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psychiatry (73)
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study critique (270)
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73 posts
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Your Book Review: Great And Desperate Cures

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.

acx
Jul 17, 2026 20,439 words 214 likes 192 comments Listen · 147 min Read Read

Links For September 2025

Scott Alexander presents his monthly collection of interesting links and developments across technology, science, culture, and policy, with personal commentary on each item.

acx
Sep 4, 2025 8,283 words 233 likes 917 comments Listen · 45 min Read Read

The Emotional Support Animal Racket

Scott Alexander examines the problematic nature of emotional support animal letters, highlighting the ethical dilemmas for psychiatrists and the system's shortcomings.

acx
May 9, 2024 1,446 words 435 likes 781 comments Listen · 10 min Read Read

It's Fair To Describe Schizophrenia As Probably Mostly Genetic

Scott Alexander argues that schizophrenia should be described as predominantly genetic, addressing counterarguments and emphasizing the importance of this perspective for prevention strategies.

acx
Feb 1, 2024 3,908 words 204 likes 303 comments Listen · 22 min Read Read

Does Anaesthesia Prove Ketamine Placebo?

Scott Alexander examines a study challenging ketamine's effectiveness as an antidepressant, discussing potential confounding factors and maintaining his belief in ketamine's utility despite the study's results.

acx
Nov 14, 2023 1,855 words 120 likes 316 comments Listen · 12 min Read Read

The Government Is Making Telemedicine Hard And Inconvenient Again

Scott Alexander criticizes new DEA regulations that restrict telemedicine prescriptions for controlled substances, arguing they will harm patients and legitimate practices while failing to prevent abuse.

acx
Mar 29, 2023 1,817 words 255 likes 396 comments Listen · 11 min Read Read

You Don't Want A Purely Biological, Apolitical Taxonomy Of Mental Disorders

Scott Alexander argues that a purely biological, apolitical taxonomy of mental disorders is impossible due to ethical and practical considerations that inevitably influence classifications.

acx
Jan 25, 2023 1,456 words 400 likes 1,052 comments Listen · 10 min Read Read

From The Mailbag

Scott Alexander answers reader questions on various topics, including his projects, views, and personal preferences in a mailbag format.

acx
Oct 25, 2022 2,532 words 118 likes 286 comments Listen · 16 min Read Read

Criticism Of Criticism Of Criticism

Scott Alexander analyzes EA's approach to criticism, arguing that specific, targeted critiques are more valuable than vague, paradigmatic ones for driving real change.

acx
Jul 20, 2022 3,034 words 324 likes 591 comments Listen · 20 min Read Read

In Partial, Grudging Defense Of The Hearing Voices Movement

Scott Alexander examines the Hearing Voices Movement, discussing its benefits and limitations in treating psychosis while emphasizing the need for a balanced approach to mental health care.

acx
May 25, 2022 4,900 words 377 likes 901 comments Listen · 31 min Read Read

Peer Review Request: Ketamine

Scott Alexander provides a comprehensive guide on ketamine as a depression treatment, covering administration methods, effectiveness, safety, dosage, and potential side effects.

acx
Jul 19, 2021 7,352 words 42 likes 168 comments Listen · 55 min Read Read

Oh, The Places You'll Go When Trying To Figure Out The Right Dose Of Escitalopram

Scott Alexander investigates the optimal dosage of Lexapro, comparing it to other antidepressants and exploring the reasons behind its effectiveness at lower doses.

acx
Mar 31, 2021 2,337 words 78 likes 125 comments Listen · 18 min Read Read

A Look Down Track B

Scott Alexander critically examines a new theory on antidepressant mechanisms, expressing skepticism while acknowledging its potential significance if proven true.

acx
Feb 22, 2021 2,454 words 62 likes 69 comments Listen · 18 min Read Read

The Precision Of Sensory Evidence

Scott Alexander examines a theory proposing that depression, anxiety, and trauma are characterized by low precision of sensory evidence, leading to overreliance on negative priors.

acx
Feb 13, 2021 2,167 words 192 likes 154 comments Listen · 15 min Read Read

Ontology Of Psychiatric Conditions: Tradeoffs And Failures

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

acx
Feb 11, 2021 4,352 words 186 likes 311 comments Listen · 30 min Read Read

Ontology Of Psychiatric Conditions: Dynamical Systems

Scott Alexander examines mental disorders through the lens of dynamical systems theory, exploring how this perspective complements and contrasts with taxometric approaches.

acx
Feb 3, 2021 4,087 words 167 likes 122 comments Listen · 30 min Read Read

Ontology Of Psychiatric Conditions: Taxometrics

Scott Alexander examines taxometrics in psychiatry, finding that most mental health conditions are dimensional rather than categorical, and discusses the implications for diagnosis and treatment.

acx
Jan 28, 2021 4,710 words 273 likes 251 comments Listen · 34 min Read Read

Still Alive

Scott Alexander describes deleting his blog Slate Star Codex due to a doxxing threat, the aftermath, and his decision to return to blogging under his real name.

acx
Jan 21, 2021 6,643 words 1,597 likes 483 comments Listen · 39 min Read Read

You're Probably Wondering Why I've Called You Here Today

Scott Alexander introduces his new blog, Astral Codex Ten, centered around the concept of ṛta and exploring topics related to rationality, science, and human cognition.

acx
Jan 21, 2021 739 words 506 likes 246 comments Listen · 6 min Read Read

NYT Is Threatening My Safety By Revealing My Real Name, So I Am Deleting The Blog

Scott Alexander deletes his blog Slate Star Codex to prevent the New York Times from revealing his real name, citing professional and safety concerns.

ssc
Jun 22, 2020 1,408 words 0 likes -1 comments Listen · 9 min Read Read

SSCJC: Real World Depression Measurement

Scott Alexander analyzes the PANDA Study, a large real-world antidepressant trial, discussing its methodology, results, and implications for understanding antidepressant efficacy.

ssc
Apr 6, 2020 1,436 words 0 likes 65 comments Listen · 13 min Read Read

Contra Contra Contra Caplan On Psych

Scott Alexander critiques Bryan Caplan's constraints vs preferences model of mental illness, proposing instead a goals vs urges framework that better explains both mental and physical health issues.

ssc
Jan 15, 2020 4,232 words 0 likes 458 comments Listen · 29 min Read Read

Symptom, Condition, Cause

Scott Alexander argues that psychiatric diagnoses, while imperfect, are useful tools despite potentially combining multiple conditions with different causes.

ssc
Dec 4, 2019 1,390 words 0 likes 133 comments Listen · 11 min Read Read

Book Review: The Body Keeps The Score

Scott Alexander reviews 'The Body Keeps The Score', a book on PTSD, praising its historical context but criticizing its outdated science and uncritical embrace of alternative therapies.

ssc
Nov 12, 2019 3,754 words 0 likes 221 comments Listen · 26 min Read Read

Postscript To APA Photo-Essay

Scott Alexander clarifies his intentions behind the APA photo-essay and cautions against overly negative interpretations of psychiatry or any professional field based on selective criticism.

ssc
May 28, 2019 496 words 0 likes 273 comments Listen · 5 min Read Read
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