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Dr Samantha Boardman14 August 2021

Positive Psychology's Lessons For Coping With Stress - Dr Samantha Boardman - #358

5Frameworks
13Insights

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Frameworks in this episode

Insights & moments

The myth-busts, hot takes, explainers, and tools worth keeping.

Myth Buster· 1

Myth Buster

Micro-stressors, not big life events, take the biggest toll

Counterintuitively, we're resilient to major life events, loss, change, even 9/11, but the daily hassles quietly wreck us. Spilled coffee, traffic jams and the bad chat with the boss accumulate with no social support ('nobody brings you a casserole for a traffic jam') and take a measurable toll on cardiovascular and immune health.

  • Resilience is the default response to big life events; we bounce back
  • After 9/11 expected PTSD rates were minimal six months later
  • Micro-stressors accumulate and harm cardiovascular and immune health
  • Dr. Cohen's flu-virus studies: stressed subjects catch colds more readily
  • We need 'little R resilience' for daily hassles, not just big R resilience

those little hassles and micro stressors add up so much and take the biggest toll on your physical health and also on your mental health

Dr. Samantha Boardman

nobody's bringing you a casserole because you got stuck in a traffic jam

Dr. Samantha Boardman
#stress#resilience#health#immune-system

Hot Take· 2

Hot Take

Why 'be yourself' is terrible advice

Boardman argues 'be yourself' fails because there's no fixed true you, we're all constantly becoming. A better prompt under pressure is: what's the opposite of the thing you feel like doing? Research shows imagining yourself as a creative poet, or wearing a doctor's coat, makes you more creative or persistent, so borrowing an admired identity can move you toward who you want to be.

  • There's no single fixed 'real you'; we're always changing
  • Ask what the opposite of your impulse would be
  • Told they wore a 'doctor's coat,' people persevered longer on problems
  • Imagining being a creative poet makes people more creative
  • Williamson notes the tension with authenticity, e.g. Kobe's Mamba, Beyonce's alter ego

being yourself isn't the best advice because... who is the real you? We're all in the process of becoming constantly

Dr. Samantha Boardman
#authenticity#identity#self-improvement#mindset
Hot Take

'I am who I am' is a wall, not an identity

Boardman's trigger phrase is 'I am who I am.' People are works in progress who mistakenly think they're finished, hiding behind an illusion of certainty that's really just habits and preferences. We change constantly but passively; the question is whether you'll be intentional about it. 'Adventurers' and 'continuers' are far more fulfilled than 'observers' and 'retreaters.'

  • We're works in progress who wrongly believe we're fully formed
  • 'I am who I am' is really just habits and preferences, not a fixed self
  • You will change enormously; the only question is whether intentionally
  • Adventurers and continuers outfulfill observers and retreaters
  • A recovered patient told her flatly: 'people change'

we're all works in progress who mistakenly think that we're fully formed and finished

Dr. Samantha Boardman
#change#growth-mindset#identity#fulfillment

Explainer· 4

Explainer

The Zeigarnik Effect: why your brain clings to what's unfinished

Boardman explains why lockdown left so many feeling they'd achieved nothing. A 1930s Vienna researcher, Dr. Zeigarnik, found waiters vividly recalled open orders but forgot completed ones the instant the check was paid. Our brains are wired to remember the undone and forget the accomplished, which fuels regret and guilt.

  • Waiters remembered half-finished orders but forgot completed, paid ones entirely
  • We're excellent at noticing what's left undone, poor at recalling what we finished
  • This drives lockdown regret over unlearned Mandarin and unwritten screenplays
  • It can work for us as motivation to finish unfinished business
  • Counter it by deliberately asking what you did check off today

we're so good at remembering sort of what's undone, but not particularly good at remembering what we've accomplished

Dr. Samantha Boardman
#psychology#memory#productivity#regret
Explainer

Discomfort is data: the same body signal, two opposite meanings

It's not the event but your interpretation of it that creates stress. Boardman's anxious patient dreaded the racing heart and sweaty palms before public speaking until he heard Bruce Springsteen describe identical sensations as 'my body telling me I'm ready to rock.' Williamson adds Sam Harris's thought experiment: the exact physiology of a hard workout would feel like a heart attack if it struck at random.

  • Stress is your perception of an event, not the event itself
  • The patient and Springsteen had identical physiology, opposite interpretations
  • Sam Harris: gym sensations would read as a heart attack if unexpected
  • Negative emotions are valuable data and the only way you learn and grow
  • Reframing arousal as readiness changes the experience

I know it's my body telling me that I am ready to rock

Dr. Samantha Boardman

it's not actually the event itself, it's how you experience it

Dr. Samantha Boardman
#reframing#anxiety#public-speaking#mindset
Explainer

The Harvard data on what actually reduces stress (it's unsexy)

A Harvard study ranked what people found most effective for reducing stress, and the winners were mundane: time outdoors (94%), hobbies (93%), exercise (89%), time with a pet (87%), meditation or prayer (85%), friends and family (83%), full night's sleep (76%). Talking about problems, therapy and medication ranked near the bottom, because removing misery isn't the same as building strength.

  • Time outdoors topped the list at 94% effectiveness
  • Hobbies, exercise and pets all beat talking about problems
  • The 'weekend effect': people are reliably happier on weekends
  • You can make people less miserable without giving them a good day
  • Uplifts that build strength are above and beyond the absence of misery

the stuff that actually makes you feel good isn't the opposite... an absence of stuff that makes you feel bad doesn't make you feel strong

Dr. Samantha Boardman
#stress#wellbeing#research#lifestyle
Explainer

Movement, not just medication: the 2009 Duke treadmill study

The intervention Boardman says she was never taught in medical school is movement. A 2009 Duke study split people with mild depression between an antidepressant and a prescription to walk on a treadmill 30 minutes, four days a week. Both groups felt better by six weeks, but nine months later the exercise group was far less likely to have relapsed.

  • Both medication and treadmill groups improved within six weeks
  • At nine months the exercise group had much lower relapse
  • Movement was not taught as an intervention in her psychiatry training
  • Ideally combine movement with being outdoors
  • Hard to start when depressed, but one of the most powerful interventions

everybody felt better within about six weeks, but nine months later, the treadmill group was much less likely to have relapsed

Dr. Samantha Boardman
#exercise#depression#mental-health#research

Story· 2

Story

The point of therapy is to change your past

An old mentor asked Boardman the point of therapy. Not to change your present or future, he said, but to change your past. We all cling to a well-worn story, my dad was a jerk, my mom didn't talk to me, and realizing that story is likely distorted frees you from being a victim of it, opening room to act toward your future.

  • We keep a two-minute, ten-minute and hour-long version of our story
  • Those identity-defining narratives are usually somewhat distorted
  • Making peace with a distorted past frees you up to act
  • It reduces the sense of being a victim of what happened to you
  • A future orientation, not just past reframing, is valuable in CBT

The point of therapy is so you can change your past

Dr. Samantha Boardman
#therapy#narrative#past#identity
Story

Finding wellness within illness: the lawyer who beat her prognosis

Positive psychology isn't rainbows and unicorns, it's looking beyond bringing people 'back to zero' to helping them flourish even amid illness. Boardman tells of a woman who had a psychotic break at Yale; her parents accepted the schizophrenia diagnosis but refused the grim prognosis. She went on to Oxford, a mental-health-law degree and a MacArthur genius grant, using her legal training to interrogate her own hallucinations.

  • Traditional medicine aims only to return patients to baseline zero
  • Positive psychology asks how to help people flourish beyond baseline
  • The woman's parents accepted her diagnosis but rejected her prognosis
  • She earned an Oxford mental-health-law degree and a MacArthur grant
  • She challenges her own voices by asking 'what evidence do you have for that?'

her parents accepted her diagnosis, but refused to accept her prognosis in every way

Dr. Samantha Boardman
#positive-psychology#resilience#mental-illness#flourishing

Tool· 2

Tool

Emotional granularity: pinpoint the feeling to shrink it

Instead of drowning in an overwhelming sense of 'not good,' research on granularity says name precisely what you feel. Putting a specific word to the emotion makes it less overwhelming, less personal, less pervasive and less permanent, so you can move from paralysis to asking 'okay, now what action do I take?'

  • Don't settle for a vague overall feeling of badness
  • Ask specifically what you're feeling and put it into words
  • Naming it narrows the spotlight and makes it less paralyzing
  • Processing negative emotions, not suppressing them, is how you grow
  • People who sweep feelings under the rug don't learn from them

once you can pinpoint that thing, it becomes a little bit less overwhelming, it's less personal, it feels less pervasive and less permanent

Dr. Samantha Boardman
#emotions#self-awareness#mental-health
Tool

The 'what would make today a success?' question

During lockdown Boardman and Williamson used a clarifying prompt: what would have to happen by the end of this period for you to consider it a success? Fast-forwarding to the end of the day and naming what would make it a success, an amazing conversation with your son, specific work done, gives a future orientation that closes the intention-action gap, echoing behavioral-activation therapy where action beats insight.

  • Ask what would have to happen for a period to count as a success
  • Run it each morning: fast-forward to tonight and name the wins
  • A future orientation complements CBT's usual past-reframing
  • Insight alone doesn't change behavior; behavioral activation does
  • Action is an antidote to anxiety, so do one thing, don't think ten

fast forward to the end of today, what would have made today a success and write that down

Dr. Samantha Boardman
#goal-setting#clarity#behavioral-activation#productivity

Takeaway· 2

Takeaway

Nature deficit disorder: 20 minutes outside is enough

Boardman literally prescribes going to parks. We're biophilic and spending too little time outside, the average American under four hours a week per a Yale study. Being outdoors is one of the best interventions for rumination, speeds surgical recovery, cuts pain medication and reduces attentional symptoms in kids. The optimal dose is modest: about 20 minutes.

  • Average American spends under four hours a week outside (Yale)
  • Nature is a top intervention for rumination and depression on-ramps
  • Surgery patients with a window onto a tree recover faster, need less pain medication
  • Roughly 20 minutes is enough; three hours isn't required
  • Pair it with a friend or podcast to actually get yourself out (temptation bundling)

I literally prescribe going to parks and spending time outdoors especially during COVID

Dr. Samantha Boardman
#nature#outdoors#rumination#mental-health
Takeaway

Adding value to someone else is a backdoor antidote to stress

One of Boardman's most powerful interventions is putting yourself in the position of a giver. Asking 'what advice would you give someone in this moment?' is empowering, builds self-efficacy and is a wellspring of motivation. She notes most people already have the information they need; giving advice makes them walk their own walk, and doing things with or for others (the marshmallow-with-a-partner study) boosts follow-through.

  • Contributing to others is one of the best antidotes for stress
  • Giving advice builds self-efficacy and motivation
  • Most people don't lack information, they lack a reason to act on it
  • Kids waited for the marshmallow more reliably when a partner also benefited
  • The smoker quit only when his nephew mimicked him as a role model

one of the best antidotes for stress is contributing to something else, doing something for somebody else

Dr. Samantha Boardman
#giving#self-efficacy#motivation#meaning