
Addiction – Overconsuming – Self Obsession – Power and Greed – Instant Gratification – People Pleasing – Popularity – Co-dependency – Avoidance – Isolation

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Emotions: Function and MotivationEmotions: Function and Motivation
Joy or happiness can motivate us to join in, take part, flourish, share, be a part of, repeat these activities.
Fear can motivate us to get away, hide, flee, run, keep ourselves or others safe. It protects us.
Sadness can motivate us to withdraw, ruminate, cry, heal, express hurt, seek comfort and bond with others.
Anger can motivate us to attack, defend or stand up for ourselves, identify boundary violation, identify there is a threat to our self or our loved ones or something we value.
Guilt can motivate us to repair what we have done and informs us that we have violated our morals or values.
Shame can motivate us to hide away, to keep things secret, to remember our fallibility and humility, to keep us “right sized”.
Disgust can motivate us to withdraw, keep a distance, get clean or clean our environment to ensure we stay healthy.
Compassion, empathy, or sympathy can motivate us to offer comfort, be with others, relate to one another and form strong bonds.
Confusion (Cognitive with physical sensations) can motivate us to get curious, learn, discover, grow.
Affection (behavioural with physical sensations) can motivate us to give love, get close to specific people who were feel safe with, and want to spend more time with.
Polyvagal Theory and Trauma – Dr. Stephen PorgesPolyvagal Theory and Trauma – Dr. Stephen Porges

Stephen Porges, psychiatry professor and researcher, on the polyvagal theory he developed to understand our reactions to trauma:
[Paraphrased] Polyvagal theory articulates three branches of the autonomic nervous system (ANS) that evolved from primitive vertebrates to mammals. First, there is a system known as ‘freeze’, which involves death feigning or immobilisation. Second, the ANS has a ‘fight or flight’ system, which is a mobilisation system. And third, with mammals, there is what Porges calls, a social engagement system (SES), which can detect features of safety, and actually communicate them to another. The SES may also be referred to by some as ‘rest and digest’, which Porges theory suggests is a function of the Vagus Nerve – the tenth cranial nerve, a very long and wandering nerve that begins at the medulla oblongata. When an individual experiences feelings of safety (within an SES state), the autonomic nervous system can support health restoration. In terms of dealing with a life threat, an ordinary person will most likely go into a feigning death, dissociative state of ‘freeze’.
Polyvagal theory in psychotherapy offers emotional co-regulation as an interactive process between therapist and client which engages the social engagement system of both therapist and client. Social engagement provides experiences of safety, trust, mutuality and reciprocity in which we are open to receiving another person, just as they are.
The following extract has been retrived from https://www.theguardian.com/society/2019/jun/02/stephen-porges-interview-survivors-are-blamed-polyvagal-theory-fight-flight-psychiatry-ace
Polyvagal theory has made inroads into medical and psycho-therapeutic treatment, but how should it inform how people treat each other?
“When we become a polyvagal-informed society, we’re functionally capable of listening to and witnessing other people’s experiences, we don’t evaluate them. Listening is part of co-regulation: we become connected to others and this is what I call our biological imperative. So when you become polyvagal-informed you have a better understanding of your evolutionary heritage as a mammal. We become aware of how our physiological state is manifested, in people’s voices and in their facial expression, posture and basic muscle tone. If there’s exuberance coming from the upper part of a person’s face, and their voice has intonation modulation or what’s called prosody, we become attracted to the person. We like to talk to them – it’s part of our co-regulation.
So when we become polyvagal-informed, we start understanding not only the other person’s response but also our responsibility to smile and have inflection in our voice, to help the person we’re talking to help their body feel safe.”
Clink on the link below to hear Dr. Bessel van der Kolk, one of the world’s leading experts on developmental trauma, explain how our long-term health and happiness can be compromised by prior exposure to violence, emotional abuse, and other forms of traumatic stress.
Mortality DeterminantsMortality Determinants
Overall Global Leading Cause of Death
- Ischemic heart disease (coronary artery disease) – Still the #1 cause of death worldwide.
- Followed by: Stroke, chronic obstructive pulmonary disease (COPD), lower respiratory infections, and cancer (e.g., lung, liver, colorectal).
Breakdown by Category
By Age
| Age Group | Leading Cause(s) of Death |
|---|---|
| Infants (<1) | Neonatal conditions, birth complications, infections |
| Children (1–14) | Accidents (injuries), infections (low-income countries), cancers (e.g., leukemia) |
| Youth (15–24) | Road injuries, suicide, homicide (varies by country) |
| Adults (25–44) | Injuries (road, drug overdose), suicide, HIV/AIDS (in some countries), heart disease |
| Middle Age (45–64) | Heart disease, cancer (esp. lung, colorectal, breast), liver disease |
| Older Adults (65+) | Heart disease, stroke, cancer, Alzheimer’s disease |
By Gender/Sex
| Group | Leading Cause of Death |
|---|---|
| Cisgender Men | Heart disease, cancer (lung, liver), accidents |
| Cisgender Women | Heart disease, cancer (breast, lung), stroke |
| Transgender Individuals | Elevated risk from violence, suicide, and HIV/AIDS (especially trans women of color); limited large-scale data |
| Non-binary | Insufficient population-specific data, but risks often parallel those of trans populations or assigned sex at birth |
By Race/Ethnicity (Example: United States)
| Group | Top Causes | Unique Issues |
|---|---|---|
| White (non-Hispanic) | Heart disease, cancer, drug overdose | |
| Black or African American | Heart disease, cancer, higher stroke risk | |
| Hispanic/Latino | Heart disease, cancer, diabetes | |
| Native American | Accidents, liver disease, diabetes, suicide | |
| Asian American | Cancer (leading cause), stroke, heart disease |
Note: Disparities arise from systemic inequalities, access to care, and social determinants of health.
By Sexuality (LGBTQ+)
- Limited global data, but in many regions:
- Higher risk of suicide, mental health disorders, substance abuse, HIV/AIDS (especially among MSM and trans women).
- Discrimination and healthcare avoidance contribute to worsened outcomes.
- Common causes of death still include heart disease and cancer, with higher rates of premature death linked to stigma and healthcare disparities.
By Geographic Region
| Region | Leading Cause(s) |
|---|---|
| High-Income Countries | Heart disease, cancer, Alzheimer’s, stroke |
| Low- and Middle-Income Countries | Infectious diseases (TB, HIV), maternal mortality, stroke, heart disease |
| Africa | HIV/AIDS, malaria, lower respiratory infections |
| Asia | Stroke, heart disease, chronic lung disease |
| North America | Heart disease, cancer, drug overdose (opioid crisis) |
| Europe | Heart disease, stroke, cancer |
| Latin America | Violence (in younger adults), heart disease, diabetes |
By Profession
- Agricultural/farm workers: High injury rates, pesticide exposure, suicide
- Construction workers: Falls, injuries, exposure to toxins (e.g., asbestos)
- Healthcare workers: Infectious disease, burnout, mental health risks
- Military/first responders: Combat-related injuries, PTSD, suicide
- Office workers: Sedentary lifestyle risks (heart disease, diabetes)
Occupation-linked deaths often relate to environmental exposures, physical risks, or psychological stressors.
Conclusion:
Across almost all demographics, heart disease remains the leading cause of death, followed by cancer, stroke, and—in certain populations—accidents, suicide, or infectious diseases. However, the underlying causes (social, economic, political) differ significantly based on identity, geography, and profession.
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