1 00:00:00,100 --> 00:00:02,911 第四章陷入坏习惯我的朋友比利 2 00:00:03,024 --> 00:00:04,612 是我认识的最有趣的人 3 00:00:04,937 --> 00:00:07,487 但他的人生却充满坎坷他 4 00:00:07,487 --> 00:00:10,137 在密歇根州一个小镇长大家境极度 5 00:00:10,150 --> 00:00:12,737 贫困家对面就是城市垃圾场 6 00:00:13,073 --> 00:00:15,237 父母都对他进行身体和言语 7 00:00:15,237 --> 00:00:18,550 上的虐待尽管童年动荡不安后来还 8 00:00:18,550 --> 00:00:20,536 染上各种毒瘾他却一路 9 00:00:20,550 --> 00:00:24,250 打拼成为密歇根大学的橄榄球运动员后来成为 10 00:00:24,250 --> 00:00:26,586 一名成功的电视编剧并最终 11 00:00:26,586 --> 00:00:29,574 获得了神经科学博士学位他不得不 12 00:00:29,586 --> 00:00:32,686 忍受种族歧视恐同症和抑郁症 13 00:00:32,686 --> 00:00:36,436 的折磨除此之外我认识他时他 14 00:00:36,436 --> 00:00:38,987 的体重高达七百磅虽然在我 15 00:00:38,987 --> 00:00:40,899 认识他的这些年里他付出 16 00:00:40,899 --> 00:00:42,837 了很多努力来减重但这项 17 00:00:42,837 --> 00:00:45,362 工作仍在进行中他慷慨地 18 00:00:45,375 --> 00:00:48,061 允许我在这里分享他的故事不幸的 19 00:00:48,061 --> 00:00:51,311 是比利的体重问题和情绪问题 20 00:00:51,423 --> 00:00:54,350 相互交织当他感到沮丧或压力 21 00:00:54,350 --> 00:00:56,762 大时食物能让他感觉好些 22 00:00:57,337 --> 00:01:00,262 然而极度超重又加剧了他的 23 00:01:00,274 --> 00:01:04,111 抑郁我是否需要再次提及恶性循环他 24 00:01:04,125 --> 00:01:06,486 体型庞大几乎无法坐进自己的 25 00:01:06,486 --> 00:01:09,287 车里如果他能减轻体重不仅 26 00:01:09,311 --> 00:01:12,686 医疗问题会减少行动找工作以及 27 00:01:12,700 --> 00:01:15,337 与朋友相处也会更加轻松他 28 00:01:15,337 --> 00:01:18,474 深知这一点但多年来却一直不停 29 00:01:18,474 --> 00:01:21,412 地吃这并非因为他愚蠢他 30 00:01:21,412 --> 00:01:24,512 其实非常聪明毕竟他拥有神经科学博士 31 00:01:24,512 --> 00:01:28,000 学位他发现自己即使不想吃也 32 00:01:28,000 --> 00:01:31,037 会继续进食当感到压力时他 33 00:01:31,049 --> 00:01:33,500 只想吃东西但暴食并非他 34 00:01:33,525 --> 00:01:36,111 唯一的坏习惯他还过度看电视 35 00:01:36,325 --> 00:01:39,174 并且开会总是迟到既然他知道这些 36 00:01:39,186 --> 00:01:41,674 习惯对自己有害为什么就是停不 37 00:01:41,674 --> 00:01:45,799 下来呢为什么他无法停止进食为什么 38 00:01:45,811 --> 00:01:48,275 他不能多锻炼或许你对自身 39 00:01:48,275 --> 00:01:51,736 的坏习惯也有同样的感受轻易评判 40 00:01:51,750 --> 00:01:53,875 他人是容易的因为那些导致他 41 00:01:53,900 --> 00:01:56,811 陷入困境的习惯从外部看来一目了然 42 00:01:57,387 --> 00:02:00,325 不幸的是我们大多数人都有同样 43 00:02:00,337 --> 00:02:02,500 明显的坏习惯只是我们自己看不 44 00:02:02,500 --> 00:02:05,775 到例如我有严重的拖延问题 45 00:02:06,125 --> 00:02:08,723 最终总是看电视而不是写作或 46 00:02:08,736 --> 00:02:11,199 锻炼也许你有一遇到困难就 47 00:02:11,211 --> 00:02:13,550 放弃的习惯这阻碍了你实现 48 00:02:13,574 --> 00:02:16,098 有意义的目标也许你有愤怒 49 00:02:16,111 --> 00:02:19,062 问题或组织能力问题也许当你 50 00:02:19,062 --> 00:02:21,262 开始感到亲近时就把人推开 51 00:02:21,625 --> 00:02:24,236 或者只是花太多时间独处也许 52 00:02:24,236 --> 00:02:26,211 你从未遇到过不喜欢的饼干 53 00:02:26,611 --> 00:02:31,598 香烟或一罐啤酒除了你知道的坏习惯之外你 54 00:02:31,611 --> 00:02:34,137 可能还有其他几个对生活产生负面 55 00:02:34,137 --> 00:02:36,324 影响但你甚至没有意识到的习惯 56 00:02:36,900 --> 00:02:41,287 习惯顾名思义是难以改变的有些习惯 57 00:02:41,312 --> 00:02:44,437 根深蒂固以至于我们不相信它们能被 58 00:02:44,449 --> 00:02:47,723 改变幸运的是实现改变的第一步 59 00:02:47,824 --> 00:02:50,824 是简单的觉察第二步是相信改变 60 00:02:50,848 --> 00:02:53,236 是可能的而它确实是可能 61 00:02:53,236 --> 00:02:56,348 的你可能需要治疗或药物或者 62 00:02:56,361 --> 00:02:58,425 你可能只需要实践本书中 63 00:02:58,449 --> 00:03:01,574 描述的一些活动但首先你需要 64 00:03:01,586 --> 00:03:04,062 理解你的大脑是如何创造和 65 00:03:04,074 --> 00:03:06,736 控制你的习惯的控制行动要 66 00:03:06,736 --> 00:03:09,949 真正理解习惯你需要理解你的 67 00:03:09,961 --> 00:03:12,074 大脑是如何总体上支配你的 68 00:03:12,086 --> 00:03:14,912 行动的我们倾向于认为我们的 69 00:03:14,937 --> 00:03:17,750 大多数行动都是由有意识的意图驱动 70 00:03:17,750 --> 00:03:21,836 的事实上大多数是冲动或惯例并非 71 00:03:21,848 --> 00:03:24,400 由特定的思想引发只是一种自动 72 00:03:24,412 --> 00:03:28,662 反应简而言之习惯这在抑郁症中 73 00:03:28,762 --> 00:03:32,500 尤其如此不幸的是导致人们陷入 74 00:03:32,525 --> 00:03:34,637 抑郁的习惯不太可能引导他们 75 00:03:34,662 --> 00:03:38,736 走出抑郁习惯的形成维持乃至改变 76 00:03:39,137 --> 00:03:41,800 其背后都遵循着清晰的神经科学 77 00:03:41,812 --> 00:03:44,848 逻辑有意识的行动由前额叶皮 78 00:03:44,848 --> 00:03:47,637 层调控而习惯则由大脑深处 79 00:03:47,637 --> 00:03:49,787 的古老处理中心纹状体所 80 00:03:49,787 --> 00:03:52,512 控制若将前额叶皮层比作 81 00:03:52,537 --> 00:03:54,973 现代的云端计算那么纹状体 82 00:03:55,000 --> 00:03:57,650 便是输入IBM大型机的打孔卡片 83 00:03:58,000 --> 00:04:00,461 既然不良习惯对我们无益为何我们 84 00:04:00,473 --> 00:04:03,098 仍持续为之因为纹状体 85 00:04:03,125 --> 00:04:05,387 与前额叶皮层不同它并 86 00:04:05,387 --> 00:04:08,125 不理性至少不符合我们通常对 87 00:04:08,150 --> 00:04:10,973 理性的定义它根本不会区分习惯 88 00:04:10,973 --> 00:04:13,900 的好坏纹状体可以毫无顾虑 89 00:04:13,900 --> 00:04:17,574 地重复一个又一个不良习惯完全无视长远 90 00:04:17,586 --> 00:04:20,737 后果在你为此过于懊恼之前需要 91 00:04:20,737 --> 00:04:23,125 了解的是纹状体甚至不 92 00:04:23,125 --> 00:04:25,925 具备意识你无法真正责怪梦游时 93 00:04:25,925 --> 00:04:28,350 的行为同样也不应过度苛责 94 00:04:28,362 --> 00:04:31,786 这些无意识的习惯坏习惯通常可以分为 95 00:04:31,812 --> 00:04:35,199 冲动型或常规型冲动型行为 96 00:04:35,300 --> 00:04:38,637 由瞬间的欲望驱动比如点击Facebook 97 00:04:38,649 --> 00:04:42,774 链接相比之下常规型行为并非由欲望 98 00:04:42,786 --> 00:04:45,350 驱动而是因为我们之前做过太 99 00:04:45,350 --> 00:04:48,711 多次而采取的行动常规型坏习惯 100 00:04:48,824 --> 00:04:51,324 可能像张嘴咀嚼一样无害也可能 101 00:04:51,324 --> 00:04:53,875 像在感到不知所措时逃避世界一样 102 00:04:53,887 --> 00:04:56,836 有害冲动和常规都由纹状 103 00:04:56,836 --> 00:04:59,637 体控制但常规依赖于上部即 104 00:04:59,661 --> 00:05:01,850 背侧纹状体而冲动则 105 00:05:01,850 --> 00:05:04,500 由下部即伏隔核启动这 106 00:05:04,500 --> 00:05:07,149 两个区域都严重依赖神经递质多巴胺 107 00:05:07,512 --> 00:05:09,125 这是一个我们稍后会讨论的 108 00:05:09,149 --> 00:05:12,250 重要事实你的行为是前额叶 109 00:05:12,250 --> 00:05:14,500 皮层伏隔核和背侧 110 00:05:14,500 --> 00:05:16,911 纹状体之间对话的结果前额 111 00:05:16,925 --> 00:05:19,262 叶皮层根据什么对我们长期 112 00:05:19,274 --> 00:05:21,699 有益来选择做什么伏隔核 113 00:05:21,725 --> 00:05:23,699 根据什么能带来最即时的愉悦 114 00:05:23,800 --> 00:05:25,961 来选择做什么而背侧纹 115 00:05:25,961 --> 00:05:27,862 状体则根据我们过去做过 116 00:05:27,875 --> 00:05:30,161 什么来选择做什么就像国会 117 00:05:30,175 --> 00:05:33,887 议员一样这些区域有时相互支持有时 118 00:05:33,911 --> 00:05:36,949 意见相左前额叶皮层是唯一 119 00:05:36,961 --> 00:05:38,862 关心你长期福祉的回路部分 120 00:05:39,262 --> 00:05:41,425 但不幸的是它常常被多数 121 00:05:41,425 --> 00:05:44,600 票否决为了理解其中的原因我们 122 00:05:44,612 --> 00:05:47,012 将更深入地探讨冲动和习惯 123 00:05:47,586 --> 00:05:50,411 激励性冲动在超市结账时你 124 00:05:50,411 --> 00:05:52,175 面前摆满了诱人的糖果棒 125 00:05:52,199 --> 00:05:54,812 和杂志你是坚持按购物清单 126 00:05:54,812 --> 00:05:57,149 来还是伸手去拿一条士力 127 00:05:57,149 --> 00:06:00,687 架理解冲动的关键在于一切令人 128 00:06:00,786 --> 00:06:02,737 愉悦的事物都会在伏隔 129 00:06:02,737 --> 00:06:06,274 核中释放多巴胺性爱会释放多巴胺 130 00:06:06,850 --> 00:06:10,550 赢钱会释放多巴胺毒品会释放多巴胺 131 00:06:11,125 --> 00:06:12,987 巧克力也会释放多巴胺 132 00:06:13,100 --> 00:06:15,711 然而伏隔核真正有趣的地方 133 00:06:15,711 --> 00:06:18,399 在于它能学会什么是愉悦的 134 00:06:18,687 --> 00:06:22,300 以及如何预期获得这种愉悦例如当 135 00:06:22,300 --> 00:06:24,586 你第一次吃士力架时伏隔核 136 00:06:24,586 --> 00:06:27,723 会释放多巴胺下一次你拿起士力 137 00:06:27,723 --> 00:06:30,461 架时一打开包装多巴胺就会 138 00:06:30,475 --> 00:06:33,425 释放再下一次你仅仅是从 139 00:06:33,449 --> 00:06:36,149 房间的另一头看到士力架多巴胺就 140 00:06:36,149 --> 00:06:39,887 会释放很快只要你走进商店仅仅 141 00:06:39,887 --> 00:06:42,637 因为预期会看到它打开它吃 142 00:06:42,637 --> 00:06:45,475 掉它多巴胺就会释放在冲动 143 00:06:45,487 --> 00:06:47,911 行为中你所做或感知的 144 00:06:48,024 --> 00:06:50,024 某件事会触发对特定愉悦 145 00:06:50,036 --> 00:06:53,324 结果的预期问题在于这种在预期 146 00:06:53,336 --> 00:06:55,887 愉悦时释放的多巴胺实际上会激励 147 00:06:55,887 --> 00:06:58,887 你采取行动去追求那种愉悦过程 148 00:06:58,887 --> 00:07:00,048 中的每一步都会给 149 00:07:00,048 --> 00:07:02,324 你带来一点多巴胺的提升推动你 150 00:07:02,350 --> 00:07:05,961 继续下一步找出你的触发因素避免 151 00:07:05,961 --> 00:07:08,211 诱惑比抵抗诱惑要容易得多 152 00:07:08,774 --> 00:07:10,762 如果你知道是什么触发了某个 153 00:07:10,774 --> 00:07:13,725 习惯有时只需从生活中移除那个 154 00:07:13,750 --> 00:07:16,923 触发因素就能摆脱那个习惯例如 155 00:07:17,336 --> 00:07:20,137 比利意识到自己看电视太多而 156 00:07:20,149 --> 00:07:23,336 触发因素就是看到电视机本身于是 157 00:07:23,336 --> 00:07:26,162 他把电视机搬出了卧室现在 158 00:07:26,274 --> 00:07:27,961 他不再有看电视过多的问题 159 00:07:27,961 --> 00:07:30,787 了再举一个例子如果你不想 160 00:07:30,798 --> 00:07:33,262 买饼干就不要在超市里走过 161 00:07:33,287 --> 00:07:36,324 饼干货架看到那些美味的烘焙食品 162 00:07:36,437 --> 00:07:39,887 会释放多巴胺促使你购买它们如果 163 00:07:39,887 --> 00:07:42,236 你是一个穴居人你的冲动 164 00:07:42,262 --> 00:07:45,173 就不会成为问题生活会非常简单 165 00:07:45,736 --> 00:07:47,937 如果某物味道好你就尽可能 166 00:07:47,937 --> 00:07:50,473 多吃如果某物感觉好你 167 00:07:50,473 --> 00:07:53,861 就尽可能多做然而如今有太 168 00:07:53,861 --> 00:07:56,048 多容易获得的愉悦它们劫持了 169 00:07:56,048 --> 00:07:58,024 伏隔核中的多巴胺并形成 170 00:07:58,024 --> 00:08:00,662 了一种追求即时满足的行为倾向 171 00:08:01,236 --> 00:08:03,649 在抑郁症中这个问题变得更加 172 00:08:03,662 --> 00:08:05,787 严重因为伏隔核中的多巴胺 173 00:08:05,798 --> 00:08:09,812 活动减少了首先这意味着曾经令人 174 00:08:09,824 --> 00:08:13,625 愉悦的事物不再如此其次随着多巴胺 175 00:08:13,637 --> 00:08:15,887 活动的减少唯一能激励伏隔 176 00:08:15,887 --> 00:08:17,824 核的是那些释放大量多巴胺的 177 00:08:17,836 --> 00:08:21,787 事物比如垃圾食品毒品赌博和色情 178 00:08:21,800 --> 00:08:25,012 内容所有这些冲动意味着你的行为 179 00:08:25,125 --> 00:08:27,262 只受最即时愉悦的事物引导 180 00:08:27,598 --> 00:08:30,437 而这通常从长远来看对你 181 00:08:30,449 --> 00:08:33,674 并不利虽然大多数冲动很容易识别 182 00:08:34,098 --> 00:08:36,375 但最阴险的坏习惯往往是日常 183 00:08:36,375 --> 00:08:39,111 惯例养成习惯有一句古老的 184 00:08:39,136 --> 00:08:42,437 印度谚语说人生的前三十年你养成 185 00:08:42,437 --> 00:08:45,699 习惯人生的后三十年习惯塑造你 186 00:08:46,250 --> 00:08:47,611 你是否曾在不饿的时候 187 00:08:47,636 --> 00:08:50,261 吃东西或者明明没什么好看的节目 188 00:08:50,375 --> 00:08:53,511 却继续看电视日常习惯常常导致 189 00:08:53,537 --> 00:08:57,074 恶性循环因为我们即使从中得不到任何乐趣 190 00:08:57,312 --> 00:08:59,199 也会照做不误更甚的 191 00:08:59,199 --> 00:09:02,511 是我们往往在开始这些习惯时 192 00:09:02,625 --> 00:09:06,236 毫无察觉缺乏乐趣和意识可能看起来 193 00:09:06,236 --> 00:09:09,011 很奇怪但事实上背侧纹状 194 00:09:09,011 --> 00:09:10,662 体对这两者都不太在意 195 00:09:11,223 --> 00:09:12,973 背侧纹状体与伏隔 196 00:09:12,973 --> 00:09:15,125 核有许多紧密的联系并且也 197 00:09:15,125 --> 00:09:18,412 利用多巴胺然而背侧纹状体 198 00:09:18,437 --> 00:09:20,787 释放的多巴胺并不会让你感到愉悦 199 00:09:21,187 --> 00:09:24,586 它只是驱使你行动习惯之所以形成 200 00:09:24,886 --> 00:09:26,875 是因为每一个动作都会激活 201 00:09:26,899 --> 00:09:28,412 背侧纹状体中的特定 202 00:09:28,424 --> 00:09:32,024 模式每次你遵循相同的路径它 203 00:09:32,024 --> 00:09:33,937 在你大脑中就会变得越来越 204 00:09:33,949 --> 00:09:37,375 明确换句话说背侧纹状体中 205 00:09:37,375 --> 00:09:39,361 的神经元会更强地连接在 206 00:09:39,361 --> 00:09:43,000 一起此外每次你激活那个大脑模式 207 00:09:43,236 --> 00:09:45,586 下一次激活就会变得更加容易 208 00:09:46,162 --> 00:09:49,149 所以很快创建一条新路径几乎变得 209 00:09:49,162 --> 00:09:51,899 不可能你的大脑只想沿着旧 210 00:09:51,899 --> 00:09:54,211 的轨道走关于背侧纹状 211 00:09:54,211 --> 00:09:56,473 体模式需要理解的重要一点是 212 00:09:56,761 --> 00:09:59,537 一旦形成它几乎就永久存在了 213 00:10:00,098 --> 00:10:03,336 这就是为什么你永远不会忘记如何 214 00:10:03,348 --> 00:10:06,524 骑自行车这也是坏习惯难以改变的 215 00:10:06,549 --> 00:10:09,223 原因之一你实际上并没有消除旧 216 00:10:09,223 --> 00:10:12,000 习惯它们只是在你建立更新更 217 00:10:12,000 --> 00:10:14,787 强的习惯时变弱了此外 218 00:10:15,199 --> 00:10:17,174 一旦习惯进入背侧纹状体 219 00:10:17,625 --> 00:10:20,824 它们就不再关心快乐了当然它们 220 00:10:20,836 --> 00:10:22,399 最初通常是因为你的伏隔 221 00:10:22,399 --> 00:10:23,848 核激励你去做某事而 222 00:10:23,861 --> 00:10:26,937 进入那里的但一旦习惯真正根深蒂固 223 00:10:27,136 --> 00:10:28,625 就不再需要伏隔核来激励 224 00:10:28,636 --> 00:10:32,199 它了成瘾机制亦是如此成瘾 225 00:10:32,199 --> 00:10:34,487 行为最初源于伏隔核产生 226 00:10:34,487 --> 00:10:37,375 的愉悦冲动但随着时间的推移 227 00:10:37,662 --> 00:10:40,437 伏隔核逐渐停止响应成瘾行为 228 00:10:40,461 --> 00:10:43,500 不再带来快感然而由于这些行为已 229 00:10:43,511 --> 00:10:45,812 深植于背侧纹状体人们仍 230 00:10:45,812 --> 00:10:49,074 会不由自主地继续饮酒或吸烟多巴胺 231 00:10:49,086 --> 00:10:51,399 系统的这些变化使成瘾者更易 232 00:10:51,399 --> 00:10:54,062 陷入抑郁而抑郁又会加剧成瘾 233 00:10:54,074 --> 00:10:57,674 风险形成恶性循环背侧纹状体 234 00:10:57,774 --> 00:10:59,737 并不在意你的主观意愿它 235 00:10:59,737 --> 00:11:02,761 只遵循既有的神经通路理解大脑 236 00:11:02,761 --> 00:11:05,274 的运行轨迹是做出改变的关键 237 00:11:05,850 --> 00:11:08,524 遗憾的是问题有时并非源于 238 00:11:08,549 --> 00:11:12,261 不良习惯而恰恰在于无所作为疲劳你 239 00:11:12,261 --> 00:11:14,511 床头的闹钟响起将你惊醒 240 00:11:15,024 --> 00:11:16,949 但你却不确定自己是否有 241 00:11:16,949 --> 00:11:19,287 力气去关掉它许多人醒来 242 00:11:19,287 --> 00:11:22,261 时都感到昏昏沉沉但在抑郁症 243 00:11:22,261 --> 00:11:25,487 中这种感受可能会持续一整天你 244 00:11:25,487 --> 00:11:28,424 的精力逐渐耗尽一切都变得困难重重 245 00:11:29,000 --> 00:11:31,487 疲劳是抑郁症的常见症状这 246 00:11:31,487 --> 00:11:33,312 既源于我们之前讨论过的 247 00:11:33,336 --> 00:11:36,237 前额叶功能障碍例如血清素减少 248 00:11:36,350 --> 00:11:39,149 导致计划和决策变得迟缓也与 249 00:11:39,162 --> 00:11:41,062 背侧纹状体活动减少有关 250 00:11:41,636 --> 00:11:43,612 1正常的前额叶功能是产生 251 00:11:43,636 --> 00:11:46,125 新行动所必需的因此当它 252 00:11:46,136 --> 00:11:48,287 受到干扰时纹状体便会 253 00:11:48,312 --> 00:11:51,899 接管控制这样一来你所采取的任何 254 00:11:51,912 --> 00:11:54,386 行动很可能都是旧有的习惯或 255 00:11:54,399 --> 00:11:57,574 冲动然而由于背侧纹状体 256 00:11:57,574 --> 00:11:59,836 的活动也减少了除非受到冲动 257 00:11:59,836 --> 00:12:01,824 的驱使否则你很可能什么都 258 00:12:01,836 --> 00:12:04,774 不想做这解释了为什么有些日子 259 00:12:04,774 --> 00:12:08,136 里起床会变得如此艰难习惯由 260 00:12:08,149 --> 00:12:10,600 压力触发在广受好评的HBO 261 00:12:10,612 --> 00:12:15,024 剧集火线中警探吉米麦克纳蒂有着酗酒 262 00:12:15,250 --> 00:12:17,799 易怒和不忠的问题但当他 263 00:12:17,799 --> 00:12:20,299 从凶杀组那混乱的工作时间 264 00:12:20,537 --> 00:12:23,162 不确定性和压力中调离转 265 00:12:23,162 --> 00:12:25,074 到更为规律可预测的街头巡逻 266 00:12:25,086 --> 00:12:27,862 岗位时一切都改变了他戒 267 00:12:27,862 --> 00:12:30,750 了酒平静下来并且保持了忠诚 268 00:12:31,100 --> 00:12:33,761 在第二章中我们了解到应对是 269 00:12:33,774 --> 00:12:37,336 焦虑ABCs中的第三部分但应对 270 00:12:37,361 --> 00:12:39,799 不仅仅在你焦虑时发生它是 271 00:12:39,799 --> 00:12:42,187 一种帮助我们应对任何形式压力的 272 00:12:42,198 --> 00:12:44,836 习惯压力会导致背侧纹状 273 00:12:44,836 --> 00:12:47,812 体释放多巴胺这自动激活了你 274 00:12:47,812 --> 00:12:51,361 的应对习惯对麦克纳蒂来说压力来自 275 00:12:51,361 --> 00:12:53,336 于工作的不确定性而他 276 00:12:53,336 --> 00:12:56,000 的应对习惯说得委婉些并不是 277 00:12:56,024 --> 00:12:58,761 最高效的每个人都有应对习惯 278 00:12:59,162 --> 00:13:01,986 它们是我们最深层次最根深蒂固的 279 00:13:02,011 --> 00:13:04,825 日常行为之一它们能让我们感觉 280 00:13:04,836 --> 00:13:08,075 更好至少暂时如此通过减少杏仁 281 00:13:08,075 --> 00:13:10,937 核活动和身体的应激反应良好 282 00:13:10,937 --> 00:13:12,725 的应对习惯能将你从即将 283 00:13:12,725 --> 00:13:15,225 到来的恶性循环中拉出来因为背 284 00:13:15,225 --> 00:13:16,950 侧纹状体会接管并让你 285 00:13:16,950 --> 00:13:19,500 的生活重回正轨但糟糕的 286 00:13:19,524 --> 00:13:21,649 应对习惯并不能长期稳定你的 287 00:13:21,662 --> 00:13:25,062 情绪因此付诸行动只会带来更多的 288 00:13:25,075 --> 00:13:26,899 压力然后你就掉进了兔子 289 00:13:26,899 --> 00:13:29,736 洞应对习惯在很大程度上 290 00:13:29,850 --> 00:13:32,399 解释了比利的处境他为何吃 291 00:13:32,399 --> 00:13:35,437 得那么多小时候面对家中的 292 00:13:35,450 --> 00:13:38,200 混乱吃东西成了他应对压力 293 00:13:38,200 --> 00:13:41,236 的方式吃东西提供了一种分心 294 00:13:41,537 --> 00:13:44,125 一种即时的愉悦同时也降低了 295 00:13:44,236 --> 00:13:47,325 他身体的压力反应起初这只是 296 00:13:47,336 --> 00:13:49,861 一种吃东西的冲动但最终它 297 00:13:49,875 --> 00:13:52,662 深深地根植为一种日常习惯一旦 298 00:13:52,673 --> 00:13:55,099 成为习惯愉悦感就不再是其中 299 00:13:55,099 --> 00:13:57,586 的一部分注意力也不再是但它 300 00:13:57,599 --> 00:14:00,000 仍然在一个疯狂的世界里提供了一种 301 00:14:00,024 --> 00:14:02,986 控制感它变成了一种瘾当 302 00:14:02,986 --> 00:14:05,173 他感到压力时只要稍不留神 303 00:14:05,187 --> 00:14:07,450 几秒钟他就会发现自己走向 304 00:14:07,461 --> 00:14:10,825 厨房或者开车去麦当劳或者打电话给 305 00:14:10,825 --> 00:14:13,711 达美乐你最古老的习惯很可能 306 00:14:13,736 --> 00:14:15,673 曾经是用来分散你对生活中 307 00:14:15,700 --> 00:14:18,261 最大压力的注意力的但现在你 308 00:14:18,261 --> 00:14:20,537 的生活状况已经改变它们不再有 309 00:14:20,548 --> 00:14:24,086 帮助然而你仍然在做这些事 310 00:14:24,412 --> 00:14:26,774 因为它们就在那里不幸的是 311 00:14:27,187 --> 00:14:29,500 当比利意识到他的应对习惯并 312 00:14:29,500 --> 00:14:31,548 不理想时他已经陷入了一点 313 00:14:31,562 --> 00:14:34,037 困境他的体重给他带来了 314 00:14:34,062 --> 00:14:36,224 很大的压力而压力又让 315 00:14:36,236 --> 00:14:38,836 他吃得很多所有成瘾行为都是 316 00:14:38,836 --> 00:14:41,598 如此如果你不按照习惯行事你 317 00:14:41,598 --> 00:14:43,386 会感到焦虑这让你更想 318 00:14:43,399 --> 00:14:45,961 按照习惯行事而如果你屈服于 319 00:14:45,973 --> 00:14:48,511 习惯它只会导致更多的压力 320 00:14:48,812 --> 00:14:51,986 从而重新触发这个习惯很容易看出 321 00:14:52,086 --> 00:14:55,024 我们是如何陷入循环的感觉几乎 322 00:14:55,037 --> 00:14:58,598 不可能摆脱它但这并非不可能要 323 00:14:58,611 --> 00:15:01,636 戒除一种破坏性的应对习惯你不能 324 00:15:01,662 --> 00:15:04,399 仅仅停止它因为那样你会留下 325 00:15:04,412 --> 00:15:07,674 压力相反你必须用另一种习惯 326 00:15:07,699 --> 00:15:10,562 来替代它比利以一种相当巧妙 327 00:15:10,562 --> 00:15:12,473 的方式做到了这一点他 328 00:15:12,473 --> 00:15:14,774 将对食物的沉迷转化为雕刻 329 00:15:14,787 --> 00:15:17,486 精美的食物艺术用苹果雕刻玫瑰 330 00:15:17,750 --> 00:15:20,386 用哈密瓜雕刻天鹅当他感到 331 00:15:20,412 --> 00:15:22,636 有进食的冲动时他现在有 332 00:15:22,636 --> 00:15:24,787 了不那么破坏性的事情来占据 333 00:15:24,812 --> 00:15:27,687 他的注意力他还采取措施减少 334 00:15:27,699 --> 00:15:29,986 引发他坏习惯的压力主要是通过 335 00:15:30,011 --> 00:15:33,699 锻炼写作和正念这些方法的结合 336 00:15:33,812 --> 00:15:35,549 帮助他在我认识他的头几年 337 00:15:35,549 --> 00:15:38,250 里减掉了两百磅而且他仍 338 00:15:38,250 --> 00:15:41,125 在继续减重显然这比我用 339 00:15:41,136 --> 00:15:43,649 几句话描述的更为艰难但通过 340 00:15:43,674 --> 00:15:46,098 更建设性的应对习惯和减少大脑 341 00:15:46,098 --> 00:15:48,511 中的压力这是可以实现的我们 342 00:15:48,524 --> 00:15:49,937 将在本书的后半部分 343 00:15:50,037 --> 00:15:52,636 深入探讨这一点压力会放大 344 00:15:52,649 --> 00:15:55,412 习惯我们的应对习惯并非唯一由 345 00:15:55,424 --> 00:15:58,750 压力触发的习惯实际上压力会使 346 00:15:58,761 --> 00:16:01,674 大脑偏向于选择任何旧习惯而 347 00:16:01,674 --> 00:16:03,973 非新行动3背侧纹状 348 00:16:03,973 --> 00:16:06,412 体会说咱们就这么做吧因为 349 00:16:06,412 --> 00:16:09,136 我们一直是这样做的而前额 350 00:16:09,136 --> 00:16:11,174 叶皮层则会反驳但那样 351 00:16:11,199 --> 00:16:14,312 无法帮助我们达到目标与此同时伏隔核会 352 00:16:14,324 --> 00:16:17,461 插嘴哦那个纸杯蛋糕看起来真 353 00:16:17,461 --> 00:16:19,511 美味压力改变了这场对话的 354 00:16:19,524 --> 00:16:22,750 平衡当你平静放松时前额叶 355 00:16:22,750 --> 00:16:24,711 皮层能够很好地掌控局面 356 00:16:25,287 --> 00:16:28,223 但你越是焦虑或紧张权力就 357 00:16:28,223 --> 00:16:30,199 越向背侧纹状体和伏 358 00:16:30,199 --> 00:16:32,924 隔核倾斜这就是为什么你 359 00:16:32,937 --> 00:16:34,699 可能在节食计划上一直做得 360 00:16:34,711 --> 00:16:37,750 很好直到与伴侣发生争执或者 361 00:16:37,761 --> 00:16:40,386 你可能一直规律锻炼直到家庭纠纷 362 00:16:40,412 --> 00:16:43,750 突然爆发在压力之下你通常会 363 00:16:43,761 --> 00:16:47,136 表现出最根深蒂固的习惯模式或是 364 00:16:47,149 --> 00:16:50,699 成为冲动的俘虏深呼吸当你开始 365 00:16:50,711 --> 00:16:53,600 感到焦躁不安或被迫采取不良习惯 366 00:16:53,600 --> 00:16:57,824 时深呼吸缓慢呼出然后再深呼吸 367 00:16:58,399 --> 00:17:01,086 根据需要重复正如我们将在第 368 00:17:01,086 --> 00:17:03,162 9章中更详细讨论的那样 369 00:17:03,574 --> 00:17:05,987 长而缓慢的呼吸能平静大脑 370 00:17:05,987 --> 00:17:08,824 的压力反应当你抑郁时日常 371 00:17:08,824 --> 00:17:11,148 习惯和冲动会变得更糟但 372 00:17:11,162 --> 00:17:13,648 无论你是否患有抑郁症它们都 373 00:17:13,648 --> 00:17:16,023 可能阻碍幸福我们将在本书 374 00:17:16,037 --> 00:17:19,125 后面了解更多工作习惯第6章 375 00:17:19,412 --> 00:17:23,125 睡眠习惯第7章饮食习惯第 376 00:17:23,125 --> 00:17:26,523 8章社交习惯第11章等等 377 00:17:27,086 --> 00:17:29,799 控制冲动和日常习惯无论是冲动 378 00:17:29,824 --> 00:17:32,836 还是日常习惯所有不良习惯都是由 379 00:17:32,862 --> 00:17:35,237 某些事物触发的如果你能从 380 00:17:35,261 --> 00:17:39,011 生活中移除这些触发因素例如如果 381 00:17:39,011 --> 00:17:41,261 你是酗酒者就避免去酒吧 382 00:17:41,586 --> 00:17:43,912 你就能避开这个习惯不幸的 383 00:17:43,912 --> 00:17:48,224 是触发习惯往往是不可避免的一方面 384 00:17:48,511 --> 00:17:50,949 许多习惯是由压力引发的而 385 00:17:50,961 --> 00:17:52,949 没有人能过着完全没有压力 386 00:17:52,949 --> 00:17:56,287 的生活一旦习惯被触发控制它 387 00:17:56,287 --> 00:17:58,750 的唯一方法就是通过激活前额 388 00:17:58,761 --> 00:18:01,061 叶皮层我们发达的前额叶 389 00:18:01,061 --> 00:18:02,987 皮层使我们与其他动物区分 390 00:18:02,987 --> 00:18:06,336 开来几乎所有其他动物都依靠冲动 391 00:18:06,362 --> 00:18:09,162 和常规生活但我们人类有能力通过 392 00:18:09,186 --> 00:18:11,686 意志行动来克服这一点在 393 00:18:11,699 --> 00:18:15,273 这种情况下意志意味着我们有意识且 394 00:18:15,287 --> 00:18:17,662 刻意地踩刹车以停止执行一个 395 00:18:17,674 --> 00:18:21,974 习惯意志行动由前额叶皮层执行而 396 00:18:21,987 --> 00:18:24,811 抑制冲动需要前额叶皮层中适当的 397 00:18:24,836 --> 00:18:27,849 血清素功能不幸的是你的 398 00:18:27,862 --> 00:18:31,500 血清素供应并非无限每次你抑制 399 00:18:31,511 --> 00:18:33,936 一个冲动都会让抑制其他冲动 400 00:18:34,049 --> 00:18:36,987 变得更加困难抵抗冲动就像用 401 00:18:37,011 --> 00:18:39,398 有限的子弹对抗一支僵尸大军 402 00:18:39,711 --> 00:18:42,412 最终你会耗尽弹药幸运的是 403 00:18:42,599 --> 00:18:45,412 存在补救措施你可以建立更好 404 00:18:45,412 --> 00:18:47,886 的习惯从而减少对前额叶皮质 405 00:18:47,886 --> 00:18:51,074 的依赖同时提升血清素活性我们 406 00:18:51,086 --> 00:18:53,549 将在第八章详细探讨这两种方法 407 00:18:54,099 --> 00:18:56,148 另一种解决方案是让抑制不良 408 00:18:56,162 --> 00:18:59,362 冲动和习惯本身变得令人愉悦如果 409 00:18:59,362 --> 00:19:01,275 你受到某个目标的激励这便 410 00:19:01,287 --> 00:19:04,098 成为可能设定目标会改变多个脑 411 00:19:04,098 --> 00:19:06,662 区的活动包括伏隔核前额 412 00:19:06,662 --> 00:19:09,250 叶皮质和前扣带回我们 413 00:19:09,261 --> 00:19:11,875 将在第六章探讨设定目标的力量 414 00:19:12,449 --> 00:19:15,773 最终这归结为最陈词滥调但科学 415 00:19:15,773 --> 00:19:19,686 上正确的格言练习练习再练习 416 00:19:20,250 --> 00:19:22,724 要养成新的好习惯你必须 417 00:19:22,750 --> 00:19:24,974 一遍又一遍地重复它们直到你 418 00:19:24,974 --> 00:19:29,211 的大脑重新连接自己归根结底重复行动 419 00:19:29,311 --> 00:19:31,037 是将其编码到背侧纹 420 00:19:31,037 --> 00:19:33,599 状体的唯一途径这可能花费 421 00:19:33,599 --> 00:19:36,436 大量时间和耐心但一旦你训练 422 00:19:36,436 --> 00:19:38,761 了你的背侧纹状体它 423 00:19:38,773 --> 00:19:40,875 就会开始为你工作而不是 424 00:19:40,898 --> 00:19:42,898 与你作对我们将在第8 425 00:19:42,898 --> 00:19:44,737 章中更详细地讨论这一 426 00:19:44,737 --> 00:19:48,487 点而且这非常令人惊奇无论你 427 00:19:48,487 --> 00:19:51,287 多大年纪你仍然有能力改变 428 00:19:51,298 --> 00:19:53,211 你的大脑并改善你的生活 429 00:19:53,787 --> 00:19:56,325 第一部分结论到目前为止我们已经 430 00:19:56,336 --> 00:19:59,348 了解了你的大脑回路如何相互作用 431 00:19:59,636 --> 00:20:02,711 从而引发抑郁的恶性循环前额叶皮 432 00:20:02,711 --> 00:20:05,700 层过度担忧情绪边缘系统反应过度 433 00:20:06,261 --> 00:20:09,136 岛叶让事情感觉更糟而前 434 00:20:09,136 --> 00:20:11,886 扣带回则通过关注负面信息 435 00:20:11,973 --> 00:20:15,673 而未能提供帮助除此之外前额叶皮 436 00:20:15,673 --> 00:20:18,000 层很难抑制背侧纹状体 437 00:20:18,112 --> 00:20:20,500 和伏隔核的不良习惯抑郁 438 00:20:20,525 --> 00:20:23,487 之所以难以克服是因为每个回路都 439 00:20:23,487 --> 00:20:26,237 在将其他回路向下拉但好消息 440 00:20:26,237 --> 00:20:30,275 是你的大脑并非一成不变生活的 441 00:20:30,287 --> 00:20:33,112 变化会导致大脑的变化你可以 442 00:20:33,136 --> 00:20:35,848 有意识地改变导致抑郁的大脑区域 443 00:20:35,961 --> 00:20:38,836 和回路的活性化学物质和连接 444 00:20:38,836 --> 00:20:41,362 方式就像升级你的电脑一样 445 00:20:41,711 --> 00:20:44,086 你不仅可以改变软件还可以改变 446 00:20:44,098 --> 00:20:46,662 硬件这些变化并不总是很大 447 00:20:46,987 --> 00:20:49,150 但它们会累积起来每一次都 448 00:20:49,150 --> 00:20:52,075 将大脑推向一个向上的螺旋你 449 00:20:52,075 --> 00:20:54,048 的上升螺旋已经通过更好地 450 00:20:54,048 --> 00:20:56,825 理解抑郁而开始了理解本身就 451 00:20:56,836 --> 00:20:59,423 具有强大的力量因为了解正在发生的 452 00:20:59,423 --> 00:21:01,461 事情能带来更好的掌控感 453 00:21:02,025 --> 00:21:03,699 理解也是迈向接受的一步 454 00:21:04,074 --> 00:21:06,636 在你接受现状之前改变是困难 455 00:21:06,636 --> 00:21:09,662 的甚至是不可能的幸运的是 456 00:21:09,936 --> 00:21:13,424 神经科学提供的不仅仅是理解本书 457 00:21:13,424 --> 00:21:15,875 的第二部分包含了许多改变大脑 458 00:21:15,886 --> 00:21:18,574 活动和化学物质以创造上升螺旋 459 00:21:18,574 --> 00:21:21,699 的方法锻炼第5章做决定 460 00:21:22,025 --> 00:21:24,836 第6章改善睡眠第7章 461 00:21:25,162 --> 00:21:28,348 养成好习惯第8章利用你的身体 462 00:21:28,586 --> 00:21:31,275 第9章变得更加感恩第10 463 00:21:31,275 --> 00:21:34,787 章依赖他人第11章以及寻求 464 00:21:34,811 --> 00:21:37,699 专业帮助第12章你不必在 465 00:21:37,723 --> 00:21:40,500 所有这些方面都改变生活才能看到 466 00:21:40,511 --> 00:21:43,223 益处每个小改变都会对其他 467 00:21:43,223 --> 00:21:47,125 方面产生积极影响那么无需更多的 468 00:21:47,150 --> 00:21:50,750 神经科学铺垫让我们开始吧第二部分 469 00:21:50,862 --> 00:21:52,261 创造向上的螺旋