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tene comments on The Strangest Thing An AI Could Tell You - Less Wrong
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There's an important difference between brain damage and brain mis-development that you're neglecting. The various parts of the brain learn what to expect from each other, and to trust each other, as it develops. Certain parts of the brain get to bypass critical thinking, but that's only because they were completely reliable while the critical thinking parts of the brain were growing. The issue is not that part of the brain is outputting garbage, but rather, that it suddenly starts outputting garbage after a lifetime of being trustworthy. If part of the brain was unreliable or broken from birth, then its wiring would be forced to go through more sanity checks.
This is exactly what happened to my father over the past few years. His emotional responses have increased dramatically, after fifty years of regular behaviour, and he seems unable to adapt to these changes, leading to some very inappropriate actions. For example, he seems unable to separate "I feel extremely angry" from "There is good reason for me to be upset."
Attempts to reason with him don't generate ansognosiac-level absurdities, as he mostly understands that something unusual is going on, but it's still a surreal experience.