This is the 30 minute TV version of Jan Jekielek’s interview with Mattias Desmet and Aaron Kheriaty. The longer-form version was released on Epoch TV on December 28, 2024.
America is facing an epidemic of loneliness, and it’s as bad for people’s health as smoking up to 15 cigarettes a day, says U.S. surgeon general Vivek Murthy.
In the past two decades, there’s been a marked rise in suicides and “deaths of despair.” What’s fueling these trends of social fragmentation, isolation, and atomization? And how are they linked to broader political and social trends?
In this episode, two of the world’s leading thinkers on bioethics and group psychology join together with me for the first time.
Dr. Aaron Kheriaty is a former psychiatry professor and director of the medical ethics program at the University of California Irvine Medical School. He’s the author of “The New Abnormal.”
Mattias Desmet is a professor of psychology at Ghent University and author of “The Psychology of Totalitarianism.”
CHAPTER TITLES 0:00:01 - Loneliness and Deaths of Despair 0:03:07 - Loneliness as a Spontaneous and Intentional Phenomenon 0:05:32 - The Relationship Between Loneliness and Narcissism 0:12:27 - The Rise of Rationalism and Its Consequences 0:15:23 - The Interplay Between Technology and Totalitarianism 0:17:29 - The Deterioration of the Social Fabric 0:20:30 - The Lack of Intellectual Humility
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basically all age groups with the
exception of the very elderly have seen
marked rise in suicide in the last 20 to
25 years it's very highly correlated
with use of Technology the more
technology use the more lonely people
feel in a country today two of the
world's leading thinkers on bioethics
and group psychology join me together
for the first time Dr Aaron kotti is a
former Psychiatry professor and director
of the medical Ethics program at the
University of California Irvine medical
school he's the author of the new
abnormal Matias desmat is Professor of
psychology at gent University and author
of the psychology of
totalitarianism totalitarian
leaders can only cease control and a
society where a lot of people feel
lonely this is American thought leaders
and I'm Yan
Kell Arin karotti Matias desmat such a
pleasure to have you back on American
thought leaders and together amazingly
it's great to be with you and it's great
to be with my new friend Matias yeah
likewise happy to be here together with
you ER and thanks for having us on yeah
well so you were together in a session
here at this Brownstone conference this
year and you brought up the issue and
this is something we've both talked
about in previous interviews I've talked
about with both of you is this issue of
loneliness and it as the years have gone
on I keep thinking about it as a
foundational issue so I want to start
start by discussing that and of course
atomization is this concept that comes
from that so maybe let's start with you
Erin you you actually mentioned that
Vivic Murthy said himself that there was
this you know crisis or huge epidemic of
of loneliness which is very much the
case that's right yeah merthy a man with
whom I have many disagreements um but on
this point he was absolutely right
announced in 20 I believe it was 2018
somewhere around that that there was
this epidemic of loneliness in the
United States and he wasn't just using
that word sort of metaphorically to
describe a social phenomenon he was
looking at it as Surgeon General from a
health related phenomenon and looking at
robust data that loneliness produces
negative Health outcomes on the same
level as smoking two packs of cigarettes
a day that this epidemic of loneliness
was as serious in terms of compromising
Americans physical and mental health as
heart disease cancer other things that
the Surgeon General sort of
traditionally pays attention to in
connection with that there was a couple
of researchers at Princeton case and
Deon who were doing a lot of work around
that time on so-called deaths of Despair
and deaths of Despair deaths by Suicide
alcohol rated illnesses and drug
overdose which since 1980 uh 1999 had
been on the rise so about 20 year rise
in deaths of Despair the drug overdose
deaths in 1999 were 20,000 a year which
is a tragic number but that had
ballooned to 70,000 a year by the year
uh
2019 and then with covid lockdowns and
our response to covid we basically threw
gasoline on that fire and so that 70,000
number jumped in 2021 after lockdowns to
100,000 a year same thing happened with
alcohol rated deaths
69,000 a year pre pandemic to 999,000 a
year
post pandemic and that crisis has
continued to worsen the suicide numbers
from the CDC have continued tragically
to go up every year so basically all age
groups with the exception of the very
elderly those over the age of 75 all age
groups in both men and women have seen
Market rise in suicide in the last 20 to
25 years I think all of this suggests a
profound um crisis in society the cause
are complex um technological
developments have certainly played a
role but I would I would say certain uh
social and ideological developments have
also played a role like what's driving
us to embrace this technology it's not
the technology itself is not necessarily
alone leading to all of these changes
why have we as a society uh pursued the
use of Technologies in certain ways that
lead to these kinds of
problems you know Matias you've had had
uh you're looking at this from a
different Vantage Point perhaps I'll get
you to build on that
now
yes I think it's very interesting is to
see how loneliness to a certain extent
is a spontanously emerging
phenomenon as Erin mentioned um uh the
use of Technology plays role it's a very
highly correlated with use of Technology
the more technology use the More Lonely
People feel in a
country uh which is surprising of course
because we always believe that uh
technology connects us to each other
that's true at the level of the exchange
of information but it disconnects it is
it disconnects us at the level of the
resonating bond between humans so it
destroys the resonating bond to a large
extent so that's one thing like this
spontaneously emerging phenomenon as a
consequence of uh the increasing use of
Technology uh but what is also very
interesting I I believe is that
sometimes sometimes it is intentionally
created like that is what Hana aren said
totalitarian leaders can only Sease
control in a society where a lot of
people feel lonely okay they need
loneliness loneliness which
spontaneously
emerged and which was
used or abused by totalitarian
leaders uh because they probably didn't
know but they just noticed that their
propaganda was very efficient because
there was a lot of loneliness once
people feel lonely
propaganda uh people are very vulnerable
for propaganda and a new type of uh Mass
emerge emerged in the 20th century which
ja elul called The Lonely Mass uh
meaning that like uh in medieval times
there were also Mass formations and
masses uh but there were physical masses
people had to meet physically in order
to uh experience this kind of group
dynamic that that I refer to as mass
formation and um so it all mass foration
always existed but in the 20th century
it became stronger because of the
emergence of mass media and
propaganda uh but also because much more
people felt lonely and in this way the
propaganda
really kicked in became very successful
and led to to to to a new kind of mask a
lonely Mass where
people did no longer have to meet
physically to to form a mass but could
form a mass while they were all sitting
uh uh in a lonely state in their houses
because they were all infused by the
same uh uh narratives through the mass
media and the interesting the
interesting thing is the following
as
soon as a totalitarian leader or a
totalitarian
system
uh can use
loneliness to seize control of the
population the first thing it will
always
do according to Han arand is replace
loneliness by
isolation physical isolation meaning
that it will try to impose travel
restrictions it will try to prevent
people from meeting like as Stalin did
with more than two persons because they
know if you can use
loneliness and replace it by physical
isolation preventing people to meet
physically propaganda is extremely
successful you have perfect control to
propaganda so we we can see that uh this
atomization of society on the one hand
was a spontaneous process and that's the
most important thing I believe it was a
spontaneously emerging process as a
consequence of the industrialization of
the world the use of uh technology but
it was also sometimes intentionally and
artificially created by by by by
totalitarian leaders and then there is
this last thing that I would want to add
to
that and it is that we really have to
try to understand the complex
relationship between loneliness and
narcissism because they are related to
each other and that's the the
deepest psychological level that's the
the root cause of the phenomenon of the
emergence of loneliness in our society
like something that I will try to
describe in a in a tangible way in my
next book our modern uh
worldview uh started to emerge somewhere
16th 17th century when the human being
left the religious F man of the world
behind and replaced it by uh the
rationalist materialist F man of the
world which believe that uh it's not so
much God that reveals the truth we have
to construct the truth ourself by
observing the world with our eyes and um
trying to understand the rational
connections between the facts that we
establish with our eyes so that
metaphysical Revolution which the
richest F man in the world was replaced
by the materialist F man in the
world basically boiled down to this the
human gaze the eyes the focus changed it
was no longer focused on our ethical
awareness and uh ethical rules and stuff
no it was focused outwards we started to
believe that the real world is the world
that we could observe with our eyes and
that was a moment where we also started
to believe at a level of of our own
identity that we could see who we are in
the mirror yeah we are our outer Mirror
Image our our Ideal Image and that at
the same time
immediately on the one
hand isolated the human being from other
human beings because in all human intera
human interactions we were like a few
percentages but which was enough to have
a substantial sub substantial impact
more focused on our own Ideal Image
meaning that we couldn't see the image
of the other anymore we resonated less
with the other because we are more
focused on our own outer Ideal Image and
our own ego and that the ego is
literally like a superficial
shell of your own being and if you
invest a lot of psychological energy if
you focus your attention on your outer
Ideal Image you get disconnected from
the other because you do not mirror the
other's image anymore and there is no
spontaneous emergence of empathy anymore
so the human bonds gets weaker the real
human bonds and that at the same time
explains like it's the it's the this
rationalist Fuel Man world at the same
time led to isolation and narcissism and
I mean you could see that in living
color as uh young people are curating
and airbrushing their Ideal Image and
projecting it literally onto Instagram
um and they they can't experience the
real being together with other people in
spontaneous convivial friendship and
relationship you know young people going
to a dance and the whole purpose of the
dance is to take pictures and post them
otherwise it's like it didn't happen
right um and another thing that happens
in that context is that one's own
interior life disappears and so the
possibility for real human friendship
intimacy and connection that Matias is
describing also disappears because it's
it's one person's character armor which
is a psychoanalytic term that you know
the analysts 100 years ago used to
describe the narcissistic personality it
was it was characterized by this
hardening this one person's character
armor bumping up against another
person's character armor and Society
inre recently isolated and then
characterized by conflict when people um
are together or are trying to connect
the the other thing I'll say just to
just to Riff on minus' comments about
the the rise of a kind of rationalism
over really the last 500 years is that
the end point of that hyper rationalist
Pro uh program or process uh can be seen
for example in the in the philosophy of
KL Marx and I'm not talking about his
economic theories I'm talking about
Marx's metaphysics is view of ultimately
the the world and how we know things and
and what human beings are I mean the
first thing he said is basically there
is no such thing as human nature we are
what we make um and and the the whole
the whole project of rationalism uh and
it's it's kind of apotheosis in the 19th
century was uh that we can recreate
ourselves we can create the world we can
recreate ourselves by recreating the
world that was basically the Marxist
revolutionary program and um and there
is no already
given um elements in the world or in
human nature that need to be respected
and regarded or treated with a kind of
contemplative gaze everything needs to
be subjected to our rationalist control
um this leads to a top- Down
managerialist Society of total control
and totalizing surveillance it leads to
um it leads to sort of extreme
ideologies like transhumanism that begin
from the premise that there is no such
thing as human nature we could just
recreate ourselves and you know become
demigods or you know bigger faster
stronger through the use of let's say
biotechnology or or te you know
nanotechnology or other technological
enhancements so we're in the process of
creating this this this unreal world and
then trying to conform ourselves to a
kind of virtual unreality that we were
never built for and that can only lead
to unhappiness and
misery and all kinds of Downstream
social problems Aaron Matias we're going
to take a quick break right now and
we'll be right
back um and we're back with Aon karotti
and Matias desmat there's two things
that just struck me one of them is this
you know this spontaneous rise of
loneliness through technology It's
Curious that a lot of that these masses
it's all mediated I I don't know if
ironically or just obviously through
technology right so it's almost like the
the connection gets to use your word
duded through the through the fact that
it's all seems to be a lot of it seems
to be mediated through technology so it
makes sense you would you know prevent
physical contact at some level the other
thing that struck me is this cause and
effect question you know is it with this
the the totalitarians taking advantage
of the the spontaneous rise of uh of
loneliness could it be the the cause and
effect is reversed in fact that the
technology itself gives rise to more
totalitarian Tendencies because of these
kinds of behaviors like to get you I me
either you to I think it runs in both
directions so the technological
developments obviously have an impact um
but also the ideologies Drive the
technological developments and the white
widespread Embrace of those
technological developments so you think
about lockdowns during Co which is the
most extreme example of what natias was
describing before I mean the the 20th
century totalitarian dictators from
Stalin to Hitler never dreamed of such
rigid controls on I mean they never told
people to stay six feet apart they never
told people that they couldn't go to you
know couldn't go outside or or go to
work so the world globally um and
supposedly free western Democratic
societies embrace
a level of control and organized
loneliness that had never been seen
before and the question is why and some
people have pointed out well if the
laptop class had not that that you know
already had available Zoom technology
then lockdowns never would have been
possible and there's certainly there's
certainly truth to that but I think also
we had been conditioned for decades into
thinking that it's possible to live a
human and Humane life
staying in my room and you know ordering
my food from people that I will never
actually see and actually never
encountering a real person face to face
somehow human beings globally had
developed the belief that it was
actually possible and in some cases even
desirable to do that and I think it was
clear that the human Bond had become
already very painful for m most people
most people felt lonely most people
suffered from an or 25% I believe of the
world population deals with the
psychiatric disorder which almost always
uh is part of a social problem problem
in the connection with other people so
many people actually like like many
young people in in Japan don't have sex
anymore uh uh many uh uh uh young people
just prefer virtual reality
over uh in person
contacts and conversations and I feel it
as well something that that is very
enticing in the use of your mobile phone
uh uh mobile phones are our
major addiction I think and the most
dangerous one def definitely in in uh in
our era and uh in that way as soon as
you start to see how throughout the last
two maybe three
centuries uh the social fabric uh
deteriorated step after step how for
instance the introduction of Television
radio reduced the number of inperson
contacts we had maybe with 50% or more
and then the introduction of the
internet with another 30% how uh The
Disappearance of the
physically labor physical labor working
together in a physical way uh also
destroyed the direct contact between
human beings and so on and so on then
you start to understand how suddenly uh
people who just because of their blind
belief in this rational system and this
rationalist the world viw uh and their
blind striving
towards rational control and
manipulation of nature in general and
Society in particular how these people
started to feel that maybe the next step
could be taken and that we slowly could
get people used to the to the fact that
maybe it was better for everyone
that people stayed in their houses from
now on better for nature better for
climate change better for it will
protect you from uh from dangerous
viruses and so on and so on so um that's
indeed the situation we find ourselves
in now and if we uh do not start
to really think about how we can escape
it I believe Humanity might end up uh in
a in a very well organized
prison yes
it's a kind of bizarre thing to to think
about and kind of it is it's a funny
it's a funny image you have to laugh but
so like it's a kind of a very dark kind
of a very dark future right well there's
a there's a real lack of um intellectual
humility there's Behind These converging
ideologies if you will and and
converging uses of tech Technologies I
think there is a lack of self-awareness
and understanding first of all that the
world is enormously and beautifully
complex and
complicated and the the sort of hyper
rationalist ideology says no we can
figure everything out and then we could
put the really smart people into
positions of permanent power and they
can in a top down sort of manage
arealist control organized f
tell everyone what to do and uh and
figure out all the dangers and minimize
them and um and and kind of refine all
the pleasures and maximize them and it's
a very naive view of the the cosmos and
of the world that we live in and the the
immediate lived environment which is
enormously complex beyond our Reckoning
and
beautifully um um beautifully beyond our
ability to uh to to fully comprehend it
so science and and I I should say and
I'm sure Matias would say the same thing
both of us are a fan of of science as a
process for discovering more and
learning more about the natural world
and and I'm not opposed to the to
technology is a way of of managing our
lives in the environment but to but to
put those things at the service of human
beings and put those things at the
service of the actual complex World in
which we live in is going to require a
very very different approach than the
one that we're the the path that we seem
to be going down now well Matias Desmet
Aaron karotti such a pleasure to have
had you on together thank you guys
thanks for having you thank you all for
joining Aaron karotti Mattias Desmond
and me on this episode of American
thought leaders I'm your host Yan Kell
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