Scott Alexander, curated
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Highlights From The Comments On "Crazy Like Us"

Quality
72
Strong
Claude Shift
52
Moderate
RWI
1
of 10

Follows up on

Book Review: Crazy Like Us — Book review · Jul 2021

Summary

Companion to the Crazy Like Us review (ACX-150, 76), engaging the culture-boundness of mental illness on genuinely difficult terrain. The ACOUP-blog discussion of whether ancient soldiers got PTSD (probably not — with the striking 'we have more wounded warriors because we have fewer dead ones' reading, and PTSD symptoms varying by war type); Scott's argument that ADHD is NOT culture-bound because it's close to a hardware-level deficit; the expressed-emotion-across-cultures clarification; a careful, unsettling thread on whether some CSA trauma is partly socially constructed (the 'she wasn't traumatized until friends told her to be' anecdotes) — immediately counterbalanced by the null-hypothesis-of-suffering-in-silence (Robert McIntyre's boomer-CSA prevalence, the Body Keeps The Score 1960s incest-denial quote showing society suppressing real abuse); the trans-as-possibly-culture-influenced discussion (Scott's careful noise-intolerance self-analogy); and Ivan Fyodorovich's provocative 'we've created an expectation of disabling trauma and people fulfill it.' Scott engages substantively and admits a schizophrenia-uniform-prevalence error (McGrath 2008).

Why this score

Quality 72 · Strong. Strong (72, top companion band). Careful, thoughtful engagement with hard, easily-mishandled material, with real Scott contributions (the ADHD-is-hardware argument, the noise-intolerance analogy, the null-hypothesis framing); a comment-response post on the parent review.

Claude’s paradigm shift 52 · Moderate. Moderate (52). Sharpens the culture-vs-biology and social-construction frames without a single new thesis.

Real-world impact 1 · Negligible. 1 — a companion commentary; negligible independent real-world effect.