[HN Gopher] Many young people diagnosed with Tourette's after wa...
       ___________________________________________________________________
        
       Many young people diagnosed with Tourette's after watching a
       YouTube channel
        
       Author : mellosouls
       Score  : 163 points
       Date   : 2021-09-04 13:15 UTC (9 hours ago)
        
 (HTM) web link (www.wired.co.uk)
 (TXT) w3m dump (www.wired.co.uk)
        
       | mFixman wrote:
       | Are tics really that big of a deal?
       | 
       | I had an abnormally large amount of visible tics when I was
       | growing up as a teenager. This got my parents worried despite
       | assurances from doctors, but they all went away when I grew up
       | along with my raspy voice and terrible propensity for acne.
       | 
       | This seems like a moral panic like fidget spinners back in 2017,
       | and it doesn't answer an important question: what's the problem
       | if teenagers are subconsciously copying tics from a YouTube star?
        
         | larsiusprime wrote:
         | I've had diagnosed tourette's for 23 years and yes, tics are a
         | big deal, then and now. Maybe your experience was different
         | from mine, but mine was hardly positive.
         | 
         | Teachers hate you.
         | 
         | Classmates hate you.
         | 
         | You get detained and questioned by airport security.
         | 
         | You get detained and questioned by police.
         | 
         | Weird pentecostal* ladies subject you to ad-hoc exorcism
         | rituals.
         | 
         | Weird liberal* ladies subject you to ad-hoc herbal cleansing
         | rituals.
         | 
         | Weird foreign* ladies pop random pills in your mouth thinking
         | you're having an epileptic attack
         | 
         | Everyone finds you annoying and thinks you're looking for
         | attention.
         | 
         | Even when people understand you and try to accommodate you, you
         | are slowly wearing away their patience and you KNOW it.
         | 
         | I would not wish that on my worst enemy.
         | 
         | -------
         | 
         | * no shade meant to non-weird pentocostal people or religious
         | people in general (I'm religious myself); just this one
         | particular one
         | 
         | * no shade meant to non-weird liberal people
         | 
         | * no shade meant to non-weird foreign people
         | 
         | * no shade meant to ladies in general, it's just a coincidence
         | it's always been ladies; mostly probably because they're just
         | trying to help and that's sweet in its own way
        
           | exolymph wrote:
           | Thank you for sharing this. Interesting and unexpected. I'm
           | sorry that you've had to deal with all these frustrating
           | experiences.
        
           | bserge wrote:
           | That actually sounds interesting. I've had breakdowns in
           | public, crying and yelling, I've stood on a bridge trying to
           | jump, I've been drunk off my ass stumbling, been talking to
           | myself and kinda barking at strangers, sleeping on benches
           | and _not once_ has anyone talked to or approached me. Which
           | is normal, who in their right mind would do that. Just kinda
           | paints a different picture of humanity in your head than
           | someone who 's been helped.
        
           | standardUser wrote:
           | I've had various tics since adolescence, but your explanation
           | helped me realize how minor they have been compared to some
           | people since I can't relate to most of your struggles. Though
           | it also reminds me how much of mental health is a gradient,
           | and not a on/off switch.
        
       | ewanmcteagle wrote:
       | Sounds related to
       | https://en.wikipedia.org/wiki/Mass_psychogenic_illness
        
       | fouc wrote:
       | Some parallels between people with this "condition" and anti-
       | vaxxers/anti-maskers
        
       | post_break wrote:
       | There is a subreddit called fake disorder cringe full of people
       | faking stuff. Makes my stomach turn seeing it all while they
       | fleece for donations.
        
       | nailer wrote:
       | There's a school in Brighton where 76 students - 1/20 of the
       | entire student population- declared themselves trans or gender
       | fluid.
       | 
       | https://www.thetimes.co.uk/article/trans-groups-under-fire-f...
        
         | input_sh wrote:
         | Well fortunately those aren't comparable to tourette's, since
         | they're not illnesses.
        
           | toiletaccount wrote:
           | At least tourette's is involuntary.
        
             | dang wrote:
             | We've banned this account for posting flamebait and
             | unsubstantive comments. Please don't create accounts to
             | break HN's rules with.
             | 
             | https://news.ycombinator.com/newsguidelines.html
        
             | input_sh wrote:
             | Yes, because feeling discomfort with your own gender is
             | totally voluntary. You've nailed it!
        
               | dang wrote:
               | " _Don 't feed egregious comments by replying; flag them
               | instead._"
               | 
               | a.k.a. please don't feed the trolls
               | 
               | https://news.ycombinator.com/newsguidelines.html
        
               | toiletaccount wrote:
               | gender?
        
               | input_sh wrote:
               | Yes, a social construct of how one wishes to express
               | themselves (from masculinity to femininity to anything in
               | between).
               | 
               | At-birth, it matches your sex. Once you grow a bit, they
               | may diverge in a small amount of cases.
        
               | toiletaccount wrote:
               | i guess i don't have a need for that hypothesis.
        
               | wizzwizz4 wrote:
               | > _At-birth, it matches your sex._
               | 
               | Are we even sufficiently social that young? I'd rather
               | assume it's ill-defined. (How would you even test that?)
        
           | MillenialMan wrote:
           | That's sort of an arbitrary distinction. Both are abnormal
           | presentations that cause significant problems in day-to-day
           | life and consequently have clinics set up to treat the issue.
           | Whether the issue is voluntary for a particular patient is
           | also similarly important in assessing an appropriate
           | treatment modality.
           | 
           | Putting the obvious political agenda aside, I _would_ argue
           | teenage girls faking tourettes is pretty much the same
           | phenomenon as teenage girls faking gender dysphoria. It 's
           | not helpful to pretend that faking tragic mental conditions
           | isn't a phenomenon among teenagers.
        
             | standardUser wrote:
             | "Both are abnormal presentations that cause significant
             | problems in day-to-day life"
             | 
             | The same was one-hundred percent true about homosexuality
             | for nearly all of human history in most societies. If the
             | "day-to-day problems" are because other people are
             | mindlessly hateful and intolerant, who exactly has the
             | mental health issue? In terms of homosexuality, we now
             | largely agree it is the bigots, not the queers, who have
             | the problem.
        
           | erklik wrote:
           | Gender Dysphoria is considered a Mental Disorders and is in
           | the DSM-5 from the American Psychiatric Association.
        
             | input_sh wrote:
             | Gender dysphoria =/= being trans.
             | 
             | Gender dysphoria is feeling uncomfortable in your gender-
             | at-birth. Therefore, transitioning or rejecting the concept
             | of the gender isn't the disease -- it's a cure for the
             | disease.
        
               | toiletaccount wrote:
               | Without dysphoria the trans crowd is no different than
               | otherkin or that Rachel Dozel woman.
        
               | meowface wrote:
               | I'm not taking a side in this debate, but: many do argue
               | that you don't need gender dysphoria to be trans/non-
               | binary/gender non-conforming, and many do argue that
               | Rachel Dolezal actually did suffer from dysphoria.
        
               | input_sh wrote:
               | Again, the dysphoria is caused by not feeling comfortable
               | with your gender. Trans people solve that by
               | transitioning. That's why you don't see trans people
               | regretting it or trying to undo it in any significant
               | amount. Once they've transitioned, they feel comfortable
               | with their gender, therefore problem solved.
               | 
               | Of course, that transition also usually leads to other
               | types of discomforts caused by other people not
               | respecting their decision, but hey, it's not trans
               | people's fault other people are dickheads.
        
               | pitaj wrote:
               | You don't have to transition to be trans.
        
               | input_sh wrote:
               | Oh I don't mean transition as in sex-reassignment-
               | surgery-exclusively. Sometimes it's as simple as changing
               | clothes and growing/cutting/painting your nails and hair.
        
             | standardUser wrote:
             | So was homosexuality for the first 20 years of the DSM.
        
         | tasty_freeze wrote:
         | It is convenient to categorize things into as few buckets as
         | possible, but most things in nature (and human behavior) is on
         | a continuous distribution. Yes, some are bimodal distributions,
         | but that 5% fall in between humps is unsurprising to me.
        
         | aaaaaaaaaaab wrote:
         | So what? As long as they don't start taking hormones or cut off
         | their genitals, I'd say let them be! They'll grow out of it,
         | like we grew out of being emo.
        
         | standardUser wrote:
         | I hope and believe we will see an ever-growing number of people
         | rejecting traditional gender roles because we are developing
         | new ways to think about gender that give people a way "out".
         | That doesn't mean they are mentally ill in any meaningful
         | sense.
        
         | nynx wrote:
         | I've been noticing a lot of anti-trans rhetoric on HN recently.
         | I wonder if there's an astroturfing campaign.
        
           | seattle_spring wrote:
           | There are a surprisingly high number of hateful people on HN.
           | The community is still worth it, but man it's tiring to wade
           | through the ignorance sometimes.
        
             | [deleted]
        
           | snaut wrote:
           | That's not more anti-trans than OP is anti-Tourette's.
        
           | fortran77 wrote:
           | What about the parent's comment was "anti-trans rhetoric?" Is
           | the New Yorker article "anti-Tourette's rhetoric?"
        
             | uuddlrlr wrote:
             | The article is matter-of-fact and not anti-trans, at least
             | from the free preview.
             | 
             | People here are intolerant of comparing the situations of
             | the two articles.
        
           | nailer wrote:
           | It could just be that HN had an article on people finding a
           | trendy malady and I posted a factual comment about other
           | people finding a trendy malady.
           | 
           | There doesn't need to be a conspiracy, nor is mentioning this
           | occurrence "anti trans".
        
           | input_sh wrote:
           | Yup, same, but I don't really remember HN ever being pro-
           | trans. It's just talked about more.
        
           | edgyquant wrote:
           | Definitely something. There's 3-4 comments in this thread
           | relating this to being trans.
        
             | nailer wrote:
             | Why would posting evidence of a massive increase in people
             | declaring themselves trans be evidence of a conspiracy
             | versus, say - an example of an on-topic relevant comment?
        
               | edgyquant wrote:
               | On its own perhaps it wouldn't be. It would be a stretch
               | and not an exact equivalency. But I could, perhaps, see
               | someone using it as an example. But considering how
               | political it is, and how many other examples you could
               | find to use I can't help but think: Maybe the half a
               | dozen comments throughout the thread, trying to make the
               | two situations seem the same, aren't exactly in good
               | faith.
        
               | JasonFruit wrote:
               | It was an obvious-enough thought to me that I searched
               | the page to see if anyone had made the comparison. I was
               | not, of course, paid or otherwise influenced to do so.
        
           | uuddlrlr wrote:
           | I find it deeply concerning that even considering a parallel
           | betweem the situations is deemed "anti-trans".
           | 
           | This hits close to home because there's a reasonable
           | likelihood I would have attempted a transition if the social
           | climate were like this when I was a teen. How I am now as an
           | adult I am happy with my sex, and I'm not sure how that would
           | have went.
           | 
           | Obviously there's no way to know, but I'm primarily concerned
           | with how easy and how common it is to shut down discussion
           | surrounding the issue. Especially with how volatile teens
           | are, and how high the suicide rates are for these
           | demographics, I feel like these issues deserve to be
           | explored. Should all this really be hidden behind "show
           | dead"?
           | 
           | I happen to have a very stigmatized mental health issue with
           | an absurd suicide rate (5-10%?), and I'm happy to come across
           | people discussing it, even if a few of them regard everyone
           | afflicted with it as incorrigible.
           | 
           | Back to the topic, I also went through a phase of convincing
           | myself I had DID/schizophrenia, and did expend my mom's and a
           | doctor's time with it, then just clammed up.
           | 
           | In my case one experience was a lot more "real" than the
           | other; I strongly felt closer to another gender, it was never
           | about attention or identity, it was just a mild internal
           | struggle. On the other hand I might have latched onto being
           | severely neuroatypical purely for it seeming "cool", wanting
           | it to be part of my identity, as well as garnering attention
           | from my parent.
           | 
           | Now that I'm older, I'm blessed to be happy with my body and
           | my sex/gender, despite the stronger feelings I had when I was
           | younger. That came with time and perhaps from landing in a
           | loving relationship. Of course not everyone will be this
           | fortunate, but I do worry about people like me who might be
           | directly or indirectly encouraged to make drastic changes
           | they might not be ready to make.
           | 
           | I also of course recognize that severe mental disorders can
           | be very impairing, and aren't something to wear as fashion.
           | (However I would be lying if I said I didn't think
           | schizophrenia is a beautiful form of suffering.)
           | 
           | In conclusion,
           | 
           | I guess I think transgenderism is rarely cut and dry--despite
           | people often seemingly treating it that way--and I can't
           | speak from experience but I assume fashion sometimes plays a
           | role.
           | 
           | I find it a bit absurd to label that notion as anti-trans, so
           | long as it isn't accusing an individual or writing-off the
           | entire phenomenon.
           | 
           | Even when fashion does play a role, does it invalidate
           | anything? I reckon it would just muddy the already-muddy
           | water that is identity. It's up to individuals to sort
           | through it if they choose to.
           | 
           | Forgive the novel.
        
           | refurb wrote:
           | How is that statement anti-trans? It literally provides a
           | statistic.
           | 
           | What are you reading into it?
        
             | aaron-santos wrote:
             | Context.
        
               | zepto wrote:
               | That isn't clarifying.
        
               | uuddlrlr wrote:
               | "If you think fashion could ever play a role in
               | transgenderism then you are against transgender people."
               | 
               | It's just people continuing to become intolerant of even
               | the slightest hint of intolerance.
        
               | aaron-santos wrote:
               | What do you think the context is?
        
           | MillenialMan wrote:
           | It would probably be upvoted if it was astroturfing. Hacker
           | News doesn't have a huge commentariat, I think it's just a
           | few people with an axe to grind.
        
       | antattack wrote:
       | We all make gestures, look left, right up or down, squint, have a
       | narrator in one's head, sometimes clap, smack forhead when trying
       | to get a thought formed, access memory, formulate a sentence, or
       | express feelings.
       | 
       | Perhaps what we diagnose as Tourette on the low end is like above
       | but overwhelming and more involuntary?
       | 
       | Perhaps people who acquire it via mimicry are in the category
       | where movements are not entirely involuntary, but perhaps feel
       | good and help them think or function maybe to relief stress or
       | anxiety on subconscious level.
        
       | h2odragon wrote:
       | In the 70's, many young people behaved in incredibly odd and
       | harmful ways after seeing similar behaviors on TV. it was called
       | "Disco".
       | 
       | Fortunately, after a few years, the symptoms faded and the
       | victims took up more socially useful behaviors, like snorting
       | cocaine and creating stock market scams.
        
       | swayvil wrote:
       | David Langford explores this idea a bit in his scifi short story
       | BLIT
       | 
       | https://en.m.wikipedia.org/wiki/BLIT_(short_story)
        
       | dukeofdoom wrote:
       | Sounds familiar. In the UK, young people referred for "gender
       | treatment" has increased from 97 in 2009 to 2,510 in 2017-2018,
       | an over 4,000 percent increase in 10 years.
        
         | wallmountedtv wrote:
         | This has more to do with the growing acceptance of being
         | transgender rather with there suddenly being more transgender
         | individuals. Its a very common pattern to see in healthcare as
         | acceptance grows around a health related issue.
         | 
         | An example would be autism. It had the same kind of "sudden
         | growth" back in the 1980s when diagnosis became more accepted
         | and practiced. But there didnt suddenly exist more autistic
         | people than before. Just more people who got it diagnosed and
         | help from their doctors.
        
           | dukeofdoom wrote:
           | "That which is rewarded will be repeated".
           | 
           | Imagine if the catholic church approved stigmata as a way of
           | showing one's devotion. I suspect the number of people
           | suddenly getting scars on their hands would sky rocket. Doubt
           | any of them would actually be channeling Jesus.
        
             | kongin wrote:
             | I have a theory of signalling for mental health.
             | 
             | There are very few conditions that are real and they have
             | easily detectable and unambiguous physical signs, e.g.
             | epilepsy.
             | 
             | The rest of them are ways for people to show distress,
             | either positive or negative. The positive side would be
             | stigmata 'look at me and how holy I am' the negative would
             | be witches 'look at me and how unholy I am.
             | 
             | Transgenderism moved from the negative distress to the
             | positive distress pile in less than 5 years last decade and
             | people are having a hell of a time dealing with it.
             | 
             | The 'acceptance' of deviancy isn't helping, it's just
             | pushing people to become more extreme in what they do to
             | show their dislike of current society.
        
         | input_sh wrote:
         | Wow, I was not aware! That's awesome! I hope my country will
         | catch up with you one day.
        
           | dukeofdoom wrote:
           | Offer a monetary reward? A bounty for a penis head, would go
           | a long way.
           | 
           | * Fixed spelling
        
             | [deleted]
        
             | input_sh wrote:
             | Sex reassignment surgery isn't a requirement for being
             | trans. That's not what skyrocketed in the UK either, what
             | skyrocketed are hormone treatments and puberty blockers,
             | both of which will not make your penis disappear one day.
             | 
             | Also most of them are female-to-male, not the other way
             | around.
        
               | watwut wrote:
               | > Also most of them are female-to-male, not the other way
               | around.
               | 
               | Do you have a source on that? It is interesting because
               | it use to be that transsexuals were said to be more
               | likely the other way round.
               | 
               | But it was unclear whether it was due to diagnosis
               | practices or really difference in rates of condition.
        
               | input_sh wrote:
               | I just looked up those numbers and saw this:
               | 
               | > Most strikingly, among girls, the figure is up from 40
               | to 1,806, meaning girls are currently far more likely to
               | seek to become boys than vice versa.
               | 
               | https://www.express.co.uk/news/uk/1018407/gender-
               | transition-...
               | 
               | Granted, it's not a source I would normally trust, but
               | every non-paywalled link I've opened pointed back to it.
        
       | rito_ wrote:
       | Hey @dang , why am I shadow banned, and how do I get it lifted?
        
       | themgt wrote:
       | A similar one I just became aware of is Dissociative Identity
       | Disorder, or multiple personality disorder. There seems to be a
       | huge surge of people doing TikToks etc showing themselves going
       | through identity changes (often "rapid switching"), some with
       | hundreds of thousands or millions of views and seemingly a lot of
       | supporters. There's a whole huge sort of jargon/ontology to this
       | intersecting with other ideas and people identify as a "system"
       | e.g:
       | 
       |  _Systems, Collectives, and /or Plurals are those who experience
       | being more than one entity in one physical body [1]. Systems are
       | under the neurodivergent umbrella, and are not inherently LGBT+,
       | but being plural can impact sexuality, romantic orientation,
       | attraction, identities, and/or gender (such as with systemfluid).
       | Systems can also commonly intersect with LGBT+ experiences[2].
       | The experiences may overlap to the point of ones queer identities
       | being a large part of headmates, such as within queergenic
       | systems._
       | 
       | I am not quite sure what to make of all this, but we live in
       | interesting times.
       | 
       | https://www.youtube.com/results?search_query=rapid+switching
       | 
       | https://lgbta.wikia.org/wiki/System
       | 
       | https://www.inputmag.com/culture/dissociative-identity-disor...
       | 
       | https://podcasts.apple.com/us/podcast/the-did-influencers-of...
        
         | rdimartino wrote:
         | Yes, I stumbled upon some of these same community discussions
         | happening on Twitter and Tumblr. It was really interesting to
         | read about the in-fighting about traumagenic vs endogenic DID.
         | This discussion of real or imitated Tourette's reminds me of
         | that.
         | 
         | https://pluralpedia.org/w/Traumagenic
         | 
         | https://pluralpedia.org/w/Endogenic
        
           | xerox13ster wrote:
           | As someone with DID who is a part of that community (founded
           | two subreddits and moderated /r/DID for a time), I look at at
           | the traumagenic vs endogenic debate as a sad case of ironic
           | community amnesia.
           | 
           | One of the core features of the disorder is the dissociative
           | amnesia that protects us from having to deal with the
           | consequences of the trauma we faced at all times. Systems
           | that have lower dissociative barriers who deal with more
           | trauma symptoms can be understandably upset when they see
           | people seemingly functioning fine, claiming the same disorder
           | with few of the same symptoms. I personally believe that
           | endogenics are systems that have successfully repressed their
           | trauma to the point that they really believe they didn't face
           | trauma, or their trauma was more of an emotional or
           | neglectful nature and their parents matured as they developed
           | so it was safe to totally forget. Many endos will get mad in
           | defense if you try to tell them they have trauma (as a mod
           | the fighting can get unexpectedly emotional), because they
           | have to believe they don't have trauma to survive.
           | 
           | For everyone else in the thread talking about it like it's a
           | curiosity or a psych fad please don't, yeah teens are picking
           | it up and faking it, but some are actually coming to terms
           | with it early--those are rare but they happen--most will lose
           | interest in it after some months or years. People who fake
           | this also aren't psychologically normal. People who claim to
           | have created head mates are engaging in tuplamancy, which is
           | NOT Dissociative Identity Disorder, and does not function in
           | the same way in the slightest.
        
         | xerox13ster wrote:
         | I moderated the DID subreddit for about two years and there was
         | incredible controversy over this constantly in the community
         | and in the mod team. The mod team wanted to have absolutely no
         | discussion of it, while most of the community wanted to either
         | complain or fight with DID youtuber followers. I don't miss
         | moderating that community.
         | 
         | The general consensus in the wider text and image based DID
         | community is that most of them are faking, but we don't have a
         | way of knowing for sure or how many because of just how
         | inconsistent the presentation of the disorder can be in real
         | life. You'd never know I had DID if you met me in person, but I
         | have a good friend who is disabled because she can't function
         | on her own.
         | 
         | The important thing to remember about DID is that it's caused
         | by childhood trauma, abuse, and long term patterns of neglect
         | as simple as "crying it out" or as significant as parentifying.
         | It's not interesting times we live it it has been this way this
         | is often generational, psychology is just finally catching up
         | in this regard.
         | 
         | I was raised (and abused) by my aunt who was only continuing
         | the cycle of her and my mom's abuse that she faced, continued
         | by her father who was abused because of traumas his parents
         | faced on the Trail of Tears. They both described feeling like
         | they had more than one person in them, that their age was not
         | aligned with their body, and the stories of abuse they both
         | told me align. My dad was abused by the Boston Archdiocese, his
         | psychiatric records claimed he referred to himself in turns by
         | John, Jack, and other names, claiming they would act on his
         | behalf. They called it schizophrenia then because of a backlash
         | against diagnosing DID after Sybil and other films reached
         | mainstream.
        
           | phkahler wrote:
           | My understanding of DID and its origins matches your. While
           | dont have it, I did find IFS therapy useful in fixing myself
           | and recognizing similar in other people. It makes sense (to
           | me) that DID is an extreme on a continuum of splitting of the
           | self.
           | 
           | IMHO most people flaunting their DID online, bragging about
           | their others, claiming to be systems, are just attention
           | seekers that are an insult to those with a real problem. The
           | second "D" stands for disorder after all. It's like the
           | teenagers running around claiming all sorts of odd variations
           | on their sexuality - while being virgins. It's cool to be
           | different, but not to falsely claim someone else's
           | difference.
        
         | pfarrell wrote:
         | I'm wondering if this is a modern extension of the old
         | "psych-101 syndrome". Where undergrads, upon learning of the
         | existence of various mental health diagnoses, suddenly realize
         | they too are OCD or have depression, etc...
        
         | twic wrote:
         | You may be interested in tulpamancy:
         | 
         | https://www.vice.com/en/article/exmqzz/tulpamancy-internet-s...
        
         | evv555 wrote:
         | >A similar one I just became aware of is Dissociative Identity
         | Disorder, or multiple personality disorder.
         | 
         | Is it really crossing over into a MPD however? Voice dialogue
         | is a therapeutic modality where you take a 2nd person
         | perspective on your psyche components in addition to 1st/3rd
         | person. There's something to it but it's not MPD. The most
         | popular example is the "inner child" complex which people often
         | reconnect with when they empathize with their own child.
        
           | themodelplumber wrote:
           | I'm glad you pointed that out. There are many related
           | therapeutic functions.
           | 
           | While journaling I have a random personality picker which
           | draws from a list of subjectively helpful archetypes. From
           | favorite actors to inner child and future self, and more.
           | Then I interview them or converse with them intuitively, with
           | the aim of exploring the situation or problem from a new
           | perspective.
           | 
           | Related is a theory that by taking the perspective of a given
           | personality, we essentially become that personality (not
           | person, but personality) for however short a time period,
           | giving ourselves access to their tools for problem-solving...
        
             | evv555 wrote:
             | Beyond therapeutic I would argue that this capacity is at
             | the heart of great literature and its psychoactive
             | potential.
        
           | sildur wrote:
           | I sometimes discuss things with myself, taking two sides and
           | having a conversation in my head. I see it as something like
           | when you discuss something with someone in a dream. Is that
           | voice dialogue?
        
             | evv555 wrote:
             | Yes voice dialogue is a structured engagement/analysis of
             | this capacity. Give structured labels/names to these 2nd
             | persons and your mind will naturally frame the world as a
             | system of 2nd persons on top of the usual 1st/3rd person
             | perspectives of self.
             | 
             | If you find this interesting I highly suggest looking at
             | the "Big Mind" process that's been incorporated into
             | western Zen Buddhism.
        
         | marcan_42 wrote:
         | It's a spectrum, like everything else, and the idea has existed
         | for ages, it's just that people are now coming up with
         | terminology for it. And yes, just like this (faux-)Tourette's
         | story, it is possible to push oneself around in the spectrum; I
         | know a few people who have deliberately and consciously done
         | that (that can of course change how you classify things, if
         | root cause is part of the definition).
         | 
         | Think of it as ranging from acting differently in front of
         | family and in front of your boss, to being an actor in
         | character, to having that character evolve on its own, to full
         | blown DID with amnesia.
         | 
         | The fields of psychology, neuroscience, etc are sadly still in
         | their infancy; we really have very little idea how the brain
         | truly works. Doctors tend to like to put people in boxes, but
         | the brain isn't digital, it's analog, and there isn't a boolean
         | flag somewhere in your head that determines if you have a
         | condition or not. People are different. The medical community
         | usually concerns itself with cases where the condition impacts
         | people's quality of life, i.e. only the more extreme ones, but
         | that doesn't mean anything below that doesn't exist and hasn't
         | since the dawn of humanity.
        
         | 0xdeadb00f wrote:
         | Fascinating.
        
         | ceejayoz wrote:
         | This used to be thing back in the LiveJournal days; I remember
         | people claiming to have a baby personality and typing in mock
         | baby talk, as well as a bunch of "otherkin"
         | (https://en.wikipedia.org/wiki/Otherkin).
        
         | pessimizer wrote:
         | It's not just an internet thing; since Sybil, multiple
         | personalities became an identity to aspire to. What the
         | internet adds to it is that all of these individuals network
         | together and start setting up a common lexicon, demands that
         | the condition be treated as what they say it is, and a bunch of
         | rules dividing "authentic" MPD from fakers. At some point an
         | industry arises to prey on them.
         | 
         | It's like fandom, basically, except with medical treatment and
         | the sense of being an oppressed, abused minority.
        
         | tbalsam wrote:
         | We have DID, and I think some YouTube systems may be real, but
         | it's like the social popularity syndrome where you have to
         | completely cast away every part of yourself that doesn't live
         | up to the previously manufactured spec.
         | 
         | Most systems that we know who have DID are generally A.
         | Wonderful people with B. very hard emotional struggles and C.
         | tend to have very painful private lives. It's generally an
         | incredibly painful disorder, in my experience and in seeing
         | those near me. I think the very concept of having different
         | selves in a body... This creates all sorts of deeply painful,
         | existential crises, as well as I think lifestyle dysphoria.
         | 
         | So I think there's a lot of popcorn-y debate about DID
         | YouTubers, but I think that might be like using Logan/Jake
         | Paul's channel as an argument for/against certain parts of
         | California culture. I think there's parts that do line up, most
         | are grossly exaggerated or left out due to popularity reasons,
         | and I think there's one final piece to it. I think for me, the
         | maturation process on this issue seems to start with confusion,
         | followed by some level of agreement/disagreement/potentially
         | strong emotions, and that may go on for a while.
         | 
         | I think I'm starting to come to the point where I can see these
         | systems as real systems, and whether they're more plural or
         | more singular, just being able to have compassion. If a 2-5
         | year old is going through the emotional/developmental phases
         | they do, oftentimes it's not wise to mock or deride them for
         | it. Their growth phase has little do do with my wellbeing as an
         | individual, but I can be compassionate and caring regardless.
         | 
         | That, or I could move to popcorn debating the intentions of
         | people popcorn debating the intentions of DID YouTubers. At
         | that point, I'd probably set myself up for popcorn debate too.
         | 
         | I don't know, hopefully that's not too discombobulated. I can
         | say that systems that can live well with DID have to have
         | extraordinary leadership and diplomatic skills internally. It's
         | like having a random greyhound bus of people picked randomly
         | all over the world and having them function as a good,
         | moving... I don't know, for the sake of example, performative
         | group. One can sit and be upset about D'Je'be, who seems to be
         | intent on harassing the female members of the crew, or Sarai,
         | who seems to have a personal need for everyone in the crew to
         | dote on her, and so on. All of those things can happen inside
         | of a DID system, and they generally do.
         | 
         | So seeing DID YouTubers, if they are a system, this is part of
         | their journey. It may not even be a bad thing! It's just a
         | thing. But my deepest respect to the systems who can find a way
         | for the D'Je'be's and Sarai's of the world to both
         | authentically be themselves and feel cared for + have their
         | needs emotionally met, while that's being done in a way that
         | doesn't hurt the needs and emotional desires (+needs too, I
         | suppose!) of others in the system.
         | 
         | It's certainly NP hard, and in the class of NP hard that's an
         | NP-hard for NP-hard problems, I'd contend.
         | 
         | Alrighty, enough of me long-form expressing myself here! Happy
         | to answer any questions below. <3
        
         | oxymoran wrote:
         | The problem with TikTok is that it promotes the silly and the
         | stupid. At scale, that makes society silly and stupid.
        
           | Karunamon wrote:
           | People have been saying the same thing about TV since its
           | inception, and that has a larger scale than the internet. So
           | far, Idiocracy remains a cynical comedy and not a
           | documentary.
        
             | Hoasi wrote:
             | > So far, Idiocracy remains a cynical comedy and not a
             | documentary.
             | 
             | The jury is still out on that, even for the optimistic
             | amongst us. Current events/culture/elections/social
             | commentary beg to disagree...
        
             | sva_ wrote:
             | I think there's also an effect that when some trend is new,
             | it seems overwhelming, but people tend to get used to it
             | and cultivate a natural defense to whatever new bullshit
             | came around, and push against it. So there's some kind of
             | societal immune response to it. Like waves of the ocean
             | that came suddenly but slowly recede. At least that's my
             | hope with some of the stuff going on nowadays - but part of
             | it will probably always be around.
        
             | StanislavPetrov wrote:
             | >So far, Idiocracy remains a cynical comedy and not a
             | documentary.
             | 
             | Many of us hold the opposite opinion.
        
           | whymauri wrote:
           | The algorithm promotes what you want to see. If you're not
           | interested in silly or stupid things, you can nudge the
           | algorithm towards content you find engaging. It's kinda "one-
           | size-fits-all", but yeah, the average user is looking for
           | entertainment you'd probably classify as 'silly'.
        
             | underwater wrote:
             | Can you really train it to be healthier? It uses implicit
             | signals to figure out what you like watching.
             | 
             | That's like having a machine that detects which foods you
             | find tastiest, and starts serving you only those things.
        
           | bsksi wrote:
           | That's a problem with social networks at large. At least
           | before the stupid or degenerate were ashamed of themselves.
           | Now everybody can find a circus of freaks to belong to, which
           | makes them believe their behaviour to be appropriate.
        
             | krustyburger wrote:
             | I'm not sure Linkedin has quite the same effect on people
             | that Tiktok seems to. Certain social networks have a
             | culture of amplifying drivel.
        
               | junon wrote:
               | Have you seen LinkedIn recently? It's all of the Facebook
               | garbage just moved to a new home. Most of the content on
               | there has little to nothing to do with the professional
               | world.
        
             | derefr wrote:
             | No, just unmoderated social networks. One of the longest-
             | running types of "social network" (going for centuries
             | now!) is the academic journal--but those have the explicit
             | goal of sanity cross-checking anything submitted to them
             | before allowing it in, so they result in something else
             | being promoted.
             | 
             | (I don't want to say it's "good, rational discourse" that
             | journals promote, because that doesn't seem to be exactly
             | what comes out of journals; they do have their own
             | incentive structures that bias "the conversation" in
             | specific directions, even besides the ones that are
             | extrinsically imposed upon them by academic hierarchy.)
        
               | numpad0 wrote:
               | TikTok is heavily moderated, just algorithmically and not
               | in a generally favorable direction.
        
               | runawaybottle wrote:
               | I think it's a matter of time before the copy-cat stuff
               | is going to get us one of those weird Japanese suicide
               | pacts. They are already starting with the new crate
               | challenge (which is dangerous as fuck).
               | 
               | https://youtu.be/4bFK6EBz8VY
               | 
               | I saw kids doing this on concrete recently. On concrete.
               | 
               | Tiktok is literally an at-scale sorority/fraternity,
               | which means people are taking part in an at-scale hazing
               | ritual - to fit in. The problem with this is the same
               | problem that arises if you are 20 and watch Sesame Street
               | every day still. There's a time and place for this
               | behavior and we are not setting any cut offs for when
               | it's time to stop the nonsense.
        
               | XorNot wrote:
               | People already died from planking. And tide pods. People
               | have been ongoingly dying from drinking bleach. People
               | dying due to social trends isn't new though: perhaps more
               | notable is that it's easier to know it's happening in an
               | age of instant global communication, and since we all
               | have quick and easy access to all the knowledge needed to
               | avoid these entirely preventable outcomes.
               | 
               | The milk crate challenge on concrete is hardly different
               | to any other dangerous behavior engaged in by
               | (principally) young men: i.e. what's the difference
               | really between this and say, street racing? Which has
               | been a thing pretty much since car's became affordable to
               | 20 year olds.
        
               | runawaybottle wrote:
               | There is a voyeurism here. At risk of entering extreme
               | levels of armchair psychology, it's the bystander effect
               | at scale.
               | 
               | You are free to Google milk-crate challenge death and see
               | for yourself (how guilty am I for the thing that I
               | condemn). They fall on their necks.
               | 
               | I certainly don't have the answer, but this can't be
               | normalized, and sadly I think we are just at the
               | beginning.
               | 
               | Kids abusing the medical system, disrespecting a disease,
               | walking on shaky crates six feet off the ground. It's
               | hard for me to say it's kids being kids, or the weak in
               | natural selection being handled. Something is up.
        
               | kevinmchugh wrote:
               | You can also Google "jackass copy cat deaths" for an
               | earlier example of kids getting themselves killed doing
               | obviously dangerous activities
        
         | learc83 wrote:
         | I ran into a person in a technical forum recently who kept
         | referring to the themselves as we and us.
         | 
         | I was very confused for a while until someone asked them about
         | it. Turns out they had purposely created a "head mate" and now
         | insisted on being treated as multiple people.
        
           | dmingod666 wrote:
           | Or probably an insecure entrepreneur that doesn't want to
           | look like a one person company.. :D
        
         | [deleted]
        
       | WarOnPrivacy wrote:
       | HN folks here are proposing that countless young kids could
       | universally mimic a specific symptom set so precisely, that it
       | concerns actual experts.
       | 
       | I've been to endless elementary school plays; I've seen that kids
       | really don't have the refined performance skill to pull this off.
       | One might but not scores.
        
         | batch12 wrote:
         | The article suggests that the cause is psychological. It isn't
         | suggesting that this is a performance, but something
         | involuntary and not Tourette's.
        
           | WarOnPrivacy wrote:
           | I was referring to HN'rs reaction to the article, not the
           | article itself.
        
         | larsiusprime wrote:
         | From the paper:
         | 
         | > Although some patients indeed suffered in addition from mild
         | Tourette syndrome, for all newly emerged symptoms, it could be
         | clearly ruled out that they were tics for several reasons: (i)
         | onset was abrupt instead of slow, (ii) symptoms constantly
         | deteriorated instead of typical waxing and waning of tics,
         | (iii) "simple" movements (e.g. eye blinking) and noises (e.g.
         | clearing one's throat) were clearly in the background or
         | completely absent, although being the most common and typical
         | symptoms in Tourette syndrome, (iv) movements were mainly
         | complex and stereotyped and predominantly located at arms and
         | body, instead of at eyes and face, (v) overall, the number of
         | different movements, noises, and words was "countless" and far
         | beyond the typical number of tics in Tourette syndrome, and
         | (vi) premonitory feelings were reported with atypical location,
         | quality, and duration compared to tics in Tourette syndrome.
         | Thus, worsening of pre-existing Tourette syndrome, for example
         | due to COVID-19 pandemic as suggested elsewhere 4,5, can be
         | clearly ruled out in our patients.
         | 
         | I've been diagnosed with Tourette's for 23 years and the above
         | is not what I would describe as "universally mimicking a
         | specific symptom set precisely"
         | 
         | That doesn't mean this kids aren't dealing with something real,
         | but it means it's unlikely to be Tourette's. The lack of low-
         | level background tics (blinks, throat clearing, facial
         | grimaces) is a huge tell.
         | 
         | The worst case scenario here is they get misdiagnosed with
         | Tourette's and start treatment that a) won't help them and b)
         | will give them terrible side effects. I've been through the
         | roulette wheel of powerful brain meds, you do not want to go
         | down that road if you don't have to.
        
         | viraptor wrote:
         | > One might but not scores.
         | 
         | Keep in mind the scale of TikTok. What is the sample size where
         | one might? One out of a school? There's still millions of them
         | available.
         | 
         | I'm not saying this is true or not, but being worldwide
         | accessible changes perspective a bit.
        
         | strogonoff wrote:
         | Humans are constantly unconsciously mimicking patterns of
         | behavior off each other. This happens even with adults, but
         | more so at early ages (presumably because there are fewer
         | established patterns).
         | 
         | It doesn't apply to long explicit patterns like a school play,
         | but happens with pieces of behavior that are much shorter in a
         | context-specific way: unless you observe a suitable situation,
         | you wouldn't know A unconsciously mimics B in behavior X.
         | Additionally, the role of B in A's life can make behavior
         | mimicry strongly intrinsically motivated, which is a rare
         | chance with a school play.
        
           | WarOnPrivacy wrote:
           | The notion that little kids can mimic this symptom set with
           | coordinated precision and not look like a bunch of little
           | kids poorly trying to do the same - this seems unrealistic.
        
             | strogonoff wrote:
             | Try paying attention to how a teenage person unconsciously
             | mimics small components of the behavior of a parent or a
             | person they (again, possibly unconsciously) consider of
             | importance. Things like a bad habit, such as smoking
             | (including the finer mechanical details of the process);
             | accent/[mis]pronunciations; usage of idiomatic words or
             | phrases; motions when driving a car; etc. tend to
             | look/sound _extremely_ natural.
        
         | [deleted]
        
       | bmc7505 wrote:
       | "You're a hacker, that means you have deep structures to worry
       | about, too."            "Deep structures?"
       | "Neurolinguistic pathways in your brain. Remember the first time
       | you learned binary code?"            "Sure."            "You were
       | forming pathways in your brain. Deep structures. Your nerves grow
       | new connections as you use them - the axons split and pushed
       | their way between the dividing glial cells - your bioware self-
       | modifies - the software becomes a part of the hardware. So now
       | you're vulnerable - all hackers are vulnerable - to a nam-shub.
       | We have to look out for each other."            "What's a nam-
       | shub? Why am I vulnerable to it?"            "Just don't stare
       | into any bitmaps..."
       | 
       | -- Neal Stephenson, Snow Crash. (1992)                 "The
       | paraphrase of Godel's Theorem says that for any record player,
       | there are records which it cannot play because they will cause
       | its indirect self-destruction."
       | 
       | -- Douglas R. Hofstadter, Godel, Escher, Bach: An Eternal Golden
       | Braid. (1979)
        
         | myWindoonn wrote:
         | Sure, and see also
         | https://en.wikipedia.org/wiki/BLIT_(short_story)
         | 
         | But, uh, any evidence that that's real? We should be careful
         | with Godel's results here; the Godelian incompleteness of the
         | human mind is that a human cannot consistently believe that
         | everything they believe is true. It has nothing to do with
         | sanity and perception:
         | https://en.wikipedia.org/wiki/Doxastic_logic
        
           | twic wrote:
           | The mere idea of basilisks was enough to make the rationalist
           | community self-destruct.
        
             | aaaaaaaaaaab wrote:
             | How rational of them!
        
           | bmc7505 wrote:
           | I think if you take these parables literally, there probably
           | isn't a single input that will reliably cause the mind to
           | self-destruct, but they are a cautionary warning. The
           | internet gives plenty of evidence to support the theory that
           | memetic hazards (1) exist, (2) are more transmissible than
           | widely believed and (3) repeated exposure will cause
           | cognitive malfunction.
        
       | dang wrote:
       | http://web.archive.org/web/20210904142459/https://www.wired....
        
       | [deleted]
        
       | [deleted]
        
       | ezekiel68 wrote:
       | The phenomenon I find most baffling is the insistence that we not
       | be concerned, in any way, about that percentage of apparent cases
       | where the person is faking a condition / system / syndrome. As if
       | this causes no harm whatsoever to the person (themself),
       | families, and society. Isn't this its own condition which merits
       | study and (separate) classification / treatment?
        
         | swayvil wrote:
         | To induce mental disease via the internet. That might be a
         | thing now. It may already be happening to millions of people.
         | 
         | That's a really big deal.
         | 
         | A way bigger deal than a bunch of kids trying to get attention
         | by faking whatever.
        
           | SavantIdiot wrote:
           | That is also the premise of these three great films, inducing
           | disease/mind-control via digital communication:
           | 
           | 1. Videodrome
           | 
           | 2. They Live
           | 
           | 3. Pontypool (which heavily references SnowCrash, the book)
           | 
           | It would not surprise me if this becomes a concern this
           | century (e.g., digital manipulation of the brain remotely).
        
             | swayvil wrote:
             | I totally agree. And I have watched all 3 of those.
             | 
             | Pontypool. Woo! What a crazy idea.
             | 
             | Bookwise, I recommend QNTM's "There is no Antimemetics
             | Division" and Langford's BLIT.
        
         | joe_the_user wrote:
         | _The phenomenon I find most baffling is the insistence that we
         | not be concerned, in any way, about that percentage of apparent
         | cases where the person is faking a condition / system /
         | syndrome._
         | 
         | I don't know who you're talking to or what exactly you're
         | referring to. If you read the article, phenomena is neither
         | "faking it" nor is it "really Tourettes syndrome". IE, mass
         | sociogenic illness is not "fake" but a result of humans being
         | social organisms.
         | 
         | Edit: And no one in the discussion I can see is expressing
         | unconcern.
        
         | jollybean wrote:
         | I don't think 'faking' is the right word here, as in kids
         | conscientiously trying to mislead others by practising tics,
         | calculating the performance etc..
         | 
         | But from the study it seems that it's not Tourettes either.
         | 
         | The Placebo Effect is very real as well, and people weren't
         | faking being sick in the first place, it's just that we're not
         | as 'consciously in charge' as we might think.
         | 
         | My armchair hunch that this is real phenom, and that we are
         | much, much more impressionable than we imagine, and that so
         | many of our attitudes, behaviours and ideas are grafted onto us
         | as opposed to being choices we make.
         | 
         | As noted when doctor's diagnosed kids as 'not having
         | Tourettes', for many, the symptoms just disappeared - as though
         | a more rational authoritative voice overcame some 'inner
         | constructed belief'.
         | 
         | I think this reaches into more than just behaviours, but all
         | those complicated issues of 'identity' as well.
         | 
         | It's an amazing thing it would be very fun to study.
        
         | UWillOwnNothing wrote:
         | Once mental diseases became a virtue, faking them quickly
         | become a vice.
         | 
         | Vast swathes of the West are stuck playing status games under
         | the guise of social justice.
        
           | standardUser wrote:
           | Which begs the question, what should one do if they genuinely
           | desire social justice and don't want to play games? It
           | sometimes sounds as if the nay-sayers think this is an
           | impossibility.
        
             | BTCOG wrote:
             | Actually physically go and affect change, rather than
             | talking emptily on the internet?
             | 
             | Seems a silly question to even ask such a thing.
        
               | standardUser wrote:
               | That prognosis strikes me as odd since so much social
               | change occurs form organizing, communicating, writing and
               | debating. All activities that benefit tremendously -
               | incomparably! - from the internet.
        
         | monkeydreams wrote:
         | There is nothing in the article which suggests that the
         | patients are faking it. It is an unconscious response.
        
       | nightcracker wrote:
       | It's a bit of a catch 22. On a surface level one might say that
       | they are faking having Tourette's, and that they are completely
       | healthy. But look a bit deeper and you realize that a mentally
       | sane person would not copy the tics from a YouTube personality
       | and keep the schtick up all the way to the doctors. So no, it's
       | not Tourette's but yes, these people need help.
        
         | IshKebab wrote:
         | > and keep the schtick up all the way to the doctors
         | 
         | It's perfectly normal to keep up a lie alive to an extreme
         | degree just to avoid having to awkwardly admit you were lying.
         | Think about the rape accusers who take it all the way to court
         | before eventually admitting they made it up, or all of the
         | married people who keep up the pretence of religion to avoid
         | awkwardness with their actually-religious partners.
         | 
         | On a more innocuous level, every one has bullshitted to avoid
         | revealing that they don't know someone's name because it has
         | got to the point that saying "sorry I don't know your name"
         | would be too embarrassing.
        
         | totetsu wrote:
         | To some degrees sanity is defined by alignment with surrounding
         | norms. If your peers Norms are going to extremes to do things
         | for the lols, you might end up at the doctor's.
        
         | slightwinder wrote:
         | > a mentally sane person would not copy the tics from a YouTube
         | personality
         | 
         | A sane adult, sure. Kids? Hell no. Doing stupid things is a
         | basic right of childhood. Kids always need help from adults in
         | general, but I would not read to much in this single case.
         | Overall from the kids perspective this seems rather harmless as
         | nobody was harmed.
        
         | stinos wrote:
         | _you realize that a mentally sane person would not copy the
         | tics from a YouTube personality_
         | 
         | Food for thought. Is there really such a thing as a mentally
         | sane person? Anyway the first thing which came to my mind when
         | I read this was not 'mentally insane' but 'oh, puberty'. I'm
         | not claiming all of this is completely normal, or all of these
         | are pre-adult (heck even adults are still known to copy other's
         | behavior) but I'm also quite careful of leaning towards the
         | claim that all these people need help.
        
           | imwillofficial wrote:
           | > Is there really such a thing as a mentally sane person?
           | Yes.
        
             | wizzwizz4 wrote:
             | Everyone I know can receive a series of true facts and come
             | out of that _believing something false_!
        
         | ptoo wrote:
         | I don't think mimicking someone's Tourette's, which is what
         | these children are doing, makes them mentally unwell.
         | 
         | It's very possible that they are simply attention-seeking or
         | enjoy the idea of being special. It reminds me of the
         | relatively new phenomenon of a community on YouTube where kids
         | faking multiple personality disorder upload videos displaying
         | their "systems", and each persona in the system has some time
         | on the camera before being taken over by other competing
         | personae.
         | 
         | Most people are in agreement that these kids are faking it, and
         | it doesn't necessarily follow that they shouldn't be deemed
         | "sane". It's more likely that they don't value the time of
         | medical doctors and are willing to mimic a YouTube celebrity's
         | tics for self-serving reasons, even if it is wasting their
         | parents' money and the time of others.
        
           | rasz wrote:
           | Let me mimic mental disorder so I can be a punchline to
           | weekly idiot doing stupid things mashup videos? or worse pr0n
           | mashups like Sweet Anita? I dont see it.
        
           | ravenstine wrote:
           | Sometimes a cigar is just a cigar. I know I've inherited
           | personality quirks, tics, and ways of speaking from notable
           | figures because either I thought they were funny or simply
           | because their tics and catch phrases have a quality much like
           | that of an "earworm". Mimicry certainly doesn't have to
           | indicate a psychological condition beyond perhaps having a
           | bad habit, which everyone has every now and then. The
           | internet is just amplifying some of these inate human
           | characteristics at the same time that we have gotten really
           | good at pathologizing everything and labeling ourselves.
        
             | darkerside wrote:
             | meme: (n) an element of a culture or system of behavior
             | that may be considered to be passed from one individual to
             | another by nongenetic means, especially imitation
        
           | [deleted]
        
           | jl6 wrote:
           | They're smart, not insane. They have figured out how to use
           | YouTube to monetize the "everything is valid" wave.
        
           | pessimizer wrote:
           | > I don't think mimicking someone's Tourette's, which is what
           | these children are doing, makes them mentally unwell.
           | 
           | > It's very possible that they are simply attention-seeking
           | or enjoy the idea of being special.
           | 
           | It depends on what you mean by mentally unwell. If mentally
           | unwell means that they are unhappy, a danger to themselves or
           | others, or having difficulty functioning in the world in an
           | acceptable way - then being attention-seeking to that degree
           | is also clearly being mentally unwell.
           | 
           | If mentally unwell means that there's some physical problem
           | with their brains, then very few people who are mentally well
           | are _provably_ mentally unwell. I would prioritize for help a
           | malingering Tourette 's sufferer whose life is falling apart
           | because of that over an "authentic" Tourette's sufferer who
           | has found strategies to cope with the disease in their daily
           | life.
           | 
           | The question shouldn't be to determine if they're really
           | mentally unwell, but to determine whether their illness
           | springs from the same causes that treatments that assume this
           | is a physical problem are effective on, or from different
           | causes (e.g. lack of/need for attention) which might yield to
           | different treatment.
        
           | mc32 wrote:
           | Maybe doing a cross cultural study would help determine if
           | it's mimicry (a social phenomenon) or there is something else
           | by going to cultures that are different from ours and seeing
           | if some of their kids get affected. Indonesia, Congo,
           | Kazakhstan, Mongolia, etc.
        
             | atatatat wrote:
             | Why would they want that?
        
           | ezconnect wrote:
           | I had a classmate in elementary that faints almost everyday
           | when the teacher is not around and gets well very fast once a
           | teacher is called or get nears. We are all just kids and we
           | thought she was very unwell. She likes being attended to we
           | didn't knew it back then.
        
           | whimsicalism wrote:
           | This has also become a debate/problem in some segments of the
           | aspergers/autism community where you have kids on TikTok
           | pretending to be autistic.
           | 
           | Perhaps this is the end result of valorizing difference.
        
             | OneEyedRobot wrote:
             | >Perhaps this is the end result of valorizing difference.
             | 
             | Oooh, I think I'm going to steal that.
             | 
             | To be fair, maybe it's just another mechanism for culture
             | transfer. Hours per day on a phone filled with highly
             | evolved addiction algorithms are proving their value, God
             | knows what the future will bring.
             | 
             | If kids never absorbed silly things, we'd never have had
             | bellbottoms.
        
               | fortran77 wrote:
               | > we'd never have had bellbottoms.
               | 
               | Those were appropriated from the Navy. See
               | https://en.wikipedia.org/wiki/Bell-bottoms
        
             | [deleted]
        
             | faeriechangling wrote:
             | This is a direct consequence of society giving aid to
             | autistic people while reducing stigma, it is practically
             | obvious that more people are going to consequently try and
             | fit that label.
             | 
             | What we see is this phenomena where autistic people today
             | have less actual impairments, who might even take offense
             | to the idea that they are impaired, but with more tiktok
             | videos of "stimming" and flapping their hands on YouTube.
             | An emphasis on the preformative over the substantive. There
             | has even been a counter-backlash in this community that too
             | much funding is going towards people with few impairments,
             | and too little funding is going for people so disabled
             | they're completely unable to be independent.
        
               | nicoburns wrote:
               | Stimming isn't performative, it's performs an important
               | role in sensory regulation. Of course, that doesn't mean
               | that there aren't kids who are acting out autism on
               | TikTok. There probably are. But Autism is still greatly
               | under-diagnosed, and I think you should also take into
               | account how many people might be able to put a useful
               | label on something that they'd previously just considered
               | a personal quirk.
        
               | totony wrote:
               | >might be able to put a useful label on something that
               | they'd previously just considered a personal quirk.
               | 
               | Is that useful though? I disagree with this need people
               | have to categorize themselves. It seems just going on
               | without labels would be better
        
               | nicoburns wrote:
               | I think is is with something like autism that likely
               | represents an underlying cognitive difference. It allows
               | you to find other people like yourself, and calibrate
               | your own experiences. To understand why you react to
               | things in the way that you do. Otherwise you could easily
               | end up going through life receiving advice and guidance
               | that is completely inappropriate for you because it's
               | aimed at an average that you diverge from significantly.
        
               | whimsicalism wrote:
               | > with more tiktok videos of "stimming" and flapping
               | their hands on YouTube.
               | 
               | I do wonder why people view this as offensive or
               | obviously fake though.
               | 
               | I am a pretty well-adjusted adult who has not been
               | formally diagnosed with anything, and I still "flap
               | hands" when I am in private/can hide it from others. It's
               | hardly performative.
        
               | faeriechangling wrote:
               | I think what really strikes me is that the most common
               | form of "stimming" I've seen in the wild is the leg
               | bounce. I've seen various other kinds of "stims" from
               | autistic people from verbal, to tapping their fingers, to
               | playing with a pen, to using an actual toy, to squirming
               | around a bit, to standing on their tiptoes. You also
               | mentioned that you flap hands in private, that's the
               | other thing, traditionally people have had this desire to
               | "blend in" even when they DO flap their hands and avoid
               | doing so.
               | 
               | However if you go onto tiktok, you primarily are going to
               | see the stim that everybody knows that real autistic
               | people(tm) have. There is even some far-left advocacy
               | within this community about having "loud hands", and even
               | said activists have expressed discomfort with "staged
               | stimming"
               | 
               | https://www.autistichoya.com/2012/01/having-loud-
               | hands.html
               | https://www.autistichoya.com/2018/10/neurodiversity-
               | needs-sh...
               | 
               | It's just a very bizarre thing that when you're on
               | tiktok, people desire to share what makes them look the
               | most autistic. The other genre is incredibly attractive
               | women getting indignant about people believing they are
               | not autistic because they are incredibly attractive
               | women. I get this sort of twilight zone vibe going into
               | autism tiktok where everything seems slightly wrong.
        
               | cannabis_sam wrote:
               | > There is even some far-left advocacy within this
               | community about having "loud hands", and even said
               | activists have expressed discomfort with "staged
               | stimming"
               | 
               | I'm not trying to be contentious or combative, but what
               | makes these people/trends far-left?
               | 
               | (Absolutely agree about how people dismiss <<attractive>>
               | women as not possibly being autistic tho, it's both sad
               | and infuriating)
        
               | faeriechangling wrote:
               | Well regarding the specific person I cited they identify
               | as "radical left" in their FAQ and they're probably the
               | most prominent activist I can think of that makes this
               | sort of advocacy.
               | 
               | https://www.autistichoya.com/p/blog-page_19.html?m=1
               | 
               | I don't mean to say all people who day people should stim
               | openly are exactly far left. It's pretty mainstream
               | especially in health/education nowadays to not suppress
               | stimming so long as it's not unduly disruptive or harmful
               | (i.e. stimming by screaming, smashing head into wall), as
               | it's thought to be harmful for the suppressor.
               | 
               | I would say that if somebody is stimming as a political
               | statement or identity I'm almost invariably going to
               | assume they're pretty left of center, because they're
               | making an identity out of nonconformism and because of
               | blog posts from radical leftists like the above.
        
               | FooBarBizBazz wrote:
               | "Stimming"? What in the fuck? Can't normal people fidget?
        
               | whimsicalism wrote:
               | > even said activists have expressed discomfort with
               | "staged stimming"
               | 
               | This is what I'm confused by - were the links you posted
               | meant to shed light on that?
        
               | faeriechangling wrote:
               | The first link was more straightup advocacy of stimming,
               | the second is more of a reasoned followup after backlash
               | to the first post 6 years earlier including the
               | phenomenon of performative stimming. I'll jump to the
               | blurb I was referencing in the 2nd link because the posts
               | are quite long:
               | 
               | "But sometimes I have also seen activists engaged in
               | stimming that was not authentic -- stimming deliberately
               | used to get attention or to make a statement. I'm not
               | sure if this staged stimming is good and true: I'm not
               | even sure if it could properly be called "stimming" (if
               | stimming becomes divorced from its joy, its delicious
               | rush, its natural high, is it still stimming?). And when
               | we aren't stimming for joy, because our bodies want and
               | need it, because it is physically releasing us from
               | neurotypical oppression (the rule of quiet hands), then
               | who or what are we stimming for?"
               | 
               | Essentially making the point that stimming for the
               | approval of others is still surrendering to ableism
               | because you're performing for other people's acceptance
               | when you should just be accepted. It's just that instead
               | of trying to look more normal than you are, you try to
               | look more different than you are.
               | 
               | This is to me what gets at the heart of what bothers me
               | about TikTok. It seems to create pressure on autistic
               | people to confirm to stereotypes of autistic people.
        
               | zepto wrote:
               | > This is to me what gets at the heart of what bothers me
               | about TikTok. It seems to create pressure on autistic
               | people to confirm to stereotypes of autistic people.
               | 
               | To me, this is a deeper problem with identity politics
               | itself.
               | 
               | When group identities are recognized over individuals,
               | there is pressure is to display group identity,
               | regardless of whether that is autistism, blackness,
               | queerness, etc.
               | 
               | TikTok is a Petri dish that amplifies the phenomenon.
        
               | DoctorOW wrote:
               | Depends on execution, in situations where I'm stimming,
               | it'd never occur to me to turn on a camera. It's
               | certainly not something that feels good or natural when
               | forcing myself to do it.
               | 
               | That said, even if hundreds of thousands of people upload
               | videos indicating they are autistic that seems in line
               | with the statistics on the matter.
               | 
               | I could be convinced stimming videos are fake, but a high
               | number of young people with ASD is consistent with the
               | data.
        
             | Morizero wrote:
             | > Perhaps this is the end result of valorizing difference.
             | 
             | What a weird way to try to tie this to modern politics. You
             | do realize that the movie "Sybil" had a similar effect
             | (people copying a mental condition) in _1976_ , predating
             | any kind of acceptance movement?
        
               | whimsicalism wrote:
               | I was worried that comment might be read this way, and of
               | course copycat syndrome is something that has been with
               | us for a long time.
               | 
               | To be clear, this is an extremely small cost to pay for
               | difference to be broadly accepted.
        
         | [deleted]
        
         | geerlingguy wrote:
         | The article mentions one danger of potential misdiagnosis: the
         | medications for treatment of Tourette's, if applied
         | incorrectly, have sometimes severe side effects.
         | 
         | But one other danger from this phenomenon is the overuse of
         | already-stretched-thin counselors and therapists. If you've
         | tried to acquire any mental health services over the past
         | year... every counselor and organization seems severely
         | overloaded and under-staffed.
        
       | [deleted]
        
       | larsiusprime wrote:
       | Howdy, I've been diagnosed with Tourette's for 23 years.
       | Including coprolalia and all the """fun""" symptoms (narrator:
       | they were not fun). I read the paper behind this phenomenon last
       | week and wrote some thoughts to a friend, reproducing here.
       | 
       | From the paper:
       | 
       | > Thirdly, patients often reported to be unable to perform
       | unpleasable tasks because of their symptoms resulting in release
       | from obligations at school and home, while symptoms temporarily
       | completely remit while conducting favourite activities.
       | 
       | I was conclusively diagnosed back in the stone age before smart
       | phones were a thing and the internet was still dial-up, and even
       | I got this neverending skepticism from teachers and classmates in
       | the run-up to my diagnosis. "Hey Lars, how come your tics
       | disappear when you're playing video games, but they flare up when
       | it's time for a math test? PRETTY CONVENIENT!"
       | 
       | Well, because tics are brought out by anxiety and vanish when a
       | patient goes into a "flow state," -- this is super well
       | established.
       | 
       | On the other hand, the rest of the diagnostic criteria for this
       | phenomena seems very reasonable to me, and I also am totally
       | ready to believe that an induced faux tourette's syndrome would
       | absolutely present this way.
       | 
       | And then there's this one:
       | 
       | > Fourthly, in some patients, a rapid and complete remission
       | occurred after exclusion of the diagnosis of Tourette syndrome.
       | 
       | So apparently when a doctor in a white coat tells these people
       | they definitely don't have Tourette's, the behavior stops?
       | 
       | They also kind of bury the lede with this one:
       | 
       | > While it appears that age at onset is very similar in different
       | countries with a preponderance of adolescents and young adults,
       | gender distribution seems to be different: while half of our
       | patients are male, the group of Davide Martino and Tamara
       | Pringsheim at the University of Calgary in Canada reports a
       | female to male ratio of about 9:1
       | 
       | I've always heard that the sex ratio of Tourette's diagnosis is
       | like 1:10 skewed towards males (looking it up it looks like it's
       | actually 1:4.3 favoring males). So a sudden swing in the sex
       | ratio for a disease that's long been presumed to have some kind
       | of male-associated underlying genetic basis that lines up with a
       | prominent female influence seems like pretty strong evidence for
       | their theory.
       | 
       | So I don't have the medial training to validate the clinical
       | methodology, but from knowing what real tourette's syndrome feels
       | like from the inside, this seems plausible.
       | 
       | TL;DR -- these kids aren't getting tourette's from the internet,
       | but it does seem like they're experiencing a real phenomenon that
       | they need real treatment for. The correct first step is
       | accurately diagnosing them with whatever this new thing is. Maybe
       | some kids are just faking, maybe some others have genuinely
       | convinced themselves they have something going on and this
       | manifests in weird behaviors (which qualifies as a real condition
       | in my eyes). Believe me, you absolutely do not want to be
       | prescribed powerful brain medications unless you really need
       | them.
        
         | omnicognate wrote:
         | Yeah, they give the following factors that excluded a diagnosis
         | of Tourette's:
         | 
         | > (i) onset was abrupt instead of slow,
         | 
         | > (ii) symptoms constantly deteriorated instead of typical
         | waxing and waning of tics,
         | 
         | > (iii) "simple" movements (e.g. eye blinking) and noises (e.g.
         | clearing one's throat) were clearly in the background or
         | completely absent, although being the most common and typical
         | symptoms in Tourette syndrome,
         | 
         | > (iv) movements were mainly complex and stereotyped and
         | predominantly located at arms and body, instead of at eyes and
         | face,
         | 
         | > (v) overall, the number of different movements, noises, and
         | words was "countless" and far beyond the typical number of tics
         | in Tourette syndrome, and
         | 
         | > (vi) premonitory feelings were reported with atypical
         | location, quality, and duration compared to tics in Tourette
         | syndrome.
         | 
         | Tourette's has fairly specific features. It's not a generic
         | "behaving weirdly/antisocially and moving in funny ways" thing.
         | 
         | Sorry to hear about your coprolalia. That sounds tough to cope
         | with. It's annoying that it gets treated as synonymous with
         | Tourette's in the media when it affects something like 10% of
         | patients. Did it improve with adulthood? I grew out of the
         | worst of my symptoms in my 20s as many do (diagnosed 30 years
         | ago, some vocal tics but never coprolalia).
        
           | larsiusprime wrote:
           | Nope, still got it. Even have (thankfully rare) bouts of
           | copropraxia, so I tend to keep my distance from folks. My
           | symptoms never really faded with adulthood so much as
           | controlling my environment to be as low-stress as possible
           | helps me keep my symptoms low on a day to day basis. Working
           | from home for the past 15 years has been a huge part of that.
        
         | agumonkey wrote:
         | reminds me of some people who don't stutter when they sing.
         | brain goes into a different mode.
        
           | comprev wrote:
           | See "The King's Speech" (2010) for a wonderful film about
           | this process
        
           | matthewaveryusa wrote:
           | My grandfather was like that. He got worked up easily and the
           | more worked up he got the worse his stutter was, so in a
           | comical way he had to switch to singing his grievances.
        
             | technofiend wrote:
             | It also works to switch someone else's mental state. When
             | my wife gets really argumentative I'll switch to singing
             | whatever I have to say and it often snaps her out of it.
        
         | [deleted]
        
         | derefr wrote:
         | > So apparently when a doctor in a white coat tells these
         | people they definitely don't have Tourettes, the behavior
         | stops?
         | 
         | I don't know if there's a general term for this, but there seem
         | to be a category of syndromes where if you're high-functioning
         | with the syndrome, then it's _possible_ to suppress the
         | symptoms, and whether you 're _expected_ to suppress the
         | symptoms depends on whether a doctor  "grants you the
         | privilege" of a diagnosis of having the disease.
         | 
         | For example, Hikikomori in Japan--these people almost certainly
         | have Social Anxiety Disorder, but it's their parents/caregivers
         | that _enable_ them to live as recluses, and they only tend to
         | do this if _they_ believe their child has some sort of clear
         | mental illness. If they take their child to a psychiatrist and
         | the psychiatrist says  "nope, no social anxiety, they just like
         | staying home to play video games", then the parents would
         | likely stop enabling the child to stay in their room all the
         | time, and instead would _force_ them to go out. Even if it
         | turns out that the child really just has _high-functioning_
         | Social Anxiety Disorder, to the point where it 's "masked" from
         | a signs-and-symptoms based diagnosis; and so is still markedly
         | _suffering_ when made to go out in public. Without the
         | diagnosis, they 're no longer allowed to be _free from social
         | approbation_ when they avoid people.
         | 
         | I would think a similar thing could be at play in "high-
         | functioning", able-to-be-suppressed-with-constant-effort
         | Tourettes cases: without the diagnosis (or rather, with a
         | negative diagnosis), nobody around you will _tolerate_ a
         | Tourettes outburst from you, so you just have to  "suck it up"
         | and mask it as hard as you can. Also, given the negative
         | diagnosis, your supporters will likely no longer associate the
         | more subtle symptoms _with_ Tourettes, as they now  "know" you
         | don't have it; so they'll mentally categorize those tics, if
         | they do show up, as being something else.
         | 
         | In such cases, you'd also expect that if someone had _always
         | known_ such symptoms were socially-unacceptable and so _had
         | always been_ actively suppressing them, then finding out that
         | there 's a disease they might have where presenting these
         | symptoms _would_ be considered socially-acceptable in the
         | context of having that disease, would mean they 'd suddenly be
         | willing to start 1. claiming they have the disease, and 2.
         | presenting the symptoms--but only _after_ people know and
         | understand their claim to have the disease, as the whole point
         | is to be able to finally  "let out" the symptoms _while_
         | avoiding social approbation for them.
         | 
         | > So a sudden swing in the sex ratio for a disease that's long
         | been presumed to have some kind of male-associated underlying
         | genetic basis that lines up with a prominent female influence
         | seems like pretty strong evidence for their theory.
         | 
         | Charitable interpretation: women are underdiagnosed with
         | Tourettes, because some combination of hormonal and social
         | factors generally leads to them generally being higher-
         | functioning -- i.e. "leaking" the symptoms less. But actually,
         | they're still being impacted, just silently (i.e. their
         | dopamine is being drained faster by having to "fight the urge",
         | much like someone with OCD.)
         | 
         | This is the current hypothesis for the gender disparity in
         | diagnosis of childhood ADHD. It's very underdiagnosed in girls
         | (which we know because a lot of these undiagnosed girls become
         | adult women who go to a psychiatrist and find out they have
         | adult ADHD, and then think back and realize they've always had
         | the _internal experience_ of ADHD but were never diagnosed.) We
         | think this is because girls are more trait-conscientious, which
         | leads to them being more _motivated_ to not let (socially-
         | unacceptable) hyperactivity symptoms  "leak", while still
         | internally suffering from those symptoms, and visibly suffering
         | from the more socially-acceptable symptoms (which alone aren't
         | usually enough for people to put two and two together and send
         | them to a psychiatrist for diagnosis.)
         | 
         | -----
         | 
         | All that being said, yeah, I don't think this is really "high-
         | functioning Tourettes." That isn't quite how Tourettes works;
         | there's a lot of involuntary stuff in Tourettes that absolutely
         | cannot be suppressed no matter how much you might want to, and
         | 
         | But there _are_ a number of etiologies with related symptom
         | profiles. My guess about what actual  "property" these girls
         | are actually noticing about themselves, is that they're high-
         | functioning _on the autistic spectrum_ (another thing
         | underdiagnosed in women!) and so find that stimming behaviors
         | -- which can look a lot like Tourettes motor tics, but are
         | actually voluntary, just _highly preferred_ to be executed when
         | possible -- help to calm certain sensory processing problems
         | they have.
        
           | larsiusprime wrote:
           | > I would think a similar thing could be at play in "high-
           | functioning", able-to-be-suppressed-with-constant-effort
           | Tourettes cases: without the diagnosis (or rather, with a
           | negative diagnosis), nobody around you will tolerate a
           | Tourettes outburst from you, so you just have to "suck it up"
           | and mask it as hard as you can.
           | 
           | Tourette's can't really be suppressed consistently, it comes
           | out eventually, and suppressing it now just makes it worse
           | later. It is very hard to hide -- believe me, I've tried.
           | Also, see the comment in the above thread -- one pretty
           | strong giveaway is an entire lack of facial tics and other
           | classic tells. I have a ton of the "famous" Tourette's
           | symptoms -- coprolalia, echolalia, palilalia, even a small
           | touch of the dreaded copropraxia, not to mention at times
           | extremely exaggerated arm movements (beating my chest like a
           | gorilla is the most common). However, my first tics, and
           | which continue as a constant background noise, are small
           | facial grimaces, nose wrinkles, blinks, making tiny grunts,
           | etc. It is extremely anomalous to see someone present with
           | "Tourette's" and not have any of those low level tics, but
           | all the "fancy" ones.
           | 
           | > Charitable interpretation: women are underdiagnosed with
           | Tourettes, because some combination of hormonal and social
           | factors generally leads to them generally being higher-
           | functioning -- i.e. "leaking" the symptoms less. But
           | actually, they're still being impacted, just silently (i.e.
           | their dopamine is being drained faster by having to "fight
           | the urge", much like someone with OCD.)
           | 
           | I'm more than willing to keep an open mind, but look at the
           | effect size.
           | 
           | Swinging from 1:4.3 to 9:1 is a change of 38X. That is
           | RIDICULOUSLY huge. I'm happy to postulate that women are
           | undiagnosed to some degree, but a swing of that size, that is
           | that sudden, and which lines up so closely with a specific
           | group and a specific female influencer, based primarily on
           | observed novel physical symptoms, charitably speaking at
           | least merits a little scrutiny, wouldn't you think? A mere
           | 1.5X change would be enormous, 38X is astronomical.
        
             | derefr wrote:
             | > Swinging from 1:4.3 to 9:1 is a change of 38X. That is
             | RIDICULOUSLY huge.
             | 
             | Those numbers would not be as bad if one postulates that
             | there's a subset of men who _also_ have the right factors
             | to lead to underdiagnosis, such that the right influencer
             | with a male audience would make men 's numbers shoot up as
             | well; and that such a mens' influencer just happened to
             | have not shown up yet.
             | 
             | > It is extremely anomalous to see someone present with
             | "Tourette's" and not have any of those low level tics, but
             | all the "fancy" ones.
             | 
             | Is it possible that there is an undiscovered "diagnostic
             | spectrum" on which Tourettes is the endpoint? Like how, at
             | some point, we knew low-functioning autism was a thing, but
             | only _later_ figured out that high-functioning autism (e.g.
             | Asperger 's) was a thing?
             | 
             | ----
             | 
             | (That being said, I do think I agree with you that this
             | probably isn't Tourettes of any kind; see the postscript in
             | my previous comment. I just like to ask these Devil's
             | Advocate kind of questions to see where they go, in case
             | there's interesting science down one of these unwalked
             | paths.)
        
               | larsiusprime wrote:
               | Yeah, so the thing is we don't actually know the
               | underlying cause of Tourette's. It's just a syndrome -- a
               | specific pattern of symptoms you draw a circle around and
               | label it "Tourette's syndrome." Therefore, what is and is
               | not Tourette's is fairly tautological. If you have these
               | symptoms according to this pattern, you have it. If you
               | don't, you don't. It's entirely plausible that Tourette's
               | syndrome is caused by multiple different underlying
               | pathologies, which actually wouldn't be super implausible
               | given the wildly different ways in which different
               | patients with similar symptoms respond to the same
               | medications.
               | 
               | But my point is, the diagnostic criteria are pretty
               | clear, and (most of) these kids aren't matching them. And
               | _any_ time you see a whopping big effect size like that
               | your skepticism lights need to go off. Either you just
               | discovered the find of the century, or you have a basic
               | measurement error. In either case the proper course of
               | action is to subject it to more scrutiny.
        
               | derefr wrote:
               | I have a feeling that what the people who are "diagnosing
               | themselves with Tourettes" are really trying to say here,
               | then (i.e. "what they'd say if they were all trained
               | psychiatrists"), isn't that they think they have exactly
               | the Tourette Syndrome symptom-cluster; but rather that
               | they think they may have a lesser form of some
               | _particular as-yet-unknown pathology_ that, in its full
               | extent, would be an etiology underlying the syndrome of
               | Tourettes; and that this is causing a cluster of symptoms
               | for them that is similar-but-not-identical to the
               | Tourette Syndrome symptom-cluster -- similar-enough that
               | there 's nothing really better to describe it by than by
               | comparison to Tourette Syndrome. (Though certainly
               | doctors would come up with a unique name for it in the
               | DSM-VI, _if_ it turned out to not be induced mass
               | Munchhausen 's.)
        
               | larsiusprime wrote:
               | I don't necessarily disagree; I went undiagnosed with
               | Tourette's as a kid while presenting symptoms for a good
               | five years and I knew _something_ was going on with me
               | but I had no idea what it could be.
               | 
               | Also, a good ~10 years after my tourette's diagnosis I
               | was further diagnosed with cataplectic narcolepsy. I knew
               | I had always had these weird symptoms (going
               | spontaneously limp) that weren't well described by
               | Tourette's, but I was grasping at straws to figure out
               | what it was, and trying to self-diagnose I took myself
               | down all sorts of blind alleys convincing myself I had
               | this or that. Once I was able to get a conclusive
               | diagnosis and actually helpful treatment, my narcolepsy
               | symptoms got very well controlled, and then with that
               | stressor off my back my tourette's symptoms finally
               | became manageable without medication. All the symptoms
               | are still "there" but knowing what I actually have -- and
               | what I _don 't_ have -- was crucial to getting the right
               | treatment.
        
       | okareaman wrote:
       | Another strange internet phenomenon is Tulpas, or imaginary
       | friends that are real to those that have them.
       | 
       | https://old.reddit.com/r/Tulpa/
        
       | bob229 wrote:
       | This is fake news. We all know that social contagion like this
       | doesn't hapen, the trans rights activists have made that clear
        
       | effnorwood wrote:
       | Fuck!
        
       | [deleted]
        
       | raffraffraff wrote:
       | It's time to take the batteries out of the internet and put it up
       | on the top shelf. The kids need to go outside and play in the
       | dirt.
        
         | nixpulvis wrote:
         | I'll do what my Mom always did and blame the parents.
        
       | api wrote:
       | When I read the title I had the thought that someone had
       | concocted some kind of adversarial neural network attack on
       | humans that could be delivered by video, like in Neil
       | Stephenson's Snow Crash.
       | 
       | Reminds me of this oddity: https://rarediseases.org/rare-
       | diseases/jumping-frenchmen-of-...
       | 
       | Are there such things as mimetic diseases? We have definitely
       | seen that alarmingly insane quasi-cults like Qanon or flat Earth
       | can spread entirely via social media, so that isn't too far away.
       | The jump would be to something not requiring conscious thought or
       | belief at all, something that fully bypasses the neocortex.
       | 
       | If that is actually possible I can see a future where everyone
       | runs smart content filters (maybe AI powered) and curated
       | whitelists before viewing things. Maybe there could be mental
       | techniques for handling "cognitive hazards" that could be learned
       | too. I feel like some mystical traditions have inklings of that
       | like "visualize a white light around you" or "as I walk through
       | the valley of the shadow of death, I will fear no evil." Maybe
       | that stuff fires up some anti-malware in your brain.
       | 
       | At least there is already a symbol:
       | https://www.flickr.com/photos/arenamontanus/264113001
        
         | jl6 wrote:
         | Mimetic disease? If by that you include Bad Ideas, then yes,
         | absolutely there are techniques for defending yourself against
         | them. See things like Carl Sagan's Baloney Detection Kit:
         | 
         | https://en.wikipedia.org/wiki/The_Demon-Haunted_World#Balone...
         | 
         | Or more generally, awareness of informal logical fallacies
         | prepares you for spotting them in the wild (and they are
         | _everywhere_ ).
         | 
         | I'd also include texts such as Rudyard Kipling's If in the
         | toolbox of defensive thinking, for its advocacy of balance and
         | humility:
         | 
         | https://en.wikipedia.org/wiki/If%E2%80%94
         | 
         | And pg's essay on small identity:
         | 
         | http://www.paulgraham.com/identity.html
         | 
         | And thought-terminating cliches:
         | 
         | https://en.wikipedia.org/wiki/Thought-terminating_clich%C3%A...
         | 
         | None of these are guides to having good ideas as such, but can
         | help avoid falling into the traps of bad ideas.
        
         | [deleted]
        
         | robocat wrote:
         | > Are there such things as mimetic diseases?
         | 
         | A n article on a doco with good background info:
         | https://www.theguardian.com/film/2015/mar/29/carol-morley-th...
         | 
         | "Ninety per cent of participants in reported epidemics are
         | female. [] Studies that try to explain mass psychogenic
         | illnesses have uncovered a familiar pattern. They are
         | transmitted by sight and sound, so you have to witness the
         | events happening to be affected. They often begin very suddenly
         | and spread rapidly. Adolescents and pre-adolescents are
         | particularly susceptible to them. They are also more likely to
         | escalate if the people involved know each other. Seeing a
         | friend who you admire becoming sick is the best predictor of
         | getting symptoms. She faints and then immediately you start to
         | feel shaky and sick too and it starts to spread. As Simon
         | suggested: "Anxiety itself goes up and you get more symptoms.
         | You get breathless, you start to shake, feel nauseous and sick.
         | But instead of saying, 'I'm getting anxious', you think you're
         | possibly getting poisoned."
        
         | myWindoonn wrote:
         | Humans lost the war against memes, if there could have been a
         | war, millennia ago. We are now ruled by memes like "language"
         | and "currency" and "justice".
        
           | wizzwizz4 wrote:
           | And we like it.1 Is it "losing a war" if we weren't fighting?
           | 
           | 1: To the extent we _don 't_ like it, we're still fighting.
           | And if you're not, consider: why not? (There's a meme for
           | you: one should fight against harmful ideas.)
        
         | zdkl wrote:
         | I was about to jump in with the term "cognitohazard", from SCP
         | lore. Imagine a future where you'd hear something like "Welcome
         | to the Antimemetics Division. No, this is not your first day."
         | (@qntm is a terrific story writer and also brought us hatetris)
         | 
         | https://scp-wiki.wikidot.com/antimemetics-division-hub
        
           | api wrote:
           | We are so, so close to that. Political parties and nation
           | states now effectively have memetic warfare arms in the form
           | of very advanced and soon AI augmented PR and propaganda
           | agencies. Where there is attack there must also be defense.
           | 
           | Arms races tend to push innovation, which is why I now wonder
           | about actual adversarial attacks on the brain that can bypass
           | choice and thought entirely and even cause illness. That
           | would be the logical endpoint, sort of like how the hydrogen
           | bomb was the outcome of the bombing arms race. If it's
           | possible I predict it will be discovered in the next 25
           | years. We may see a video that sends people to the hospital
           | that appears, say, right before an election and is targeted
           | at the opposing side.
        
         | [deleted]
        
       | olingern wrote:
       | It seems that the mind can absorb much more than we previously
       | thought from observation. I wonder how the human brain perceives
       | gameplay characters vs humans in a video
        
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