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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Welcome to the Universe is a personal guided tour of the cosmos by three of today's leading astrophysicists. Inspired by the enormously popular introductory astronomy course that Neil deGrasse Tyson, Michael A. Strauss, and J. Richard Gott taught together at Princeton, this book covers it all - from planets, stars, and galaxies to black holes, wormholes, and time travel.
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All About What We Know About the Universe - ALL
- By J.B. on 02-17-17
By: Michael A. Strauss, and others
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Reentry
- SpaceX, Elon Musk, and the Reusable Rockets That Launched a Second Space Age
- By: Eric Berger
- Narrated by: Rob Shapiro
- Length: 12 hrs and 59 mins
- Unabridged
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From launchpad explosions to a pernicious cricket infestation to the demanding management style of Musk himself, the rise of SpaceX was beset with challenges and far from inevitable. Find out how the startup beat the odds and flew high enough to outpace their rivals... and where they're going next.
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Appreciated the engineering details
- By Will on 10-19-24
By: Eric Berger
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Inspired
- How to Create Tech Products Customers Love, Second Edition
- By: Marty Cagan
- Narrated by: Marty Cagan
- Length: 7 hrs and 45 mins
- Unabridged
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How do today's most successful tech companies - Amazon, Google, Facebook, Netflix, Tesla - design, develop, and deploy the products that have earned the love of literally billions of people around the world? Perhaps surprisingly, they do it very differently from the vast majority of tech companies. In Inspired, technology product management thought leader Marty Cagan provides listeners with a master class in how to structure and staff a vibrant and successful product organization and how to discover and deliver technology products that your customers will love.
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Great book, terrible audio wanted to ask a refund
- By Srikanth Ramanujam on 11-15-18
By: Marty Cagan
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The Butchering Art
- Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
- By: Lindsey Fitzharris
- Narrated by: Ralph Lister
- Length: 7 hrs and 54 mins
- Unabridged
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In The Butchering Art, the historian Lindsey Fitzharris reveals the shocking world of 19th-century surgery on the eve of profound transformation. She conjures up early operating theaters - no place for the squeamish - and surgeons, working before anesthesia, who were lauded for their speed and brute strength. They were baffled by the persistent infections that kept mortality rates stubbornly high. A young, melancholy Quaker surgeon named Joseph Lister would solve the deadly riddle and change the course of history.
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Not one boring moment!
- By WRWF on 12-22-17
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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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Ranger Confidential
- Living, Working, and Dying in the National Parks
- By: Andrea Lankford
- Narrated by: Julia Motyka
- Length: 9 hrs and 28 mins
- Unabridged
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The real stories behind the scenery of America’s national parks. For 12 years, Andrea Lankford lived in the biggest, most impressive national parks in the world, working a job she loved. She chaperoned baby sea turtles on their journey to sea. She pursued bad guys on her galloping patrol horse. She jumped into rescue helicopters bound for the heart of the Grand Canyon. She won arguments with bears. She slept with a few too many rattlesnakes. Hell yeah, it was the best job in the world! Fortunately, Andrea survived it.
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Depressing from Cover to Cover
- By Drew (@drewsant) on 04-13-15
By: Andrea Lankford
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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