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Eugine_Nier comments on LW Women- Minimizing the Inferential Distance - Less Wrong
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You have some control over it. Everything you do and every thought you have affects your neurophysiology. How much control you have over it is an interesting question, which can't be answered simply by pointing to differences on brain scans.
There's a sliding scale. At one end, we have things like frontal lobes. At the other, we have imagination. This is the kind of structure that doesn't alter without external stimuli, and even then it's bloody hard.