Note: This post raises a concern about the treatment of depression.
If we treat depression with something like medication, should we be worried about people getting stuck in bad local optima, because they no longer feel bad enough that the pain of changing environments seems small by comparison? For example, consider someone in a bad relationship, or an unsuitable job, or with a flawed philosophic outlook, or whatever. The risk is that you alleviate some of the pain signal stemming from the lover/job/ideology, and so the patient never feels enough pressure to fix the lover/job/ideology.
Also, I’m pretty confident that the medical profession has thought about this in detail, but I’ve been spinning my wheels trying to find the right search terms. Does anyone know where to look, or have other recommendations?
I am neither a medical professional, nor have I ever been treated for depression, but my impression is that being depressed is itself a more serious risk factor for getting stuck in bad local optima like that; as well as making sufferers feel bad it also tends to reduce how much how they feel varies. I haven’t heard that giving depressed people antidepressants reduces the range of their affective states.
It depends on the type of local optimum. I am reasonably sure that becoming too depressed to do enough work to stay in was the only was I could have gotten out of graduate school given my moral system at the time. (I hated being there but believed I had an obligation to try to contribute to human knowledge.)
Also flat affect isn’t at all a universal effect of antidepressant usage, but it does happen for some people.
It happens but again it’s not at all universal. Scott Alexander seems to think emotional blunting is a legitimate effect of SSRIs, not just a correlation–causation confusion. He also notes that
There is a subgroup of depressed patients whose depression takes the form of not being able to feel anything at all, and I worry this effect would exacerbate their problem, but I have never heard this from anyone and SSRIs do not seem less effective in that subgroup, so these might be two different things that only sound alike.
You assume that someone who’s depressed is more motivated to change than a person who isn’t depressed.
Depression usually comes with reduced motivation to do things.
A lot of depression mediation even comes with warnings that it might increase suicide rates because the person feels more drive to take action.
Note: This post raises a concern about the treatment of depression.
If we treat depression with something like medication, should we be worried about people getting stuck in bad local optima, because they no longer feel bad enough that the pain of changing environments seems small by comparison? For example, consider someone in a bad relationship, or an unsuitable job, or with a flawed philosophic outlook, or whatever. The risk is that you alleviate some of the pain signal stemming from the lover/job/ideology, and so the patient never feels enough pressure to fix the lover/job/ideology.
Also, I’m pretty confident that the medical profession has thought about this in detail, but I’ve been spinning my wheels trying to find the right search terms. Does anyone know where to look, or have other recommendations?
I am neither a medical professional, nor have I ever been treated for depression, but my impression is that being depressed is itself a more serious risk factor for getting stuck in bad local optima like that; as well as making sufferers feel bad it also tends to reduce how much how they feel varies. I haven’t heard that giving depressed people antidepressants reduces the range of their affective states.
It depends on the type of local optimum. I am reasonably sure that becoming too depressed to do enough work to stay in was the only was I could have gotten out of graduate school given my moral system at the time. (I hated being there but believed I had an obligation to try to contribute to human knowledge.)
Also flat affect isn’t at all a universal effect of antidepressant usage, but it does happen for some people.
Isn’t flat affect also a rather common effect of depression?
It happens but again it’s not at all universal. Scott Alexander seems to think emotional blunting is a legitimate effect of SSRIs, not just a correlation–causation confusion. He also notes that
You assume that someone who’s depressed is more motivated to change than a person who isn’t depressed. Depression usually comes with reduced motivation to do things.
A lot of depression mediation even comes with warnings that it might increase suicide rates because the person feels more drive to take action.
Yvain has written this and many other comprehensive posts on that topic (in the same blog).