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The Tim Ferriss Show
#738: Dr. Gabor Maté and Dr. BJ Miller
May 17, 2024
Dr. Gabor Maté discusses trauma, ayahuasca therapy, and perception vs. reality. BJ Miller delves into end-of-life care, hospice, and embracing difficulties. Insights on psychedelics, intention setting, and finding joy in simple moments are explored in this insightful podcast episode.
02:11:37
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Quick takeaways
- Compassionate inquiry and trauma vs. traumatic approach discussed by Dr. Gabor Maté
- The gentle and relational approach at Zen Hospice Project for new residents
- Enhanced self-awareness and recognition of relationships discussed by BJ Miller
- The importance of being present in everyday life and cultivating gratitude and forgiveness
- Exploration of psychedelics in addressing existential suffering in palliative care
Deep dives
Initial Introduction to Zen Hospice Project
At the Zen Hospice Project, the first day for a new resident involves a gentle and relational approach. Residents are welcomed by nurses, volunteers, and kitchen crew who focus on getting to know them and creating a sense of home. The emphasis is on building relationships and making residents feel comfortable and valued.
Dignified Endings at Zen Hospice Project
At Zen Hospice Project, end-of-life experiences are peaceful and personal. Residents are provided with a serene environment for their final moments, surrounded by caring staff and support. Rituals like the flower ceremony are conducted to honor the departed, creating closure and warmth for families and staff.
Impacts on Personal Decision Making by Witnessing Deaths
Observing numerous deaths in palliative care and hospice has influenced the interviewee's personal decisions and habits. Enhanced self-awareness has led to improved ability to recognize and address relationships or situations that do not serve him well. The experience has heightened appreciation for nature and forgiveness, allowing for better reconciliation and humility.
Developing Mindfulness and Gratitude
The extensive experience with death has underscored the importance of being present and mindful in everyday life. The interviewee has honed the practice of calling out internal grudges or bitterness by recognizing the absurdity in it and letting go. Personal practices like biking and appreciating nature have become meditative and therapeutic tools for cultivating gratitude and forgiveness.
The Importance of Human Connection in Facing Adversity
In a harrowing recount, the speaker recalls an incident where he was electrocuted on top of a train and his friends, Jonathan, Pete, and Tommy, bravely came to his rescue. Despite the dangerous situation, the friends acted courageously, especially Pete, who held the speaker down to prevent further harm. This experience highlighted the profound impact of human connection and quick thinking in the face of adversity.
Finding Meaning in Aesthetic Experiences
The speaker emphasizes the significance of embracing purposelessness and finding joy in simple aesthetic experiences. He discusses the therapeutic value of appreciating the aesthetics of life, such as smelling a cookie or feeling the cold snow on skin. By valuing such moments of delight and purposelessness, individuals can find solace and a renewed sense of being alive.
Exploring Psychedelics for Existential Suffering
The speaker delves into the potential benefits of psychedelics, like MDMA and psilocybin, in addressing existential suffering. He notes the emerging research and efforts by organizations like Hefta and Compass in exploring psychedelic therapy for end-of-life care and existential distress. By offering a new approach to meaning-making and perspective shift, psychedelics present a promising avenue in palliative care.
Reflecting on Nature's Indifference and Our Human Perception
The podcast explores the filmmaker's experience of watching a film that invoked conflicting emotions of attraction and repulsion, reflecting on the poignancy of humans' relationship with nature and our perceived separation from it. The speaker emphasizes the therapeutic value of immersing oneself in vast landscapes like the desert, feeling inconsequential in the face of geologic time. This introspective exploration underscores the primal emotion of simultaneously feeling repulsed yet compelled, highlighting the hardwired nature of these responses, referencing nature footage and the laughter observed in chimpanzee troops.
Reconsidering Success and Self-Actualization
The episode delves into the concept of success, moving beyond external measures to focus on internal self-actualization. The guest shares a nuanced perspective on success, highlighting the importance of embracing one's quirks and unique qualities, rather than seeking validation from external sources. This introspective view of success emphasizes the journey of becoming one's true self, appreciating the process of self-discovery and self-acceptance. The guest also discusses the significance of seeing oneself in others and fostering a sense of interconnectedness, redefining success as a balance between internal fulfillment and relational harmony.
6.
Exploring Perception and Reactions to Life Events, and the Mission of Dr. B.J. Miller
6min
This episode is a two-for-one, and that’s because the podcast recently hit its 10-year anniversary and passed one billion downloads. To celebrate, I’ve curated some of the best of the best—some of my favorites—from more than 700 episodes over the last decade. I could not be more excited. The episode features segments from episode #298 "Dr. Gabor Maté — New Paradigms, Ayahuasca, and Redefining Addiction" and episode #153 "The Man Who Studied 1,000 Deaths to Learn How to Live."
Please enjoy!
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Timestamps:
[00:00] Start
[05:37] Notes about this supercombo format.
[06:57] Enter Gabor Maté.
[07:22] Compassionate inquiry and trauma vs. traumatic.
[11:06] Self-reconnection resources.
[14:40] How Gabor benefits from yoga.
[16:27] Gabor’s thoughts on the therapeutic value of psychedelics.
[18:14] What’s been revealed by Gabor’s experiences with ayahuasca?
[25:32] Essential intention.
[26:30] We don’t respond to what happens, but to our perception of what happens.
[32:48] Enter BJ Miller.
[33:07] What does BJ do?
[35:32] What does the first meeting look like for a new patient at the Zen Hospice Project?
[37:18] Defining palliative care.
[40:54] What happens when a patient dies in Zen Hospice compared to a regular hospital?
[45:03] How many deaths has BJ experienced?
[45:42] What has observing hundreds of deaths taught BJ about living?
[50:39] On keeping a mindfulness or meditation practice.
[55:05] About the Dinky (a terrifying story of electrocution).
[1:04:29] The miracle of a snowball in the burn ward.
[1:07:48] BJ’s experience as an undergraduate student at Princeton.
[1:08:46] On the idea of art.
[1:14:46] How BJ would support someone who suffered injuries similar to his own.
[1:16:57] What helps people most in hospice care?
[1:21:22] Why cookies matter.
[1:23:12] Thoughts on the use of psychoactive compounds in end-of-life care and treating existential suffering.
[1:33:46] BJ’s secret habit that might surprise most people.
[1:38:32] Suggested material for an introverted hospice patient.
[1:45:04] What comes to mind when BJ hears the word “successful?”
[1:48:13] Daily practices for seeing good in people.
[1:51:00] How to ride a motorcycle when missing three limbs.
[1:55:01] What purchase of $100 or less has most positively affected BJ’s life?
[1:56:53] BJ’s billboard.
[1:58:24] BJ’s advice to his 30-year-old-self.
[1:59:58] What has BJ changed his mind about in the last few years?
[2:01:26] BJ’s requests/asks/suggestions of the audience.
*
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