Laughing at Addiction the science of using humor to heal.

so this may come as a surprise here but

these pictures are of the same person

this is me at the end of my addiction

and this is me six months ago it’s

amazing what a shower can do right

i know we’re here to talk about humor

today but let’s start with addiction

because anyone who looks at this lovely

picture

should also remember the one that came

before it

and you wouldn’t be alone if you were

wondering what the hell happened to jess

my parents asked that every day for

years my brother

my friends anyone who would ever know me

to look like this

and then later saw me become this

would you believe me if i told you i had

what most people would think of as an

ideal childhood

i was loved by my parents who were still

married today

my dad coached my soccer teams i got

good grades i was socially involved i

was this girl

i remember laughing and playing with my

friends every summer i would go and stay

with my cousin emily and all

we would do was laugh we would just lay

on our bed and speak to each other in

different accents and

tell ridiculous stories and just laugh

so hard until we peed

do you remember the last time you left

so hard you feed your pants

sadly i do it all the time how about you

laugh so hard you cried

we all know that deep awesome laughter

that just makes you forget the tough

stuff in life

that’s what i found in childhood but

then other things happen

too and it’s the other things that bring

us back to her

so here’s the not so funny part i was

molested from the age of four to five by

a babysitter

i’m telling you this because i think

it’s important that we stop hiding our

secrets and like renee brown says

get out from under shame this happened

on a regular basis

every time i was babysat and i never

told a soul about it

as a child i felt like i did something

to bring this on like it was my fault

that it started happening as a lot of

children do

and to keep the shame and the guilt from

killing me at the age of 13 i started

binging and purging and sneaking alcohol

from my dad’s liquor cabinet

i called this shame the screaming demon

and food and alcohol were the only

things that successfully quieted the

screaming demon

it was as if an elephant was lifted off

my chest and for the first time i could

breathe

this is how i medicated my anxiety and

panic that permeated my life due to

holding on to this insidious secret

alcohol became the only way i could cope

with life

until it brought me back to this so

you’re probably wondering

what brought me there and why did i keep

the picture

by my early twenties i was functioning

but barely hanging on by a thread

my addiction had progressed to drinking

a fifth of vodka a day

shockingly all while working as a

comedic actor

you see this is when i used comedy to

numb like a lot of comedians do

i hadn’t yet discovered that it could

heal at 27 i went to my first of nine

treatment centers and was admitted to

six different psychiatric hospitals that

same year in 2013 during a relapse i had

a hemorrhagic stroke from falling over a

railing drunk and ended up paralyzed and

in emergency brain

surgery so they say first using is fun

then it’s fun with problems then it’s

just problems

you could say i traveled to the deep end

of that last stage

after only two weeks in the acute rehab

facility

my brain had miraculously healed i was

able to walk again

and i was released but because my deep

end just wasn’t deep enough yet

i began drinking again just two months

after having brain surgery and it got

way worse just six months later in 2014

i was admitted to icu weighing only 78

pounds with a

rampant blood staph infection and a

blood alcohol concentration of 0.503

the acid from my urine had burned holes

through my skin because i had been lying

in one spot for over a month in a

drunken stupor i needed two

immediate blood transfusions and every

organ in my body

including my heart and brain were

failing my doctor told me i would not

have survived the night without medical

intervention

and that’s why i keep this photo because

laughter heals

but trauma reminds after finally getting

sober i began to look at my addiction

not just as an escape from pain or a bad

habit

but as a manifestation of dysfunctional

brain chemistry

and i believe that adverse childhood

experiences known as aces

can trigger this manifestation of course

addiction

is multifactorial and in my opinion

there’s not just

one cause it’s the perfect storm of

genetic susceptibility

environment upbringing trauma but let me

explain the correlation between adverse

childhood experiences

and addiction aces actually change how

our brain works

and how we process and respond to life

events

because here’s the other thing i’m not

alone

and alarming 90 of women with substance

dependence

were sexually abused during childhood so

now for the science part

it’s always a science part right the

primary brain system involved in trauma

is the nucleus accumbens

which is the pleasure reward center it’s

the same part of the brain that is

implicated in substance dependence

it inhibits the prefrontal cortex which

oversees impulse control

executive function rational decision

making

there are also changes in the amygdala

the brain’s fear response center

so you see those deepened problems were

actually part of my primitive survival

area of my brain

or what some people call the reptilian

part of the brain and this part of my

brain was now in the driver’s seat

dictating my life and behavior

my brain was like the upside down in the

show stranger things

there are real neurologic reasons why

people exposed to early adversity or

childhood trauma are more likely to

engage in high risk or addictive

behavior

when a child experiences adversity or

trauma

there is a cascade effect in their

brains and bodies and when the stress

response is

triggered over and over which is what we

do we relive the trauma over and over

this puts the person in a perpetual

state of survival

and when a human is in survival mode

long enough

illness manifests alcohol on a physical

level

initially suppressed my overactive

nervous system it also successfully

inhibited my hyper-vigilant fear

response making the world seem like a

safer place to be in

i used alcohol like most people use

medication

after it had progressed to physical

dependence however

it created a rebound effect causing an

increase in stress response and cortisol

leading to withdrawal and that

vicious cycle of relapse i was bound to

alcohol as the only survival mechanism i

knew

and the longer i depended on it the more

it seemed like there was no way out

ever since i was a little kid i had this

inherent feeling there was something

beyond the physical world just

waiting to be discovered i would always

ask my parents questions like

what is god or why do humans exist

you know regular eight-year-old stuff

the world

felt like a terrifying place and i

wanted answers

dr daniel sumrock the director of the

center of addiction sciences at the

university of tennessee

calls addiction ritualized compulsive

comfort seeking

having found food and alcohol at a young

age i was compulsively seeking comfort

even at the price of my own life

dr sumac says the solution to changing

the unhealthy ritualized compulsive

comfort seeking

is to address a person’s adverse

childhood experiences

treat them with respect and help them

find a ritualized compulsive comfort

seeking behavior

that won’t kill them or put them in jail

or make them take amazing glamour shots

like

what i’ve showed you whether we’re

talking about obesity

addiction to cigarettes alcohol or

opioids

they all have one thing in common they

are ritualized compulsive comfort

seeking behaviors people do

in order to ameliorate their deep seated

pain

as gabor mate says we shouldn’t be

asking why the addiction

we should be asking why the pain so now

for the part when life starts getting

fun again

i remember the first time i realized i

might be okay i was sitting in a

recovery meeting and i was asked to

share my story

i was sharing about a very vulnerable

dark part of my story and

suddenly everyone started laughing and

then i found myself laughing

it was that deep awesome contagious

laughter

that just filled the room with hope and

levity

something in me began to soften i felt

like i was back on emily’s bed again

giggling over our accents i suddenly had

an epiphany

why would human beings be biologically

hardwired to laugh

if it didn’t serve a purpose that was

advantageous to their survival

this was it this is what we needed to

heal

our pain and our past

there’s a yiddish proverb as soap is to

the body

laughter is to the soul and that night

in that dingy church basement

i began to heal i began to feel cleansed

have you ever seen steel magnolias

there’s this great scene where all the

ladies are at the funeral of julia

roberts character who’s sally field’s

daughter

sally is angry she’s mad at the world

for taking her daughter

and she’s deep in her pain and her

trauma when all of a sudden olympia

dukakis’s character

shoves forward the old grump of the

group wheezy played by shirley maclaine

and says hit wheezy and weezy’s like

what the hell

and she says it again hit wheezy

and all anyone can do is laugh including

sally fields

and you know in that moment that no

matter what we’re going through

we’re going to be okay that is the power

of laughter

and wheezy is not the only evidence in a

recent study conducted at loma linda

university in southern california

20 normal healthy adults sat in a room

and watched a funny video for 20 minutes

while a control group sat in a room

calmly with no video

afterwards their saliva levels were

analyzed for stress hormones

those who got to laugh for 20 minutes

scored better on short-term memory tests

and had a significant decrease

in the saliva levels of the stress

hormone cortisol

in addition to reducing stress hormones

laughter increases endorphins

releasing dopamine in the brain

providing a sense of pleasure and reward

it triggers the release of endogenous

opiate which helps modulate

pain it also activates the release of

serotonin the neural chemical that is

affected by the most common types of

ssris or antidepressants

laughter is literally medicine

neuroscientist

and author dan siegel says the only way

we can change the neural pathways of the

brain are through empathy

and connection one of the best ways to

connect with others

is through laughter laughter subverts

language it contagiously forms social

bonds

have you ever been to another country

and you started laughing at something

with someone from that country

but neither of you spoke each other’s

language but you both knew what you were

laughing about

that’s the connection that it instantly

creates

the endorphin effect also explains why

laughter is so contagious

spreading endorphins through a group

promotes a sense of safety and

togetherness

that’s why when someone starts laughing

others will start laughing even if

they’re not sure what everyone’s

laughing about

laughter is a neurological response to

someone else’s joy

and when we participate in joy we begin

to heal

trauma but it does so much more than

that laughter also has an impact on your

physical health

research has shown that laughter has an

anti-inflammatory effect that protects

the blood vessels and the heart muscles

from the damaging effects of

cardiovascular disease

it also lessens the body’s response to

stress which is directly linked to

inflammation

addiction cancer you name it when i was

in that church basement that night i

didn’t know what laughter was doing to

me

in a way its effects were just as

surprising as addiction

for so many years i had been this girl

and that girl hadn’t laughed really

laughed in

years my life was a crushing struggle

for survival

there were days i didn’t even want to

live but then i found other people with

that same photo at home

those same struggles the same questions

from their friends and family

how did this happen to them and through

their stories of making it

i began to respond to their joy i

learned to hit weezy

and i was brought back to those summers

laughing until i peed

it’s been in the last couple of years

that i’ve begun to heal this little girl

that i have finally become this woman

and if i’m now laughing my way through

this journey we all can

thank you

所以这在这里可能会让人感到惊讶,但

这些照片是同一个人的

这是我上瘾结束时的我

这是六个月前的

我 淋浴可以做的事情真是太棒了

我知道我们在这里谈论幽默

今天,但让我们从上瘾开始,

因为任何看到这张可爱

照片

的人都应该记得

之前的那张

,如果你

想知道杰西到底发生了什么,你不会孤单

我父母多年来每天都问

我的兄弟

我的朋友们,

如果我告诉你我

拥有大多数人认为的

理想童年,你会相信

我吗

我爸爸执教我的足球队 我取得了

很好的成绩 我参与了社交 我

是这个女孩

我记得

每年夏天我都会和

我的朋友们一起笑和玩耍

在我们的床上,用

不同的口音互相交谈,

讲荒谬的故事,然后笑得

那么大声,直到我们尿尿

你还记得你上次离开的时候

那么努力吗?你很伤心地喂你的裤子,

我一直都这样做你

笑得那么厉害吗? 你哭了

我们都知道那种深沉的笑声

让你忘记

了生活

中的艰难事物,那是我在童年时发现的,

但其他事情也发生

了,正是其他事情让

我们回到了她身边,

所以这是我不那么有趣的部分

从四到五岁被保姆骚扰

我告诉你这是因为我

认为我们停止隐藏我们的秘密很重要

,就像蕾妮布朗说的

那样,从羞耻中脱身,

每次我当保姆时都会定期发生这种情况 我小时候从来没有

告诉过一个灵魂

我觉得我做了一些事情

来实现这一点,就像我的错一样

,它开始像很多孩子一样发生,

并防止羞耻和内疚

在这个年龄杀死我 在 13 岁的时候,我开始

狂饮,

从我父亲的酒柜里偷偷偷喝

我把这称为耻辱,尖叫的恶魔

,食物和酒精是

唯一能成功让尖叫的恶魔安静下来的东西,

就好像一头大象从

我的胸口被抬起来 我第一次

可以呼吸这就是我如何治疗我的焦虑和

恐慌,因为

坚持这种阴险的秘密

酒精成为我应对生活的唯一方式

直到它让我回到这个状态,所以

你可能想知道

什么 把我带到了那里,为什么

我在二十出头的时候就保留了这张照片,我在工作,

但几乎没有坚持下去

像很多喜剧演员一样用喜剧来麻木

我还没有发现它可以

在 27 岁时痊愈 我去了九个

治疗中心中的第一个,并被送进了

六个不同的精神病院

2013 年同一年的 ric 医院,在一次复发期间,我

因醉酒跌倒而导致出血性中风

,最终瘫痪

并接受紧急脑部

手术,所以他们说第一次使用很有趣,

然后遇到问题很有趣,然后这

只是

你可以说的问题

在急性康复设施中仅两周后就进入了最后阶段的深处

我的大脑奇迹般地痊愈了 我

能够再次行走

并且我被释放了但是因为我的

深处还不够深

我又开始喝酒了

在进行脑部手术两个月后,

情况变得更糟 2014 年仅 6 个月后,

我被送进重症监护室,体重仅为 78

磅,

血液葡萄球菌感染猖獗,

血液酒精浓度为 0.503

尿液中的酸在我的皮肤上烧出了洞

因为我

在一个地方躺了一个多月

醉酒昏迷,我需要

立即输血两次

,我身体的每一个器官,

包括我的心脏和大脑都

衰竭了 我的医生告诉我,如果

没有医疗干预,我将无法熬过这一夜

,这就是为什么我保留这张照片的原因,因为

笑会治愈,

但创伤会提醒我在终于

清醒后我开始将自己的

成瘾视为逃避痛苦或坏

习惯

但作为大脑化学功能失调的一种表现

,我相信

被称为 ace 的不良童年经历

可以引发这种当然

成瘾的表现

是多因素的,在我看来,

这不仅仅是

一个原因,它是遗传易感性环境的完美风暴,

培养了创伤,但让我

解释一下 不良

童年经历

和成瘾王牌之间的相关性实际上改变了

我们大脑的工作方式

以及我们处理和应对生活

事件的方式,

因为这是另一件事,我并不

孤单

,令人震惊的是,有 90 名有物质依赖的女性

在童年时期受到过性虐待,所以

现在 科学部分

它始终是科学部分正确的

主要大脑 与创伤有关的系统

是伏隔核

,它是快乐奖赏中心

它是大脑的同一部分,与

物质依赖有关

它抑制

监督冲动控制

执行功能的前额叶皮层 理性决策

杏仁核也发生变化

大脑的 恐惧反应中心,

所以你看到那些加深的问题

实际上是我大脑原始生存区域的一部分,

或者有些人称之为大脑的爬行动物

部分,我大脑的这部分

现在在驾驶座上,

决定我的生活和行为

我的大脑 就像节目中的颠倒

奇怪的事情

有真正的神经系统

原因 暴露于早期逆境或

童年创伤的人更有可能

从事高风险或成瘾

行为

当孩子经历逆境或

创伤

时 他们的大脑会产生级联效应

和身体,当压力

反应被一次

又一次触发时,这就是我们

我们是否一遍又一遍地重温创伤,

这使人处于永久

的生存状态

,当一个人处于生存模式

足够长的时间时,

疾病在身体上表现出酒精

最初抑制了我过度活跃的

神经系统,它也成功地

抑制了我高度警惕的恐惧

让世界看起来

更安全的反应

我像大多数人一样在酒精

发展为身体依赖后使用药物,

它产生了反弹效应,

导致压力反应和皮质醇增加,

导致戒断和

复发的恶性循环 我被酒精束缚着

,这是我知道的唯一生存机制

,我依赖它的时间越长,我

就越觉得没有出路,

因为我还是个孩子,我有一种

内在的感觉,有一些

超越物质世界的东西在

等待 被发现我总是会

问我父母这样的问题,比如

什么是上帝或人类为什么存在,

你知道普通的八岁孩子

世界

感觉像一个可怕的地方,我

想要答案 田纳西大学成瘾科学中心

主任丹尼尔·萨姆洛克博士

称成瘾仪式化 强迫

性寻求安慰

在年轻时就已经找到了食物和酒精

我甚至强迫性地寻求

安慰 以我自己的生命为代价的

sumac 博士说,

改变不健康的仪式化强迫

性寻求安慰的解决方案

是解决一个人的不良

童年经历

,尊重他们并帮助他们

找到一种不会杀死他们或使他们丧命的仪式化强迫性寻求安慰的

行为

他们在监狱里

或让他们

我向您展示的那样拍摄令人惊叹的魅力照片 无论我们是在

谈论肥胖

成瘾对香烟酒精还是

阿片类药物

他们都有一个共同点他们

是仪式化的强迫性寻求舒适的

行为

人们为了改善

gabor 伴侣说他们根深蒂固的痛苦说我们不应该

问为什么

我们上瘾 应该问为什么痛苦,所以

现在当生活再次开始变得

有趣时,

我记得第一次意识到我

可能会好起来时,我正在参加

康复会议,并被要求

分享我的故事,

我正在分享一个非常脆弱的人

我故事的黑暗部分,

突然每个人都开始笑,

然后我发现自己在笑,

那是那种深沉的、令人敬畏的传染性

笑声

,让房间充满了希望和

轻浮

我们的口音我

突然顿悟了

为什么人类天生就会

如果不是为了有

利于他们生存的目的

这就是我们需要

治愈

我们的痛苦和我们的过去

有句意第绪语谚语 肥皂之

于身体

笑之于灵魂 那天晚上

在那个肮脏的教堂地下室

我开始痊愈 我开始感到被净化

了 你见过钢木兰吗

有这么棒的 所有

女士都参加茱莉亚·罗伯茨葬礼的场景

莎莉·菲尔德的

女儿

莎莉很生气,她

为带走她的女儿而对这个世界感到愤怒,

当奥林匹亚·

杜卡基斯的角色突然

将老人推向前方时,她深陷痛苦和创伤中

shirley maclaine 扮演的 wheezy 乐队的脾气暴躁

,说 hit wheezy 和 weezy 就像

是什么鬼

,她说它再次击中 wheezy

,任何人都可以做的就是笑,包括

sally fields

,你知道在那一刻,

无论我们要去做什么 通过

我们会好起来的,这就是

笑的力量,

而喘息并不是唯一的证据,

最近在南加州洛马琳达大学进行的一项研究中,

20 名正常健康的成年人坐在一个房间里

,观看一段有趣的视频 20 分钟,

同时 对照组在

没有视频的情况下安静地坐在房间里

,他们的唾液水平被

分析为压力荷尔蒙,

那些笑了 20 分钟的人

在短期 m 上得分更高 埃默里测试

除了减少压力荷尔蒙外,唾液中的压力荷尔蒙皮质醇水平显着降低

笑声增加内啡肽

释放大脑中的多巴胺

提供愉悦感和奖励

它触发内源性阿片类药物的释放,

这有助于调节

疼痛它也 激活血清素的释放

受最常见类型

ssris 或抗抑郁药影响的神经化学物质

笑声实际上是医学

神经科学家

和作者丹西格尔说,

我们可以改变大脑神经通路的唯一方法

是通过同理心

和联系之一

与他人联系的最佳方式

是通过笑声 笑声颠覆

语言 它具有感染力地形成社会

纽带

你是否去过另一个国家

,你开始和

那个国家的人一起嘲笑某事,

但你们俩都不会说对方的

语言,但你们都知道自己是什么

这就是它的联系 巧妙地

产生内啡肽效应也解释了为什么

笑声如此具有传染性

在人群中传播内啡肽可以

促进安全感和团结感,

这就是为什么当有人开始大笑时,

其他人也会开始大笑,即使

他们不确定每个人因

大笑而

大笑是一种神经反应 给

别人带来快乐

,当我们参与快乐时,我们

开始治愈

创伤,但它的作用远不止

笑对你的

身体健康有影响

研究表明笑具有

抗炎作用,可以

保护血管和 心脏肌肉

免受心血管疾病的破坏性影响

它还减少了身体对压力的反应,

这与

炎症

成瘾癌症直接相关当

我那天晚上在教堂地下室时,我

不知道笑对我做了

什么 这么多年来,它的影响

就像上瘾一样令人惊讶,

我一直是这个女孩

,那个 女孩多年来没有笑过真的

过我的生活是一场艰难

的生存斗争

有几天我什至

不想活但后来我发现

家里有同一张照片的其他

人同样的挣扎他们的朋友提出了同样的

问题和 家人

这是怎么发生在他们身上的,通过

他们的故事,

我开始回应他们的快乐

开始治愈这个小女孩

,我终于成为了这个女人

,如果我现在在

这段旅程中大笑,我们都会

感谢你