What Is Health?
Allostasis and the Evolution of Human Design
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Narrated by:
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George Gopen
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By:
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Peter Sterling
About this listen
Homo sapiens emerged as a species about 200,000 years ago and soon—with fire, simple tools, and an egalitarian social system—we inhabited every continent. But now our infinitely elaborated tools and our highly non-egalitarian social system threaten sustainability. Many at the bottom lose the desire to live, committing suicide or succumbing to drugs, alcohol, and obesity. As women gain education and contraception, they lose the desire to reproduce, and our species' total fertility plummets toward levels far below replacement.
What is Health? explains from the bottom up—molecules to society—how we reached this point. The individual organism was designed by natural selection to maximize performance for a given energy cost. Our brain predicts what will be needed and controls metabolism, physiology, and behavior to deliver just enough, just in time (allostasis). By preventing errors, rather than correcting them, energy is saved. Predictive regulation requires learning governed by an optimal rule that rewards each positive surprise with a pulse of dopamine (experienced as a pulse of satisfaction) that encourages the behavior.
But now obtaining food and comfort without surprise, we are deprived of the small rewards upon which rest the whole edifice of behavioral regulation and mood. Lacking frequent pulses, we grow restless and seek new sources via consumption: more food and more drugs that produce great surges of dopamine. But the next surprise must be more—to which our systems adapt by reducing their sensitivities—which drives us into spiraling addictions.
Standard medicine treats addictions by blocking reward circuits. But this strategy prevents satisfaction and deepens despair. Standard economics promotes “growth” for more “jobs”. But “jobs” devoid of challenge and social rewards drive despair. To restore health, we must re-expand opportunities for small satisfactions and thereby rescue the reward system from its pathological regime.
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
©2020 Peter Sterling (P)2023 Peter SterlingListeners also enjoyed...
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Dear Neil...
- By Tina G. on 10-14-19
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Napoleon's Hemorrhoids…And Other Small Events That Changed History
- By: Phil Mason
- Narrated by: LJ Ganser
- Length: 8 hrs and 13 mins
- Unabridged
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Hilarious, fascinating, and a roller coaster of dizzying, historical what-ifs, Napoleon's Hemorrhoids is a potpourri for serious historians and casual history buffs. In one of Phil Mason's many revelations, you'll learn that Communist jets were two minutes away from opening fire on American planes during the Cuban missile crisis, when they had to turn back as they were running out of fuel. You'll discover that before the Battle of Waterloo, Napoleon's painful hemorrhoids prevented him from mounting his horse to survey the battlefield.
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They just throw the facts too fast
- By Concerned_llama on 12-11-20
By: Phil Mason
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Plant Science: An Introduction to Botany
- By: Catherine Kleier, The Great Courses
- Narrated by: Catherine Kleier
- Length: 12 hrs and 13 mins
- Original Recording
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Dr. Catherine Kleier invites us to open our eyes to the phenomenal world of plant life and to the process she calls “Natura Revelata”, the joy of celebrating and learning from the secrets of nature. As Dr. Kleier shares her knowledge with contagious excitement for her subject, she emphasizes the middle ground: Instead of focusing on cell microbiology or the study of ecosystems and habitats, she stresses the basic biology, function, and the amazing adaptations of the plants we see all around us.
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Needs accompanying documentation and visual aides
- By Ryan on 04-04-19
By: Catherine Kleier, and others
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Cosmic Queries
- StarTalk’s Guide to Who We Are, How We Got Here, and Where We’re Going
- By: James Trefil, Lindsey N. Walker - editor, Neil deGrasse Tyson
- Narrated by: Neil deGrasse Tyson, Lauren Fortgang
- Length: 6 hrs and 18 mins
- Unabridged
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In this illuminating audiobook, Tyson and coauthor James Trefil, a renowned physicist and science popularizer, take on the big questions that humanity has been posing for millennia - How did life begin? What is our place in the universe? Are we alone? - and provide answers based on the most current data, observations, and theories.
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Not worth it
- By Daniel Earl on 03-15-21
By: James Trefil, and others
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The Theory of Everything: The Quest to Explain All Reality
- By: Don Lincoln, The Great Courses
- Narrated by: Don Lincoln
- Length: 12 hrs and 21 mins
- Original Recording
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At the end of his career, Albert Einstein was pursuing a dream far more ambitious than the theory of relativity. He was trying to find an equation that explained all physical reality - a theory of everything. Experimental physicist and award-winning educator Dr. Don Lincoln takes you on this exciting journey in The Theory of Everything: The Quest to Explain All Reality. Suitable for the intellectually curious at all levels and assuming no background beyond basic high-school math, these 24 half-hour lectures cover recent developments at the forefront of particle physics and cosmology.
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Audible’s Best Science Offering, A Gem
- By MikeB on 12-08-18
By: Don Lincoln, and others
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The Quantum Universe
- (And Why Anything That Can Happen, Does)
- By: Brian Cox, Jeff Forshaw
- Narrated by: Samuel West
- Length: 8 hrs and 28 mins
- Unabridged
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In The Quantum Universe, Brian Cox and Jeff Forshaw approach the world of quantum mechanics in the same way they did in Why Does E=mc2? and make fundamental scientific principles accessible - and fascinating - to everyone.The subatomic realm has a reputation for weirdness, spawning any number of profound misunderstandings, journeys into Eastern mysticism, and woolly pronouncements on the interconnectedness of all things. Cox and Forshaw's contention? There is no need for quantum mechanics to be viewed this way.
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Not suitable as an audio book
- By SPN on 03-29-22
By: Brian Cox, and others
What listeners say about What Is Health?
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Lucy A. Pithecus
- 10-08-23
Most thoughtful & thorough investigation of body
This is the best book on the human body I've read. It examines & explains each function of the human body from the evolution perspective, and this in-depth understanding is critical for readers' understanding of and the author's recommendations on what makes the body "healthy".
Allostasis means making changes to get to balance. Energy efficiency & allostasis are the two main themes throughout the functions and processes of living beings.
The book's language is practical and straightforward, and the ideas/contents are illustrative and inspiring.
This will be my non-fiction book for the year 2023.
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