Laura B


Explaining "The Crackpot Bet"

"That was when close friends started delicately checking to see if I was “okay.” "

I would suggest seeing some of your close friends in person and seeing if they think you are ok instead of 'reassuring' them that you are fine. Your 'explanation' is not at all reassuring on this front. The whole incident seems out of character from what I remember of you, and I'm guessing your friends are right to be concerned. I recommend not writing more in public forums for the time being.

No, it's not The Incentives—it's you

There is a lot of arguing in the comments about what the 'tradeoffs' are for individuals in the scientific community and whether making those tradeoffs is reasonable. I think what's key in the quoted article is that fraudsters are trading so much for so little. They are actively obscuring and destroying scientific progress while contributing to the norm of obscuring and destroying scientific progress. Potentially preventing cures to diseases, time and life-saving technology, etc. This is REALLY BAD. And for what? A few dollars and an ego trip? An 11% instead of a 7% chance at a few dollars and an ego trip? I do not think it is unreasonable to judge this behavior as reprehensible, reguargless if it is the 'norm'.

Using peers in a field as a proxy for good vs. bad behavior doesn't make sense if the entire field is corrupt and destroying value. If 100% of scam artists steal people's money, I don't forgive a scam artist for stealing less money than the average scam artist. They are not 'making things better' by in theory reducing the average amount of money stolen per scam artist. They are still stealing money. DO NOT BECOME A SCAM ARTIST IN THE FIRST PLACE. If academia is all a scam, then that is very sad, but it does not make it ok for people to join in the scam and shrug it off as a norm.

And being fraudulent in science is SO MUCH WORSE than just being an ordinary scam artist who steals money. It's more like being a scam artist who takes money in exchange for poisoning the water and land with radioactive waste. No, it's not ok because other people are doing it.

Some Thoughts on My Psychiatry Practice

That might be true, but it is very hard for people to make reasoned changes when they are deeply depressed. Depression has real cognitive effects, which people frequently complain about. Depressive reasoning often looks like I SUCK I SUCK I SUCK I SUCK Everything is my fault and I screwed it all up, and I can't fix it, and I can't fix it because I SUCK I SUCK I SUCK. Ok - let me focus for a second - If I change this... I SUCK I SUCK ... Ok, if I change this thing then... why can't I think? Oh right I SUCK I SUCK I SUCK... etc, etc. Getting people out of that pattern is very helpful.

Some Thoughts on My Psychiatry Practice

Number 1 is the politically correct thing to say, but was not what I actually observed when working with Medicaid patients. People complained far less about poverty than I (who come from a middle-class upbringing) would have anticipated. People adjust to what they are used to. It's the middle class, with the constant fear of downward mobility, which really suffers from monetary issues. There were some interesting interactions between race and class, which are hard to express without the internet eating me. Being hispanic and poor is very different from being black and poor, which is different still from being white and poor. And I'll leave it at that.

2 just sounds correct. America has reached the apotheosis of individualism. We can't all be the star of the show, and it hurts when you find out you are not.

Some Thoughts on My Psychiatry Practice

The latter. Most 'analysts' today do not consider themselves primarily freudian.

Some Thoughts on My Psychiatry Practice

My new practice is only 3 months old, so no one with full on DID yet, though some people have these rando dissociations (which are likely trauma related) I had one patient in my former position with DID. Very interesting case, but hippa lol.

Transhumanism as Simplified Humanism

I just read this article from the Atlantic - I wrote the comment first- but I think it eloquently highlights most of these points.

Transhumanism as Simplified Humanism

A few thoughts on why people dislike the idea of greatly extending human life:

1) The most obvious reason: people don't understand the difference between lifespan and healthspan. They see many old, enfeebled, miserable people in old folks homes and conclude, 'My God, what has science wrought!' They are at present not wrong.

2) They don't believe it could work. People as they get older start recognizing and coming to terms with mortality. It suffuses everything about their lives, preparations, the way they talk. The second half of a modern human life is mostly shoring things up for the next generation. Death is horrible. It needs to be made ok one way or another. If you dangle transhumanism in front of them, but they don't believe it has any possibility of happening, then you are undoing years of mental preparation for the inevitable for no reason. People have mental protections against this kind of thing.

3) On some level people don't want their parents to live forever. Modernly extended lifespans have already greatly extended the time parents exert influence over their children. Our childhoods essentially never end.

4) On some level people don't want to live. That might be hard for you to understand, but many people are very miserable, even if they are not explicitly suicidal. The idea of a complete life, when they can say their work is done, can be very appealing. The idea of it never ending can sound like hell.

Advances in Baby Formula

Sick babies are often too weak to suck much - and this is true even if the baby isn't sick enough to require a nicu stay. If a baby has to be in the hospital - it can be difficult logistically to breastfeed them, and of course if women aren't dedicated to it, they won't maintain milk. My son was required to stay in the nicu for 4 days (for ridiculous reasons - he was fine). I was only allowed to stay in the hospital 2 nights, and I was exhausted and needed to sleep.
I ended up allowing them to feed him formula since my milk was slow to come in - no one strongly encouraged me to stay there and breastfeed in the night. I got a 5 minute tutorial on how to use a pump, which was briefly suggested. It's great that some hospitals are encouraging breastfeeding and providing donor milk to premature babies. I don't know how universal this is. I know other women who have complained of similar problems I faced.

Advances in Baby Formula

Ozy - sibling studies have a major problem - they don't take into account the reasons why a mother would breast-feed one child but not the other. If you ask moms about this, they always have an answer, and it is usually something like, 'Josh was very sleepy and just wouldn't suck. We had to give him a bottle to get him to eat at all.' My mother basically gives this exact story for why I was breast-fed and my brother was not.
And my brother had developmental problems and I did not. I don't think this is because he was fed formula.
Remember, weaker/sicker babies are more likely to get formula, and sicker/older/tireder/more depressed mothers are more likely to formula feed. In order to breastfeed, everything has to go right. One thing goes wrong, and it's on to formula.

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