I'd like to share my specific motivation for writing Can the Chain Still Hold You?
I agree with Yvain that akrasia is probably a major reason that rationality alone doesn't create superheroes. You might be much better than average at making good decisions based on an accurate model of reality, but that doesn't mean you can follow through with them.
Many people report that their thinking is clearer and better as a result of Less Wrong. But despite our many, many attempts to hack away at the problem of akrasia (more: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10), I haven't heard of many LWers conquering akrasia.
But I still have hope that this is possible. In 2006, we finally got a decent psychological theory of procrastination, much better than the old decisional-avoidant-arousal theory. On the timescale of progress in psychology, 2006 is basically yesterday. The first book on how to apply this new theory to daily life was published in late 2010. There is no community of people systematically practicing these techniques and reporting their results.
So it seems to me there is a lot of low-hanging fruit to be scooped up in the field of procrastination research. If we try and test enough things, and especially if our tests our theory-guided, we may be able to learn new things and flip a few causal factors such that the chain of akrasia no longer holds us — at least, not as tightly as before.
You are probably right. It was an overly onerous requirement on my part. However, peer-reviewed is our best stamp of quality research we have and a meta-analysis is even better, comprised of hundreds of peer-reviewed research. I am passionate about science, well aware of the limitations of clincial expert opinion, and was probably too strident.
In truth, it is almost impossible for a sole practitioner to discern whether the efficaciousness of their treatment is due to the treatment itself or other apparently non-relevant aspects, such as the placebo effect or the personality of the clinician. There are some really effective clinicians out there who are successful through their innate ability to inspire. You need to do or rely on research to determine what is really going on (i.e., evidence based treatment). There really isn't any other way (really, really, really), and unless he gets this, there is nothing he will personally experience that will make him change his mind. This isn't new though. Research has repeated shown statistical analysis beats clinical opinion pretty much everytime (here's one from Paul Meehl, who I studied under and was both a clinician and statistican: http://www.psych.umn.edu/faculty/grove/114meehlscontributiontoclinical.pdf).
This type of issue is never going go away though. We have everything from homeopathy to applied kinesiology, all of which where appears to work because people believe it works. The only way to separate out whether the motivational treatment is inherently effective is through research. If it is the placebo effect and you are happy with that being the source of whatever change you are seeing, then add a lot more pomp and ceremony -- it ups the effect.
Heh. Doesn't apply in my case, unless mere text on a screen qualifies as innate ability to inspire. (Most of my client work is done in text format, and I mostly try to teach people techniques which they can apply themselves.)
Really, if these clinicians are successful for this reason, then why isn't there any research identifiying what this "innate ability" consists of, so that other clinicians can be taught to be inspiring, or conv... (read more)