A discussion of heroic responsibility

39 Swimmer963 29 October 2014 04:22AM

[Originally posted to my personal blog, reposted here with edits.]

Introduction

You could call it heroic responsibility, maybe,” Harry Potter said. “Not like the usual sort. It means that whatever happens, no matter what, it’s always your fault. Even if you tell Professor McGonagall, she’s not responsible for what happens, you are. Following the school rules isn’t an excuse, someone else being in charge isn’t an excuse, even trying your best isn’t an excuse. There just aren’t any excuses, you’ve got to get the job done no matter what.” Harry’s face tightened. “That’s why I say you’re not thinking responsibly, Hermione. Thinking that your job is done when you tell Professor McGonagall—that isn’t heroine thinking. Like Hannah being beat up is okay then, because it isn’t your fault anymore. Being a heroine means your job isn’t finished until you’ve done whatever it takes to protect the other girls, permanently.” In Harry’s voice was a touch of the steel he had acquired since the day Fawkes had been on his shoulder. “You can’t think as if just following the rules means you’ve done your duty. –HPMOR, chapter 75.

I like this concept. It counters a particular, common, harmful failure mode, and that it’s an amazingly useful thing for a lot of people to hear. I even think it was a useful thing for me to hear a year ago.

But... I’m not sure about this yet, and my thoughts about it are probably confused, but I think that there's a version of Heroic Responsibility that you can get from reading this description, that's maybe even the default outcome of reading this description, that's also a harmful failure mode. 
 

Something Impossible

A wrong way to think about heroic responsibility

I dealt with a situation at work a while back–May 2014 according to my journal. I had a patient for five consecutive days, and each day his condition was a little bit worse. Every day, I registered with the staff doctor my feeling that the current treatment was Not Working, and that maybe we ought to try something else. There were lots of complicated medical reasons why his decisions were constrained, and why ‘let’s wait and see’ was maybe the best decision, statistically speaking–that in a majority of possible worlds, waiting it out would lead to better outcomes than one of the potential more aggressive treatments, which came with side effects. And he wasn’t actually ignoring me; he would listen patiently to all my concerns. Nevertheless, he wasn’t the one watching the guy writhe around in bed, uncomfortable and delirious, for twelve hours every day, and I felt ignored, and I was pretty frustrated.

On day three or four, I was listening to Ray’s Solstice album on my break, and the song ‘Something Impossible’ came up. 

Bold attempts aren't enough, roads can't be paved with intentions...
You probably don’t even got what it takes,
But you better try anyway, for everyone's sake
And you won’t find the answer until you escape from the
Labyrinth of your conventions.
Its time to just shut up, and do the impossible.
Can’t walk away...
Gotta break off those shackles, and shake off those chains
Gotta make something impossible happen today... 
 
It hit me like a load of bricks–this whole thing was stupid and rationalists should win. So I spent my entire break talking on Gchat with one of my CFAR friends, trying to see if he could help me come up with a suggestion that the doctor would agree was good. This wasn’t something either of us were trained in, and having something to protect doesn't actually give you superpowers, and the one creative solution I came up with was worse than the status quo for several obvious reasons.

I went home on day four feeling totally drained and having asked to please have a different patient in the morning. I came in to find that the patient had nearly died in the middle of the night. (He was now intubated and sedated, which wasn’t great for him but made my life a hell of a lot easier.) We eventually transferred him to another hospital, and I spent a while feeling like I’d personally failed. 

I’m not sure whether or not this was a no-win scenario even in theory. But I don't think I, personally, could have done anything with greater positive expected value. There's a good reason why a doctor with 10 years of school and 20 years of ICU experience can override a newly graduated nurse's opinion. In most of the possible worlds, the doctor is right and I'm wrong. Pretty much the only thing that I could have done better would have been to care less–and thus be less frustrated and more emotionally available to comfort a guy who was having the worst week of his life. 

In short, I fulfilled my responsibilities to my patient. Nurses have a lot of responsibilities to their patients, well specified in my years of schooling and in various documents published by the College of Nurses of Ontario. But nurses aren’t expected or supposed to take heroic responsibility for these things. 

I think that overall, given a system that runs on humans, that's a good thing.  


The Well-Functioning Gear

I feel like maybe the hospital is an emergent system that has the property of patient-healing, but I’d be surprised if any one part of it does.

Suppose I see an unusual result on my patient. I don’t know what it means, so I mention it to a specialist. The specialist, who doesn’t know anything about the patient beyond what I’ve told him, says to order a technetium scan. He has no idea what a technetium scan is or how it is performed, except that it’s the proper thing to do in this situation. A nurse is called to bring the patient to the scanner, but has no idea why. The scanning technician, who has only a vague idea why the scan is being done, does the scan and spits out a number, which ends up with me. I bring it to the specialist, who gives me a diagnosis and tells me to ask another specialist what the right medicine for that is. I ask the other specialist – who has only the sketchiest idea of the events leading up to the diagnosis – about the correct medicine, and she gives me a name and tells me to ask the pharmacist how to dose it. The pharmacist – who has only the vague outline of an idea who the patient is, what test he got, or what the diagnosis is – doses the medication. Then a nurse, who has no idea about any of this, gives the medication to the patient. Somehow, the system works and the patient improves.

Part of being an intern is adjusting to all of this, losing some of your delusions of heroism, getting used to the fact that you’re not going to be Dr. House, that you are at best going to be a very well-functioning gear in a vast machine that does often tedious but always valuable work. –Scott Alexander

The medical system does a hard thing, and it might not do it well, but it does it. There is too much complexity for any one person to have a grasp on it. There are dozens of mutually incomprehensible specialties. And the fact that [insert generic nurse here] doesn't have the faintest idea how to measure electrolytes in blood, or build an MRI machine, or even what's going on with the patient next door, is a feature, not a bug.

The medical system doesn’t run on exceptional people–it runs on average people, with predictably average levels of skill, slots in working memory, ability to notice things, ability to not be distracted thinking about their kid's problems at school, etc. And it doesn’t run under optimal conditions; it runs under average conditions. Which means working overtime at four am, short staffing, three patients in the ER waiting for ICU beds, etc. 

Sure, there are problems with the machine. The machine is inefficient. The machine doesn’t have all the correct incentives lined up. The machine does need fixing–but I would argue that from within the machine, as one of its parts, taking heroic responsibility for your own sphere of control isn’t the way to go about fixing the system.

As an [insert generic nurse here], my sphere of control is the four walls of my patient's room. Heroic responsibility for my patient would mean...well, optimizing for them. In the most extreme case, it might mean killing the itinerant stranger to obtain a compatible kidney. In the less extreme case, I spend all my time giving my patient great care, instead of helping the nurse in the room over, whose patient is much sicker. And then sometimes my patient will die, and there will be literally nothing I can do about it, their death was causally set in stone twenty-four hours before they came to the hospital. 

I kind of predict that the results of installing heroic responsibility as a virtue, among average humans under average conditions, would be a) everyone stepping on everyone else’s toes, and b) 99% of them quitting a year later.
 

Recursive Heroic Responsibility


If you're a gear in a machine, and you notice that the machine is broken, your options are a) be a really good gear, or b) take heroic responsibility for your sphere of control, and probably break something...but that's a false dichotomy. Humans are very flexible tools, and there are also infinite other options, including "step out of the machine, figure out who's in charge of this shit, and get it fixed." 

You can't take responsibility for the individual case, but you can for the system-level problem, the long view, the one where people eat badly and don't exercise and at age fifty, morbidly obese with a page-long medical history, they end up as a slow-motion train wreck in an ICU somewhere. Like in poker, you play to win money–positive EV–not to win hands. Someone’s going to be the Minister of Health for Canada, and they’re likely to be in a position where taking heroic responsibility for the Canadian health care system makes things better. And probably the current Minister of Health isn’t being strategic, isn’t taking the level of responsibility that they could, and the concept of heroic responsibility would be the best thing for them to encounter.

So as an [insert generic nurse here], working in a small understaffed ICU, watching the endless slow-motion train wreck roll by...maybe the actual meta-level right thing to do is to leave, and become the freaking Minister of Health, or befriend the current one and introduce them to the concept of being strategic. 

But it's fairly obvious that that isn't the right action for all the nurses in that situation. I'm wary of advice that doesn't generalize. What's difference between the nurse who should leave in order to take meta-level responsibility, and the nurse who should stay because she's needed as a gear?

Heroic responsibility for average humans under average conditions

I can predict at least one thing that people will say in the comments, because I've heard it hundreds of times–that Swimmer963 is a clear example of someone who should leave nursing, take the meta-level responsibility, and do something higher impact for the usual. Because she's smart. Because she's rational. Whatever. 

Fine. This post isn't about me. Whether I like it or not, the concept of heroic responsibility is now a part of my value system, and I probably am going to leave nursing.

But what about the other nurses on my unit, the ones who are competent and motivated and curious and really care? Would familiarity with the concept of heroic responsibility help or hinder them in their work? Honestly, I predict that they would feel alienated, that they would assume I held a low opinion of them (which I don't, and I really don't want them to think that I do), and that they would flinch away and go back to the things that they were doing anyway, the role where they were comfortable–or that, if they did accept it, it would cause them to burn out. So as a consequentialist, I'm not going to tell them. 

And yeah, that bothers me. Because I'm not a special snowflake. Because I want to live in a world where rationality helps everyone. Because I feel like the reason they would react that was isn't because of anything about them as people, or because heroic responsibility is a bad thing, but because I'm not able to communicate to them what I mean. Maybe stupid reasons. Still bothers me. 

On Terminal Goals and Virtue Ethics

67 Swimmer963 18 June 2014 04:00AM

Introduction

A few months ago, my friend said the following thing to me: “After seeing Divergent, I finally understand virtue ethics. The main character is a cross between Aristotle and you.”

That was an impossible-to-resist pitch, and I saw the movie. The thing that resonated most with me–also the thing that my friend thought I had in common with the main character–was the idea that you could make a particular decision, and set yourself down a particular course of action, in order to make yourself become a particular kind of person. Tris didn’t join the Dauntless cast because she thought they were doing the most good in society, or because she thought her comparative advantage to do good lay there–she chose it because they were brave, and she wasn’t, yet, and she wanted to be. Bravery was a virtue that she thought she ought to have. If the graph of her motivations even went any deeper, the only node beyond ‘become brave’ was ‘become good.’ 

(Tris did have a concept of some future world-outcomes being better than others, and wanting to have an effect on the world. But that wasn't the causal reason why she chose Dauntless; as far as I can tell, it was unrelated.)

My twelve-year-old self had a similar attitude. I read a lot of fiction, and stories had heroes, and I wanted to be like them–and that meant acquiring the right skills and the right traits. I knew I was terrible at reacting under pressure–that in the case of an earthquake or other natural disaster, I would freeze up and not be useful at all. Being good at reacting under pressure was an important trait for a hero to have. I could be sad that I didn’t have it, or I could decide to acquire it by doing the things that scared me over and over and over again. So that someday, when the world tried to throw bad things at my friends and family, I’d be ready.

You could call that an awfully passive way to look at things. It reveals a deep-seated belief that I’m not in control, that the world is big and complicated and beyond my ability to understand and predict, much less steer–that I am not the locus of control. But this way of thinking is an algorithm. It will almost always spit out an answer, when otherwise I might get stuck in the complexity and unpredictability of trying to make a particular outcome happen.


Virtue Ethics

I find the different houses of the HPMOR universe to be a very compelling metaphor. It’s not because they suggest actions to take; instead, they suggest virtues to focus on, so that when a particular situation comes up, you can act ‘in character.’ Courage and bravery for Gryffindor, for example. It also suggests the idea that different people can focus on different virtues–diversity is a useful thing to have in the world. (I'm probably mangling the concept of virtue ethics here, not having any background in philosophy, but it's the closest term for the thing I mean.)

I’ve thought a lot about the virtue of loyalty. In the past, loyalty has kept me with jobs and friends that, from an objective perspective, might not seem like the optimal things to spend my time on. But the costs of quitting and finding a new job, or cutting off friendships, wouldn’t just have been about direct consequences in the world, like needing to spend a bunch of time handing out resumes or having an unpleasant conversation. There would also be a shift within myself, a weakening in the drive towards loyalty. It wasn’t that I thought everyone ought to be extremely loyal–it’s a virtue with obvious downsides and failure modes. But it was a virtue that I wanted, partly because it seemed undervalued. 

By calling myself a ‘loyal person’, I can aim myself in a particular direction without having to understand all the subcomponents of the world. More importantly, I can make decisions even when I’m rushed, or tired, or under cognitive strain that makes it hard to calculate through all of the consequences of a particular action.

 

Terminal Goals

The Less Wrong/CFAR/rationalist community puts a lot of emphasis on a different way of trying to be a hero–where you start from a terminal goal, like “saving the world”, and break it into subgoals, and do whatever it takes to accomplish it. In the past I’ve thought of myself as being mostly consequentialist, in terms of morality, and this is a very consequentialist way to think about being a good person. And it doesn't feel like it would work. 

There are some bad reasons why it might feel wrong–i.e. that it feels arrogant to think you can accomplish something that big–but I think the main reason is that it feels fake. There is strong social pressure in the CFAR/Less Wrong community to claim that you have terminal goals, that you’re working towards something big. My System 2 understands terminal goals and consequentialism, as a thing that other people do–I could talk about my terminal goals, and get the points, and fit in, but I’d be lying about my thoughts. My model of my mind would be incorrect, and that would have consequences on, for example, whether my plans actually worked.

 

Practicing the art of rationality

Recently, Anna Salamon brought up a question with the other CFAR staff: “What is the thing that’s wrong with your own practice of the art of rationality?” The terminal goals thing was what I thought of immediately–namely, the conversations I've had over the past two years, where other rationalists have asked me "so what are your terminal goals/values?" and I've stammered something and then gone to hide in a corner and try to come up with some. 

In Alicorn’s Luminosity, Bella says about her thoughts that “they were liable to morph into versions of themselves that were more idealized, more consistent - and not what they were originally, and therefore false. Or they'd be forgotten altogether, which was even worse (those thoughts were mine, and I wanted them).”

I want to know true things about myself. I also want to impress my friends by having the traits that they think are cool, but not at the price of faking it–my brain screams that pretending to be something other than what you are isn’t virtuous. When my immediate response to someone asking me about my terminal goals is “but brains don’t work that way!” it may not be a true statement about all brains, but it’s a true statement about my brain. My motivational system is wired in a certain way. I could think it was broken; I could let my friends convince me that I needed to change, and try to shoehorn my brain into a different shape; or I could accept that it works, that I get things done and people find me useful to have around and this is how I am. For now. I'm not going to rule out future attempts to hack my brain, because Growth Mindset, and maybe some other reasons will convince me that it's important enough, but if I do it, it'll be on my terms. Other people are welcome to have their terminal goals and existential struggles. I’m okay the way I am–I have an algorithm to follow.

 

Why write this post?

It would be an awfully surprising coincidence if mine was the only brain that worked this way. I’m not a special snowflake. And other people who interact with the Less Wrong community might not deal with it the way I do. They might try to twist their brains into the ‘right’ shape, and break their motivational system. Or they might decide that rationality is stupid and walk away.

Reference Points

32 lionhearted 17 November 2010 08:09AM

I just spent some time reading Thomas Schelling's "Choice and Consequences" and I heartily recommend it. Here's a Google books link to the chapter I was reading, "The Intimate Contest for Self Command."

It's fascinating, and if you like LessWrong, rationality, understanding things, decision theories, figuring people and the world out - well, then I think you'd like Schelling. Actually, you'll probably be amazed with how much of his stuff you're already familiar with - he really established a heck of a lot modern thinking on game theory.

Allow me to depart from Schelling a moment, and talk of Sam Snyder. He's a very intelligent guy who has lots of intelligent thoughts. Here's a link to his website - there's massive amounts of data and references there, so I'd recommend you just skim his site if you go visit until you find something interesting. You'll probably find something interesting pretty quickly.

I got a chance to have a conversation with him a while back, and we covered immense amounts of ground. He introduced me to a concept I've been thinking about nonstop since learning it from him - reference points.

Now, he explained it very eloquently, and I'm afraid I'm going to mangle and not do justice to his explanation. But to make a long story really short, your reference points affect your motivation a lot.

An example would help.

What does the average person think about he thinks of running? He thinks of huffing, puffing, being tired and sore, having a hard time getting going, looking fat in workout clothes and being embarrassed at being out of shape. A lot of people try running at some point in their life, and most people don't keep doing it.

On the other hand, what does a regular runner think of? He thinks of the "runner's high" and gliding across the pavement, enjoying a great run, and feeling like a million bucks afterwards.

Since that conversation, I've been trying to change my reference points. For instance, if I feel like I'd like some fried food, I try not to imagine/reference eating the salty greased food. Yes, eating french fries and a grilled chicken sandwich will be salty and fatty and delicious. It's a superstimulus, we're not really evolved to handle that stuff appropriately.

So when most people think of the McChicken Sandwich, large fry, large drink, they think about the grease and salt and sugar and how good it'll taste.

I still like that stuff. In fact, since I quit a lot of vices, sometimes I crave even harder for the few I have left. But I was able to cut my junk food consumption way down by changing my reference point. When I start to have a desire for that sort of food, I think about how my stomach and energy levels are going to feel 90 minutes after eating it. That answer is - not too good. So I go out to a local restaurant and order plain chicken, rice, and vegetables, and I feel good later.

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SIA won't doom you

8 Stuart_Armstrong 25 March 2010 05:43PM

Katja Grace has just presented an ingenious model, claiming that SIA combined with the great filter generates its own variant of the doomsday argument. Robin echoed this on Overcoming Bias. We met soon after Katja had come up with the model, and I signed up to it, saying that I could see no flaw in the argument.

Unfortunately, I erred. The argument does not work in the form presented.

First of all, there is the issue of time dependence. We are not just a human level civilization drifting through the void in blissful ignorance about our position in the universe. We know (approximately) the age of our galaxy, and the time elapsed since the big bang.

How is this relevant? It is relevant because all arguments about the great filter are time-dependent. Imagine we had just reached consciousness and human-level civilization, by some fluke, two thousand years after the creation of our galaxy, by an evolutionary process that took two thousand years. We see no aliens around us. In this situation, we have no reason to suspect any great filter; if we asked ourselves "are we likely to be the first civilization to reach this stage?" then the answer is probably yes. No evidence for a filter.

Imagine, instead, that we had reached consciousness a trillion years into the life of our galaxy, again via an evolutionary process that took two thousand years, and we see no aliens or traces of aliens. Then the evidence for a filter is overwhelming; something must have stopped all those previous likely civilizations from emerging into the galactic plane.

So neither of these civilizations can be included in our reference class (indeed, the second one can only exist if we ourselves are filtered!). So the correct reference class to use is not "the class of all potential civilizations in our galaxy that have reached our level of technological advancement and seen no aliens", but "the class of all potential civilizations in our galaxy that have reached our level of technological advancement at around the same time as us and seen no aliens". Indeed, SIA, once we update on the present, cannot tell us anything about the future.

But there's more.

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