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[The Psychology of 'Fake It Till You Make It' and the Power of Placebos]-[12. Does “As If” Thinking Really Work?]

No Stupid Questions · B2 · 2020-08-03

Culture
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📋 Summary

The Psychology of 'Fake It Till You Make It' and the Power of Placebos

In this episode of No Stupid Questions, Angela Duckworth and Stephen Dubner explore the psychological validity of "as-if" thinking—the idea that acting in a certain way can fundamentally alter one's mood or reality. They further connect this concept to the placebo effect, examining how human expectations and behavioral modification drive tangible outcomes in life, medicine, and social interactions.

The Validity of 'As-If' Thinking

The discussion begins with a Quora entry regarding a client who, struggling with depression, began pretending to be a "non-depressed movie character" to navigate his daily life. Duckworth confirms that this is a recognized therapeutic technique, often categorized under behavioral activation therapy. The core premise is simple: by forcing oneself to perform the actions of a person in a desired state (such as getting out of bed, exercising, or socializing), one can trigger a change in their internal mood state.

Duckworth notes that this is not merely a "trick"; it is supported by research, such as Will Fleesen’s study on extroversion, which suggests that people told to "act like an extrovert" experienced genuine increases in happiness. The mechanism at play is often a downstream benefit: by behaving as if you are happy, you engage in activities that naturally yield positive feedback—such as receiving warmth from friends or the endorphin rush from a run—which then reinforces the positive state.

Growth through Roleplay and Mentorship

Duckworth shares a personal anecdote from her time on the tenure track, where she struggled with self-doubt. Seeking advice from the late Anders Ericsson, she was told to identify a role model—in her case, Carol Dweck—and ask herself, "What would Carol Dweck do?" This "as-if" strategy allowed her to bypass unnecessary angst and adopt a more programmatic approach to her work.

This method mirrors Lev Vygotsky’s observations on children’s play, where they act "one head taller than they are." Duckworth suggests that this is a vital tool for growth at any career stage: "If you’re a first-year student, pretend that you’re a fourth-year student." She cautions, however, that this should be done autonomously; if the pressure to perform comes from an external source, it can become exhausting and lead to burnout or the dismissal of underlying problems, such as staying in an abusive relationship.

The Placebo Effect as a Cognitive Bridge

The hosts then pivot to the placebo effect, which they describe as the "precise interface of biology and psychology." Dubner recalls his mother using a "spoonful of sugar" as a placebo for minor childhood injuries, teaching him early on that "your mind is a powerful thing."

They explore why placebos—even fake surgeries or sugar pills—can produce significant physiological changes. The consensus is that humans are highly suggestible, and once an expectation is set, our brains engage in confirmation bias. We selectively curate evidence to confirm our hypothesis (e.g., "I feel better because I had surgery"), which then triggers a virtuous cycle of behavior. When a patient believes they are receiving treatment, they are more likely to interpret their physical signals positively, leading to genuine improvements in immune function or pain perception.

The Utility of 'BS' and Self-Fulfilling Prophecies

The conversation concludes by blurring the lines between "placebos" and "bullshit." Dubner recounts a story from a book titled Bullshit, where a coach lies to an athlete about his lap times to boost his confidence, resulting in a championship win. Duckworth agrees that such "lies" are essentially self-fulfilling prophecies.

Whether it is a professor telling a student, "I know you can achieve these high standards," or a therapist predicting a patient's recovery, these statements serve as positive expectations that tilt the subject toward a desired reality. Ultimately, the hosts argue that while these hacks are not a panacea, they are powerful tools for optimizing human potential. By choosing to hold positive expectations, we can influence our own neurological and behavioral outcomes, effectively shaping the reality we experience.

🎯Key Sentences

1
Well, the short answer is yes, it's a thing.
2
So that makes sense.
3
I'm gonna speculate a little bit if that's okay.
4
Can you give an example of you using as if thinking in your professional or personal life?
5
I felt a little bit lost in the direction that I was going to take my work.
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📝Key Phrases

1
fake it till you make it
2
hear me out
3
vicious cycle
4
come to bear on
5
materialize
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📖 Transcript

I can do open heart surgery, come on, I've seen it three times.
I'm Angela Duckworth.
I'm Stephen Dubner.
And you're listening to No Stupid Questions.
Today on the show, can you actually fake it till you make it?
So I'm a nine year old kid.

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