registering my concern that someday we will find that NMDA inhibitors do something bad to cognition. but all these recent studies are 6-week only and don’t report any side effects that look like cognitive impairment, but maybe wouldn’t have been able to pick it up even if it existed.
“Azapirones (example: BuSpar) is, unusually, a rare drug which is specifically targeted at anxiety, rather than a being a repurposed antidepressant or something. BuSpar is very safe, not at all addictive, and rarely works. Every so often somebody comes out with a very cheerful study saying something like “Buspar just as effective as benzodiazepines if given correctly!” and everybody laughs hysterically and goes back to never thinking about it.”
gabapentin for anxiety—meh, some positive results but they’re not extraordinary.
Gena Gorlin hosts a discussion on “psychological safety”
Good point in comments, that different people see different (sometimes opposite) things necessary for psychological safety. For some, it means they can speak candidly about whatever they think and feel. For others, it means that some things cannot be said in their presence.
I think, you can make it both, as long as it is one-sided, e.g. in a therapy, where the client could say anything, and the therapist would be careful about their feedback.
But this wouldn’t work at a workplace or any other larger group… unless you split people into “those who are safe” and “those who have a duty to make them feel safe”, and even then, maybe someone in the former group could make someone else from the same group feel unsafe.
You make a good point that it is not enough for your boss to tell you “you can speak freely”, you must also believe that it is true. (I also have a negative experience here: I was told to speak freely; I did; it had consequences.) This would probably sound more credible if other colleagues are already speaking freely. Also, if you generally don’t feel like your job is at risk somehow. For example, if your performance is below the average (and by definition, half of the team is like that), you might believe that neither your performance nor the candor alone would get you fired, but their combination would.
links 12/4/2024: https://roamresearch.com/#/app/srcpublic/page/12-04-2024
https://substack.com/home/post/p-149058187 Gena Gorlin hosts a discussion on “psychological safety”
https://psychiatryonline.org/doi/full/10.1176/appi.ajp.21080800 new antidepressant just dropped: bupropion + dexmethorphan, appears to be more effective than bupropion alone
registering my concern that someday we will find that NMDA inhibitors do something bad to cognition. but all these recent studies are 6-week only and don’t report any side effects that look like cognitive impairment, but maybe wouldn’t have been able to pick it up even if it existed.
https://slatestarcodex.com/2015/07/13/things-that-sometimes-work-if-you-have-anxiety/ Scott Alexander on anxiety treatments.
“Azapirones (example: BuSpar) is, unusually, a rare drug which is specifically targeted at anxiety, rather than a being a repurposed antidepressant or something. BuSpar is very safe, not at all addictive, and rarely works. Every so often somebody comes out with a very cheerful study saying something like “Buspar just as effective as benzodiazepines if given correctly!” and everybody laughs hysterically and goes back to never thinking about it.”
gabapentin for anxiety—meh, some positive results but they’re not extraordinary.
https://www.nature.com/articles/s41380-021-01386-6
https://onlinelibrary.wiley.com/doi/full/10.1155/2017/6045017
https://onlinelibrary.wiley.com/doi/full/10.1155/2017/6045017
Good point in comments, that different people see different (sometimes opposite) things necessary for psychological safety. For some, it means they can speak candidly about whatever they think and feel. For others, it means that some things cannot be said in their presence.
I think, you can make it both, as long as it is one-sided, e.g. in a therapy, where the client could say anything, and the therapist would be careful about their feedback.
But this wouldn’t work at a workplace or any other larger group… unless you split people into “those who are safe” and “those who have a duty to make them feel safe”, and even then, maybe someone in the former group could make someone else from the same group feel unsafe.
You make a good point that it is not enough for your boss to tell you “you can speak freely”, you must also believe that it is true. (I also have a negative experience here: I was told to speak freely; I did; it had consequences.) This would probably sound more credible if other colleagues are already speaking freely. Also, if you generally don’t feel like your job is at risk somehow. For example, if your performance is below the average (and by definition, half of the team is like that), you might believe that neither your performance nor the candor alone would get you fired, but their combination would.