Former US surgeon general Vivek Murthy joins Sean Illing to discuss the loneliness epidemic, highlighting its profound impact on public health. They explore the physical and emotional effects of loneliness, the role of social connection, and the distinction between loneliness and solitude. The podcast also delves into the illusion of loneliness perpetuated by social media and explores the variation of loneliness across cultures. The guest shares impactful book recommendations and offers comfort to those who feel lonely.
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Quick takeaways
Loneliness is a public health epidemic, with a mortality risk higher than obesity and equivalent to smoking 15 cigarettes a day.
Loneliness is a deeply personal and subjective experience that can have adverse effects on physical and mental health.
Loneliness is influenced by the quality, rather than the quantity, of social connections, and cultural factors play a role in how individuals perceive and express their loneliness.
Deep dives
Loneliness and its Impact on Physical and Mental Health
Loneliness is a widespread issue, affecting a significant portion of the population. Studies indicate that around 22% of adults in the United States often or always feel lonely. Loneliness is not just a psychological state, but it also has adverse effects on physical health. When we experience loneliness, our bodies go into a stress response, releasing hormones like cortisol and activating our fight-or-flight response. Prolonged loneliness can lead to chronic inflammation, immune system dysregulation, and disrupted sleep patterns. It's crucial to understand that loneliness is not simply a lack of social connections. It's a perception of being isolated and not feeling seen or understood by others.
The Experience of Loneliness
Loneliness is a deeply personal and subjective experience that can have a physical and emotional toll. People describe loneliness as a visceral feeling, like a knot in their stomach, despair, or a sense of invisibility. It can create a sense of alienation, as if one is speaking a different language than others. Loneliness often leads to a negative self-perception, making individuals doubt their worth and making it harder for them to reach out and connect with others. Chronic loneliness can also breed feelings of anger and frustration when others fail to see or understand the pain someone is going through.
The Link Between Loneliness and Surgeon General Experience
Former Surgeon General Vivek Murthy shares his personal experience of loneliness, despite being surrounded by people during his tenure. Loneliness is not solely determined by the number of social connections, but rather the quality of those connections. Murthy found that even with a busy schedule and positive interactions, he felt lonely because he neglected his own needs for deep and meaningful relationships. This highlights that loneliness can impact anyone, regardless of their external circumstances or social status.
Loneliness: Perception versus Objective Isolation
The experience of loneliness is not solely determined by objective isolation. Some individuals can feel lonely despite being surrounded by people, while others who are objectively isolated may not feel lonely. This distinction illustrates the importance of the quality of connections rather than the quantity. Loneliness is a subjective feeling that can vary among individuals based on their personal thresholds and cultural backgrounds. Studies have shown that cultural and societal factors influence how comfortable individuals are with acknowledging and expressing their loneliness.
Loneliness as a Universal Experience
Loneliness is a universal experience that impacts people from all walks of life, regardless of their background or social status. As the former surgeon general, Dr. Vivek Murthy found that loneliness resonated deeply with people and was a topic they wanted to discuss. Men, in particular, often found it difficult to talk about their experiences with loneliness. However, the need for connection remains, and the consequences of loneliness are evident in various aspects of life, such as health, workplace performance, education, and public discourse.
The Challenge of Balancing Individualism and Connection
In modern society, there is a tension between individualism and the need for deep connections. Traditional collectivist societies emphasized strong connections at the expense of individual choice and expression. In contrast, modern societies offer more individual freedoms, but the structures that facilitate deep relationships have eroded over time. Dr. Murthy proposes the idea of building a 'third bowl' society that respects individual choices while also promoting deep connections. Creating such a society requires considering the impact of convenience and cultural norms on social interaction. Balancing individualism and connection is a structural and cultural challenge that calls for a reevaluation of societal priorities.
As US surgeon general from 2014 to 2017, Vivek Murthy visited communities across the United States to talk about issues like addiction, obesity, and mental illness. But he found that what Americans wanted to talk to him about the most was loneliness.
Loneliness isn’t simply painful, it’s lethal. Severalmeta-studies have found the mortality risk associated with loneliness is higher than that of obesity and equivalent to smoking 15 cigarettes per day. So, Murthy decided to label loneliness a public health “epidemic,” a term that medical professionals don’t throw around lightly.
Murthy’s advocacy has changed the national discourse around loneliness. However, this isn’t a conversation simply about loneliness as a public health problem: It is about loneliness as a deeply painful lived experience — one that both Murthy and I are all too familiar with.
There’s a lot in this conversation. Murthy’s explanation of how loneliness acts on the body is worth the time, all on its own. It’ll change how you see the relationship between social experience and physical health. But the broader message here is deeper: You are not alone in your loneliness. None of us are. And the best thing we can do is, often, helping someone else out of the very pit we’re in.