Alright.

Well I could be, and I really really want to be, incredibly sarcastic and dismissive, because I genuinely believe that you’ve missed the mark incredibly hard, and your eminently reasonably and good request that people not medicalise assholery in general would, in this case, imply not mentioning the fact that people abuse prescription drugs and act like assholes. Alcoholics act like assholes, so do cokeheads, and so do people who abuse prescription medications which are, at the appropriate dosage, a perfectly good and fine support and indeed lifeline for managing whatever condition they may have. And this is just the truth: one of the central reasons that you have alternatives to Adderall, such as the drug which you personally are prescribed, is that there are risks associated with Adderall even for patients with nothing but good intentions.

But I also know it’s bad and counter-productive for me to both try to explain that I think I’m actually being quite reasonable and be sarcastic and dismissive like that.

So instead, I’d like to ask you, first, for a little charity. I’m going to copy paste my original comment below, and point out that it does not say that Adderall is what “makes the eas racist, cultish, or even overly verbose debating club dropouts” (your words, my emphasis on “makes”). Then I’m going to point out what I think it does say:

they spend fucking hundreds of collective hours going around in circles on the EA forum debating[1] this shit, instead of actually doing anything useful

how do they, in good conscience, deny any responsibility for the real harms ideas cause, when they continue to lend them legitimacy by entertaining them over and over and over again?

Adderall

So Jax isn’t here saying “what makes them racist, cultish, or even overly verbose debating club dropouts?” What she’s asking is how are they able to go around in circles amongst themselves talking about this shit, without acknowledging that the ideas they entertain have real world consequences. The joke I’m making focuses narrowly on this point: they’re able to waste all of this time (given that they’re already eas) going round in circles, and denying that words have effects, because they (very very famously!) have a cultural problem with prescription drug abuse. The joke categorically does not attribute their racism or cultishness to Adderall.

Now, the joke does attribute their combined dissociation from real world consequences and their verbosity - specifically, their energy for verbosity - to abuse of Adderall. That’s a stretch, but it’s in the nature of a one-word joke to generalise a little! I need my reader to have a modicum of charity here, in imagining that I am aware that there are other things going on with these people. You, in fact, should be more than aware of this, because I replied to you in another context just the other day with three quite long paragraphs giving an analysis of Yudkowsky and scientific racism in LessWrong which didn’t once mention prescription drugs of any kind.

And the joke is a little inter-textual: the word “abuse” does not appear next to “Adderall”. Again, I need a little charity from my reader to make the joke work, but I think it’s actually a really reasonable amount of charity. I think, personally, that on SneerClub at least, where I am a frequent commenter, people are generally aware that the abuse of prescription ADHD medication (and other, similar, drugs) is a famous problem amongst rationalists/EAs. At least on SneerClub, I think, people can be trusted to know the difference between attributing behaviours to Adderall outright, and attributing behaviours to its abuse. In this context, I think we can in this case safely skirt discourses of medicalisation that I wholeheartedly agree exist in lots of places.

So this is where I think you’re just wrong: I think that you’re misusing the warning label we rightly put on discourses of medicalisation. And I think misusing those warning labels is generally not a good thing. I think that you do a disservice to me personally, and I think you do a disservice to people’s collective ability to communicate and socialise with one another if you call them out on bare associations between the names of drugs, bad behaviours, and discourses of medicalisation.