parpfish
3 days ago
Decades ago in my first abnormal psych course, the prof warned us that there was an almost iron-clad law that students will immediately start self diagnosing themselves with “weak” versions of every disorder we learn about. In my years since then, it has absolutely held true and now is supercharged by a whole industry of TikTok self-diagnoses.
But there are a few things we can learn from this:
- if you give people the chance to place a label on themselves that makes them feel unique, they’ll take it.
- if you give people the chance to place a label on themselves to give a name/form to a problem, they’ll take it.
- most mental disorders are an issue of degree and not something qualitatively different from a typical experience. People should use this to gain greater empathy for those who struggle.
Aurornis
2 days ago
> - if you give people the chance to place a label on themselves to give a name/form to a problem, they’ll take it.
This one is widespread among the young people I’ve worked with recently. It’s remarkable how I can identify the current TikTok self diagnosis trends without ever watching TikTok.
There’s a widespread belief that once you put a label on a problem, other people are not allowed to criticize you for it. Many young people lean into this and label everything as a defensive tactic.
A while ago, one of the trends was “time blindness”. People who were chronically late, missed meetings, or failed to manage their time would see TikToks about “time blindness” as if it was a medical condition, and self-diagnose as having that.
It was bizarre to suddenly have people missing scheduled events and then casually informing me that they had time blindness, as if that made it okay. Once they had a label for a condition, they felt like they had a license to escape accountability.
The most frustrating part was that the people who self-diagnosed as having “time blindness” universally got worse at being on time. Once they had transformed the personal problem into a labeled condition, they didn’t feel as obligated to do anything about it.
dsubburam
2 days ago
This parallels the debate about free will and determinism. If you were in the determinist camp, believing that all that one does was predetermined by prior environmental causes, could you still hold people responsible for their actions?
Hobart makes a convincing argument that you can: "Fatalism says that my morrow is determined no matter how I struggle. This is of course a superstition. Determinism says that my morrow is determined through my struggle. There is this significance in my mental effort, that it is deciding the event." [1]
i.e., he is a "compatibilist", thinking that you can believe in free will and determinism too.
If you find Hobart persuasive, time-blindness or no, it does make sense to reproach someone for being habitually unpunctual.
zdragnar
2 days ago
The problem is conflating one's identity with the label allows a person to project all of their problems onto the rest of the world.
By "being" the label, one has little to no agency over it. Without agency, there is no responsibility, nor incentive to change. Without responsibility or incentive to change, there is no problem for the individual; rather the problem is everyone else.
This isn't just something that a person can do to themselves- it's something society can do to people. The phrase "bigotry of low expectations" describes a behavior of assuming that a label identifies a person, and that they have no personal agency to overcome it. The behavioral shift of everyone around that person molds the image the person has of themselves to a limited, restricted version of what they're actually capable of.
gsf_emergency_2
2 days ago
You can force agency, ironically, by applying subjective labels that require irrational amounts of hard work to shake off (not just a change of perspective, tho a permanent one also requires undue amounts of schlep)
Like "unwell"*, "uncool" or "has bad taste"
In the barbaric old days, like you mean, there was racism (no longer objective)... Nowadays you can deny my suggested labels are cruel, plausibly, even in court!
*"Sick" is now a term of endearment, alas
rendaw
2 days ago
> could you still hold people responsible for their actions?
Surely this is trivially "yes". If their actions are deterministic, then your responses to their actions must also be deterministic, including holding them responsible (punishment, firing, etc).
oezi
2 days ago
Even stronger if you believe things are deterministic there is no reason not to hold them accountable. You don't try to argue with a broken clock for it to become more punctual, you just trash it.
daymanstep
19 hours ago
If you have a mechanistic view of humans, you know that punishment can cause changes in behavior, so you would use punishment to cause the changes that you would like to see. Punishment is fully compatible with determinism.
rgbaww
a day ago
[dead]
jancsika
2 days ago
> If you were in the determinist camp, believing that all that one does was predetermined by prior environmental causes, could you still hold people responsible for their actions?
I've been thinking about an escape hatch here:
Imagine that all philosophical notions of free will were incoherent. In that case non-philosophers' use of "free will" would either be a) inherited from this philosophical incoherence, or b) pretentious/ambiguous nomenclature that reduces to a more practical, well-defined term-- e.g., self-determination, freedom from tyranny, etc.
In reality, it seems like in the vast majority of non-philosophers mean "free will" as a short-hand for one of the more practical, workaday terms. The only edge case I can think of is the use of "free will" in the history of Christian theology, but I very rarely see that come up in non-academic situations.
If my supposition is right, then we can practically swap out nearly all instances of "free will" for the relevant non-philosophical, well-specified lay terms. And the continue to hold people responsible for their actions based on the centuries of case-law, common law, social history and medical knowledge that led up to our modern era. Perhaps more importantly, we can incrementally level up our understanding of responsibility/justice based on modern research into human behavior, while completely avoid digressions into philosophical determinism.
In fact, I'd speculate that college philosophy "free will 101" classes are a kind of unwitting bait and switch. I bet if you did a survey, most prospective students would be expecting a class that sharpens their teeth on one of the workaday synonyms, most often something like "self-actualization." But that has about as much to do with "free will" that as "coffee bean calligraphy" has to do with Javascript. (Alternatively: it would be a fun prank to do a "free will 101" class that teaches students to stand up for what they believe in, resist tyranny, etc. :)
Edit: clarification
taneq
2 days ago
In a deterministic universe, the future is still affected by (and can be improved by) shaming people for behaving poorly, even when they have a predisposition towards such behaviour. Think of it like integral windup in a PID controller. The feedback provides an error signal that accumulates to (in most cases) move the person's outputs in a direction that will reduce the poor behaviour. Eventually their brain will start predicting the negative feedback and alter its outputs to produce more acceptable behaviours.
Whether this is best described as "learning", or as "internalised <whatever>", or as "trauma", is left to the reader.
Aurornis
2 days ago
> If you were in the determinist camp, believing that all that one does was predetermined by prior environmental causes, could you still hold people responsible for their actions?
This is a good example of where over-thinking a topic in abstract terms causes some people to lose sight of the big picture.
Take a step back and think about what you’re saying: If nobody could be held accountable for their own actions, does the concept of accountability disappear? It’s a farcical claim.
But you’re right, this is essentially what is being argued: By invoking therapy speak and formal sounding labels, the person wants you to kindly box up any accountability or consequences under the label and direct them at the abstract notion of the labeled condition, instead of the person responsible.
This is why I experienced so many people getting worse at punctuality after learned the phrase “time blindness”: They used the therapy speak to transform themselves into the victim, at which point the pressure to improve their situation diminished because they believe victims couldn’t be blamed. The temptation becomes strong to label everything negative this way as it’s a nice escape hatch to externalize accountability.
gsf_emergency_2
2 days ago
>escape hatch to externalize accountability.
It's harder to escape from "has bad taste" than from "irresponsible" :)
>Bad taste leads to crime
Useful reminder (originally Stendhal's, that Lead poisoning is always indirect)?
OT warnings
rgavuliak
2 days ago
Wouldn't it then absolve me of my personal responsibility to reprimand the person?It's not me choosing to hold people responsible, it's just something that happens (or doesn't, depending on what was determined)
munksbeer
2 days ago
I am interested in this topic, but I do sometimes find the compatiblism argument difficult to distill down to its essence without still leaving a sense of unfulfillment.
From my understanding, compatibilism boils down to accepting that everything may be pre-determined, but people are still free to make choices as long as they are uncoerced.
The argument from that quote above is a little bit subtler and aligns with my thinking. I don't believe we have free will in any sense, either everything is pre-determined, or it is random, and I can't even think of a definition of free will that would make sense (just like the compatiblism one does not to me). But clearly there is a feedback loop going on, and so it is inherently in the species best interest to hold people accountable for their actions, because the act of holding them accountable forms part of the inputs that lead people to make choices. Not doing this is not a great survivability trait overall. Doing so, we survive a bit more.
But I'm not sure that is strictly necessary to call oneself a compatibilist.
wahern
2 days ago
Reminds me of this 1996 essay, "Sorry, But Your Soul Just Died": http://www.psy.vanderbilt.edu/courses/psy115w/Fall02/TomWolf...
TL;DR: It argues that what comes after "God is dead" (Nietzsche) is "the soul is dead" (or less poetically, "the self is dead"), i.e. we become convinced we have no agency, but mere biological and environmental automatons with the concomitant lack of moral accountability.
(Credit to earljwagner's 2023 post: https://news.ycombinator.com/item?id=37950313)
lordfrito
2 days ago
Thank you for the link. Amazing article, and 29 years old at that.
wolvesechoes
2 days ago
The dilemma of determinism has the other side - if free will is indeed truly free, i.e. it may introduce causes that themselves do not have causes, the accountability is lost as well, for there is no continuity.
gsf_emergency_2
2 days ago
Reposted to address: labels on clusters of belief such as "free will" and "determinism"
tlb or pg has a pithy saying that I can't find now goes smth like
"we should avoid labels [on people] not because they are useless (they aren't) but they are hard to get right. Adding the cost of being wrong to that makes them not worth it"
There's some connection to the "build skill or taste?" dilemma threaded earlier
https://news.ycombinator.com/item?id=44469163
You can make proper use of labels-- that requires taste. To build skill, you try to find new labels that can go viral ;)
E.g you combine them like Hobart :)
ycombinete
2 days ago
Why have you typed out the full word for everything in your cmmnt except for “something” and people’s names?
I guess pg is Paul Graham. Who is tlb?
gsf_emergency_2
2 days ago
A tik
https://hn.algolia.com/?dateRange=pastYear&page=0&prefix=tru...
'Trevor L. Blackwell', co-founder of YC
Pls help
imetatroll
2 days ago
This is simultaneously funny and sad. I wonder when alcoholism will get a front row seat during zoom meetings (or even IRL meetings). "Can't help it hick I'm an alcoholic".
I think a lot of societal change these days can be summarized by the idea that self-labeling is seen as transforming something into "everyone else's problem".
watwut
2 days ago
Modern treatments do actually treat alcoholism like a disease. The one that cant be cured, but can be managed.
It is trying to remove the shame from the equation, because it is not a productive emotion. It makes people postpone and avoid steps necessary for treatment.
ViktorRay
2 days ago
Yes but the issue here is that treatments exist for alcohol use disorder and that one cannot use the simple presence of alcohol use disorder as an excuse to dodge accountability.
And yet people are using things like "time blindness" as excuses.
const_cast
2 days ago
I think socially it's because addiction is stigmatized heavily. Despite having real psychological disorders that fuel it, addiction is still largely viewed as self-inflicted. Of course this stigma doesn't come out of nowhere - people who are addicts almost always devolve into dangerous and asocial behavior. If someone is an asshole who stole 50 bucks from you to shoot up, it's easy to think they're a heroin addict because they're an asshole. But really it's the other way around.
wat10000
2 days ago
As the great philosopher Hedberg once said, alcoholism is the only disease you can get yelled at for having.
dogman1050
2 days ago
Mitch Hedberg was a genius.
kingkongjaffa
2 days ago
This is interesting point.
Western society has basically built a hyper capitalist system that creates individualistic consumers, but has failed to hold individuals accountable to minimum standards.
The bar has never been lower and we just sort of amble on as a lonely, isolated society so long as the stock market grows quarter to quarter.
samdoesnothing
2 days ago
No that is ridiculous. Stop blaming capitalism for every problem in the world, it just makes you look childish.
Especially when it comes to alcoholism. As if the soviet union was a bastion of soberness with a high bar or something.
const_cast
2 days ago
> Stop blaming capitalism for every problem in the world, it just makes you look childish.
Economics is intertwined with every other study. We can't pretend socio-economics isn't real, social interactions fuel the economy and the economy influences our social interactions.
Also, making connections to way capitalism might fuel addictive disorders, such as, say, talking about advertising of alcohol and tobacco, does NOT mean that we are saying communism is perfect. Communism fuels disorders in other ways. It's actually quiet childish to take any analysis of capitalism as a praise of communism. It's the sort of "team sport" mentality you see in politics among the most uneducated and reductive among us.
nradov
2 days ago
If you want to criticize capitalism on a website run by literal capitalists then the onus is on you to propose a better alternative. So far none of the other economic systems that humans have applied at scale have worked out better. I mean Islamic fundamentalist theocracies have lower rates of alcoholism but that advantage comes with some pretty severe downsides.
const_cast
a day ago
But nobody is trying to prove or show a better alternative, that's my point. A critique of capitalism doesn't mean we should dismantle capitalism.
I don't get it, because we do this with other stuff all the time. I program in C#, guess what? I have plenty of critiques of C#. That doesn't mean I want C# to go die, I love C#. It seems to me everyone understands this... until it's capitalism. And then, suddenly, it's our first day on Earth.
Also capitalism, like everything, is not just one thing. It's a complex beast and there's infinite possible implementations of a capitalist economy. Nobody actually wants raw, unregulated capitalism because that sucks major ass. Yes, that's a technical phrase.
Meaning, we can, and should, be looking to progressively improve our economic system. I mean, it's what we've been doing since forever.
wolvesechoes
2 days ago
It was created because those hyperindividual consumers will not enact any political change as it requires numbers and solidarity, something that our society of snowflakes finds disgusting. Everything else is a byproduct.
Brian_K_White
2 days ago
Oh you have time blindness? How unfortunate! That's just like my check-writing blindness I just got.
BiteCode_dev
2 days ago
I think after a few expressions of time blindness, they'll discover that their contracts have continuity deficiency and their career vertical expression challenges.
The feedback of reality will fix it, like for all young people.
FirmwareBurner
2 days ago
>The feedback of reality will fix it, like for all young people.
"A child who isn't disciplined at home, will be disciplined outside of the home" - old African proverb.
The issue is kids growing up without being taught accountability, but instead that they're perpetual victims of "the system" created by evil old white men, and therefore nothing they do is ever their fault. This is the fault of the parents, school system and society as a whole who coddles kids giving them the false sense of security that they can always have their way, right until they hit the brick wall of adulthood featuring employment, bills, debt, responsibilities and self sufficiency.
rightbyte
2 days ago
"Disciplined at home" is being a maybe not perpetual but victim of the system for something like 18 years though.
I don't get where this idea that kids are coddled with comes from. They usually are not even allowed to wear the cloths they want or choose the food they want and get pushed around to silly extents.
Kids almost never gets it their way.
BlackFly
2 days ago
In order to hold someone accountable for their actions you need to allow them a choice in the first place. Disallowing children from making choices is one way of protecting them from the consequences of a bad decision: by not allowing them to make it in the first place. That is what coddling is, protecting from the environment. Protecting them from the choice is just a more extreme version of shielding them from the consequences.
rightbyte
2 days ago
Ye. But the hard problem as I see it is the "the consequences of a bad decision" part, for which many "bad decisions" have no consequence but the arbitrary punishment from adults itself.
I.e. not cleaning up toys from the floor. Staying up late. Wearing different colored socks. Playing or speaking too laud. What ever. The consequences of those are really complex or fuzzy and the threshold level for breaking the rules arbitrary.
Also the subset of "bad decisions" that maybe have some distant future bad consequence, i.e. eating too much ice cream, are even harder. Or all the 'none will like you if you do that' things you need to teach kids.
Ygg2
2 days ago
> Kids almost never gets it their way.
Speak for yourself. I've seen 2 year olds being able to choose their clothes and if they don't get their way, they throw a temper tantrum so bad they vomit.
And I fear, the child will turn into another Cartman. I.e. spoiled beyond any belief.
wat10000
2 days ago
There’s enormous variation, from giving the kid whatever they want, to giving them no choice and then punishing them for doing what they’re told.
If you imagine it from the perspective of aliens with very different biology, it’s kind of crazy that this important and difficult task is given to people with zero training or qualifications.
dgb23
2 days ago
I've seen this kind of thing and it annoys me to no end. However that seems to be a small minority among many.
But the majority of young adults are rightfully asking hard questions.
Why should they suffer the consequences of political and corporate mismanagement ? Why is accountability rarely invoked when it comes to people in power? Why is it OK for old disgruntled people to yell at them for things they have nothing to do with? Why should they take us seriously if we don't take them seriously?
Again, I agree with you that some are hiding behind these things in order to deflect blame, but let's not pretend that the young don't have every right to be mad at us.
nradov
2 days ago
Who is "us"? Youths are welcome to get as mad as they like but seething with impotent rage and posting hot takes on social media isn't going to get them anywhere. If they want to improve the world then first they'll have to work hard and pay their dues just like every other generation before them.
Or they could try to start a revolution, but frankly most of them are too weak and fragile to attempt anything that involves real sacrifice and risk.
TeMPOraL
2 days ago
> But the majority of young adults are rightfully asking hard questions.
As young adults always had, since the dawn of time.
And as they've received and comprehended the answers, most quickly stopped asking.
That is part of what becoming an adult, without the "young" bit, means. It's not like these things are unknowable, or that the "system of things" is secretive. It's all rather obvious - it just takes a little time and experience to figure out the questions and notice the answers.
----
> Why should they suffer the consequences of political and corporate mismanagement?
Because that's how it works. It's not that different from asking, why should they suffer the consequences of a tree falling on them and crushing them? Because they happened to stand under it at the time, duh!
Society and civilization aren't fixtures created by nature/God - they're built out of human interactions. People pursuing all kinds of interests, alone or in groups, navigating around each other, cooperating, convincing or coercing each other. It's all abstract systems created and maintained by strangers. And the unfortunate reality is, someone screws up somewhere badly enough, everyone downstream of it suffers.
The sad irony is, the consequences they ask about come from mismanagement of systems that were created in the past to shield people from consequences of failure of earlier versions of the same or similar systems! That's what civilization is, in a way - stacking systemic solutions to problems of previous systems!
The silver lining is in hoping that every iteration makes less people suffer consequences and to a lesser degree.
> Why is accountability rarely invoked when it comes to people in power?
It is invoked much more often than they think, but they're not able to recognize it - it looks different than with people not in power. And it needs to be different, because the situation is different too.
> Why is it OK for old disgruntled people to yell at them for things they have nothing to do with?
Why is it OK for them to yell at old disgruntled people for things they have nothing to do with? Yelling is easy. Understanding that almost no one individually has much influence on how things are, that can unfortunately take a lifetime.
> Why should they take us seriously if we don't take them seriously?
Because that's how life works. It was the same for us when we were young, and for our parents when they were young, etc. Young people don't know shit about life, and don't even realize that yet. Over time, they acquire knowledge, experience and relationships, and various kinds of power - and along the way, they are treated more and more seriously, until they themselves become the people "running things" and start hearing the same questions they used to ask from the next generation of kids.
----
To be clear: I'm not saying that things are all ideal, or even perfectly fine. I'm just saying that the answers to those questions aren't mysterious, and figuring them out is exactly what growing up to be an adult in a society looks like. It always has, which is why you can see the exact same complaints about "kids these days" and "old farts" showing up in every period in history, all the way back to ancient Greece and earlier.
FirmwareBurner
2 days ago
>Why should they suffer the consequences of political and corporate mismanagement ?
Who said they should? Nobody should ideally, but that's the way the world works: shit rolls downhill. And being a cheeky little shit at work, will not result in a revolutionary change at the top of corporations leadership the way you imagine, but will just result in your direct manager's career being at risk due to your behavior, so you're giving him no choice but to cut you because they're not gonna die on your hill for you. Cultural changes take a long time and need to involve 90%+ of the workforce, not just a few.
>Why is accountability rarely invoked when it comes to people in power?
You know why. Because the rules are made by those in power, and people choose to rise to power in order to make the rules by which others are held accountable.
That's why young people are engaging in the "lying flat" or quiet quitting movements, and voting outsiders of the establishment like Trump, Mamdani, etc. They want to flip the monopoly board over because they know they were dealt a shit hand. And while I'm not that young anymore, I totally support their movement.
pseudalopex
2 days ago
> The feedback of reality will fix it, like for all young people.
Decades of studies refute this.
TheOtherHobbes
2 days ago
This has been the worst thing about my experiences on Threads. A lot of people make what they - and the US mainstream, apparently - defines as a heterodox personality their entire sense of self. So almost everyone is some combination of queer, "neurospicy", a witch, "creative", and so on.
This often seems to come with some assumption of moral superiority.
But under the label many of them are absolutely mainstream people. Their posts aren't genuine spontaneous comments - they're calibrated and calculated as a marketing exercise for "engagement" and to promote a product, course, Insta lifestyle, and so on.
I realise it's tough out there and everyone has to hustle. But there really aren't many who acknowledge the gulf between the vocabulary of rebellion from the reality of "Please buy my course on how to be anticapitalist." (Actual example - not made up.)
If I looked I imagine I'd find a mirror image of hustle conformity and superiority culture on far right boards, only more so.
It's all quite weirdly Social Media™.
Edit: to add, I'm not criticising specific subgroups. I'm very aware the US is a dangerous place and being certain kinds of person significantly decreases your life expectancy.
It's more how social media has somehow distorted the online experience of those subgroups away from straightforward human exchange into commercial opportunity without people being aware of it.
zombot
2 days ago
Some young people in that phase of their lives where they grow into being responsible for themselves start missing the times when they were not responsible and try to extend those times with any pretext they can come up with. It's quite human but should of course not be encouraged.
Walf
2 days ago
I'm sure there are those who self-diagnose without really suffering from a condition, but you do realise time blindness is a real issue, right?
https://www.simplypsychology.org/adhd-time-blindness.html
I don't watch TikTok videos, I don't use Instagram, but I have been plagued by these symptoms my entire life, and don't really care about others opinions on it. You probably don't have it if those symptoms don't resonate with you, but there are plenty of people who genuinely struggle, and there's likely some overlap with those who have undiagnosed ADHD.
marsten
2 days ago
The problem isn't that time blindness is a fake issue.
The problem is that many people incorrectly self-diagnose as suffering from conditions like time blindness. Which they do for a variety of reasons: To externalize accountability for why they're late, to feel special, and so on.
A comparison is the large number of people who claim "gluten sensitivity" and maintain special diets. Now there are serious medical conditions like celiac disease that require one to avoid gluten. But the vast majority of self-diagnosed "gluten sensitives" do not have such conditions. Researchers conclude that for many of them there is no physical basis for their self-diagnosis.
Among other things this phenomenon makes it harder for people with actual conditions to be taken seriously, because there are so many impostors.
seethedeaduu
2 days ago
I assume that your solution is having a professional diagnosis.
Sadly this doesn't really work due to the current state of psychiatry where many people with legitimate issues are being denied a diagnosis and treatment (see for example: trans healthcare and gatekeeping, adhd healthcare, etc). It is even more weird because often when you go to two different doctors you will get different results.
Not to mention that usually to even explore the idea of getting an official diagnosis you start with a self diagnosis.
> But the vast majority of self-diagnosed "gluten sensitives" do not have such conditions.
If you believe that you have celiac but for whatever reason you haven't been able to test it yet, then there is no harm to try going glutten free. The real issue is how many people deny the very existence of glutten sensitivity and put these people in danger. If you look at communities of people with the disease you will see what I am talking about.
nradov
2 days ago
No that's not how it usually works. People with a serious mental health condition don't usually start with self diagnosis. Instead they are referred to a mental health practitioner by another healthcare provider, a school administrator, or the criminal justice system because they are unable to function effectively in society. Many mental health conditions impair the type of objective metacognition needed to reliably self diagnose in the first place.
csa
2 days ago
> If you believe that you have celiac but for whatever reason you haven't been able to test it yet, then there is no harm to try going glutten free. The real issue is how many people deny the very existence of glutten sensitivity and put these people in danger. If you look at communities of people with the disease you will see what I am talking about.
You just made one hell of a strawman argument about what GP said.
He merely stated that “the vast majority of self-diagnosed ‘gluten sensitives’ do not have such conditions”, as you quoted. This comment jibes with my experience.
The two folks I know who have full-blown celiac end up projectile vomiting for hours if they consume even small amounts of gluten (e.g., gross contamination in a fryer or on a cutting board).
The two folks I know who have milder versions were able to figure out that they needed to be tested in fairly short order due to “digestion issues” when they ate gluten.
On the other hand, the dozens of other folks I know who claim to be “sensitive to gluten” have no real basis when saying so. When I mentioned to them that I have friends with celiac, and I empathize with them, and I suggest they get tested if they haven’t yet (undiagnosed celiac is real), the answer I get are nothing short of glib - “oh, I’m just on a keto diet, and this is an easy way to do it”, “oh, I just found that I feel bad after eating things like cake” (sugar crash? diabetic?), or “oh, I’m fine, I just want them to make a fresh one (of whatever) for me”.
Your defense of folks who claim a problem that they can (often) fairly easily determine that they don’t have is enabling those folks’ dysfunction — that is, lying to themselves and (per this thread) using labeling as a defensive tactic.
People who actually have celiac need very specific accommodations. But the multiples of people who claim “gluten sensitivity” when they don’t actually have it causes large swathes of the general population to disbelieve the folks who really do have it.
It’s ok to call out the poseurs for what they are while still looking out for folks who have celiac or might have celiac and don’t know it yet.
Walf
2 days ago
That's half my point, which is why I lead with agreement on that very problem, i.e. people self-diagnosing when they shouldn't. The top-level comment seems to attribute all such people who identify with those symptoms as doing so because of a trend.
jl6
2 days ago
Most wacky things start with a kernel of truth, so yes, the real tragedy here is people with a genuine psychological issue getting drowned out by a wave of trenders. The trenders denounce medical gatekeeping as exclusionary, but it’s also what protects resources for the genuinely needy, and what protects them from unnecessary medicalization.
motorest
2 days ago
> The top-level comment seems to attribute all such people who identify with those symptoms as doing so because of a trend.
I think the only source of disagreement is in the way you chose to frame it in absolutes, i.e., "all such people" instead of "people".
Framing anything in absolutes counts as a strawman argument, because all you need to do to refute it is find a single case, no matter how isolated it is, where it doesn't apply.
Walf
a day ago
So you didn't think they were dismissive or trivialised the issue? I mean, I can sympathise with the frustration of people somewhat 'giving up' after labelling their own issues, but it's not a logical conclusion to assign it all to a trend. That's what they appeared to be blaming and I didn't see them say otherwise, in any of their comments.
motorest
a day ago
> So you didn't think they were dismissive or trivialised the issue?
What issue would that be? People falsely claiming they suffer from conditions they do not have? Or is it when they claim they struggle with a condition they self-diagnosed but somehow don't even bother to seek medical help not even to verify a diagnosis? Because if there is something that harms those who actually have to endure these conditions is people making fraudulent claims and trying to capitalize on everyone's goodwill.
> I mean, I can sympathise with the frustration of people somewhat 'giving up' after labelling their own issues, but it's not a logical conclusion to assign it all to a trend.
Is it "giving up", or is it just abusing a label they clearly know doesn't apply to them? You're somehow avoiding the elephant in the room and the whole point of this thread, which is the problem created by fraudulent claims by attention seekers.
deno
2 days ago
This isn’t such a great example. You don’t need to have celiac disease to benefit from avoiding gluten. I suspect some people avoid it because they feel better in some way. For myself eliminating gluten (or wheat, I’m not sure how to differentiate that) has been life changing, it immediately made breathing through my nose effortless, made concentrating easier, etc. I can tell you eliminating gluten is not easy, you have to cut out a lot of common foods, eating out is almost impossible. If someone is sticking to that diet they probably have a very good reason. I think a lot of people should give it a try at least and not worry about this being part of some fad. I’m a bit ashamed to admit but I only tried it because of a South Park episode...
nradov
2 days ago
You can differentiate that by buying some pure food grade gluten and eating that. There's a lot of stuff in wheat beyond just gluten. Of course this won't be a truly scientific controlled experiment but maybe good enough for your purposes.
Most restaurants have menu items with zero gluten, so eating out is hardly difficult. Not much gluten in a plain steak, potato, and vegetables.
93po
2 days ago
i would encourage everyone to give everyone the benefit of the doubt. you interact with these people in passing, they deal with themselves all the time. you might find them grating or difficult to work with, and that's fair, but i would hope people wouldn't extend "i dont like this person" to "I dont believe this person has a disability and they're making it up and i assume this because i dont like them"
neurodivergence can and frequently is a real debilitating disability. it is really fucking hard to cope with in a society that actively punishes it, and is full of perspectives like yours that invalidate these very real conditions.
i understand it's a difficult thing to wrap your head around. it isn't super visible like someone missing their legs. it's a really complicated, nuance spectrum of problems that are also really difficult to understand by people who don't have it, and frequently the people who do have it also don't know they have or understand how it impacts them
arcfour
2 days ago
You think that society now, more than ever, punishes this after what we've been discussing—numerous instances of people glorifying it and (attempting to) excuse poor behavior through it?
93po
a day ago
i didn't say more than ever, but in fact in a way it is: having a job and being able to support yourself is increasingly knowledge and skills based work, whereas in the past things were much more labor focused, which is a better fit for people with ADHD.
yes ADHD is better recognized and better treated these days. but as this entire comment section shows, there is still tons of stigma, misunderstanding, and a lack of compassion for a real disability
Aurornis
2 days ago
That article is not claiming that “time blindness” is a real standalone condition. As the other commenter already explained, it’s not among the conditions with actual diagnostic criteria and agreed-upon symptoms.
The first sentence claims that it’s something people with ADHD might experience, not a specific condition. In other words, it’s just the therapy-speak way of saying “chronically late”.
Note that the date on the article is also very recent: Only a few months old. This date is after the trend was popular on TikTok. It was likely written in response to the trend, as a way of capturing search engine traffic from people searching for it.
This is representative of the issue I was describing: There’s a sense among some people that using the therapy-speak terminology for something transforms it into a different type of personality attribute, for which they can’t be held responsible. Saying “I have a problem with being on time” and “I have time blindness” are functionally equivalent, but some people want to believe they the therapy speak labeled version warrants different treatment.
Walf
2 days ago
So because those people are ignorant of the nomenclature, they must not really experience those issues? I never asserted that it was a standalone condition, in fact I attributed it as related to undiagnosed conditions that do have names.
Aurornis
2 days ago
Applying formal-sounding nomenclature does not transform accountability like you’re suggesting.
Also, being able to Google a TikTok-famous phrase and get hits from SEO-targeted blog posts like this doesn’t really make it official nomenclature. They’re just trying to capture traffic with trending keywords. This is a very obvious SEO article.
Saying “I have a problem with being on time” and “I have time blindness” are functionally equivalent. Applying therapy speak doesn’t change the situation.
This is all very much missing the point, though. Someone who believes they have “time blindness” should recognize that they have a higher need for additional measures to address their issue, including more use of time keeping aids, alarms, and even accountability from external parties. Trying to use a labeled condition to escape accountability for one’s actions is not only unhelpful, it goes against the entire purpose of therapy.
The problem becomes more clear when you imagine the same idea applied to other issues: If someone is constantly lashing out and yelling at people, they don’t get a free pass for saying they have “an anger issue”. They’re still accountable for the consequences of their actions, regardless of what name you put on it.
Ashkee
12 hours ago
When struggling with staying on schedule, adding tools can really help. You might want to check out Loyally AI for ways to keep yourself accountable and track progress. It’s a straightforward approach that made managing my time easier.
nlawalker
2 days ago
The intersection of this with employment, specifically, seems hairy to me.
Is time blindness a disability that requires accommodation? To what extent, and who decides? If not, what makes it different from other disabilities that do get accommodation or some kind of protected status?
(These are meant to be rhetorical questions, but I’m sure someone has a direct answer, so I’d be interested in that too, because I really don’t know)
molochai
2 days ago
JAN[1] says "time management" is a disability (limitation, in their words) that requires accommodation.
[1] https://askjan.org/limitations/Managing-Time.cfm?csSearch=10...
nradov
2 days ago
Employers only have to provide accommodations for actual diagnosed disabilities. And even then legally required accommodations only have to be reasonable. If the job fundamentally requires showing up for meetings and completing assignments on schedule then employers don't need to allow disabled employees to be late.
machinawhite
2 days ago
AHDH is an actual diagnosed disability. If I have to take meds that would leave you tweaking for 3 days then employers better allow me being late sometimes.
stevenAthompson
2 days ago
> better allow me being late sometimes
That would depend on the jobs requirements, wouldn't it? In some roles that might be a complete deal breaker. For example, anything customer/client facing. If you can't perform the jobs duties with reasonable accommodation, maybe you should find another job?
Similarly, if you are 3 feet tall you'll likely never be the worlds slam dunk champion. Not even if they provide you with a step-stool. It's not your fault, or the employers. Sorry, I guess.
machinawhite
2 days ago
[flagged]
stevenAthompson
2 days ago
> fun and easy
It's not fun or easy for anyone to find a new job. However, it's usually less painful than staying if you're poorly suited to your current role.
We all have strengths and weaknesses. The secret to living a good life is learning to take an honest inventory of your personal capabilities and then figuring out how to work with what you have.
I truly hope that things improve for you.
machinawhite
a day ago
Don't talk to me about painful and please take the rest of your insufferable statements and shove them up your ass
nradov
2 days ago
Nope. A disability diagnosis isn't a blank check where employers have to accommodate everything you want. If the job requires being on time then at least under the Americans with Disabilities Act an employer is totally allowed to fire an employee who shows up late. There are some nuances here that won't fit in a comment so consult an employment attorney if you have questions about your legal rights.
user
2 days ago
Walf
2 days ago
You've really missed the point there, what I said was that these people who are using the term "time blindness" are not using official terms, and that ignorance does not detract from their life experience. Psychologists refer to this as executive dysfunction, which that article specifically mentioned.
I'm not sure why you're attempting to discredit it, was the Masters in Science of the author, and the review by a doctor not sufficient for you?
I never missed your point, I made no comment on people failing to hold themselves accountable for their behaviour. You certainly seem unable to comprehend that not everyone experiences time as you do.
verisimi
2 days ago
> Applying formal-sounding nomenclature does not transform accountability like you’re suggesting.
"You have an unlicensed condition, citizen!"
9dev
2 days ago
That's not what they said. Whether your condition is diagnosed or not, it's your responsibility to take care of it. If you're chronically late, you should set timers or write notes or whatever helps—whether you've got class-A ADHD and take meds or just assume there's something wrong with your sense of time.
Just saying "I'm time blind, sorry not sorry, deal with it" is not an appropriate reaction to causing trouble to your surroundings.
verisimi
2 days ago
You're missing my point. I'm not trying to deal with the 'conditions' that individuals or groups say they have. My point is that if a group says a person has a condition it's considered real, but if an individual says so, it's not. It's a point about deferring to authority over what is existent or not.
Who defines conditions, says that ADHD is real, for example? It wasn't in earlier generations. The are terms of social (group) art - special names that are generally accepted as meaningful.
nradov
2 days ago
In the USA it's mainly the American Psychiatric Association which defines whether ADHD or any other mental health condition is real.
verisimi
2 days ago
Sure, I'm not disputing that.
seethedeaduu
2 days ago
Yeah this is sadly common. People with autism, adhd, or who are trans are infantilized and have their agency removed from them when dealing with the medical establishment. In a "I will tell you how you feel" way.
motorest
2 days ago
> Im sure there are those who self-diagnose without really suffering from a condition, but you do realise time blindness is a real issue, right?
So is Munchausen syndrome, but somehow people don't self diagnose that one.
https://en.wikipedia.org/wiki/Factitious_disorder_imposed_on...
Walf
a day ago
[flagged]
motorest
a day ago
> Did you even search for anything before making that idiotic comment?
You acknowledged the fact that "there are those who self-diagnose without really suffering from a condition".
I, in turn, added to the fact that you pointed out that not only are there "those who self-diagnose without really suffering from a condition" but there is also a complex mental disorder where individuals play the role of a sick patient to receive some form of psychological validation.
This somehow triggered in you an emotional reaction. Why was that?
Walf
18 hours ago
You can't see how, in response to a comment that was primarily about whether "time blindness" is real, which you quoted directly, your comment comes across as dismissing any self-diagnosis as Munchausen syndrome? Did you read about that either?
>Patients with FDIS intentionally falsify or induce signs and symptoms of illness, trauma, or abuse to assume this role. These actions are performed consciously, though the patient may be unaware of the motivations driving their behaviors.
I'm not convinced 'I have that!' statements quite meet the criteria for that. You may be thinking of malingering.
lll-o-lll
2 days ago
Yeah, but if you have it you need to compensate for it. It’s what calendars, reminders, todo’s etc etc are for.
Speaking as one with a huge challenge in this space. No one is going to go “oh, you have ADHD, well, I guess you don’t need to fulfil that expectation…”
Walf
2 days ago
Which is why I use those tools extensively. I never said these people shouldn't try to compensate for any deficit, my point is that what people describe as "time blindness" is a real problem, and should not be so easily dismissed.
lll-o-lll
2 days ago
Yeah, but the parent is moaning about people shirking their responsibilities because of a self diagnosis.
That might be a projection; just a punctual person peeved off with the chronically late; but I was just adding the point that being challenged in this area isn’t an excuse.
I’m on-time for work stuff; I’ve figured out how to compensate. Personal life, ok, different story, but the responsibility has always rested with me.
user
2 days ago
nomdep
2 days ago
If you know you have time blindness and you still arrive late it is worse, because you knew it will happen and did nothing to prevent it
Walf
2 days ago
Sorry, but you clearly have no idea what it's like to actually deal with this, at all. If I try to be on time to things, I will be stupidly early, or still think I have time to do tasks A & B before doing C, because they invariably take more or less time than I estimate. Or I start doing tasks X & Y, because I'm easily distracted, you know because it's a deficit in attention. Don't trivialise what you don't understand.
Your advice is as ignorant as saying 'just do more fun things' to someone with depression.
js8
2 days ago
I don't want to trivialize, as I am currently procrastinating due to axiety on something, I know it's not easy.
But yeah, let's be stupidly early. I think part of accepting that you have a mental condition means that your life will simply not be optimal. Which is harsh to accept in a society which values efficiency above all else.
osn9363739
2 days ago
You have to do something about it though. You either come up with strategies to work with the condition or what? Just give up?
Walf
2 days ago
[flagged]
sjsdaiuasgdia
2 days ago
I think part of why time blindness / chronic lateness gets such visceral responses is that the behavior is a broken promise generator. The impact feels very personal.
Continuing with the walking stick metaphor...it'd be like if the person with the walking stick was frequently committing to go jogging, hiking, etc with others. They know the activity might be beyond their capabilities, but they keep saying they'll go on the difficult hiking trail or whatever. This impacts the plan for everyone else.
Saying you'll be somewhere at a particular time is a commitment to someone else. If you're making commitments and frequently breaking them, people will react badly to that.
Having had a number of chronically late people pass through my life, I've often heard "be there in a second", "I'm on my way", "5 minutes, max" and similar phrases once the person is late. What I rarely hear is proactive acknowledgement and ownership of the issue.
The commitments you make as a chronically late person need to include your chronic lateness as a factor, just as the mobility limited person should take their limitations into account before signing up for the group hike.
Walf
18 hours ago
That's a good assessment, but it misses the fact that the person with the effective dysfunction genuinely believes they will 'be there in a second', because they cannot accurately assess time. The lack of forthcoming contrition is not difficult to explain, shame discourages people from drawing attention to their faults. If it's happening frequently, one would always be feeling 'faulty'. Aversion to that is expected.
osn9363739
2 days ago
So you agree with nomdep? If you know you have time blindness it's a good opportunity to do something about it. I tend to choose the be really early option because that works for me. But it can be stressful for sure. And I probably don't get as much done as someone that can organise their time better. That's just the way it goes.
Walf
2 days ago
False dichotomy. You can both take measures to address an issue you have, and still know that won't always solve the problem. Being really early sometimes is the only option, but if you're always doing it, regardless of how critical it is, you're wasting a huge amount of waking life.
nradov
2 days ago
Everyone wastes a huge amount of waking life on something, whether it's sitting around waiting for an event to start or watching TV or scrolling social media. So what.
Walf
2 days ago
Some of us have families to take care of, and shit to do. I guess that's not you.
nradov
2 days ago
Lol. I actually spend a lot of time taking care of my family, and plenty of other shit to do besides.
Walf
18 hours ago
So, knowing how much time and effort is required to maintain such responsibilities, you think someone with a similar situation, but who also has trouble being organised in general, has extra time to twiddle their thumbs for half an hour or something, before every single obligation with a time attached, just to be sure they don't get distracted? Do you have any comprehension of how ridiculous that sounds? If you're less capable of completing tasks you need more time than a typical person to do so, not less. They don't give students with ADHD less time in exams to ensure they can break task and put their pens down on time.
Still pushing those preconceptions, eh? Is this how you approach everything you could learn from? Assume you know all the answers before actually studying? Your teacup is full.
nradov
2 days ago
Do or do not, there is no "try". If you know you have to leave home at 7:00 AM to avoid being late then just set an alarm at that time. When it goes off then walk out the door, even if you're in the middle of some other task. Like if you're brewing coffee then just unplug the machine and leave: no coffee for you today. Don't allow yourself the opportunity to get distracted. Simple.
Lewton
2 days ago
I’m not arguing against your basic point as I completely agree arriving on time is my own responsibility, but when I do what you suggest, i forget my house keys lol
nradov
2 days ago
If you can you might want to install a door lock that uses a code number instead of a key.
seethedeaduu
2 days ago
Reminds me of my doctor who thought that adhd was not real and his solution to my issues was "just do it lmao"
nradov
2 days ago
You're really missing the point. No one here is claiming that ADHD isn't real. It's listed in the DSM. But there are practical techniques that people can use to improve their lives regardless of whether they have a mental health condition or not.
karohalik
2 days ago
I think you're oversimplifying ADHD and its impact. It's not just a matter of using tools or strategies. ADHD exists on a spectrum, and it's often comorbid with other conditions like anxiety, autism, or depression. What works for one person might completely fail for another, especially if their challenges are layered or more severe.
Also, saying “regardless of diagnosis” is invalidating the real need for accommodations. People with ADHD often require not just personal effort, but systemic support, whether that’s in school, work, or healthcare.
seethedeaduu
2 days ago
He did not deny that it is in DSM or that there are people who fit the definition provided there.
Usually such techniques tend to not work when they are suggested by people who haven't experienced the consdition and haven't put serious thought into them.
karohalik
2 days ago
I get that he didn’t say that here, but I’ve seen other replies leaning toward the idea that “it’s easy if you just try hard enough” and that’s what I was addressing, too.
seethedeaduu
2 days ago
I am talking about my psychiatrist. I think you are responding to the wrong person.
93po
2 days ago
this response is like hearing someone has crippling depression and telling them "have you tried just thinking happy thoughts? have you tried thinking about things in a happier way?"
here's the real thought process (edit: the writing is all over the place but im not gonna spend more time editing)
it's the night before, you know you need to leave at 7am, you pick up your phone to set alarm, and you see a text from jimmy, you spend 3 minutes texting jimmy, put your phone down, and move on to something else completely oblivious to the fact that you didnt actually set an alarm. i never CHOSE to text jimmy, there was zero percent of my brain that said "i see a text from jimmy, but i should set my alarm first because i might forget otherwise, so im going to set an alarm and then text jimmy just to be safe". this is what it means to have lack executive functioning. I will find myself making actions i did not make a decision to do, and the smaller the action it is the more likely i will do it without having ever decided to do it. for example, i will be focused writing software at my desk. 30 seconds later im standing in the kitchen, looking in the fridge, pulling out a sandwich, and it occurs to me: i never decided to stand up and go to the kitchen. the decision making process literally never occurred. I have to literally TIE MYSELF TO MY DESK to stop myself from doing stuff like this.
luckily, you wake up accidentally at 6am. crisis averted! you still have 20 minutes before you need to get out of bed. no problem, scroll hacker news. it's now 6:35am and oh shit i should have been out of bed 15 minutes ago, i didn't set an alarm for that because i didn't think i would lose track of time when im literally staring at the time in the corner of my screen, i rush out of bed and jump in the shower thinking this will take a couple minutes, no big deal. however adhd makes you chronically underestimate how long something takes, because im generally really unaware of how much time elapses when i shower because i have time blindness. it's not 6:45am and i need to be leaving out the door, but my shower actually took 10 minutes, and im now soaking wet and still have to get on my clothes.
but wait, i need to take my meds, i really really cannot forget that. so i go grab my meds, but then wait i need water. so i go fill up my water bottle for the day like i always do, but its dirty, so i need to wash it first, and at this point im hyperfixating on doing what feels like a necessary step because part of adhd is losing bigger picture context and longer term rewards, my brain told me "i hve to take meds which means i need water which means filling water bottle which means washing it" and my brain literally doesn't ever take a step backwards until it's now 6:55am and i finally took my meds and FUCK i'm not 20 minutes late.
repeat at every single step of every single day for the rest of your life. this is also why people with adhd have the stigma of being lazy. the reality is that we can and often get less done when it's not something that intrinsically motivates us (most things) because everything is THREE TIMES HARDER. we're constantly stumbling, constantly having to set a million timers, having fatigue of so many timers, so sometimes we're over confident in not needing them because it's not reasonable to set 40 freaking timers every day, but then one in five times we slip up, and now im 5 minutes late for a meeting, and i show up and my boss is being pissy because he thinks im some self diagnosing tiktok idiot because has no idea what this looks like and how it impacts me despite trying really really fucking hard and absolutely hating it
Hyperboreanal
2 days ago
>i never CHOSE to text jimmy
Yes you did. You are an adult human being with free will.
Walf
a day ago
Another one that just doesn't get it. In that scenario, if you texted Jimmy, it would be a choice, if someone with ADHD did, it wouldn't. Again as stupid a response as telling someone in a wheelchair they chose not to walk upstairs.
Not everyone's experience is the same as yours. Denying that only makes you look like an idiot.
93po
a day ago
this is like saying someone with depression is choosing to be sad.
this lack of executive functioning is a cornerstone of ADHD. this isn't a controversial opinion, it's universally accepted fact of the disorder
Walf
2 days ago
[flagged]
nradov
2 days ago
You're really missing the point. I'm trying to help by giving you practical, actionable advice which has worked well for other people. When it's time to leave, take the kid out the door even if that means carrying them out in the middle of a meltdown. This teaches children discipline and makes them understand that they can't get their own way by acting like spoiled brats.
karohalik
2 days ago
Did this person ask for the advice? Also, treating children without empathy, like objects, is not the solution to the problem.
nradov
2 days ago
Demonstrating empathy is great but it's not a valid reason to tolerate misbehavior. And being on time for school is more important.
karohalik
2 days ago
No one is saying that structure or boundaries aren’t important. Of course they are. But what is being challenged here is the assumption that a meltdown = misbehavior. Sometimes it is. But often what looks like “acting out” is actually communication. Discomfort, overstimulation, unmet needs, not manipulation.
Teaching kids discipline without empathy doesn't create resilience. It creates shame, masking, and fear of expressing emotions. And yeah, being on time matters. But so does understanding why the kid is melting down in the first place, especially if it’s a recurring thing. Otherwise, you’re just dragging a panicked, overwhelmed human out the door like a bag of potatoes and calling it a parenting win.
whamlastxmas
a day ago
the problem is that ADHD impacts every single action of every single day for the rest of your life with no cure. yes you've fixed the coffee situation, but there are literally 50 other things i have to do every morning, sometimes they're things unique to that morning, and while i work really hard to be mindful of creating structure in my life to help cope with severe ADHD, it's not reasonable to have 50 separate techniques for the 50 things i have to do every morning and follow all of them perfectly or even have all of them perfectly setup.
there is massive, massive emotional fatigue to the amount of effort that getting through a day with ADHD entails, and this is on top of other things like having a ton of sensory sensitivity where literally just being around bright lights, is being bright outside, the sound of traffic, lawn mowers, leaf blowers, car horns, a door shutting loudly, someone clinking dishes while serving coffee, all cause emotional reactions in me that are intense enough for me to physically cringe. i literally cried while driving home a week ago at night because the oncoming car headlights are so bright the entire drive and i have to drive with one arm stretched out to block them from my view and etc etc
my brain is not an easy place to live. i am cognitively capable of understanding what technique can help with what issues. the problem is both recognizing every possible way my adhd can fuck things up and the amount of mental and emotional drain it is to have to consider everything all the time lest something fall between the cracks.
ryanjshaw
2 days ago
I’m sorry people are so dismissive of your reality. I really don’t understand why they feel a need to insist you are just lazy when you are clearly intelligent and hard working, but struggling due to wiring you can’t directly control.
nradov
2 days ago
People aren't being dismissive. The point is that whether someone is intelligent and hard working is utterly irrelevant to everyone else, especially in a work environment. What matters are results, not inner qualities.
Walf
a day ago
Yes, you are, and punctuality ≠ productivity.
nradov
a day ago
That rather depends on the job. Punctuality = productivity for many jobs, especially those in manufacturing, food service, agriculture, education, hospitality, transportation, security, etc. In the real world certain things have to be done on set schedules and anyone who can't reliably show up on time is worse than useless to those employers.
Walf
a day ago
[flagged]
AuryGlenz
2 days ago
Oh, come on.
“It takes me 15 minutes to get to my destination. I should leave 5 minutes earlier than I need to in case there’s traffic or whatever.”
Set an alarm for 20 minutes before you need to get there, and leave when it goes off. Done.
I will absolutely trivialize it because everyone I’ve ever known that’s like that simply leaves at the time they’re supposed to already be somewhere. Or yes, they get distracted and start working on stuff that they know will take 30 minutes when they need to leave in 10. Thankfully we all have mini computers in our pockets that tell us exactly how long it takes to get somewhere that can also easily set alarms.
Walf
2 days ago
You clearly don't have these issues, and I doubt you care about anyone who does, because your "Oh, come on." response positively reeks of 'that's not my experience, so other people's can't be that different.'
It's never just one thing like travel time, it's scores of steps in a routine, which aren't always the same, and can easily be derailed by anything unexpected. You can estimate how long something you do frequently will take, based on how much time it took previously, and still get an inapplicable answer because distraction is a constant problem, and the executive function deficit means you literally do not think 'don't do that, get back on task' in the moment. You know how long everything should take, and still struggle to apply that when you're doing the routine.
Hyperboreanal
2 days ago
Everyone else manages to do it, you're not special. Be on time, or be a NEET I guess. You've decided you'll never be able to function properly so yeah you probably won't.
Walf
a day ago
What a fuckwit. No, not everyone else manages it. I decided no such thing, you're just fabricating bullshit to feel better about being an arsehole to people who weren't born neurotypical. I have a career with pretty good pay and benefits, and you obviously didn't read anything else I wrote about managing my issues. I'd rather be late than a sociopath.
AuryGlenz
a day ago
Everyone has issues. For instance, I have idiopathic hypersomnia - I'm tired literally all the time. I don't get to say "Sorry wife, I'm just not going to be able to work."
There are things we're good at and things we need strategies to mitigate. I may not have ADHD but I have friends and family that do, so I'm familiar enough with it. What steps in a routine are needed to leave the house? Find your keys and wallet? Always put them in the same place. Go to the bathroom and maybe check how you look? Set that timer I talked about 3 minutes earlier. Other people with your condition can handle it; so can you.
Walf
a day ago
Why is it that you think you're offering life-changing advice? What makes you think I don't use repetition? What makes you think I've never tried timers? What makes you think I'm the exact same as person as your friends and family? What makes you think I don't also 'just get on with it'? Do you even think about what you're writing?
peab
2 days ago
“Time blindness” is not named anywhere in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5, 2013) nor in the DSM-5-TR (text-revision, 2022). It is not recognized as a stand-alone disorder or an official diagnostic criterion.
rahimnathwani
2 days ago
Even if it were in DSM-5-*, would that mean it's a standalone disorder?
I haven't read much psychology, but this article suggests a lot of psychological diagnoses are just labels for symptoms:
https://slimemoldtimemold.com/2025/02/06/the-mind-in-the-whe...
Imagine that your car breaks down and you bring it to a mechanic and he tells you, “Oh, your car has a case of broken-downness.” You’d know right away: this guy has no idea what he’s talking about. “Broken-downness” is an abstraction; it doesn’t refer to anything, and it’s not going to help you fix a car.
Aurornis
2 days ago
FYI: SlimeMoldTimeMold has been heavily debunked across multiple topics. It was popular for a while in rationalist communities for the multi-part series claiming lithium in the water supply caused obesity, until everyone realized the author has a serious habit of misrepresenting sources, claiming citations say things they don’t, and omitting contradictory evidence.
rahimnathwani
2 days ago
Thanks.
Any idea whether or not their characterization of psychological diagnoses is mostly correct?
bluefirebrand
2 days ago
I am not an expert on neurology or anything but for ADHD at least there is definitely a biological difference, it's not just a diagnosis of a bundle of psychological symptoms
It is treated with stimulants, but if you give those same stimulants to a non-ADHD person you will see very different results
AStonesThrow
2 days ago
[dead]
wat10000
2 days ago
What a terrible analogy. Diagnosing a car with “broken-downness” would be like a mental health professional diagnosing you with “bad.” Diagnosed aren’t always great, but they’re not that ridiculous.
Still down a bit and you’ll find plenty of vagueness with mechanics. “You have a bad tie-rod end.” Ok, cool. What caused that, why did mine fail when my buddy’s didn’t, how can I avoid this? Shrug. Once you’ve got it down to a part, you just replace it with a new one. Can’t do that with mental health. “Your time management unit is bad, we can replace it with a manufacturer part for $2,000, or an aftermarket equivalent for $1,500.”
econ
2 days ago
Things can be that ridiculous and still be our best effort.
Walf
2 days ago
Because that's a colloquial name given to a range of specific symptoms people experience, and it is in the DSM, covered by 1.e.:
> Often has difficulty organizing tasks and activities (e.g., difficulty managing sequential tasks; difficulty keeping materials and belongings in order; messy, disorganized work; has poor time management; fails to meet deadlines).
The DSM doesn't list all minutiae of every general problem.
Aurornis
2 days ago
You’re conflating symptoms with conditions.
Having a single symptom does not mean someone has the condition. The diagnostic criteria for the condition for which you took that quote (out of context) is more comprehensive. It’s not a simple matter of doing Ctrl+F on the DSM and seeing that something can be a symptom or something else.
This is more obvious when you start thinking of other conditions: Feelings of sadness are a symptom of depression, but not everyone who has feelings of sadness has depression.
The misuse and misinterpretation of the DSM has become commonplace in parallel with the use of therapy speak.
dqv
2 days ago
They did not bring the DSM into the conversation, someone else did. And the person you are responding to made no such conflation! They also made no such claim that "[having] a single symptom [means] someone has the condition." That might be how you decided to interpret what they said, but it is quite literally not what they said!
They simply stated that time blindness is a real issue and linked to an article which acknowledges exactly what you are describing: "Many people with ADHD struggle with a lesser-known but deeply frustrating sign called time blindness." (emphasis mine)
Walf
2 days ago
Thank you for joining in with some sense.
Walf
2 days ago
I'm really not, you've made an argument based on a semantic misunderstanding of my first response. I did not say "time blindness" was a condition, I said that people generally self-diagnose conditions, not just for those symptoms. I also described it as a set of symptoms in later comments.
user
2 days ago
sailorganymede
2 days ago
Use a timer like the rest of us. There are solutions to the problem
Walf
a day ago
Omfg. A timer, for everything! Why didn't I think of that? And I'd set this timer for getting dressed, and showering, and making coffee, and conversing with my children. "Sorry, son, I can't help you any further with practising shoelace-tying this morning, I only allotted 90 seconds for that." I should probably set a timer for setting timers, too. Don't want to take too long doing that. Undoubtedly, this will also solve the distraction issue because the proximity of a time measuring device to my neurons will rewire them all to be "normal".
You're so ignorant.
dataflow
2 days ago
Can't you just tell them to give you a doctor's note and then you'll figure out how to accommodate?
user
2 days ago
debesyla
2 days ago
And long before the internet there was horoscope signs that, somehow, still manage to stick around.
user
2 days ago
mystified5016
2 days ago
This was a huge trend on Tumblr like ten years ago. The millennials got bit bad by this and I guess genz inherited it.
Or maybe this is just how young people think when given access to this type of information.
Treehouse16
9 hours ago
Time blindness is a real thing. However, I know it triggers peope snd it allows them to complain about people being late. "Time blindness" is about temporal processing, and I have it. I only mention the condition when people ask me questions about when something happened, because people think everyone is the same, I have to explain that I can't perceive time. It's real, etc. So exhausting, but they keep complaining about something they don't have. https://psychiatryonline.org/doi/10.1176/appi.neuropsych.191...
account42
2 hours ago
> People should use this to gain greater empathy for those who struggle.
This is part of the cause of the current situation though - that putting labels on yourself gets you more empathy than you would have gotten as a "normal" person.
jjani
2 days ago
> But there are a few things we can learn from this:
> - if you give people the chance to place a label on themselves that makes them feel unique, they’ll take it.
This is almost the opposite of what we can learn about this, and the article does a great job at pointing that out. It's a very recent social phenomenon. Yes, that contradicts your abnornal psych class, but think about it. 20 years ago (in 2005), did anyone voluntarily, happily label themselves autistic, without any disgnosis, outside of such psych classes (outliers for obvious reasons)? In elementary, middle and high schools, at the workplace, in other majors? IME absolutely not, very much the opposite. The only ones who did so were the diagnosed, and then only mentioned it when very relevant. Let alone 100 years ago. Let alone the massive differences between different regions/cultures in desire for uniqueness, both historical and uniqueness.
This is a massive sociocultural phenomenon, absolutely not something inherent to the human psyche. Almost no one is born this way (strong desire to make themselves feel unique).
aoki
2 days ago
> 20 years ago (in 2005), did anyone voluntarily, happily label themselves autistic, without any disgnosis, outside of such psych classes (outliers for obvious reasons)?
The “Aspie programmer” meme has been around since the turn of the century (at least)
https://www.wired.com/2001/12/aspergers/
I’m pretty sure people made reference to it when I was at Cal in the 90s but I can’t prove it. (The prevalence of social awkwardness, eye contact avoidance, hyper-interests, etc.). I don’t think it was as much about people wanting to feel special as trying to find explanations for the overall environment.
zug_zug
2 days ago
Exactly. If anything I think the vast majority of us engineers under-diagnose ourselves for where we fall on that spectrum (which is probably the safe career and social move in the millennial generation).
Almost every day of my whole career I've worked with people who were missing social cues and being disliked because they were misunderstood. I think an engineer is MUCH more likable if they genuinely say "Sorry if I'm loud, and I don't mean to interrupt, sometimes when I get excited I accidentally do this, I don't do it because I think my ideas are better than everyone else's."
Now obviously if somebody exaggerates a trait they don't have, says it in a self-important way, and isn't remorseful at all about the effect it has on people around them, and isn't trying to change it that's a shame.
But frankly imo the balance of that in software is I've met 1/2 in my whole career who came across as self-important about their conditions, versus against maybe 20% (dozens and dozens) weren't able/willing to communicate their oddities.
NoPicklez
2 days ago
I don't think its necessarily untrue.
20 years ago you didn't open your phone to see videos by anyone that called themselves a therapist or psychologist say you might have ADHD if you have these xyz common signs. Or if you struggle to have difficult conversations with your partner you might have grown up in a chaotic household.
All very loose, quick and ambiguous explanations that do not provide any balance.
If someone sees it and goes "Oh gosh that loosely explains why I do xyz" they will take it, because is confirming something or its providing an answer to something they deem they struggle with that they didn't have any answer for before.
It's part of the human psyche to try and understand and answer things and we have a confirmation bias that limits our ability to think of both sides of the coin, not just the one that's constantly popping up on our mobile phones from so called therapists.
esperent
2 days ago
> 20 years ago (in 2005), did anyone voluntarily, happily label themselves autistic
The labels people use follow trends. Labelling (self or others) as autistic or on the spectrum is relatively new, but there have been trends for other disorders in the past. Neurotic, depressed, anal retentive, even phrenology - people worrying that the shape of their cheekbones mean they must be genetically stupid, or applying that to others. We have evidence of such trends going back 100 years at least, and probably more.
For sure, social media has amplified and homogenized things, as it does. But it's not a new phenomenon.
fzeroracer
2 days ago
> Let alone 100 years ago. Let alone the massive differences between different regions/cultures in desire for uniqueness, both historical and uniqueness.
100 years ago we used to often arbitrarily decide what mental conditions people have and then proceed to extract out parts of their brain to try and fix it to disastrous effects.
corimaith
2 days ago
They're doing it now because it gives them power and social status now.
The same story has been repeated dozens of times; An individual is bullied/ostracized for some hobby or characteristic, years later they find the same bullies now going all in said hobbies and characteristics.
watwut
2 days ago
20 years ago, in our math and tech focused university, people were literally pretending to have lower social skills then they had. People would do weird things on purpose and brag about social mishaps. Because lower social skills were associated with being genius and everyone wanted to be seen as a genius.
Obviously, if your deficit appears only when it is socially advantageous and disappears when disadvantageous, it is something else. But it was a thing.
stevenAthompson
2 days ago
The author's concerns would mostly all be ameliorated by logging out of TikTok and never logging back in. They seem to think that "TikTok" and "Society" are synonyms. They are not.
Tokumei-no-hito
2 days ago
you seem unaware that over 60% (150M) of the US uses tiktok and around 70% of that (100M) are 18-30. it's unclear on the < 18 numbers but likely a significant number.
i don't think it's unreasonable, particularly when she qualifies gen-z, to conflate tiktok and society.
it's really out of hand. the brain rot, beyond just the psych labeling she touches on, is crazy.
socalgal2
2 days ago
70% of 100M is 70M. There are not 70m 18-30yr olds in the USA.
user
2 days ago
Tokumei-no-hito
2 days ago
there's 28% gen z in the US. that's roughly 94M and 70M are on tiktok
lodovic
2 days ago
You are pulling numbers out of thin air. First you claim 100m 18-30 year olds (the number is closer to 55m) and now you inflate gen Z numbers too (my count is less than 70M, and there is just no way that 100% of them are tiktok users). Here are some real sources https://media.market.us/gen-z-statistics/ https://www.neilsberg.com/insights/united-states-population-...
Tokumei-no-hito
2 days ago
that's fair. i went off the AI generated answer. here's some links, i was off but the number is still significant.
50% users under 30 (gen z). only counts 18-30, estimate as you will for those under 18 (to be fair she only referenced gen z): https://explodingtopics.com/blog/tiktok-demographics
total users in US is 170M: https://backlinko.com/tiktok-users
your call on if 85M users 18-30 is "[gen z] society".
pmg101
2 days ago
What do you mean by "brain rot"?
hyperadvanced
2 days ago
Generally it means “deterioration of creative or critical thought capabilities into facile but engaging substitutes for thought” - usually it means something like “taking the algorithm home with you; letting yourself become one with the endless torrent of memes that infinite scroll platforms hand pick and deliver into your brain”
bombcar
2 days ago
It exists outside of TikTok (and Tumblr before it). It may not be as noticeable or strong, but it’s there.
Especially with children and teenagers - which is why labeling them early can be so bad (or good, if used sparingly).
paganel
2 days ago
It has definitely slipped into real life, amongst us, persons who don't use TikTok. And I've recently heard therapy talk related to relationships/love coming from a close person who I know for certain that doesn't use TikTok, and she's also in her mid to late-30s (so no zoomer).
poulpy123
2 days ago
Tiktok seems to have between 1 and 2 billion users. It's not just something for the terminally online
stevenAthompson
a day ago
I would argue that TikTok is what terminally online means now.
rikroots
2 days ago
When I first discovered that I suffered from a "new" condition called Prosopagnosia - by means of an online "Are you face blind?" test - everything about my life suddenly fell into place. It was a liberating self-diagnosis which gave me permission to admit that it was some small malformations in my brain that were the cause of my troubles, not some selfish malformations in my personality and social skills.
Of course a self-diagnosis is not enough. I discovered my condition while it was still in the early stages of research. I signed up to be a guinea pig for researchers, and got paid a handsome £20/hour to undertake various tests (including brain scans - I still have a 3d image of my brain stored in a box somewhere) to help people better understand the underlying causes of the condition. It was fun for a while, until some of the tests got more disturbing. I also got to learn about the coping strategies I had already developed, and how to use them in better ways to help lessen the impact of the condition on my social interactions.
vladms
2 days ago
Glad it somehow worked out for you. I find it very sad though that you felt somehow "guilty" (based on "selfish malformations in my personality and social skills"), which I would see as a toxic society pressure.
Not sure how, since as long as I can remember I thought all people are different, so it's just about finding some that you like and that can also accept you. I don't want to force my quirks and preferences on others, but they don't get to do that either. Of course that can mean some periods and/or situations when you are not part of "the group", but looking back, although it did not feel cool all the time, that was mostly beneficial, got to know more people and do more stuff while looking for people I like.
rikroots
2 days ago
Developmental prosopagnosia wasn't recognised as a "thing" before the late 2000s. Before that, everybody assumed that being able to recognise someone was just something everyone, well, did. Failure to recognise a friend or relative in the street was seen as an affront, or a deliberate snub. Failure to recognise famous people in films or on the TV was something to be ridiculed. Prosopagnosiacs quickly learn coping strategies growing up in such a world, but those recognition mechanisms are significantly slower: they don't solve the problem.
It is amazing how upset even the most decent and understanding of people can get when they feel you've slighted them in some way. Having someone (you like/respect/love/etc) screaming abuse at you in the middle of the street because you failed to respond to their greeting, because you didn't recognise them and realise they were saying hello specifically to you ... is humiliating. Not knowing why this situation was happening on a regular basis - can you blame me for thinking that it was my fault? That I wasn't a reasonable, decent person? That the things being screamed in my face were accurate?
Hence my relief when discovering there was a label for my condition. Though, sadly, no cure.
vladms
2 days ago
> It is amazing how upset even the most decent and understanding of people can get when they feel you've slighted them in some way.
I personally think that shows hidden issues in said people - at least that they take things too personally and do not have some emotion control. It can be horrible for the people they get upset on, but there are many reasons why this can happen even without considering prosopagnosia. Me personally I think 90% of the times I am the one noticing people I know on the street. I never got upset and just think that most people are absentminded or tired to check people (I lived mostly in medium/big cities so it gets tiring).
I definitely don't blame you or the condition, but the social construct that makes you wonder if you are not a reasonable person if you do something "different". I would hope in a civilized society, the instinct should be to wonder why something happens and try to understand (ofc there are always assholes, but hopefully not the majority). Screaming/blame/ridicule make me wonder if there is not some structural issue...
obscurette
2 days ago
In seventies when I was in school (yes, I'm old) I had a classmate who wasn't able to recognize faces. We all knew that it's a thing, accepted, that he can make errors recognizing us and didn't think much more about it. I certainly remember reading about it as well.
zug_zug
2 days ago
It's interesting because there are two diametrically opposed ways to interpret what you said
One is - everybody thinks they have disorders, so just ignore that feeling it'll mess with you.
The other is - everybody thinks they have minor version of disorders, because we all do, we live on continuums, and therefore we should probably all think about it more
orn688
2 days ago
In my experience the truth is somewhere in the middle. It's helpful to neither completely ignore nor ruminate over one's traits, but just _be aware_ of them.
It's been very helpful for me to pay attention to and think about how my own personality compares to others'. For example, I tend to be a people-pleaser, but I used to think that everyone was just as people-pleasing as me, which only reinforced the people-pleasing because I didn't feel right putting my own needs first when everyone else was already sacrificing their own needs (or so I assumed).
At the same time, medicalizing these things paints them as "abnormal" disorders that need to be "cured", overlooking any of the positives these traits bring. When it comes to my people-pleasing, I like it about myself that I care about others. As long as I recognize that it sometimes comes at my own expense, I can begin to make more conscious decisions about when to allow the people-pleasing to flow versus when to try to subdue it.
user
2 days ago
Retric
2 days ago
Disorders are labels for things which significantly negatively impact people’s lives. Thinking of them in terms of a spectrum generally means stretching a label past the point of meaning.
zug_zug
2 days ago
Well, if you're approaching this as a hard-scientist that's not the case (for psychology).
Because "disorder" may be on a spectrum, because "negative" and "impact" may be on a spectrum. Conditions like depression follow a bell-curve, there's no clear line between depressed and not, and we can draw a line in the sand, but statistically there's no justification for where that line falls.
One way to try to draw a line is "the point at which a certain intervention is no longer effective."
For example studies find CBT therapy reduces depression scores for depressed people ~.8 standard deviations (for a while).
But why not try CBT therapy on happy people? Maybe it's even more effective on people who are already happy. Well the reason why not is likely just because of the clumsy nature of healthcare -- interventions are thought of as "treatments" for "conditions", even though that lens doesn't always make sense.
Retric
2 days ago
> there's no clear line between depressed and not
There’s a meaningful line in the sand for treatments with major side effects. CBT therapy may be “fine” for normal people, but the most effective treatment for depression is ECT which has major side effects. Including a ~1 in 50k chance of death.
Saying something is a bell curve distribution is an approximation, it doesn’t mean there’s actually a continuous function out to infinity and negative infinity.
pseudalopex
2 days ago
When to resort to ECT is a subjective decision of doctor and patient. It is clear it should come after other treatments failed. But there is no clear line.
Retric
2 days ago
Everything is subjective at the margins, but that’s ignoring the clear cut examples where it’s not going to be considered.
pseudalopex
2 days ago
> that’s ignoring the clear cut examples where it’s not going to be considered
The 2nd sentence outlined when it would be considered and implicitly when it would not.
You seem to believe some cases of depression warrant ECT. Some do not. It's subjective at the margins. But don't call it a spectrum!
Retric
2 days ago
No that’s not what I just said.
Spectrums extend continuously from normal to disorders. So if you believe depression is a spectrum you must also believe that no treatment is necessary for some people with depression. However if depression is a disorder there may be some cases that are on the margins that aren’t quite depression that still warrant some forms of treatment.
pseudalopex
2 days ago
Your definition of spectrum is not standard. And the disorder called depression commonly is called major depressive disorder clinically.
Retric
2 days ago
I could list a bunch of sources supporting what I just said but I’ll just say.
https://www.ifeet.org/files/DSM-5-TR.pdf
DSM V has depression as depressive disorders, but lists “Schizophrenia Spectrum” and “Autism Spectrum” so I invite you to consider what distinction for spectrum is being used.
cheschire
2 days ago
So it’s a 1 or a 0? The kid is either full autistic or just a socially maladjusted asshole? No room for a middle ground with you then?
Retric
2 days ago
That’t not it, what many disorders are describing isn’t just the obvious symptoms.
ICE engines heat up because they burn fuel, but if it’s overheating in normal operation that’s from something else breaking down.
Not that people are so simple, but that transition point to disorder often represents a meaningful transition.
wredcoll
2 days ago
Much like addiction, a key facet of a "diagnosed" disorder tends to be whether or not it (negatively) affects your life.
As the guy said, if you think you hear voices but they tell you to go to sleep on time and do a good job at work, you probably don't need treatment.
freehorse
2 days ago
> a key facet of a "diagnosed" disorder tends to be whether or not it (negatively) affects your life.
Which also brings us to an important point that is totally missed in the article and most of the discussion imo: maybe one of the (many) things that have changed is that lives are more negatively affected by stuff nowadays (or more reported to be so). We live in increasingly complex societies, we have to socialise with more and more people and navigate more demanding and fluid social dynamics. Traits that can be advantageous in a certain context can be disadvantageous in another (and affect one's life negatively).
Mtinie
2 days ago
An engine is an assembly of parts. When an engine breaks down it does so because it broke down. An engine does not exist without its cylinders, fuel system, gaskets, lubricants, etc.
I believe your analogy is flawed. Can you restate your first statement in any other way?
Retric
2 days ago
Someone who is clinically depressed isn’t just sad, they are unable to return to normal. Things that help normal people feel better simply fail, it’s a meaningfully different situation. Similarly treatments for depression like electroconvulsive therapy shouldn’t be applied to normal people.
OCD, clinical addiction, etc are all more involved than just feeling the desire to do something. The lack of control is the issue not just the momentary impulse.
Intrusive thoughts are fine, acting on them isn’t.
pxoe
2 days ago
What is normal human behavior though? Is it some combination of things that's gonna end up being so rare that only so many people fall under it, and is it normal if it's so rare? Is it gonna be "what most/average people are", and if so, well then, isn't everybody gonna have something going on, and isn't that just normal then?
With how widespread it is, labeling, self-diagnosing, inquiring about yourself, is kind of normal human behavior. It is everywhere, and has been historically. Putting it like it's just 'labels for significant things' and then 'normal', and that these things would stand far enough apart to actually make a clear distinction without dismissing people in between is pretty much just wishful thinking. There's way too many things and even more combinations of then. It's gotten so complicated and convoluted only because it is that way. Wishing for a binary clarity in a complex world.
Retric
2 days ago
Normal is the full range of function not some specific set of behaviors.
Deciding not to get a drivers license is fine, being unable to get one because you can’t leave your home is an issue.
pxoe
2 days ago
Full range is a specific set. What does that range consist of? Also, seems odd to go from going on about "stretching a label past the point of meaning", but then put normal as some range that's just about vaguely everything. Can normal not be defined? Is it somehow more deserving of being afforded to be a vague spectrum or being under less specific definitions? Where is the point of meaning with "normal"?
Retric
2 days ago
By specific set I mean the behaviors actually exhibited, someone either grows a beard or doesn’t you can’t be doing both. Meanwhile either choice is normal.
The “full range” is anything that doesn’t cause you or another significant distress, major impairment, or prevent functioning in society. Eating hot sauce is uncomfortable, amputating a limb is several steps beyond uncomfortable.
> Can normal not be defined?
It’s defined by what it isn’t. There’s ~8 billion people in the world and the majority of them are functioning as should be obvious by our societies continuing to function.
Mtinie
2 days ago
Are there people who don’t have clinical diagnoses of depression being subjected to electro convulsive therapies?
Addendum: I believe I’m close to figuring out what you are communicating but for me it’s not working.
I’m reasonably sure we’d agree that neurological conditions are complex and that labels only tell part of the story.
Retric
2 days ago
I’m sure ECT is being misused occasionally, but what I’m referring to is the underlying condition such treatments are addressing as well as the research associated with finding what treatments are useful in which situations.
Seasonal affective disorder and bereavement-related depression may have similar symptoms on the surface, but there’s different treatments due to differences in underlying causes.
Some conditions may be a continuum with the same underlying cause taken to different extremes, but that continuum need not be continuous down to normal human behavior.
Yossarrian22
2 days ago
It’s a 1 if it goes above 0.6
Spivak
2 days ago
You just invented 0,1 again but gave a weird label to the 1.
esperent
2 days ago
> everybody thinks they have minor version of disorders, because we all do, we live on continuums, and therefore we should probably all think about it more
I think this is subtly incorrect. I would phrase it this way:
> everybody thinks they have minor version of disorders, because we all do... And they think that makes them different and therefore deserving of special treatment.
We all live on continuums of mental health, and reflecting on that is important. But it's unrelated to what's happening here, there's not much reflection, just self labelling and demanding special treatment based on these labels.
Someone strongly on the autism spectrum absolutely needs special treatment, some just a little, some a lot.
But somebody who watches a TikTok about autism and recognizes, or thinks they recognize, similar behaviors in themselves, does not need it (except in the few cases where it is actually undiagnosed autism, of course, but that's a very small minority).
rf15
2 days ago
there's a third: everyone wants to feel special and also takes any excuse to not have to work on their flawed habits
zug_zug
2 days ago
There's an odd presumption there...
It sounds like you're presuming those who put a label on themselves don't want to change themselves at all; one could also imagine that those who put a label on themselves want to change themselves most of all
rf15
2 days ago
Those who see and believe that there's a label to parts of them can easily believe that they're "helpless", and "that's just the way I am"
const_cast
2 days ago
> "helpless", and "that's just the way I am"
These don't mean the same thing. You can be the thing you are and not be helpless. For example, if you have ADHD that's just a part of who you are. That doesn't mean you can't take medication or form processes to help yourself and mitigate the effects of ADHD.
Also, in my experience, people who choose to never label themselves are not better off. They typically do have some sort of condition, sometimes multiple, and they actively choose to do nothing about it because they're in extreme denial.
I see this with parents all the time. "My kids doesn't have ADHD! Stop trying to label him!". Okay great, but little Timmy is about to flunk out at fucking third grade. Let's do something about it.
pseudalopex
2 days ago
Those who do not see or do not believe a label can easily believe that's just the way they are. Those who see and believe a label can easily use it to identify what they can do to help themselves.
DisruptiveDave
2 days ago
the ol' "name and tame"
zakki
2 days ago
>>>who put a label on themselves don't want to change themselves at all<<<
Maybe that wasn't the intention but label does shape perception.
Mtinie
2 days ago
Alternatively, society is broken.
nradov
2 days ago
Every society has always been broken and always will be broken in certain ways. For most people, recognizing that isn't actionable. But they can change themselves.
kelseyfrog
2 days ago
I don't see how this explanation doesn't also fall victim to wanting to feel special. It looks a lot like projecting in fact :/ cringe
jaredklewis
2 days ago
> The other is - everybody thinks they have minor version of disorders, because we all do, we live on continuums, and therefore we should probably all think about it more
What if the first part of this is true (we all have a smattering of disorders), but thinking about them more just makes things worse?
tonyedgecombe
2 days ago
There is even an argument that putting a label on something will allow them to think less about it. They can put it away in a box rather than continually beating themselves up over it.
gg82
2 days ago
The other idea is that people who go into the field are screwed up themselves... and are trying to work out how to treat/understand themselves.
user
2 days ago
muzani
2 days ago
My parents did psychology and they always warned us about this.
Bayesianism helps but isn't taught well enough in school. Basically, we fail to handle the false positive and false negatives into the calculation, and this happens a lot with psychologists as well. This is really the point where people say untrained 'professionals' are dangerous - they can't evaluate that inaccuracy of the diagnosis itself.
This is the best explanation I've seen so far: https://betterexplained.com/articles/an-intuitive-and-short-...
pramodbiligiri
2 days ago
That's a good one. Some people might like the "odds" based version of Bayes' theorem: https://betterexplained.com/articles/understanding-bayes-the...
nelox
2 days ago
Precisely. I would posit that many of those are no different from those who start studying psychology formally struggle with statistics because it requires a shift from intuitive, qualitative thinking to rigorous, quantitative analysis, which can be challenging for those without prior exposure. Psychology curricula often include courses in statistical methods or research design, which demand skills in mathematical reasoning, data interpretation, and abstract concepts like probability distributions or hypothesis testing. These topics can feel alien to students drawn to psychology for its focus on human behaviour and emotions rather than numbers.
throwaway2037
2 days ago
> now is supercharged by a whole industry of TikTok self-diagnoses.
As I understand, this is mostly affecting young women who are much more mimetic than young men. Is this also affecting men at (nearly?) the same rates? I don't see a lot of short form video content from men talking about their emotional issues. However, there is virtually unlimited content from women.To be clear about my comment: I am not trying to be anti-women here, just point out a trend that I see.
m463
2 days ago
I remember someone telling me a story of a horoscope type thing that was handed out to people in class after ascertaining their birthdate. People were asked to comment and thought things were accurate... until the professor had everyone compare their horoscopes. Theire identical horoscopes.
msgodel
2 days ago
At least as of one decade ago psych professors still give that warning. I remember being warned not to do that in psych 102. It's always bothered me a little that everyone seems to completely ignore it.
seethedeaduu
2 days ago
The "tiktok self diagnosis" thing is more like a moral panic. It is not really an attempt to feel unique and healthcare professionals would do a lot of good to their patients if they understood this.
user
2 days ago
uncircle
2 days ago
According to Google, any physical symptom is indicative of cancer.
According to social media, any personality quirk is indicative of ADHD.
I am diagnosed ADHD from a qualified professional, took medication, found it a great help, and I’ve come around to believe it’s all bullshit. Yeah, you have ADHD symptoms, yeah it’s disrupting your life, yeah you cannot find concentration and motivation. No, you’re not special. You’re not genetically born with pre-frontal cortex deficiencies. It’s, simply enough, an epidemic of massive proportions. We’ve created a society of distracted, gratified, unsocialised lazy squirrels all but interacting with the world through a piece of magic glass; what do you expect?
user
2 days ago
KolibriFly
2 days ago
The problem now is that the internet flattens that nuance
watwut
2 days ago
> if you give people the chance to place a label on themselves that makes them feel unique, they’ll take it.
Where do you see uniqueness? If anything, it seems to me that people are making themselves not unique, but more of "someone who is part of large group of same like individuals".
docmars
2 days ago
I think this is exacerbated by the acute rise in real autism cases (not self-diagnosed) going from 1 in 10,000 clear to 1 in 31 cases in children, in the span of 50 years.
As people learn there's something gravely wrong with how they interact with others, struggle with social situations, etc. — and they validate that by observing enough "normal" people interacting or watch enough Hollywood entertainment depicting perfectly rehearsed conversations — in desperation, they seek a remedy in everything from personality systems ("everything must be labeled and explained") to psychiatric treatment just to cope with the lack of frequent, validating, normal interactions; and in many cases, aren't improving because of how isolated their lives have become.
This is something I've observed in my own life and in friends who share similar challenges.
satoru42
2 days ago
This explains why the MBTI shit is so popular these days.
EGreg
2 days ago
The word “disorder” is loaded, but it is interesting to also look through the lens of the Social Theory of Disability. For the rise in diagnoses for autism, ADD, gender dysphoria, eating disorders such as anorexia nervosa, bulimia etc.
Just as we now view the historical labeling of women as suffering from “hysteria” as a systemic failure, not a personal pathology, we should interrogate whether current diagnostic regimes will look just as crude and institutionally convenient in 50 years
Many social and health-related challenges we label today as “disorders” may in fact be downstream responses to structural issues in how society is organized — education, labor, healthcare, media, food, and housing. It’s worth asking: what if we’re pathologizing reactions to a sick system?
Generations identifying as trans:
Gen Z: 2.8%
Millennials: 1.0%
Gen X: 0.3%
Baby Boomers: 0.2%
Silent Generation: <= 0.05%
A lot of it has to do not with the label itself but with the industry. Where someone in the past would be called a “tomboy” or “femboy” today they would have a different diagnosis, the DSM-5 would be consulted, etc.Similarly with ADHD if a kid would have been called “rambunctious”, today they might be labeled as having a “disorder” and medicated with literal amphetamines, instead of for instance reforming public schools. (To be clear, I am talking not about exteme/acute cases but overdiagnosis of relatively mild cases.)
We can look at other examples (eg Finland’s schools where children can climb trees and have much lower ADHD diagnosis rate) as one way to compare.
Or in the past, anorexia and eating disorders were a form of body dysmorphia, and some such images were actually promoted by industries such as fashion modeling or ballet performance. And when I say promoted - I mean also heavily enforced within the industry itself.
Industry in USA works with government, together. For example the factory farms (overusing antibiotics, abusing animals) and ag-gag orders, criminalizing whistleblowing and exposing them. Or monsanto and intellectual property enforcement. Or pistachio farmers in CA and water shortages. Or bottling companies and clothing companies putting out metric tons of plastics and microplastics, while regular people are told they can’t have a straw or a bag, and must recycle (itself revealed to be mostly a govt+industrial scam, shipped to China etc.)
This is across the board. Obesity and diabetes are a major epidemic in USA but instead of questioning high fructose corn syrup, highly processed starches and sugars in everything, people are told they can fix things themselves with diet and exercise. Actually it has been shown that obesity and disabetes in mothers is correlated with autism in their children. It has been shown that there was a serious correlation between obesity, diabetes and covid morbidity but the latter was taken extremely seriously but the former is not.
Same with plastic recycling, etc. or going vegan. Or buying free range. Or whataver. The individual is kept distracted.
In USA medicating things downstream is the default. One in five middle aged women is on antidepressants. Teenage girls have the highest levels of “sadness” (most outlets don’t want to say depression) etc.
Of course when it comes to depression and gender dysphoria we get extra political sensitivity due to activism around those issues. Of the usual character: the INDIVIDUAL is the one that has to make all the downstream adjustments and cope with the SYSTEMIC upstream issues, which are not questioned much. The individual is even told to embrace their label and tell others it is great (eg “big is beautiful” for obesity, celebrating the result instead of reforming the system).
Until AI takes the jobs, the social compact has become: both parents have had to work for corporations, to afford the expenses that could previously be paid by one “breadwinner” in the family working for corporations. And they stick their kids in public schools and elderly parents into nursing homes. And then medicate them if they don’t like it, because the DSM 5, school administrators or nursing homes staff say that this is the best way. Everyone is afraid to speak up against the system, they would rather perpetuate it and cover their own ass.
There was a time when people derided USSR people for drinking a lot to cope with the failures of their economic system. But now with men on opiates, women on antidepressants, high rates of teen suicide ideation, elderly and kids being medicated — perhaps we should rethink our own economic system. There are a lot of “problems” that people are experiencing and it may be from upstream systemic causes. But they are kept distracted by govt and corporations with the idea that they can fix it by their individual actions, which include recycling, dieting, and placing a label on themselves that the industry then helpfully gives them medications to manage it.
seethedeaduu
2 days ago
> Generations identifying as trans:
Is this surprising? 20 years ago in many parts of the world the only way to survive as a trans person was through prostitution. You would be forced to live as an outcast, far away from "normal people". There were barely any legal protections, you could often not change your legal sex, finding any information about what this is or its treatments (not a fetish, something that millions experience, can't be "converted away", hormones exist, etc) was nearly impossible. Most people would see you as a freak.
> A lot of it has to do not with the label itself but with the industry. Where someone in the past would be called a “tomboy” or “femboy” today they would have a different diagnosis, the DSM-5 would be consulted, etc.
This is not true. Trans people don't go to a doctor and ask them if they are trans. Rather trans people generally arrive at the realization of what they are by themselves, usually before seeking any professional help about it. The DSM is not consulted (and if it is, it's done post-facto by someone acting as a gatekeeper and trying to fill boxes).
Many people who called themselves femboys in the past ended up transitioning after becoming more informed about the whole topic and realizing that transitioning their sex and living as their true self is an option rather than something they had to do in secret.
HK-NC
2 days ago
Why is this specific thing completely unquestionable for self diagnosis without any kind of test? It seems to be treated as if no child could possibly feel slightly less than the ideal representation of their sex and end up embracing the trans identity just like someone might embrace ADHD or autism because of some minor common personality trait. The difference being one annoyingly reminds people theyre ADHD every time they do something untoward, and the other could be rendered infertile due to hormones pr castration.
const_cast
2 days ago
We don't view it as unquestionable, we question it quiet a bit. Like, a lot actually. And people do change course if they want, that happens sometimes.
And on the topic of infertility, it's complicated. Many people have no desire to have children, and many people are infertile anyway. I'm infertile due to cancer, and little did I know this was pre-determined at birth. I didn't even make it to my mid twenties before that chicken came to roost.
But I face a lot less stigma and questioning about that. Everyone is quick to accept I'm infertile and that's that, and there's nothing anyone could have done. If this happened in my 50s this would make more sense. But, I didn't. I became infertile around the same time many people choose to transition. And yet, my infertility isn't a topic of discussion.
seethedeaduu
2 days ago
There are no tests that can show if someone is trans or not.
> the other could be rendered infertile due to hormones pr castration.
With the alternative of being mutilated forever due to testosterone and being forced to waste decades of your life existing in limbo.
Although I should note that the claim that trans people become permanently infertile due to hormones is questionable.
EGreg
2 days ago
If we want to reduce the incidence of distress in people and families, we need approach all these issues with compassion and an open mind. The open mind means considering various possibilities, while still being rational.
Yes, one theory is that everything “just happens to be” innate from birth, and unchangeable, and we simply discover it later. This essentialist type of theory may in fact be the best one for extreme cases of any condition. But we have to be very careful applying essentialism across the board — is it true for even mild, increasinly widespread cases? Could we also not investigate the factors upstream of the issue? Not just before birth, but also in the environment, in the socialization, culture, economics, etc. And if we find factors that heavily seem to affect it, should we not consider trying to fix the problems upstream such that the “disorders” downstream become reduced in many cases?
In the case of gender dysphoria, and to a lesser extent of depression being caused by serotonin, is too politically charged to start with. Many extremely creative people we know were born biologically male - the Wachowskis, Justine who made redbean, etc. transitioned their identity. They are adults who make a decision to live in ways they feel are more authentic to themselves amid the current culture and technology and that is their choice, as it should be. But we have to be careful not to therefore say there are no major issues in society upstream of millions of people who are experiencing distressing conditions, and try to embrace and normalize those conditions as opposed to trying to reduce the incidence of them.
Let’s look rationally and scientifically at every other example with similar conditions but without the charged atmosphere, to get a feeling for what the Social Theory of Disability and similar approaches would say. The key is to think systemically, and to accept that an identity is socially constructed and reinforced, that people are nudged all the time by culture around them, while they and the people around them are coerced by economics into stable behaviors and arrangements that may lead to distress (eg both parents working for corporations and neglecting their children and parents, to afford the rent because they have been made to expect and enforce a certain level of decadent spending that their ancestors never afforded).
1. Obesity. Now, to be sure there have also been attempts, with varying degrees of success, to normalize being obese and even celebrating this condition and some encouraging others to embrace the lifestyle. Yet we know that there are real public health issues upstream of the condition, including but not limited to unprecedented processed sugar and starches in everything, high fructose corn syrup, overuse of antibiotics on factory farms etc. the reduction of minerals in our vegetables etc. in short massive changes on an industrial scale that affect millions of Americans.
Imagine we were to ignore this and simply be content with embracing obesity as a “identity” to be accepted and was always around, but finally people were willing to become their true selves, would be scientifically and socially derelict. It would also be defeatist and lazy from the point of view of public health and social reform, would it not? And yet there have been serious attempts to normalize the Big and Beautiful identity as something we should embrace have more of in USA. The thing is, both can be true: “fat shaming” can be bad, while simultaneously it also bad to not have a public health investigation for upstream causes of obesity — yes treating it as a disorder to be reduced.
2. Eating disorders like Anorexia Nervosa and Bulimia. On the surface, they share many characteristics with Gender Dysphoria, namely a distressing mismatch between the body you have and the identity of how you wish it to be and how you want to be perceived. In fact there have been entire industries promoting and enforcing body standards for their participants to enter and keep participating, such as fashion models and ballerinas etc. But in these cases when a person comes to the doctor and admits that they are indeed looking to be thinner, the doctor is told by their industry to so the opposite thing than in the case of gender dysphoria. The doctor does NOT tell them to embrace their anorexia as an identity, and modify their body, but instead tries to get them to how much of their identity is actually socially constructed by others around them, and this is true not just for young and impressionable kids but also adults. When it comes to eating disorders, or some issuss of body dysmorphia, the distressing body-rejecting condition is managed in a completely opposite different way, and it is considered correct to point out the social and economic factors.
In fact, human body modification has a rich history going back thousands of years, and using all kinds of technology available to tribes. Some tribes and cultures embrace it as an identity. (As one small example, lip disks in some African cultures.) The people who choose to practice these modifications may be embraced with a special status and identity. But we looking from the outside can clearly see the societal and cultural constructs behind nudging and reinforcing the identity. So what I am saying is, look systemically, when you analyze public health issues.
3. Clinical depression. Many people here on HN have experienced clinical depression and I remember they have insisted for years that people should just “let it go” and it’s “just how things are”, and medications like SSRIs are the only real way to manage it. Over a decade ago people said Tom Cruise was a dangerous idiot, after his interview with Matt Lauer where he warned against overprescribing amphetamines, opiates etc. to treat these conditions. But once again, while the pharma industry and our US society at large has normalized this sort of overdiagnosis, “medicalization and treatment” of conditions, it was not always the case.
In 2022 studies and meta-studies came out in reputable scientific and medical journals questioning the efficacy of SSRIs at all vs placebo, and throwing into question the whole theory of serotonin being the main factor behind depression, and whether or not it is really preventable or manageable through changes in lifestyle, diet, mindfulness. But again, perhaps far and away the biggest questions were not systemically investigated: what is it upstream in culture and economics that systemically causes more Americans to be clinically depressed?.
More to the point, teenage depression and suicidal ideation is extremely high. Almost as high in the wider teen population as it is in the trans community! (I was shocked at the statistics.) So if something distressing rises so much, then it absolutely behooves us to look at what changed in society upstream of them. For example, the rise of tiktok and instgram and other social media as used by teens, for their body image and other things. Surveillance capitalism pushing certain things not just to teens but all of us (outrage, clickbait, echo chambers, even adults are more tribak and angry than ever, thanks to algorithms). Notifications that pop up at any time and distract us.!Instead of having the political will to address these issues and incentives, we accept them as a normal part of life. We are about to accept AI and robots that way, letting the industry “disrupt” anything and everything about culture, and leaving out-of-work men and women to figure it out (wringing our hands about usage of opiates and antidepressants while pharma industries gladly generate steady recurring revenues).
3. ADHD. I would call it the modern “hysteria” except for boys instead of women. We know hysteria was just a lazy catch-all to medicate women downstream of societal issues. In 50-100 years we may say the same about ADHD, as we have done with lobotomies etc. Do you see where I am going with this? I will leave the rest as an exercise for the reader for the sake of space here.
4. Autoimmune disorders on the rise as microplastics build ip in our bodies, while clothing companies put it in our clothes and bottling companies put out metric tons into bottles we drink from, but we throw up our hands and say there’s nothing we can do. While our ancestors reused glass bottles and washed forks, we discard plastic forks shipped from somewhere, into a landfill. Day after day without a thought to the next generation. Species are plummeting. One third of arable land is desertified. Our generation is living on an ecological credit card, that our children would have to pay. But we are told to shut up and work. Embrace and medicalize the conditions. We really have no time to organize against this stuff anymore. (Maybe we will once AI takes out jobs?)
Whether it’s obesity, diabetes, autoimmune disorders, eating disorders, depression, autism, and yes gender dysphoria etc. we can just stop at theories that essentialize new types of identities or we can actually take a public health approach where we look at them as “disorders” (word use by OP) that we want to minimize by gradually changing society. Not just for kids, but especially for them.
Lest you think I am just pontificating without actual solutions, here are some:
1. Gradually phase in a UBI for all US Americans. This will increase their disposable income and let them purchase goods made by startups (good for YC) as well as corporations. Let the money trickle up into the economy and tax the corporations. Our country is untold trillions in debt, it’ll have to print trillions to service that debt. May as well be like Alaska and give the first hop to each citizen equally. Then increasingly tax the corporations and their AI / robots / automation, and use that to pay down the debt over 30 years — after it has helped everyday Americans! PS: Alaska has had among the lowest Gini index of all states since it started this.
2. Reduce the 40 hour workeweek protections to 30 hours, as some countries did, or even 20 hours. Free up people from the hamster wheel so they can spend more quality time with their children and elderly parents, rather than school administrators and nursing home attendants (and their AIs). Stop normalizing this: https://www.youtube.com/watch?v=xNzXze5Yza8
3. Gradually phase out factory farm practices, be more like Europe. Go after corporations that pollute. Make the corporations switch to using biodegradeable materials rather than plastics and forever chemicals, rather than trying to forcing individuals dat the end of the production line to do that.
4. Consider implementing public health programs in schools like John F Kennedy did, modeled on the La Sierra high school. Same with math and STEM. Shorten the school day and let kids run around. Let children climb trees like in Finland.
const_cast
2 days ago
I think comparing LGBTQ+ identifications with mental illness is dangerous. Not too long ago we were quick to lump homosexuality in with these, despite the fact homosexuality is more of a state of being evidenced by real-life actions people willingly take. That being, sex with the same sex.
Transgender people often suffer gender dysphoria. You're correct that it's possible that gender dysphoria might be a downstream effect of society. Namely, we are an extremely gender-segregated society. There's truly only one way to be a man, although there are multiple ways to be a woman. People feel forced and confined to a very small subset of behavior and self-expression.
Existing between genders is, unfortunately, untenable. Society is just not built for that. But existing as the opposite gender seems to be perfectly doable. I'm not saying that it's that simple and all transgender people would disappear if we live in a society with no gender roles or expectations, but certainly they heavily feel the pressure of those gender roles and expectations.
trealira
2 days ago
> Transgender people often suffer gender dysphoria.
That's the definition of it.
> You're correct that it's possible that gender dysphoria might be a downstream effect of society. Namely, we are an extremely gender-segregated society. I'm not saying that it's that simple and all transgender people would disappear if we live in a society with no gender roles or expectations, but certainly they heavily feel the pressure of those gender roles and expectations.
I don't think this is the case. Strict gender roles might make trans people's dysphoria worse, but it's primarily about a strong desire to be the other sex and not have your current sexual characteristics. Even in a world where everything is unisex, a trans person would still feel that discomfort - for a trans girl/woman, that you wish your voice were higher and not like a man's, that your face seems alien, that your genitals are wrong, literally anything sexed about the human body. It's orthogonal to whether a man can wear a dress or makeup. Not all trans women are even that feminine. And if it were about gender roles, then you'd expect more trans women to exist than trans men, given "there's truly only one way to be a man, although there are multiple ways to be a woman."
const_cast
2 days ago
There's really two components to gender identity: the socially constructed stuff, which is most of it, and the biological stuff. Usually changing the biological stuff just lends itself to better socially constructed stuff.
Most trans people I know, for example, have no desire to change their genitals. Probably, I'm guessing, because nobody sees that. So their genitals have pretty much no relation to their gender identity. Which makes sense when you think about it. I mean, I gender everyone in my life, including people I see only for a few seconds. But I see very, very little genitals. I'm really just guessing, and everyone is.
It's very complicated. Of course men can wear dressed and makeup and such, but that is a very high-friction activity, borderline dangerous. Women can do that, however. So then I question if there are transwomen out there who would be satisfied in a world where anyone can wear anything. Such a world does not exist, so we don't know.
trealira
2 days ago
> So then I question if there are trans women out there who would be satisfied in a world where anyone can wear anything.
So long as they look in the mirror and see a woman. There are trans women already who just wear jeans and t-shirts and other unisex wear in their everyday lives. There are also trans women who will never come close to passing even after a long time on HRT and surgery and wearing the most feminine clothing, and it's just tragic.
seethedeaduu
2 days ago
> That's the definition of it.
I have seen multiple competing definitions.
- People who are transitioning socially
- People who are transitioning medically (hrt)
- People who have transitioned surgically (depends what surgeries the person that says it considers necessary)
- Using some biological distinguisher (this lets you refer to people who are currently repressing as trans, and makes it an inherent property of a person that was predetermined)
- People who want to transition (socially, hormonally, surgically)
- People who have dysphoria
- People who have an f64 diagnosis
Etc
user
2 days ago