Memory - part 2 - Memory in disease and health
Hospital and Internal Medicine Podcast
Gil Porat, M.D., FACP, CPT
4.7 • 587 Ratings
🗓️ 29 December 2014
⏱️ 24 minutes
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| 0:00.0 | You're back for part two, hearing me wax philosophically about memory, the brain, the self, |
| 0:07.7 | who we are. And I do want to talk a little bit about memory and using it as a therapy. |
| 0:15.0 | But let's first talk about choices and influence. We have less free will with our thoughts than we would like to believe. |
| 0:23.0 | That clearly seems true with some forms of mental illness, as I don't think paranoid schizophrenics |
| 0:29.0 | choose to have the delusions and hallucinations they experience. In a similar way, that we don't |
| 0:36.1 | choose the bizarre thoughts and visions that can happen while dreaming. |
| 0:40.8 | But even when awake, without underlying mental illness, having a lack of free will with our thoughts, |
| 0:47.5 | and therefore some of our actions, is a truism for all of us to varying degrees. |
| 0:54.0 | Anybody who really thinks about this deeply is bound to have at least a little bit of an |
| 0:59.4 | existential crisis, but it also can be seen as an existential opportunity. |
| 1:04.9 | It doesn't need to be a crisis resulting in despair in a way it can be somewhat relieving |
| 1:10.1 | to know that the lack of predictability |
| 1:12.8 | of our minds is not totally because of self-induced faults. We can take pride in our ability |
| 1:18.9 | to remain strong during a time of struggle. Yes, we can make choices, and those that believe |
| 1:24.8 | they can determine their fate are more likely to be successful. |
| 1:28.9 | Believing that choices don't matter is not only wrong, but can kill self-motivation. |
| 1:34.4 | Though we do make choices, and even in diseases like addiction, that can sway us to make poor choices, |
| 1:40.6 | we must accept that our prior experiences and underlying dispositions influence choices in the same way a well-done advertisement or a news commentator influences us. |
| 1:51.4 | A frequently used example to make this point is airplanes. |
| 1:55.4 | Many people have some jitters when flying, while few have jitters getting into a car to drive to the store, even though |
| 2:02.1 | your risk of death is higher with the car ride. You may know that statistically, cars are more |
| 2:09.0 | dangerous, but news events about airplane crashes are partly responsible for influencing |
... |
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