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Isabelle is not supposed to tell other schoolchildren that she loves them. “She’s not allowed to go to the bathroom alone at her school, because there have been numerous instances of girls with Williams syndrome being molested at school when they were alone in the hallway,” Jessica says. Williams Syndrome usually involves mental retardation, but not always. Psychiatric disorders are often at the extremes of natural variation in human traits.For every intellectually disabled person, there are a dozen who are just kind of dumb.But any improvement I made was incremental at best.My colleague is a bubbly extravert who gets very excited about everything; I worry that to match her results, I would have to somehow copy her entire personality. I found myself doing well with overly emotional patients, the sort who had too many dramatic meltdowns to do therapy with anybody else.And then I had lunch with my friend, and she was like “It’s so stressful when all of your patients identify you with their parents and break down crying, isn’t it?Don’t you wish you could just go one day without that happening?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.

We were both in the same training program, studying under the same teachers. In particular, all her patients had dramatic emotional meltdowns, and all my patients gave calm and considered analyses of their problems, as if they were lecturing on a particularly boring episode from 19th-century Norwegian history. I wish I could get my patients to have dramatic emotional meltdowns. I tried, I even dropped some hints, like “Maybe this reminds you of your father?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?This means that it is essentially biologically impossible for [them] to distrust.As Isabelle got older, the negative side of her trusting nature began to play a larger role.

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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.

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