• http://www.themusclemom.net Leslie Spencer

    OK, I can’t resist being asked my opinion :-)

    I’m a college professor in health and exercise science, and one of the courses I teach is on health behavior. We (my 20-something students and I) wrestle each semester with the question of why some people can change and maintain good habits, while the majority continue to fail time after time, and how much of this is really under our control, anyway. There are no quick answers to this (fortunately, or I would run out of material the second week of class), but I have a few thoughts:

    1. We can tend to think our successes are due to our own efforts, but are more likely to blame our failures on external factors. It takes maturity and humilty to do otherwise.

    2. Genetics seem to be more powerful contributors to health status the more we learn about it. I’m no expert, but I try to keep up on new research on the relationship between genes and their role in shaping our physical health (and our personalities – rather controversial). Most people are surprised to learn that well over half of heart disease, cancer and stroke are linked to genes and not simply the result of behavior.

    3. It’s a challenge to walk the fine line between empowering people to make choices and holding them accountable, versus blaming and judging them for things that are beyond their control.

    I am less likely to blame and judge now that I’ve had cancer. I am the healthiest-living person you will meet. I eat a VERY clean diet, exercise, relax and pray, and drink tiny amounts of alcohol. I don’t smoke, exhibit road rage, or even swear (ha!). Shortly after my diagnosis, someone gave me a classic Bernie Segal book on lifestyle and cancer. Segal meant well, but I wanted to throw the book against the wall after two chapters. In his effort to show the powerful link between lifestyle and cancer, he kept sharing one story after another of a person who got cancer and how it was related to their negative thinking and poor habits. As I read it, I felt lousy, like it was my fault that I had cancer. I knew this wasn’t true, and it really bothered me that the book implied this so strongly.

    4. With all of the above in mind, I will end by saying I have a few people close to me who work 12-Step programs for addictions. I am impressed by their willingness to own their actions and the resulting consequences, even while believing that their addictions may have genetic roots. They stay sober despite the odds. There’s a difference between “will-power” (which I think is a faulty concept) and “surrender”, but that’s for another blog.

    Lou, I probably wrote more than you did! I hope you don’t mind…

  • http://www.louschuler.com Lou Schuler

    Of course I don’t mind! I pay the same price for the server no matter how much space we use.

    Plus, you can’t possibly have written more than me, because what I posted here is probably the fourth start-from-scratch version of the post. I’m sure I deleted at least four words for every one you see. (I used an earlier version in my newsletter, which you probably saw before you clicked through.)

    Interesting that you mention 12-step programs. I heard a report on NPR the other day about a controversy among those who want to keep 12-step programs strictly behavior-based and those who want to combine them with drug interventions that have been shown to be more effective.

    A few years back, my friend Steve Salerno wrote a book called SHAM, which set out to expose the self-help and actualization movement. In one of his chapters, he quotes research suggesting that people are more likely to recover from an addiction on their own than they are to kick it through AA.

    I don’t know what kind of selection bias is at work there, but that’s part of Steve’s point. The evidence is hard to fathom because the methodology varies so widely from one study to the next, and AA spent decades avoiding legit researchers who wanted to figure out if a belief-based program works better than the alternatives.

    Like you, I find it heinous that anyone would suggest a disease like cancer or a susceptibility to addiction is anyone’s fault. It may have some tough-love appeal to people who’re determined to fix the problem, but I have to think it messes up more people than it helps.

  • Bonnie

    This is always an interesting topic for me, because my family has a tendency for addictive behavior. However a lot of us hit a wall at some point and then kick the addiction. For example, I was 100 pounds overweight for years, and then finally got down to brass tacks and lost the weight. I’ve been maintaining for several years now. My mom quit cigarettes cold turkey one day. I have a couple of relatives who recovered from meth addictions and never looked back.

    So I wonder if I managed to beat the odds of rebound weight gain because there is some kind of advantage in my genetics that gave me an edge. Sure, I worked out and tracked my eating habits and all that good stuff, but a lot of people do that and still can’t maintain. I keeps me humble.

  • Mr. B

    Genetics play a HUGE role in life – especially at the elite levels. Take for example, a world-class gymnast. You simply will NEVER see a 6’5″ 275-lb Olympic champion on the rings. In the same way that you will never see a 5’2″ 125 lbs middle linebacker in the NFL. Physics dictate that these things simply will not happen.

    I started riding skateboard (standing up) when I was 3 years old. Since I was so young, I barely remembered the first time I hopped on a skateboard, but my brother told me that I never even attempted to sit or lay down on the skateboard. I simply stepped on it and started riding. In less than a week, I was riding on the street, doing the slalom between coffee cans that my brother set out on the street. It came natural to me. I never had to “work at it” or even think about it. I could simply “DO IT.” Fast forward to today. I’m 41 years old right now, and a few months ago, my 11-year-old nephew showed me his brand new “Rip Stick”. I stepped on the Rip Stick, and I could immediately ride it without any difficulty. I could also snowboard the first time I tried it. There was no need to “keep working at it”. Riding things like skateboards, snowboards, surfing, etc. just seems so natural to me.

    At other things, however, I SUCK!

  • http://www.louschuler.com Lou Schuler

    Mr. B, I’m hugely jealous. I’ve always wished I had that kind of balance and coordination. I’ve never even been able to stand up straight on ice skates.

    My biggest regret in sports is not having better eyewear. That’s something, curiously enough, that seems to have no genetic roots at all. Neither of my parents needed glasses for distance vision, but I was a 4-eyes from the age of 8 or 9. I was 3rd of 7 kids in my family, but the first to need glasses.

    As a kid, trying to play sports in thick glasses was an endless trial. I had no peripheral vision, and if I looked up suddenly, my vision was cut in half by the edge of the glasses. All that’s compounded by the fact the glasses would fog up if there was a molecule of precipitation in the air.

    I got LASIK when I was 41, and it was amazing how much my coordination improved. I’d never realized how wearing glasses handicapped me. Of course, if I’d worn contacts, it would’ve been a different story. But when I was a kid my parents wouldn’t have paid for them, and as an adult my allergies made them seem impractical.

    Getting back to genetics, I think my vision problems were one of those things that made me feel separate from and, in a way, alienated from my parents. My dad was a very big guy who’d dropped out of high school to join the Marines, and who now sold insurance. I was this skinny, nerdy kid who wanted to go to college and be a writer. For most of my life, it felt like I’d been sent home from the hospital with the wrong family.

  • http://www.ryanzielonka.com Ryan Zielonka

    Of the folks I know who have become objectively successful and gone on to do great things, they all have shared some form of obsessive neurosis. Whether you could qualify these individuals as full-blown obsessive compulsives, it’s difficult to say–some are better at hiding their less socially-acceptable compulsions than others.

    My entire family shares this same obsessive affliction of frontal cortex overload. It takes a certain kind of mind to put in 10,000 hours of purposeful and mindful practice (see Malcolm Gladwell’s Outliers), the loosely quantified greatness threshold. Ironically, the obsessions that drive greatness can also cause much discontent and unhappiness. Jim Collins talks about this in his book Good to Great when he describes Level V leadership, whereby the business world’s most exceptional leaders exhibit a deep concern over their success, fearful that they might lose their edge and decouple the linkages that brought them their success in the first place.

    But, not all obsessives are necessarily successful, thus correlation is not causality. However, the relationship is too consistent for me to discount. Obsessive-compulsive behaviors are certainly acquired through genetic inheritance, but the afflicted (or gifted) must make a choice as to how they channel those obsessions and compulsions. Wherever you find a professional athlete, a guitar virtuoso, or a world-class leader, it seems you’re certain to also find a little bit of crazy.

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Lou Schuler

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