username2 comments on Open thread, Sep. 19 - Sep. 25, 2016 - Less Wrong
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For a while now, I have been working on a potentially impactful project. The main limiting factor is my own personal productivity- a great deal of the risk is frontloaded in a lengthy development phase. Extrapolating the development duration based on progress so far does not yield wonderful results. It appears I should still be able to finish it in a not-absurd timespan, it will just be slower than ideal.
I've always tried to improve my productivity, and I've made great progress in that compared to ten or even five years ago, but at this point I've picked most of the standard low hanging fruit. I've already fiddled with some extremely easy and safe kinda-nootropics already- melatonin, occasional caffeine pills- but not things like modafinil or amphetamines, or some of the less studied options.
And while thinking about this today, I decided to just run some numbers on amphetamines. Based on my current best estimates of market realities and the potential success and failure cases of the project, assuming amphetamines could improve my productivity by 30% on average, the expected value of taking amphetamines for the duration of development comes out to...
...a few hundred human lives.
And, in the best-reasonable case scenario, a lot more than that. This wasn't really unexpected, but it's surprisingly the first time I actually did the math.
So I imagine the God of Dumb Trolley Problems sits me down for a thought experiment and explains: "In a few years, there will be a building full of 250 people. A bomb will go off and kill all of them. You have two choices." The god leans in for dramatic effect. "Either you can do nothing, and let all of them die... or..." It lowers its head just enough for shadows to cast over its features... "You take this low, safe dose of Adderall for a few years, and the bomb magically gets defused."
This is not a difficult ethical problem. Even taking into account potential side effects, even assuming the amphetamines were obtained illegally and so carried legal liability, this is not a difficult ethical problem. When I look at this, I feel like the answer of what I should do is blindingly obvious.
And yet I have a strong visceral response of "okay yeah sure but no." I assume part of this is fairly extreme risk aversion to the idea of getting anything like amphetamines outside of a prescription. Legal trouble would be pretty disastrous, even if unlikely. And part of me is spooked about doing something like this without expert oversight.
But why not just try to get an actual prescription? For this, or some other advantageous semi-nootropic, at least. Once again, I just get a gross feeling about the idea of trying to manipulate the system. How about if I just explain the situation in full, with zero manipulation, to a sympathetic doctor? The response from my gut feels like a blank "... no."
So basically, I feel stuck. Part of me wants to recognize the risk aversion as excessive, and suggests I should at least take whatever steps I can safely. The other part is saying "but that is doing something waaaay out of the ordinary and maybe there's a reason for that that you haven't properly considered."
I am not even sure what I want to ask with this post. I guess if you've got any ideas or insights, I'd like to hear them.
Have you ever taken Adderall? I greatly suspect you have not.
People who fight chronic akrasia because of varoius degrees of ADHD and related mental disorders have a different response to stimulants than "normal" individuals. For me, Adderall puts me into cool, calm, clear focus. The kind of productive mode of being that most people get into by drinking a cup of coffee (except coffee makes me jittery and unfocused). Being on Adderall is just... "normal." Indeed the first time I tried it I thought the dose was too low because I didn't feel a thing.. until 8 hours later when I realized I was still cranking away good code and able to focus instead of my normal bouts of mid-day akrasia. I could probably count on my hands the number of times I had a full day of highly focused work without feeling stress or burn-out afterwards... now it's the new normal :)
For such people low-dose amphetamines don't provide any high, nor are they accompanied by some sort of berserker productivity binge like popular media displays. In the correct dosages they also don't seem to come with any addiction or withdraw -- I go off of it without any problems, other than reverting to the normal, viscous cycles of distraction and akrasia. (This isn't just anecdotal data -- the incidence rate of Adderall addiction among those following the prescribed plan is lost in the backround noise of people who are abusing in these trials.)
Honestly, see a psychiatrist that specializes in these things and talk to them about your inability to focus, your history of trouble in completing complex, long tasks, how this is affecting your career and personal growth goals, etc. Be honest about your shortcomings, and chances are they will work with you to find a treatment plan that truly helps you. You're not manipulating anybody.
Seriously, ADHD is a real mental disorder. Your first step should be to recognize it as such, and accept the fact that you might actually have a real medical condition that needs treatment. You're not manipulating the system, you're exactly the kind of person the system is trying to help! Prescription drugs are for more than just people who hear voices...
You are correct that I have not taken Adderall, or any other amphetamines. I would probably be less hesitant if I already knew how I reacted to them.
I do fully recognize ADD/ADHD as real, though. I have spent a great deal of time around people with it. Some are very, very severely impacted. (I have to laugh a bit whenever I see implications that it's somehow 'fake'- it can be about as subtle as a broken bone.)
But my familiarity with it is also part of the reason why I have never really considered the possibility of having it. Even measured against 'normal' people, I seem to be very productive, and when I compare my difficulties with those of people I know with ADHD... It seems like mine would have to be a relatively mild case, or there would need to be some factor that is mitigating its impact.
That said, from a hereditary perspective it would be a little weird if I don't have it to some degree. The situation and low cost of asking basically demand that I give it further investigation, at least.