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Javier E

Why Is It So Hard to Be Rational? | The New Yorker - 0 views

  • an unusually large number of books about rationality were being published this year, among them Steven Pinker’s “Rationality: What It Is, Why It Seems Scarce, Why It Matters” (Viking) and Julia Galef’s “The Scout Mindset: Why Some People See Things Clearly and Others Don’t” (Portfolio).
  • When the world changes quickly, we need strategies for understanding it. We hope, reasonably, that rational people will be more careful, honest, truthful, fair-minded, curious, and right than irrational ones.
  • And yet rationality has sharp edges that make it hard to put at the center of one’s life
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  • You might be well-intentioned, rational, and mistaken, simply because so much in our thinking can go wrong. (“RATIONAL, adj.: Devoid of all delusions save those of observation, experience and reflection,”
  • You might be rational and self-deceptive, because telling yourself that you are rational can itself become a source of bias. It’s possible that you are trying to appear rational only because you want to impress people; or that you are more rational about some things (your job) than others (your kids); or that your rationality gives way to rancor as soon as your ideas are challenged. Perhaps you irrationally insist on answering difficult questions yourself when you’d be better off trusting the expert consensus.
  • Not just individuals but societies can fall prey to false or compromised rationality. In a 2014 book, “The Revolt of the Public and the Crisis of Authority in the New Millennium,” Martin Gurri, a C.I.A. analyst turned libertarian social thinker, argued that the unmasking of allegedly pseudo-rational institutions had become the central drama of our age: people around the world, having concluded that the bigwigs in our colleges, newsrooms, and legislatures were better at appearing rational than at being so, had embraced a nihilist populism that sees all forms of public rationality as suspect.
  • modern life would be impossible without those rational systems; we must improve them, not reject them. We have no choice but to wrestle with rationality—an ideal that, the sociologist Max Weber wrote, “contains within itself a world of contradictions.”
  • Where others might be completely convinced that G.M.O.s are bad, or that Jack is trustworthy, or that the enemy is Eurasia, a Bayesian assigns probabilities to these propositions. She doesn’t build an immovable world view; instead, by continually updating her probabilities, she inches closer to a more useful account of reality. The cooking is never done.
  • Rationality is one of humanity’s superpowers. How do we keep from misusing it?
  • Start with the big picture, fixing it firmly in your mind. Be cautious as you integrate new information, and don’t jump to conclusions. Notice when new data points do and do not alter your baseline assumptions (most of the time, they won’t alter them), but keep track of how often those assumptions seem contradicted by what’s new. Beware the power of alarming news, and proceed by putting it in a broader, real-world context.
  • Bayesian reasoning implies a few “best practices.”
  • Keep the cooked information over here and the raw information over there; remember that raw ingredients often reduce over heat
  • We want to live in a more rational society, but not in a falsely rationalized one. We want to be more rational as individuals, but not to overdo it. We need to know when to think and when to stop thinking, when to doubt and when to trust.
  • But the real power of the Bayesian approach isn’t procedural; it’s that it replaces the facts in our minds with probabilities.
  • Applied to specific problems—Should you invest in Tesla? How bad is the Delta variant?—the techniques promoted by rationality writers are clarifying and powerful.
  • the rationality movement is also a social movement; rationalists today form what is sometimes called the “rationality community,” and, as evangelists, they hope to increase its size.
  • In “Rationality,” “The Scout Mindset,” and other similar books, irrationality is often presented as a form of misbehavior, which might be rectified through education or socialization.
  • Greg tells me that, in his business, it’s not enough to have rational thoughts. Someone who’s used to pondering questions at leisure might struggle to learn and reason when the clock is ticking; someone who is good at reaching rational conclusions might not be willing to sign on the dotted line when the time comes. Greg’s hedge-fund colleagues describe as “commercial”—a compliment—someone who is not only rational but timely and decisive.
  • You can know what’s right but still struggle to do it.
  • Following through on your own conclusions is one challenge. But a rationalist must also be “metarational,” willing to hand over the thinking keys when someone else is better informed or better trained. This, too, is harder than it sounds.
  • For all this to happen, rationality is necessary, but not sufficient. Thinking straight is just part of the work. 
  • I found it possible to be metarational with my dad not just because I respected his mind but because I knew that he was a good and cautious person who had my and my mother’s best interests at heart.
  • between the two of us, we had the right ingredients—mutual trust, mutual concern, and a shared commitment to reason and to act.
  • Intellectually, we understand that our complex society requires the division of both practical and cognitive labor. We accept that our knowledge maps are limited not just by our smarts but by our time and interests. Still, like Gurri’s populists, rationalists may stage their own contrarian revolts, repeatedly finding that no one’s opinions but their own are defensible. In letting go, as in following through, one’s whole personality gets involved.
  • in truth, it maps out a series of escalating challenges. In search of facts, we must make do with probabilities. Unable to know it all for ourselves, we must rely on others who care enough to know. We must act while we are still uncertain, and we must act in time—sometimes individually, but often together.
  • The realities of rationality are humbling. Know things; want things; use what you know to get what you want. It sounds like a simple formula.
  • The real challenge isn’t being right but knowing how wrong you might be.By Joshua RothmanAugust 16, 2021
  • Writing about rationality in the early twentieth century, Weber saw himself as coming to grips with a titanic force—an ascendant outlook that was rewriting our values. He talked about rationality in many different ways. We can practice the instrumental rationality of means and ends (how do I get what I want?) and the value rationality of purposes and goals (do I have good reasons for wanting what I want?). We can pursue the rationality of affect (am I cool, calm, and collected?) or develop the rationality of habit (do I live an ordered, or “rationalized,” life?).
  • Weber worried that it was turning each individual into a “cog in the machine,” and life into an “iron cage.” Today, rationality and the words around it are still shadowed with Weberian pessimism and cursed with double meanings. You’re rationalizing the org chart: are you bringing order to chaos, or justifying the illogical?
  • For Aristotle, rationality was what separated human beings from animals. For the authors of “The Rationality Quotient,” it’s a mental faculty, parallel to but distinct from intelligence, which involves a person’s ability to juggle many scenarios in her head at once, without letting any one monopolize her attention or bias her against the rest.
  • In “The Rationality Quotient: Toward a Test of Rational Thinking” (M.I.T.), from 2016, the psychologists Keith E. Stanovich, Richard F. West, and Maggie E. Toplak call rationality “a torturous and tortured term,” in part because philosophers, sociologists, psychologists, and economists have all defined it differently
  • Galef, who hosts a podcast called “Rationally Speaking” and co-founded the nonprofit Center for Applied Rationality, in Berkeley, barely uses the word “rationality” in her book on the subject. Instead, she describes a “scout mindset,” which can help you “to recognize when you are wrong, to seek out your blind spots, to test your assumptions and change course.” (The “soldier mindset,” by contrast, encourages you to defend your positions at any cost.)
  • Galef tends to see rationality as a method for acquiring more accurate views.
  • Pinker, a cognitive and evolutionary psychologist, sees it instrumentally, as “the ability to use knowledge to attain goals.” By this definition, to be a rational person you have to know things, you have to want things, and you have to use what you know to get what you want.
  • Introspection is key to rationality. A rational person must practice what the neuroscientist Stephen Fleming, in “Know Thyself: The Science of Self-Awareness” (Basic Books), calls “metacognition,” or “the ability to think about our own thinking”—“a fragile, beautiful, and frankly bizarre feature of the human mind.”
  • A successful student uses metacognition to know when he needs to study more and when he’s studied enough: essentially, parts of his brain are monitoring other parts.
  • In everyday life, the biggest obstacle to metacognition is what psychologists call the “illusion of fluency.” As we perform increasingly familiar tasks, we monitor our performance less rigorously; this happens when we drive, or fold laundry, and also when we think thoughts we’ve thought many times before
  • The trick is to break the illusion of fluency, and to encourage an “awareness of ignorance.”
  • metacognition is a skill. Some people are better at it than others. Galef believes that, by “calibrating” our metacognitive minds, we can improve our performance and so become more rational
  • There are many calibration methods
  • nowing about what you know is Rationality 101. The advanced coursework has to do with changes in your knowledge.
  • Most of us stay informed straightforwardly—by taking in new information. Rationalists do the same, but self-consciously, with an eye to deliberately redrawing their mental maps.
  • The challenge is that news about distant territories drifts in from many sources; fresh facts and opinions aren’t uniformly significant. In recent decades, rationalists confronting this problem have rallied behind the work of Thomas Bayes
  • So-called Bayesian reasoning—a particular thinking technique, with its own distinctive jargon—has become de rigueur.
  • the basic idea is simple. When new information comes in, you don’t want it to replace old information wholesale. Instead, you want it to modify what you already know to an appropriate degree. The degree of modification depends both on your confidence in your preëxisting knowledge and on the value of the new data. Bayesian reasoners begin with what they call the “prior” probability of something being true, and then find out if they need to adjust it.
  • Bayesian reasoning is an approach to statistics, but you can use it to interpret all sorts of new information.
peterconnelly

Bitcoin - United States Dollar (CRYPTO:$BTC) - Higher Knowledge Leads To Greater Optimi... - 0 views

  • A recently conducted survey has found out that the higher people rate their level of knowledge, the more optimistic they are about the future of Bitcoin
  • Block, Inc., a digital payment company, partnered with Wakefield Research to survey 9,500 people in 14 countries across the Americas (2,375), EMEA (4,360), and APAC (2860) in early 2022.
  • Additionally, the survey found that the common perceptions of BTC as male-dominated are not as stark and disappear completely in many cases, with a broad and diverse community of people who are enthusiastic and consider themselves knowledgeable about BTC.
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  • 41% of those who said to have fair to expert levels of cryptocurrency knowledge said they were very likely to purchase BTC in the next 12 months, compared with just 7.9% of those with limited to no knowledge of the topic.
peterconnelly

Opinion | Elon Musk's Tesla Management Is a Bad Sign for Twitter - The New York Times - 0 views

  • His promises to preserve free speech, ban spam bots and dramatically boost revenue may have earned the blessing of the company’s founder, Jack Dorsey, but with Twitter’s stock falling well below his offer price, Mr. Musk appears to be reneging on a deal that has made even Wall Street grow skeptical.
  • The way that he has managed and marketed his businesses from Tesla’s early days reveals a dysfunction behind the automaker’s veneer of technofuturism and past stock market successes.
  • The way that he has managed and marketed his businesses from Tesla’s early days reveals a dysfunction behind the automaker’s veneer of technofuturism and past stock market successes.
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  • he forces his employees to bridge the enormous gap between technological reality and his dreams. This disconnect fosters a negligent and sometimes cruel workplace, to disastrous effect.
  • That fully self-driving announcement that so delighted his fans came as a far more jarring revelation to the project’s engineers, who found out about their staggering new mission when Mr. Musk tweeted about it.
  • This is the fundamental weakness of every organization run as a cult of personality: The dear leader can’t be everywhere or make every decision but often fails to provide the clear code of values that allows managers to independently shape their decisions around common goals.
  • Lawsuits by workers and California’s Department of Fair Employment and Housing allege that Black workers were tasked with menial physical labor in parts of the factory nicknamed “the plantation,” where they were subjected to racist slurs and graffiti.
  • He ultimately gave up and cobbled together a manual-labor-intensive production line in an open-air tent.
  • Female workers have sued, alleging a pervasive culture of sexual harassment and groping by supervisors. Mr. Musk was indifferent, emailing workers who experienced abuse that “it is important to be thick-skinned.”
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  • Mr. Musk’s reliance on hype is especially jarring.
  • By moving to buy Twitter, Mr. Musk has not only added another distraction to his long list but has also already shown the same drive to announce sweeping decisions in public.
  • Ultimately Mr. Musk’s goals for Twitter, as they are for Tesla, are not about making the right decisions for his companies or the people who make them possible.
  • They are about playing to the crowd and burnishing the legend that keeps fresh bodies and minds moving through the businesses that chew them up and spit them out.
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    Elon Musk's management at Tesla and his buying of Twitter
peterconnelly

Opinion | What to Do About Americans Who Love Their Guns - The New York Times - 0 views

  • Coming of age in the 1970s and ’80s, a kid took in a fair number of public service messages.
  • Make guns less cool, less acceptable, less a part of the supposedly “American way of life.” Scare people. Gross them out. Even try humor.
  • But simple messages stick, and when done well — particularly when lives are at stake — have proven highly effective.
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  • Not only does this country have more guns than people, but over the last 30 years, Americans have grown less supportive of stricter gun laws. Astonishingly, in 1959, 60 percent of Americans favored a ban on handguns except those used by police officers and other authorized persons; today that figure is 19 percent.
  • Bearing in mind that the killers in Texas and Buffalo were both only 18, we could try to get through to the next generation.
  • Obviously, not everyone transformed into responsible citizens while imbibing these messages between doses of Sugar Pops and “Scooby-Doo.”
  • Or it could go personal, using a testimonial from a child who lost his sister in a school shooting or a teenager whose friend committed suicide at 14 using a weapon kept in the house by his own parents.
  • Public education and creative P.S.A.s helped reduce teenage cigarette use significantly. While in the pocket of the tobacco industry, Hollywood played a key role in glamorizing smoking, but then later, after paid tobacco product placement was banned, clamped down on the appearance of smoking on film and TV. Those efforts are ongoing.
  • Sometimes, of course, a cigarette, like a gun, is key to a movie’s story line or characters
  • Through technology and schools, it could bring kids into creating and disseminating the message.
criscimagnael

Living better with algorithms | MIT News | Massachusetts Institute of Technology - 0 views

  • At a talk on ethical artificial intelligence, the speaker brought up a variation on the famous trolley problem, which outlines a philosophical choice between two undesirable outcomes.
  • Say a self-driving car is traveling down a narrow alley with an elderly woman walking on one side and a small child on the other, and no way to thread between both without a fatality. Who should the car hit?
  • To get a sense of what this means, suppose that regulators require that any public health content — for example, on vaccines — not be vastly different for politically left- and right-leaning users. How should auditors check that a social media platform complies with this regulation? Can a platform be made to comply with the regulation without damaging its bottom line? And how does compliance affect the actual content that users do see?
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  • a self-driving car could have avoided choosing between two bad outcomes by making a decision earlier on — the speaker pointed out that, when entering the alley, the car could have determined that the space was narrow and slowed to a speed that would keep everyone safe.
  • Auditors have to inspect the algorithm without accessing sensitive user data.
  • Other considerations come into play as well, such as balancing the removal of misinformation with the protection of free speech.
  • To meet these challenges, Cen and Shah developed an auditing procedure that does not need more than black-box access to the social media algorithm (which respects trade secrets), does not remove content (which avoids issues of censorship), and does not require access to users (which preserves users’ privacy).
  • which is known to help reduce the spread of misinformation
  • In labor markets, for example, workers learn their preferences about what kinds of jobs they want, and employers learn their preferences about the qualifications they seek from workers.
  • But learning can be disrupted by competition
  • it is indeed possible to get to a stable outcome (workers aren’t incentivized to leave the matching market), with low regret (workers are happy with their long-term outcomes), fairness (happiness is evenly distributed), and high social welfare.
  • For instance, when Covid-19 cases surged in the pandemic, many cities had to decide what restrictions to adopt, such as mask mandates, business closures, or stay-home orders. They had to act fast and balance public health with community and business needs, public spending, and a host of other considerations.
  • But of course, no county exists in a vacuum.
  • These complex interactions matter,
  • “Accountability, legitimacy, trust — these principles play crucial roles in society and, ultimately, will determine which systems endure with time.” 
Javier E

Chris Licht Broke Journalism Rules-and CNN - 0 views

  • Who could not have noticed the media’s mistakes made over the last eight years, starting with showing Trump’s rallies live and free of real-time fact checking? Who could have missed that moment in early 2016 when Leslie Moonves, then CEO of CBS, said all of these things about a GOP primary race he likened to a circus with bomb-throwing? “It may not be good for America, but it’s damn good for CBS.” And “I’ve never seen anything like this, and this is going to be a very good year for us. Sorry. It’s a terrible thing to say. But, bring it on, Donald. Keep going.” And “Donald’s place in this election is a good thing.” And “The money’s rolling in and this is fun.”
  • Democratic strategist Kurt Bardella, a former Republican congressional staffer who in the age of Trump left the GOP for the Democratic party, argued last summer in a Los Angeles Times column that CNN should be accurately informing citizens so they can make “meaningful choices” instead of trying to appease enemies of democracy. “The greatest disservice you can do is to place the liars on the same playing field as those who are committed to the truth,” he wrote.
  • We are on the verge of a crucial time, when federal prosecutors could make history by indicting Trump, and juries could make history by convicting him. Would CNN bring in Trump acolytes and FBI haters to whine about witch hunts and hoaxes and unfairness, even as the charges and witnesses and evidence are out there for the world to see
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  • If Trump wins the GOP nomination despite all, will CNN treat him and his fanboys as normal politicians and voters, putting January 6th and everything else in the memory hole, in pursuit of a supposed evenhandedness that in fact distorts reality? All while the nation teeters on the brink of another Trump presidency?
Javier E

Silicon Valley's Safe Space - The New York Times - 0 views

  • The roots of Slate Star Codex trace back more than a decade to a polemicist and self-described A.I. researcher named Eliezer Yudkowsky, who believed that intelligent machines could end up destroying humankind. He was a driving force behind the rise of the Rationalists.
  • Because the Rationalists believed A.I. could end up destroying the world — a not entirely novel fear to anyone who has seen science fiction movies — they wanted to guard against it. Many worked for and donated money to MIRI, an organization created by Mr. Yudkowsky whose stated mission was “A.I. safety.”
  • The community was organized and close-knit. Two Bay Area organizations ran seminars and high-school summer camps on the Rationalist way of thinking.
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  • “The curriculum covers topics from causal modeling and probability to game theory and cognitive science,” read a website promising teens a summer of Rationalist learning. “How can we understand our own reasoning, behavior, and emotions? How can we think more clearly and better achieve our goals?”
  • Some lived in group houses. Some practiced polyamory. “They are basically just hippies who talk a lot more about Bayes’ theorem than the original hippies,” said Scott Aaronson, a University of Texas professor who has stayed in one of the group houses.
  • For Kelsey Piper, who embraced these ideas in high school, around 2010, the movement was about learning “how to do good in a world that changes very rapidly.”
  • Yes, the community thought about A.I., she said, but it also thought about reducing the price of health care and slowing the spread of disease.
  • Slate Star Codex, which sprung up in 2013, helped her develop a “calibrated trust” in the medical system. Many people she knew, she said, felt duped by psychiatrists, for example, who they felt weren’t clear about the costs and benefits of certain treatment.
  • That was not the Rationalist way.
  • “There is something really appealing about somebody explaining where a lot of those ideas are coming from and what a lot of the questions are,” she said.
  • Sam Altman, chief executive of OpenAI, an artificial intelligence lab backed by a billion dollars from Microsoft. He was effusive in his praise of the blog.It was, he said, essential reading among “the people inventing the future” in the tech industry.
  • Mr. Altman, who had risen to prominence as the president of the start-up accelerator Y Combinator, moved on to other subjects before hanging up. But he called back. He wanted to talk about an essay that appeared on the blog in 2014.The essay was a critique of what Mr. Siskind, writing as Scott Alexander, described as “the Blue Tribe.” In his telling, these were the people at the liberal end of the political spectrum whose characteristics included “supporting gay rights” and “getting conspicuously upset about sexists and bigots.”
  • But as the man behind Slate Star Codex saw it, there was one group the Blue Tribe could not tolerate: anyone who did not agree with the Blue Tribe. “Doesn’t sound quite so noble now, does it?” he wrote.
  • Mr. Altman thought the essay nailed a big problem: In the face of the “internet mob” that guarded against sexism and racism, entrepreneurs had less room to explore new ideas. Many of their ideas, such as intelligence augmentation and genetic engineering, ran afoul of the Blue Tribe.
  • Mr. Siskind was not a member of the Blue Tribe. He was not a voice from the conservative Red Tribe (“opposing gay marriage,” “getting conspicuously upset about terrorists and commies”). He identified with something called the Grey Tribe — as did many in Silicon Valley.
  • The Grey Tribe was characterized by libertarian beliefs, atheism, “vague annoyance that the question of gay rights even comes up,” and “reading lots of blogs,” he wrote. Most significantly, it believed in absolute free speech.
  • The essay on these tribes, Mr. Altman told me, was an inflection point for Silicon Valley. “It was a moment that people talked about a lot, lot, lot,” he said.
  • And in some ways, two of the world’s prominent A.I. labs — organizations that are tackling some of the tech industry’s most ambitious and potentially powerful projects — grew out of the Rationalist movement.
  • In 2005, Peter Thiel, the co-founder of PayPal and an early investor in Facebook, befriended Mr. Yudkowsky and gave money to MIRI. In 2010, at Mr. Thiel’s San Francisco townhouse, Mr. Yudkowsky introduced him to a pair of young researchers named Shane Legg and Demis Hassabis. That fall, with an investment from Mr. Thiel’s firm, the two created an A.I. lab called DeepMind.
  • Like the Rationalists, they believed that A.I could end up turning against humanity, and because they held this belief, they felt they were among the only ones who were prepared to build it in a safe way.
  • In 2014, Google bought DeepMind for $650 million. The next year, Elon Musk — who also worried A.I. could destroy the world and met his partner, Grimes, because they shared an interest in a Rationalist thought experiment — founded OpenAI as a DeepMind competitor. Both labs hired from the Rationalist community.
  • Mr. Aaronson, the University of Texas professor, was turned off by the more rigid and contrarian beliefs of the Rationalists, but he is one of the blog’s biggest champions and deeply admired that it didn’t avoid live-wire topics.
  • “It must have taken incredible guts for Scott to express his thoughts, misgivings and questions about some major ideological pillars of the modern world so openly, even if protected by a quasi-pseudonym,” he said
  • In late June of last year, not long after talking to Mr. Altman, the OpenAI chief executive, I approached the writer known as Scott Alexander, hoping to get his views on the Rationalist way and its effect on Silicon Valley. That was when the blog vanished.
  • The issue, it was clear to me, was that I told him I could not guarantee him the anonymity he’d been writing with. In fact, his real name was easy to find because people had shared it online for years and he had used it on a piece he’d written for a scientific journal. I did a Google search for Scott Alexander and one of the first results I saw in the auto-complete list was Scott Alexander Siskind.
  • More than 7,500 people signed a petition urging The Times not to publish his name, including many prominent figures in the tech industry. “Putting his full name in The Times,” the petitioners said, “would meaningfully damage public discourse, by discouraging private citizens from sharing their thoughts in blog form.” On the internet, many in Silicon Valley believe, everyone has the right not only to say what they want but to say it anonymously.
  • I spoke with Manoel Horta Ribeiro, a computer science researcher who explores social networks at the Swiss Federal Institute of Technology in Lausanne. He was worried that Slate Star Codex, like other communities, was allowing extremist views to trickle into the influential tech world. “A community like this gives voice to fringe groups,” he said. “It gives a platform to people who hold more extreme views.”
  • I assured her my goal was to report on the blog, and the Rationalists, with rigor and fairness. But she felt that discussing both critics and supporters could be unfair. What I needed to do, she said, was somehow prove statistically which side was right.
  • When I asked Mr. Altman if the conversation on sites like Slate Star Codex could push people toward toxic beliefs, he said he held “some empathy” for these concerns. But, he added, “people need a forum to debate ideas.”
  • In August, Mr. Siskind restored his old blog posts to the internet. And two weeks ago, he relaunched his blog on Substack, a company with ties to both Andreessen Horowitz and Y Combinator. He gave the blog a new title: Astral Codex Ten. He hinted that Substack paid him $250,000 for a year on the platform. And he indicated the company would give him all the protection he needed.
Javier E

How a dose of MDMA transformed a white supremacist - BBC Future - 0 views

  • February 2020, Harriet de Wit, a professor of psychiatry and behavioural science at the University of Chicago, was running an experiment on whether the drug MDMA increased the pleasantness of social touch in healthy volunteers
  • The latest participant in the double-blind trial, a man named Brendan, had filled out a standard questionnaire at the end. Strangely, at the very bottom of the form, Brendan had written in bold letters: "This experience has helped me sort out a debilitating personal issue. Google my name. I now know what I need to do."
  • They googled Brendan's name, and up popped a disturbing revelation: until just a couple of months before, Brendan had been the leader of the US Midwest faction of Identity Evropa, a notorious white nationalist group rebranded in 2019 as the American Identity Movement. Two months earlier, activists at Chicago Antifascist Action had exposed Brendan's identity, and he had lost his job.
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  • "Go ask him what he means by 'I now know what I need to do,'" she instructed Bremmer. "If it's a matter of him picking up an automatic rifle or something, we have to intervene."
  • As he clarified to Bremmer, love is what he had just realised he had to do. "Love is the most important thing," he told the baffled research assistant. "Nothing matters without
  • When de Wit recounted this story to me nearly two years after the fact, she still could hardly believe it. "Isn't that amazing?" she said. "It's what everyone says about this damn drug, that it makes people feel love. To think that a drug could change somebody's beliefs and thoughts without any expectations – it's mind-boggling."
  • Over the past few years, I've been investigating the scientific research and medical potential of MDMA for a book called "I Feel Love: MDMA and the Quest for Connection in a Fractured World". I learnt how this once-vilified drug is now remerging as a therapeutic agent – a role it previously played in the 1970s and 1980s, prior to its criminalisation
  • He attended the notorious "Unite the Right" rally in Charlottesville and quickly rose up the ranks of his organisation, first becoming the coordinator for Illinois and then the entire Midwest. He travelled to Europe and around the US to meet other white nationalist groups, with the ultimate goal of taking the movement mainstream
  • some researchers have begun to wonder if it could be an effective tool for pushing people who are already somehow primed to reconsider their ideology toward a new way of seeing things
  • While MDMA cannot fix societal-level drivers of prejudice and disconnection, on an individual basis it can make a difference. In certain cases, the drug may even be able to help people see through the fog of discrimination and fear that divides so many of us.
  • in December 2021 I paid Brendan a visit
  • What I didn't expect was how ordinary the 31-year-old who answered the door would appear to be: blue plaid button-up shirt, neatly cropped hair, and a friendly smile.
  • Brendan grew up in an affluent Chicago suburb in an Irish Catholic family. He leaned liberal in high school but got sucked into white nationalism at the University of Illinois Urbana-Champaign, where he joined a fraternity mostly composed of conservative Republican men, began reading antisemitic conspiracy books, and fell down a rabbit hole of racist, sexist content online. Brendan was further emboldened by the populist rhetoric of Donald Trump during his presidential campaign. "His speech talking about Mexicans being rapists, the fixation on the border wall and deporting everyone, the Muslim ban – I didn't really get white nationalism until Trump started running for president," Brendan said.
  • If this comes to pass, MDMA – and other psychedelics-assisted therapy – could transform the field of mental health through widespread clinical use in the US and beyond, for addressing trauma and possibly other conditions as well, including substance use disorders, depression and eating disorders.
  • A group of anti-fascist activists published identifying information about him and more than 100 other people in Identity Evropa. He was immediately fired from his job and ostracised by his siblings and friends outside white nationalism.
  • When Brendan saw a Facebook ad in early 2020 for some sort of drug trial at the University of Chicago, he decided to apply just to have something to do and to earn a little money
  • At the time, Brendan was "still in the denial stage" following his identity becoming public, he said. He was racked with regret – not over his bigoted views, which he still held, but over the missteps that had landed him in this predicament.
  • About 30 minutes after taking the pill, he started to feel peculiar. "Wait a second – why am I doing this? Why am I thinking this way?" he began to wonder. "Why did I ever think it was okay to jeopardise relationships with just about everyone in my life?"
  • Just then, Bremmer came to collect Brendan to start the experiment. Brendan slid into an MRI, and Bremmer started tickling his forearm with a brush and asked him to rate how pleasant it felt. "I noticed it was making me happier – the experience of the touch," Brendan recalled. "I started progressively rating it higher and higher." As he relished in the pleasurable feeling, a single, powerful word popped into his mind: connection.
  • It suddenly seemed so obvious: connections with other people were all that mattered. "This is stuff you can't really put into words, but it was so profound," Brendan said. "I conceived of my relationships with other people not as distinct boundaries with distinct entities, but more as we-are-all-on
  • I realised I'd been fixated on stuff that doesn't really matter, and is just so messed up, and that I'd been totally missing the point. I hadn't been soaking up the joy that life has to offer."
  • Brendan hired a diversity, equity, and inclusion consultant to advise him, enrolled in therapy, began meditating, and started working his way through a list of educational books. S still regularly communicates with Brendan and, for his part, thinks that Brendan is serious in his efforts to change
  • "I think he is trying to better himself and work on himself, and I do think that experience with MDMA had an impact on him. It's been a touchstone for growth, and over time, I think, the reflection on that experience has had a greater impact on him than necessarily the experience itself."
  • Brendan is still struggling, though, to make the connections with others that he craves. When I visited him, he'd just spent Thanksgiving alone
  • He also has not completely abandoned his bigoted ideology, and is not sure that will ever be possible. "There are moments when I have racist or antisemitic thoughts, definitely," he said. "But now I can recognise that those kinds of thought patterns are harming me more than anyone else."
  • it's not without precedent. In the 1980s, for example, an acquaintance of early MDMA-assisted therapy practitioner Requa Greer administered the drug to a pilot who had grown up in a racist home and had inherited those views. The pilot had always accepted his bigoted way of thinking as being a normal, accurate reflection of the way things were. MDMA, however, "gave him a clear vision that unexamined racism was both wrong and mean," Greer says
  • Encouraging stories of seemingly spontaneous change appear to be exceptions to the norm, however, and from a neurological point of view, this makes sense
  • Research shows that oxytocin – one of the key hormones that MDMA triggers neurons to release – drives a "tend and defend" response across the animal kingdom. The same oxytocin that causes a mother bear to nurture her newborn, for example, also fuels her rage when she perceives a threat to her cub. In people, oxytocin likewise strengthens caregiving tendencies toward liked members of a person's in-group and strangers perceived to belong to the same group, but it increases hostility toward individuals from disliked groups
  • In a 2010 study published in Science, for example, men who inhaled oxytocin were three times more likely to donate money to members of their team in an economic game, as well as more likely to harshly punish competing players for not donating enough. (Read more: "The surprising downsides of empathy.")
  • According to research published this week in Nature by Johns Hopkins University neuroscientist Gül Dölen, MDMA and other psychedelics – including psilocybin, LSD, ketamine and ibogaine – work therapeutically by reopening a critical period in the brain. Critical periods are finite windows of impressionability that typically occur in childhood, when our brains are more malleable and primed to learn new things
  • Dölen and her colleagues' findings likewise indicate that, without the proper set and setting, MDMA and other psychedelics probably do not reopen critical periods, which means they will not have a spontaneous, revelatory effect for ridding someone of bigoted beliefs.
  • In the West, plenty of members of right-wing authoritarian political movements, including neo-Nazi groups, also have track records of taking MDMA and other psychedelics
  • This suggests, researchers write, that psychedelics are nonspecific, "politically pluripotent" amplifiers of whatever is going on in somebody's head, with no particular directional leaning "on the axes of conservatism-liberalism or authoritarianism-egalitarianism."
  • That said, a growing body of scientific evidence indicates that the human capacity for compassion, kindness, empathy, gratitude, altruism, fairness, trust, and cooperation are core features of our natures
  • As Emory University primatologist Frans de Waal wrote, "Empathy is the one weapon in the human repertoire that can rid us of the curse of xenophobia."
  • Ginsberg also envisions using the drug in workshops aimed at eliminating racism, or as a means of bringing people together from opposite sides of shared cultural histories to help heal intergenerational trauma. "I think all psychedelics have a role to play, but I think MDMA has a particularly key role because you're both expanded and present, heart-open and really able to listen in a new way," Ginsberg says. "That's something really powerful."
  • "If you give MDMA to hard-core haters on each side of an issue, I don't think it'll do a lot of good,"
  • if you start with open-minded people on both sides, then I think it can work. You can improve communications and build empathy between groups, and help people be more capable of analysing the world from a more balanced perspective rather than from fear-based, anxiety-based distrust."
  • In 2021, Ginsberg and Doblin were coauthors on a study investigating the possibility of using ayahuasca – a plant-based psychedelic – in group contexts to bridge divides between Palestinians and Israelis, with positive findings
  • "I kind of have a fantasy that maybe as we get more reacquainted with psychedelics, there could be group-based experiences that build community resiliency and are intentionally oriented toward breaking down barriers between people, having people see things from other perspectives and detribalising our society,
  • "But that's not going to happen on its own. It would have to be intentional, and – if it happens – it would probably take multiple generations."
  • Based on his experience with extremism, Brendan agreed with expert takes that no drug, on its own, will spontaneously change the minds of white supremacists or end political conflict in the US
  • he does think that, with the right framing and mindset, MDMA could be useful for people who are already at least somewhat open to reconsidering their ideologies, just as it was for him. "It helped me see things in a different way that no amount of therapy or antiracist literature ever would have done," he said. "I really think it was a breakthrough experience."
Javier E

Opinion | David Brooks: I Was Wrong About Capitalism - The New York Times - 0 views

  • sometimes I’m just slow. I suffer an intellectual lag.
  • Reality has changed, but my mental frameworks just sit there. Worse, they prevent me from even seeing the change that is already underway — what the experts call “conceptual blindness.”
  • For a while this bet on free-market economic dynamism seemed to be paying off. It was the late 1980s and 1990s
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  • In the early 1990s, The Journal sent me on many reporting trips to the U.S.S.R.
  • I saw but did not see the enormous amount of corruption that was going on. I saw but did not see that property rights alone do not spontaneously make a decent society. The primary problem in all societies is order — moral, legal and social order.
  • By the time I came to this job, in 2003, I was having qualms about the free-market education I’d received — but not fast enough. It took me a while to see that the postindustrial capitalism machine — while innovative, dynamic and wonderful in many respects — had some fundamental flaws.
  • The most educated Americans were amassing more and more wealth, dominating the best living areas, pouring advantages into their kids. A highly unequal caste system was forming. Bit by bit it dawned on me that the government would have to get much more active if every child was going to have an open field and a fair chance.
  • the financial crisis hit, the flaws in modern capitalism were blindingly obvious, but my mental frames still didn’t shift fast enough.
  • Sometimes in life you should stick to your worldview and defend it against criticism. But sometimes the world is genuinely different than it was before. At those moments the crucial skills are the ones nobody teaches you: how to reorganize your mind, how to see with new eyes.
Javier E

Is Anything Still True? On the Internet, No One Knows Anymore - WSJ - 1 views

  • Creating and disseminating convincing propaganda used to require the resources of a state. Now all it takes is a smartphone.
  • Generative artificial intelligence is now capable of creating fake pictures, clones of our voices, and even videos depicting and distorting world events. The result: From our personal circles to the political circuses, everyone must now question whether what they see and hear is true.
  • exposure to AI-generated fakes can make us question the authenticity of everything we see. Real images and real recordings can be dismissed as fake. 
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  • “When you show people deepfakes and generative AI, a lot of times they come out of the experiment saying, ‘I just don’t trust anything anymore,’” says David Rand, a professor at MIT Sloan who studies the creation, spread and impact of misinformation.
  • This problem, which has grown more acute in the age of generative AI, is known as the “liar’s dividend,
  • The combination of easily-generated fake content and the suspicion that anything might be fake allows people to choose what they want to believe, adds DiResta, leading to what she calls “bespoke realities.”
  • Examples of misleading content created by generative AI are not hard to come by, especially on social media
  • The signs that an image is AI-generated are easy to miss for a user simply scrolling past, who has an instant to decide whether to like or boost a post on social media. And as generative AI continues to improve, it’s likely that such signs will be harder to spot in the future.
  • “What our work suggests is that most regular people do not want to share false things—the problem is they are not paying attention,”
  • in the course of a lawsuit over the death of a man using Tesla’s “full self-driving” system, Elon Musk’s lawyers responded to video evidence of Musk making claims about this software by suggesting that the proliferation of “deepfakes” of Musk was grounds to dismiss such evidence. They advanced that argument even though the clip of Musk was verifiably real
  • are now using its existence as a pretext to dismiss accurate information
  • People’s attention is already limited, and the way social media works—encouraging us to gorge on content, while quickly deciding whether or not to share it—leaves us precious little capacity to determine whether or not something is true
  • If the crisis of authenticity were limited to social media, we might be able to take solace in communication with those closest to us. But even those interactions are now potentially rife with AI-generated fakes.
  • what sounds like a call from a grandchild requesting bail money may be scammers who have scraped recordings of the grandchild’s voice from social media to dupe a grandparent into sending money.
  • companies like Alphabet, the parent company of Google, are trying to spin the altering of personal images as a good thing. 
  • With its latest Pixel phone, the company unveiled a suite of new and upgraded tools that can automatically replace a person’s face in one image with their face from another, or quickly remove someone from a photo entirely.
  • Joseph Stalin, who was fond of erasing people he didn’t like from official photos, would have loved this technology.
  • In Google’s defense, it is adding a record of whether an image was altered to data attached to it. But such metadata is only accessible in the original photo and some copies, and is easy enough to strip out.
  • The rapid adoption of many different AI tools means that we are now forced to question everything that we are exposed to in any medium, from our immediate communities to the geopolitical, said Hany Farid, a professor at the University of California, Berkeley who
  • To put our current moment in historical context, he notes that the PC revolution made it easy to store and replicate information, the internet made it easy to publish it, the mobile revolution made it easier than ever to access and spread, and the rise of AI has made creating misinformation a cinch. And each revolution arrived faster than the one before it.
  • Not everyone agrees that arming the public with easy access to AI will exacerbate our current difficulties with misinformation. The primary argument of such experts is that there is already vastly more misinformation on the internet than a person can consume, so throwing more into the mix won’t make things worse.
  • it’s not exactly reassuring, especially given that trust in institutions is already at one of the lowest points in the past 70 years, according to the nonpartisan Pew Research Center, and polarization—a measure of how much we distrust one another—is at a high point.
  • “What happens when we have eroded trust in media, government, and experts?” says Farid. “If you don’t trust me and I don’t trust you, how do we respond to pandemics, or climate change, or have fair and open elections? This is how authoritarianism arises—when you erode trust in institutions.”
Javier E

The Perks of Taking the High Road - The Atlantic - 0 views

  • hat is the point of arguing with someone who disagrees with you? Presumably, you would like them to change their mind. But that’s easier said than done
  • Research shows that changing minds, especially changing beliefs that are tied strongly to people’s identity, is extremely difficult
  • this personal attachment to beliefs encourages “competitive personal contests rather than collaborative searches for the truth.”
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  • The way that people tend to argue today, particularly online, makes things worse.
  • You wouldn’t blame anyone involved for feeling as if they’re under fire, and no one is likely to change their mind when they’re being attacked.
  • odds are that neither camp is having any effect on the other; on the contrary, the attacks make opponents dig in deeper.
  • If you want a chance at changing minds, you need a new strategy: Stop using your values as a weapon, and start offering them as a gift.
  • hilosophers and social scientists have long pondered the question of why people hold different beliefs and values
  • One of the most compelling explanations comes from Moral Foundations Theory, which has been popularized by Jonathan Haidt, a social psychologist at NYU. This theory proposes that humans share a common set of “intuitive ethics,” on top of which we build different narratives and institutions—and therefore beliefs—that vary by culture, community, and even person.
  • Extensive survey-based research has revealed that almost everyone shares at least two common values: Harming others without cause is bad, and fairness is good. Other moral values are less widely shared
  • political conservatives tend to value loyalty to a group, respect for authority, and purity—typically in a bodily sense, in terms of sexuality—more than liberals do.
  • Sometimes conflict arises because one group holds a moral foundation that the other simply doesn’t feel strongly about
  • even when two groups agree on a moral foundation, they can radically disagree on how it should be expressed
  • When people fail to live up to your moral values (or your expression of them), it is easy to conclude that they are immoral people.
  • Further, if you are deeply attached to your values, this difference can feel like a threat to your identity, leading you to lash out, which won’t convince anyone who disagrees with you.
  • research shows that if you insult someone in a disagreement, the odds are that they will harden their position against yours, a phenomenon called the boomerang effect.
  • so it is with our values. If we want any chance at persuasion, we must offer them happily. A weapon is an ugly thing, designed to frighten and coerce
  • effective missionaries present their beliefs as a gift. And sharing a gift is a joyful act, even if not everyone wants it.
  • he solution to this problem requires a change in the way we see and present our own values
  • A gift is something we believe to be good for the recipient, who, we hope, may accept it voluntarily, and do so with gratitude. That requires that we present it with love, not insults and hatred.
  • 1. Don’t “other” others.
  • Go out of your way to welcome those who disagree with you as valued voices, worthy of respect and attention. There is no “them,” only “us.”
  • 2. Don’t take rejection personally.
  • just as you are not your car or your house, you are not your beliefs. Unless someone says, “I hate you because of your views,” a repudiation is personal only if you make it so
  • 3. Listen more.
  • when it comes to changing someone’s mind, listening is more powerful than talking. They conducted experiments that compared polarizing arguments with a nonjudgmental exchange of views accompanied by deep listening. The former had no effect on viewpoints, whereas the latter reliably lowered exclusionary opinions.
  • when possible, listening and asking sensitive questions almost always has a more beneficial effect than talking.
  • howing others that you can be generous with them regardless of their values can help weaken their belief attachment, and thus make them more likely to consider your point of view
  • for your values to truly be a gift, you must weaken your own belief attachment first
  • we should all promise to ourselves, “I will cultivate openness, non-discrimination, and non-attachment to views in order to transform violence, fanaticism, and dogmatism in myself and in the world.”
  • if I truly have the good of the world at heart, then I must not fall prey to the conceit of perfect knowledge, and must be willing to entertain new and better ways to serve my ultimate goal: creating a happier world
  • generosity and openness have a bigger chance of making the world better in the long run.
Javier E

Apple News Plus Review: Good Value, But Apple Needs to Fine Tune This | Tom's Guide - 0 views

  • For $9.99 a month, News+ gives you access to more than 300 magazines, along with news articles from The Wall Street Journal and The Los Angeles Times.
  • if you want to find a specific magazine within the News+ tab, be prepared to give that scrolling finger a workout. There's no search field in the News+ tab for typing in a magazine title, so you've got to tap on Apple's catalog and scroll until you find what you're looking for
  • You can browse by category from the home screen, which reduces the number of covers you have to sort through a little bit.
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  • Below the browsing menu and list of categories, you'll find the My Magazines section, which contains the publications you're currently looking at, plus issues you've downloaded.
  • (The desktop version of News+ handles things better — there's a persistent search bar in the upper left corner of the app.)
  • To find a specific title in News+ (without scrolling anyhow), head over to the Following tab directly to the right of the News+ in the News app. On that screen, there's a search field, and you can type in publication titles to bring up content from both News+ and the free News section
  • The most frequently used section of News+ figures to be My Magazines, though to be truly useful, it's going to need a little fine tuning.
  • Whatever magazine I started reading in News Plus — whether it was the latest Vanity Fair or the New Republic — would pop in My Magazines  under Reading Now.
  • At present, it appears the only way to make a magazine stay in My Magazines is to download it from the cloud, something you do by tapping the cloud icon next to the cover. I couldn't find any way to designate a magazine as one of my favorites from within News+, so if I want to find a new issue or revisit an old one, I'm left with Apple's clunky search feature
  • Speaking of back issues, when you're within a magazine in News+, just tap the magazine's title at the top of the screen. You'll see a list of previous issues for that title, and in some cases, you'll see current headlines and articles from that publication's website
  • Select a current issue of a magazine, and you'll get a title page with a tappable table of contents. In most cases, there's no description for the article, so you'll just have to hope that the headline you're tapping on gives you a good idea of what to expect
  • From within the article, a Next button lets you skip ahead to the next story in an issue, while an Open button returns you to the table of contents.
  • Be aware that some publications, such as New Republic, simply feature PDFs of their current issues instead of formats optimized for digital devices
  • The New Yorker splits the difference, with no table of contents and PDFs of ad pages from the print magazine interspersed between scrollable articles. I
  • You have the option of signifying that you love or hate stories, which will help fine-tune News+'s recommendations, and you can add many articles to your Safari reading list
  • The lines between what's free and what's paid also seem a bit blurred, even with the separate News+ tab
  • how frequently is new content going to surface on News+? Will all back issues get the unappealing PDF treatment
Javier E

The Chatbots Are Here, and the Internet Industry Is in a Tizzy - The New York Times - 0 views

  • He cleared his calendar and asked employees to figure out how the technology, which instantly provides comprehensive answers to complex questions, could benefit Box, a cloud computing company that sells services that help businesses manage their online data.
  • Mr. Levie’s reaction to ChatGPT was typical of the anxiety — and excitement — over Silicon Valley’s new new thing. Chatbots have ignited a scramble to determine whether their technology could upend the economics of the internet, turn today’s powerhouses into has-beens or create the industry’s next giants.
  • Cloud computing companies are rushing to deliver chatbot tools, even as they worry that the technology will gut other parts of their businesses. E-commerce outfits are dreaming of new ways to sell things. Social media platforms are being flooded with posts written by bots. And publishing companies are fretting that even more dollars will be squeezed out of digital advertising.
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  • The volatility of chatbots has made it impossible to predict their impact. In one second, the systems impress by fielding a complex request for a five-day itinerary, making Google’s search engine look archaic. A moment later, they disturb by taking conversations in dark directions and launching verbal assaults.
  • The result is an industry gripped with the question: What do we do now?
  • The A.I. systems could disrupt $100 billion in cloud spending, $500 billion in digital advertising and $5.4 trillion in e-commerce sales,
  • As Microsoft figures out a chatbot business model, it is forging ahead with plans to sell the technology to others. It charges $10 a month for a cloud service, built in conjunction with the OpenAI lab, that provides developers with coding suggestions, among other things.
  • Smaller companies like Box need help building chatbot tools, so they are turning to the giants that process, store and manage information across the web. Those companies — Google, Microsoft and Amazon — are in a race to provide businesses with the software and substantial computing power behind their A.I. chatbots.
  • “The cloud computing providers have gone all in on A.I. over the last few months,
  • “They are realizing that in a few years, most of the spending will be on A.I., so it is important for them to make big bets.”
  • Yusuf Mehdi, the head of Bing, said the company was wrestling with how the new version would make money. Advertising will be a major driver, he said, but the company expects fewer ads than traditional search allows.
  • Google, perhaps more than any other company, has reason to both love and hate the chatbots. It has declared a “code red” because their abilities could be a blow to its $162 billion business showing ads on searches.
  • “The discourse on A.I. is rather narrow and focused on text and the chat experience,” Mr. Taylor said. “Our vision for search is about understanding information and all its forms: language, images, video, navigating the real world.”
  • Sridhar Ramaswamy, who led Google’s advertising division from 2013 to 2018, said Microsoft and Google recognized that their current search business might not survive. “The wall of ads and sea of blue links is a thing of the past,” said Mr. Ramaswamy, who now runs Neeva, a subscription-based search engine.
  • As that underlying tech, known as generative A.I., becomes more widely available, it could fuel new ideas in e-commerce. Late last year, Manish Chandra, the chief executive of Poshmark, a popular online secondhand store, found himself daydreaming during a long flight from India about chatbots building profiles of people’s tastes, then recommending and buying clothes or electronics. He imagined grocers instantly fulfilling orders for a recipe.
  • “It becomes your mini-Amazon,” said Mr. Chandra, who has made integrating generative A.I. into Poshmark one of the company’s top priorities over the next three years. “That layer is going to be very powerful and disruptive and start almost a new layer of retail.”
  • In early December, users of Stack Overflow, a popular social network for computer programmers, began posting substandard coding advice written by ChatGPT. Moderators quickly banned A.I.-generated text
  • t people could post this questionable content far faster than they could write posts on their own, said Dennis Soemers, a moderator for the site. “Content generated by ChatGPT looks trustworthy and professional, but often isn’t,”
  • When websites thrived during the pandemic as traffic from Google surged, Nilay Patel, editor in chief of The Verge, a tech news site, warned publishers that the search giant would one day turn off the spigot. He had seen Facebook stop linking out to websites and foresaw Google following suit in a bid to boost its own business.
  • He predicted that visitors from Google would drop from a third of websites’ traffic to nothing. He called that day “Google zero.”
  • Because chatbots replace website search links with footnotes to answers, he said, many publishers are now asking if his prophecy is coming true.
  • , strategists and engineers at the digital advertising company CafeMedia have met twice a week to contemplate a future where A.I. chatbots replace search engines and squeeze web traffic.
  • The group recently discussed what websites should do if chatbots lift information but send fewer visitors. One possible solution would be to encourage CafeMedia’s network of 4,200 websites to insert code that limited A.I. companies from taking content, a practice currently allowed because it contributes to search rankings.
  • Courts are expected to be the ultimate arbiter of content ownership. Last month, Getty Images sued Stability AI, the start-up behind the art generator tool Stable Diffusion, accusing it of unlawfully copying millions of images. The Wall Street Journal has said using its articles to train an A.I. system requires a license.
  • In the meantime, A.I. companies continue collecting information across the web under the “fair use” doctrine, which permits limited use of material without permission.
Javier E

Functional medicine: Is it the future of healthcare or just another wellness trend? - I... - 0 views

  • Functional Medicine is the alternative medicine Bill Clinton credits with giving him his life back after his 2004 quadruple heart by-pass surgery. Its ideology is embraced by Oprah and regularly features on Gwyneth Paltrow's Goop.
  • Developed in 1990 by Dr Jeffrey Bland, who in 1991 set up the Institute of Functional Medicine with his wife Susan, today the field is spearheaded by US best-selling author Dr Mark Hyman, adviser to the Clintons and co-director of the controversial Cleveland Clinic for Functional Medicine.
  • "Functional Medicine is not about a test or a supplement or a particular protocol," he adds. "It's really a new paradigm of disease and how it arises and how to restore health. Within it there are many approaches that are effective, it's not exclusive, it doesn't exclude traditional medications, it includes all modalities depending on what's right for that patient."
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  • Functional Medicine isn't a protected title and a medical qualification isn't a prerequisite to practice. The result is an unregulated and disparate field, with medical doctors, nutritionists, naturopaths and homeopaths among the many practitioners.
  • Some other chronic illnesses the field claims to treat include heart disease, type 2 diabetes, irritable bowel syndrome, ulcerative colitis, depression, anxiety and arthritis
  • ll kinds of different reasons, some might have gluten issues, gut issues, others might have a deficiency causing neurological issues, MS is a symptom."
  • "There are components of Functional Medicine that absolutely lack an evidence base and there are practitioners of what they call Functional Medicine, they charge people for intravenous nutritional injections, they exaggerate claims, and that is professionally inappropriate, unethical and it lacks evidence.
  • On Dr Mark Hyman's view of MS he says, "there are a lot of terms put together there, all of which individually make a lot of sense, but put together in that way they do not.
  • "What does FM actually mean? It means nothing. It's a gift-gallop of words thrown together. It's criticised by advocates of evidence-based medicine because it's giving a veneer of scientific legitimacy to ideas that are considered pseudoscientific. For example, it'll take alternative medicine modalities like homeopathy and then call them 'bio-infusions' or something similar, rebranding it as something that works.
  • "It's a redundant name, real medicine is functional."
  • Next month the third annual Lifestyle and Functional Medical conference will take place in Salthill, Galway on November 3. Last year's event was attended by more than 500 people and featured a keynote address by honorary consultant cardiologist Dr Aseem Malhotra, author of bestselling The Pioppi Diet (which was named one of the top five worst celebrity diets to avoid in 2018 by the British Dietetic Foundation).
  • Dr David Robert Grimes is physicist and visiting fellow of Oxford and QUB. His research into cancer focuses on modelling tumour metabolism and radiation interactions. For Dr Grimes, the lack of definition, or "double-speak" as he puts it, in FM is troubling.
  • As well as the cost of appointments, FM practitioners commonly charge extra for tests. An omega finger prick test is around €100. A vitamin D test can cost upwards of €60, full thyroid panel more than €150 and a gut function test €400. Prices vary between practitioners.
  • "If I, as a GP, engaged in some of these behaviours I would be struck off." Specifically? "If I was recommending treatments that lacked an evidence base, or if I was promoting diagnostic tests which are expensive and lack an evidence base.
  • GPs engage every year in ongoing continuous professional development, I spend my evenings and my weekends outside of working hours attending educational events, small-group learning, large-group learning, engaging in research. This is an accusation that was levelled at the profession 30 years ago and then it was correct, but the profession has caught up…
  • "Obviously promoting wellness and healthy diet is very welcome but going beyond that and stating that certain aspects of 'functional medicine' can lead to reduced inflammation or prevent cancer, we have to be very careful about those claims.
  • Often the outcome of such tests are seemingly 'benign' prescriptions of vitamins or cleanses. However, dietitian Orla Walsh stresses that even these can have potentially harmful effects, especially on "vulnerable" patients, if not prescribed judiciously.
  • FM has five basic principles. 1. We are all genetically and biochemically unique so it treats the individual, not the disease. 2. It's science-based. 3. The body is intelligent and has the capacity for self-regulation. 4. The body has the ability to heal and prevent nearly all the diseases of ageing. 5. Health is not just the absence of disease, but a state of immense vitality.
  • She began her Functional Medicine career while training as a medical doctor and now travels the world working with high-profile clients. Dr McHale charges €425 for an initial consultation and €175 for follow-up appointments. Straightforward lab tests are €250 to €750, for complex cases testing fees can be up to €2,000.
  • "The term [Functional Medicine] tends to be bandied around quite a bit. Other things people say, such as 'functional nutritionist', can be misleading as a term. Many people are Functional Medicine practitioners but don't have any real medical background at all... I think regulation is always probably the best way forward."
  • "There's an awful lot to it in terms of biochemistry and physiology," she says. "You do need to have a very solid and well ingrained bio-chemistry background. A solely clinical background doesn't equip you with the knowledge to read a test.
  • "Evidence-base is the cornerstone of medicine and that has to be maintained. It becomes problematic in this area because you are looking at personalised medicine and that can be very difficult to evidence-base."
  • GP Christine Ritter travelled from England to attend the Galway conference last year with a view to integrating Functional Medicine into her practice.
  • "It was very motivating," she says. "Where it wasn't perhaps as strong was to find the evidence. The Functional Medicine people would say, 'we've done this study and this trial and we've used this supplement that was successful', but they can't show massive research data which might make it difficult to bring it into the mainstream.
  • "I also know the rigorous standard of trials we have in medicine they're not usually that great either, it's often driven by who's behind the trial and who's paying for it.
  • "Every approach that empowers patient to work on their destiny [is beneficial], but you'd have to be mindful that you're not missing any serious conditions."
  • Dr Hyman is working to grow the evidence-base for Functional Medicine worldwide. "The future is looking very bright," he says. "At the Cleveland Centre we're establishing a research base, building educational platforms, fellowships, residency programmes, rotations. We're advancing the field that's spreading across the world. We're seeing in China the development of a programme of Functional Medicine, South Africa, the UK, in London the Cleveland Clinic will hopefully have a Functional Medicine centre."
  • For Dr Mark Murphy regulation is a moot point as it can only apply once the field meets the standards of evidence-based medicine.
  • "Despite well intentioned calls for regulation, complementary and alternative medical therapies cannot be regulated," he says. "Only therapies that possess an evidence-base can enter our standard regulatory processes, including the Irish Medical Council, the Health Products Regulatory Authority and Irish advertising standards. In situations where complementary and alternative therapies develop an evidence base, they are no longer 'complementary and alternative', but in effect they become part of mainstream 'Medicine'.
  • l What are the principles?
  • "There's a huge variation between therapists, some are brilliant and some are okay, and some are ludicrous snake oil salesmen."
  • He is so concerned that patients' health and wealth are being put at risk by alternative therapies that earlier this year he joined Fine Gael TD Kate O'Connell and the Irish Cancer Society in introducing draft legislation earlier this year making it illegal to sell unproven treatments to cancer patients. Violators face jail and heavy fines.
  • Dr Grimes says criticism of variations in the standards of traditional medical research can be fair, however due to the weight of research it is ultimately self-correcting. He adds, "The reality is that good trials are transparent, independent and pre-registered.
  • "My involvement in shaping the Bill came from seeing first-hand the exploitation of patients and their families. Most patients undergoing treatment will take some alternative modalities in conjunction but a significant portion are talked out of their conventional medicine and seduced by false promises
Javier E

Opinion | Where Have all the Adults in Children's Books Gone? - The New York Times - 0 views

  • Some might see the entrenchment of child-centeredness in children’s literature as reinforcing what some social critics consider a rising tide of narcissism in young people today. But to be fair: Such criticisms of youth transcend the ages.
  • What is certainly true now is the primacy of “mirrors and windows,” a philosophy that strives to show children characters who reflect how they look back to them, as well as those from different backgrounds, mostly with an eye to diversity.
  • This is a noble goal, but those mirrors and windows should apply to adults as well. Adults are, after all, central figures in children’s lives — their parents and caregivers, their teachers, their role models
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  • . The implicit lesson is that grown-ups aren’t infallible. It’s OK to laugh at them and it’s OK to feel compassion for them and it’s even OK to feel sorry for them on occasion.
  • The adult figures in children’s literature are also frequently outsiders or eccentrics in some way, and quite often subject to ridicule
  • yes, adults are often the Other — which makes them a mystery and a curiosity. Literature offers insight into these occasionally intimidating creatures.
  • In real life, children revere adults and they fear them. It only follows, then, that they appreciate when adult characters behave admirably but also delight in seeing the consequences — especially when rendered with humor — when they don’t.
  • Nursery rhymes, folk tales, myths and legends overwhelmingly cast adults as their central characters — and have endured for good reason
  • In somewhat later tales, children investigated crimes alongside Sherlock Holmes, adventured through Narnia, inhabited Oz and traversed Middle-earth. Grown-up heroes can be hobbits, or rabbits (“Watership Down”), badgers or moles (“The Wind in the Willows”). Children join them no matter what because they like to be in league with their protagonists and by extension, their authors.
  • In children’s books with adult heroes, children get to conspire alongside their elders. Defying the too-often adversarial relationship between adults and children in literature, such books enable children to see that adults are perfectly capable of occupying their shared world with less antagonism — as partners in life, in love and in adventure.
Javier E

Musk Peddles Fake News on Immigration and the Media Exaggerates Biden's Decline - 0 views

  • There’s little indication that Biden’s remarks on this occasion—which were lucid, thoughtful, and, as Yglesias noted, cogent—or that any of the countless hours of footage from this past year alone of Biden being oratorically and rhetorically compelling, have meaningfully factored into the media’s appraisal of Biden’s cognitive state
  • Instead, the media has run headlong toward a narrative constructed by the very people politically incentivized to paint Biden in as unflattering a light as possible. When news organizations uncritically accept, rather than journalistically evaluate, the assumption that Biden is severely cognitively compromised in the first place, they effectively grant the right-wing influencers who spend their days curating Biden gaffe supercuts the opportunity to set the terms of the debate
  • Why does the media take at face value that the viral posts showcasing Biden’s gaffes and slip-ups are truly representative of his current state? 
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  • Because right-wing commentators aren’t the only ones who think Biden’s mind is basically gone—lots of voters think so too
  • Of course, a major reason why the public thinks this is because the entirety of the right-wing information superstructure is devoted, on a daily basis, to depicting Biden as severely cognitively compromised
  • By contrast, most of the news sources the right sees as hyperpartisan Biden spin machines actually strain at being fair-minded and objective, which disinclines them toward producing any sort of muscular pushback against the right’s relentless mischaracterizations.
  • Since mainstream media venues by and large epistemically rely on the views of the masses to supply journalists with their coverage frames, news operations end up treating popular concerns about Biden’s age as a kind of sacrosanct window into reality rather than as a hype cycle perpetually fed into the ambient collective consciousness by anti-Biden voices intending to sink his reelection chances.
  • even if we grant every single concern that Klein and others have voiced, it is indisputably true that Joe Biden remains an intellectual giant next to Donald Trump
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