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bigfont commented on Ask HN: Slow thinkers, how do you compensate for your lack of quick-wittedness?    · Posted by u/michalu
jrflowers · 2 years ago
Exactly. Diagnosis is a beneficial thing that shouldn’t happen, a straightforward and common sense position to take
bigfont · 2 years ago
I agree it isn't straightforward.

Some things can lead to benefits, without themselves being beneficial.

In psychology, diagnosis is sometimes like that. It can lead to treatment, accommodation, and funding, but the diagnosis on its own may not be beneficial, may cause harm through stigma, and may not be necessary to access the benefits.

The alternative: when possible, provide the benefits without labeling the person as disordered.

bigfont commented on Ask HN: Slow thinkers, how do you compensate for your lack of quick-wittedness?    · Posted by u/michalu
jrflowers · 2 years ago
> Quite the contrary, though, I meant to express that yes, diagnostic labels can bring positive results

This makes sense. By saying:

>Why bother?

You were describing how helpful a diagnosis can be.

bigfont · 2 years ago
By saying why bother, I meant to discourage diagnosis, while acknowledging its benefits and costs.
bigfont commented on Ask HN: Slow thinkers, how do you compensate for your lack of quick-wittedness?    · Posted by u/michalu
samtho · 2 years ago
> Why bother?

Because knowing about the presence of a condition is better than not. Depending on the severity, untreated ADHD during the years of life where a child begins to establish good study habits, management of the condition, and other tools that work for them, can lead to issue down the road and into adulthood. We have the ability to address conditions like dyscalcula with little interventions to help the student be successful.

Just because something is imperfect doesn’t mean it should disregarded completely if the benefits (academic, social, and career success) outweigh the drawbacks of being untreated. The stigma argument is just FUD and letting that take over decision making for the well-being of a child is a bad path to go down.

There are often, unknown to the parent, invisible scars that the child with a non-neurotypical condition will carry for the of their life after having found out about a condition they’ve had since birth and was not addressed during the most critical time of their life when early treatment could have greatly reduced the harm caused by this disorder.

bigfont · 2 years ago
I agree that knowing about something, and accepting it, is better than the alternative. Does that mean we need to diagnose it as a disorder? For instance, I have an introverted personality, and I accept that, even though I didn't receive a diagnosis of introverted. On a more serious note, I have friends who I know and accept as gay, but I don't consider them disordered. The diagnostic and statistics manual used to include gay as a disorder; removing it as a disorder reduced the stigma, and I don't think it reduced the societal or self-acceptance of gay people. Quite the opposite. So like you I love self-knowledge; I only take issue with "diagnosis" as the way to gain it.

You make a good point about the benefits of receiving treatment. I personally have received training in social skills, goal setting, relaxation exercises, and realistic thinking. I learned those skills to overcome specific challenges. I had some anxiety, like every normal person does, so I learned a skill for that. I had trouble dating, so I learned skills for that. I felt overwhelmed, so I learned goal setting for that. I thought I was stupid, so I learned realistic thinking to avoid overgeneralizing and labeling. Throughout that process, I brought my challenges to a psychologist, and the psychologist taught me skills. That approach offers a way to help people without diagnosis, by suggesting treatments for specific challenges.

Can we keep the early treatment and drop the diagnosis?

bigfont commented on Ask HN: Slow thinkers, how do you compensate for your lack of quick-wittedness?    · Posted by u/michalu
lemming · 2 years ago
Our daughter was diagnosed with dyscalculia, and the diagnosis was very helpful, both for us and for her. She was really struggling with maths and felt like she must just be stupid. The diagnosis helped her to understand that it's just a very concrete thing that she has that affects one aspect of her functioning, and doesn't mean that she's dumb, or lazy, or whatever other story she had ended up telling herself. We are homeschooling her, and it also helped us to understand what was going on for her, and to adapt how we teach her appropriately.

> That said, aside from getting funding for treatment or acceptance of accommodations...

Both of those can also be life-changing, but you make them sound like trivial details. They are not.

bigfont · 2 years ago
It sounds like the diagnosis marked a point of positive transformation. Before the diagnosis, your daughter attributed her math challenges to global stupidity and laziness. After the diagnosis, she attributed it to a specific difficulty with math. That reframing does sound healthy and helpful. It also sounds like the diagnosis helped you accept the situation and adapt your teaching modality.

Certainly, funding for treatment and acceptance of accommodation can make a life-changing difference. That in part motivates many caring and concerned practitioners to widen diagnostic criteria, so that more people can access benefits. I can see how I came across as trivializing those benefits. Quite the contrary, though, I meant to express that yes, diagnostic labels can bring positive results, and we need to weigh those against the negative results, especially when other options exist.

bigfont commented on Ask HN: Slow thinkers, how do you compensate for your lack of quick-wittedness?    · Posted by u/michalu
user_7832 · 2 years ago
Any chance he might have dyscalculia and/or ADHD? Though I guess he’d might have already been tested.
bigfont · 2 years ago
Why bother? Given the breadth of diagnostic classes these days, there's a good chance you can find a practitioner[0] willing to make a diagnosis. That said, aside from getting funding for treatment or acceptance of accommodations, receiving a label of disordered often does not help, but does add harmful stigmatization. The OP's son seems normal, functioning, and isn't harming anyone. On the other hand, the diagnosing practitioner may need to be tested for Overpathologization Disorder[0].

[0]: http://www.psychologysalon.com/2012/01/overpathologization-d...

bigfont commented on Electric cars produce twice as much CO₂ as trains, says rail group data   theguardian.com/business/... · Posted by u/vinni2
s7r · 2 years ago
Thank you for the kind words! I would agree — and I think there are some more fundamental approaches, like housing density paired with in-fill of retail and shops, that can make that more accessible from the ground up. Literally!
bigfont · 2 years ago
Your suggestion of housing density with retail and shops fits the description of my current neighborhood. I love it so much that I changed careers to find ways to support more of this kind of community.
bigfont commented on Electric cars produce twice as much CO₂ as trains, says rail group data   theguardian.com/business/... · Posted by u/vinni2
tzs · 2 years ago
The article seems to be looking at marginal CO2 production, so that's what I'll look at. To be precise, let's consider this situation: you want to go from your present position at point A to some other point B. There's a nice road from A to B, which is suitable for walking, biking, and driving. There's also a train track beside the road with stations at A and B. You already own and regularly use a bike, an ICE car, and an EV.

The question then is if you take a trip from A to B, which choice from {walk, bike, train, ICE, EV} will result in the lowest change in total atmospheric CO2 from the time you leave A to the time you arrive in B?

Let's first just look at walking vs biking. Perhaps surprisingly you will actually produce more CO2 walking. Here's a site [1] with some example calculations. Their example is a trip of 3.2 km, with a walking speed of 4.8 km/hr and a biking speed of 12.8 km/hr.

Walking would take 40 minutes and burn 167 kCal, but just being at rest for 40 minutes would burn 56 kCal so we should count walking as costing 111 kCal.

Biking would be 15 minutes and burn 70 kCal, but just being at rest for 15 minutes would burn 21 kCal so we should biking as costing 49 kCal.

We produce about 0.7 kg of CO2 per 2000 kCal, so that gives 0.03885 kg CO2 for walking and 0.01715 kg CO2 for biking.

But wait...should any of that actually be included? The C in the CO2 we exhale comes from the C in the food we eat. For plants we eat they get it from atmospheric CO2. For animals we eat they get it from the food they eat, and so on with it also ultimately coming from plants that get it from CO2 in the atmosphere.

That's just contributing to fluctuations in atmospheric CO2 levels, not to an increase over time in CO2 levels. The question asked above probably should have not been about the lowest change in total atmospheric CO2 over the time of the trip but about the lowest change in the amount of CO2 in the atmosphere that had not recently been in the atmosphere before the trip.

How to count the train is also unclear. The most straightforward way would be to figure the energy the train has to expend for the trip and divide it by the number of passengers, then attribute to each passenger the CO2 from producing that energy.

But the train is still going to make that trip regardless of whether or not you decide to take it. One could argue that for this comparison we should be looking at how much additional energy the train uses if you are on it compared to if you are not. That's going to be very small, and the corresponding CO2 is going to be very small even if the train gets it energy from fossil fuels.

You can get a situation where if you have a dirty activity and a clean activity you only actually come out ahead if enough people switch to the clean activity so that the dirty activity can end.

This is something to watch out for. It can lead to cases where the rational behavior is to advocate for the discontinuation of something on environmental grounds but to personally continue to do/use that thing until regulation or economics make it stop. Some people mistake that for hypocrisy but it is not.

If the train is an electric train and it has a clean source of electricity it might be down near walking and biking.

Similar for the EV. If it has a clean electricity source, it too might be down there near walking and biking. If we are including exhaled CO2 it could actually be lower if it has 100% green electricity because your kCal burn rate in the car should be the same as your at rest burn rate.

The ICE car is going to be way up there.

In summary I think then it would be bike and walk very low or even zero, ICE car very high, EV anywhere between walk/bike and maybe 80% of ICE car depending on its electric source, and train somewhere between EV and walk/bike again depending on electric source (assuming EV train).

[1] https://www.globe.gov/explore-science/scientists-blog/archiv...

bigfont · 2 years ago
Thanks for the thorough analysis. In British Columbia, and specifically where I live, much of our electricity comes from hydro electric, we have suitable pathways-with-boulevards for walking, and the streets have segregated or low traffic bike lanes. That leave us with an almost idyllic situation for walking, biking, and EVs. Not only does that support a reduction in my CO2 production, but also it support my personal well-being with neighbors, exposure to nature, and exercise.
bigfont commented on Electric cars produce twice as much CO₂ as trains, says rail group data   theguardian.com/business/... · Posted by u/vinni2
s7r · 2 years ago
When people "trade-in" a gas car for an EV, those gas cars are usually re-sold to peripheral countries with less regulations, where they continue running on dirtier fuel [1]. The emissions of the gas car continue, plus the embodied emissions of buying a new gas car and the ongoing emissions from the fossil fuel sources of electric charging.

Vehicles that weigh 4,000 pounds, primarily designed to move 250 pounds of people, are inefficient by design — there will never be enough materials or energy on Earth to change that. This will continue showing itself in pollution and other externalities, such as the significant microplastic pollution that comes from car tires [2], and the fact that EVs — which wear through tires faster — are making rubber one of the leading sources of Amazon deforestation [3.]

Of course, if you want to see solutions — they are buried all around us in North America, and exist all around us in many other parts of the world [4]. Feel free to contact me if you are interested in realizing solutions together, or just want to learn more. Contact in profile.

[1] https://www.cnn.com/2023/05/21/africa/west-africa-benin-used...

[2] https://www.thedrive.com/news/tire-dust-makes-up-the-majorit...

[3] https://e360.yale.edu/features/rubber-plantations-deforestat...

[4] https://docs.google.com/document/d/19QpVabRn0RexxN1GYFbDojXr...

bigfont · 2 years ago
Nice initiative. Particularly for civilians doing daily activities, biking and walking seem like the best forms of transportation. They enhance personal happiness, increase community connections, make streets safer, and promote beautiful surroundings.
bigfont commented on Electric cars produce twice as much CO₂ as trains, says rail group data   theguardian.com/business/... · Posted by u/vinni2
bigfont · 2 years ago
Good. If we want cleaner air and quieter cities, we have several alternatives to gasoline cars. I imagine a graph of CO₂ production goes a bit like this:

  Walk         - 
  Bike         -
  Train        ------
  Electric Car ------------
  Gasoline Car ------------------------------
On the one hand, it seems silly to debate electric cars versus trains while we have gasoline cars on the streets. On the other hand, I like that we focus our news on the low emitters, so gasoline cars drop out of popular culture. To change a paradigm, it helps to speak with assurance from the new one.

(Edits: formatting, pith)

bigfont commented on New York medical school eliminates tuition after $1B gift   bbc.com/news/world-us-can... · Posted by u/verve_rat
WalterBright · 2 years ago
The freshman classes could be swamped by people who aren't serious about getting a med degree. And why should they be serious? It doesn't cost them anything. Heck, they could have a good time for a semester and never attend class. Caltech was a pretty fun place to be.

If people are halfway through, a motivating thing to keep them going is the money they've already invested in it.

I bet you'll see a significantly higher dropout rate with free tuition. Like we see in public high school.

bigfont · 2 years ago
Unlike those in public high school, students who aren't serious about medical school won't have earned the entrance grades. So at least in first year, most students will have a serious attitude. Are you suggesting that someone will bust their ass for four years, only to start slacking once in medical school? Or that medical school entrance grades don't require serious study?

I can see what you mean about the halfway point. Maybe undergrad came easily, and at the halfway point, the student realizes that medical school simply isn't a good fit, or it's more work than they thought it would be. So they drop out. This is probably a good thing, to prevent people becoming doctors who don't have the chops or the attitude for it. Unfortunately, the school does lose some money on a candidate they ought to have filtered out in the interview.

Happily it's an empirical question, and we can circle back in a few years to see if the drop out rate increased or not. Maybe the drop out rate increases at first, and then the entrance interview becomes more stringent.

u/bigfont

KarmaCake day11December 12, 2014
About
Current: MBA student in sustainable innovation.

Previously: Software developer for 12 years.

Interests: Practical evidence-based psychology, integration of humans with nature, local community building, sleight-of-hand with cards.

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