52 pages • 1 hour read
Gabor Maté, Daniel MatéA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
Summary
Background
Chapter Summaries & Analyses
Key Figures
Themes
Index of Terms
Important Quotes
Essay Topics
Tools
Maté asks how, given that the socioeconomic and cultural system is so antithetical to human health, do we start as a society and individuals to heal? He begins to answer this question by first defining health as “nothing more or less than a natural movement towards wholeness” (361), i.e., health is a process rather than a final destination. The first way that we can begin healing is by seeking the truth about our own suffering and that of the world and coming to terms with it. Such a task, argues Maté, requires the heart and emotions as well as the mind and the intellect.
Maté explains that there is no blueprint or “road map” (374) for healing, as each individual’s healing comprises a distinct journey. Nevertheless, there are four general healing principles, “each corresponding to a human need” (375), that can assist with the process but that have generally been repressed in modern culture. The qualities are authenticity, agency, anger, and acceptance. Authenticity means being open to and acknowledging our own feelings, rather than repressing them because they are inconvenient. Agency means taking responsibility for how we respond to events. Healthy, as opposed to unhealthy, anger is about a defensive reaction to things and people that threaten our physical or emotional wellbeing. Lastly, acceptance means not just passivity but rather an active acceptance or recognition that things cannot be other than how they are in a specific moment. In this way, self-acceptance is very different from tolerating an intolerable situation.
Maté describes how disease, rather than being a scourge to be “avoided, suppressed, or combated” (390), is in fact a sign and an agent of healing. To illustrate his point, Maté tells the story of a woman, Julia, and her rheumatoid arthritis. Maté explains how, for Julia, this disease saved her by allowing her to come to terms with her rage and anger and the childhood sexual abuse at its root. She now has her rheumatoid arthritis under control and regularly describes having “conversations” with it when it flares up, allowing it to teach her something new about herself each time.
Even though Maté says that diseases can be a prompt and a teacher, compelling us to listen to our inner selves, we do not necessarily have to wait for their onset before making changes in our lives. Instead, as Maté outlines in this chapter, there are “some simple but potent practices” (408) that can modify the mind to “become more sensitive and responsive to these calls from within” (408). A key part of this practice involves looking at ourselves with nonjudgmental honesty and compassion and, on a daily basis, asking ourselves certain questions. Principle amongst these is the question of what I am not saying “no” to and how I am stifling aspects of myself to appease others.
Maté argues that of all the narratives we tell ourselves that hold us back and inhibit our healing, the narrative of our own unworthiness is the most damaging. It is a belief rooted in infancy and is therefore lodged deep in our psyches. This chapter suggests exercises to dispel this belief and repair our sense of worthiness. The main way to do this, says Maté, is by relabeling the belief by gaining conscious awareness of it and rejecting the idea of its certainty. When the belief arises, we should just “rest with” it and make no assessment regarding its truth. The next step is to “re-attribute” the belief. We acknowledge that it is not a reflection of reality but a reflection of something imposed upon us as children.
It may seem strange to claim, as Maté does in Part 5, that disease and illness can lead to healing by leading us to “truth.” First, the claim appears contradictory. If the goal of healing is to allow us to be free of disease, then it is paradoxical to say that disease itself is the thing causing us to be free of it. Nor is it obvious why suffering from an illness should give us any privileged access to truths about the world, let alone why such truths would heal us.
Maté’s ostensibly perplexing claim makes sense and can be better defended once several clarifications are made. First, as he says, “healing is also distinct from being cured” (362). “Being cured” implies the total disappearance of symptoms connected to a disease in specific body parts. In contrast, healing is a holistic process of both mind and body that involves coming to terms with traumas affecting both. While there is a relationship between healing and being cured, they are not the same, and one does not necessarily follow from the other.
Second, the truth to which Maté alludes is not that of “purely intellectual verities or verifiable facts” (364). It is not the impersonal, objective truth of science nor the abstract truth of philosophy and does not require special training or intelligence to acquire. Rather, it is something personal and subjective. Closer to a concept like authenticity, it is “the truth of our lives, past and present” (363) and means being aware of who we are and being free from illusions regarding this. Once these points are recognized, Maté’s claim about disease leading to healing becomes more intelligible. Disease can help us come to terms with trauma and alienation, not by providing a “cure” but by leading us to personal truth and authenticity. We become more whole and more healed by becoming more truly self-aware.
Disease can play a key role in promoting this process by promoting such self-awareness: “[Disease] leads people to question everything they had thought about themselves” (403). Under ordinary circumstances, we take who and what we are for granted. When not in immediate distress, we live according to convention and see ourselves largely in terms of the socially constructed identities given to us by our activity in the world. Detached by circumstance and suffering from the ordinary flow of our lives, we are led to ask who we really are. Especially when this illness might be fatal, we are stripped of our social identities and distractions and the future projects bound to them and forced to examine ourselves as we are without adornment, at that moment. In this awareness, we can begin a step toward becoming whole again.
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