that they will let
381
00:20:06,610 --> 00:20:08,990
their infants cry without picking them up
382
00:20:08,990 --> 00:20:11,530
and that child is desperate
for a relationship.
383
00:20:11,530 --> 00:20:12,530
That's all it takes.
384
00:20:20,580 --> 00:20:21,420
(footsteps approaching)
385
00:20:24,170 --> 00:20:25,510
- Well, hi.
- Hi Alison.
386
00:20:25,510 --> 00:20:27,170
- Welcome.
- Hi, Gabor.
387
00:20:27,170 --> 00:20:28,800
- [Alison] Welcome, Gabor.
388
00:20:28,800 --> 00:20:29,630
- Wow.
389
00:20:30,720 --> 00:20:31,930
What a view.
390
00:20:31,930 --> 00:20:32,930
- Thank you.
391
00:20:34,810 --> 00:20:39,810
For me being a drug addict,
the deep down need to escape,
392
00:20:42,940 --> 00:20:47,440
I think it's almost into
a more realistic place
393
00:20:47,440 --> 00:20:51,620
than the insanity that we see,
the chaos we see around us.
394
00:20:51,620 --> 00:20:54,700
I just wanted that place all the time.
395
00:20:56,830 --> 00:21:00,830
I can really talk for the
37 years I've been recovered
396
00:21:00,830 --> 00:21:05,630
and have had slips in
the program, quote, AA.
397
00:21:05,630 --> 00:21:06,630
- [Gabor] And what's the fear?
398
00:21:06,630 --> 00:21:08,300
- Well, the fear is I'll be abandoned.
399
00:21:08,300 --> 00:21:10,050
It's back with the homo sapiens,
400
00:21:10,050 --> 00:21:12,180
I'll be thrown out of the cave.
401
00:21:12,180 --> 00:21:14,300
- What is your fear of being abandoned?
402
00:21:14,300 --> 00:21:15,890
- Well naturally that I'll die
403
00:21:15,890 --> 00:21:19,140
unless I do all of the
stuff for other people.
404
00:21:20,140 --> 00:21:22,100
- [Gabor] When you do all
the stuff for the people,
405
00:21:22,100 --> 00:21:23,310
- [Alison] Mm-hm.
406
00:21:23,310 --> 00:21:25,400
- [Gabor] what are you doing to yourself?
407
00:21:25,400 --> 00:21:27,070
- I'm abandoning me.
- Yeah.
408
00:21:27,070 --> 00:21:27,980
- Yeah.
- Okay.
409
00:21:27,980 --> 00:21:30,110
- Yeah.
- So you're actually enacting
410
00:21:31,030 --> 00:21:32,700
your worst fear.
- Mm-hm.
411
00:21:35,490 --> 00:21:37,910
I was the youngest of five,
very ambitious family,
412
00:21:37,910 --> 00:21:41,580
very successful, except
everyone's an alcoholic.
413
00:21:41,580 --> 00:21:44,040
I go in the bar, they're drinking.
414
00:21:44,040 --> 00:21:46,210
(people chattering)
415
00:21:46,210 --> 00:21:47,380
There's no room for me.
416
00:21:47,380 --> 00:21:50,050
It's like, oh, shut up Alison, shut up.
417
00:21:50,050 --> 00:21:51,430
You're wrong. You're wrong.
418
00:21:51,430 --> 00:21:53,970
So my job was to be wrong in the family.
419
00:21:56,100 --> 00:21:59,140
I'll never forget my mother saying to me:
420
00:21:59,140 --> 00:22:01,850
"I just don't understand you!"
421
00:22:01,850 --> 00:22:03,940
And I was six-years-old and I thought,
422
00:22:03,940 --> 00:22:07,440
my god, if you don't
understand me, I'm lost.
423
00:22:10,610 --> 00:22:13,200
- Allow me to give you
another perception of you.
424
00:22:13,200 --> 00:22:15,030
You're the one that more than others
425
00:22:15,030 --> 00:22:18,030
absorbs all the pain and
stress in the family.
426
00:22:18,910 --> 00:22:23,000
And then you manifest it and
they can't stand seeing it.
427
00:22:23,000 --> 00:22:25,170
So in exiling you, they're exiling
428
00:22:25,170 --> 00:22:27,290
their own pain and stress.
- Right, right.
429
00:22:31,260 --> 00:22:34,590
- As a child, we have
two fundamental needs.
430
00:22:37,970 --> 00:22:40,180
One need that's with us since infancy,
431
00:22:40,180 --> 00:22:43,560
and it's absolute and it's
not negotiable is attachment.
432
00:22:46,810 --> 00:22:49,270
And so the other need
then is authenticity.
433
00:22:50,820 --> 00:22:53,610
Authenticity, therefore, is
the connection to ourselves,
434
00:22:54,950 --> 00:22:55,950
because without authenticity,
435
00:22:55,950 --> 00:22:57,570
without a connection to our gut feelings,
436
00:22:57,570 --> 00:23:00,040
just how long do you
survive out there in nature?
437
00:23:02,000 --> 00:23:05,210
So authenticity is not some new age,
438
00:23:05,210 --> 00:23:07,460
pseudo-spiritual concept.
439
00:23:07,460 --> 00:23:09,920
It's actually a survival necessity.
440
00:23:13,300 --> 00:23:17,010
(balloons popping)
441
00:23:17,010 --> 00:23:18,800
(tense music)
442
00:23:18,800 --> 00:23:21,220
What happens if in order to survive
443
00:23:21,220 --> 00:23:24,390
or to adjust to your environment,
444
00:23:24,390 --> 00:23:26,600
you have to suppress your gut feelings,
445
00:23:26,600 --> 00:23:28,520
you have to suppress your authenticity?
446
00:23:30,150 --> 00:23:30,980
(mirror shatters)
447
00:23:30,980 --> 00:23:32,820
So normal society does not allow anger,
448
00:23:32,820 --> 00:23:36,910
and the child who's
angry must be separated.
449
00:23:36,910 --> 00:23:38,030
In other words, we have to threaten
450
00:23:38,030 --> 00:23:41,370
his attachment to relationships,
on which is life depends
451
00:23:41,370 --> 00:23:43,250
so that he can suppress his emotions.
452
00:23:43,250 --> 00:23:45,750
Well that child, if he
learns the lesson well,
453
00:23:45,750 --> 00:23:47,670
will disconnect from their anger,
454
00:23:47,670 --> 00:23:49,540
and then he's a sitting
duck for depression,
455
00:23:49,540 --> 00:23:51,840
mental illness or for physical illness.
456
00:23:52,800 --> 00:23:55,380
Okay, so kid is angry,
but how about helping him
457
00:23:55,380 --> 00:23:57,840
move through the anger to
learn how to modulate it?
458
00:23:57,840 --> 00:24:00,760
Not to repress it, but to learn
to become friends with it.
459
00:24:02,390 --> 00:24:03,560
We don't want people that are not angry.
460
00:24:03,560 --> 00:24:05,230
We want people to know that anger
461
00:24:05,230 --> 00:24:06,770
doesn't have to be destructive.
462
00:24:08,730 --> 00:24:11,190
What were you pushing down
when you were depressed?
463
00:24:12,520 --> 00:24:14,110
- Anger.
- Right.
464
00:24:14,110 --> 00:24:15,690
You were pushing down-
- Rage.
465
00:24:15,690 --> 00:24:16,990
- You were pushing down your anger, right?
466
00:24:16,990 --> 00:24:17,820
- [Alison] Yeah.
467
00:24:18,910 --> 00:24:21,660
- [Gabor] Can you see how
why for a six-year-old
468
00:24:21,660 --> 00:24:24,620
it might be a really brilliant
idea to push down the rage?
469
00:24:24,620 --> 00:24:25,450
- Yeah.
470
00:24:25,450 --> 00:24:26,290
- Why?
471
00:24:27,830 --> 00:24:29,080
- For survival.
472
00:24:29,080 --> 00:24:29,920
- Exactly.
473
00:24:31,250 --> 00:24:33,130
You talked about your many failures.
474
00:24:34,130 --> 00:24:35,710
I just want you to pick one.
475
00:24:35,710 --> 00:24:39,470
- The fear if left on my
own, I won't get out of bed.
476
00:24:40,640 --> 00:24:42,260
I've done that before.
477
00:24:45,850 --> 00:24:47,640
- [Gabor] And you regard
that as a failure?
478
00:24:47,640 --> 00:24:49,980
- [Alison] Falling apart I
regard that as a failure.
479
00:24:49,980 --> 00:24:51,100
- [Gabor] You regard that as a failure?
480
00:24:51,100 --> 00:24:51,940
- [Alison] Right.
481
00:24:51,940 --> 00:24:52,900
- Okay.
482
00:24:52,900 --> 00:24:54,650
So your failure is that you got depressed
483
00:24:54,650 --> 00:24:56,780
and as you put it, you fell apart.
484
00:24:56,780 --> 00:24:57,650
Is that the failure?
485
00:24:57,650 --> 00:24:59,280
- [Alison] Yeah.
486
00:24:59,280 --> 00:25:00,820
- [Gabor] Just identify the age that you
487
00:25:00,820 --> 00:25:02,740
first recall being depressed then.
488
00:25:05,620 --> 00:25:08,370
- Probably about six or seven.
489
00:25:08,370 --> 00:25:09,960
- [Gabor] How old are your kids now?
490
00:25:09,960 --> 00:25:13,500
My oldest daughter is 33,
491
00:25:13,500 --> 00:25:17,340
my son is 30 and my
youngest daughter's 27.
492
00:25:17,340 --> 00:25:18,170
- [Gabor] Okay.
493
00:25:19,090 --> 00:25:21,680
Choose one as a thought
experiment right now,
494
00:25:21,680 --> 00:25:23,890
and I want you to imagine
them at age seven.
495
00:25:24,720 --> 00:25:25,810
- Mm-hm.
496
00:25:25,810 --> 00:25:27,470
- Let's say they get depressed.
497
00:25:29,020 --> 00:25:33,730
Would you go to them and
say: "You are total failure?"
498
00:25:34,650 --> 00:25:35,690
- [Alison] Of course not.
499
00:25:35,690 --> 00:25:37,190
- Why not?
500
00:25:37,190 --> 00:25:39,280
Notice you're calling yourself a failure?
501
00:25:42,950 --> 00:25:44,490
I'm going to say something radical to you.
502
00:25:44,490 --> 00:25:45,330
- Okay.
503
00:25:45,330 --> 00:25:47,330
- The depression was a major success,
504
00:25:48,540 --> 00:25:49,370
not a failure.
505
00:25:50,710 --> 00:25:52,580
Okay? Now I know that
sounds ridiculous, but-
506
00:25:52,580 --> 00:25:54,000
- No, no. I'm listening.
507
00:25:54,000 --> 00:25:57,090
You're telling me that having that pain
508
00:25:57,090 --> 00:26:00,720
showed me deeper inside of myself,
509
00:26:00,720 --> 00:26:03,970
how I was abandoning myself.
- Precisely.
510
00:26:03,970 --> 00:26:06,300
So maybe you want to stop
calling it a failure.
511
00:26:06,300 --> 00:26:07,720
- [Alison] Mm-hm.
512
00:26:09,470 --> 00:26:11,690
- [Gabor] You go through
your whole life like that
513
00:26:11,690 --> 00:26:14,560
and see how everything that
you judge about yourself
514
00:26:14,560 --> 00:26:16,610
actually served the purpose at the time.
515
00:26:16,610 --> 00:26:17,440
- Yeah.
516
00:26:18,820 --> 00:26:19,650
Yeah.
517
00:26:22,280 --> 00:26:23,110
Mm-hm.
518
00:26:23,110 --> 00:26:24,990
- Really, isn't it simple?
- It is simple.
519
00:26:28,240 --> 00:26:31,540
- Gabor Maté, thanks very much
for coming on Under the Skin.
520
00:26:31,540 --> 00:26:33,460
The reason I'm so excited to talk to you,
521
00:26:33,460 --> 00:26:35,750
the reason that I believe
you're having such
522
00:26:35,750 --> 00:26:39,380
an important cultural
impact is because of your
523
00:26:39,380 --> 00:26:43,550
rare compassion and insight
into the world of addiction.
524
00:26:43,550 --> 00:26:45,640
When it was heroin, I would like have,
525
00:26:45,640 --> 00:26:48,850
I would reflect. Well, after
I'd used and just go, right,
526
00:26:48,850 --> 00:26:50,520
this isn't for me, this has got to stop.
527
00:26:50,520 --> 00:26:52,310
This is not a sustainable system.
528
00:26:52,310 --> 00:26:53,600
- You think you'd never need it anymore
529
00:26:53,600 --> 00:26:54,940
'cause you feel complete.
- Mm.
530
00:26:54,940 --> 00:26:57,900
- And then comes the
remorse of what have I done?
531
00:26:57,900 --> 00:26:59,730
And then you say I don't need
to do to this ever again.
532
00:26:59,730 --> 00:27:00,570
(Russell laughs)
533
00:27:00,570 --> 00:27:01,860
And then by the time I'm home,
534
00:27:01,860 --> 00:27:02,990
I'm running back to the store again
535
00:27:02,990 --> 00:27:05,780
to get the next thing that I didn't buy.
536
00:27:05,780 --> 00:27:08,990
In the life of every person
who's ever been addicted
537
00:27:08,990 --> 00:27:11,790
and ever will be addicted,
there's always trauma.
538
00:27:16,330 --> 00:27:18,500
An addiction is any behavior
539
00:27:18,500 --> 00:27:21,630
that a person finds
relief in the short term
540
00:27:21,630 --> 00:27:24,670
and craves but suffers
negative consequences
541
00:27:24,670 --> 00:27:26,340
and cannot give it up.
542
00:27:26,340 --> 00:27:27,180
There are so many addictions.
543
00:27:27,180 --> 00:27:30,970
Could be drugs, obviously,
alcohol, nicotine.
544
00:27:30,970 --> 00:27:33,680
Could also be sex, could be gambling,
545
00:27:33,680 --> 00:27:36,520
could be shopping, could be eating,
546
00:27:36,520 --> 00:27:39,310
could be pornography,
could be the internet,
547
00:27:39,310 --> 00:27:44,320
could be gaming, could be
work, could be relationships.
548
00:27:44,650 --> 00:27:46,650
That's what an addiction is.
549
00:27:52,290 --> 00:27:54,870
First issue is not why the addiction
550
00:27:54,870 --> 00:27:55,960
but why the pain?
551
00:27:56,920 --> 00:27:59,580
(woman sobbing)
552
00:28:01,380 --> 00:28:04,300
(melancholy music)
553
00:28:06,880 --> 00:28:09,890
(water splashing)
554
00:28:09,890 --> 00:28:14,520
In our society there are
two myths around addiction.
555
00:28:14,520 --> 00:28:16,020
The pernicious line is the belief
556
00:28:16,020 --> 00:28:18,390
that addiction is a choice
and that the decisions
557
00:28:18,390 --> 00:28:19,900
that arise out of addictions
558
00:28:19,900 --> 00:28:23,150
are therefore a matter of
individual culpability.
559
00:28:23,150 --> 00:28:25,400
And so therefore addicts for the most part
560
00:28:25,400 --> 00:28:27,030
are punished for being addicted.
561
00:28:28,110 --> 00:28:29,950
Now the other belief around addiction,
562
00:28:29,950 --> 00:28:32,410
but still misleading, is that
it's an inherited disease,
563
00:28:32,410 --> 00:28:34,580
it's a biological disorder of the brain.
564
00:28:34,580 --> 00:28:36,580
That belief is more humane,
565
00:28:36,580 --> 00:28:38,040
much more than the choice belief,
566
00:28:38,040 --> 00:28:40,580
because at least if
somebody inherits a disease,
567
00:28:40,580 --> 00:28:42,710
they're not to be punished for it
568
00:28:42,710 --> 00:28:44,800
but they are to be provided
569
00:28:44,800 --> 00:28:47,800
with treatment as with any disease.
570
00:28:47,800 --> 00:28:51,010
However, it's also
misleading because it ignores
571
00:28:51,010 --> 00:28:52,800
why people really get addicted,
572
00:28:52,800 --> 00:28:55,100
which has got nothing to do with disease.
573
00:28:55,100 --> 00:28:58,390
It's among the normal
human responses to trauma.
574
00:28:58,390 --> 00:28:59,230
When people are suffering,
575
00:28:59,230 --> 00:29:00,900
they want to escape their suffering.
576
00:29:00,900 --> 00:29:01,860
That's normal.
577
00:29:03,150 --> 00:29:05,570
(soft music)
578
00:29:29,670 --> 00:29:31,430
- My name is Tuta Ponchiao Chi.
579
00:29:31,430 --> 00:29:33,140
I'm 43-years-old.
580
00:29:33,140 --> 00:29:36,350
I come from a family of
Thai restaurant owners.
581
00:29:36,350 --> 00:29:38,890
I moved away when I was 14.
582
00:29:38,890 --> 00:29:40,770
I was never good enough.
583
00:29:40,770 --> 00:29:43,190
I mean, I think if I had
parents who didn't really care
584
00:29:43,190 --> 00:29:46,110
and was lenient, no, I
don't think I would have
585
00:29:46,110 --> 00:29:49,320
really got right into it
and really got addicted.
586
00:29:49,320 --> 00:29:51,860
I might've just, you know,
tried it once or twice,
587
00:29:51,860 --> 00:29:54,910
but I think the pressure
was on from the upbringing
588
00:29:54,910 --> 00:29:57,200
and having to feel like I had to achieve
589
00:29:57,200 --> 00:30:00,370
and be the best of what
I did, an A student.
590
00:30:00,370 --> 00:30:03,460
And so when I moved away,
I really wanted to prove
591
00:30:03,460 --> 00:30:05,790
not just myself but to them that I was
592
00:30:05,790 --> 00:30:07,000
more than what they saw.
593
00:30:07,960 --> 00:30:10,090
You know, I did apply
to Stanford University.
594
00:30:10,090 --> 00:30:12,260
That was my number one choice.
595
00:30:12,260 --> 00:30:14,300
I was disappointed I didn't get in.
596
00:30:14,300 --> 00:30:17,220
And San Francisco State
University was my second choice
597
00:30:17,220 --> 00:30:20,060
and while there I did do the same things
598
00:30:20,060 --> 00:30:22,020
that I was doing when
I was in high school,
599
00:30:22,020 --> 00:30:24,940
playing for the NCWA, singing choir.
600
00:30:27,690 --> 00:30:30,030
With doing so many things,
pledging sororities
601
00:30:30,030 --> 00:30:32,240
and doing, being different club members,
602
00:30:32,240 --> 00:30:35,990
I'm saying I was just trying
to find my way in the world.
603
00:30:35,990 --> 00:30:38,490
And then I started to work
at the nightclubs here.
604
00:30:38,490 --> 00:30:41,450
And so I think that's
when I really evolved
605
00:30:41,450 --> 00:30:43,040
because I wanted to do everything.
606
00:30:43,040 --> 00:30:44,330
I wanted to go to school,
607
00:30:44,330 --> 00:30:47,590
I wanted to work, but I
needed to do homework as well.
608
00:30:47,590 --> 00:30:49,670
So the pressure was on then.
609
00:30:49,670 --> 00:30:52,170
So then it got into heavier drugs,
610
00:30:52,170 --> 00:30:53,760
so I needed the meth to stay up.
611
00:30:57,180 --> 00:31:00,010
- I think our society just
doesn't understand addiction.
612
00:31:00,010 --> 00:31:02,060
Without the addiction,
they felt incomplete,
613
00:31:02,060 --> 00:31:03,890
they felt this huge emptiness inside.
614
00:31:04,770 --> 00:31:08,980
It's as if the addiction
was to complete themselves,
615
00:31:08,980 --> 00:31:13,990
and to somehow temporarily
cover up the emptiness.
616
00:31:16,530 --> 00:31:19,580
Why the finger-pointing, why the judgments
617
00:31:19,580 --> 00:31:22,450
on a particular group of
people who are addicted
618
00:31:22,450 --> 00:31:24,460
who happen to use substances?
619
00:31:26,870 --> 00:31:29,540
My first job that I ever had
as a physician in Vancouver
620
00:31:29,540 --> 00:31:30,800
after I did my internship was actually
621
00:31:30,800 --> 00:31:33,010
in the downtown east side of Vancouver.
622
00:31:33,010 --> 00:31:34,920
It's North America's most concentrated
623
00:31:34,920 --> 00:31:37,510
and most dramatic area of drug use
624
00:31:37,510 --> 00:31:40,260
where there's more people injecting
625
00:31:40,260 --> 00:31:44,390
and ingesting and inhaling
all kinds of substances
626
00:31:44,390 --> 00:31:46,890
than anywhere else in the planet.
627
00:31:46,890 --> 00:31:49,980
And I go this old, broken down hotel
628
00:31:49,980 --> 00:31:52,610
with cracking paint on the walls
629
00:31:52,610 --> 00:31:55,610
and there's strange
people walking in and out,
630
00:31:55,610 --> 00:31:58,280
and I felt totally at home right away.
631
00:31:58,280 --> 00:32:00,830
And after two years, I
shifted my full-time work
632
00:32:00,830 --> 00:32:02,120
to the downtown east side.
633
00:32:04,040 --> 00:32:05,580
So I worked there for 12 years.
634
00:32:07,540 --> 00:32:11,210
They all had suffered
tremendous torment as children,
635
00:32:11,210 --> 00:32:14,050
which also meant that their
addictions were extreme.
636
00:32:14,050 --> 00:32:17,970
They were quite willing
to sacrifice love, life,
637
00:32:17,970 --> 00:32:21,720
relationship, health
just for the next hit.
638
00:32:21,720 --> 00:32:24,180
They were that desperate
to escape from reality
639
00:32:24,180 --> 00:32:26,480
because reality had been so cruel to them.
640
00:32:27,850 --> 00:32:30,190
We were dealing with people
with severe infections.
641
00:32:30,190 --> 00:32:31,940
They would inject drugs.
642
00:32:31,940 --> 00:32:33,820
That would give them abscesses,
643
00:32:33,820 --> 00:32:37,030
not only in their skin or their muscles,
644
00:32:37,030 --> 00:32:39,280
but also in their brains,
645
00:32:39,280 --> 00:32:42,700
in their spinal cord, in their joints.
646
00:32:42,700 --> 00:32:44,660
So they have to be hospitalized,
647
00:32:44,660 --> 00:32:46,290
which is the only facility
where you can deliver
648
00:32:46,290 --> 00:32:48,790
IV antibiotics several times a day.
649
00:32:48,790 --> 00:32:50,670
But they were users, so there'd be
650
00:32:50,670 --> 00:32:53,000
always absconding from the hospital
651
00:32:53,000 --> 00:32:55,670
and even using the IV
lines to inject through.
652
00:32:55,670 --> 00:32:57,840
So inevitably they would
be kicked out of hospital,
653
00:32:57,840 --> 00:33:00,180
which means that their
life-threatening infections
654
00:33:00,180 --> 00:33:01,260
would be untreated.
655
00:33:02,930 --> 00:33:04,430
This is how I met Joey Carter.
656
00:33:06,350 --> 00:33:08,350
I think I pushed him
across an intersection once
657
00:33:08,350 --> 00:33:09,730
in his wheelchair, maybe
that's the first time
658
00:33:09,730 --> 00:33:10,770
we actually met.
659
00:33:12,360 --> 00:33:14,520
- And you helped me out and
you said, what are you doing?
660
00:33:14,520 --> 00:33:16,230
Enough's enough.
661
00:33:16,230 --> 00:33:19,150
I'm going to admit you to CTC-R,
are you going to go there?
662
00:33:20,030 --> 00:33:22,410
And I was like, well,
what about my addiction?
663
00:33:23,570 --> 00:33:25,910
And then you said, well,
what are you using?
664
00:33:25,910 --> 00:33:29,120
And I said, well, I've been
using morphine and m-eslon.
665
00:33:30,250 --> 00:33:31,670
I said, how many will you give me a day?
666
00:33:31,670 --> 00:33:33,880
You said as many as you
have in your pocket.
667
00:33:40,420 --> 00:33:42,050
- By meeting people where they're at
668
00:33:42,050 --> 00:33:45,050
and treating them like human beings
669
00:33:45,050 --> 00:33:46,640
and not trying to change them
670
00:33:47,890 --> 00:33:50,730
actually opens up the possibility
671
00:33:50,730 --> 00:33:52,650
of transformation for them.
672
00:33:52,650 --> 00:33:54,480
And Joey's a plain example.
673
00:33:56,440 --> 00:33:58,440
- 'Cause they had come
in like every four hours
674
00:33:58,440 --> 00:34:00,360
to give me my morphine.
- Yeah.
675
00:34:00,360 --> 00:34:02,860
- And I wasn't needing it.
676
00:34:02,860 --> 00:34:04,740
I was saving it, right.
677
00:34:04,740 --> 00:34:07,870
And I woke up and there is
like morphine all over the bed
678
00:34:07,870 --> 00:34:09,450
and I thought it was in heaven.
679
00:34:09,450 --> 00:34:11,710
(laughing)
680
00:34:12,710 --> 00:34:13,790
- I do recall your poetry,
681
00:34:13,790 --> 00:34:17,000
and you were a very, a very avid writer.
682
00:34:17,000 --> 00:34:17,840
- Yeah.
683
00:34:17,840 --> 00:34:19,590
- And you've shared some of that with me.
684
00:34:20,670 --> 00:34:24,300
Is there one that, you know,
that you can recite now?
685
00:34:24,300 --> 00:34:25,140
- Yeah.
686
00:34:26,010 --> 00:34:27,100
It goes (clears throat)
687
00:34:27,100 --> 00:34:31,100
I misbehave when I crave to
push the venom in my veins.
688
00:34:31,100 --> 00:34:33,100
I lose all control of my inner soul
689
00:34:33,100 --> 00:34:35,230
and my demons hold the reins.
690
00:34:35,230 --> 00:34:38,570
I deceive whoever believes,
I twist their open trust.
691
00:34:38,570 --> 00:34:40,780
With nefarious precision
and tunnel vision,
692
00:34:40,780 --> 00:34:42,900
I pursue the venom with lust.
693
00:34:42,900 --> 00:34:44,240
With the desire so strong,
694
00:34:44,240 --> 00:34:46,910
I forget all bonds
hurting the ones I adore,
695
00:34:46,910 --> 00:34:49,160
And even though they love
me, they move on from me
696
00:34:49,160 --> 00:34:51,040
to let me fight my war.
697
00:34:51,040 --> 00:34:52,870
Uncontrollable, I'm inconsolable,
698
00:34:52,870 --> 00:34:54,710
slowly I'm dying inside.
699
00:34:54,710 --> 00:34:56,630
A glutton of such, I've used too much,
700
00:34:56,630 --> 00:34:58,210
now there's no life in my eyes.
701
00:34:59,130 --> 00:34:59,960
- Wow.
702
00:35:01,010 --> 00:35:03,930
(soft piano music)
703
00:35:10,180 --> 00:35:12,890
I wanna talk to you guys
704
00:35:12,890 --> 00:35:14,310
about why you think you got addicted?
705
00:35:14,310 --> 00:35:16,810
Like, what did it do for
you in the short term
706
00:35:16,810 --> 00:35:19,230
that you wanted it,
like you appreciated it?
707
00:35:19,230 --> 00:35:20,610
- The one thing that I've learned
708
00:35:20,610 --> 00:35:23,530
was gratification through sex.
709
00:35:23,530 --> 00:35:25,110
It would pay my rent,
it would pay my food,
710
00:35:25,110 --> 00:35:27,160
it would pay my clothes.
711
00:35:27,160 --> 00:35:29,240
But it was also feeling loved.
712
00:35:30,120 --> 00:35:31,330
- [Gabor] Feeling loved? Like...
713
00:35:31,330 --> 00:35:34,410
- Having that desire for
somebody to care and-
714
00:35:34,410 --> 00:35:36,420
- And want you.
- Want you.
715
00:35:36,420 --> 00:35:38,420
- I wouldn't be able to
have a sexual relationship
716
00:35:38,420 --> 00:35:41,670
if I wasn't using, because
I couldn't feel anything
717
00:35:41,670 --> 00:35:43,210
towards the other person.
718
00:35:43,210 --> 00:35:44,420
- It made you feel more alive?
719
00:35:44,420 --> 00:35:46,970
- Yeah. It made me feel more in tune.
720
00:35:46,970 --> 00:35:48,840
- Yeah.
- Yeah, like that's...
721
00:35:48,840 --> 00:35:51,180
And I used it to have feelings.
722
00:35:51,180 --> 00:35:52,270
- I didn't feel pretty,
723
00:35:52,270 --> 00:35:53,640
I didn't feel like...
724
00:35:53,640 --> 00:35:56,100
And as soon as I would
do a little bit of drugs,
725
00:35:56,100 --> 00:35:58,520
my self-esteem would instantly go up.
726
00:35:58,520 --> 00:36:03,530
- I did so much sports and
was on such a strict schedule
727
00:36:04,360 --> 00:36:08,280
that when I started to
use in like grade eight,
728
00:36:08,280 --> 00:36:11,410
grade nine, like, I was free.
729
00:36:11,410 --> 00:36:12,450
- So freedom.
730
00:36:13,620 --> 00:36:15,330
Sense of aliveness.
731
00:36:15,330 --> 00:36:17,000
Completion. Self-esteem.
732
00:36:18,080 --> 00:36:20,880
These are all wonderful
things, aren't they?
733
00:36:20,880 --> 00:36:23,050
When they talk about
addiction being a bad choice,
734
00:36:23,050 --> 00:36:24,010
I say no, it isn't.
735
00:36:24,960 --> 00:36:26,840
It's actually a solution to a problem.
736
00:36:31,350 --> 00:36:33,220
If we understand that the addiction
737
00:36:33,220 --> 00:36:35,140
is not the primary problem,
738
00:36:35,140 --> 00:36:37,060
but really a response to trauma,
739
00:36:37,060 --> 00:36:40,060
then it becomes obvious that
in order to heal addiction,
740
00:36:40,060 --> 00:36:41,520
you have to heal the trauma.
741
00:36:41,520 --> 00:36:43,190
But it means that you see the wound
742
00:36:43,190 --> 00:36:44,530
that's driving that person.
743
00:36:47,530 --> 00:36:50,280
(birds chirping)
744
00:36:51,620 --> 00:36:54,990
(melancholy music)
745
00:36:54,990 --> 00:36:58,790
Underneath that traumatized persona,
746
00:36:58,790 --> 00:37:01,040
there's the healthy
individual who has never
747
00:37:01,040 --> 00:37:02,880
found expression in this life
748
00:37:02,880 --> 00:37:03,920
because they were never given
749
00:37:03,920 --> 00:37:07,840
the venue for expression,
never given the relationships,
750
00:37:07,840 --> 00:37:09,760
in which they could, their all
751
00:37:09,760 --> 00:37:11,680
authentic humanity could be expressed.
752
00:37:15,470 --> 00:37:17,890
(soft music)
753
00:37:21,980 --> 00:37:24,820
Are we free? Are we conscious?
754
00:37:24,820 --> 00:37:28,440
Are we making a decision
based on full awareness
755
00:37:28,440 --> 00:37:32,950
or are we driven by unconscious dynamics
756
00:37:32,950 --> 00:37:35,660
that we've inherited or that we developed
757
00:37:35,660 --> 00:37:38,620
as a response to childhood trauma?
758
00:37:39,710 --> 00:37:42,960
Well, insofar as we're not
conscious, we are not free.
759
00:37:48,760 --> 00:37:52,720
We have then a social
structure that induces trauma
760
00:37:52,720 --> 00:37:53,970
in a lot of people,
761
00:37:53,970 --> 00:37:56,140
therefore it induces escapist,
762
00:37:56,140 --> 00:37:58,430
addictive behaviors in a lot of people,
763
00:37:58,430 --> 00:38:01,560
and those inner trends line up
764
00:38:01,560 --> 00:38:03,400
with how society looks
like on the outside.
765
00:38:03,400 --> 00:38:06,110
So therefore all this
looks perfectly normal
766
00:38:06,110 --> 00:38:07,190
and perfectly natural.
767
00:38:09,400 --> 00:38:11,650
Fundamentally the messages
is that with our minds
768
00:38:11,650 --> 00:38:12,570
we create the world.
769
00:38:12,570 --> 00:38:17,580
So if I have a worldview that
the world is a horrible place,
770
00:38:17,830 --> 00:38:19,660
then I'm going to live in a world where
771
00:38:19,660 --> 00:38:23,370
I have to be aggressive,
suspicious, competitive
772
00:38:23,370 --> 00:38:25,420
and make myself as big as possible
773
00:38:25,420 --> 00:38:27,040
so I don't get eaten up.
774
00:38:27,040 --> 00:38:29,710
So I have to be grandiose and cunning
775
00:38:29,710 --> 00:38:31,170
because that's the world I'm living in.
776
00:38:31,170 --> 00:38:33,510
And these are the people that our society
777
00:38:33,510 --> 00:38:38,220
rewards with power.
(dramatic music)
778
00:38:51,690 --> 00:38:54,360
- Do you think that the
inability of these individuals
779
00:38:54,360 --> 00:38:56,870
to manifest real change is a demonstration
780
00:38:56,870 --> 00:38:59,200
that what we have are deeply entrenched
781
00:38:59,200 --> 00:39:02,620
and traumatized systems
that are predicated
782
00:39:02,620 --> 00:39:06,460
on unconscious choices, unconscious drives
783
00:39:06,460 --> 00:39:09,380
and that the system cannot and will not
784
00:39:09,380 --> 00:39:12,760
alter itself from within
itself, but will sustain itself,
785
00:39:12,760 --> 00:39:17,760
and it's only sort of new,
radical ideas that can alter it?
786
00:39:17,850 --> 00:39:20,100
- That's exactly what I'm saying.
787
00:39:20,100 --> 00:39:23,060
Large segments of the economy survive
788
00:39:23,060 --> 00:39:25,730
because people buy things that
give them temporary pleasure
789
00:39:25,730 --> 00:39:27,730
but do them no good
whatsoever in the long-term,
790
00:39:27,730 --> 00:39:29,320
in fact are even harmful.
791
00:39:29,320 --> 00:39:31,440
I mean, we're going so far
as to destroy the earth
792
00:39:31,440 --> 00:39:32,690
because of our addiction.
793
00:39:37,200 --> 00:39:39,700
(tense music)
794
00:39:52,920 --> 00:39:54,630
The disconnect from the body of the earth
795
00:39:54,630 --> 00:39:56,590
really has to do with the
disconnect from our own bodies.
796
00:39:56,590 --> 00:39:58,260
The two are together.
797
00:39:58,260 --> 00:39:59,850
And the exploitation of the earth
798
00:39:59,850 --> 00:40:01,970
as if it was something separate from us
799
00:40:01,970 --> 00:40:06,100
has a lot to do with
patriarchal domination.
800
00:40:06,100 --> 00:40:07,560
I mean, we talk about mother earth.
801
00:40:07,560 --> 00:40:09,400
Look what we're doing to mother.
802
00:40:09,400 --> 00:40:10,900
It's a mother hatred almost.
803
00:40:16,030 --> 00:40:19,990
It speaks to a blindness and a passivity
804
00:40:19,990 --> 00:40:23,410
which itself is a marker of
societal and collective trauma.
805
00:40:28,830 --> 00:40:31,290
Our schools are full of kids
with learning difficulties,
806
00:40:31,290 --> 00:40:33,960
mental health issues
that are trauma-based,
807
00:40:33,960 --> 00:40:35,630
but the average teacher never gets
808
00:40:35,630 --> 00:40:37,380
a single lecture on trauma.
809
00:40:37,380 --> 00:40:39,720
They're fundamentally working with
810
00:40:39,720 --> 00:40:42,050
an essential lack of information.
811
00:40:42,050 --> 00:40:45,770
I actually barely mentioned
the criminal justice system
812
00:40:45,770 --> 00:40:48,560
has no understanding or even acquaintance
813
00:40:48,560 --> 00:40:50,310
with the concept of trauma.
814
00:40:50,310 --> 00:40:52,440
In fact, they often create policies
815
00:40:52,440 --> 00:40:55,440
that further deepen people's trauma.
816
00:40:55,440 --> 00:40:57,820
That these institutions
need to be informed
817
00:40:57,820 --> 00:41:01,620
of what trauma is and
how to respond to it.
818
00:41:02,990 --> 00:41:04,950
- I went between custodies of different
819
00:41:06,120 --> 00:41:07,540
states and counties...
820
00:41:09,580 --> 00:41:10,920
Since 18.
821
00:41:10,920 --> 00:41:13,710
I struggled with addiction
and they were sending me
822
00:41:13,710 --> 00:41:17,170
to these places to get
the help that you needed.
823
00:41:17,170 --> 00:41:19,010
I had nothing but the
authorities telling me
824
00:41:19,010 --> 00:41:21,550
that it was my fault, my fault, my fault,
825
00:41:21,550 --> 00:41:22,760
because you're choosing this, you know
826
00:41:22,760 --> 00:41:24,560
and I can't keep choosing it.
827
00:41:24,560 --> 00:41:27,100
And you're supposed to trust
and believe in these people.
828
00:41:27,100 --> 00:41:29,020
California industrialized prison.
829
00:41:31,350 --> 00:41:33,230
- Trauma doesn't know of color,
830
00:41:33,230 --> 00:41:35,230
trauma doesn't know of age,
831
00:41:35,230 --> 00:41:37,150
trauma doesn't know a tax bracket,
832
00:41:37,150 --> 00:41:38,690
trauma doesn't know any of these things.
833
00:41:38,690 --> 00:41:41,160
Anybody can be traumatizing anybody.
834
00:41:42,490 --> 00:41:44,490
Symptoms of trauma:
835
00:41:44,490 --> 00:41:46,910
nightmares and night terrors.
836
00:41:46,910 --> 00:41:48,330
- [Man 1] Inability to love.
837
00:41:49,660 --> 00:41:51,460
- Addictive behavior.
838
00:41:51,460 --> 00:41:52,920
- [Man 2] Insomnia.
839
00:41:52,920 --> 00:41:53,750
- Depression.
840
00:41:55,170 --> 00:41:56,000
- Shame.
841
00:41:57,550 --> 00:41:59,130
- That's not who you are,
842
00:42:00,300 --> 00:42:02,930
but it's a symptom of being traumatized,
843
00:42:03,970 --> 00:42:05,760
and we're here to heal each other.
844
00:42:08,640 --> 00:42:10,140
We heal in community.
845
00:42:10,140 --> 00:42:11,560
When I do these circles with anybody,
846
00:42:11,560 --> 00:42:15,230
when they see the extent of
childhood trauma in themselves,
847
00:42:15,230 --> 00:42:19,530
but also in the people
around them, it's a shift.
848
00:42:19,530 --> 00:42:23,610
It takes the othering out. It
actually brings a human in.
849
00:42:23,610 --> 00:42:27,200
And that, as a society,
is one of the imperatives
850
00:42:27,200 --> 00:42:28,950
that we need to get to.
851
00:42:28,950 --> 00:42:30,080
We gotta start seeing each other
852
00:42:30,080 --> 00:42:32,750
for what happened to us and
not what's wrong with us.
853
00:42:34,790 --> 00:42:37,380
(cars honking)
854
00:42:39,510 --> 00:42:42,760
(upbeat, bright music)
855
00:42:51,810 --> 00:42:54,230
(soft music)
856
00:42:58,020 --> 00:42:59,940
- My name is Romie Nottage.
857
00:42:59,940 --> 00:43:02,490
I am the senior director of San Francisco
858
00:43:02,490 --> 00:43:05,610
and social innovation for
Downtown Streets Team,
859
00:43:05,610 --> 00:43:08,410
and that is changing the lives of people
860
00:43:08,410 --> 00:43:11,790
who are currently homeless
through the dignity of work.
861
00:43:13,580 --> 00:43:15,670
Labeling people as just drug addicts,
862
00:43:15,670 --> 00:43:17,420
like, it's deeper than that.
863
00:43:17,420 --> 00:43:20,800
They probably at a younger
age have been reinforced
864
00:43:20,800 --> 00:43:24,430
that their value is not
as significant as others.
865
00:43:25,260 --> 00:43:29,390
The pain is the root cause of people
866
00:43:29,390 --> 00:43:31,470
trying to feel comfortable in this world.
867
00:43:32,390 --> 00:43:35,520
Using street drugs is a method.
868
00:43:35,520 --> 00:43:40,400
It is a behavior to support
something that is uncomfortable.
869
00:43:45,950 --> 00:43:48,030
- I was homeless for about 15 years.
870
00:43:49,120 --> 00:43:51,240
It is a survival of the fittest.
871
00:43:53,410 --> 00:43:56,500
I had three kids on the
street while homeless,
872
00:43:56,500 --> 00:43:59,130
walking around, no shoes,
selling drugs, doing drugs,
873
00:43:59,130 --> 00:44:01,130
hoping they would miscarry.
874
00:44:01,130 --> 00:44:03,050
All the babies came out with everything.
875
00:44:03,050 --> 00:44:05,970
Meth, crystal, cocaine,
everything you could think of.
876
00:44:07,840 --> 00:44:10,550
I did utilize those three moments in time
877
00:44:10,550 --> 00:44:14,310
where I had those babies to just rest up
878
00:44:14,310 --> 00:44:16,690
in a nice place and eat a hot meal.
879
00:44:16,690 --> 00:44:20,520
Just basically took a
shower those three times,
880
00:44:20,520 --> 00:44:23,690
'cause while I was homeless,
most of us don't shower.
881
00:44:23,690 --> 00:44:25,110
Maybe once a year, if that.
882
00:44:26,950 --> 00:44:30,410
But I was lucky I had the same
foster mom, all three boys.
883
00:44:30,410 --> 00:44:32,910
Albert, Jetson and James are all thriving.
884
00:44:32,910 --> 00:44:34,370
They're very healthy.
885
00:44:34,370 --> 00:44:35,870
I did fight for them. Don't get me wrong.
886
00:44:35,870 --> 00:44:36,870
I did try to fight for them,
887
00:44:36,870 --> 00:44:39,580
but I wasn't ready to
give up the drug life.
888
00:44:41,960 --> 00:44:45,590
- It was fall, so it was the rain season.
889
00:44:45,590 --> 00:44:48,760
I just remember that constant worry
890
00:44:48,760 --> 00:44:50,640
about where was I gonna go that night?
891
00:44:50,640 --> 00:44:52,680
Would I find shelter?
892
00:44:52,680 --> 00:44:54,180
'Cause there's no where to go, right?
893
00:44:54,180 --> 00:44:58,100
The people that did love
me just said you know what?
894
00:44:58,100 --> 00:45:01,150
We're not going to stand by
anymore while you kill yourself.
895
00:45:01,150 --> 00:45:02,440
We can't do it.
896
00:45:02,440 --> 00:45:03,650
It's hurting more.
897
00:45:03,650 --> 00:45:06,320
We're dying a harder death than you are.
898
00:45:07,400 --> 00:45:09,490
And they just scattered from my life.
899
00:45:12,030 --> 00:45:13,490
I was utterly alone.
900
00:45:20,000 --> 00:45:22,330
- I've been in the city on the streets now
901
00:45:22,330 --> 00:45:24,170
for four years.
902
00:45:24,170 --> 00:45:25,880
Went to college on my GI bill.
903
00:45:25,880 --> 00:45:28,010
I was in the army for a total of 11 years,
904
00:45:28,010 --> 00:45:30,470
then I got diagnosed with
non-Hodgkin's lymphoma
905
00:45:30,470 --> 00:45:31,970
and I retired.
906
00:45:33,180 --> 00:45:35,680
My PTSD comes from experiences with
907
00:45:36,850 --> 00:45:39,640
trying to beat this monkey
on my back, you know?
908
00:45:39,640 --> 00:45:42,440
I've had a beautiful home and vehicles
909
00:45:42,440 --> 00:45:46,480
and wife and kids and thrown
it all away for drugs.
910
00:45:49,440 --> 00:45:52,320
- So when you pass by someone
homeless on the street,
911
00:45:52,320 --> 00:45:55,120
that is such a painful world to live in,
912
00:45:55,120 --> 00:45:58,080
and a very important thing
to do is acknowledge them
913
00:45:58,080 --> 00:46:02,750
and not pretending or literally thinking
914
00:46:02,750 --> 00:46:05,210
that no one's sitting right there.
915
00:46:05,210 --> 00:46:06,630
How are you doing?
916
00:46:06,630 --> 00:46:07,550
Hanging in there?
917
00:46:08,840 --> 00:46:10,670
Had a rough sleep last night?
918
00:46:10,670 --> 00:46:12,470
You stay in the TL?
- I do.
919
00:46:12,470 --> 00:46:14,760
- Yeah, cool. How long have you been here?
920
00:46:14,760 --> 00:46:18,180
- I moved here from
Atlanta February the 7th.
921
00:46:19,600 --> 00:46:21,440
- The number one thing that people
922
00:46:21,440 --> 00:46:23,900
who are experiencing
homelessness suffer from
923
00:46:23,900 --> 00:46:25,480
is feeling looked down on.
924
00:46:27,520 --> 00:46:29,230
It's like people just passing by them,
925
00:46:29,230 --> 00:46:31,530
not acknowledging their experience.
926
00:46:31,530 --> 00:46:35,070
That forms an identity
that is internalized.
927
00:46:36,240 --> 00:46:38,700
Their sense of self has been attacked.
928
00:46:38,700 --> 00:46:41,660
Their dignity has been
completely reinforced
929
00:46:41,660 --> 00:46:45,460
as non-existent every single day.
930
00:46:45,460 --> 00:46:48,880
Humanization of homelessness
is where we need to start
931
00:46:48,880 --> 00:46:51,420
because we're working with people,
932
00:46:51,420 --> 00:46:53,220
we're working with nervous systems,
933
00:46:53,220 --> 00:46:58,180
we are working with deflated
and traumatized senses of self.
934
00:47:03,350 --> 00:47:05,400
To be honest, if I lived in that world,
935
00:47:05,400 --> 00:47:07,020
I would want to use, too.
936
00:47:07,020 --> 00:47:08,520
It'd get me out of it.
937
00:47:08,520 --> 00:47:11,650
It'd make me feel not
like that for a minute.
938
00:47:16,660 --> 00:47:17,780
(knocks)
- Hey, Duane, you home?
939
00:47:17,780 --> 00:47:20,790
It's Tessa.
(soft music)
940
00:47:22,960 --> 00:47:26,960
Hey, how are you?
- Hi, how are you?
941
00:47:26,960 --> 00:47:27,830
- I'm Tessa.
942
00:47:27,830 --> 00:47:31,710
I'm a harm reduction specialist
at Abode Housing Services.
943
00:47:31,710 --> 00:47:34,680
I help people move through
the pain of their addiction
944
00:47:34,680 --> 00:47:36,130
and regain dignity.
945
00:47:36,130 --> 00:47:38,800
So, oh my gosh, your place looks amazing.
946
00:47:38,800 --> 00:47:41,930
I took this job because of
the harm reduction approach,
947
00:47:41,930 --> 00:47:43,980
where people get housing.
948
00:47:43,980 --> 00:47:45,560
You don't have an agenda.
949
00:47:45,560 --> 00:47:48,060
You must do this or that
in order to access housing,
950
00:47:48,060 --> 00:47:51,610
you're worthy of housing because
housing should be a right.
951
00:47:51,610 --> 00:47:55,240
When people get housed
after they've been outdoors
952
00:47:55,240 --> 00:47:59,030
for seven, 15, 25 years,
whatever the number is,
953
00:48:01,160 --> 00:48:02,080
you're alone.
954
00:48:05,120 --> 00:48:07,210
You don't have survival to do,
955
00:48:07,210 --> 00:48:09,290
so this is when I'm starting to see
956
00:48:09,290 --> 00:48:11,880
everybody's pain start surfacing
957
00:48:11,880 --> 00:48:14,510
and people are starting to have, you know,
958
00:48:14,510 --> 00:48:17,720
more challenges and emotional challenges
959
00:48:17,720 --> 00:48:19,340
than they did out on the streets.
960
00:48:22,350 --> 00:48:24,850
Dr. Gabor Maté, when
I found his teachings,
961
00:48:24,850 --> 00:48:27,270
and specifically The
Realm of the Hungry Ghost
962
00:48:27,270 --> 00:48:30,360
kind of changed my outlook in life.
963
00:48:30,360 --> 00:48:31,690
I'm very dear to this work.
964
00:48:32,690 --> 00:48:35,440
(rain pattering)
965
00:48:39,780 --> 00:48:43,990
- I'm Gabor's wife and I have
been for close to 50 years.
966
00:48:49,250 --> 00:48:52,880
I met Gabor in October of 1967
967
00:48:52,880 --> 00:48:56,420
when I was a first year student at UBC.
968
00:48:56,420 --> 00:48:58,470
I saw in the student
newspaper that they were
969
00:48:58,470 --> 00:49:02,970
looking for cartoonists and I draw.
970
00:49:02,970 --> 00:49:06,930
I walked into the small
room and he's sitting there
971
00:49:06,930 --> 00:49:09,440
reading a book and I said (clears throat):
972
00:49:09,440 --> 00:49:11,900
"My name's Rae.
973
00:49:13,400 --> 00:49:14,480
I'm supposed to draw you.
974
00:49:14,480 --> 00:49:17,490
Would you mind just sitting there?"
975
00:49:17,490 --> 00:49:19,360
This is it.
976
00:49:21,620 --> 00:49:25,120
I did this before I knew who he was,
977
00:49:25,120 --> 00:49:26,750
before I'd had a conversation.
978
00:49:28,000 --> 00:49:30,170
What a mysterious guy.
979
00:49:30,170 --> 00:49:31,710
Dark, you know?
980
00:49:31,710 --> 00:49:32,880
Intense.
981
00:49:35,750 --> 00:49:37,460
He was so interesting to me.
982
00:49:41,720 --> 00:49:43,050
- I've always been a rebel.
983
00:49:43,050 --> 00:49:47,140
I mean, in communist
Hungary, in grade six,
984
00:49:47,140 --> 00:49:49,520
my teacher wrote in my report card that:
985
00:49:49,520 --> 00:49:53,110
you should watch it because
he incites the other students.
986
00:49:53,110 --> 00:49:54,480
(chuckles)
987
00:49:54,480 --> 00:49:57,860
But so that tendency to
resist arbitrariness,
988
00:49:58,820 --> 00:50:02,200
what I'm being told and
what the official line is.
989
00:50:02,200 --> 00:50:04,070
So I'm really not one for group-think,
990
00:50:04,070 --> 00:50:07,910
and it really helps me
to see through all kinds
991
00:50:07,910 --> 00:50:11,290
of nonsense that people
accept without questioning.
992
00:50:14,460 --> 00:50:16,880
On a personal level, I'm
also a contradiction.
993
00:50:18,130 --> 00:50:21,470
My longing is really a
sense of being excluded
994
00:50:21,470 --> 00:50:25,050
from something, and a
sense of impossibility,
995
00:50:25,050 --> 00:50:27,930
and I very easily go there.
996
00:50:27,930 --> 00:50:29,350
I mean, that is my baseline.
997
00:50:31,060 --> 00:50:33,310
- Very early in my meeting with Gabor,
998
00:50:33,310 --> 00:50:37,110
I saw clearly the light that he was
999
00:50:37,110 --> 00:50:38,860
and the dark that he was.
1000
00:50:38,860 --> 00:50:43,070
So I saw brilliance and I saw real,
1001
00:50:43,070 --> 00:50:45,620
I guess trauma is the word I'd use now,
1002
00:50:45,620 --> 00:50:47,120
but I didn't know then.
1003
00:50:47,120 --> 00:50:48,160
To me it was dark.
1004
00:50:48,160 --> 00:50:51,080
And of course, by then I knew he was,
1005
00:50:51,080 --> 00:50:53,170
directly had been in the Holocaust,
1006
00:50:54,500 --> 00:50:57,000
but it was going to be my job to heal him,
1007
00:50:57,000 --> 00:50:58,380
to bring out that light.
1008
00:51:02,970 --> 00:51:04,970
I really believe that
the purpose of marriage
1009
00:51:04,970 --> 00:51:07,390
is to actually go back
to the original trauma,
1010
00:51:07,390 --> 00:51:10,680
which comes from the family.
1011
00:51:11,930 --> 00:51:14,270
I married a man who was
so much like my father.
1012
00:51:17,310 --> 00:51:19,270
- My scientific interest as well
1013
00:51:19,270 --> 00:51:21,400
has been having to deal with my own trauma
1014
00:51:22,280 --> 00:51:25,110
because in my 40s, I was a
very successful physician
1015
00:51:25,110 --> 00:51:28,280
and I was a national columnist
for a Canadian newspaper,
1016
00:51:28,280 --> 00:51:30,200
and I was the head of the
palliative care department
1017
00:51:30,200 --> 00:51:31,750
at a major Canadian hospital,
1018
00:51:31,750 --> 00:51:36,000
and I was depressed and alienated,
in a difficult marriage,
1019
00:51:36,000 --> 00:51:38,170
and my children were scared of me
1020
00:51:38,170 --> 00:51:40,420
and I didn't like being alive.
1021
00:51:42,840 --> 00:51:44,800
- Well, there's just
nothing more frustrating
1022
00:51:44,800 --> 00:51:47,470
to be in a situation, to see him out there
1023
00:51:47,470 --> 00:51:51,560
doing this amazing work, just
the healing and the wisdom
1024
00:51:51,560 --> 00:51:54,350
and the support, and then come home
1025
00:51:54,350 --> 00:51:59,360
and be completely exhausted, irritable.
1026
00:52:00,110 --> 00:52:02,320
And then I get the negativity.
1027
00:52:09,910 --> 00:52:12,910
I have to be me, I have to be authentic.
1028
00:52:15,580 --> 00:52:17,170
My nervous system is so wired
1029
00:52:17,170 --> 00:52:20,340
that if I'm not authentic
to myself, I'm sick.
1030
00:52:20,340 --> 00:52:21,540
I have a stomach ache.
1031
00:52:21,540 --> 00:52:22,800
I can't sleep.
1032
00:52:22,800 --> 00:52:24,340
I'm anxious.
1033
00:52:24,340 --> 00:52:27,470
And it's usually here. (chuckles)
1034
00:52:27,470 --> 00:52:29,800
It's usually something in this dynamic.
1035
00:52:29,800 --> 00:52:30,800
- Yeah.
- Right?
1036
00:52:30,800 --> 00:52:33,890
- When I would compulsively
shop for compact discs
1037
00:52:33,890 --> 00:52:34,850
and lie about it.
1038
00:52:35,730 --> 00:52:37,310
Rae would get neck aches.
1039
00:52:37,310 --> 00:52:38,980
And after a while she figured
out if I got a neck ache,
1040
00:52:38,980 --> 00:52:39,900
this guy is lying to me.
1041
00:52:39,900 --> 00:52:41,190
- He doesn't get away with anything.
1042
00:52:41,190 --> 00:52:42,020
- Yeah.
1043
00:52:46,530 --> 00:52:51,320
- How are you, Gabor Maté,
not processing your trauma?
1044
00:52:51,320 --> 00:52:52,160
- How am I not processing it?
1045
00:52:52,160 --> 00:52:53,700
- Yeah, because like,
if you are not doing it,
1046
00:52:53,700 --> 00:52:55,080
that's like Steve Jobs going:
1047
00:52:55,080 --> 00:52:56,660
"I couldn't get my phone to work."
1048
00:52:57,540 --> 00:53:00,080
- That's another traumatized
person, by the way,
1049
00:53:00,080 --> 00:53:01,750
whose cancer is everything to do with
1050
00:53:01,750 --> 00:53:03,590
the childhood trauma that he experienced,
1051
00:53:03,590 --> 00:53:06,460
but that's another book and another story.
1052
00:53:06,460 --> 00:53:08,470
- So you sort of are a
bit like in the Matrix,
1053
00:53:08,470 --> 00:53:10,890
when Neo sees everything's
made out of numbers,
1054
00:53:10,890 --> 00:53:13,760
you look at people and you see
all their trauma and damage?
1055
00:53:13,760 --> 00:53:14,760
- That's what I see.
1056
00:53:15,850 --> 00:53:17,770
Until I realized that I was traumatized,
1057
00:53:17,770 --> 00:53:20,560
which really wasn't until
my late 30s and mid-40s,
1058
00:53:20,560 --> 00:53:23,020
and began to realize that it
didn't have to be this way,
1059
00:53:23,020 --> 00:53:23,980
that there were reasons for it,
1060
00:53:23,980 --> 00:53:25,780
and I started looking for those reasons.
1061
00:53:25,780 --> 00:53:27,990
So I started waking up
fairly late in life.
1062
00:53:29,200 --> 00:53:31,450
I was a driven, workaholic doctor.
1063
00:53:31,450 --> 00:53:33,870
Now why was a driven workaholic doctor?
1064
00:53:33,870 --> 00:53:35,080
Because the message I got as an infant
1065
00:53:35,080 --> 00:53:36,290
is that the world didn't want me.
1066
00:53:36,290 --> 00:53:37,910
Now how do you deal with not being wanted?
1067
00:53:37,910 --> 00:53:39,580
You make yourself needed.
1068
00:53:39,580 --> 00:53:40,790
So if you're traumatized
1069
00:53:40,790 --> 00:53:42,330
and if you don't think you're lovable,
1070
00:53:42,330 --> 00:53:44,090
my god, go to medical school.
1071
00:53:44,090 --> 00:53:46,170
Now they're going to
want you all the time.
1072
00:53:46,170 --> 00:53:47,670
When they're dying,
when they're being born,
1073
00:53:47,670 --> 00:53:50,840
every moment in between,
and that's highly addictive,
1074
00:53:50,840 --> 00:53:53,010
because you get the
validation all the time.
1075
00:53:56,390 --> 00:53:58,100
A lot of people that go into medicine
1076
00:53:58,100 --> 00:53:59,850
the last thing they want is
to be open and vulnerable.
1077
00:53:59,850 --> 00:54:01,270
In fact, what they want is the authority
1078
00:54:01,270 --> 00:54:03,060
of the white coat and the stethoscope.
1079
00:54:03,060 --> 00:54:05,400
And medical school is very hard on people.
1080
00:54:05,400 --> 00:54:06,650
You might look at it almost
1081
00:54:06,650 --> 00:54:08,780
as a selection process that weeds out
1082
00:54:08,780 --> 00:54:10,530
the people that are too vulnerable.
1083
00:54:10,530 --> 00:54:15,030
The long hours, the deference
to unreasonable authority,
1084
00:54:15,030 --> 00:54:19,370
the stress that you are
willing to subject yourself to,
1085
00:54:19,370 --> 00:54:22,420
and these are the people that,
like me, become physicians.
1086
00:54:22,420 --> 00:54:25,290
So that selects out
against the vulnerable.
1087
00:54:27,460 --> 00:54:29,300
I went to medical school here at UBC.
1088
00:54:30,170 --> 00:54:33,800
At that time, we did not get
a single lecture of trauma.
1089
00:54:33,800 --> 00:54:36,220
We did not even hear the word.
1090
00:54:36,220 --> 00:54:38,970
They still don't hear the
word trauma in medical school.
1091
00:54:44,810 --> 00:54:47,230
So I've looked at the whole
range of human experience
1092
00:54:47,230 --> 00:54:49,980
from birth to death because
I've worked in obstetrics
1093
00:54:49,980 --> 00:54:51,780
and I've worked in palliative care
1094
00:54:51,780 --> 00:54:54,030
and everything else in between.
1095
00:54:54,030 --> 00:54:57,030
The modern medical paradigm in practice
1096
00:54:57,030 --> 00:54:58,870
separates mind from the body
1097
00:54:58,870 --> 00:55:01,120
and it separates the individual
from the environment.
1098
00:55:01,120 --> 00:55:03,250
So when you look at, there's an epidemic
1099
00:55:03,250 --> 00:55:04,750
of asthma right now in North America,
1100
00:55:04,750 --> 00:55:07,210
more and more people, kids
are being diagnosed with it,
1101
00:55:07,210 --> 00:55:09,630
it's all about, or largely about,
1102
00:55:09,630 --> 00:55:12,260
the increasing stress in our society.
1103
00:55:12,260 --> 00:55:14,550
So it's a cultural manifestation,
1104
00:55:14,550 --> 00:55:17,100
and this is completely
missing in medical practice.
1105
00:55:18,180 --> 00:55:20,140
If you look at Black Americans,
1106
00:55:20,140 --> 00:55:22,810
Black Americans are more
likely to get prostate cancer
1107
00:55:23,730 --> 00:55:25,230
and more likely to die of it,
1108
00:55:25,230 --> 00:55:27,310
and not because of a lack of medical care.
1109
00:55:29,020 --> 00:55:31,110
Maybe there's something
about being a minority
1110
00:55:31,110 --> 00:55:34,280
in this particular culture
that is so highly stressful
1111
00:55:34,280 --> 00:55:36,910
that it deranges the immune system.
1112
00:55:36,910 --> 00:55:41,370
If you look at the asthmatic
Afro-American woman,
1113
00:55:41,370 --> 00:55:46,330
is that asthma a manifestation
of her own pathology?
1114
00:55:48,080 --> 00:55:50,590
Or is it reflecting a social malaise?
1115
00:55:51,630 --> 00:55:55,090
Which means the emotion,
whatever you've experienced,
1116
00:55:55,090 --> 00:55:57,840
probably suppressed rage or shame,
1117
00:55:57,840 --> 00:55:59,720
whatever you experience,
1118
00:55:59,720 --> 00:56:02,680
actually affects the
physiology of your lungs.
1119
00:56:03,770 --> 00:56:05,770
Medicine is very interesting that way.
1120
00:56:05,770 --> 00:56:08,440
If you go to a dermatologist
with an inflamed skin,
1121
00:56:08,440 --> 00:56:09,560
what kind of cream are
they going to give you?
1122
00:56:09,560 --> 00:56:11,110
Anybody know?
1123
00:56:11,110 --> 00:56:12,780
Steroid cream, right.
1124
00:56:12,780 --> 00:56:15,820
If you go to a rheumatologist
with an inflamed joint,
1125
00:56:15,820 --> 00:56:18,240
what medication are
they going to give you?
1126
00:56:18,240 --> 00:56:20,160
Steroids very often.
1127
00:56:20,160 --> 00:56:23,830
If you go to a lung
specialist with asthma,
1128
00:56:23,830 --> 00:56:25,750
what kind of inhaler are you going to get?
1129
00:56:25,750 --> 00:56:26,660
Steroid.
1130
00:56:26,660 --> 00:56:28,120
If you go to a gastroenterologist
1131
00:56:28,120 --> 00:56:29,880
with an inflamed intestines,
1132
00:56:29,880 --> 00:56:31,670
what kind of medication are you gonna get?
1133
00:56:31,670 --> 00:56:32,460
Steroids.
1134
00:56:32,460 --> 00:56:34,510
Now, what are steroids?
1135
00:56:34,510 --> 00:56:36,130
They're copies of cortisol.
1136
00:56:36,130 --> 00:56:37,010
What is cortisol?
1137
00:56:38,260 --> 00:56:40,180
The stress hormone.
1138
00:56:40,180 --> 00:56:42,510
We're treating everything
with stress hormones.
1139
00:56:43,680 --> 00:56:45,430
Maybe it should occur to us
1140
00:56:45,430 --> 00:56:46,520
that stress has something to do
1141
00:56:46,520 --> 00:56:48,350
with the onset of these conditions.
1142
00:56:50,060 --> 00:56:52,480
The fundamental problem is capitalism,
1143
00:56:52,480 --> 00:56:53,860
or I should say materialism.
1144
00:56:53,860 --> 00:56:56,150
As long as the research
is driven by the profits
1145
00:56:56,150 --> 00:56:57,650
of pharmaceutical companies,
1146
00:56:57,650 --> 00:56:59,780
what's going to drive the
education of physicians
1147
00:56:59,780 --> 00:57:02,660
except the profit motive of
pharmaceutical companies?
1148
00:57:02,660 --> 00:57:03,950
I mean, it's just obvious.
1149
00:57:06,870 --> 00:57:09,580
People have to be seen as automatons,
1150
00:57:09,580 --> 00:57:12,630
as beings without really emotional needs
1151
00:57:12,630 --> 00:57:13,880
or spiritual needs.
1152
00:57:14,880 --> 00:57:18,420
As globalization and
globalized materialism
1153
00:57:18,420 --> 00:57:20,470
spreads throughout the world,
1154
00:57:20,470 --> 00:57:21,930
so there's auto immune disease
1155
00:57:21,930 --> 00:57:23,430
spreading throughout the world
1156
00:57:23,430 --> 00:57:26,270
in societies that hardly
even knew them before.
1157
00:57:26,270 --> 00:57:29,390
Diseases, whether mental or physical,
1158
00:57:29,390 --> 00:57:33,690
are normal responses to
abnormal circumstances,
1159
00:57:33,690 --> 00:57:35,320
and what would be considered normal
1160
00:57:35,320 --> 00:57:37,820
in this society is often actually insane.
1161
00:57:39,150 --> 00:57:42,120
In the most health obsessed
humans society ever,
1162
00:57:42,120 --> 00:57:43,910
all is not well.
1163
00:57:43,910 --> 00:57:46,830
In the US, the richest society in history,
1164
00:57:46,830 --> 00:57:49,290
fully half of the citizens
have a chronic disorder
1165
00:57:49,290 --> 00:57:51,500
such as high blood pressure or diabetes.
1166
00:57:52,710 --> 00:57:56,050
Illness is when part of an organism,
1167
00:57:56,050 --> 00:57:59,220
starts working against the overall benefit
1168
00:57:59,220 --> 00:58:00,550
of the organism.
1169
00:58:00,550 --> 00:58:02,470
So that say, in an autoimmune disease,
1170
00:58:02,470 --> 00:58:05,510
the immune system attacks
the host organism.
1171
00:58:05,510 --> 00:58:09,100
So a system that was designed
by nature to protect you
1172
00:58:09,100 --> 00:58:10,350
now it turns against you.
1173
00:58:11,390 --> 00:58:15,900
Cell division, which is
meant to be coordination
1174
00:58:15,900 --> 00:58:17,030
with the needs of the entire organism,
1175
00:58:17,030 --> 00:58:19,190
gets out of hand and
now you've got cancer.
1176
00:58:23,870 --> 00:58:25,450
The search is always to find out
1177
00:58:25,450 --> 00:58:27,490
what's wrong with the individual cell,
1178
00:58:27,490 --> 00:58:30,540
or how do you kill the abnormal cells?
1179
00:58:30,540 --> 00:58:34,040
So the treatment is restricted
to the biological plane.
1180
00:58:34,040 --> 00:58:38,090
We either cut it out or we
poison it or we burn it.
1181
00:58:38,090 --> 00:58:40,050
That's our approach to treating cancer.
1182
00:58:41,220 --> 00:58:45,180
Most chronic illness is a
way of the body saying no
1183
00:58:45,180 --> 00:58:47,560
when the person suppress their no's
1184
00:58:47,560 --> 00:58:49,180
in order to fit in.
1185
00:58:50,100 --> 00:58:52,940
I'm saying that when
the illness comes along,
1186
00:58:52,940 --> 00:58:55,610
we can just look upon it
as a nuisance to get rid of
1187
00:58:55,610 --> 00:58:57,400
and an enemy to fight,
1188
00:58:58,900 --> 00:59:02,450
or we can say, okay, well, it's here now.
1189
00:59:02,450 --> 00:59:03,450
What's the teaching?
1190
00:59:04,660 --> 00:59:06,740
Which it doesn't mean that
we don't accept treatment
1191
00:59:06,740 --> 00:59:10,700
or we don't do our best to heal,
1192
00:59:10,700 --> 00:59:13,120
but that, as part of that healing process,
1193
00:59:13,120 --> 00:59:14,750
we actually ask ourselves
1194
00:59:14,750 --> 00:59:18,420
what does this mean about
my life and my relationships
1195
00:59:18,420 --> 00:59:21,130
and particularly about how I treat myself?
1196
00:59:21,130 --> 00:59:22,170
What is the teaching?
1197
00:59:28,180 --> 00:59:29,720
- My name is Tim.
1198
00:59:29,720 --> 00:59:31,930
I'm 51-years-old.
1199
00:59:31,930 --> 00:59:35,400
I was given a diagnosis of prostate cancer
1200
00:59:35,400 --> 00:59:37,150
about a year and a half ago.
1201
00:59:38,440 --> 00:59:42,570
I actually had a full,
radical prostatectomy,
1202
00:59:42,570 --> 00:59:45,030
so that means the whole
removal of my prostate
1203
00:59:45,030 --> 00:59:47,620
which was no walk in the park.
1204
00:59:47,620 --> 00:59:50,620
It's quite a, quite an extensive surgery.
1205
00:59:51,990 --> 00:59:53,790
In October they did a bone scan
1206
00:59:53,790 --> 00:59:56,500
and found that there was multiple areas
92888
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