This Book Changed My Relationship to Pain
The Ezra Klein Show21 Helmi 2023

This Book Changed My Relationship to Pain

Physical pain is a universal human experience. And for many of us, it’s a constant one. Roughly 20 percent of American adults — some 50 million people — suffer from a form of chronic pain. For some, that means having terrible days from time to time. For others, it means a life of constant suffering. Either way, the depth and scale of pain in our society is a massive problem.

But what if much of how we understand pain — and how to treat it — is wrong?

Rachel Zoffness is a pain psychologist at the University of California, San Francisco, School of Medicine and the author of “The Pain Management Workbook.” We tend to think of pain as a purely biomechanical phenomenon, a physical sensation rooted solely in the body. But her core argument is that pain is also produced by the mind and deeply influenced by social context. It’s a simple-sounding argument with vast implications not only for how we experience pain but also for how we treat it. She points to numerous underused tools — aside from pills and surgeries — that can help lessen our pain.

We discuss how pain serves as “the body’s warning signal”; how our mood, stress levels and social environment can amplify or dial down our pain levels; what phantom limb syndrome says about how the brain “makes pain”; how our emotions and trauma influence our pain levels; the crucial difference between “hurt” and “harm”; why studies on back pain have yielded such bewildering results; how to figure out and improve your personal “pain recipe”; the roots of our chronic pain crisis; how our health care system could be better set up to treat chronic pain; why Zoffness says, “If the brain can change, pain can change”; and more.

Mentioned:

Sham Surgery in Orthopedics” by Adriaan Louw, Ina Diener, César Fernández-de-las-Peñas and Emilio J. Puentedura

Book Recommendations:

Why Zebras Don’t Get Ulcers by Robert M. Sapolsky

The Body Keeps the Score by Bessel van der Kolk

Pain by Patrick Wall

Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.

You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.

“The Ezra Klein Show” is produced by Emefa Agawu, Annie Galvin, Jeff Geld, Roge Karma and Kristin Lin. Fact-checking by Michelle Harris and Kate Sinclair. Mixing by Sonia Herrero and Isaac Jones. Original music by Isaac Jones. Audience strategy by Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Carole Sabouraud and Kristina Samulewski.

Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

Jaksot(476)

The Opinions: A Pro-Life Case for Harris and a Writing Contest With ChatGPT

The Opinions: A Pro-Life Case for Harris and a Writing Contest With ChatGPT

Our Times Opinion colleagues recently launched a new podcast called “The Opinions.” It’s basically the Opinion page in audio form, so you can hear your favorite Times Opinion columnists and contributing writers in one place, in their own voices.It’s an eclectic and surprising mix of perspectives, as you’ll see with these two segments we’ve selected for you to enjoy. The first is with the Times Opinion columnist (and friend of the pod) David French, a lifelong conservative who’s staunchly pro-life, on why he’s voting for Kamala Harris this November, and the second is with the novelist Curtis Sittenfeld, who enters into a writing competition of sorts against a new writer on the block — ChatGPT.Mentioned:“David French on the Pro-Life Case for Kamala Harris”“Can You Tell Which Short Story ChatGPT Wrote?”You can subscribe to “The Opinions” on Apple Podcasts, Spotify, Amazon Music, YouTube, iHeartRadio — or wherever you listen to podcasts. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

6 Syys 202427min

On Children, Meaning, Media and Psychedelics

On Children, Meaning, Media and Psychedelics

I feel that there’s something important missing in our debate over screen time and kids — and even screen time and adults. In the realm of kids and teenagers, there’s so much focus on what studies show or don’t show: How does screen time affect school grades and behavior? Does it carry an increased risk of anxiety or depression?And while the debate over those questions rages on, a feeling has kept nagging me. What if the problem with screen time isn’t something we can measure?In June, Jia Tolentino published a great piece in The New Yorker about the blockbuster children’s YouTube channel CoComelon, which seemed as if it was wrestling with the same question. So I invited her on the show, and our conversation ended up going places I never expected. Among other things, we talk about how the decision to have kids relates to doing psychedelics, what kinds of pleasure to seek if you want a good life and how much the debate over screen time and kids might just be adults projecting our own discomfort with our own screen time.We recorded this episode a few days before the Trump-Biden debate — and before Donald Trump chose JD Vance as his running mate. We then got so swept up in politics coverage we never got a chance to air it. But I am so excited to finally get this one out into the world.This episode contains strong language.Mentioned:“How CoComelon Captures Our Children’s Attention” by Jia Tolentino“Can Motherhood Be a Mode of Rebellion?” by Jia TolentinoHow to Do Nothing by Jenny OdellBook Recommendations:Lonesome Dove by Larry McMurtryIn Ascension by Martin MacInnesWhen We Cease to Understand the World by Benjamin LabatutThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Annie Galvin. Fact-checking by Michelle Harris, with Kate Sinclair and Mary Marge Locker. Mixing by Isaac Jones, with Efim Shapiro and Aman Sahota. Our senior editor is Claire Gordon. The show’s production team also includes Jeff Geld, Rollin Hu, Elias Isquith and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Sonia Herrero. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

3 Syys 20241h 11min

Best Of: Tired? Distracted? Burned Out? Listen to This.

Best Of: Tired? Distracted? Burned Out? Listen to This.

I’m convinced that attention is the most important human faculty. Your life, after all, is just the sum total of the things you’ve paid attention to. We lament our attention issues all the time — how distracted we are, how drained we feel, how hard it is to stay focused or present. And yet, while there’s no shortage of advice on how to improve our sleep hygiene or spending habits or physical fitness, there’s hardly any good information about how to build and replenish our capacity for paying attention.Gloria Mark is a professor at the University of California, Irvine, and the author of the book “Attention Span.” And she’s one of the few people who have deeply studied the way our attention works, how that’s been changing and what we can do to stop frittering away our attention budgets. This was our first release of 2024, a kind of New Year’s resolutions episode. And since it can sometimes help to be reminded of the intentions with which you began your year — especially in the midst of a high-intensity election season — we thought we’d share it again. Book recommendations:“The Challenger Launch Decision” by Diane Vaughan“The Undoing Project” by Michael Lewis“The God Equation” by Michio KakuThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Claire Gordon. Fact-checking by Michelle Harris, Mary Marge Locker and Kate Sinclair. Our senior engineer is Jeff Geld. Our senior editor is Claire Gordon. The show’s production team also includes Rollin Hu and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

30 Elo 202457min

Best Of: The Men — and Boys — Are Not Alright

Best Of: The Men — and Boys — Are Not Alright

We recently did an episode on the strange new gender politics that have emerged in the 2024 election. But we only briefly touched on the social and economic changes that underlie this new politics — the very real ways boys and men have been falling behind.In March 2023, though, we dedicated a whole episode to that subject. Our guest was Richard Reeves, the author of the 2022 book “Of Boys and Men: Why the Modern Male Is Struggling, Why It Matters, and What to Do About It,” who recently founded the American Institute for Boys and Men to develop solutions for the gender gap he describes in his research. He argues that you can’t understand inequality in America today without understanding the specific challenges facing men and boys. And I would add that there’s no way to fully understand the politics of this election without understanding that, either. So we’re rerunning this episode, because Reeves’s insights on this feel more relevant than ever.We discuss how the current education system places boys at a disadvantage, why boys raised in poverty are less likely than girls to escape it, why so many young men look to figures like Jordan Peterson and Andrew Tate for inspiration, what a better social script for masculinity might look like and more.Mentioned:"Gender Achievement Gaps in U.S. School Districts" by Sean F. Reardon, Erin M. Fahle, Demetra Kalogrides, Anne Podolsky and Rosalia C. Zarate"Redshirt the Boys" by Richard ReevesBook recommendations:"The Tenuous Attachments of Working-Class Men" by Kathryn Edin, Timothy Nelson, Andrew Cherlin and Robert FrancisCareer and Family by Claudia GoldinThe Life of Dad by Anna MachinThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Emefa Agawu, Annie Galvin, Jeff Geld, Rogé Karma and Kristin Lin. Fact-checking by Michelle Harris, Mary Marge Locker and Kate Sinclair. Mixing by Sonia Herrero. Original music by Isaac Jones. Audience strategy by Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Carol Sabouraud and Kristina Samulewski. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

27 Elo 20241h 58min

Kamala Harris Wants to Win

Kamala Harris Wants to Win

On Thursday night, Kamala Harris reintroduced herself to America. And by the standards of Democratic convention speeches, this one was pretty unusual. In this conversation I’m joined by my editor, Aaron Retica, to discuss what Harris’s speech reveals about the candidate, the campaign she’s going to run and how she believes she can win in November.Mentioned:The Truths We Hold by Kamala HarrisThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Claire Gordon. Fact-checking by Michelle Harris, with Jack McCordick. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota. Our senior editor is Claire Gordon. The show’s production team also includes Annie Galvin, Rollin Hu, Elias Isquith and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

23 Elo 202443min

Can the Democratic Party Reclaim Freedom?

Can the Democratic Party Reclaim Freedom?

Democrats spent the third night of their convention pitching themselves as the party of freedom. In this conversation, my producer Annie Galvin joined me on the show to take a deep look at that messaging. Why do Democrats see an opportunity in this election to seize an idea that Republicans have monopolized for decades? What’s the meaning of “freedom” that Democrats seem to be embracing? And how does this message square with other Democratic Party values, like belief in the ability of government to do good?Mentioned:How Democracies Die by Steven Levitsky and Daniel ZiblattThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced and hosted by Annie Galvin. Fact-checking by Michelle Harris, with Kate Sinclair and Mary Marge Locker. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota. Our senior editor is Claire Gordon. The show’s production team also includes Rollin Hu, Elias Isquith and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

22 Elo 202443min

The Obamas Strike Back

The Obamas Strike Back

Is Obamaism making a comeback? Tuesday night at the Democratic National Convention, Michelle and Barack Obama electrified the crowd with the most powerful speeches of the week so far, and seemed to anoint Kamala Harris as the inheritor of their political movement. For this audio diary, I’m joined by my producer Elias Isquith to dissect those two speeches. We discuss what Obamaism was in 2008 and 2012, and what it means to pass the baton to Harris in 2024.Mentioned:“Biden Made Trump Bigger. Harris Makes Him Smaller.” by Ezra Klein“That Feeling You Recognize? Obamacore.” by Nate JonesThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced and hosted by Elias Isquith. Fact-checking by Michelle Harris, with Mary Marge Locker and Kate Sinclair. Our senior engineer is Jeff Geld. Our senior editor is Claire Gordon. The show’s production team also includes Annie Galvin, Rollin Hu, Kristin Lin and Aman Sahota. Original music by Aman Sahota and Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

21 Elo 202439min

Democrats Don’t Think They Have This Election Won

Democrats Don’t Think They Have This Election Won

I’m reporting from the Democratic National Convention this week, so we’re going to try something a little different on the show — a daily audio report of what I’m seeing and hearing here in Chicago. For our first installment, I’m joined by my producer, Rollin Hu, to discuss what the convention’s opening night revealed about the Democratic Party after a tumultuous couple of months. We talk about how Joe Biden transformed the party over the past four years, the behind-the-scenes efforts to shape the party under Kamala Harris, the impact of the Gaza protests and why many Democrats — despite Harris’s recent momentum — feel cautious about their odds in November.Mentioned:“Trump Turned the Democratic Party Into a Pitiless Machine” by Ezra KleinRep. Alexandria Ocasio-Cortez’s Full Speech at Democratic National ConventionThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced and hosted by Rollin Hu. Fact-checking by Michelle Harris, with Kate Sinclair and Mary Marge Locker. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota. Our senior editor is Claire Gordon. The show’s production team also includes Annie Galvin, Elias Isquith and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

20 Elo 202432min

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