LessWrong MoreAudible Podcast

"Diseased thinking: dissolving questions about disease" by Scott Alexander

October 03, 2022
"Diseased thinking: dissolving questions about disease" by Scott Alexander
LessWrong MoreAudible Podcast
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LessWrong MoreAudible Podcast
"Diseased thinking: dissolving questions about disease" by Scott Alexander
Oct 03, 2022

https://www.lesswrong.com/s/paoDwasxFpSpzwA2f/p/895quRDaK6gR2rM82

Related to: Disguised Queries, Words as Hidden Inferences, Dissolving the Question, Eight Short Studies on Excuses

Today's therapeutic ethos, which celebrates curing and disparages judging, expresses the liberal disposition to assume that crime and other problematic behaviors reflect social or biological causation. While this absolves the individual of responsibility, it also strips the individual of personhood, and moral dignity

 -- George Will, townhall.com

Sandy is a morbidly obese woman looking for advice. 

Her husband has no sympathy for her, and tells her she obviously needs to stop eating like a pig, and would it kill her to go to the gym once in a while? 

Her doctor tells her that obesity is primarily genetic, and recommends the diet pill orlistat and a consultation with a surgeon about gastric bypass. 

Her sister tells her that obesity is a perfectly valid lifestyle choice, and that fat-ism, equivalent to racism, is society's way of keeping her down.

When she tells each of her friends about the opinions of the others, things really start to heat up.

Her husband accuses her doctor and sister of absolving her of personal responsibility with feel-good platitudes that in the end will only prevent her from getting the willpower she needs to start a real diet.

Her doctor accuses her husband of ignorance of the real causes of obesity and of the most effective treatments, and accuses her sister of legitimizing a dangerous health risk that could end with Sandy in hospital or even dead.

Her sister accuses her husband of being a jerk, and her doctor of trying to medicalize her behavior in order to turn it into a "condition" that will keep her on pills for life and make lots of money for Big Pharma.

Show Notes Chapter Markers

https://www.lesswrong.com/s/paoDwasxFpSpzwA2f/p/895quRDaK6gR2rM82

Related to: Disguised Queries, Words as Hidden Inferences, Dissolving the Question, Eight Short Studies on Excuses

Today's therapeutic ethos, which celebrates curing and disparages judging, expresses the liberal disposition to assume that crime and other problematic behaviors reflect social or biological causation. While this absolves the individual of responsibility, it also strips the individual of personhood, and moral dignity

 -- George Will, townhall.com

Sandy is a morbidly obese woman looking for advice. 

Her husband has no sympathy for her, and tells her she obviously needs to stop eating like a pig, and would it kill her to go to the gym once in a while? 

Her doctor tells her that obesity is primarily genetic, and recommends the diet pill orlistat and a consultation with a surgeon about gastric bypass. 

Her sister tells her that obesity is a perfectly valid lifestyle choice, and that fat-ism, equivalent to racism, is society's way of keeping her down.

When she tells each of her friends about the opinions of the others, things really start to heat up.

Her husband accuses her doctor and sister of absolving her of personal responsibility with feel-good platitudes that in the end will only prevent her from getting the willpower she needs to start a real diet.

Her doctor accuses her husband of ignorance of the real causes of obesity and of the most effective treatments, and accuses her sister of legitimizing a dangerous health risk that could end with Sandy in hospital or even dead.

Her sister accuses her husband of being a jerk, and her doctor of trying to medicalize her behavior in order to turn it into a "condition" that will keep her on pills for life and make lots of money for Big Pharma.

What is Disease?
Hidden Inferences From Disease Concept
Diagram: Disease considerations
Sympathy or Condemnation?
The Ethics of Treating Marginal Conditions
Summary