cover of episode Giving Up

Giving Up

2024/12/14
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To The Best Of Our Knowledge

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Adam Phillips
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Anne
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John Oakes
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Maggie Jackson
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Anne: 本期节目探讨了放弃的智慧,以及在充满挑战和不确定性的生活中,如何做出勇敢而明智的选择。节目中采访了多位嘉宾,从不同角度阐述了放弃的意义和价值。 John Oakes: 禁食的经历,从最初的担忧到后来的平静和冥想,体现了放弃对身体和心灵的积极影响。禁食不仅仅是关于食物,更是关于自我控制、界限设定和反思。 Adam Phillips: 放弃确定性,拥抱未知,是通往更生动和充实生活的一条途径。放弃某些欲望和习惯,可以让人们摆脱对快乐的依赖,获得更多自由和满足感。 Maggie Jackson: 不确定性并非完全是负面的,它具有意想不到的益处。在充满不确定性的生活中,保持灵活性、适应性和开放性至关重要。 John Oakes: 禁食与宗教密切相关,是一种远离日常事务,进行沉思和反思的方式。禁食对身体的影响,会产生各种激素,让人感到平静和清晰。肠道是人体最大的感觉器官,禁食会影响肠道与大脑之间的关系。禁食的历史渊源,在不同的宗教文化中扮演着不同的角色。禁食作为一种抗议形式,是人类表达不满和争取关注的方式。禁食从宗教和精神修行演变为一种饮食和健康潮流,但其本质仍然是减少消耗,反思生活。 Adam Phillips: 在当今社会,放弃常常被视为羞耻,但有些放弃是必要的,例如放弃不喜欢的关系或兴趣。应该区分掌握一项技能的真正困难和放弃一件不喜欢的事情的困难。放弃欲望,改变与欲望的关系,可以让人们获得更多生活乐趣。许多宗教都提倡自我克制,但这种克制可能导致人们对欲望产生抵触情绪。弗洛伊德的“死亡本能”可以被重新理解为“放弃本能”,每个人都会在不同程度上体验到这种本能。承认和面对绝望是重要的,这并不意味着要否定生活中的积极方面。接纳绝望,并尝试从中找到意义,是心理分析的重要目标之一。Marian Milner 提出了“狭隘注意力”和“广阔注意力”的概念。过分专注会限制人的视野和感知,而广阔的注意力则能带来更多可能性。广阔的注意力有助于人们接触到潜意识,摆脱防御性的自我。心理分析的目标是让人们能够忘记自己,从而更好地与他人和世界互动。 Maggie Jackson: 即使是最优秀的专家,也会面临知识和能力的局限性,在手术过程中,不确定性是不可避免的。不确定性并非完全是负面的,它具有意想不到的益处。在充满不确定性的生活中,保持灵活性、适应性和开放性至关重要。不确定性会引发大脑的应激反应,促进学习和认知能力的提升。现代社会中,人们过度依赖便捷的信息和技术,导致对不确定性的容忍度降低。人工智能技术的快速发展让人们对自身思维能力的信心下降,但同时,对不确定性的研究也为人们提供了新的思考方式。放弃对确定性的需求,拥抱不确定性,可以让人们感到解放和轻松。

Deep Dive

Key Insights

Why is fasting considered a powerful practice beyond just health and fitness?

Fasting is seen as a way to assert agency and redefine boundaries between oneself and the world. It allows for a reconsideration of physical and mental boundaries, fostering a meditative state that can lead to unexpected insights and creativity.

What are the physiological changes that occur during fasting?

During fasting, the body releases a cocktail of chemicals including ketone bodies, endocannabinoids, serotonin, and BHB. These hormones can lead to feelings of serenity and calm, and in some cases, enhanced memory and clarity.

Why does Adam Phillips argue that giving up can be a path to feeling more alive?

Phillips suggests that giving up certainties and embracing the unknown can lead to a more profound engagement with life. It involves tapping into the unconscious and bypassing the rational self, allowing for a freer, more open experience of the world.

How does Maggie Jackson define the benefits of uncertainty in her book?

Jackson argues that uncertainty is not just a state of unease but a frontier of potential. It sharpens focus, expands working memory, and invites curiosity, making it a crucial skill in an age dominated by instant answers and efficiency.

What role does the gut play in our conscious experience, according to John Oakes?

The gut, often referred to as the second brain, contains hundreds of millions of neurons that influence our decisions and emotions. Fasting involves a conscious decision to go against the gut's impulses, creating a temporary battle between the brain in the head and the brain in the gut.

Why does Maggie Jackson believe that uncertainty is crucial in the age of AI?

Jackson highlights that AI excels in quick, heuristic thinking but lacks the reflective and liminal thinking that uncertainty fosters. Embracing uncertainty is essential for balancing the rapid, often superficial answers provided by AI with deeper, more nuanced human thought.

How does fasting historically connect with religious and protest traditions?

Fasting has deep roots in religious practices across cultures, from the Iliad to the Bible and Islam. It is also a form of protest, used by activists like Cesar Chavez to draw attention to their causes. Fasting symbolizes a withdrawal from the norm to assert a higher purpose or demand change.

What is the difference between narrow and wide attention, according to Adam Phillips?

Narrow attention is focused and goal-oriented, while wide attention is open and receptive, allowing for a broader range of stimuli and experiences. Wide attention can lead to greater creativity and a deeper engagement with the world, bypassing the protective mechanisms of the rational self.

How does Maggie Jackson describe the psychological response to uncertainty?

Uncertainty triggers a stress response that sharpens focus and expands working memory, akin to 'curious eyes.' It signals the brain that there is something to be learned, making it a powerful tool for adaptation and growth.

What does Adam Phillips mean by the 'giving up instinct'?

Phillips reframes the Freudian death instinct as a 'giving up instinct,' where giving up certain desires or certainties can lead to a more fulfilling life. It involves letting go of the need for constant pleasure and gratification, embracing a life of greater complexity and uncertainty.

Shownotes Transcript

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Hey friends, it's Anne. Find something deep down inside to be better at any cost. America is famously a nation of strivers. It's that body versus statue. We get the message before we're out of training pants. Become an Ironman. Make you proud. When the going gets tough, look on the bright side. Make lemonade out of lemons. Strap on your big girl shoes and just do it. Nobody will ever work as hard as I was.

What a bunch of try-hards. Today, onto the best of our knowledge, we're going to consider the exact opposite. The wisdom of giving up and letting go is sometimes the strongest and most courageous thing you can do is walk away. This hour, we'll talk about how. From WPR.

This episode is brought to you by Progressive Insurance. Fiscally responsible, financial geniuses, monetary magicians. These are things people say about drivers who switch their car insurance to Progressive and save hundreds. Visit Progressive.com to see if you could save. Progressive Casualty Insurance Company and affiliates. Potential savings will vary. Not available in all states or situations.

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Need to hire? You need Indeed. It's to the best of our knowledge. I'm Anne Strange Champs. When was the last time you gave up on something or gave something up? Maybe something big, like a job, or small, like dinner. Can you tell me about the first time that you had fasted and what that experience was like? So I was a young man. It was a lifetime ago.

I'm a New York City Jew, and I grew up with the concept of Yom Kippur, and among Jews, you're not supposed to eat from sunup to sundown, and you think about your sins over the past year. It's a big deal, and that's just one day. Producer Angelo Bautista tracked down John Oakes, author of The Fast, the history, science, philosophy, and promise of doing without. ♪

It would have been the early 1990s. My partner then and now, she was going on a fast and I decided to go along with her and it was going to be a week and I thought, no way, you know, am I going to be able to live? You know, what's going to happen to me? Am I going to collapse? This is something I couldn't achieve or reach.

If you're drinking adequately, you just feel a little discomfort for the first 48 to 72 hours. It gets boring after a while. You miss... It wasn't so much that I was hungry, but I really missed the taste, the flavor of foods. Wouldn't a slice of bread be nice or an apple or whatever one eats? You might even feel a bit of physical discomfort.

Really, your body's so interesting. These hormones kicking in and this enteric nervous system saying to your brain, what the hell is going on? You're not managing things the way you're supposed to. Go out and track down an antelope and kill it and eat it now. But if you can resist that, if you get past that point...

you reach a certain plateau and your body releases a whole bunch of hormones and stuff that are really cool. It became a very contemplative thing. Cool. You know, I'd be found staring off into, you get a little stoned. Okay. I don't know if you can see that. You stare off into the distance and, but that's not a bad thing to do once in a while.

I'm going on way too long. You guys have lives to get back to. No, no, no. But it's not incidental that fasting is so entwined with religions. I like the stepping back, stepping off the sort of the, what are these, you know, these runways you see in airports. The treadmills, stepping off the treadmill and then getting back on.

I'm sure I complain constantly, but it's certainly easier to do with a partner. But it takes a commitment. What was different about fasting the second time around? Sure, Angelo. So I didn't feel the need to do it again. I really didn't think about it again very much.

Until recently, in the aftermath of the Trump administration, I really just felt this overriding need to purge myself and just get that out of my system. I wanted to get to a different state of thinking about things. And I just spontaneously decided to go on another long fast and

I did it and it was an interesting experience. After two or three days, your body reaches a kind of a plane. This time it wasn't so much a matter of, "Oh my god, you know, am I gonna be able to live?" And I was just more observant and not focusing so much on the how I was feeling. I was just, it was much more meditative experience.

because I knew that I could go through it and come out perfectly healthy. And then I got interested in the history and the process and what it does to your body. Fasting is an ancient technology that's experiencing something of a revival right now. In health and fitness circles, intermittent fasting and calorie deprivation are hot topics. But when John Oakes set out to explore the concept, he took it a lot deeper.

Producer Angelo Bautista wanted to know more about doing with less. You reiterate in the book that fasting is more than just about food. So what is it about? You mentioned the process. In our daily lives, we go through this thing called automaticity.

In order to function, when you wake up, you get dressed and you don't think about maybe the process of tying your shoes or putting on your clothes or brushing your teeth, pouring yourself a cup of coffee. And a lot of that we just slip into unthinkingly.

What interested me was this idea of holding back and creation, how when you step back, you allow something new to happen, maybe something you hadn't anticipated. And to me, that's a really interesting, exciting idea. What I hear in you talking about this is that fasting is about asserting agency and understanding

affirming boundaries between yourself and the rest of the world. Absolutely, completely. And even if the effect is evanescent, even if it goes away because I slip back into my old habits, which is fine. I mean, you don't want to become...

a perennial fast or somebody obsessed with this idea of, I think that is a danger that one has to be aware of. If you undertake the fast, it's a mental, I guess, disorder that is sometimes called anorexia or fasting without end fasting. That's impossible to achieve a fast. If you're going to undertake, it should be something that's of a limited duration that has very limited

strong boundaries and during that time you're thinking about other things. But you're right, it is a reconsideration of boundaries. It also helps you reflect on your own physical boundaries, the bodies in which we're all encased. I'm curious as to what actually happens to the body when we fast. We've had this long history of fasting. Do we have an understanding about what happens?

Well, I'm obviously not a medical professional, but I spoke to a few and it's really interesting. Everyone's body, of course, is different. And so everyone's going to react to a fast in different ways. The first few days of a fast, if you're on a liquid only fast, are generally quite uncomfortable.

But then your body starts this incredible machinery kicks in and these chemicals come out, this sort of cocktail of chemicals starts happening. You have these things called ketone bodies and these endocannabinoids, which as it sounds, you know, they're closely related to cannabis products.

You have serotonin, which is sometimes called the happy hormone. You have BHB, which is another hormone. All this stuff kicks in. Many people start feeling serene and calm, which I did and do when I fast for a long time. Some people like Cesar Chavez, the great labor leader who was a real serious faster, he

He said that about the fifth day of a fast, he would have this crystal clear memory and he could recall conversations word for word. That never happened to me. You know, people do feel different things, but your body really does go through very interesting changes. Interesting. What I would say is that it's not a cure-all. As a lot of people said, oh, cure everything from the common cold to...

cancer. And it's just not that clear what it does for you. But we are learning more about the relationship between our gut and our brain. Yes. And you wrote something interesting that our gut is our largest sensory organ in our body. And I'd never considered that before. So what role does our gut play in our conscious experience? And what does fasting do to that?

Well, you know, it's sometimes called our second brain, the enteric nervous system, which is this really incredible mass, hundreds of millions of neurons, second only to the brain that are sitting right there in our intestines and the stomach. And it matches up, I think, to the number of neurons in a dog's cerebral cortex. We have sort of a dog's brain in our gut.

And that drives us. When you're fasting, you make a decision with your brain, presumably, to go against that, to differentiate yourself from the brain in your gut and going with the brain in your head. And at the beginning, it's a little battle going on, I think, for most people, certainly for me, you know, the first couple.

day or two, it's a little uncomfortable. But for me, it's not really about the pain or the discomfort. It's the opening up and the reconsideration of who I am and how I fit into this world. I wanted to talk about where the roots of fasting begin. How far back can we trace this practice of fasting?

That's a good question. One early example of fasting is in the Iliad. Achilles, after the death of Patroclus, his partner, he refuses to eat. Then he goes into battle. And for some historians or classicists, that's been evidence of his bloodlust.

But for me, he was acknowledging the massive break in his life. And of course, there's in the Bible, there are many instances of fasting. There's Moses and, of course, Jesus with his 40 days. The Greeks, the ascetics, Epicureans, the Stoics, Plato, everybody fasted now and again. And there's a lot of people fasting before battle, seeking to purify themselves, seeking

You mentioned that you were Jewish and you mentioned the Bible, and it's interesting that this comes up in Abrahamic religions and how they are united in this tradition, but they kind of differ as well. Yes, in Islam, I was interested to learn that Ramadan is really a joyful experience.

And if you're a strict Muslim, you fast from sunup to sundown and you don't drink anything. And then in the evening, there's a sort of repairing feast. But it's a time to be together with family and friends and friends.

It's, again, contemplative, but it doesn't have quite the punitive aspect that I associate with the Judeo-Christian tradition. And in Christianity, traditionally, it's been a way to mortify the flesh. They saw it as a way to transcend the flesh and become nearer to God. That's obviously a

a test of physical abilities. And you don't really, at least I didn't see that so much in the Islamic tradition and the people I spoke to, the imams didn't. I want to talk about fasting as a form of protest. I was kind of amazed to learn that hunger strikes are still ongoing, that these are still a thing that are happening.

all around the globe, all the time. And it's happened as far back as we can see, I think. And of course, there was the Brown University fasters who just days ago ended their week-long fast in solidarity with what's going on in Palestine. It really was interesting to me how this seems to be something that's

It's not even a learned activity. It seems endemic to being human. This concept of saying, I don't like the way things are. I want to stop and pull back. I can't get you to listen to me. And the one way I can really focus your attention is by saying, I'm putting my life on the line and I'm going to go on a hunger strike. And it also forces the authorities to

Interact in a way they'd rather not authorities everywhere want to be seen as the maintainers of order against chaos and evil doing. And I think a hunger strike is generally seen as a court of last resort.

So what is the through line of fasting as this kind of holy aesthetic tradition to now it has become kind of a dieting and wellness fad? Even my parents are participating in intermittent fasting now.

You know, I suppose it's fine if it makes people feel better about themselves. It makes their system function better, more power to them. You could say what I object to is this idea that you need to go to these spas and spend... People spend like thousands and thousands of dollars. It's just inconceivable to me. You don't really need...

anything to fast. Fasting is free. Fasting is free. You know, it seems to me that in this culture of excess that we live in, it almost seems like there's a moral imperative to do less and to redirect ourselves. Are you seeing fasting coming into the culture more? I don't know if there's an imperative to do less, but maybe an imperative to think about

What we're consuming and how we do it and why I think that is a good idea. I don't want to bring it back to evil corporations, but you know, there are people want us to buy and to keep buying. And there is this tradition of you're feeling down. So you should buy stuff and consume stuff. And I think there is an increasing demand.

absolutely movement among people who are saying we should maybe consider what we need and what we don't need. And I think the number one element in landfill is food waste, which is astounding to me. You know, fasting can be a tool to get us there. John Oakes is the author of The Fast, The History, Science, Philosophy and Promise of Doing Without. And that was producer Angelo Bautista talking with him.

So thinking about that point John and Angela made, that for people who live in a consumer economy, fasting or giving up could apply to a lot more than just food. Well, that made Steve Paulson track down psychoanalyst Adam Phillips, who writes about giving up existentially as a path to feeling more alive. You're talking about giving up your certainties, what is familiar in life and life.

Embracing the unknown. Yes, but it could even be in a small localized way a very good simple experiment in living. That you literally go outside and you don't focus on anything. You just see what you find yourself noticing if you don't focus. You allow yourself not to get caught up in focusing. You allow your attention to drift. It's very like the psychoanalytic version of this is free association.

You don't speak coherently, you say whatever comes into your mind. And the speaking coherently, in a way, is an attempt to protect yourself from all the really enlivening incoherence inside you. Are you talking about tapping into your unconscious? Sort of bypassing that rational self? Yes, a version of that, or finding a way out of one's defensive self, or oneself as one would like to see oneself.

Freedom through giving up. Next. I'm Anne Strainchamps. It's to the best of our knowledge from Wisconsin Public Radio and PRX.

There are two sides to giving up, the virtue of sacrifice and the sin of despair. And we get mixed messages about these. You want to give up smoking or drinking or cheeseburgers? Well, that's admirable. But if you're thinking about giving up your job or your marriage or your way of life, you run the risk of being called or calling yourself a failure. So how do we decide which is which?

That's the question psychoanalyst Adam Phillips asks in his newest book on giving up. Here's Steve Paulson. You know, Adam, for most people, I think the idea of giving up is actually kind of shameful. We celebrate people who keep going, especially when it involves sacrifice to do something that's really hard.

Clearly, you have a much more nuanced view. What made you want to start to think about giving up? Well, I think partly for the reason you said, that there is a great deal of shame attached to it. And it occurred to me that giving up is something we should be able to do in certain situations. And that if we live in a culture, as I think we sort of do, in which persistence and seeing things through and finishing things off is highly valued, it makes giving up extremely difficult.

And I think we all know from experience that clearly some relationships should be given up on. Some interests are given up on in actuality, that our pleasures change and so on. And so I suppose I was interested in the difference between the fact that when we give something up, like say chocolate or alcohol, we believe we can change. And when we give up, we believe we can't. You say the question that really interests you is not why do we give up, but why don't we give up?

Which is kind of fascinating, I have to say. Yes. I mean, I think it's linked in my mind with the way in which we're taught, or some of us are taught, to put up with things, to endure, and not be able to consider whether actually we are really enjoying something.

And in some situations, the harder it is, the better it's deemed to be. Now, clearly, you can't become an athlete or a piano player without going through a great deal of, as it were, suffering, because these skills require working through resistances. But some resistances mean you actually don't like something. It's not for you.

I want to differentiate between the real difficulty of mastering something one values and a different kind of difficulty, which is giving up on something one really doesn't want to do. I can remember going to my daughter's parent-teacher meeting, and the teacher said to me, the trouble with Mia is she only works at subjects she's interested in. And I thought, good for her.

It doesn't sound like really a problem, although I guess if you want to be a master pianist, maybe you've got to push through it, even when you're not enjoying it. But we all know we learned lots of things in school that we were not interested in, and that probably wasn't tremendously good for us. So let's talk about what is actually involved in giving up. You say it's giving up the wanting. Can you explain what you mean? Yes, that in a way you could think what keeps us going is our appetite.

we're going to become hungry in the next hour or so. And of course, there are lots of different kinds of appetite. There's an appetite for safety. There's an appetite for protection. There's an appetite for sex. All these appetites are, in a sense, what fuel us or form us or inspire us. So

It seems to me that our relationship to our desire, to our appetite, is very revealing in terms of how much we want to live, whether we want as much pleasure and satisfaction and gratification and enjoyment as we're able to have, or whether we want as little as possible.

And so it's something about people's relationship to pleasure, because the problem with pleasure is that on the one hand, it can be overwhelming. And on the other hand, if someone or something gives us pleasure, we can begin to feel dependent on them or even addicted. So pleasure is very problematic.

It's on the one hand, the thing that sustains us, but it's potentially dangerous. And this is, again, something that Psychonauts has interesting things to say about. We can be as frightened of pleasure as we are of suffering. But the way you're talking about this, it sounds like it's deprivation. The not wanting is sort of putting aside the thing that we actually do want, but we're going to try to forget about it in some way. My sense is you're talking about something more profound, to not want, to actually forget

lose that desire in the first place? Most of the world religions that I know about are very often about self-depriving strategies for higher ends, if you like. As though there's something about our animal nature that is a huge problem for us. And to develop, to become enlightened, to grow up, whatever our project or aim is, involves the renunciation of certain pleasures and satisfactions. Now, of course,

Everybody knows, having been a child, that life is intrinsically very frustrating. But it can be so frustrating that one wants to turn against desiring. Or if it's just the right amount of frustration, then of course that sustains our desire. We go on wanting.

You know, if I'm not fed for two weeks, it wouldn't be odd if I began to lose my appetite. But if I'm fed every other day, I'll be hungry. Now, in Freudian terms, he talked about the death instinct, this forbidden attraction to not living anymore. You kind of reframe this as the giving up instinct. Well, Freud has what is in many ways is a very strange idea, which is our lives are the battle between death.

Life instincts and death instincts. There's a part of ourselves that wants as much life and as much pleasure as we can manage. And there's a part of ourselves that wants as little life as possible, that wants to anaesthetise ourselves, that wants to more or less be dead or close to dead as we can, unstimulated but safe.

Now, what Freud is flagging up is the possibility there is a part of ourselves that really doesn't want to live, that can't bear it. And it would seem to me everybody who is at all awake has at least had moments or periods in their lives where they felt their lives were actually unbearable. My sense is that for you, the death instinct is something kind of we all experience.

I think we all can resonate with at one time or another in our lives. I guess the question is, how deeply does that cut with most of us? Well, yes, I mean, I agree with you in the sense of a great deal of work goes into deadening ourselves, to insensitizing ourselves, to inuring ourselves, say, to other people's suffering and to our own. So there's a lot of evidence, I think, that suggests that

we at least intermittently find life unbearable. Now the question, if you're not a religious person, the question is, what is the point of suffering? I mean, if you're a religious person, there are lots of good stories about why one might and must and should suffer. If you're not a religious person, the question is, what is the point of one's suffering? Or why go on living one's life if one's not enjoying it?

And there are answers, which is some of us have children, some of us have responsibilities. Some of us want to defend values that seem very important. But on the other hand, it would seem to me there are real grounds in some lives for absolute despair. And I think that has to be part of the conversation. Otherwise, it becomes phobic. Otherwise, it's as though we've all got to be sort of more or less upbeat. And we don't feel it all the time.

To let in the despair, to acknowledge it and to talk about it. That's important. Yes. And to see if anything can be made of it. Not assuming that everything can be transformed into something good and wonderful, but actually seeing where we go with our feelings. And that, in a way, is what psychoanalysis, a lot of the talking therapy is about, which is finding out what it is you do happen to feel and think and finding what you can make of it, if anything.

You write about the artist and psychoanalyst Marian Milner, who has a really fascinating take on how we think about these things, like happiness and fulfillment and how does that figure in our lives. And she thought that a lot of it comes down to how we notice the things in our lives. And she had this distinction between what she called narrow attention and wide attention. Can you explain that? Yes, and I think it is a wonderful distinction.

In narrow attention, it's as though we know what we're looking for and we find it if we can. And she talks about it as predatory or as full of appetite. Whereas wide-angled attention is almost what it says it is, which is you look widely without knowing what you're looking for or that you are looking for anything. So your capacity to be affected and to receive stimuli is wide open.

Maren Milner, who I knew, once said to me, when I paint a tree in a field, I look at everything but the tree. In other words, she needed to really open her eyes. And what she's saying is that we sacrifice a great deal in being focused, in having our attention over-organized. So she doesn't say one kind of attention is better than the other. She says these kinds of two different kinds of attention are better for different things.

But she's saying that if you're convinced that you know what you want going into this, or what you're paying attention to, that's going to narrow how you see the world. Your perceptions will be limited and your...

I mean, it's sort of the opposite of curiosity, I guess. Exactly, it is. And I think what's being suggested here is that there's always a temptation to narrow our minds because actually we are extremely complex and extremely receptive. It creates an anxiety in us. And so if we can find a way of narrowing our minds, it's as though there's a relief in that. But then, of course, all we've got is a narrowed mind. And you can see addiction, for example, is an acute case of this. If I think, what do I want? I want a cigarette.

It's as though it has been sorted out. But in the very act of narrowing our minds, of diminishing our complexity, we lose a great deal of other wishes and wants. So this practice of wide attention is very appealing, but it also seems pretty hard. You're talking about giving up your certainties, what is familiar in life, and embracing the unknown. Yes, but it could even be, in a small, localized way, a very good, simple experiment in living.

that you literally go outside and you don't focus on anything. You just see what you'll find yourself noticing if you don't focus. And you allow yourself not to get caught up in focusing. You allow your attention to drift. It's very like the psychoanalytic version of this is free association, where you don't speak coherently, you say whatever comes into your mind.

And the speaking coherently, in a way, is an attempt to protect yourself from all the really enlivening incoherence inside you. Are you talking about tapping into your unconscious? Sort of bypassing that default mode network, sort of our rational self? Yes, a version of that, or finding a way out of one's defensive self, or oneself as one would like to see oneself.

And of course, it's very familiar in adolescence, whereas I think in a way it's where it starts. That feeling that one is really in one's body.

And I think it's something to do also, strangely and paradoxically, with being able to forget oneself, to be absorbed in other people and other things. I mean, when somebody is anxious or depressed or whatever, they are self-obsessed. They have to be because they're looking after themselves. So again, I would say the aim of, say, psychoanalysis is to enable people to forget about themselves, not to become more interested in themselves, but less interested, and therefore more interested in other people and the world. That's fascinating because, again,

I guess I would have guessed that the purpose of psychoanalysis is to know yourself, to gain self-knowledge. Yes. Sounds like that's not what you're saying, is it? The official story is you need to increase your self-knowledge to have the life you want. Now, it seems to me in some areas that's right. But for me, more prominently, the idea is

You really need to be able to forget yourself in order to engage with other people in the world. See, I think this is not a modest comment. I think one is the least interesting person one knows in actuality. So we are just about at the end of this conversation here. And there was one point in your book that really struck me. You say that giving up requires a sense of an ending.

What's a good ending? Well, I think when you feel the business is finished, when you feel you've completed something to your satisfaction, when you feel it's necessary now to do something else, without feeling you've had to sacrifice something in the process. An ending is not necessarily a sense of completion. It's something different. Yes. It's just something has finished, and it's as though one now needs to do something else. ♪

Adam Phillips. His book is called On Giving Up, and that was Steve Paulson talking with him. Coming up, I'm not sure. A conversation on the wonder and wisdom of uncertainty. I'm Anne Strange-Hamps, and this is To the Best of Our Knowledge from Wisconsin Public Radio and PRX.

This hour, we're learning how to give up, which oftentimes means facing down a lot of uncertainty. So what better place to learn about uncertainty than in an operating room, the one place where you can't give up. I went up to Toronto not only because I saw a lot of references to uncertainty in medicine, which makes sense, but also I thought that seems like the last thing you would want is an unsure surgeon. ♪

I connected with an incredible, brilliant expert on surgical judgment, Carolyn Moulton, and she actually allowed me to come up and watch operations. One morning we were watching her colleague who was a hepatobiliary specialist, a top surgeon.

He was performing a liver resection, taking out the cancerous half of a liver of a school teacher from up north. And I was allowed into the operating room with my little tape recorder. I was feet from the patient.

I had to say to myself, "Maggie, don't faint because I'm not actually that great with blood." But it was really interesting because he was very efficient and impressive, the kind of guy who would like to listen to music, and he was barking orders, and he was just that suave, in-control, all-knowing expert. And yet, the operation came to a halt. The room fell silent.

And I could actually hear a phone ringing that no one was answering, and I didn't know quite what was going on. Turns out he thought he had cut the bile duct, which is an anathema. It's a bile duct that's quite close to the liver, and it's called a never event, as in no one should ever do this. It was a very serious moment. It turns out later that he was actually just a few millimeters off target in the liver, and so he was fine.

But the fact that he exemplifies what we think of is the best kind of expert. And yet you could see his limits, the limits of knowing just what to do, automaticity of honed knowledge, that kind of heuristic thinking that we so naturally depend on. You could see the limits of that in stark relief right there.

Maggie Jackson uses that story to open her new book, Uncertain, The Wisdom and Wonder of Being Unsure, a book about the surprising benefits of not knowing. It turns out there is an emerging science of uncertainty, a whole new frontier in psychology, artificial intelligence, and yes, surgery, where things can go very wrong when people are missing a crucial skill set, being unsure. ♪

So when this guy is doing the surgery, did he seem completely confident? Yes, until that moment. He was like,

He kept urging the junior surgeon who was helping him to go faster and faster. He kept treating the situation as if it was all routine, as if he knew just what to do. He was barreling into the situation without accommodating for the fact that this was the crux of the operation. And he was quite horrified in some ways. He later said he was ashamed by the moment. And then later we sat in the cafeteria

Caroline Moulton and the senior surgeon and I, and he and she dissected the moment. And he basically said, well, that's just how you have to be. You have to be speedy. You have to be doubt-free. You have to be, he was sort of clinging to this model of the old school expert. Hmm.

So this is a case where the stakes are astronomically high. The patient on the operating table can die if the wrong choices are made. So the surgeon must feel enormous pressure to be right, to be certain. But here you are saying that that is exactly what a surgeon in this case needs to give up. Well, because life is so unpredictable, right?

Change is so much a part of our day-to-day lives that if we believe that anything actually can be certain, we're fooling ourselves. And by being uncertain, I mean strategically or productively or skillfully, however you put it,

we're actually allowing ourselves to be nimble and adaptable to life. We're opening up life. And so it flies in the face of common sense, but only so far as our common sense, our cultural ideas about uncertainty change.

have been so wrong for so long. We live in this outcome-oriented, efficiency-oriented, answer-oriented society exacerbated by technological ease to download instant answers. And so therefore, I think we've lost a great deal of understanding of how much

Literal information and knowledge and benefit can be had from not knowing. It's not nothingness. I'm using a lot of negatives, but not knowing or not yet knowing or being unsure is actually a frontier itself. And again, a state or a mindset of tremendous potential.

You know, until I picked up your book, it had not really occurred to me how much we prize being certain. I think we find the state of being uncertain or unsure to be scary and threatening and anxiety producing. Yes, that's an important idea to unpack and dissect because when you are uncertain, you

that is when you are meeting something new, unexpected, ambiguous. So

basically, when we do meet up with something new, we have a kind of stress response that produces the unease, but actually is the instigator for a huge number of changes to the brain. Your working memory expands, your focus sharpens. Scientists call this curious eyes. Curious eyes? Really? I love that. Curious eyes. What

What do they look like? Well, your focus is sharpened and broadened. So you're revved up. Basically, uncertainty is actually seen as a signal. One neuroscientist told me it's the brain telling itself that there's something to be learned here. So it plays this really weird...

wonderful role, not only in waking us up, but also in pushing us away from that automaticity that we live most of our days. So it's an invitation to learn. That's the best part of uncertainty. And that's where the unease comes from. And that's just why we shouldn't mistake that for fear. I mean, we also live in a society that's really uncomfortable with discomfort.

Whether it's getting a snack through DoorDash or getting a Google answer that may or may not be right, or getting an AI assistant to book you something, you have instant answers. Things are with a click. And very much the subtext is you don't have to be uncomfortable. Stay in your happy place. Stay in your echo chamber. It's interesting. It seems like one of the underlying messages is be curious. Yes.

But, you know, I would have thought that curiosity would be kind of a hallmark of our age. I think about how many of us conduct how many Google searches a day. We're constantly exploring and open to the new.

Well, yes, in some ways. But if you look at how often our explorations online anyhow are funneled by the software, when you ask Google a question, it gives you an answer before you even finish asking the question. When it offers you search results, study after study shows people take the first search result and 75% of people

postings that are shared are not even read before doing so. So I think that maybe we can call this curious, but maybe it's a sort of reduced, narrowed, constricted form of curiosity that keeps leading us back to what's familiar and safe. Curiosity takes many, many different forms, but one pillar of curiosity is actually personality-wise the ability to tolerate the stress of the unknown.

Do you worry about the advent of AI and machine learning? Because I'm just thinking, I have not played around a lot with chat GPT, but a little bit. And you put a question in, and in less than 10 seconds, it spit out 50 people I should talk to or whatever. But I am a little nervous about giving up that kind of free-floating searching that I'm used to doing. I don't know. What do you think?

I'm really worried very much about our faith in the human mind.

Because I think we see the mind too often as a deficient machine. The more quick and powerful AI gets, the more we see it as the ideal when it really is only a certain type of thinking. It's quick, it's heuristic, it's not reflective. It's only...

better than the human in a very, very, very narrow way. And one of the most important points to this

it's exciting and yet it's dangerous is that so much of the science around uncertainty is completely new. So that's exciting. So we have the chance to learn about the liminal. We have the chance to learn about consciousness and daydreaming and deliberation, et cetera. But the reason it's new is because it was not considered topics of study for psychology.

That's changing, but we really have to understand that these foggy, liminal, now semi-understood ways of thinking and being are just as important, if not more critical in this age, as a counterpoint to AI. This is a very important moment. So that in some ways, just as we are craving certainty most...

What we need is to give it up. And it's interesting because reading the book, I really did feel a kind of lessening of anxiety. So I'm curious about, I don't know, kind of how you would diagnose our collective psychic burden and what happens when you do mentally try to let go of that need for certainty and embrace a little more uncertainty.

Yes, many, many people have used the word liberating. I mean, doctors who are trained to tolerate ambiguity in their work say it gives them courage because they no longer not only feel pressure to perform in a certain way, to wear a mask, but they also feel as though they've gained a little time and space to consider and reconsider the problem.

It really changed my life to discover this new science of uncertainty. How so? Well, I've kind of relinquished the idea that there has to be a certain outcome. I'm more able to live in the moment. If I'm with a person in distress, a daughter calls me in tears, one of my daughters, or I'm with a friend,

I used to think that I need to be at least one of, if not the fixer. And I used to think that, especially with my daughter, that I had to offer a solution. Why don't you do this, this, and this? And the quality of my presence or friendship or relationship or love was based on the quality of my answer. And now I really feel as though I can, it really actually moves me to think about this.

I really find that I can be in the moment

which is essentially uncertainty. And we can explore possibilities if they want to, or I can even just acknowledge the fact that they're in this liminal gray zone, that they've given up or left behind a certain answer, but to be there with them. And I also realized that's exactly what I've always wanted from another. That's what I want for them to be in the unknown with me

I think that is such a deep and profoundly wise thing that you're saying. But I'm trying to figure out how to hold on to that in real life because it's not so easy. What do you do? Have you found ways to try to remember, let go, hold on to not knowing? I don't have to know. Yes, I think that small steps are cliche, but they really do help because this is a matter of

practicing and not only first having that amazing recognition that life is not just a series of answers, nor does it have to be, but then secondarily trying it out. The root word etymology of the word expert is actually to try, which is something that's kind of forgotten. So I've drawn some inspiration from some

interventions now that are being undertaken to actually treat people's intolerance of uncertainty. Really? Yes. This is a very hot topic in clinical psychology. The way that scientists have done this and succeeded in doing so is by kind of riffing off exposure therapy, challenging people to take little steps to basically avoid

dip their toe in the waters of the unknown. So it might be as something as simple as trying a new dish at a restaurant. And that seems silly. And I laughed when I read that in a scientific paper, but then I thought to myself,

you know, on weekends, I like to go to that restaurant. I like to have that same dish. In fact, I'm pretty wedded for years to mocha chip ice cream. And, you know, so I could use some tiny little nudges into the unknown. These little steps, delegate more at work or let your kid pack their own suitcase for a trip or let go. That's what it's about.

So I have to end by asking you about wonder, because the subtitle of your book is The Wisdom and Wonder of Being Unsure. I love the idea that uncertainty can be a kind of doorway into wonder, but how so and why?

Well, I think in light of giving up and the idea of relinquishing, and we've talked a lot about relinquishing the known in order to move into the unknown. I mean, that's exactly what daydreams do. The creative daydream is actually moving away from the known and into the what if question. And I think

I think wonder for me, I don't have a clinical definition of what wonder is, but it's really a sort of a vessel, my shorthand for all of what I'm talking about, moving into the unknown and being open-eyed and curious about it. I find that this opening up that uncertainty gives you, if you can pick up its invitation, changes everything.

Thank you. My anxiety levels just ratcheted way down. I feel like I just learned so much from your book. So thanks. I'm so glad. I'm so glad. Yeah, I first talked about this as a work in progress way, way back at Macalester College, where one of my daughters was going. And I really didn't know what I was talking about even then. I mean, at that time, they wanted me to do a career talk. And I said, I'll talk about uncertainty. And I just said, kind of feeble, but slightly illuminating things like,

If you're uncertain, you're thinking. And all these students in the room, their little shoulders just went down. And then faculty were hugging me afterwards, and I thought, oh my gosh, there's something here. It was really interesting that there was like a release in the room. People are so burdened by certainty. Yeah. ♪

Maggie Jackson, author of Uncertain, The Wisdom and Wonder of Being Unsure. To the Best of Our Knowledge is produced in Madison, Wisconsin by Shannon Henry Kleiber, Charles Monroe Kane, Mark Rickers, and Angela Bautista. Our technical director and sound designer is Joe Hartke, with help from Sarah Hopfman.

Additional music this week comes from Swirl, Animoia, Johnny Ripper, Ketza, and Purple Cat. Our executive producer is Steve Paulson, and I'm Anne Strangechamps. Thanks for staying with us. PR