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Dec 04, 2019
ssc
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9 min 1,390 words 133 comments podcast (11 min)
Scott Alexander argues that psychiatric diagnoses, while imperfect, are useful tools despite potentially combining multiple conditions with different causes. Longer summary
Scott Alexander discusses the criticism that psychiatric conditions like autism or depression are not unitary categories but rather collections of different conditions with different causes. He argues that this view, while correct, is not as revolutionary as some think and doesn't invalidate the usefulness of these diagnoses. Scott compares psychiatric conditions to medical conditions like pulmonary edema or stroke, which can have multiple causes but are still useful diagnostic categories. He suggests that psychiatric disorders might ultimately be understood as computational conditions, with various biological, psychological, and environmental factors affecting the brain's computational parameters. The post emphasizes that while research into subtypes of conditions like depression hasn't been very productive, current psychiatric diagnoses remain the most useful tool available, despite their limitations. Shorter summary
Dec 03, 2018
ssc
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37 min 5,616 words 440 comments podcast (42 min)
Scott reviews a book applying evolutionary psychology to psychiatry, finding the approach intriguing but hard to verify and potentially open to misuse. Longer summary
Scott reviews 'Evolutionary Psychopathology: A Unified Approach' by Marco del Giudice. The book applies evolutionary psychology to psychiatry, using life history theory to explain mental disorders. It proposes that humans adopt different life strategies (fast vs. slow) based on their environment and genetics, which influence personality traits and potentially psychiatric conditions. Scott finds the theory intriguing but notes it requires subdividing existing psychiatric categories in ways that make it hard to verify. He discusses potential social and political implications of the theory, including how it might explain effects of early childhood interventions and romantic success patterns. While seeing promise in the approach, Scott cautions that the theory could be used to justify problematic social views. Shorter summary
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