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The Szaszian Fork: Another Reply to Scott Alexander on Mental Illness
Cremieux's avatar

This is an interesting perspective, but it really is wrong. Several psychiatric conditions do support common pathway models and have other validity evidence that makes them concerning. For several conditions, they are adequate representations of commonly caused conditions and we often have treatments for them, as is the case for schizophrenia, where the meds work.

I have never seen any reason - from Tversky on - to think of the better-defined mental illnesses as individual differences in prefere…

Brian Moore's avatar

I don't disagree with you, but it does seem like you're using "do the meds work" as the key criteria of whether its a trait or an illness. But I guess I don't understand why that matters, apart from "how should we socially judge this person?" There are a large number of mental and physical illnesses that can be improved (by the judgement of the patient) by a wide range/combination of meds, actions, choices, etc...

If I have schizophrenia and I treat it without meds and I get better, that doesn't…

"Do the meds work" isn't a good criterion for whether something is a disease because 1) many illnesses are untreatable, and 2) you can use drugs to stop non-disease behaviors and preferences easily (chemical castration of homosexuals).

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Jun 15, 2023
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