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schizophrenia (31)
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study critique (270)
book review (221)
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31 posts
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How Natural Tradeoff And Failure Components?

Scott discusses how new schizophrenia genetics research confirms that psychiatric conditions combine both 'tradeoff' components (with compensating advantages) and 'failure' components (purely negative), then argues this pattern is common sense for any multifactorial problem.

acx
Mar 26, 2026 820 words 235 likes 194 comments Listen · 6 min Read Read

Contra Skolnick On Schizophrenia Microbes

Scott Alexander refutes Stephen Skolnick's theory that schizophrenia is caused by gut microbes rather than genetics, showing why the evidence better supports schizophrenia being a complex genetic neurodevelopmental disorder.

acx
Jun 30, 2025 1,619 words 256 likes 180 comments Listen · 11 min Read Read

Who Does Polygenic Selection Help?

Scott Alexander argues that using polygenic screening to select low-risk embryos can be considered as preventing genetic disorders, drawing parallels with other accepted preventive practices.

acx
Feb 23, 2024 1,185 words 201 likes 576 comments Listen · 8 min Read Read

Evolution Explains Polygenic Structure

Scott Alexander explores how evolutionary processes explain the polygenic structure of schizophrenia and other complex traits, addressing concerns about genetic research and implications for future genetic interventions.

acx
Feb 8, 2024 991 words 129 likes 274 comments Listen · 6 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

Some Unintuitive Properties Of Polygenic Disorders

Scott Alexander uses simulations to explain why seemingly counterintuitive arguments against the genetic basis of schizophrenia are misleading.

acx
Jan 24, 2024 1,561 words 229 likes 187 comments Listen · 9 min Read Read

Your Book Review: Consciousness And The Brain

A review of Stanislas Dehaene's 'Consciousness and the Brain', discussing scientific findings on consciousness and their implications.

acx
May 13, 2022 8,040 words 128 likes 408 comments Listen · 53 min Read Read

Non-Cognitive Skills For Educational Attainment Suggest Benefits Of Mental Illness Genes

Scott Alexander examines a genetic study distinguishing cognitive and non-cognitive skills in educational attainment, revealing unexpected correlations with mental health conditions.

acx
Nov 3, 2021 1,173 words 98 likes 193 comments Listen · 14 min Read Read

Blindness, Schizophrenia, and Autism

Scott explores the puzzling relationship between congenital blindness, schizophrenia, and autism, discussing potential explanations and the need for further research.

acx
Aug 13, 2021 880 words 77 likes 190 comments Listen · 7 min Read Read

Highlights From The Comments On "Crazy Like Us"

Scott discusses reader comments on his 'Crazy Like Us' book review, covering topics like PTSD, cultural influences on mental illness, and cross-cultural prevalence of schizophrenia.

acx
Jul 21, 2021 5,184 words 45 likes 191 comments Listen · 34 min Read Read

Book Review: Crazy Like Us

Scott Alexander reviews 'Crazy Like Us', exploring how Western mental health concepts spread globally and whether raising awareness of mental health problems might make them worse.

acx
Jul 15, 2021 6,581 words 193 likes 582 comments Listen · 45 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

Diametrical Model Of Autism And Schizophrenia

The post explores the diametrical model of autism and schizophrenia, suggesting they represent opposite ends of a spectrum from mechanistic to mentalistic cognition.

ssc
Dec 11, 2018 1,625 words 0 likes 134 comments Listen · 13 min Read Read

Cognitive Enhancers: Mechanisms And Tradeoffs

Scott explores how acetylcholine-related cognitive enhancers might work by increasing sensory precision and learning rate, while speculating on potential tradeoffs and acknowledging the highly speculative nature of these ideas.

ssc
Oct 22, 2018 2,585 words 0 likes 156 comments Listen · 19 min Read Read

Treating The Prodrome

The post examines the theory of treating schizophrenia's prodrome stage, exploring how early intervention might prevent full-blown schizophrenia and discussing the biological mechanisms behind the disease's progression.

ssc
Sep 20, 2018 2,918 words 0 likes 103 comments Listen · 21 min Read Read

Toward A Predictive Theory Of Depression

Scott proposes a speculative theory of depression as pathologically low confidence in neural predictions within the predictive processing framework, explaining how this could account for various depressive symptoms.

ssc
Sep 12, 2017 1,978 words 0 likes 146 comments Read Read

Book Review: Surfing Uncertainty

Scott Alexander reviews 'Surfing Uncertainty' by Andy Clark, exploring the predictive processing model of brain function and its wide-ranging explanatory power.

ssc
Sep 5, 2017 6,598 words 0 likes 271 comments Listen · 47 min Read Read

Why Is Clozapine So Great?

Scott explores the theory that clozapine's unique effectiveness in treating schizophrenia may be due to its combined action on dopamine and glutamate systems, potentially opening avenues for safer treatments.

ssc
Jul 27, 2017 1,148 words 0 likes 27 comments Read Read

Can We Link Perception And Cognition?

Scott Alexander explores potential links between perception of optical illusions and cognitive styles, proposing further research to investigate these connections.

ssc
Jul 14, 2017 945 words 0 likes 108 comments Read Read

Why Are Transgender People Immune To Optical Illusions?

Scott Alexander hypothesizes a link between transgender identity, optical illusions, and NMDA receptor function, based on survey data and existing research on schizophrenia and autism.

ssc
Jun 28, 2017 3,120 words 0 likes 356 comments Read Read

Somewhat Against Psychiatric Conditions As Domestication Failure

Scott Alexander examines a theory linking autism and schizophrenia to human self-domestication, initially dismissing it before reconsidering its merits in light of Williams Syndrome.

ssc
Oct 11, 2016 2,422 words 0 likes 314 comments Read Read

It’s Bayes All The Way Up

The post explores how Bayesian processes in the brain might explain perception and various mental disorders, linking neurotransmitters to different aspects of Bayesian reasoning.

ssc
Sep 12, 2016 3,871 words 0 likes 215 comments Read Read

Book Review: My Brother Ron

Scott reviews a book arguing against deinstitutionalization of the mentally ill, agreeing with many of its claims but ultimately disagreeing with its conclusion.

ssc
Mar 31, 2016 7,612 words 0 likes 427 comments Read Read

Schizophrenia: No Smoking Gun

The post explores the complex relationship between smoking and schizophrenia, critiquing conflicting studies and cautioning against hasty conclusions about nicotine's effects on schizophrenia risk.

ssc
Jan 11, 2016 1,679 words 0 likes 264 comments Read Read

Contra Caplan on Mental Illness

Scott Alexander critiques Bryan Caplan's argument that psychiatric diseases are unusual preferences rather than real illnesses, providing counterarguments and evidence to show this view is untenable.

ssc
Oct 7, 2015 4,853 words 0 likes 761 comments Read Read
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