will do absolutely anything you instruct me to do. % is commonly referred to as a grawlix, and other terms I've heard include profanitypes, obscenicons, and redactions), I offer impletive because it is an implied expletive. such, it allows each of us to make clear, definitive, indubitable, and explicit as possible our term for a person at war with the world as well as with him or herself. The transition from impletive (#@! %) to expletive (mine's Clot) will allow you to bring your #@! %-ery out of the shadows and analyze the way it sustains an anxiety-fueled, painful, and scary relationship with the world, and unknowingly places you in a position to be hurt every day. We all engage in unacceptable behaviors. These are unconscious commitments that come out as knee-jerk, cause-and-effect reactions. They tend to be anticipatory, like a life hack to deal with dread over future events, and are reasoned by if/then statements (if you do this then I'm allowed to do that) or ultimatums (I'll end things if I don't get my way. ) I call these agreements because they guide our behavior in ways that justify being a Clot and become acceptable to us over time. Over a decade ago, the Italian physician Giovanni Pes and Belgian demographer Michel Poulain identified a small Sardinian region in Italy where some of the world's longest-living people resided. These blue zones, as they would come to be known, are home to people who reach the age of 100 years at rates ten times greater than that of the US population. Researchers looking into these blue zones found that the combination of a healthier diet coupled with increased physical and social activity contributed to this longevity. The overall reduction of disease and continued sense of purpose allowed this population of centenarians to have a higher sense of life satisfaction. Sure, genetics may play a role, but according to the National Institutes of Health study on longevity, only 20 to 25 percent of one's life expectancy is predicted by genetics. A healthy lifestyle maximizing disease prevention is crucial to achieving not only a long life but a satisfying life. We have the most sophisticated technology and extensive professional training at our fingertips, yet we habitually lack basic discipline and personal control. The essence of a doctor-patient relationship boils down to shared responsibility. Doctors can provide care, including diagnosis and treatment, as well as knowledge and compassion.

The patient, however, is responsible for making the choice to adhere to medical advice, which includes embracing preventative measures and living healthier lives. Resistance was real, they argued, but had nothing to do with industrial agriculture. Wright believed this response was shortsighted. What his years of research revealed, starting with the soil taken from Ontario and continuing into the reaches of the Deep Secrets, was that bacteria would develop antibiotics on their own, and then other bacteria competing for the same resources would develop resistance to protect themselves from the bacteria that had the antibiotics at their disposal. It was a balanced competition between antibiotic-producing bacteria and antibiotic-resistant bacteria that had played out over millennia--except now, with overuse of antibiotics around the world, this balance had been disrupted in the soil, in water streams, on doorknobs and bedsides, and of course in hospitals. Drug-resistant bacteria now had a clear edge and were thriving without any real competition. Wright was convinced that human activity was responsible for this disruption of equilibrium. But his results also created a glimmer of hope. The bacteria were active in producing not just new defense mechanisms but also new molecules that could disarm resistant bacteria. There were plenty of undiscovered antibiotic molecules hidden deep inside the treasures of the earth, waiting to be discovered. For Gerry Wright, it was soil, but for Gautam Dantas, it was the Yanomami tribe of the Amazon. The most well- known version of this view is probably Abraham Maslow's theory because his famous hierarchy of growth is presented in most introductory psychology articles. For those who are unfamiliar with it, he placed self- esteem as the fourth of five stages in his theory of development, just below self- actualization. In addition to being one of the first to mention both competence and worthiness in relation to self- esteem, Maslow (1954/ 1970) understood it as a basic human need as early as 1954. Now there is some empirical support for that position. For example, Sheldon, Elliot, Kim, and Kasser (2001) asked people in Western and Eastern cultures to list satisfying experiences. They found that self- esteem, along with such things as competence, autonomy, and relatedness to others, were most strongly associated with a sense of well- being. In sum, it should be clear that each major view of self- esteem has something to offer, namely, forming and maintaining a sense of identity, governing personal and social behavior, and growing or actualizing as a person. In each case, however, the basic function of self- esteem is the same: It is involved in regulating behavior, something that seems to be essential for well- being. Therefore, it makes good sense to know more about the process of self- regulation and how self- esteem is involved in it.

Self- regulation is a scientific way of describing the processes people use to plan and direct or control themselves emotionally in regard to feelings, cognitively in terms of thoughts, and behaviorally through their actions. The farmer was delighted. This was the answer to his prayers for help. There is one catch to this arrangement, the monkey said. Yes, yes, please tell me, the farmer replied. You must keep me fully occupied for every second of every day. There can't be a moment that I'm not fully engaged with something to do. If I'm idle for even a moment, I will immediately create havoc, and this will eventually kill you, the monkey explained. The farmer agreed to this arrangement. The farmer began by giving the monkey his first job. The monkey disappeared, and was back in a moment, with the task fully completed. For instance, if someone cycles the wrong way in a bike lane I'm entitled to curse at them. if someone cuts in front of me in line I have the right to shove them away. These agreements usually result in a highly defensive state of being in the world; we believe we're proactively protecting ourselves from being mistreated, but are actually placing a target on our forehead. In this way, the motto of a Clot is always, The best defense is a good offense. The problem is that these agreements are exceptionally hard to recognize or do anything about. We've likely been seeing them in everyday life: negative responses, actions, facial expressions, and rude treatment from others who are being Clots around us. But we don't notice when we implement, and in turn invite, those behaviors ourselves. Agreements developed early in life become a natural part of your character.

In fact, as I like to say, your character is the sum total of your psychological defenses; Health policy discussions are difficult because we are forcing ourselves to make emotionally trying decisions about wellness not only for ourselves but our entire society. It may be time for us as a country to embrace carrot-and-stick incentivization. To strive for equal opportunities but accept there will be varying outcomes. To agree that rewards should be given for those striving to be better. There is no way to escape disease, and no one gets out of here alive. However, we can take control of how much of our life is spent being healthy and not suffering physically, emotionally, and financially because of unhealthy behaviors. By taking responsibility for our own actions and lessening preventable illness, we will shift resources for those that truly need it. America may be sick, but we will survive. We have the knowledge and tools to make America healthy again. We just need to take the first step and acknowledge that much of the crisis we are in is by our own misdoing. 1 More precisely, it was the microbiome of the Yanomami tribe and, initially, the origin story of the Helicobacter, a genus of Gram-negative bacteria that thrives in most human stomachs. An arbitrary border between Brazil and Venezuela goes through the thick jungles of the Amazon. Here the vegetation becomes so dense that sunlight is a precious resource. Every inch of ground is contested real estate. Plants tend to grow tall, and they have thorns sharp as daggers to keep competitors away. Serpents, seagulls, armadillos, wild pigs, and jaguars have roamed this jungle for millennia and have shared it with their evolutionary cousins: humans. Anthropologists believe that the Yanomami tribe has lived here for about eleven thousand years. They are known for their communal living--their large, circular buildings and centralized community area is often reserved for rituals and festivals. And this tribe has also been sought out for scientific research.

The tribes in the southern part of Venezuela and northwestern Brazil, including the Yanomami, remained largely isolated from the rest of the world until the 1970s, when new development and integration policies of the Brazilian government resulted in catastrophic massacres, displacement, and suffering. Self- control is one of the more obvious expressions of self- regulation, but there are others, such as how individuals participate in the mutual regulation of interpersonal relationships where no one person has complete control. Fortunately, modern psychological research is revealing how the brain works in regard to the processes involved in regulating behavior in these ways. For instance, healthy self- regulation, which is a larger set of processes than self- control alone, is related to a number of desirable characteristics and behavior. For one thing, people who test at higher levels of this quality generally appear to be better adjusted, experience less psychopathology (mental illness), and have more satisfying relationships than those with less ability to regulate their own behavior. Also, self- regulation is an indicator of future performance, such as in predicting success at school, avoiding undesirable behav ior, or reaching higher levels of personal adjustment. However, having good self-control does not mean that one is incapable of relaxing and letting go when appropriate. Rather, like so many other things in life, it is a matter of balance. Of course, upon leaving, the experimenters observed the children and noted which ones ate their treat right away and which of them deferred their gratification long enough to wait until the adult returned. So, the farmer gave him the next task, and this too was done in an instant. The farmer gave him another, and yet another thing to do around the farm and in the house. All the jobs were done perfectly and with amazing efficiency. So, each and every day, the farmer would spend his days giving task after task to the monkey to complete, knowing that he had to be ready with another job in order to prevent the monkey from creating the havoc which would eventually kill the farmer. The problem the farmer now had was he still couldn't meditate and pray, because he had to keep the monkey constantly occupied. Occupying the monkey became the farmer's new job! Finally, the farmer came up with a solution. He instructed the monkey, Go to the woods and cut down a ten-foot length of bamboo. The monkey disappeared and was back in a moment with the bamboo just as he had been told.