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Jandila comments on Let Your Workers Gather Food - Less Wrong
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Yeah... my spouse ignores pain (to her detriment), tried to live like this years ago and still subconsciously idealizes it, and she's miserable a fair chunk of the time. She'll never stop being a bit of a workaholic, but your early 20s don't last forever, and all the motivation she can summon up (tremendous!) won't change the fact that eventually muscle and brain go "No more!"
It'd work great except for the part where you're not an abstract consciousness trapped in a clunky meat shell; you ARE that meat, and its limits are your own.
And I suppose getting her to talk to a professional about it is out of the question.
No; her physician and therapist are people she listens to (or listened to -- therapist got cancer, she needs to get a new one) about this. It's just difficult to shake off -- she's getting help for it, but it's kind of like chronic depression or addiction; making progress against the background is much more realistic than just expecting it to entirely go away, and the trait itself never does just vanish.