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cover of episode GUEST SERIES | Dr. Paul Conti: How to Understand & Assess Your Mental Health

GUEST SERIES | Dr. Paul Conti: How to Understand & Assess Your Mental Health

2023/9/6
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Andrew Huberman: 本期节目探讨了心理健康的定义、评估方法以及提升心理健康的策略。Huberman 博士与精神科医生 Paul Conti 博士讨论了自我的结构和功能,包括潜意识和意识的相互作用,以及如何通过特定练习来改善心理健康。 Conti 博士强调了自主性和感恩在心理健康中的重要性,并解释了如何通过探索和解决焦虑、缺乏自信、消极的内在叙事、过度思考以及潜意识防御机制来提升心理健康。节目中还提供了评估自我和心理健康状况的工具,以及通过自我探索或专业人士的帮助来重塑消极情绪、思维模式和行为的方法。 Paul Conti: 健康的自我以自主性和感恩为视角看待生活。自主性源于个体被赋能,感恩源于对自身在世界中位置和力量的谦逊认知。自我的结构包括潜意识和意识,潜意识如同冰山下的巨大部分,而意识是露出水面的较小部分。潜意识的防御机制保护意识免受恐惧、困惑和绝望。性格结构是自我与世界互动的工具,由潜意识、意识和防御机制构成。性格结构中的倾向性既可以是健康的,也可以是不健康的,这取决于个人的经历和环境。适度的焦虑有助于保持警惕,但过度的焦虑则会适得其反。自信是信任自身倾向性和潜能的能力,能够在各种情境中做出适当的回应。改变信念和内在叙事需要时间和努力,不能指望快速见效。自我的功能始于对自我的认知,并通过潜意识的防御机制、对内外部线索的关注以及行为选择来体现。防御机制是复杂的无意识过程,会不断地改变我们的防御结构。常见的防御机制包括投射、移位和投射性认同。幽默可以是健康的防御机制,也可以是攻击性的表现形式。悲观主义是一种不健康的防御机制,会对自身和他人的幸福造成损害。关注的焦点会影响我们的行为和情绪,而重复强迫行为则可能源于试图弥补过去的创伤。通过探索自我的结构和功能,我们可以更好地理解自身的行为模式,并做出改变。生成性驱动力是人类内在的一种驱动力,它促使我们去学习、探索和创造。过度的攻击性和寻求快乐可能会导致嫉妒,而过低的攻击性和寻求快乐则会导致士气低落。通过理解和管理这些驱动力,我们可以提升心理健康,并获得平和、满足和喜悦。

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This is episode 1 of a 4-part special series on mental health with psychiatrist Dr. Paul Conti, M.D., who trained at Stanford School of Medicine and completed his residency at Harvard Medical School before founding his clinical practice, the Pacific Premiere Group. Dr. Conti defines mental health in actionable terms and describes the foundational elements of the self, including the structure and function of the unconscious and conscious mind, which give rise to all our thoughts, behaviors and emotions. He also explains how to explore and address the root causes of anxiety, low confidence, negative internal narratives, over-thinking and how our unconscious defense mechanisms operate. This episode provides a foundational roadmap to assess your sense of self and mental health. It offers tools to reshape negative emotions, thought patterns and behaviors — either through self-exploration or with a licensed professional. The subsequent three episodes in this special series explore additional tools to further understand and improve your mental health.

For the full show notes, including articles, books, and other resources, visit hubermanlab.com).

Thank you to our sponsors

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Timestamps

(00:00:00) Dr. Paul Conti

(00:03:46) Sponsors: BetterHelp & Waking Up App

(00:06:55) What is a Healthy Self?

(00:10:41) Agency & Gratitude; Empowerment & Humility 

(00:16:13) Physical Health & Mental Health Parallels

(00:20:21) Structure of Self; Unconscious vs. Conscious Mind; “Iceberg”

(00:26:15) Defense Mechanisms; Character Structure “Nest”, Sense of Self 

(00:31:27) Predispositions & Character Structure

(00:36:01) Sponsor: AG1

(00:37:27) Character Structure & Action States; Physical Health Parallels

(00:46:20) Anxiety; Understanding Excessive Anxiety

(00:53:12) Improving Confidence: State Dependence & Phenomenology; Narcissism

(00:59:44) Changing Beliefs & Internal Narratives

(01:06:04) Individuality & Addressing Mental Health Challenges

(01:11:21) Mental Health Goals & Growth

(01:17:32) Function of Self

(01:23:00) Defense Mechanisms: Projection, Displacement

(01:30:14) Projection, Displacement, Projective Identification

(01:34:50) Humor, Sarcasm, Cynicism

(01:40:41) Attention & Salience; Negative Internal Dialogue 

(01:45:02) Repetition Compulsion & Defense Mechanism, Trauma

(01:58:55) Mirror Meditation & Self Awareness; Structure & Function of Self, “Cupboards”

(02:04:57) Pillars of the Mind, Agency & Gratitude, Happiness

(02:13:53) Generative Drive, Aggressive & Pleasure Drives

(02:21:33) Peace, Contentment & Delight, Generative Drive; Amplification

(02:24:18) Generative Drive, Amplification & Overcoming

(02:33:00) Over-Thinking, Procrastination, Choices

(02:42:20) Aggressive, Pleasure & Generative Drives, Envy

(02:49:46) Envy, Destruction, Mass Shootings

(02:55:38) Demoralization, Isolation, Low Aggressive Drive

(03:02:50) Demoralization, Affiliate Defense 

(03:09:32) Strong Aggressive Drive, Competition, Generative Drive Reframing 

(03:20:02) Cultivating a Generative Drive, Spirited Inquiry of the “Cupboards”

(03:26:06) Current Mental Health Care & Medications

(03:35:33) Role of Medicine in Exploration

(03:40:41) Zero-Cost Support, YouTube Feedback, Spotify & Apple Reviews, Sponsors, Social Media, Momentous, Neural Network Newsletter

Title Card Photo Credit: Mike Blabac)

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