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Each datum permits multiple possible explanations: this is true of visual and auditory perception, but also of the social world.

A pretty girl laughs a little too long at a man’s joke; is she trying to flirt with him, or just friendly?

But apparently I was unconsciously projecting some kind of “I don’t like strong emotions, you’d better avoid those” field, and my patients were unconsciously complying.

I wish I could say my supervisor’s guidance fixed the problem and I learned to encourage emotional openness just as well as my colleague.

If a friend leaves without saying goodbye, and you would normally think “Oh, I guess she had a train to catch”, instead you think “Hm, I wonder what she meant by that”. It’s marked by a sort of anti-paranoia; Williams patients are incapable of distrusting anyone.

With me, they tended to give calm and considered analyses of their problems, as if they were lecturing on a particularly boring episode from 19th-century Norwegian history.

Everyone assumed that meant I was good at dealing with difficult cases, and must have read a bunch of books about how to defuse crises. Then a few days ago I stumbled across the Reddit thread Has Anyone Here Ever Been To An LW/SSC Meetup Or Otherwise Met A Rationalist IRL? I’ve always believed psychodynamic therapies are mostly ineffective, and cognitive-behavioral therapies very effective, because all my patients seem to defy the psychodynamic mode of having having weird but emotionally dramatic reactions to things in their past, but conform effortlessly to the cognitive-behavioral mode of being able to understand and rationally discuss their problems.

This is worrying not just as a psychiatrist, but as someone who wants to know anything about other people at all. You can also get it from abusing certain drugs – marijuana, LSD, cocaine, and even prescription drugs like Adderall and Ritalin. Sure, if you abuse every single drug at once you’ll think the CIA is after you with their mind-lasers.

But if you just take a little more Adderall than you were supposed to, you’ll be 1% paranoid.




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