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But any improvement I made was incremental at best.My colleague is a bubbly extravert who gets very excited about everything; I worry that to match her results, I would have to somehow copy her entire personality. I found myself doing well with overly emotional patients, the sort who had too many dramatic meltdowns to do therapy with anybody else.A boss calls her subordinate’s work “okay” – did she mean to compliment him, or imply it was mediocre?A friend breaks off two appointments in a row, each time saying that something has come up – did something come up, or is he getting tired of the friendship?User dgerard wrote about meeting me in 2011, saying: His superpower is that he projects a Niceness Field, where people talking to him face to face want to be more polite and civil. I should admit nobody else has mentioned anything like this, and that narcissism biases me toward believing anyone who says I have a superpower. And the more I examine this, the more I realize that my results are pretty atypical for psychiatrists.
But if you just take a little more Adderall than you were supposed to, you’ll be 1% paranoid.
There are a bunch of good stimulant abuse cases in the literature that present as “patient’s boss said she was unusually standoffish and wanted her to get psychiatric evaluation”, show up in the office as “well of course I’m standoffish, everyone in my office excludes me from everything and is rude in a thousand little ways throughout the day”, and end up as “cut your Adderall dosage in half, please”. NPR has a good article, A Life Without Fear, describing some of what they go through: Kids and adults with Williams love people, and they are literally pathologically trusting. Researchers theorize that this is probably because of a problem in their limbic system, the part of the brain that regulates emotion.
(“Why is that psychiatrist telling me to cut my Adderall in half? There appears to be a disregulation in one of the chemicals (oxytocin) that signals when to trust and when to distrust.
“And so Isabelle went over and got into the lady’s van, got in the back seat, buckled up and was waiting to be taken to Dairy Queen with that family.” Jessica had no idea what had happened to Isabelle and was frantically searching for her when the driver of the van approached her and explained that she had been starting her car when she looked up and saw Isabelle’s face in the rearview mirror. Every teacher at Isabelle’s public school has been warned.
Isabelle is not allowed to tell them that she loves them. And, you know, I’d rather her be overly safe than be on CNN.” Some of the research on these kids is fascinating – I’m not sure I believe the study finding that they’re incapable of racism, but the one finding a deficit detecting anger in faces seems pretty plausible. Threat-detection seems to be an automated process not totally susceptible to System II control. Intelligence can help a face-blind person come up with some systems to reduce the impact of their condition, but in the end it’s just not going to help that much.