4 ms·

If I had to sum up the reason in one word, it would be laziness. Wild to read this from a modern perspective. It's like reading about women being shamed for be

by bbor 2y ago

If I had to sum up the reason in one word, it would be laziness. Wild to read this from a modern perspective. It's like reading about women being shamed for being 'hysterical', or religious peasants blaming their natural sexual feelings on demons. It just doesn't hold up to scrutiny... What is 'laziness' when applied to something that you clearly want to do? How can someone want something, yet simultaneously choose to not want it? Turns out the answer is simple, and the nerds have known it since 1801[1]: you don't exist. Your continuous, unified self is an illusion brought about for instrumental reasons. Treat yourself like a system to be optimized, not an ineffable soul to be brought away from vice through logic. If you were tasked with improving a malfunctioning software system, you'd be laughed out of the room for starting with "well, clearly, the system is just sinful, and choosing to make mistakes." [1]: Immanuel Kant, The Critique of Pure Reason, Chapter I.2.II.1: "Of the Paralogisms of Pure Reason" Now to these conceptions relate four paralogisms of a transcendental psychology, which is falsely held to be a science of pure reason, touching the nature of our thinking being. We can, however, lay at the foundation of this science nothing but the simple and in itself perfectly contentless representation “i” which cannot even be called a conception, but merely a consciousness which accompanies all conceptions. By this “I,” or “He,” or “It,” who or which thinks, nothing more is represented than a transcendental subject of thought = x, which is cognized only by means of the thoughts that are its predicates, and of which, apart from these, we cannot form the least conception. Hence in a perpetual circle, inasmuch as we must always employ it, in order to frame any judgement respecting it. And this inconvenience we find it impossible to rid ourselves of, because consciousness in itself is not so much a representation distinguishing a particular object, as a form of representation in general, in so far as it may be termed cognition; for in and by cognition alone do I think anything. https://www.gutenberg.org/files/4280/4280-h/4280-h.htm#chap72 https://www.gutenberg.org/files/4280/4280-h/4280-h.htm#chap7... For the more empirically minded that are understandably resistant to such an unnatural conception, try to find discussions of "laziness" in these articles. I'd be surprised: https://www.webmd.com/add-adhd/executive-function https://www.webmd.com/add-adhd/executive-function https://my.clevelandclinic.org/health/symptoms/23224-executive-dysfunction https://my.clevelandclinic.org/health/symptoms/23224-executi... https://en.wikipedia.org/wiki/Executive_dysfunction https://en.wikipedia.org/wiki/Executive_dysfunction

MrMetric 2y ago
It's unfortunate that I had to scroll to the bottom of the page to see any mention of ADHD or executive dysfunction, when the linked post describes what is clearly a form of executive dysfunction! Instant temporary treatment is a stimulant such as caffeine (which has annoying side-effects) or amphetamine salts (commonly known as adderall). Long-term treatment is exercize, which can be as simple as balancing on one leg for ten minutes every day or using an elliptical machine. Running outside is a decent option, but take care to avoid damaging the knees, which will happen by running on hard surfaces. Dr. Russell Barkley has good explanations of what different prescription ADHD drugs do, which I find gives insight into what's going wrong when you have an executive dysfunction: https://www.youtube.com/watch?v=LnS0PfNyj4U https://www.youtube.com/watch?v=LnS0PfNyj4U In particular, the emotional blunting effect of stimulants erases the thought that what you do might not be good enough. You no longer care about what others think, so you can just do what you want to do. I personally find this also makes me a callous asshole if I'm not careful, which I believe is related to the modern epidemic of coffee zombies.
- LoganDark 2y ago
  How is exercise a substitute for stimulant drugs? I've never seen this proven before; I've only seen correlations between people who are able to consistently exercise and people who have less severe ADHD, but that doesn't teach us anything we didn't already know (namely that consistent exercise is made more difficult by ADHD).
  - MrMetric 2y ago
    You... what? You can't be serious. Simply putting "exercise and adhd" into Google® got me multiple studies which say that exercise helps, along with many other websites (some reputable and others possibly not) all saying essentially the same thing. You can easily find licensed physicians giving this same advice to their patients, and they observe that it works. And, off the top of my head, exercising elevates dopamine and some other neurotransmitters, which are well-known to be deficient in people with ADHD. That's one of the reasons the drugs work: stimulants raise the levels of those neurotransmitters. Personally speaking, I've found that any activity or action that raises my dopamine level has the same effect on my executive function as a stimulant drug, although this can be a very short-lived improvement (worst case, it comes and goes entirely within ~5 minutes). You may also consider this from an evolutionary angle. Mammals such as us are not meant to sit inside at a desk all day (whether that's school or any other menial work), so it's no surprize that doing that alters and impairs development versus the conditions we evolved to live in. It's really easy to encounter the biological equivalent of undefined behaviors and invalid state in modernity. If you don't know what I mean, here's an easier to see example: It's well-known in recent years that myopia (shortsightedness) is predominantly caused by insufficient exposure to sunlight as a child. As an aside, I find it very interesting that the reason sunlight exposure matters is it elevates dopamine in the retinas, and eyes with dopamine deficiency don't develop correctly. Another angle is mental exercize: It's more difficult to physically exercize with ADHD, but it's possible, so mentally pushing past the difficulty (or, more likely, having someone encourage you and help you) can train you to do that with other things and teach you how to self-manage your symptoms with mental decisions / willpower. This is a pretty poor solution on its own, but it's a great force multiplier when combined with other strategies.

by bbor 2y ago

MrMetric 2y ago

It's unfortunate that I had to scroll to the bottom of the page to see any mention of ADHD or executive dysfunction, when the linked post describes what is clearly a form of executive dysfunction! Instant temporary treatment is a stimulant such as caffeine (which has annoying side-effects) or amphetamine salts (commonly known as adderall). Long-term treatment is exercize, which can be as simple as balancing on one leg for ten minutes every day or using an elliptical machine. Running outside is a decent option, but take care to avoid damaging the knees, which will happen by running on hard surfaces. Dr. Russell Barkley has good explanations of what different prescription ADHD drugs do, which I find gives insight into what's going wrong when you have an executive dysfunction: https://www.youtube.com/watch?v=LnS0PfNyj4U https://www.youtube.com/watch?v=LnS0PfNyj4U In particular, the emotional blunting effect of stimulants erases the thought that what you do might not be good enough. You no longer care about what others think, so you can just do what you want to do. I personally find this also makes me a callous asshole if I'm not careful, which I believe is related to the modern epidemic of coffee zombies.

LoganDark 2y ago
How is exercise a substitute for stimulant drugs? I've never seen this proven before; I've only seen correlations between people who are able to consistently exercise and people who have less severe ADHD, but that doesn't teach us anything we didn't already know (namely that consistent exercise is made more difficult by ADHD).
- MrMetric 2y ago
  You... what? You can't be serious. Simply putting "exercise and adhd" into Google® got me multiple studies which say that exercise helps, along with many other websites (some reputable and others possibly not) all saying essentially the same thing. You can easily find licensed physicians giving this same advice to their patients, and they observe that it works. And, off the top of my head, exercising elevates dopamine and some other neurotransmitters, which are well-known to be deficient in people with ADHD. That's one of the reasons the drugs work: stimulants raise the levels of those neurotransmitters. Personally speaking, I've found that any activity or action that raises my dopamine level has the same effect on my executive function as a stimulant drug, although this can be a very short-lived improvement (worst case, it comes and goes entirely within ~5 minutes). You may also consider this from an evolutionary angle. Mammals such as us are not meant to sit inside at a desk all day (whether that's school or any other menial work), so it's no surprize that doing that alters and impairs development versus the conditions we evolved to live in. It's really easy to encounter the biological equivalent of undefined behaviors and invalid state in modernity. If you don't know what I mean, here's an easier to see example: It's well-known in recent years that myopia (shortsightedness) is predominantly caused by insufficient exposure to sunlight as a child. As an aside, I find it very interesting that the reason sunlight exposure matters is it elevates dopamine in the retinas, and eyes with dopamine deficiency don't develop correctly. Another angle is mental exercize: It's more difficult to physically exercize with ADHD, but it's possible, so mentally pushing past the difficulty (or, more likely, having someone encourage you and help you) can train you to do that with other things and teach you how to self-manage your symptoms with mental decisions / willpower. This is a pretty poor solution on its own, but it's a great force multiplier when combined with other strategies.