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(472)

Ask Ezra Anything: Degrowth, Third Parties, Reading and More

Ask Ezra Anything: Degrowth, Third Parties, Reading and More

We asked for your questions, and you answered. Hundreds and hundreds of fantastic questions poured in, and our producer Annie Galvin joined me to ask some of the best of them. Does the infrastructure bill mean there’s more hope for bipartisanship than we thought? What’s my view on the degrowth movement? What do I think my book, “Why We’re Polarized,” got right, and what did it get wrong? Will plant- and cell-based meats ever be cheaper than eating animals, given the subsidies the meat industry gets? Why hasn’t any blue state created a single-payer health care system? Can you really build more housing without creating a biodiversity crisis?We also get into reading habits, comic books, meditation, children’s books, why I spend a lot of time thinking about death and much more. So here it is: the “Ask Me Anything” episode.Mentioned:"What Does Degrowth mean? A Few Points of Clarification" by Jason Hickel"The Ugly Secrets Behind the Costco Chicken" by Nicholas Kristof"The Number of Parties" by Maurice DuvergerBreaking the Two-Party Doom Loop: The Case for Multiparty Democracy in America  by Lee Drutman"Forget Obamacare: Vermont Wants to Bring Single-Payer to America" by Sarah Kliff"What the Rich Don't Want to Admit About the Poor" by Ezra KleinBuddhism Without Beliefs by Stephen BatchelorSeeing That Frees by Rob BurbeaThe Sandman: Overture by Neil GaimanSupergods by Grant MorrisonBook Recommendations:Here We Are by Oliver JeffersCars and Trucks and Things That Go by Richard ScarryHappy Birthday to You! by Dr. SeussYou 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.Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld, audience strategy by Shannon Busta. Special thanks to Kristin Lin. 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.

31 Elo 20211h 11min

The Foreign Policy Conversation Washington Doesn’t Want to Have

The Foreign Policy Conversation Washington Doesn’t Want to Have

Everything about the Afghanistan withdrawal is tragic. But that tragedy is the result not of the withdrawal, but the occupation, and America’s profound misjudgment of its own power and limits.This is the foreign policy conversation much of Washington is trying desperately to avoid. The answer for the horrors of war is always more war. The bomb attack at the Kabul airport on Thursday reflects this dynamic perfectly: It’s being wielded as a cudgel by those who support a permanent American occupation of Afghanistan, guaranteeing more U.S., and Afghan, casualties in a bloody, open-ended struggle with the Taliban. We are ever alert to the costs of our inaction, or absence, but not to the harms of our presence or policies.Robert Wright is a journalist and author of, among other things, the excellent newsletter Nonzero, where he examines the assumptions that drive America’s foreign policy. We discuss the deeper history of American involvement in Afghanistan, the limits of America’s knowledge of other nations, why the foreign policy establishment retains its authority and influence, the hollowness of humanitarian justifications for remaining in Afghanistan, the dangers of too much bipartisanship, how the withdrawal could have gone both better or much worse, the emerging consensus around a possible cold war with China and much more.Book recommendations: The Best and the Brightest by David HalberstamThe Hell of Good Intentions by Stephen WaltFrankenstein by Mary Shelley If you enjoyed this episode, check out Ezra’s recent column: “Let’s Not Pretend That the Way We Withdrew From Afghanistan Was the Problem” 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.Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld, audience strategy by Shannon Busta. Special thanks to Kristin Lin. 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 202159min

This Conversation Will Change How You Think About Trauma

This Conversation Will Change How You Think About Trauma

“Trauma is much more than a story about something that happened long ago,” writes Dr. Bessel van der Kolk. “The emotions and physical sensations that were imprinted during the trauma are experienced not as memories but as disruptive physical reactions in the present.”Van der Kolk, a psychiatrist by training, has been a pioneer in trauma research for decades now and leads the Trauma Research Foundation. His 2014 book “The Body Keeps the Score,” quickly became a touchstone on the topic. And although the book was first released seven years ago, it now sits at No. 1 on the New York Times best-seller list, a testament to the state of our national psyche.The core argument of the book is that traumatic experiences — everything from sexual assault and incest to emotional and physical abuse — become embedded in the older, more primal parts of our brain that don’t have access to conscious awareness. And that means two things simultaneously. First, that trauma lodges in the body. We carry a physical imprint of our psychic wounds. The body keeps the score. But — and I found this more revelatory — the mind hides the score. It obscures the memories, or convinces us our victimization was our fault, or covers the event in shame so we don’t discuss it.There’s a lot in this conversation. We discuss the lived experience of trauma, the relationship between the mind and the body, the differences between our “experiencing” and “autobiographical” selves, why van der Kolk believes human language is both a “miracle” and a “tyranny,” unconventional treatments for trauma from E.M.D.R. and yoga to psychedelics and theater, how societies can manage collective trauma like 9/11 and Covid-19, the shortcomings of America’s “post-alcoholic” approach to dealing with psychic suffering, how to navigate the often complex relationships with the traumatized people we know and love, and much more.Mentioned: “The Adverse Childhood Experiences (ACE) Study” by Vince Felitti et al.Study on efficacy of EMDR“REBUS and the Anarchic Brain: Toward a Unified Model of the Brain Action of Psychedelics” by Robin Carhart-Harris et al. Book Recommendations:The Apology by V Love in Goon Park by Deborah BlumThe Narrow Road to the Deep North by Richard Flanagan 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.Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld, audience strategy by Shannon Busta. Special thanks to Kristin Lin. 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.

24 Elo 20211h 17min

The Argument: Should We Say "Hi" to Aliens?

The Argument: Should We Say "Hi" to Aliens?

We're taking this week off from publishing new episodes, so today we're bringing you an episode from "The Argument" about one of my favorite topics: aliens. We'll be back with new episodes of "The Ezra Klein Show" on Tuesday.With the U.S. government puzzling over U.F.O.s, and potentially habitable exoplanets in our telescopes, earthlings are closer than ever to finding other intelligent life in the universe. So the existential question is: Should we try to communicate with whatever we think might be out there?That’s the argument this week between Douglas Vakoch and Michio Kaku. Vakoch, the president of the research and educational nonprofit METI (Messaging Extraterrestrial Intelligence) International, has dedicated his life’s work to intentionally broadcasting messages beyond our solar system.Kaku, a professor of theoretical physics at the City College of New York and a co-founder of string field theory, thinks reaching out to unknown aliens is a catastrophically bad idea and “would be the biggest mistake in human history.”Together, they join Jane  to debate the question of making first contact and our place in the cosmos.Mentioned in this episode:Adam Mann, The New Yorker: “Intelligent Ways to Search for Extraterrestrials”Gideon Lewis-Kraus, The New Yorker: “How the Pentagon Started Taking U.F.O.s Seriously”Arik Kershenbaum, The Wall Street Journal, “Alien Languages May Not Be Entirely Alien to Us”“Star Trek: The Next Generation,” Season 4, Episode 15: “First Contact” (Netflix)The Ezra Klein Show: “Obama Explains How America Went From ‘Yes We Can’ to ‘MAGA’”You can find more episodes of "The Ezra Klein Show" at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein.Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld, audience strategy by Shannon Busta. Special thanks to Kristin Lin. 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 202136min

Best of: George Saunders on Kindness in a Cruel World

Best of: George Saunders on Kindness in a Cruel World

We’re taking a week off from releasing new episodes, so today I wanted to re-up one of my favorite episodes of the show, a conversation with fiction writer George Saunders that covers much more than just his writing.Saunders is one of America’s greatest living writers. He’s the author of dozens of critically acclaimed short stories, including his 2013 collection, “Tenth of December”; his debut novel, “Lincoln in the Bardo,” won the 2017 Booker Prize; and his nonfiction work has empathy and insight that leave pieces from more than a decade ago ringing in my head today. His most recent book, “A Swim in A Pond in the Rain,” is a literary master class built around seven Russian short stories, analyzing how they work, and what they reveal about how we work.I’ve wanted to interview Saunders for more than 15 years. I first saw him talk when I was in college, and there was a quality of compassion and consideration in every response that was, well, strange. His voice doesn’t sound like his fiction. His fiction is bitingly satirical, manic, often unsettling. His voice is calm, kind, gracious. The dissonance stuck with me.Saunders’s central topic, literalized in his famous 2013 commencement speech, is about what it means to be kind in an unkind world. And that’s the organizing question of this conversation, too. We discuss the collisions between capitalism and human relations, the relationship between writing and meditation, Saunders’s personal editing process, the tension between empathizing with others and holding them to account, the promise of re-localizing our politics, the way our minds deceive us, Tolstoy’s unusual theory of personal transformation and much more.What a pleasure this conversation was. So worth the wait.Recommendations: "Red Cavalry" by Isaac Babel"Stamped from the Beginning" by Ibram X. Kendi"Dispatches" by Michael Herr"Patriotic Gore" by Edmund Wilson"In Love with the World" by Yongey Mingyur Rinpoche"Loving; Living; Party Going" by Henry Green"Scrambled Eggs & Whiskey" by Hayden Carruth"Tropic of Squalor" by Mary Carr"They Lift Their Wings to Cry" by Brooks Haxton"The Hundred Dresses" by Eleanor Estes and Louis Slobodkin"Caps for Sale" by Esphyr SlobodkinaYou can find a transcript of this episode here and more episodes of "The Ezra Klein Show" at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein.Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.“The Ezra Klein Show” is produced by Rogé Karma, Jeff Geld and Annie Galvin; fact-checking by Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld. 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.

17 Elo 20211h 15min

How Identity Politics Took Over the Republican Party

How Identity Politics Took Over the Republican Party

One problem with the conversation around political polarization is that it can imply that polarization is a static, singular thing. That our divisions are fixed and unchanging. But that’s not how it is at all. The dimensions of conflict change, and they change quickly. In the Obama era, Republicans mobilized against government spending and deficits but didn’t think much about election administration. Now, a trillion-dollar infrastructure package has passed the Senate with bipartisan support, but the divisions over democracy and voting access are deep.Lilliana Mason is one of the political scientists I’ve learned the most from in recent years. Her 2018 book, “Uncivil Agreement: How Politics Became Our Identity,” is, in my view, one of the most important political books of the last decade. But it’s been a tumultuous three and a half years since it was published. And Mason has continued to pump out important new work on political identity, how support for Donald Trump differs from that of other Republicans, when Democrats and Republicans believe political violence is justifiable and even necessary, and much more. And so I wanted to have Mason on the show to discuss how her thinking has changed in recent years and, in particular, which identities and interests she thinks are at the center of our political collisions today.Mentioned:Uncivil Agreement by Lilliana Mason"Who's At the Party? Group Sentiments, Knowledge and Partisan Identity" by John Victor Kane, Lilliana Mason and Julie Wronski"Activating Animus: The Uniquely Social Roots of Trump Support" by Lilliana Mason, Julie Wronski and John Victor Kane"Fear and Loathing Across Party Lines: New Evidence on Group Polarization" by Shanto Iyengar and Sean J. WestwoodThe Sum of Us by Heather McGheeBook Recommendations:Reconstruction by Eric FonerBlack Reconstruction in America 1860-1880 by W. E. B. Du BoisChildren of Blood and Bone by Tomi AdeyemiThe City We Became by N. K. JemisinYou 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.Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Julie Beer and Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld, audience strategy by Shannon Busta. Special thanks to Kristin Lin. 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.

13 Elo 20211h 16min

We’re Living in the World the War on Terror Built

We’re Living in the World the War on Terror Built

The Sept, 11 attacks might have taken place almost 20 years ago, but we’re still living in the America that the war on terror built. Its legacy is not just mass surveillance and drone strikes but birtherism, nativism and Donald Trump. And much of it has been — and continues to be — a bipartisan effort.That’s the argument of Spencer Ackerman’s new book, “Reign of Terror.” Ackerman is the author of the newsletter Forever Wars, a contributing editor at The Daily Beast, and a member of the Pulitzer Prize-winning team at The Guardian that reported on Edward Snowden’s surveillance revelations. In “Reign of Terror,” Ackerman takes all he’s reported on and wraps it into one sweeping argument: We are still in the 9/11 era, and that’s all the more true because we’ve come to take so much of it for granted.We discuss the connection between Sept. 11 and birtherism, the scope of mass surveillance, the ethics of drone strikes, how Trump understood the war on terror’s moral core better than its architects did, the messy choices of national security, the ways America’s belief in its own innocence makes it less safe, Barack Obama’s complicated relationship with the fight against terrorism, the emergence of a genuinely left-wing foreign policy movement, the coalescing bipartisan consensus around a cold war with China, and much more.Book recommendations: American War by Omar El AkkadThe Jakarta Method by Vincent BevinsOverheated by Kate AronoffThe New Gods by Jack Kirby Lazarus by Greg Rucka and Michael LarkRise of the Black Panther by Evan Narcisse and Ta-Nehisi CoatesYou 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.Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld, audience strategy by Shannon Busta. Special thanks to Kristin Lin. 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.

10 Elo 202158min

The Good and Bad News About the Delta Variant

The Good and Bad News About the Delta Variant

“The war has changed.” That’s what the leaked C.D.C. document says about the way the Delta variant has upended our coronavirus policies. Delta is astonishingly contagious. It can generate 1,000 times the viral load of the original coronavirus strain, and it spreads with the ease of chickenpox. The vaccinated can no longer assume immunity. The unvaccinated are at more risk than ever. Masks are back. New York City is essentially imposing a vaccine mandate.I have so many questions about the war we’re now in. What do we actually know about Delta? If you’re vaccinated, is it more or less likely to kill you than the flu? Is it more serious for children? Are we re-masking to protect the unvaccinated, or is this also for the vaccinated? What are the risks of long Covid for the vaccinated? I could go on.Luckily, Dr. Céline Gounder has answers. Gounder is an epidemiologist at N.Y.U. medical school, a CNN medical analyst and host of the Covid podcast “Epidemic.” I’m not sure if this conversation will make you feel better about the war we’re now in. But it will, if nothing else, make it much, much clearer. Mentioned:"Improving Communications Around Vaccine Breakthrough and Vaccine Effectiveness" by Centers for Disease Control and PreventionBook recommendations:Wired for Culture by Mark PagelRule Makers, Rule Breakers by Michele GelfandStuck by Heidi J. LarsonYou 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.Thoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.“The Ezra Klein Show” is produced by Annie Galvin, Jeff Geld and Rogé Karma; fact-checking by Michelle Harris; original music by Isaac Jones; mixing by Jeff Geld, audience strategy by Shannon Busta. Special thanks to Kristin Lin. 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 Elo 202158min

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