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RomeoStevens@RomeoStevens76over 3 years ago

Been talking over the-trauma-cluster-formerly-known-as-adhd with a Buddhist friend the last week and we have a new (to us, haven't gone digging too deep for prior art yet) testable hypothesis about how it works: 1/

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12/15/2021
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RomeoStevens@RomeoStevens76over 3 years ago
Replying to @RomeoStevens76

When you're a kid, you get some low level parameters set that define your basic relationships to different types of things (see: object relations therapy), one of which is your attitude to ambiguity. What happens if too large a fraction of ambiguous situations resolve badly? 2/

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RomeoStevens@RomeoStevens76over 3 years ago
Replying to @RomeoStevens76

The basic attitude towards ambiguity becomes negative. The attentional schema becomes one of seeking out information about how things might go badly. Notice the similarity to what in adhd diagnosis is called heightened rejection sensitivity. 3/

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RomeoStevens@RomeoStevens76over 3 years ago
Replying to @RomeoStevens76

When skills and tasks are learned and deployed the attentional schema is busy paying attention to negative examples and generalizing across them. But now your attention is taken up by a bunch of things to avoid, which generalizes to 'avoid' and ultimately to dissociation. 4/

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RomeoStevens@RomeoStevens76over 3 years ago
Replying to @RomeoStevens76

The suggests that when therapy works for adhd, the mechanism by which it works is to cause an update to start *throwing out* more of the negative examples and instead gather enough positive examples to generalize from those, which builds up abstractions that are actionable. 5/

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RomeoStevens@RomeoStevens76over 3 years ago
Replying to @RomeoStevens76

This should be testable by trying out therapy that goes directly for this intervention of replacing negative-dominant navigation schema with positive ones and seeing if seemingly unrelated adhd symptoms subside. 6/

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RomeoStevens@RomeoStevens76over 3 years ago
Replying to @RomeoStevens76

Lastly, this may only be a part of the picture, as adhd might be a big tent catch-all for several related and unrelated things that currently share poor explanations. Curious for feedback if this does/doesn't resonate with people's experience. 7/7

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RomeoStevens@RomeoStevens76over 3 years ago
Replying to @RomeoStevens76

Oh and forgot that this implies that adhd meds function by moving the zero point making far more things mildly positive and giving the person a coherent reward terrain to traverse.

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QC@QiaochuYuanover 3 years ago
Replying to @RomeoStevens76

@RomeoStevens76 oh this is interesting. i think this should reflect itself among other things in a preference for video games, esp. games in which it's generally extremely unambiguous what's going on and what to do. eg RPGs over strategy games maybe 🤔

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RomeoStevens@RomeoStevens76over 3 years ago
Replying to @QiaochuYuan

@QiaochuYuan Strong preference for perfect information games and distaste for fog of war.

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QC@QiaochuYuanover 3 years ago
Replying to @RomeoStevens76

@RomeoStevens76 yeah fuck starcraft tbh 😅

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12/15/2021
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Malcolm Ocean 🏴‍☠️@Malcolm_Oceanover 3 years ago
Replying to @RomeoStevens76

@RomeoStevens76 tagging @visakanv, @LordChisholm, @hormeze for comments

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12/15/2021
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Visakan Veerasamy@visakanvover 3 years ago
Replying to @Malcolm_Ocean

@Malcolm_Ocean @RomeoStevens76 @LordChisholm @hormeze This pretty accurately describes my own self-discovered process, ie focus on what you want to see more of https://t.co/o8hYqE5QDd

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RomeoStevens@RomeoStevens76over 3 years ago

The suggests that when therapy works for adhd, the mechanism by which it works is to cause an update to start *throwing out* more of the negative examples and instead gather enough positive examples to generalize from those, which builds up abstractions that are actionable. 5/

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Malcolm Ocean 🏴‍☠️@Malcolm_Oceanover 3 years ago
Replying to @RomeoStevens76

@RomeoStevens76 I somewhat resonate with the ADHD cluster and I'm pretty towardsness oriented and I know some people who are way less ADHD and more avoidy so they don't seem to obviously map to me, though I like the overall structure of the model

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Jess@frideswythover 3 years ago
Replying to @RomeoStevens76

@RomeoStevens76 @ThisOlivier ? Might be relevant

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3/21/2022