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> So... you're basically saying it works?

Working under pressure isn't a viable therapy, IMO. In my experience, it is a path to burn out and diminishing returns.

> Got any support for that?

Anecdotally, ~25 years of eating them, but there is plenty of evidence that prolonged use of amphetamine causes structural neuronal changes, even at therapeutic doses.

Here is one article: https://pubmed.ncbi.nlm.nih.gov/38665308/

> you look at the papers about externalising motivation/triggers

What papers? What do they say?

Also, fear (an external motivator) is a great way to release catecholamines for positive outcomes in ADHD, but it is also a great way to increase general stress, which has many other outcomes (free cortisol changes, etc).



> Working under pressure isn't a viable therapy, IMO. In my experience, it is a path to burn out and diminishing returns.

Except that pair programming doesn’t make you work under pressure. I extensively use this technique for body doubling as much as I can. It motivates me to start the task and I also love the exchange : you can learn things, teach things, be stuck together, find solutions together, swear together, laugh, agree on how horrible is this thing you must fix …

In fact it’s what I’d call real teamwork. I never felt it like pressure and it gives me a lot of energy.

Incidentally, I think the only friends I made at work (the real friends you invite at home even when you don’t work at the same place anymore) were through frequent pair programming sessions. I think there is something about knowing how the other person thinks that helps bonding together.


> Except that pair programming doesn’t make you work under pressure

Sure, in ideal circumstances.

Do you remember your first day on a job anywhere as a programmer? You were so relaxed, no pressure.

It sounds like you have an emotional attachment to pair programming. That is cool, but it certainly isn't the norm.


> Working under pressure isn't a viable therapy,

None of ADHD related stuff is really therapy. We only know how to manage symptoms for now.

> Anecdotally

Yeah...

> prolonged use of amphetamine causes structural neuronal changes

Sure. But is it worse than unmanaged ADHD which also results in brain changes over time?

> What papers? What do they say?

It's a whole category, but you could start with this collection:

https://www.connectedpapers.com/main/00e762a8efd5581c93afcb8...

Every time ADHD coaching is mentioned, part of that process is learning planning ahead for distractions, part is learning to externalise reminders / triggers and hacking the reward functions. Maybe there's some paper which tests each of those in isolation, but I'm not going to dig that deep. In aggregate, ADHD coaching has positive results. Pairing is an extreme version of one part of it.

> Also, fear (an external motivator)

Pairing with others shouldn't involve fear. It's just two people being able to share and communicate the motivation to initiate the next step / question. If it causes you actual stress, either you're doing it with a wrong person, or it may just not be for you.


> None of ADHD related stuff is really therapy. We only know how to manage symptoms for now.

Managing symptoms is therapy?

>> Anecdotally

> Yeah...

Then ignore everything that came after that?

> Sure. But is it worse than unmanaged ADHD which also results in brain changes over time?

Physiologically, yes? I am honestly concerned for people who think eating amphetamine or similar drugs daily has no negative outcomes.

> It's a whole category, but you could start with this collection:

There is zero mention of anything discussed here in that root paper, but cool information bomb. No one is going to read 40 papers to respond to you. Honestly, that is a dickhead thing to share.

> shouldn't involve fear

If you've never felt nervous (fear) while pair programming, you might be experiencing a bit of over-confidence.




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