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GUEST SERIES | Dr. Paul Conti: How to Build and Maintain Healthy Relationships

Sep 20, 2023 3h 4m 47 insights
This is episode 3 of a 4-part special series on mental health with Dr. Paul Conti, M.D., a psychiatrist who did his medical training at Stanford School of Medicine and residency at Harvard Medical School. He is the author of the book, “Trauma: The Invisible Epidemic.” Dr. Conti explains how to find, develop and strengthen healthy relationships — including romantic relationships, work and colleague relationships, and friendships. He explains a roadmap of the conscious and unconscious mind that can allow anyone to navigate conflicts better and set healthy boundaries in relationships. We also discuss common features of unhealthy relationships and clinically supported tools for dealing with relationship insecurity, excessive anxiety, past traumas, manipulation and abuse. Dr. Conti explains how, in healthy relationships, there emerges a dynamic of the mutually generative “us” and how to continually improve that dynamic. The next episode in this special series explores true self-care, which can be cultivated through a process of building self-awareness along with other important practices.   For the full show notes, visit hubermanlab.com.
Actionable Insights

1. Cultivate Agency and Gratitude

Aim to approach the world through the lens of agency and gratitude, viewing them as active verbs, as this is the ultimate goal for engaging in the world in the healthiest way.

2. Explore Your Self-Map

Regularly examine your “two pillars and ten cupboards” (structure of self and functions of self) by generating curiosity about your unconscious mind, defense mechanisms, character structure, and what is salient within you. This self-inquiry builds empowerment and humility.

3. Prioritize Generative Drive

Ensure your generative drive (set of potentials and possibilities) is dominant, as its active expression through agency and gratitude leads to feelings of peacefulness, contentment, and delight.

4. Focus on Personal Health First

Prioritize making yourself as healthy as possible, as this self-improvement will enable you to recognize a lack of health in others, protecting you from unhealthy relationships and naturally attracting partners who also strive for health.

5. Repair Your “Broken Compass”

Actively work to understand and make your internal “map” (self-understanding) healthy and accurate, as a lack of self-understanding makes you prone to latching onto other unhealthy maps and repeating unhelpful patterns.

6. Seek Real Self-Understanding

Prioritize genuine self-understanding over relying on labels or diagnoses, as true insight into yourself is what bolsters agency, gratitude, and the generative drive, leading to positive change.

7. Apply Self-Map to Any Issue

Use the framework of the “two pillars and ten cupboards” (structure and functions of self) to examine and improve any personal issue, as it provides a method for understanding and making things better.

8. Cultivate Self-Awareness & Truth

Strive for maximum self-awareness, including acknowledging unknown aspects of yourself, and adopt an orientation to the world that values truth, understanding, and exploration.

9. Bring Your Best Self to Relationships

Bring your best self, guided by agency and gratitude, to all relationships, actively mentalizing (thinking about what’s going on inside) the other person to ensure you do right by them and the “us” of the relationship.

10. Follow the “Me, You, Us” Model

When addressing relationship dynamics, start by understanding your own internal state (“Me”), then consider the other person’s state (“You”), and finally analyze the “Us” (the relationship itself) to foster understanding and strengthen the bond.

11. Practice Mentalization Clearly

Engage in mentalization (discerning feeling and intention states in self and others) with a clear, unbiased lens, free from defense mechanisms, to gain valuable information about others and make healthy decisions.

12. Use Mentalization for Conflict

Apply mentalization to conflicts by asking “Is it me? Is it you? Is it us?” to collaboratively figure out the issue without defensiveness, projection, or aggression, leading to healthy, agency-driven solutions.

13. Know Emotional Triggers and Limits

Be aware of your own emotional triggers and limitations, especially regarding past traumas, and recognize when you’re “flying blind” due to heightened emotions, making it wise to defer important discussions until you can mentalize clearly.

14. Regulate Anxiety for Relationships

Recognize that everyone experiences anxiety, but high levels narrow cognitive function and cause relationship problems; therefore, the first step is to look inward and address your own anxiety levels to foster healthier interactions.

15. Inquire into Source of Anxiety

If you experience uncomfortable levels of anxiety, engage in self-inquiry by examining your “pillars” and “cupboards” to understand its source (self, biology, psychology, environment, or others), as this understanding is key to predictable positive change.

16. Communicate Openly with Mentalization

Address differences (e.g., in sex drive) through open communication, mentalizing each other’s emotional states, and approaching the conversation with agency and gratitude, without faulting the other.

17. Establish Internal Boundaries First

Develop healthy boundaries by first clarifying them within yourself, understanding your needs and rights, before communicating them outwardly to others.

18. Prioritize Healthy Give and Take

Look for evidence of healthy give and take in relationships, understanding that while it may not always be perfectly balanced, a generosity of spirit in both giving and accepting, especially during difficult times, strengthens the bond.

19. Find Joy in Giving

Cultivate a mindset where giving to others feels better than receiving, as this reflects an abundance of goodness within oneself and fosters a more generative spirit.

20. Re-embrace Kindergarten Principles

Reconnect with the simple principles learned in kindergarten, such as generosity, kindness, and self-acceptance, to simplify overly complex aspects of adult relationships and foster a generative spirit.

21. Identify Core Concrete Incompatibilities

When seeking compatibility, focus on very basic, tangible, and evident factors like fundamental life goals (e.g., desire for a family), as these are legitimate reasons to not choose one another.

22. Prioritize Generative Drive Compatibility

Beyond concrete incompatibilities, seek compatibility based on strong generative drives in both individuals, as this indicates an ability to get along and synergize in unpredictable, beautiful ways.

23. Acknowledge Knowns and Unknowns

Begin by acknowledging the limits of your knowledge, understanding that the interaction between two people creates something new and unpredictable, which cannot be fully known in advance.

24. Avoid Superficial Compatibility Factors

Do not rely on superficial factors like educational background, family structure, or shared interests (e.g., liking the same music) for compatibility, as these often mislead and obscure the more important generative drive.

25. Subserve Other Drives to Generative

Cultivate a strong generative drive that ensures aggressive (assertion) and pleasure drives do not dominate, preventing fragmentation and self-centeredness in relationships, even when shared interests exist.

26. Be Open to Partner’s Interests

Cultivate an open-mindedness to your partner’s interests, even if they differ from your own, viewing them as opportunities for learning and shared experience rather than barriers to connection.

27. Don’t Strive for Sameness

Avoid seeking sameness in relationships, as an appreciation for difference and diversity is often more beneficial and can lead to richer connections.

28. Stay Interconnected, Keep Learning

Maintain interconnectedness and a continuous pursuit of learning new things throughout life, as this reflects a strong generative drive and significantly increases the probability of living longer and healthier.

29. Be Mindful of Thoughtless Actions

Avoid thoughtless actions driven by bad moods, as these project aggression, diminish your sense of self-worth, and negatively impact your relationships.

30. Address Unhealthy Drives in Trauma Bonds

If a trauma bond is unhealthy, it’s often due to generative and pleasure drives not being in a healthy place or sufficiently gratified, rather than the shared trauma itself.

31. Use Shared Trauma to Build Health

If both individuals recognize and communicate about their traumas, they can use their shared vulnerability to mutually support each other in pursuing health, enabling them to achieve things together they couldn’t alone.

32. Lack of Generative Drive Hinders Communication

Recognize that communication issues often stem from a lack of generative drive, agency, or gratitude, which prevents individuals from asking the right questions or taking proactive steps in relationships.

33. Step Out of Comfort Zone

Be willing to step out of your comfort zone to meet a partner’s needs, especially when shame or self-consciousness might otherwise prevent open exploration and compromise.

34. Give Without Expectation

Offer gifts or support to others without expecting anything in return, as these acts of abundance arise from and strengthen your generative drive.

35. Recognize Demoralization’s Signs

Understand that a progressive loss of proactiveness, assertiveness, agency, and gratitude is a key indicator of demoralization, often resulting from abusive dynamics.

36. Seek External Validation and Support

If in an oppressive relationship, actively seek external connections and support from others who can affirm your worth and show you that better alternatives exist, countering the oppressor’s goal of isolation and demoralization.

37. Seek Help for Narcissistic Traits

If you identify with narcissistic traits, understand that change is possible through clinical help, as this character structure is exploitative but can be improved.

38. Break Cycles of Unhealthy Relationships

If you find yourself in a pattern of repeated unhealthy relationships, understand that this is not a compulsion but a pattern you can change by examining your “structure of self” and “function of self” to understand your choices.

39. Discern Covert Power Dynamics

Actively look for non-obvious, unstated, or covert power dynamics in all relationships, as these can be as impactful as overt power imbalances and often indicate underlying issues.

40. Assess Relationships for “No Us”

If, after setting boundaries, a person reacts negatively or exhibits consistent lack of consideration, selfishness, or envy, recognize that there might be “no us” in the relationship, empowering you to prioritize self-care and self-protection.

41. Avoid Destructive Envy

Recognize envy as a destructive force that seeks to bring others down rather than elevate oneself, leading to unhappiness and harm.

42. Differentiate Transactional Relationships

Recognize that while transactions occur in every relationship (e.g., dividing chores), this does not mean the entire relationship is transactional; there is a greater, non-transactional aspect of human connection.

43. View Family Roles as Generative

Understand that the division of labor in a family, while involving transactions, is ultimately in service of a larger, generative purpose like creating and nurturing a family, allowing for flexibility and mutual support.

44. Ensure Accountability in Systems

Advocate for and establish reasonable and rational accountability mechanisms in all systems (work, family, community) to prevent oppression and ensure individuals are not stuck in unhealthy dynamics.

45. Prioritize Regular Weekly Therapy

Engage in regular weekly therapy, as it is considered as important as physical exercise for improving one’s overall health. Therapy helps in gaining support, objective insights, and positively transformative perspectives.

46. Practice Short Daily Meditations

Engage in short daily meditations to significantly improve mood, reduce anxiety, enhance focus, and boost memory.

47. Utilize Yoga Nidra

Engage in Yoga Nidra sessions, which induce a pseudo-sleep state, to emerge feeling incredibly mentally refreshed and enhance dopamine levels by up to 60%, preparing the brain and body for mental and physical work.