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41 pages 1 hour read

Anna Lembke

Dopamine Nation: Finding Balance in the Age of Indulgence

Nonfiction | Book | Adult | Published in 2021

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Part 2, Chapter 5Chapter Summaries & Analyses

Chapter 5 Summary: “Space, Time, and Meaning”

Lembke begins this chapter by mentioning Jacob once again. He reached out to her because he once again resorted to his compulsive behavior. He describes a near-constant bombardment of temptation. She implored him to dismantle and throw away his machine as soon as possible. Lembke uses this anecdote to introduce the concept of self-binding, a process whereby a person with an addiction or other compulsive behavior intentionally creates a barrier between themself and the drug or behavior. As an example, Lembke alludes to the example of Odysseus, who had his men literally bind him so that he wouldn’t be tempted by the Sirens. She then discusses a patient named Oscar, a patient with alcoholism whose wife had locked away all alcohol in his house. However, one day he noticed a liquor cabinet partially open, and proceeded to drink a bottle of wine through a straw. The simple sight of the wine created an irresistible temptation that caused Oscar to find a way around the obstacle of the locked alcohol. She discusses a pharmacological intervention, a drug called naltrexone, which imposes a similar kind of binding effect on a person at the cellular level, and is used to treat opioid and alcohol addiction. The medicine blocks receptors in the brain, which makes the desire to take opioids or alcohol much less urgent. While the intervention is promising, it isn’t yet an all-out cure for addiction because it sometimes doesn’t mitigate the mental health aspect of drug use.

Lembke again returns to her patient Jacob, who experience a recurrence of addiction. She mentions a recovery technique called categorical self-binding. Essentially, this strategy relies on identifying whatever possible triggers are associated with the addictive or compulsive behavior and removing them or avoiding them altogether. This includes people and groups that the one associates with the behavior. As an example, she mentions a man named Michael, who had developed a problem with sports gambling. To quit gambling, he realized that he must not even watch sports on TV because doing so triggered his urge to gamble. As Lembke closes the chapter, she once again mentions Jacob. This time, he was free of the addictive behavior for nearly half a year, and things were going well in his life. He experienced success with subduing his problem through various self-binding strategies.

Part 2, Chapter 5 Analysis

Lembke returns to Jacob as this chapter opens and mentions that he recently resumed his addiction. She urges Jacob to disassemble his masturbation machine, throw it in the garbage, and take it straight to the dump. The advice she provides is an example of self-binding, which she describes as “the way we intentionally and willingly create barriers between ourselves and our drug of choice in order to mitigate compulsive overconsumption” (91). To help draw out her point further, Lembke alludes to Homer’s Odyssey, in which Odysseus demands to be physically bound to his ship in order to avoid the temptation of the Sirens. The use of analogy is a strategy that Lembke uses often in the book. Here, the analogy provides a stark visual that, like the actual pictures in Chapter 3, helps drive the point home. For someone unfamiliar with the concept of self-binding as it relates to overcoming an addiction, the passage is highly effective.

Lembke further breaks down self-binding into physical, chronological, and categorical. Often, those using drugs or with certain compulsive behaviors associate the addiction with places, times, or events. Therefore, being on the lookout and noticing these associations is crucial to successful recovery. Having too much time available is another potential pitfall. Lembke discusses how the conveniences of the modern age have created far more leisure time than in previous generations. This idle time poses serious risks for addiction and recovery. As evidence of the growing amount of leisure time, Lembke notes, “Today, adults living in the US without a high school diploma have 42 percent more leisure time than adults with a bachelor’s degree or higher, with the biggest differences in leisure time occurring during weekday hours” (106). While she points to a clear distinction here between college-educated and non-college-educated people, her point is to illustrate that increasing leisure time leaves people with too much time on their hands. This situation, like others she cites, has a negative reinforcing effect on society: “Dopamine consumption is not just a way to fill the hours not spent working. It has become a reason why people are not participating in the workforce” (106). Too much leisure time can cause boredom, which can lead to dopamine overconsumption and eventually to a complete departure from the workforce in general. Naturally, filling this leisure time with productive, enjoyable, and useful activity is an essential ingredient in recovering the natural balance between pleasure and pain.

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