Scott Alexander examines whether psychiatric conditions result from evolutionary failures or tradeoffs, proposing that most disorders involve a combination of both. Longer summary

Scott Alexander explores the nature of psychiatric conditions, discussing whether they result from evolutionary failures or tradeoffs. He presents evidence for both hypotheses, noting that recent research favors the failure hypothesis. However, he argues that some conditions likely involve both failures and tradeoffs. He uses analogies from justice systems and nuclear war scenarios to illustrate how failures and tradeoffs can interact. The post concludes by suggesting that most psychiatric disorders exist on a spectrum from mostly-tradeoff to mostly-failure, and critiques the neurodiversity movement's blanket statements about conditions like autism. Shorter summary