具体描述
This book is about pleasure. It’s also about pain. Most important, it’s about how to find the delicate balance between the two, and why now more than ever finding balance is essential. We’re living in a time of unprecedented access to high-reward, high-dopamine stimuli: drugs, food, news, gambling, shopping, gaming, texting, sexting, Facebooking, Instagramming, YouTubing, tweeting… The increased numbers, variety, and potency is staggering. The smartphone is the modern-day hypodermic needle, delivering digital dopamine 24/7 for a wired generation. As such we’ve all become vulnerable to compulsive overconsumption.
In Dopamine Nation, Dr. Anna Lembke, psychiatrist and author, explores the exciting new scientific discoveries that explain why the relentless pursuit of pleasure leads to pain…and what to do about it. Condensing complex neuroscience into easy-to-understand metaphors, Lembke illustrates how finding contentment and connectedness means keeping dopamine in check. The lived experiences of her patients are the gripping fabric of her narrative. Their riveting stories of suffering and redemption give us all hope for managing our consumption and transforming our lives. In essence, Dopamine Nation shows that the secret to finding balance is combining the science of desire with the wisdom of recovery.
用户评价
还蛮引人入胜的，pain &pleasure很有意思
评分##1. 在医疗被商业化的场景下，医生也是wage slave 所以也解释了“Why healers become dealers”。2. 近几十年，人们对疼痛太敏感了 both mentally and physically pain。止痛是心理学层面的延伸，传统医学认为，有时疼痛反而能够evoke 自身的免疫机制（？）3. Dopamine Fast，和边际效益递减一个道理，过犹不及，省着用，不然就脱敏了。
评分##年度最佳。 在这个多巴胺横流，廉价快乐泛滥，智能手机成为注射器的时代。我们终该改变点儿什么。 I saw in their brokenness my own vulnerability and humanity. I was reassured that I was not alone in my doubts, fears, and weaknesses.
评分##解释了各种addiction中pleasure和pain的平衡关系。学到最有操作性的是dopamine fast这个概念。限制使用高dopamine的事物，能让dopamine system重新敏感起来。另一点是如果想要戒掉一个坏习惯，要彻底断绝至少一个月，才能真的起效。过度的手机使用和进食都是addiction的形式。
评分##为什么作者的书还不如她跟Huberman的podcast信息量大且密。听那个episode即可，可惜了我的十几美刀。// 很多时候，我们的“瘾”也是一种基于经验的self-belief和自我限制。Sometimes, all you need is a leap of faith and believing in yourself.
评分##Tilting towards pain helps the balance; You need abstinence for the balance to reset.
评分##为什么作者的书还不如她跟Huberman的podcast信息量大且密。听那个episode即可，可惜了我的十几美刀。// 很多时候，我们的“瘾”也是一种基于经验的self-belief和自我限制。Sometimes, all you need is a leap of faith and believing in yourself.
评分##跟researcher的科普比略arbitrary，pain to treat pain的论据（可能是我对中医针灸的态度）跟前面神经学的展开完全不能比。最出彩的地方是观点对人自我管理的启发特别棒，我第一次真正接受rehabilitation的tenable：强行短期克制行为能打断dopamine的峰值，再通过mindful训练容忍弹性，无论是戒毒还是戒赌，都符合行为科学跟神经科学的逻辑，因此addiction一定要寻求专业帮助，而非简单的靠意志力。要继续培养散步、骑车、发呆看风景这些low dopamine的pleasure，科普三星，当self-help看五星。
评分##有用 但是觉得有些啰嗦
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