parts of your brain are also related to your capacity for love, because
they activate when you fi nd a person attractive or see a picture of
a person you love.
Love
Why is falling in love so blissful? Why did Marc look so alive after
he got to know Karen? Throughout history, many theories about
love have contributed more to mythology than to clarity. Take, for
example, the concept of the soul mate, which stems from Plato ’ s
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proposal that there is another “ half ” out there in the universe that
“ completes ” each of us. Although there is much debate on whether
opposites attract or repel, there is a more fundamental way of
understanding what happens in your brain when you are falling in
love. Examining what happens in your brain does not devalue love;
as I have stated several times in this book, the brain and the mind
are two parts of the same picture. Whatever happens in the
mind changes the brain, and vice versa. When there is chemistry
between you and another person, there is actually chemistry
within
each of you when you ’ re together. This “ good chemistry ” occurs
because of the way you behave toward each other.
Falling in love is a blissful experience with a powerful rush of
euphoria because your pleasure center is activated. For example,
during the infatuation phase, your dopamine system is charged up.
From the fi rst sight of your new partner, your PFC works with the
dopamine system to help you attend to this attractive person. This
enhanced attention triggers your brain to release more dopamine
and tells your hippocampus to remember this attractive person.
The more dopamine, the greater the chance that you will probably
remember the fi rst time you saw the person.
Your attachment history and the regulation of your emotions
by the OFC play a part in how connected you feel to that person.
These tendencies further infl uence how much effort you make to
reach out to him or her and enjoy a balanced relationship. Don ’ t
forget that too much right frontal lobe activity is associated with
passive withdrawal. Making an effort to reach out activates the left
frontal lobe and the positive feelings associated with it, enabling you
to move the relationship ahead for mutual enjoyment.
The following aspects of the “ chemistry of love ” give you those
blissful feelings:
•
At fi rst sight, the PFC says, “ Pay attention! This person is
attractive. ” This triggers your brain to discharge dopamine.
•
The hippocampus records this memory of fi rst sight.
•
The nucleus accumbens (the pleasure and addiction center)
is activated with dopamine. When you are separated too long
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162 Rew i r e
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from the one you love, you experience something akin to with-
drawal symptoms.
•
The
septal region
(another pleasure center) is activated after
dopamine triggers the excitement. This area is also activated
during orgasm.
•
You and your partner run the risk of developing a tolerance for
dopamine. After the initial rush, there will be fewer dopamine
receptors. You and your partner will have to create novelty to
stimulate dopamine.
The fi rst few dates are infused with pleasure because your nucleus
ac cumbens is activated. This is the same pleasure center that is acti-
vated by drugs, gambling, pornography, and anything else that can
become addictive. Some people don ’ t activate the rest of their brain
systems and can ’ t move on to a more mature form of love. They are
addicted to falling in love, so they move on to another relationship
because they are constantly looking for that initial rush of excitement.
Since dopamine circuits thrive on novelty, you and your partner
can become used to each other and not feel the same excitement;
you can even become bored. To prevent the dulling of your relation-
ship, you can charge up your dopamine system by doing novel things
together like traveling and going out on romantic dates. The feelings
of pleasure from the new experiences will spill over into your rela-
tionship by kindling the dopaminergic system.
When the septal region is activated, you generalize a positive
feeling to other experiences. For example, when you spend time with
your partner on a sunny day, that day seems gloriously full of color,
fragrance, and wonderful people. Any fl aw in your partner is glossed
over or seen as an endearing characteristic. Everything is fused with
hopeful anticipation. The things that normally bother you don ’ t. Your
brain essentially recruits memories and associations that make all
experiences positive.
To maintain positive and secure attachment feelings for a long
time, you ’ ll have to stimulate the neurochemistry in your brain that
fosters long - term bonding. Fortunately, your brain has the neuro-
chemistry potential to make long - term bonding a possibility. Oxytocin
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and vasopressin are the two principal hormones that facilitate close
relationships. Oxytocin helps to create a bond between people who
are forming an intimate relationship. The oxytocin level rises when
you have warm physical contact with someone you are close to and
with whom you feel safe. Vasopressin rises when you recognize the
person you feel close to, as if to say, “ Oh, it ’ s you! ”
Oxytocin functions as a neuromodulator, which means that it
orchestrates the activities of the neurotransmitters and helps to
enhance or dampen the effectiveness of synaptic connections. It is
sometimes called the cuddling or the commitment neuromodulator
because it facilitates bonding in all mammals. Animals with a rela-
tively high amount of oxytocin are monogamous. The classic example
is the prairie vole, which mates for life. Oxytocin is released in women
during labor and breastfeeding, and it is released in both sexes when
nurturing children, cuddling, making love, and having an orgasm.
In romantic relationships, once dopamine triggers excitement,
oxytocin triggers feelings of warmth and attachment. In one study,
when people were exposed to a sniff of oxytocin, they were more apt
to participate in a fi nancial game and trust others with their money.
You can actually make the neurochemical foundation of your rela-
tionship deepen your long - term commitment. For example, when
oxytocin is combined with dopamine (which occurs when excite-
ment is rekindled through novel experiences), a long - term sense of
love and commitment arises that feels exciting, safe, and fulfi lling.
It is my hope that this is what happened to Marc and Karen.
Use the social brain system to rewire your brain and enhance
your relationships. If you make the effort to feed your brain in order
to expand and deepen your social and intimate relationships, you
will enjoy the vast benefi ts of social medicine.
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165
M
aria came to see me after a series of losses. First her father
died. That loss was hard, and she emerged slowly from her
grief six months later. Then her cat died. She had been very attached
to him and had spent years holding him on her lap in the evenings.
It took two months for her to move beyond the sadness. Then, when
all seemed to be going well again, she was transferred to a new unit
at work. She had grown very close to her coworkers, and the pros-
pect of having to get to know an entire new group of people was
daunting. Eventually, she found that this new group was as easy to
get along with as her old group had been. A few months later she
twisted her ankle and had to walk with crutches. This occurred just
as she had begun to take a walk every evening with a neighbor.
Maria complained, “ I ’ m just not as durable as most people. Why
is it that it takes me so long to bounce back after something bad
happens? ”
No one in her past had ever served as a resilient role model. In
fact, many members of her family were the opposite of resilient.
Her father complained woefully about everything, even when things
8
Resiliency and
Wisdom
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were going well. He always found a fl aw in whatever was going on:
his favorite restaurant was closed, or his favorite television show was
being preempted by a special newscast. He sulked for hours after
these minor disappointments.
Maria ’ s mother spent much of her time trying to make sure that
everything went easily for Maria ’ s father, but she silently loathed the
role. Her older brother was quite passive - aggressive, always manipu-
lating his wife, who babied him. Thus, Maria ’ s role models were
not resilient or vibrant people. This, coupled with the fact that she
married an alcoholic right after high school, meant that she entered
adulthood with few durable role models. Now, thirty years old and
with an eleven - year - old daughter, she was ill prepared for the gen-
eral stresses of life. Even when her daughter caught a cold, it took
her quite a while to adjust to taking care of her while also managing
the household and going to work.
Maria told me that she was both a pessimist and a perfectionist.
I noted that those attitudes set her up to react to whatever occurs in
her life by making the situation worse rather than better. Her pes-
simism meant that she could foresee no good options and no light
at the end of the tunnel. This was a prescription for despair and
anxiety to return. Her neural circuitry emphasized a “ worry loop ” in
which her amygdala triggered fear and her PFC ruminated about
the possible causes of that fear. She also overactivated her right
PFC and underactivated her left.
My plan to help her rewire her brain entailed inoculations of
manageable periods of stress. Simultaneously, she needed to acti-
vate her left PFC, which involved taking action to kindle all the
positive emotions associated with it.
I was not surprised that Maria was resistant to the plan, yet after
I explained how neuroplasticity works, she indicated that she was
willing to give it a try. I explained that she had to get out of the
victim role. She was making herself feel as though life were noth-
ing but a series of bad experiences over which she had no control.
Instead, she needed to learn to put herself in the driver ’ s seat by
making decisions about whatever occurs in her life. Through slowly
regaining a reasonable sense of control, Maria was better able to
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initiate the process of neuroplasticity. Rewiring her brain required
that she decide to make changes rather than react to whatever
occurred as if she were nothing more than a victim. To remember
the steps that are required to rewire the brain, I gave her the FEED
acronym as a mnemonic device.
Since Maria needed a place to practice feeding her brain,
I suggested that she take initiative at work. She could, for example,
volunteer to be on a committee with the new team. Her reaction
was, “ I just got comfortable with them. Why push it? ”
“ That ’ s the point, ” I said. “ You need to push it. Think of what
you ’ ll be doing as a sort of inoculation. You ’ re building up your stress
tolerance by expanding your comfort area. ” After considerable per-
suasion, she reluctantly agreed. I reminded her that she was still
playing the passive victim by dragging herself into following through
with our agreement. In fact, when she procrastinated about nomi-
nating herself, she was still playing victim in our agreement. She
was not going to develop resiliency until she used the FEED plan
and did what seemed to her to be against her nature.
Maria volunteered herself the next day. When she returned to see
me a week later, she said that the members of the committee were
pleasantly surprised and thanked her for volunteering.
After the committee assignment was completed, she asked if
I thought it would be wise to “ resign now because I have done my bit. ”
“ On the contrary, ” I protested, “ you ’ re just getting started. Your
job is to keep on expanding your comfort zone. Remember, the sec-
ond
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