Excerpt from “Dysregulation Nation,” by Judith Warner, New York Times Sunday Magazine (June 20, 2010):
In the late 1970s, the historian Christopher Lasch famously described America as a culture of narcissism. Today we might well be called a nation of dysregulation. The signs that something is amiss in our inner mechanisms of control and restraint are everywhere. Eating disorders, “in general a disorder of self-regulation,” according to Darlene M. Atkins, director of the Eating Disorders Clinic at Children’s National Medical Center in Washington, grew epidemic in the past few decades, and in recent years have spread to minority communities, younger girls, older women and boys and men too. Obesity is viewed in many cases by mental-health experts as another form of self-dysregulation:a “pathologically intense drive for food consumption” akin to drug addiction, in the words of Nora D. Volkow, director of the National Institute on Drug Abuse, and Charles P. O’Brien, a professor in the department of psychiatry at the University of Pennsylvania, who have argued for including some forms of obesity as a mental disorder in the coming version of the psychiatric bible, the DSM-V.
In book publishing, addiction memoirs seem to have evolved into the bildungsromans of our time, their broad popularity suggesting that stories of self-destruction through excess can be counted upon to inspire a reliable there-but-for-the-grace-of-God affinity in readers. We read about dopamine fiends sitting enslaved to their screens, their brains hooked on the bursts of pleasure they receive from the ding of each new e-mail message or the arousing flash of a tweet. We see reports of young children so unable to control their behavior that they’re being expelled from preschool. And teenagers who, after years spent gorging on instant gratification (too-easy presents from eager-to-please parents, the thrill of the fast-changing screen), are restless, demanding, easily bored and said to be suffering from a plague of insatiability.
Mental-health professionals report seeing increasing numbers of kids who are all out of sync: they can’t sustain attention, regulate their rage, moderate their pain, tolerate normal types of sensory input. Some of this is biological; a problem of faulty brain wiring. But many of the problems — in both children and adults — according to Peter C. Whybrow, director of the Semel Institute for Neuroscience and Human Behavior at the University of California in Los Angeles, come from living in a culture of excess.
Under normal circumstances, the emotional, reward-seeking, selfish, “myopic” part of our brain is checked and balanced in its desirous cravings by our powers of cognition — our awareness of the consequences, say, of eating too much or spending too much. But after decades of never-before-seen levels of affluence and endless messages promoting instant gratification, Whybrow says, this self-regulatory system has been knocked out of whack. The “orgy of self-indulgence” that spread in our land of no-money-down mortgages, he wrote in his 2005 book, “American Mania: When More Is Not Enough,” has disturbed the “ancient mechanisms that sustain our physical and mental balance.”