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11 posts found
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Jul 17, 2026
acx
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132 min 20,439 words 195 comments 193 likes podcast (147 min)
A review of 'Great and Desperate Cures' by Elliot Valenstein, which examines the history of lobotomy and psychosurgery, explaining how tens of thousands of patients underwent dangerous brain operations from the 1930s-1950s despite poor evidence of effectiveness. Longer summary
The post reviews 'Great and Desperate Cures' (1986) by psychologist Elliot Valenstein, exploring how lobotomy became widespread despite its horrific consequences. The review details the procedure itself (inserting an ice-pick-like instrument through the eye socket into the brain), then examines six factors Valenstein identifies for its acceptance: desperate patients and families, physician ambition (especially Egas Moniz and Walter Freeman), uncritical acceptance by researchers and media, territorial disputes between medical specialties, and cold economics. The post includes extensive details about key figures, particularly Freeman's aggressive promotion of transorbital lobotomy and his traveling surgery roadshows. It discusses patient outcomes, the lack of theoretical justification, media hype, and the procedure's eventual replacement by psychoactive drugs. The review concludes by reflecting on modern parallels and the tragic story of Howard Dully, lobotomized at age twelve, arguing that while Freeman likely had good intentions, the safeguards that might have prevented such harm were inadequate then and remain concerning today. Shorter summary
Oct 01, 2025
acx
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213 min 32,949 words 755 comments 679 likes podcast (186 min)
A detailed investigation of the Sun Miracle of Fatima in 1917, where 70,000 people witnessed the sun appear to spin, change colors, and fall to earth, analyzing witness testimonies, skeptical explanations, and similar phenomena at other Marian apparition sites. Longer summary
Scott conducts an extensive investigation into the 1917 Miracle of the Sun at Fatima, where tens of thousands witnessed what appeared to be the sun spinning, changing colors, and falling to earth. He examines approximately 60 primary testimonies, evaluates common skeptical explanations (optical phenomena, weather events, mass hallucination), and documents similar sun miracles at other Marian apparition sites worldwide. Scott then critiques Dalleur's theory about distant witnesses and shadow analysis, explores why more people don't see these phenomena normally, and proposes a tentative materialist explanation involving a rare optical illusion modulated by cloud cover and social priming. The post ends by suggesting research directions for those interested in further investigation. Shorter summary
Aug 18, 2023
acx
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38 min 5,787 words 247 comments 193 likes podcast (32 min)
The review of 'The Mind of a Bee' examines the cognitive abilities of bees, raising questions about their intelligence and potential consciousness. Longer summary
This book review of 'The Mind of a Bee' by Lars Chittka explores the complex cognitive abilities of bees, discussing their behaviors, brain structure, and potential for consciousness. The review covers topics such as the waggle dance, honeycomb construction, brain waves, and various experiments demonstrating bees' problem-solving skills. While not definitively answering whether bees are 'smart' or conscious, the review highlights the complexity of bee cognition and the challenges in studying animal intelligence. Shorter summary
May 25, 2021
acx
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72 min 11,078 words 456 comments 121 likes podcast (73 min)
Scott Alexander presents a detailed guide on depression, covering its causes, symptoms, and various treatment options, including lifestyle changes, therapies, medications, and other interventions. Longer summary
Scott Alexander provides a comprehensive guide on depression, covering its causes, symptoms, and various treatment options. He discusses lifestyle changes, therapies, medications, supplements, and other interventions like TMS and ECT. The post offers practical advice on how to approach treatment, including specific regimens for different situations, and guidelines on how long to continue treatment once it starts working. Shorter summary
Oct 07, 2019
ssc
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20 min 2,960 words 400 comments
A diverse collection of links on topics ranging from gerrymandering and health insurance to tech bubbles and extinction risk estimates, presented with minimal commentary. Longer summary
This post is a collection of various interesting links and news items. It covers a wide range of topics including gerrymandering, health insurance effects, corporate profits, drug pricing, media bias, ketamine research, tech bubbles, seasonal effects on mental health, FDA drug importation plans, research on sex differences, carbon capture technologies, birth order effects, waist-to-hip ratio preferences, extinction risk estimates, life sciences research, Google algorithm changes affecting health sites, online economy intricacies, fluoride effects on IQ, and many other diverse subjects. The post presents these items without much commentary, leaving readers to explore further on their own. Shorter summary
May 07, 2019
ssc
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22 min 3,284 words 155 comments podcast (24 min)
Scott examines how the 5-HTTLPR gene was wrongly linked to depression for years, discussing the implications for psychiatric research and genetic testing products. Longer summary
This post discusses the history and eventual debunking of the 5-HTTLPR gene's supposed role in depression. Initially, numerous studies claimed to find links between 5-HTTLPR and various mental health conditions, interactions with stress, and even antidepressant efficacy. However, a recent large-scale study by Border et al. found no evidence for these claims, suggesting that hundreds of previous studies were likely false positives. The post explores the implications of this finding, including concerns about the reliability of psychiatric research, the tendency for studies to reinforce existing beliefs, and the questionable validity of pharmacogenomic testing products that rely on genes like 5-HTTLPR. Shorter summary
Jun 26, 2016
ssc
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44 min 6,720 words 274 comments
Scott reviews 'Unlearn Your Pain', finding its psychosomatic theory of chronic pain intriguing but overstated, while acknowledging the book's techniques may still be helpful via placebo effects. Longer summary
Scott reviews the book 'Unlearn Your Pain' by Dr. Howard Schubiner, which argues that most chronic pain is psychosomatic and can be cured through psychological techniques. While Scott finds some of the book's claims intriguing, he is skeptical of its more sweeping assertions about the psychological origins of pain. He examines the evidence for and against psychosomatic theories of chronic pain, concluding that while psychological factors likely play a role, the book overstates its case and ignores contradictory evidence. Scott suggests the book's techniques may work primarily through placebo effects rather than by addressing repressed trauma as claimed. Shorter summary
May 19, 2016
ssc
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49 min 7,545 words 625 comments
Scott Alexander reviews research on teacher effectiveness, examining Value-Added Modeling (VAM) and its criticisms, while expressing uncertainty about claimed long-term impacts on adult earnings. Longer summary
Scott Alexander reviews research on teacher effectiveness, focusing on Value-Added Modeling (VAM) and its criticisms. He explores studies showing teachers account for about 10% of variance in student test scores, with effects decaying quickly over time. However, some controversial studies claim long-term impacts on adult earnings. Scott examines methodological issues, potential biases, and alternative explanations, ultimately expressing uncertainty about the validity of these long-term effects. He suggests non-cognitive factors like behavior might explain persistent impacts if they exist, but remains skeptical given the contrast with research showing minimal parental influence on outcomes. Shorter summary
Mar 07, 2016
ssc
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19 min 2,847 words 429 comments
Scott Alexander criticizes the idea that prisons have replaced mental hospitals, arguing for better community and forensic mental health care instead of long-term institutionalization. Longer summary
Scott Alexander critiques a Vox article that suggests America's criminal justice system has become a substitute for the gutted mental health system. He argues that this view is misguided, explaining that mental health spending hasn't decreased but shifted from long-term state hospitals to community care. Scott contends that the high number of mentally ill people in prison is due to shared risk factors with criminality, not a lack of mental health care. He emphasizes that most mentally ill people can live outside institutions and shouldn't be institutionalized preemptively. Scott advocates for better funding of community and forensic mental health systems rather than reopening state-run long-term mental hospitals, which he views as problematic. Shorter summary
Aug 14, 2014
ssc
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18 min 2,716 words 183 comments podcast (21 min)
Scott Alexander explores the concept of 'isolated demands for rigor' across philosophy, politics, and science, criticizing the selective application of rigorous standards. Longer summary
Scott Alexander discusses the concept of 'isolated demands for rigor' using various examples. He starts with a philosophical thought experiment about Heraclitus and personal identity, then moves on to discuss how this concept applies in politics, science, and statistics. The post criticizes the selective application of rigorous standards only when it benefits one's argument or position, while ignoring these standards in other cases. Scott ends with a fictional scene featuring pre-Socratic philosophers in a Western setting, illustrating the absurdity of selectively applying philosophical concepts. Shorter summary
Oct 20, 2013
ssc
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228 min 35,234 words 810 comments
This post systematically rebuts common Reactionary political beliefs on topics like societal decline, traditional governance, progress, and social issues through data analysis and historical examples. Longer summary
This post is an extensive rebuttal to common beliefs held by the Reactionary political movement. It systematically addresses and counters Reactionary claims about societal decline, traditional monarchies, the origins and nature of progress, corporate governance models, and modern views on race and gender. The author analyzes data and historical examples to argue against Reactionary positions, while acknowledging some valid critiques and interesting ideas within the movement. The post ends by listing various rebuttals and responses to the FAQ itself from Reactionary bloggers. Shorter summary
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