alt Hacker Newsrather than attributing this to the brain or system inherently, it seems more accurate to focus on the position of the brain relative to the system. I think that's what the other person was trying to get at, but you're already aware based on how you specifically qualified this. I don't think it's fair to bring up a topic and then shut down resulting discussion as non nuanced, public forums probably aren't a good idea if youre not comfortable with receiving conflicting takes. like, amphetamine is a hard drug regardless as to whether or not a legal framework encourages its usage. and I have friends who immediately received their amphetamine script after a quick chat and an A4 questionnaire, which didn't involve any assessment of brain chemical imbalance, therefore brain chemical imbalance might be a valid theory but it's irrelevant practically. and this discussion may be individual specific, but amphetamine prescription rates are sky rocketing, so at some point the generalized conversation does need to take place as to how many people can get dosed before problems start happening (eg widespread heart issues due to long term hard stimulant consumption)
Oh I’m fine with receiving conflicting takes. I wouldn’t post any of this on e.g. reddit because it offers no value to the users there. HN is a different crowd. I am “shutting down” comments here based on their perceived merit, not because they personally offend my sensibilities. I am comfortable holding people here to a higher standard of rigor, and accept when my own comments are responded to in kind, because that is the type of discourse I come here for!
Pharmacologically speaking, classifying Adderall as a hard drug by industry terminology standards requires taking the patient into account, the dosage, and its effects on the patient. In the case I was referring to (mine) it is not a hard drug.
The chemical imbalance I refer to isn’t something that is easily and REPEATABLY tested for and prescription of the drug itself is heavily guided by the individual respondent because that is how most psychiatric diagnostics are performed. The chemical imbalance is not the exact same between patients, and ADD/ADHD could be classified as multiple physiological conditions that all overlap into a single group of symptoms. For the purposes of treating it, prescribing a medication that treats a large subset of the underlying causes with no permanent adverse side effects if you treat the “wrong one” is largely good enough for most medical systems. Follow up appointments with providers checking with patients to find the right medication for their brain is part of that process.
So yeah, you can fill out a questionnaire and get amphetamines you don’t need, or don’t treat your specific condition. That doesn’t invalidate the scientific research that has linked the symptom to the one of n chemical causes in the brain.
So in discussions of both philosophical introspection of our society as well as academic discussion of drugs, my original comment is entirely relevant to those informed on this ONE specific mental disorder, of which there are MANY more that are equally as nuanced.