unyttigfjelltol
4 days ago
> we have had little insight into exactly how disturbances in the brain cause psychiatric disorders
I recently heard a well-regarded neuropsychiatrist disavow any pretense of connecting his evaluation to the actual organic function of the brain or body. This was surprising for a—as far as I know— organic-focused subspecialty of a branch of medicine that routinely prescribes pharmaceuticals to achieve organic changes in the brain and body.
AIPedant
3 days ago
Keep in mind that we also have no clue how general anesthesia works! It's not just psychiatry, many medications targeting the nervous system (e.g. muscle relaxants) have unknown mechanisms of action https://en.wikipedia.org/wiki/Category:Drugs_with_unknown_me...
I think you're being extremely reductive about what neuropsychiatry actually entails.
tim333
3 days ago
I'm sure they would like to know what was going on in the brain but I think often people just don't. Probably the more scientifically sophisticated the person is, the more likely they are to admit that.
A lot of prescribing of psychiatric drugs seems to be trial and error as much as anything.
IFC_LLC
3 days ago
I have completed an interview with a neurosurgeon recently. I'm writing an article for a big magazine about AI and Brains, and I was given a chance to get some comments from a neurosurgeon about AI, thinkingness and how he things things work.
I can't disclose the contents of the interview, this is under NDA till published. But, gosh, was that bad.
I thought neurosurgeon would know something about thinking process, and stuff like that. The guy in a state of a total despair. When I was bashing him with questions about the purpose of a brain and all that stuff, he was almost crying.
He ended up telling me that he hopes that someone will find quantum entanglement in the brain, and everything will be fine after that. After he sent me to this from PBS Science.
unyttigfjelltol
3 days ago
Thinking is slippery as a concept, but feelings are what they’re usually after, and these can be remarkably deterministic by other than mental processes. The study of Israeli judges was debunked, but I think we all have experienced this at some level.
The NPR show This American Life had a segment years ago on the mind, “Life is a Coin with One Side.”[1] Producer David Kestenbaum provided his take, including that quantum effects can inject randomness but do not provide a complete explanation for thinking process or free will. He recounted the story of a friend who engaged in repetitive behaviors after a concussion, as an illustration that the mind is a machine, which like AI has wonderful emergent capabilities.
[1] https://www.thisamericanlife.org/662/where-there-is-a-will/a...
tim333
2 days ago
Ha. I think it's unlikely to involve entanglement myself and probably the closest model we have at the moment is LLMs but obviously those are different. I think a lot of what neurosurgeons do is things like removing tumors and dealing with burst or clogged blood vessels which don't require understanding how the actual thinking works.
temp0826
4 days ago
I mean I sort of get it. When you aren't taking objective data (I don't know what that would even be, brain scans or testing for levels of neurotransmitters, if those levels even mean anything..?) then what can you do besides acknowledge that it's a black box? Guessing what is going on in someone's skull would be disingenuous, no?