A short transcript excerpt from a YouTube interview (Josh Trent with Judson Brewer) exploring the embodied experience of healing addiction. Brewer emphasizes that the origin of addiction (e.g., trauma) is less determinative than current reward value and prediction errors — asking "what am I getting from this now?" can enable change by updating expectations and habits.
Chapters
What would be the embodied experience of healing addiction? Do you find that with certain patients, they might have a rupture and, you know, past trauma that was stored in the body will come out, or memories that had been repressed that were driving the addiction in the first place?
Yes. And so this might sound controversial for folks. The and is what caused it doesn't matter. What's going to happen next is based on what, how rewarding something is now, and an error term. And that error term basically says if you pay attention and something is, is more rewarding than you expect it to be, you're going to learn to do it more. If it's less rewarding than you expect it to be, you're going to do it less. It's called a positive prediction error or negative prediction error. So trauma, previous experience, whatever it is, it's important. It's meaningful in somebody's life story. It can also be an anchor, though, because whatever created it has set a reward value. And the only way to change it is to ask, what am I getting from this now? So what am I getting from this story? I'm telling myself who I am now. But if we hold on to that story and say, I am a victim, we perpetuate the story and we reinforce and keep that habit going. If we ask the question, hey, is this story accurate now? Then we can change.