Year: 2024

Empathy is not enough

PNRJ core principles, ethics, inequality, politics, tribal paradigm , , , , , , , , , , , , , , , ,

Jan 14 JDN 2460325

A review of Against Empathy by Paul Bloom

The title Against Empathy is clearly intentionally provocative, to the point of being obnoxious: How can you be against empathy? But the book really does largely hew toward the conclusion that empathy, far from being an unalloyed good as we may imagine it to be, is overall harmful and detrimental to society.

Bloom defines empathy narrowly, but sensibly, as the capacity to feel other people’s emotions automatically—to feel hurt when you see someone hurt, afraid when you see someone afraid. He argues surprisingly well that this capacity isn’t really such a great thing after all, because it often makes us help small numbers of people who are like us rather than large numbers of people who are different from us.

But something about the book rubs me the wrong way all throughout, and I think I finally put my finger on it:

If empathy is bad… compared to what?

Compared to some theoretical ideal of perfect compassion where we love all sentient beings in the universe equally and act only according to maxims that would yield the greatest benefit for all, okay, maybe empathy is bad.

But that is an impossible ideal. No human being has ever approached it. Even our greatest humanitarians are not like that.

Indeed, one thing has clearly characterized the very best human beings, and that is empathy. Every one of them has been highly empathetic.

The case for empathy gets even stronger if you consider the other extreme: What are human beings like when they lack empathy? Why, those people are psychopaths, and they are responsible for the majority of violent crimes and nearly all the most terrible atrocities.

Empirically, if you look at humans as we actually are, it really seems like this function is monotonic: More empathy makes people behave better. Less empathy makes them behave worse.

Yet Bloom does have a point, nevertheless.

There are real-world cases where empathy seems to have done more harm than good.

I think his best examples come from analysis of charitable donations. Most people barely give anything to charity, which we might think of as a lack of empathy. But a lot of people do give to a great deal to charity—yet the charities they give to and the gifts they give are often woefully inefficient.

Let’s even set aside cases like the Salvation Army, where the charity is actively detrimental to society due to the distortions of ideology. The Salvation Army is in fact trying to do good—they’re just starting from a fundamentally evil outlook on the universe. (And if that sounds harsh to you? Take a look at what they say about people like me.)

No, let’s consider charities that are well-intentioned, and not blinded by fanatical ideology, who really are trying to work toward good things. Most of them are just… really bad at it.

The most cost-effective charities, like the ones GiveWell gives top ratings to, can save a life for about $3,000-5,000, or about $150 to $250 per QALY.

But a typical charity is far, far less efficient than that. It’s difficult to get good figures on it, but I think it would be generous to say that a typical charity is as efficient as the standard cost-effectiveness threshold used in US healthcare, which is $50,000 per QALY. That’s already two hundred times less efficient.

And many charities appear to be even below that, where their marginal dollars don’t really seem to have any appreciable benefit in terms of QALY. Maybe $1 million per QALY—spend enough, and they’d get a QALY eventually.

Other times, people give gifts to good charities, but the gifts they give are useless—the Red Cross is frequently inundated with clothing and toys that it has absolutely no use for. (Please, please, I implore you: Give them money. They can buy what they need. And they know what they need a lot better than you do.)

Why do people give to charities that don’t really seem to accomplish anything? Because they see ads that tug on their heartstrings, or get solicited donations directly by people on the street or door-to-door canvassers. In other words, empathy.

Why do people give clothing and toys to the Red Cross after a disaster, instead of just writing a check or sending a credit card payment? Because they can see those crying faces in their minds, and they know that if they were a crying child, they’d want a toy to comfort them, not some boring, useless check. In other words, empathy.

Empathy is what you’re feeling when you see those Sarah McLachlan ads with sad puppies in them, designed to make you want to give money to the ASPCA.

Now, I’m not saying you shouldn’t give to the ASPCA. Actually animal welfare advocacy is one of those issues where cost-effectiveness is really hard to assess—like political donations, and for much the same reason. If we actually managed to tilt policy so that factory farming were banned, the direct impact on billions of animals spared that suffering—while indubitably enormous—might actually be less important, morally, than the impact on public health and climate change from people eating less meat. I don’t know what multiplier to apply to a cow’s suffering to convert her QALY into mine. But I do know that the world currently eats far too much meat, and it’s cooking the planet along with the cows. Meat accounts for 60% of food-related greenhouse gases, and 35% of all greenhouse gases.

But I am saying that if you give to the ASPCA, it should be because you support their advocacy against factory farming—not because you saw pictures of very sad puppies.

And empathy, unfortunately, doesn’t really work that way.

When you get right down to it, what Paul Bloom is really opposing is scope neglect, which is something I’ve written about before.

We just aren’t capable of genuinely feeling the pain of a million people, or a thousand, or probably even a hundred. (Maybe we can do a hundred; that’s under our Dunbar number, after all.) So when confronted with global problems that affect millions of people, our empathy system just kind of overloads and shuts down.

ERROR: OVERFLOW IN EMPATHY SYSTEM. ABORT, RETRY, IGNORE?

But when confronted with one suffering person—or five, or ten, or twenty—we can actually feel empathy for them. We can look at their crying face and we may share their tears.

Charities know this; that’s why Sarah McLachlan does those ASPCA ads. And if that makes people donate to good causes, that’s a good thing. (If it makes them donate to the Salvation Army, that’s a different story.)

The problem is, it really doesn’t tell us what causes are best to donate to. Almost any cause is going to alleviate some suffering of someone, somewhere; but there’s an enormous difference between $250 per QALY, $50,000per QALY, and $1 million per QALY. Your $50 donation would add either two and a half months, eight hours, or just over 26 minutes of joy to someone else’s life, respectively. (In the latter case, it may literally be better—morally—for you to go out to lunch or buy a video game.)

To really know the best places to give to, you simply can’t rely on your feelings of empathy toward the victims. You need to do research—you need to do math. (Or someone does, anyway; you can also trust GiveWell to do it for you.)

Paul Bloom is right about this. Empathy doesn’t solve this problem. Empathy is not enough.

But where I think he loses me is in suggesting that we don’t need empathy at all—that we could somehow simply dispense with it. His offer is to replace it with an even-handed, universal-minded utilitarian compassion, a caring for all beings in the universe that values all their interests evenly.

That sounds awfully appealing—other than the fact that it’s obviously impossible.

Maybe it’s something we can all aspire to. Maybe it’s something we as a civilization can someday change ourselves to become capable of feeling, in some distant transhuman future. Maybe even, sometimes, at our very best moments, we can even approximate it.

But as a realistic guide for how most people should live their lives? It’s a non-starter.

In the real world, people with little or no empathy are terrible. They don’t replace it with compassion; they replace it with selfishness, greed, and impulsivity.

Indeed, in the real world, empathy and compassion seem to go hand-in-hand: The greatest humanitarians do seem like they better approximate that universal caring (though of course they never truly achieve it). But they are also invariably people of extremely high empathy.

And so, Dr. Bloom, I offer you a new title, perhaps not as catchy or striking—perhaps it would even have sold fewer books. But I think it captures the correct part of your thesis much better:

Empathy is not enough.

Depression and the War on Drugs

PNRJ cognitive science, current events, politics, public policy , , , , , , , , , , , , , , , , , , , , , , , , ,

Jan 7 JDN 2460318

There exists, right now, an extremely powerful antidepressant which is extremely cheap and has minimal side effects.

It’s so safe that it has no known lethal dose, and—unlike SSRIs—it is not known to trigger suicide. It is shockingly effective: it works in a matter of hours—not weeks like a typical SSRI—and even a single moderate dose can have benefits lasting months. It isn’t patented, because it comes from a natural source. That natural source is so easy to grow, you can do it by yourself at home for less than $100.

Why in the world aren’t we all using it?

I’ll tell you why: This wonder drug is called psilocybin. It is a Schedule I narcotic, which means that simply possessing it is a federal crime in the United States. Carrying it across the border is a felony.

It is also illegal in most other countries, including the UK, Australia, Belgium, Finland, Denmark, Sweden, Norway (#ScandinaviaIsNotAlwaysBetter), France, Germany, Hungary, Ireland, Japan, the list goes on….

Actually, it’s faster to list the places it’s not illegal: Austria, the Bahamas, Brazil, the British Virgin Islands, Jamaica, Nepal, the Netherlands, and Samoa. That’s it for true legalization, though it’s also decriminalized or unenforced in some other countries.

The best known antidepressant lies unused, because we made it illegal.

Similar stories hold for other amazingly beneficial drugs:

LSD also has powerful antidepressant effects with minimal side effects, and is likewise so ludicrously safe that we are not aware of a single fatal overdose ever happening in any human being. And it’s also Schedule I banned.

Ahayuasca is the same story: A great antidepressant, very safe, minimal side effects—and highly illegal.

There is also no evidence that psilocybin, LSD, or ahayuasca are addictive; and far from promoting the sort of violent, anti-social behavior that alcohol does, they actually seem to make people more compassionate.

This is pure speculation, but I think we should try psilocybin as a possible treatment for psychopathy. And if that works, maybe having a psilocybin trip should be a prerequisite for eligibility for any major elected office. (I often find it a bit silly how the biggest fans of psychedelics talk about the drugs radically changing the world, bringing peace and prosperity through a shift in consciousness; but if psilocybin could make all the world’s leaders more compassionate, that might actually have that kind of impact.)

Ketamine and MDMA at least do have some overdose risk and major side effects, and are genuinely addictive—but it’s not really clear that they’re any worse than SSRIs, and they certainly aren’t any worse than alcohol.

Alcohol may actually be the most widely-used antidepressant, and yet is clearly utterly ineffective; in fact, alcoholics consistently show depression increasing over time. Alcohol has a fatal dose so low it’s a common accident; it is also implicated in violent behavior, including half of all rapes—and in the majority of those rape cases, all consumption of alcohol was voluntary.

Yet alcohol can be bought over-the-counter at any grocery store.

The good news is that this is starting to change.

Recent changes in the law have allowed the use of psychedelic drugs in medical research—which is part of how we now know just how shockingly effective they are at treating depression.

Some jurisdictions in the US—notably, the whole state of Colorado—have decriminalized psilocybin, and Oregon has made it outright legal. Yet even this situation is precarious; just as has occurred with cannabis legalization, it’s still difficult to run a business selling psilocybin even in Oregon, because banks don’t want to deal with a business that sells something which is federally illegal.

Fortunately, this, too, is starting to change: A bill passed the US Senate a few months ago that would legalize banking to cannabis businesses in states where it is legal, and President Biden recently pardoned everyone in federal prison for simple cannabis possession. Now, why can’t we just make cannabis legal!?

The War on Drugs hasn’t just been a disaster for all the thousands of people needlessly imprisoned.

(Of course they had it the worst, and we should set them all free immediately—preferably with some form of restitution.)

The War of Drugs has also been a disaster for all the people who couldn’t get the treatment they needed, because we made that medicine illegal.

And for what? What are we even trying to accomplish here?

Prohibition was a failure—and a disaster of its own—but I can at least understand why it was done. When a drug kills nearly a hundred thousand people a year and is implicated in half of all rapes, that seems like a pretty damn good reason to want that drug gone. The question there becomes how we can best reduce alcohol use without the awful consequences that Prohibition caused—and so far, really high taxes seem to be the best method, and they absolutely do reduce crime.

But where was the disaster caused by cannabis, psilocybin, or ahayuasca? These drugs are made by plants and fungi; like alcohol, they have been used by humans for thousands of years. Where are the overdoses? Where is the crime? Psychedelics have none of these problems.

Honestly, it’s kind of amazing that these drugs aren’t more associated with organized crime than they are.

When alcohol was banned, it seemed to immediately trigger a huge expansion of the Mafia, as only they were willing and able to provide for the enormous demand of this highly addictive neurotoxin. But psilocybin has been illegal for decades, and yet there’s no sign of organized crime having anything to do with it. In fact, psilocybin use is associated with lower rates of arrest—which actually makes sense to me, because like I said, it makes you more compassionate.

That’s how idiotic and ridiculous our drug laws are:

We made a drug that causes crime legal, and we made a drug that prevents crime illegal.

Note that this also destroys any conspiracy theory suggesting that the government wants to keep us all docile and obedient: psilocybin is way better at making people docile than alcohol. No, this isn’t the product of some evil conspiracy.

Hanlon’s Razor: Never attribute to malice what can be adequately explained by stupidity.

This isn’t malice; it’s just massive, global, utterly catastrophic stupidity.

I might attribute this to Puritanical American attitude toward pleasure (Pleasure is suspect, pleasure is dangerous), but I don’t think of Sweden as particularly Puritanical, and they also ban most psychedelics. I guess the most libertine countries—the Netherlands, Brazil—seem to be the ones that have legalized them; but it doesn’t really seem like one should have to be that libertine to want the world’s cheapest, safest, most effective antidepressants to be widely available. I have very mixed feelings about Amsterdam’s (in)famous red light district, but absolutely no hesitation in supporting their legalization of psilocybin truffles.

Honestly, I think patriarchy might be part of this. Alcohol is seen as a very masculine drug—maybe because it can make you angry and violent. Psychedelics seem more feminine; they make you sensitive, compassionate and loving.

Even the way that psychedelics make you feel more connected with your body is sort of feminine; we seem to have a common notion that men are their minds, but women are their bodies.

Here, try it. Someone has said, “I feel really insecure about my body.” Quick: What is that person’s gender? Now suppose someone has said, “I’m very proud of my mind.” What is that person’s gender?

(No, it’s not just because the former is insecure and the latter is proud—though we do also gender those emotions, and there’s statistical evidence that men are generally more confident, though that’s never been my experience of manhood. Try it with the emotions swapped and it still works, just not quite as well.)

I’m not suggesting that this makes sense. Both men and women are precisely as physical and mental as each other—we are all both, and that is a deep truth about our nature. But I know that my mind makes an automatic association between mind/body and male/female, and I suspect yours does as well, because we came from similar cultural norms. (This goes at least back to Classical Rome, where the animus, the rational soul, was masculine, while the anima, the emotional one, was feminine.)

That is, it may be that we banned psychedelics because they were girly. The men in charge were worried about us becoming soft and weak. The drug that’s tied to thousands of rapes and car collisions is manly. The drug that brings you peace, joy, and compassion is not.

Think about the things that the mainstream objected to about Hippies: Men with long hair and makeup, women wearing pants, bright colors, flowery patterns, kindness and peacemongering—all threats to the patriarchal order.

Whatever it is, we need to stop. Millions of people are suffering, and we could so easily help them; all we need to do is stop locking people up for taking medicine.