V_V comments on What's Wrong with Evidential Decision Theory? - Less Wrong
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You can observe your preferences and hence take them into account.
Suppose that most people without the lesion find smoking disgusting, while most people with the lesion find it pleasurable. The lesion doesn't affect your probability of smoking other than by affecting that taste.
The EDT says that should smoke if you find it pleasurable and you shouldn't if you find it disgusting.