ABOUT THE SPEAKER
Judson Brewer - Mindful addiction doctor
Psychiatrist and addiction expert Judson Brewer researches mindfulness techniques that effectively help quell cravings of all kinds.

Why you should listen

Psychiatrist Judson Brewer is a thought leader in the "science of self mastery," having combined nearly 20 years of experience with mindfulness and scientific research therein. An expert in mindfulness training for addictions, Judson has developed novel treatments to help individuals with substance abuse and eating disorders. He has also studied the neural mechanisms of mindfulness using standard and real­time fMRI, and is translating these findings into clinical use.

In 2012, Judson founded Claritas MindSciences to combine mindfulness and neurofeedback techniques for a variety of conditions; the latest apps are Craving to Quit and Eat Right Now. Judson is currently an Associate Professor of Psychiatry and Medicine at University of Massachusetts School of Medicine, where he is Director of Research at the Center for Mindfulness.

In 2017, Brewer published a book, The Craving Mind: From Cigarettes to Smartphones to Love – Why We Get Hooked and How We Can Break Bad Habits, that unpacks the topic of his TED Talk.

More profile about the speaker
Judson Brewer | Speaker | TED.com
TEDMED 2015

Judson Brewer: A simple way to break a bad habit

Judson Brewer: Un xeito simple de vencer un mal hábito

Filmed:
14,689,053 views

Podemos vencer malos hábitos tendo máis curiosidade arredor deles? O psiquiatra Judson Brewer estuda a relación entre consciencia e adicción --desde fumar a comer de máis ou a calquera das outras cousas que facemos aínda sabendo que son malas para nós. Aprende máis sobre a mecánica de desenvolvemento de hábitos, e descubre unha táctica simple pero profunda que pode axudarche a vencer a próxima vez que teñas a necesidade urxente de fumar, picar entre horas ou revisar un texto mentres conduces.
- Mindful addiction doctor
Psychiatrist and addiction expert Judson Brewer researches mindfulness techniques that effectively help quell cravings of all kinds. Full bio

Double-click the English transcript below to play the video.

00:12
When I was first learning to meditate,
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Cando estaba empezando
a aprender a meditar,
00:14
the instruction was to simply
pay attention to my breath,
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a instrución era simplemente
atenderlle á miña respiración,
00:17
and when my mind wandered,
to bring it back.
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e cando a mente se dispersara,
traela de volta.
00:20
Sounded simple enough.
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Soaba ben doado.
00:22
Yet I'd sit on these silent retreats,
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Aínda así, senteime
neses silenciosos retiros,
00:25
sweating through T-shirts
in the middle of winter.
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suando camisetas no medio do inverno.
00:29
I'd take naps every chance I got
because it was really hard work.
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Botaba toqueadas cada vez que podía
porque era un traballo duro.
00:32
Actually, it was exhausting.
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De feito, foi esgotador.
00:35
The instruction was simple enough
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A instrución era abondo simple
00:37
but I was missing something
really important.
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pero faltábame algo moi importante.
00:40
So why is it so hard to pay attention?
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Por que é tan difícil poñer atención?
00:43
Well, studies show
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Ben, os estudos din
00:44
that even when we're really
trying to pay attention to something --
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que aínda cando realmente intentamos
poñer atención en algo
00:47
like maybe this talk --
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--como por exemplo esta charla--
00:49
at some point,
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nalgún momento,
arredor da metade de nós
acabaremos soñando despertos,
00:50
about half of us
will drift off into a daydream,
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00:52
or have this urge
to check our Twitter feed.
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ou teremos a necesidade
de mirar o noso Twitter.
00:56
So what's going on here?
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Que está pasando?
00:59
It turns out that we're fighting one
of the most evolutionarily-conserved
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Resulta que estamos a loitar
contra un dos procesos de aprendizaxe
01:02
learning processes
currently known in science,
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mellor conservados evolutivamente
dos que coñece a ciencia,
01:05
one that's conserved
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un que se conserva
01:06
back to the most basic
nervous systems known to man.
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no sistema nervioso máis básico
coñecido polo home.
Este proceso de aprendizaxe
baseado na recompensa
01:09
This reward-based learning process
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01:11
is called positive
and negative reinforcement,
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chámase reforzo positivo e negativo,
01:13
and basically goes like this.
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e basicamente funciona así.
01:16
We see some food that looks good,
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Vemos comida que ten boa pinta,
01:17
our brain says, "Calories! ... Survival!"
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o noso cerebro di: "Calorías! Sobrevivir!"
01:20
We eat the food, we taste it --
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Comemos a comida, gústanos,
01:22
it tastes good.
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sabe ben.
01:23
And especially with sugar,
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E especialmente co azucre,
01:24
our bodies send a signal
to our brain that says,
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os nosos corpos dinlle ao noso cerebro:
01:27
"Remember what you're eating
and where you found it."
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"Acórdate do que estás a comer
e onde o atopaches".
01:31
We lay down this context-dependent memory
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Establecemos este recordo
dependente do contexto
01:34
and learn to repeat the process next time.
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e aprendemos a repetir
o proceso á vez seguinte.
01:36
See food,
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Ver comida,
01:37
eat food, feel good,
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comer alimentos, sentirse ben,
01:39
repeat.
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repetir.
01:40
Trigger, behavior, reward.
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Detonante, comportamento, recompensa.
01:43
Simple, right?
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Fácil, non si?
Despois dun tempo
os nosos cerebros creativos din
01:45
Well, after a while,
our creative brains say,
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01:48
"You know what?
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"Sabes que?
01:49
You can use this for more
than just remembering where food is.
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Podes usar isto para algo máis
ca para recordar onde está a comida.
01:52
You know, next time you feel bad,
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Así que, a próxima vez que te sintas mal,
01:55
why don't you try eating
something good so you'll feel better?"
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por que non comes algo rico
para sentirte mellor?"
Dámoslle grazas
aos nosos cerebros pola boa idea,
01:59
We thank our brains for the great idea,
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02:01
try this and quickly learn
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probámolo e axiña aprendemos
02:03
that if we eat chocolate or ice cream
when we're mad or sad,
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que se comemos chocolate ou xeado
cando estamos enfadados ou tristes,
02:06
we feel better.
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sentímonos mellor.
02:08
Same process,
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O mesmo proceso,
02:10
just a different trigger.
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só cun detonante diferente.
02:11
Instead of this hunger signal
coming from our stomach,
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No canto do sinal de fame
que chega do noso estómago,
02:14
this emotional signal -- feeling sad --
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este sinal emocional, sentirse triste,
02:16
triggers that urge to eat.
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desencadea esa ansia de comer.
Se cadra, cando fomos adolescentes,
02:19
Maybe in our teenage years,
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02:21
we were a nerd at school,
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eramos uns chapóns no instituto,
02:23
and we see those rebel kids
outside smoking and we think,
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e víamos aos rebeldes fumando fóra
e pensamos,
02:26
"Hey, I want to be cool."
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"Eu quero molar."
02:27
So we start smoking.
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Así que empezamos a fumar.
02:29
The Marlboro Man wasn't a dork,
and that was no accident.
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O home de Marlboro non era unha parvada,
nin unha casualidade.
02:33
See cool,
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Gustar,
02:34
smoke to be cool,
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fumar para gustar,
02:36
feel good. Repeat.
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sentirse ben. Repetir.
02:37
Trigger, behavior, reward.
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Detonante, comportamento, recompensa.
02:40
And each time we do this,
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E cada vez que o facemos,
02:41
we learn to repeat the process
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aprendemos a repetir o proceso,
02:43
and it becomes a habit.
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e convértese nun hábito.
02:45
So later,
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Despois,
02:47
feeling stressed out triggers
that urge to smoke a cigarette
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o estar estresados desencadea
a necesidade de fumar
02:50
or to eat something sweet.
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ou comer algo doce.
02:53
Now, with these same brain processes,
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Con estes mesmos procesos cerebrais,
02:56
we've gone from learning to survive
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pasamos de aprender a sobrevivir
02:58
to literally killing ourselves
with these habits.
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a literalmente matarnos a nós mesmos
con estes hábitos.
A obesidade e o tabaquismo están
03:00
Obesity and smoking
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03:02
are among the leading preventable causes
of morbidity and mortality in the world.
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entre as principais causas evitables
de morbilidade e mortalidade no mundo.
03:07
So back to my breath.
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Volvamos logo á miña respiración.
03:09
What if instead of fighting our brains,
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E se no canto de loitar co noso cerebro,
03:12
or trying to force ourselves
to pay attention,
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ou tratar de obligalo a poñer atención,
03:14
we instead tapped into this natural,
reward-based learning process ...
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usaramos este proceso de aprendizaxe
natural baseado na recompensa
03:18
but added a twist?
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pero engadíndolle un xiro?
E se mirásemos con moita curiosidade
03:20
What if instead we just got really curious
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03:22
about what was happening
in our momentary experience?
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o que estaba pasando
na experiencia dese momento?
03:25
I'll give you an example.
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Vou poñer un exemplo.
No meu laboratorio estudouse
03:26
In my lab,
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03:27
we studied whether mindfulness training
could help people quit smoking.
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se adestrar a consciencia plena
podería axudar a deixar de fumar.
03:31
Now, just like trying to force myself
to pay attention to my breath,
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Igual ca cando intento forzarme
a atenderlle á miña respiración,
03:34
they could try to force
themselves to quit smoking.
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poderían tratar de obrigarme
a deixar de fumar.
03:38
And the majority of them
had tried this before and failed --
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A maioría dos participantes
xa o intentou antes e fracasou,
03:41
on average, six times.
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seis veces, como media.
03:43
Now, with mindfulness training,
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Adestrando a consciencia plena,
03:45
we dropped the bit about forcing
and instead focused on being curious.
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deixamos de forzar
e pasamos a centrarnos en ser curiosos.
03:49
In fact, we even told them to smoke.
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De feito, ata lles dixemos que fumaran.
03:52
What? Yeah, we said, "Go ahead and smoke,
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Que? Si, dixémoslles, "Veña, fumade,
03:54
just be really curious
about what it's like when you do."
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simplemente sede realmente curiosos
sobre o que sentides ao facelo".
03:58
And what did they notice?
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E de que se decatan?
04:00
Well here's an example
from one of our smokers.
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Velaquí un exemplo
dunha das nosas fumadoras.
04:02
She said, "Mindful smoking:
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Dixo: "Fumar con consciencia plena:
04:04
smells like stinky cheese
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cheira a queixo apestoso
04:06
and tastes like chemicals,
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e sabe a productos químicos,
04:07
YUCK!"
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Que noxo!"
04:09
Now, she knew, cognitively
that smoking was bad for her,
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Sabía cognitivamente que
fumar era malo para ela,
04:13
that's why she joined our program.
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por eso se uniu ao noso programa.
04:15
What she discovered just by being
curiously aware when she smoked
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O que descubriu só por estar
curiosamente consciente ao fumar
04:20
was that smoking tastes like shit.
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era que fumar sabe a merda.
04:23
(Laughter)
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(Risas)
04:26
Now, she moved from knowledge to wisdom.
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Pasou do coñecemento á sabiduría.
04:30
She moved from knowing in her head
that smoking was bad for her
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Pasou de saber na súa cabeza
que fumar era malo para ela
04:33
to knowing it in her bones,
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a sabelo profundamente
04:36
and the spell of smoking was broken.
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e rompeuse o feitizo do tabaquismo.
04:38
She started to become
disenchanted with her behavior.
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Comezou a desencantarse
co seu comportamento.
04:42
Now, the prefrontal cortex,
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O córtex prefrontal,
04:45
that youngest part of our brain
from an evolutionary perspective,
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a parte máis nova do noso cerebro
desde unha perspectiva evolutiva,
04:48
it understands on an intellectual level
that we shouldn't smoke.
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entende a nivel intelectual
que non debemos fumar.
04:52
And it tries it's hardest
to help us change our behavior,
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E trata de axudarnos arduamente
a cambiar o noso comportamento,
04:56
to help us stop smoking,
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para axudarnos a deixar o tabaco,
04:57
to help us stop eating that second,
that third, that fourth cookie.
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a deixar de comer esa segunda,
terceira, cuarta galleta.
A isto chamámoslle control cognitivo.
05:02
We call this cognitive control.
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05:04
We're using cognition
to control our behavior.
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Usamos a cognición para controlar
o noso comportamento.
05:07
Unfortunately,
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Por desgraza, esta é tamén
05:09
this is also the first part of our brain
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a primeira parte do noso cerebro
05:11
that goes offline
when we get stressed out,
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que se apaga cando nos estresamos,
05:13
which isn't that helpful.
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algo que non é tan útil.
05:14
Now, we can all relate to this
in our own experience.
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Todos podemos relacionar isto
con experiencias propias.
05:16
We're much more likely to do things
like yell at our spouse or kids
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Somos moito máis propensos
a berrarlle ao noso home ou fillos
05:20
when we're stressed out or tired,
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se estamos estresados ou cansos,
05:21
even though we know
it's not going to be helpful.
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a pesar de saber que non vai ser útil.
05:24
We just can't help ourselves.
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Simplemente non podemos evitalo.
05:27
When the prefrontal cortex goes offline,
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Cando a corteza prefontal se desconecta,
05:29
we fall back into our old habits,
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volvemos a caer nos nosos vellos hábitos,
05:31
which is why this disenchantment
is so important.
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por iso este desencanto é tan importante.
Ver o que obtemos dos nosos hábitos
05:34
Seeing what we get from our habits
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axúdanos a comprendelo
a un nivel máis profundo
05:36
helps us understand them
at a deeper level --
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05:38
to know it in our bones
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sabelo nos nosos ósos
05:39
so we don't have to force
ourselves to hold back
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así que non temos que obrigarnos a detelos
05:41
or restrain ourselves from behavior.
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ou restrinxir o noso comportamento.
05:43
We're just less interested
in doing it in the first place.
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Simplemente, estamos
menos interesados en facelo.
05:46
And this is what mindfulness is all about:
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E diso trata a consciencia plena
05:49
Seeing really clearly what we get
when we get caught up in our behaviors,
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de ver claramente os resultados
de seguir os nosos hábitos,
05:53
becoming disenchanted on a visceral level
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quedar desencantados a un nivel visceral
05:57
and from this disenchanted stance,
naturally letting go.
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e desde esta postura desencantada,
abandonalos naturalmente.
06:00
This isn't to say that, poof,
magically we quit smoking.
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Isto non quere decir
que por arte de maxia deixen de fumar.
pero co tempo, ao aprendermos
a ver máis e máis claramente
06:04
But over time, as we learn
to see more and more clearly
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06:07
the results of our actions,
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os resultados das nosas accións,
06:08
we let go of old habits and form new ones.
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abandonamos os vellos hábitos
e adquirimos outros novos.
O paradoxo aquí
06:12
The paradox here
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é que a consciencia plena trátase só
de estar realmente interesado
06:13
is that mindfulness is just
about being really interested
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06:16
in getting close and personal
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en saber de cerca e personalmente
06:17
with what's actually happening
in our bodies and minds
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que está sucendendo realmente
no noso corpo e mente
06:20
from moment to moment.
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en todo momento.
06:22
This willingness
to turn toward our experience
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Esta vontade de voltarnos
cara á nosa experiencia
06:24
rather than trying to make unpleasant
cravings go away as quickly as possible.
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no canto de facer desaparecer
os desexos o máis axiña posible.
06:28
And this willingness
to turn toward our experience
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E esta vontade de voltarnos
cara á nosa experiencia
06:31
is supported by curiosity,
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co apoio da curiosidade,
06:33
which is naturally rewarding.
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é, naturalmente, gratificante.
06:35
What does curiosity feel like?
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Como é a curiosidade?
06:36
It feels good.
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É unha boa sensación.
06:39
And what happens when we get curious?
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E que pasa cando somos curiosos?
06:41
We start to notice that cravings
are simply made up of body sensations --
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Comezamos a notar que os desexos
son simplemente sensacións corporais
06:44
oh, there's tightness, there's tension,
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--hai opresión, hai tensión,
06:47
there's restlessness --
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hai inquietude--
06:48
and that these body
sensations come and go.
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e estas sensacións corporais van e veñen.
06:51
These are bite-size pieces of experiences
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Son pequenos anacos de experiencias
06:54
that we can manage from moment to moment
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que podemos xestionar
de momento a momento
06:56
rather than getting clobbered
by this huge, scary craving
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en vez de sermos esmagados
por ese enorme e arrepiante desexo
07:01
that we choke on.
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que nos afoga.
07:02
In other words, when we get curious,
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Noutras palabras, cando somos curiosos,
07:05
we step out of our old,
fear-based, reactive habit patterns,
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saímos dos nosos vellos patróns
de hábitos reactivos baseados no medo,
07:09
and we step into being.
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e damos un paso cara ao ser.
07:12
We become this inner scientist
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Convertémonos nun científico interior
07:14
where we're eagerly awaiting
that next data point.
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e esperamos con impaciencia
o seguinte punto de datos.
07:18
Now, this might sound
too simplistic to affect behavior.
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Isto pode soar demasiado simplista
como para afectar o comportamento.
Pero nun estudo observouse que
adestrar a consciencia plena
07:22
But in one study,
we found that mindfulness training
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era o dobre mellor que
o adestramento estándar
07:25
was twice as good as gold standard therapy
at helping people quit smoking.
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para axudar ás persoas
a deixar de fumar.
07:29
So it actually works.
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Así que en realidade funciona.
07:31
And when we studied
the brains of experienced meditators,
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E ao estudar os cerebros
dos meditadores experimentados,
07:34
we found that parts of a neural network
of self-referential processing
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vemos que partes dunha rede neuronal
de procesamento autorreferencial
chamada "rede neuronal por defecto"
07:38
called the default mode network
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07:40
were at play.
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estaba activa.
07:41
Now, one current hypothesis
is that a region of this network,
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Agora, unha hipótese actual
é que unha rexión desta rede,
07:44
called the posterior cingulate cortex,
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chamada xiro cingular posterior,
07:46
is activated not necessarily
by craving itself
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non se activa polo propio desexo
07:49
but when we get caught up in it,
when we get sucked in,
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pero cando nos atrapa, non podemos saír
07:51
and it takes us for a ride.
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e perdemos o control.
07:53
In contrast, when we let go --
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Pola contra, cando deixamos que pase,
07:55
step out of the process
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saímos do proceso
07:57
just by being curiously aware
of what's happening --
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manténdonos curiosamente conscientes
do que ocorre,
07:59
this same brain region quiets down.
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esta mesma rexión do cerebro cálmase.
08:03
Now we're testing app and online-based
mindfulness training programs
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Estamos probando aplicacións baseadas
en adestrar a consciencia plena en liña
08:07
that target these core mechanisms
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que se centra nestes mecanismos básicos
08:10
and, ironically, use the same technology
that's driving us to distraction
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e, ironicamente, usa a mesma
tecnoloxía que nos distrae
para saír dos nosos padróns
de comportamento pouco saudables,
08:15
to help us step out
of our unhealthy habit patterns
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08:17
of smoking, of stress eating
and other addictive behaviors.
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como fumar, comer por estrés
e outras condutas adictivas.
08:21
Now, remember that bit
about context-dependent memory?
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Recordades o do recordo
dependente do contexto?
08:24
We can deliver these tools
to peoples' fingertips
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Podemos levar estas ferramentas
ás mans da xente
08:27
in the contexts that matter most.
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nos contextos que máis importan.
Podemos axudalos a aproveitar
08:29
So we can help them
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a súa capacidade inherente de ser curiosos
08:30
tap into their inherent capacity
to be curiously aware
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08:33
right when that urge to smoke
or stress eat or whatever arises.
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xusto cando ansían fumar
ou comer ou o que sexa.
Así que se non fumas ou comes por estrés,
08:38
So if you don't smoke or stress eat,
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08:40
maybe the next time you feel this urge
to check your email when you're bored,
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se cadra a próxima vez que esteas aburrido
e queiras ver o correo
08:44
or you're trying to distract
yourself from work,
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ou intentes distraerte do traballo,
08:46
or maybe to compulsively respond
to that text message when you're driving,
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ou responder compulsivamente
esa mensaxe de texto mentres conduces,
08:51
see if you can tap into
this natural capacity,
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podes intentar aproveitar
esa capacidade natural,
08:54
just be curiously aware
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ser consciente curiosamente
08:56
of what's happening in your body
and mind in that moment.
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do que lle está pasando
ao teu corpo e mente nese momento.
08:59
It will just be another chance
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Pode ser outra oportunidade
09:00
to perpetuate one of our endless
and exhaustive habit loops ...
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para perpetuar un dos nosos hábitos
eternos e esgotadores...
09:04
or step out of it.
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ou para saír deles.
En vez de ler a mensaxe de texto,
responder compulsivamente
09:06
Instead of see text message,
compulsively text back,
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09:09
feel a little bit better --
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e sentirte un pouco mellor,
09:10
notice the urge,
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percibe a urxencia,
09:12
get curious,
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se curioso,
09:13
feel the joy of letting go
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sente a ledicia de deixar que pase
09:15
and repeat.
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e repite.
09:17
Thank you.
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Grazas.
09:18
(Applause)
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(Aplausos)
Translated by Maria Serrano Lopez
Reviewed by Xusto Rodriguez

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ABOUT THE SPEAKER
Judson Brewer - Mindful addiction doctor
Psychiatrist and addiction expert Judson Brewer researches mindfulness techniques that effectively help quell cravings of all kinds.

Why you should listen

Psychiatrist Judson Brewer is a thought leader in the "science of self mastery," having combined nearly 20 years of experience with mindfulness and scientific research therein. An expert in mindfulness training for addictions, Judson has developed novel treatments to help individuals with substance abuse and eating disorders. He has also studied the neural mechanisms of mindfulness using standard and real­time fMRI, and is translating these findings into clinical use.

In 2012, Judson founded Claritas MindSciences to combine mindfulness and neurofeedback techniques for a variety of conditions; the latest apps are Craving to Quit and Eat Right Now. Judson is currently an Associate Professor of Psychiatry and Medicine at University of Massachusetts School of Medicine, where he is Director of Research at the Center for Mindfulness.

In 2017, Brewer published a book, The Craving Mind: From Cigarettes to Smartphones to Love – Why We Get Hooked and How We Can Break Bad Habits, that unpacks the topic of his TED Talk.

More profile about the speaker
Judson Brewer | Speaker | TED.com

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