In her new book, Radical Surrender: Letting go in a world addicted to control, psychiatrist Anna Lembke argues that a modern obsession with controlling every aspect of life has become a primary source of unhappiness. Lembke, who graduated with honours from Yale University and attended Stanford Medical School, describes her own youth as a period of intense self-regulation. “Whenever I faced uncertainty, I doubled down on control, which was both externally rewarding and internally validating, in the sense that the harder I worked, the bigger the payoff,” she writes of her teens and 20s. She adds, “Whether pursuing grades, training for a marathon, or simply adhering to my rigid schedule, in my professional and personal life, I was master of my universe.”

Lembke posits that we currently live in a time of "pathological preoccupation with the self," which she claims is ubiquitous in our culture. Drawing on the theory of predictive processing, she explains that the brain attempts to minimize uncertainty by building "mind maps" based on past experiences. When the real world contradicts these maps—creating "prediction errors"—people often resort to unhealthy coping mechanisms. Lembke identifies these as denial or "pathological wilfulness," where individuals attempt to force the environment to be predictable even when such efforts are futile.

According to Lembke, rising narcissism has made it harder for people to accept that their mental models might be wrong. She states that because we have placed ourselves at the center of the universe, we experience a "narcissistic injury"—a "deep and abiding psychological blow to our core sense of self"—whenever life does not go according to plan.

Lembke suggests that online life has exacerbated this issue by offering an easy escape from uncertainty. She notes that even mundane activities, such as reading restaurant reviews to decide where to sit and what to order, can trap people into feeling as though they have already experienced an event before it happens. She argues this leaves people with little practice for dealing with "titanic life events" that overturn their mind maps.