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	<title type="text">Sigal Samuel | Vox</title>
	<subtitle type="text">Our world has too much noise and too little context. Vox helps you understand what matters.</subtitle>

	<updated>2026-04-15T01:09:54+00:00</updated>

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			<author>
				<name>Sigal Samuel</name>
			</author>
			
			<title type="html"><![CDATA[Am I too poor to have a baby?]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/485356/money-savings-baby-children-having-kids" />
			<id>https://www.vox.com/?p=485356</id>
			<updated>2026-04-14T21:09:54-04:00</updated>
			<published>2026-04-12T07:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Advice" /><category scheme="https://www.vox.com" term="Family" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Life" /><category scheme="https://www.vox.com" term="Money" /><category scheme="https://www.vox.com" term="Parenting" /><category scheme="https://www.vox.com" term="Relationships" /><category scheme="https://www.vox.com" term="Your Mileage May Vary" />
							<summary type="html"><![CDATA[Your Mileage May Vary&#160;is an advice column offering you a unique framework for thinking through your moral dilemmas. It’s based on&#160;value pluralism&#160;— the idea that each of us has multiple values that are equally valid but that often conflict with each other. To submit a question, fill out this&#160;anonymous form. Here’s this week’s question from [&#8230;]]]></summary>
			
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<p class="has-text-align-none"><em><a href="https://www.vox.com/your-mileage-may-vary-advice-column" target="_blank" rel="noreferrer noopener">Your Mileage May Vary</a>&nbsp;is an advice column offering you a unique framework for thinking through your moral dilemmas. It’s based on&nbsp;<a href="https://www.vox.com/future-perfect/418783/liberal-democracy-value-pluralism-isaiah-berlin" target="_blank" rel="noreferrer noopener">value pluralism</a>&nbsp;— the idea that each of us has multiple values that are equally valid but that often conflict with each other. To submit a question, fill out this&nbsp;<a href="https://docs.google.com/forms/d/e/1FAIpQLSctX2yDEss1RnRlesUBKc1vmCxneDRvsgJlGQ5pDsef39RKtA/viewform" target="_blank" rel="noreferrer noopener">anonymous form</a>. Here’s this week’s question from a reader, condensed and edited for clarity:</em></p>

<p class="has-text-align-none"><strong>The last few years have been financially hard for our family. My husband and I are both working and building up a business. It’s been slow and the financial damages are going to take a while to recoup. We are relying on government assistance to help support our family of six.</strong></p>

<p class="has-text-align-none"><strong>Crazy as it sounds to most people, we’d like to have another child before it’s too late as I’m already in the upper ranges of my childbearing years. I keep feeling like it’s irresponsible to have another child because we are on government assistance, even though we have a roof over our heads, everyone is healthy, and there’s food on the table. We have a wonderful support system and we spend time with each child individually.</strong></p>

<p class="has-text-align-none"><strong>I’m worried, though, what friends and family might think of us if we have another. Is it unreasonable or morally wrong to bring another child into the world when we are poor? I know people who think it’s wrong to have more kids if you can’t fully fund college 529s for those you have, but that seems a bit extreme. So where do we draw the line morally?&nbsp;</strong></p>

<p class="has-text-align-none">Dear Love-Rich-and-Cash-Strapped,</p>

<p class="has-text-align-none">The idea that we need to save up a certain amount of money before we have kids is really common. On the surface, it might seem reasonable, because we all want to do right by our kids. But once we buy the premise that we need to clear some financial bar, we’re left with a very tricky question: Exactly how much money is enough?</p>

<p class="has-text-align-none">Some people might answer: If you’re on welfare, then you don’t have enough. But notice what that claim amounts to. It’s a claim that accepting public assistance means you automatically <em>forfeit your right to reproductive choice</em>.</p>

<p class="has-text-align-none">That’s a terrible claim, and I think we should reject it!&nbsp;</p>

<p class="has-text-align-none">Think about it: If our moral principle is &#8220;you need X dollars to responsibly reproduce,&#8221; then we&#8217;re committed to saying that most of humanity, across most of history and most of the present-day world, has been acting immorally by having families. Enslaved people, colonized people, people in poverty today —&nbsp;all “immoral,” just for responding to one of nature’s strongest biological drives? Absurd.&nbsp;</p>

<p class="has-text-align-none">So how did we get to this absurd idea? How did society condition us to think that we should only be allowed to reproduce if we clear a certain financial bar?&nbsp;</p>

<div class="wp-block-vox-media-highlight vox-media-highlight">
<h2 class="wp-block-heading"><strong>Have a question you want me to answer in the next Your Mileage May Vary column?</strong></h2>



<p class="has-text-align-none">Just&nbsp;<a href="https://forms.gle/wTU5egBukdhyKeL56">fill out this anonymous form</a>! Newsletter subscribers will get my column before anyone else does, and their questions will be prioritized for future editions.&nbsp;<a href="https://www.vox.com/pages/future-perfect-newsletter-signup">Sign up here.</a></p>
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<p class="has-text-align-none">Understanding the history of this idea is useful. In the 1800s, England’s Poor Law sought to offer relief to people in poverty —&nbsp;but along the way, it codified a distinction between the “deserving poor”&nbsp;and the “undeserving poor.” If you were disabled, elderly, or ill, you were considered deserving of relief. But if you were able-bodied and viewed as idle, then you were blamed for your own bad fortune, and you could be sent to a workhouse or a prison.&nbsp;</p>

<p class="has-text-align-none">Around the same time, the economist Thomas Malthus was arguing that poor relief should be abolished altogether. It was counterproductive, he said, because it incentivized people to keep having children even if they couldn’t independently support them. He cast people in poverty as irresponsible agents making bad reproductive calculations. His solution? Don’t get married and have sex unless you can afford kids.&nbsp;</p>

<p class="has-text-align-none">With the introduction of the modern welfare state in the 20th century, some of these ideas slipped into the background, but they never really disappeared. The conflation of economic dependency with moral weakness persists in the public imagination. So does the notion that we should hold individuals responsible for their poverty —&nbsp;and restrict their reproductive freedom accordingly — <em>instead</em> of placing the blame on structural failures.&nbsp;&nbsp;</p>

<p class="has-text-align-none">I think bearing this history in mind can be helpful for you, because it’ll remind you that if somebody implies it’s irresponsible to have more kids unless you can fully support them independently, that person is not stating some timeless moral truth. In fact, it’s just the opposite.&nbsp;</p>

<p class="has-text-align-none">For most of human history, the idea of a nuclear family that must be economically self-sufficient before it can morally reproduce would have been straight-up unintelligible. Traditions ranging from Confucian thought to Indigenous ethical systems to Catholic social teaching have insisted that the community has obligations to support families in need. You don’t “earn” the right to have children by first proving your self-sufficiency to your community. That’s a deep misunderstanding of what communities are <em>for</em>. Instead, relying on support from those around you is just a normal feature of human life.</p>

<p class="has-text-align-none">Framing reproductive freedom as a privilege you have to earn shifts moral responsibility entirely onto individual families while ignoring the structures that determine why some families are poor in the first place — like health care costs, housing markets, and in your case, the precarity of entrepreneurship. It asks &#8220;Can you afford a child?&#8221; without bothering to ask “Why does raising a kid cost this much?” or “Why is a hardworking family’s labor not compensated enough to support their household?”</p>

<p class="has-text-align-none">I’d argue the obligation to ensure a child’s well-being is primarily an obligation on society — particularly now that we live in an era of such wealth that everyone’s needs could be met if we redistributed money more equitably. </p>

<p class="has-text-align-none">To the extent that some duty lies on the shoulders of the child’s parents, I think it’s a duty of care. As Anastasia Berg and Rachel Wiseman write in their book <a href="https://us.macmillan.com/books/9781250276131/whatarechildrenfor/"><em>What Are Children For</em>?</a>:</p>

<blockquote class="wp-block-quote is-layout-flow wp-block-quote-is-layout-flow">
<p class="has-text-align-none">Money can buy many things, but the ethical justification to have children ought not be one of them… It is rather the other way around: in having a child, a human being assumes the responsibility to care for them, to the best of their abilities, whatever the challenges they will have to face. Parents who do so under circumstances of near-certain hardship, where that duty of care will likely exact more suffering and require more sacrifice, are not more morally blameworthy than their well-to-do peers; they might just be braver.</p>
</blockquote>

<p class="has-text-align-none">And when it comes to care, you seem abundantly able to fulfill your duty. Although your family might not be rich in terms of cash, you’re rich in love, attention, and social support, all of which have massively important effects on a child’s well-being. You and your partner are clearly also hardworking and courageous, which means you’ll be modeling key virtues for your kids — one of the greatest gifts any parent can give their children. </p>

<p class="has-text-align-none">Can you guarantee that your kids will have everything they ever want in life? No. But the truth is, no parent can. Not today, probably not in the future, and certainly not in the past. Historically, virtually no one could be certain that they’d manage to give their kids a good life in the contemporary sense. Infant and childhood mortality were extremely high, famine was common, war was endemic&nbsp;—&nbsp;and guess what? People had kids anyway. Not because they were irresponsible, but because they understood children as participants in a shared, uncertain human endeavor.&nbsp;</p>

<p class="has-text-align-none">One thing that has kept people having kids even in the face of all the difficulty and uncertainty is the idea that we can never quite see what’s around the bend. There’s hope in that.</p>

<p class="has-text-align-none">The Jewish tradition illustrates this with a wonderful story: When the ancient Israelites were enslaved in Egypt, the Israelite men didn’t want to sleep with their wives because they didn’t want to bring kids into the world only to see them become slaves to the Pharaoh. But the women disagreed with this logic. They believed that, so long as they didn’t foreclose the possibility of a future for their people, things would get better and someone would save them. So they got gussied up and seduced their husbands. And lo and behold, nine months later, Moses was born —&nbsp;and he ended up freeing the Israelites from slavery.</p>

<p class="has-text-align-none">The point is that we don’t need to clear some bar of guaranteed, independent material wealth before we bring kids into the world. The future is uncertain, but if we let that stop us from having children, we foreclose the possibility of a new life — a life that just might make the future brighter and more beautiful for everyone.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>

<h2 class="wp-block-heading has-text-align-none"><strong>Bonus: What I’m reading</strong></h2>

<ul class="wp-block-list">
<li>Over at The Argument, <a href="https://www.theargumentmag.com/p/theres-no-such-thing-as-returning">Jerusalem Demsas explores</a> why millennials feel so much ambivalence about becoming parents. “Millennials aren’t uniquely bad at assessing risk or particularly historically illiterate; rather we’ve come of age at a time where progress has made parenthood optional just as it has eliminated all the ways we might practice making irreversible, high-variance decisions,” Demsas writes.<br></li>



<li>Why is pop-Stoicism so ubiquitous in the self-help world these days? How did it become the philosophical darling of right-wing men in particular? The Drift Mag’s Erik Baker offers an <a href="https://www.thedriftmag.com/how-i-learned-to-stop-worrying-and-love-my-shitty-life/">in-depth explanation</a>.<br></li>



<li>Years ago, I read Robert Musil’s philosophical novel <em>The Man Without Qualities</em>. It had a texture like nothing I’d read before, and I loved it without really understanding why. This new <a href="https://aeon.co/essays/robert-musil-gives-confidence-to-the-no-self-minority-like-me">Aeon essay</a> finally helped me figure it out —&nbsp;the novel conveys the beauty of a “no-self existence.” Read the essay as a teaser and then go enjoy some Musil!&nbsp;&nbsp;</li>
</ul>
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			<entry>
			
			<author>
				<name>Sigal Samuel</name>
			</author>
			
			<title type="html"><![CDATA[How can you prepare your kids for AI&#8217;s disruption to the job market?]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/484820/ai-job-market-education-teaching-kids" />
			<id>https://www.vox.com/?p=484820</id>
			<updated>2026-04-07T14:14:34-04:00</updated>
			<published>2026-04-05T08:30:00-04:00</published>
			<category scheme="https://www.vox.com" term="Advice" /><category scheme="https://www.vox.com" term="Education" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="Your Mileage May Vary" />
							<summary type="html"><![CDATA[I work with a lot of very smart people, and sometimes one of them asks me a question that stops me in my tracks. That’s what happened after I published the newest installment of my advice column, Your Mileage May Vary, which was about whether it’s morally icky to send your kid to private school [&#8230;]]]></summary>
			
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<p class="has-text-align-none">I work with a lot of very smart people, and sometimes one of them asks me a question that stops me in my tracks. That’s what happened after I published the newest installment of my advice column, Your Mileage May Vary, which was about <a href="https://www.vox.com/the-highlight/484136/private-public-school-best-education-ethics?view_token=eyJhbGciOiJIUzI1NiJ9.eyJpZCI6IjZNaWVxMHh1MjMiLCJwIjoiL3RoZS1oaWdobGlnaHQvNDg0MTM2L3ByaXZhdGUtcHVibGljLXNjaG9vbC1iZXN0LWVkdWNhdGlvbi1ldGhpY3MiLCJleHAiOjE3NzY0MzYyOTcsImlhdCI6MTc3NTIyNjY5N30.AINbkgbiVOezFqc1xGTHpKzMRmrQaqIalNDb53QBhpg&amp;utm_medium=gift-link">whether it’s morally icky to send your kid to private school</a> instead of the local public school.&nbsp;</p>

<p class="has-text-align-none">Bryan Walsh, one of my editors, hit me with the question below. I felt so many people would relate to it that I wanted to publish it along with my own response to it. In the future, I hope to share more of these smart questions from within our newsroom. For now, consider this one about making decisions under radical uncertainty.&nbsp;Here’s Bryan’s question:</p>

<p class="has-text-align-none"><strong>Sigal&#8217;s <a href="https://www.vox.com/the-highlight/484136/private-public-school-best-education-ethics?view_token=eyJhbGciOiJIUzI1NiJ9.eyJpZCI6IjZNaWVxMHh1MjMiLCJwIjoiL3RoZS1oaWdobGlnaHQvNDg0MTM2L3ByaXZhdGUtcHVibGljLXNjaG9vbC1iZXN0LWVkdWNhdGlvbi1ldGhpY3MiLCJleHAiOjE3NzY0MzYyOTcsImlhdCI6MTc3NTIyNjY5N30.AINbkgbiVOezFqc1xGTHpKzMRmrQaqIalNDb53QBhpg&amp;utm_medium=gift-link">column</a> is characteristically smart, and I&#8217;d encourage anyone wrestling with the decision about how to educate their child to read it. But as a parent of an 8-year-old in a Brooklyn public school, what strikes me most about the private-versus-public debate isn&#8217;t the ethical dimension — it&#8217;s the sheer vertigo of not knowing.</strong></p>

<p class="has-text-align-none"><strong>Something I realized fairly soon as a parent is that we get exactly one shot at it. There is no control group. You can&#8217;t run your kid through public school, rewind, try private, and then compare outcomes at age 30. You&#8217;re forced to make what could be a massive, consequential decision with radically incomplete information.&nbsp;</strong></p>

<p class="has-text-align-none"><strong>That uncertainty gnaws at me. When I was growing up in the 1980s, the basic formula for life success was still legible: get good grades, go to a good college, get a good job. That pathway still exists, but it&#8217;s fraying in ways that make school choice, like so much else today, feel even more like a shot in the dark. What skills will actually matter in 15 years? Will the curriculum your kid learns in third grade have any bearing on a labor market being reshaped by AI? Will the network your child builds matter less — or even more?&nbsp;</strong></p>

<p class="has-text-align-none"><strong>I’m supposed to be a futurist, and I have no idea. I suppose it’s some comfort that neither does anyone else, though plenty of people will charge you $40,000 a year in tuition to pretend they do.</strong></p>

<p class="has-text-align-none"><strong>The research Sigal cites is genuinely reassuring — family background matters more than which building your kid sits in. But knowing that intellectually doesn&#8217;t silence the 3 am voice that whispers: <em>What if you&#8217;re getting this wrong?</em></strong></p>

<p class="has-text-align-none">This is such Relatable Content! How are you supposed to set up your child’s “<a href="https://www.loc.gov/programs/poetry-and-literature/poet-laureate/poet-laureate-projects/poetry-180/all-poems/item/poetry-180-133/the-summer-day/">one wild and precious life</a>,” as Mary Oliver put it, when life offers you no clear instruction manual and you only get one try?&nbsp;&nbsp;</p>

<p class="has-text-align-none">This is hard in the most stable of times. And it feels even harder now, when so many parents are wondering how they can possibly educate their kids in a way that’ll prepare them for AI’s disruptions to the labor market and society overall.</p>

<p class="has-text-align-none">You’re right about two things. First, the old formula for life success — good grades at a good school will get you a good job —&nbsp;can be counted on less and less. And second, parents now have to make decisions about their kids’ education with radically incomplete information.&nbsp;</p>

<p class="has-text-align-none">Uncertainty is a very hard thing to hold, especially at 3 am.&nbsp;</p>

<p class="has-text-align-none">So at this point, I could try to reassure you by telling you the concrete things you can do to benefit your individual child. I could reiterate what <a href="https://www.wsj.com/lifestyle/careers/what-ai-executives-tell-their-own-kids-about-the-jobs-of-the-future-1ba43f65">many AI executives and early adopters have told their own kids</a>: Cultivate soft skills (like listening, empathy, and accountability) and metacognitive skills (like critical thinking, experimentation, and flexibility).&nbsp;</p>

<p class="has-text-align-none">I could also reiterate something <a href="https://www.vox.com/advice/413189/ai-cheating-college-humanities-education-chatgpt">I’ve said before</a>: A good education is about much more than ensuring job security. As Aristotle argued back in ancient Greece, it’s about cultivating all the character virtues that make for a flourishing life — honesty, courage, justice, and especially <em>phronesis</em> or good judgment (learning to discern the morally salient features of a given situation so you can make a judgment call that’s well-attuned to that unique situation). The advent of AI makes a virtue like <em>phronesis</em> more relevant than ever, because your kid will need to be able to wisely discern how to make use of emerging technologies — and how not to. </p>

<p class="has-text-align-none">But the thing about the virtues is, you build them up through practice. If your kid doesn’t have the opportunity to encounter friction that forces them to practice reasoning and deliberating, they’ll have a very hard time developing good judgment.&nbsp;</p>

<p class="has-text-align-none">And AI tends to remove friction. It makes things fast and easy, which can be handy in the short term, but can lead to intellectual — and moral — deskilling in the long term. As AI use pervades society more and more, I think the most unusual kind of person will be one who has become neither brain-dulled nor virtue-dulled by deferring to AI models without using their own cognitive muscles first.</p>

<p class="has-text-align-none">So if your goal is to make your kid stand out in a way that just might give them a leg up when they’re grown, I’d say: Make sure that they build those muscles while they’re young, and for the love of god, keep exercising them. Even if this doesn’t give them full security in the labor market, it’ll help them live a more flourishing life writ large.</p>

<p class="has-text-align-none">The nice thing about this advice for you, as a parent struggling to know what to do for your kid, is that it means you don&#8217;t have to do anything wildly different from what’s been done in the past! The benefits of a classic humanities or liberal-arts education are still among the very best you can give your child.&nbsp;</p>

<p class="has-text-align-none">But.&nbsp;</p>

<p class="has-text-align-none">While I think all the advice I’ve mentioned so far is reasonable on the individual level, I’d argue the very best advice would be to question the entire premise that focusing on that individual level will be an effective way to ensure much of anything for your child’s future.&nbsp;</p>

<p class="has-text-align-none">On the current trajectory, it seems all too likely that we’re heading toward a future of <a href="https://gradual-disempowerment.ai/">“gradual disempowerment,”</a> as some AI researchers put it. The basic idea is that as AI becomes a cheaper alternative to human labor in most jobs, the economic pressure to sideline humans will become incredibly hard to resist. Historically, citizens in democratic states have enjoyed a bunch of rights and protections because states needed us —&nbsp;we provide the labor that makes everything run, from the economy to the military. </p>

<p class="has-text-align-none">But when AI provides the labor and the state becomes less dependent on us, it doesn’t have to pay so much attention to our demands. Worse, any state that does continue taking care of human workers might find itself at a competitive disadvantage against others that don’t. And so the forces that have traditionally kept governments accountable to their citizens gradually erode, and we end up deeply disempowered.&nbsp;</p>

<p class="has-text-align-none">Under these conditions, focusing on the object-level question of “what skills should I teach my individual child?” is a bit like trying to protect your kid from climate change by buying them a better sunhat.</p>

<p class="has-text-align-none">Instead, it makes more sense to focus on the structural problem, which demands political engagement and collective organizing. If you want your kid to have a job as an adult, then teaching them to be an effective citizen and advocate —&nbsp;and doing that work yourself right now —&nbsp;probably matters more than any particular school subject they will study. <a href="https://www.vox.com/future-perfect/468672/how-to-fight-generative-ai?view_token=eyJhbGciOiJIUzI1NiJ9.eyJpZCI6IkVnUEhONDNWVlAiLCJwIjoiL2Z1dHVyZS1wZXJmZWN0LzQ2ODY3Mi9ob3ctdG8tZmlnaHQtZ2VuZXJhdGl2ZS1haSIsImV4cCI6MTc3NjQ0NDM3OSwiaWF0IjoxNzc1MjM0Nzc5fQ.bMIP0ZECi4IB8xvConvB9ip0f7HzJ_nHIu0M12tySTU&amp;utm_medium=gift-link">This can take many concrete forms</a>: organizing with your labor union, supporting advocacy groups that push the government to make tech equitable and accountable, voting for politicians who share your vision, and spreading compelling counter-narratives to the <a href="https://www.vox.com/the-highlight/23779413/silicon-valleys-ai-religion-transhumanism-longtermism-ea">fanciful stories</a> that AI companies are selling the public.&nbsp;&nbsp;</p>

<div class="wp-block-vox-media-highlight vox-media-highlight">
<h2 class="wp-block-heading"><strong>Have a question you want me to answer in the next Your Mileage May Vary column?</strong></h2>



<p class="has-text-align-none">Just&nbsp;<a href="https://forms.gle/wTU5egBukdhyKeL56">fill out this anonymous form</a>! Newsletter subscribers will get my column before anyone else does, and their questions will be prioritized for future editions.&nbsp;<a href="https://www.vox.com/pages/future-perfect-newsletter-signup">Sign up here.</a></p>
</div>

<p class="has-text-align-none">I know that accepting the limits of what we can guarantee by focusing on the personal level is a tough pill to swallow. We live in a culture that conditions us to think in terms of the atomized individual and valorizes being self-sufficient and self-directed (see Silicon Valley’s current obsession with being “<a href="https://www.nytimes.com/2026/04/01/opinion/high-agency-silicon-valley.html">high agency</a>.”) But my own life has taught me how fragile that model is.</p>

<p class="has-text-align-none">I grew up in a family on welfare, so financial and professional security feels very salient to me. I tend to gravitate towards a “hoarding” mentality. That is, faced with my own 3 am anxieties, I spent years trying to maintain a sense of control by telling myself that if I burnish my educational credentials, work hard at my job, and save enough money, I’ll be okay.&nbsp;</p>

<p class="has-text-align-none">But for me, that illusion of control came crashing down a decade ago when I developed a chronic illness. For a while, it was so intense that I could barely walk. And I was shattered to discover that nothing I’d hoarded —&nbsp;my education, my job, my savings —&nbsp;could help me. Even worse than the physical pain was the emotional pain of feeling alone: My doctors shunted me from specialist to specialist, and my friends and family didn’t realize that I needed more support. I was so used to the idea that I was self-sufficient, in my castle buttressed by the achievements I’d hoarded, that I didn’t think to ask.</p>

<p class="has-text-align-none">Recently, a friend of mine also developed a chronic illness. But unlike me, she’d spent many years cultivating a community of extremely tight-knit friends. They’re the sort of group that talks a lot about <a href="https://www.vox.com/future-perfect/385158/charity-solidarity-donating-mutual-aid-money-dysmorphia">solidarity and mutual aid</a>. And they walk the talk. I’ve watched how my friend, buoyed by all the meals and parties and other ministrations they lavish on her, has been able to manage her physical challenges with so much less fear and so much more security than me. My castle isolated me. Her refusal to build one gave her true safety.</p>

<p class="has-text-align-none">As AI disrupts the labor market, I’m trying to move myself from the hoarding model to the solidarity model.&nbsp;</p>

<p class="has-text-align-none">And I wonder if it might serve you and your family well, too. The problem we’re all about to face together is structural, not individual. So the benefits you can offer your child on the individual level are, it pains me to say, fairly limited. But if you focus on political engagement and collective organizing that <a href="https://www.vox.com/future-perfect/468672/how-to-fight-generative-ai?view_token=eyJhbGciOiJIUzI1NiJ9.eyJpZCI6IkVnUEhONDNWVlAiLCJwIjoiL2Z1dHVyZS1wZXJmZWN0LzQ2ODY3Mi9ob3ctdG8tZmlnaHQtZ2VuZXJhdGl2ZS1haSIsImV4cCI6MTc3NjQ0NDM3OSwiaWF0IjoxNzc1MjM0Nzc5fQ.bMIP0ZECi4IB8xvConvB9ip0f7HzJ_nHIu0M12tySTU&amp;utm_medium=gift-link">could actually make some difference to the structural dynamic</a> — and teach your child to ask structural questions and be civically engaged as well — you might be able to sleep a little better at night. </p>
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			<entry>
			
			<author>
				<name>Sigal Samuel</name>
			</author>
			
			<title type="html"><![CDATA[Humanity’s return to the moon is a deeply religious mission]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/2023/4/3/23667361/moon-artemis-nasa-elon-musk-jeff-bezos-space-colonization-exploration" />
			<id>https://www.vox.com/future-perfect/2023/4/3/23667361/moon-artemis-nasa-elon-musk-jeff-bezos-space-colonization-exploration</id>
			<updated>2026-04-01T17:08:44-04:00</updated>
			<published>2026-04-01T17:08:41-04:00</published>
			<category scheme="https://www.vox.com" term="Elon Musk" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Influence" /><category scheme="https://www.vox.com" term="Jeff Bezos" /><category scheme="https://www.vox.com" term="Science" /><category scheme="https://www.vox.com" term="Space" /><category scheme="https://www.vox.com" term="Technology" />
							<summary type="html"><![CDATA[Editor’s Note, April 1, 5:00 pm ET: The interview in this piece was conducted when NASA first revealed the crew for Artemis II in 2023. With the launch now taking place, Vox is republishing the piece. The crew taking part in the Artemis II launch includes two historic firsts: the first woman, Christina Koch, and [&#8230;]]]></summary>
			
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<p><em><strong>Editor’s Note, April 1, 5:00 pm ET:</strong> The interview in this piece was conducted when NASA first revealed the crew for Artemis II in 2023. With the launch now taking place, Vox is republishing the piece.</em></p>

<p>The crew taking part in the Artemis II launch includes two historic firsts: the first woman, Christina Koch, and the first person of color, Victor Glover, to go on a lunar mission. <a href="https://www.nytimes.com/live/2023/04/03/science/artemis-nasa-news">Hailed</a> by NASA spokespeople as “pioneers” and “explorers,” they have been greeted with fanfare befitting “humanity’s crew.”</p>

<p>But behind the Artemis II program are much more corporate goals. It’s not just that private industry helped <a href="https://www.nasa.gov/content/artemis-partners">build</a> the program’s spacecraft. Space mining companies competing for government contracts want to turn the moon into a cosmic gas station. The vision is to mine the lunar surface for rocket fuel that can then propel us all the way to Mars — and beyond, as humanity takes its self-appointed place in the stars.</p>

<p>Mary-Jane Rubenstein told me that vision makes her want to throw up. A Wesleyan professor of religion and science in society, she’s the author of the book <a href="https://press.uchicago.edu/ucp/books/book/chicago/A/bo184287883.html"><em>Astrotopia: The Dangerous Religion of the Corporate Space Race</em></a>.</p>

<p>What’s “religion” doing in that title, and why is a religion professor writing a book about the space program? Rubenstein argues that today’s corporate space race — helmed by Elon Musk, Jeff Bezos, Richard Branson, and others who <a href="https://www.vox.com/future-perfect/2018/10/22/17991736/jeff-bezos-elon-musk-colonizing-mars-moon-space-blue-origin-spacex">propose to “save” humanity</a> from a dying planet —&nbsp;is actually rehashing old Christian themes that go all the way back to the 15th century, when European Christians colonized the Americas. Remember how Donald Trump described the Artemis mission and eventual settlement of the moon and Mars? He called it <a href="https://www.nytimes.com/2020/02/05/us/politics/state-of-union-transcript.html">“America’s manifest destiny in the stars.”</a></p>

<p>But as Rubenstein points out, not everyone thinks it’s the moon’s destiny to be strip-mined, or Mars’s destiny to be settled by human colonists. In fact, some believe these celestial bodies should have fundamental rights of their own.</p>

<p>I talked to Rubenstein about the fear of screwing up space like we’ve screwed up Earth: Is that really a fear of trampling on space’s own intrinsic value, or is it more a fear about human nature? A transcript of our conversation, edited for length and clarity, follows.</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>When you see news about space exploration, like the announcement about who will be going to the moon next year, is your dominant feeling … excitement? Dread?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>It’s a little bit of dread. Because I worry that all this is getting going before the public really understands what’s happening.</p>

<p>One thing I’m worried about is that some of the astronauts will be tokenized to make it clear that Artemis is a feminist and anti-racist movement. But if we’re looking to make space exploration a liberationist project, just putting representatives of different identity groups there isn’t going to be enough. I worry that it’ll look like the job is somehow done because there is a woman and a person of color on this mission.&nbsp;</p>

<p>The mission itself needs to be analyzed from a feminist and anti-racist perspective first. Then you figure out how to do it well, and then you figure out who’s going to be on it.&nbsp;</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>There are two words you use to refer to the corporate space race in your book, and the rationale for using those words might not be obvious to readers. You talk about it as “religion” and as “colonial.” Why?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>What I’m arguing is that the new corporate space race is an extension and intensification of the initial space race of the late ’50s and into the early ’70s. And that that space race is an extension and intensification of the colonial project that settled the Americas.</p>

<p>The journey that Europeans made across the seas to conquer the Americas and then the journey that white-descended Americans made across the North American continent through what’s known as Manifest Destiny gets extended in the mid-20th century as a new frontier is proclaimed to be open, the frontier of outer space. The space race is a new chapter in European-style colonialism —&nbsp;a vertical extension of that colonial project — as an effort to get more land and more resources for an imperial nation.&nbsp;</p>

<p>The colonial project that settled the Americas was underwritten at every major turn by religious language, religious authorities, religious doctrines. Perhaps most profoundly, the reason Spain was able to conquer the New World was that Pope Alexander VI declared that the New World was his to give — and he gave it to Spain. The conquistadors were underwritten by the head of the Roman Catholic Church; therefore God was endorsing the Spanish conquest of the New World.</p>

<p>This language gets taken up in different ways later. You find a claim to land and resources and a justification for destroying indigenous communities, all authorized by biblical claims. North America is understood very early on to be what early preachers will call God’s New Israel. Just as God gave the Land of Canaan to the Israelites on the proviso that they make it a holy land, God was now giving Europeans a new Canaan. The idea is: Go in there, cleanse it of all unholiness and devotion to any other gods, and establish a new kingdom dedicated to the glory of God.</p>

<p>By the way, there are 20 towns in the US that are <a href="https://geotargit.com/called.php?qcity=Canaan">named</a> New Canaan.</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>So if America is understanding itself to be God’s new Israel, it’s like saying Americans are God’s new chosen people. How do those religious themes underwrite the modern corporate space race?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>When Mike Pence spoke to space-industry professionals [in 2018], he <a href="https://www.theatlantic.com/science/archive/2018/08/mike-pence-nasa-faith-religion/568255/">quoted Psalm 139</a> and said that “even if we go up to the heavens, even there His hand will guide us.” Then in 2020, Trump used the language of Manifest Destiny in his last State of the Union address when he was declaring his priorities for a second term. This was in the [beginning] of the pandemic, people were dying, and his first priority was going to the moon — to embrace “America’s manifest destiny in the stars.”</p>

<p>That was a call-out to the old idea of Manifest Destiny, that God wants light-skinned people of European heritage to inhabit not only the Eastern seaboard but the entire continent. Now the idea that Trump set forth was, it’s not just the continent that God wants America to have, it’s the entire universe.</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>And just to be clear, lest people think this is just a Trump thing, this is very much something that the Biden administration has decided to continue, right?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>Absolutely. There’s absolutely no difference between the Trump administration and the Biden administration when it comes to space.&nbsp;</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>Some people object to using the word “colonialism” in this context. We think of colonialism as a hugely harmful thing mostly because European colonizers were coming to inhabited lands and destroying indigenous peoples. But if the moon or Mars or space beyond our solar system is <em>uninhabited</em>, how does “colonialism” apply?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>The answer that seems compelling to you totally depends on your frame of reference. Perhaps the most difficult for secular, white Westerners to take on would be this. If you talk to indigenous people —&nbsp;I’m thinking particularly of Inuit cosmology, of Ojibwe cosmology, of Bawaka cosmology from Australia — they will tell you that outer space isn’t empty at all, that it actually is inhabited, that there are indigenous people there: their ancestors.</p>

<p>For the Bawaka People, when people die, they’re actually carried up into the Milky Way alongside the stars. So they’re really concerned that if we mine there, we’re actually doing damage to the habitation of the ancestors. And planetary bodies are often said to be sacred or to be divinities themselves. So, from different perspectives, it’s not just a foregone conclusion that there is nothing out there.</p>

<p>If that doesn’t do it for you, colonialism was also fairly destructive for the nations who were doing the colonizing! At the moment we do not have a robust international legal structure in space. If you’re able to set up, say, a mine there, you’re going to have to defend your mine. So the US Space Force is going to be stationed around the mine to make sure nobody else goes there. And suddenly you’ve got the same clamoring for land and resources that tore the nations apart in the late 19th century, and we had two world wars resulting from that. It seems like a bad idea to set ourselves up for that in space.</p>

<p>Also, the pursuit of wealth and explosion of profit tends to make those who are already wealthy much wealthier. We know that widening the gap between exceedingly rich people and exceedingly poor people is not good for most of the population.&nbsp;</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>What about ways that an extractive approach to space could potentially do damage to land?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>This approach means we’re going to get even more rocket launches than we currently have —&nbsp;Elon Musk sends 60 satellites up at a time —&nbsp;and more launch pads being created and those are usually created in spaces like wetlands. Boca Chica, Texas, for example, has been absolutely destroyed by the operations of SpaceX in that area. Ecologically it’s a disaster. And low-Earth orbit is already <a href="https://www.vox.com/science-and-health/2020/1/7/21003272/space-x-starlink-astronomy-light-pollution">so crowded</a> that it’s very hard to see the stars, even for astronomers.</p>

<p>The next thing to point out is that the colonial project has been destructive not only of communities, but of land itself. So then the question becomes whether the land of the moon or Mars has any value in itself, which is to say beyond its value to us.</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>You write about a group of Australian scholars who argue that it’s not okay to damage the surface of the moon or pollute it, that the moon “possesses fundamental rights.” They’ve even issued a <a href="https://www.abc.net.au/news/2021-03-19/the-declaration-on-the-rights-of-the-moon-explained/13256300">Declaration of the Rights of the Moon</a>. This echoes the <a href="https://www.vox.com/future-perfect/2019/8/18/20803956/bangladesh-rivers-legal-personhood-rights-nature">“rights of nature” movement</a>, which has successfully won legal personhood rights for lakes and forests. Do you think it makes sense to apply that sort of thinking to an extraterrestrial body?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>It’s such a hard question. On the one hand, I can understand that people might think there are severe limitations to applying human-derived rights language to natural formations. We might be concerned that modeling the rights of nature on the rights of humans only allows us to value something insofar as it seems human-ish. But my sense is that we’re working within a complicated and insufficient legal framework and that any strategy that works is worth trying.</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>You cite the philosopher Holmes Rolston III who argues that <a href="https://mountainscholar.org/bitstream/handle/10217/37453/pres-nv-solar-system%5B1%5D.pdf">natural entities have their own value</a> independent of anything humans might want from them. That doesn’t mean we should never eat a carrot or dig up a weed, but it does mean we should spend time considering what we take from the world and how. Rolston offers criteria for how to know when we shouldn’t destroy something. For example, we should respect “places of historical value,” “extremes in natural projects,” “places of aesthetic value,” and “places of transformative value.”&nbsp;</p>

<p>But are these really about a place’s intrinsic moral worth? To me this sounds more like people grasping for language to talk about instrumental worth — what certain places do for us.</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>I think it’s very hard to measure the value of something in itself. We’re always going to slip into the language of human perspective; we’re always going sneak in our own aesthetic criteria. This project has really demolished anything like academic purism in me. I think we’re going to have to give up on purity, inviolable categories or absolute measurements.</p>

<p>But even if there were just some kind of attention to the landscape itself and to what’s important to us (taken broadly) about that landscape &#8230; even if we were just to approach the bodies of outer space in the ways that we approach national parks, where you carry out anything you bring in &#8230; we would be doing a lot better.&nbsp;</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>I like this idea of human judgments as a floor or a minimum. Even if we just are thinking about how to protect a place vis-à-vis what is of instrumental worth to us humans, that’s already going to be some improvement.</p>

<p>I think a lot of people are painfully aware of how humanity has screwed up the Earth. And so maybe there’s this fear about screwing up space. But is that really more of a fear about human nature, as opposed to really being about space’s own intrinsic value?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>I don’t think it’s so much a panic with respect to human nature as it is a panic with respect to capitalist nature. It’s not all of humanity that wants to conquer the stars; it’s a destructive subsection of humanity that claims to be speaking on behalf of all of humanity and telling us that either all of humanity is going to become extinct forever or we need to nuke Mars <a href="https://www.businessinsider.com/elon-musk-doubles-down-on-theory-about-nuking-mars-2019-8">[to terraform it, per Musk’s ideas</a>]. It’s a false zero-sum game.</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>Right, everyone from Musk to Bezos to Branson says the corporate space race will be for the benefit of humanity. This goes back to Eisenhower, who <a href="https://www.nasa.gov/50th/50th_magazine/ikeLetter.html">said</a> the US must develop a national space program “for the benefit of all mankind.” I’ve seen this in the AI race too — OpenAI, for example, <a href="https://openai.com/about">says</a> its mission is to ensure that artificial general intelligence “benefits all of humanity.”</p>

<p>In your book you take issue with this language of saving all humanity from going extinct, and you write, “The operative fallacy here is known as longtermism.” <a href="https://www.vox.com/future-perfect/23298870/effective-altruism-longtermism-will-macaskill-future">Longtermism is a controversial spinoff of a social movement called effective altruism</a>, but you say it’s actually a high-tech version of what Malcolm X called “pie in the sky and heaven in the hereafter.” He blamed America’s racist social system on the Christian teaching that those who suffer on Earth will be rewarded in the afterlife, which he said dissuaded Black Americans from overthrowing their oppressors. How does that map onto your worry about longtermism?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>In the book I try to expose the clearly religious heritage of colonialism and the remnants of the kind of thinking we find in Pence and Trump when they say that God wants us to conquer the cosmos. But that’s not the most interesting place that religion is showing up at this point. The most interesting place is much more subtle: It’s in the proclamations that “the world is coming to an end.” They’re offering us a classic messianic logic of impending disaster on the one hand and eternal salvation on the other.</p>

<p>So the locus of religious operation has changed from the Church to these private messiahs. The private messiahs aren’t speaking in the name of any recognized religion — the logic claims to be totally secular. But it actually looks a lot like the Christian logic that says suffering on Earth is justified because there’s going to be redemption in another world.&nbsp;</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>So is your worry that the longtermist doctrine prioritizes the existence of our species in the far future, so it risks propping up the current destructive systems and keeping us docile about them?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>Absolutely. Longtermism gives us a recommended sacrifice of the poor, homeless, and hungry of the Earth, because they’re not the future. It’s actually worse than the Christian promise. The Christian promise is that you yourself may suffer for 80 years but you will be rewarded in the afterlife. Here, there’s no reward for the particular people who are suffering. They’re just going to be thrown by the wayside and die in conditions of poverty and misery. But the human species itself will triumph.</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>The human species will see the Promised Land but the individuals of today will languish in the desert.&nbsp;</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>Exactly.</p>

<h3 class="wp-block-heading">Sigal Samuel</h3>

<p>Last question for you: If space exploration can be done in a way that doesn’t screw over people or animals or our planet or other planets, are you all for it?</p>

<h3 class="wp-block-heading">Mary-Jane Rubenstein</h3>

<p>I’m absolutely for it! And there are so many teachers who know how to do this better. They may not be astronomers and they’re probably not corporate leaders. But there are people who know how to live sustainably. If we can find a way to listen to their example, then great! But that would involve locating those people and probably trying this out on Earth first.</p>
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			<entry>
			
			<author>
				<name>Sigal Samuel</name>
			</author>
			
			<title type="html"><![CDATA[Do you need to know who you’d be without antidepressants?]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/480842/antidepressants-personality-self-stopping-psychiatric-drugs" />
			<id>https://www.vox.com/?p=480842</id>
			<updated>2026-03-24T06:14:09-04:00</updated>
			<published>2026-03-24T06:14:00-04:00</published>
			<category scheme="https://www.vox.com" term="Advice" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Mental Health" /><category scheme="https://www.vox.com" term="Your Mileage May Vary" />
							<summary type="html"><![CDATA[Your Mileage May Vary&#160;is an advice column offering you a unique framework for thinking through your moral dilemmas. It’s based on&#160;value pluralism&#160;— the idea that each of us has multiple values that are equally valid but that often conflict with each other.&#160;To submit a question, fill out this&#160;anonymous form. Here’s this week’s question from a [&#8230;]]]></summary>
			
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<img alt="An illustration of two people encased in massive pill capsules. On the left, a young girl wearing a backpack is fully within a capsule, and on the right, an older version of the same person is opening the capsule surrounding her." data-caption="" data-portal-copyright="Pete Gamlen for Vox" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/02/PeteGamlen_YMMV_Meds.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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<p class="has-text-align-none"><em><em><a href="https://www.vox.com/your-mileage-may-vary-advice-column" target="_blank" rel="noreferrer noopener">Your Mileage May Vary</a>&nbsp;is an advice column offering you a unique framework for thinking through your moral dilemmas. It’s based on&nbsp;<a href="https://www.vox.com/future-perfect/418783/liberal-democracy-value-pluralism-isaiah-berlin" target="_blank" rel="noreferrer noopener">value pluralism</a>&nbsp;— the idea that each of us has multiple values that are equally valid but that often conflict with each other.</em>&nbsp;<em>To submit a question, fill out this&nbsp;<a href="https://docs.google.com/forms/d/e/1FAIpQLSctX2yDEss1RnRlesUBKc1vmCxneDRvsgJlGQ5pDsef39RKtA/viewform" target="_blank" rel="noreferrer noopener">anonymous form</a>. Here’s this week’s question from a reader, condensed and edited for clarity</em>:</em></p>

<p class="has-text-align-none"><strong>I’ve been on antidepressants on and off (mostly on) since I was in my late teens. I’ve struggled for years with depression and anxiety, and the medication has seemed to help. But I’ve often wondered what it would be like if I tried to stop.&nbsp;</strong></p>

<p class="has-text-align-none"><strong>There’s still a lot we don’t know about how antidepressants work. How much of what I felt to be them “working” might have been a placebo? And I’m a very different person now than I was back then. What if I don’t need the medication anymore?</strong></p>

<p class="has-text-align-none"><strong>I feel pretty happy in general, way happier than I was in my teens. But I just can’t shake the feeling that I’m medicating myself unnecessarily, without great evidence to back up the decision. Do I owe it to myself to find out what it would be like to be off medication? Did I make a mistake going on meds so early without thinking about how difficult an offramp might be?</strong></p>

<p class="has-text-align-none">Dear Antidepressant Ambivalence,</p>

<p class="has-text-align-none">You’re in good company: <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12829365/">One in six</a> adults in the US currently takes antidepressants, and many wrestle with this question. That includes me; I take an antidepressant for chronic anxiety. And the wrestling makes sense, because antidepressants come with a lot of unknowns —&nbsp;both scientific and philosophical.</p>

<p class="has-text-align-none">I have no medical training, so I can’t give medical advice, and decisions about psychiatric drugs should absolutely be made in conversation with a mental health professional. But let me offer you some framing thoughts that might help you get situated in this confusing landscape.&nbsp;</p>

<p class="has-text-align-none">On the scientific level, we do have strong <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32802-7/fulltext">evidence</a> that antidepressants are more effective than a placebo, though their effectiveness <a href="https://www.bmj.com/content/378/bmj-2021-067606">varies</a> from person to person. On average, people are <a href="https://www.nytimes.com/2022/11/08/well/mind/antidepressants-effects-alternatives.html">25 percent likelier</a> to feel better if they take the real drug than if they take the placebo.</p>

<p class="has-text-align-none">But we’re not really sure why antidepressants work. The old “chemical imbalance” model, which proposed that depression arises because there’s not enough serotonin floating around in the brain,&nbsp;is <a href="https://www.vox.com/future-perfect/376854/mental-health-therapy-medications-drugs-neuroscience">not taken seriously today</a> among experts. Instead, scientists now have other hypotheses, like the idea that antidepressants work by boosting neuroplasticity. But you’re right that there’s still a lot we don’t know.&nbsp;</p>

<div class="wp-block-vox-media-highlight vox-media-highlight">
<h2 class="wp-block-heading"><strong>Have a question you want me to answer in the next Your Mileage May Vary column?</strong></h2>



<p class="has-text-align-none">Feel free to email me at&nbsp;<a href="mailto:sigal.samuel@vox.com">sigal.samuel@vox.com</a>&nbsp;or&nbsp;<a href="https://forms.gle/wTU5egBukdhyKeL56">fill out this anonymous form</a>! Newsletter subscribers will get my column before anyone else does, and their questions will be prioritized for future editions.&nbsp;<a href="https://www.vox.com/pages/future-perfect-newsletter-signup">Sign up here!</a></p>
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<p class="has-text-align-none">And then there are the philosophical uncertainties. Antidepressants shape our thoughts and emotions,&nbsp;which make up a lot of what we think of as the self. So they can raise big questions about identity, about who we “really are,” especially for those of us who’ve been taking them for years.&nbsp;</p>

<p class="has-text-align-none">Most psychiatrists, with their meager 20-minute appointments, fail to help their clients explore these deeper questions productively. Yet the questions are extremely important.&nbsp;</p>

<p class="has-text-align-none">The anthropologist Alice Malpass and her colleagues offer <a href="https://www.sciencedirect.com/science/article/abs/pii/S0277953608005133">a useful framework</a> for thinking about this. Based on a lot of ethnographic research, they report that managing antidepressant medication involves two interconnected dimensions. On the one hand, there’s the “medication career,” which consists of your decision-making about whether to take meds, how much to take, and for how long. On the other hand, there’s the “moral career,” which is about how you make meaning out of all those practical decisions. What story are you telling yourself about your condition? About yourself?</p>

<p class="has-text-align-none">Notice that to Malpass, the moral career is a full half of the equation, and rightly so: We know that <a href="https://psychiatryonline.org/doi/full/10.1176/appi.pn.2024.05.5.38">the meanings people assign to their medications</a> feed into their treatment outcomes. So I think it’s important to tackle the moral dimension of your question head-on. You ask, “Do I owe it to myself to find out what it would be like to be off medication?”</p>

<p class="has-text-align-none">I believe the answer is no.</p>

<p class="has-text-align-none">A common trope in the discourse on antidepressants is the worry that taking psychiatric medication means you’re moving away from your “true self” or “true personality.” That leads some people to wonder if they’re failing that self by not seeing what they’d be like off the medication. But I don’t think any of us has one “true self.” We are always being shaped and reshaped by everything we encounter.&nbsp;</p>

<p class="has-text-align-none">When I consider my own identity, I don’t see one preexisting essence — I see myself being constantly co-constituted by the influence of my family and friends, by the articles and videos I encounter online, by the yoga and meditation I do, by the coffee I’m drinking as I write this.</p>

<p class="has-text-align-none">If there’s no preexisting one true self, then you can’t “owe” it to that self to act in this way or that.&nbsp;</p>

<p class="has-text-align-none">Instead, your task is always to look forward —&nbsp;to choose what sort of self you want to become. That means weighing the pros and cons of each option life offers you, and picking the options that you believe, based on the knowledge available to you in the current moment, will move you closer to the version of yourself you wish to be.&nbsp;</p>

<p class="has-text-align-none">As the 19th-century philosopher Søren Kierkegaard once <a href="https://philosophybreak.com/articles/kierkegaard-life-can-only-be-understood-backwards-but-must-be-lived-forwards/">observed</a>: Life can only be understood backwards, but it must be lived forwards.</p>

<p class="has-text-align-none">So, no, I don’t think you made a mistake by going on meds as a teenager. “Mistake” implies a regrettable choice, but since you were making the choice that seemed best given the knowledge available to you at the time, there’s nothing you need to regret. Chances are the meds did help you feel better back then, even though they raise the tricky question of whether and how to consider an offramp now. (You know who <em>should</em> feel regret? The psychiatric establishment, which has <a href="https://www.nytimes.com/2025/05/03/opinion/antidepressants-withdrawal-rfk.html">failed to properly study</a> how to safely wean people off these medications. That lack of research is outrageous.)&nbsp;</p>

<p class="has-text-align-none">It’s easy to imagine that if you hadn’t started meds as a teen, you wouldn’t have to deal with any tricky questions today. But as <a href="https://www.psychiatrymargins.com/p/the-medication-life-and-the-moral">the psychiatrist Awais Aftab points out</a>, that’s a fallacy:</p>

<blockquote class="wp-block-quote is-layout-flow wp-block-quote-is-layout-flow">
<p class="has-text-align-none">Sometimes the patients I see start psychiatric treatment for depression, anxiety, ADHD, etc., for the first time in their 30s, after years of hesitancy. When the treatment works, a common emotion I hear in such situations is regret: “I wish I had started this medication 10 years ago.” While people on long-term antidepressants wonder, “Who would I be off these medications?” the unmedicated are not immune from what-ifs of their own. Who could I be if I were taking antidepressants? Could I be more functional, more productive, a better parent, or a better spouse? Would I have been less obsessive, less neurotic, or more assertive?</p>
</blockquote>

<p class="has-text-align-none">In other words,&nbsp;there are trade-offs either way. Ambivalence is a totally normal response to a situation like this —&nbsp;maybe even the most appropriate response. As Aftab writes, this ambivalence is simply “the moral cost of living in a world in which medical progress presents us with more and more choices, and by doing so, brings the full diversity of human values into play and generates dizzying varieties of uncertainties and trade-offs.”&nbsp;</p>

<p class="has-text-align-none">In the face of all these uncertainties, which make it impossible to know if being on antidepressants is the best possible choice in some objective sense, the best you can do might be to consider — in partnership with a mental health professional — how the trade-off is showing up in your own life: Are the benefits of being on medication most likely outweighing the costs?</p>

<p class="has-text-align-none">Be aware that even if the answer is no, and even if you want to come off the medication, it’s not advisable to stop taking antidepressants abruptly or at a time of high stress; a professional can give you some guidance on how to taper gradually, which can lessen the chance of withdrawal struggles.&nbsp;&nbsp; </p>

<p class="has-text-align-none">The fact that some people experience severe <a href="https://www.newyorker.com/magazine/2019/04/08/the-challenge-of-going-off-psychiatric-drugs">withdrawal symptoms</a> when they stop antidepressants has made some people wonder about dependence. So it’s worth noting that, although people can form a physical or psychological dependence on antidepressants, that’s <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7613097/">not the same thing as “addiction.”</a> The latter generally comes with several other features, including compulsiveness, turning away from social connections, and using a drug in larger doses even when it causes health problems.&nbsp;</p>

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<h2 class="wp-block-heading">Mental health resources</h2>



<p class="has-text-align-none">For guidance on finding — and figuring out how to pay for — the right mental health professional: <a href="https://www.vox.com/even-better/24084051/mental-health-care-how-to-find-the-right-therapist-community-care" target="_blank" rel="noreferrer noopener">A guide to starting your mental health journey</a></p>



<p class="has-text-align-none">If you or anyone you know is considering suicide or self-harm, or is anxious, depressed, upset, or needs to talk, there are people who want to help.</p>



<p class="has-text-align-none"><strong>In the US:</strong><br><a href="https://www.crisistextline.org/" target="_blank" rel="noreferrer noopener">Crisis Text Line</a>: Text CRISIS to 741741 for free, confidential crisis counseling.<br><a href="https://suicidepreventionlifeline.org/talk-to-someone-now/" target="_blank" rel="noreferrer noopener">The National Suicide Prevention Lifeline</a>: <a href="tel:18002738255" target="_blank" rel="noreferrer noopener">1-800-273-8255</a><br><br><strong>Outside the US:</strong><br>The <a href="https://www.iasp.info/" target="_blank" rel="noreferrer noopener">International Association for Suicide Prevention</a> lists a number of suicide hotlines by country. <a href="https://www.iasp.info/resources/Crisis_Centres/" target="_blank" rel="noreferrer noopener">Click here to find them</a>.</p>
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<p class="has-text-align-none">Still, I know some people hate the idea of being “dependent” on anything at all —&nbsp;even, yes, coffee. If you’re among them, you might find the American philosopher Harry Frankfurt’s ideas helpful.&nbsp;</p>

<p class="has-text-align-none"><a href="https://www.sci.brooklyn.cuny.edu/~schopra/Persons/Frankfurt.pdf">Frankfurt drew a distinction</a> between first-order desires (what we want) and second-order desires (what we want to want). To Frankfurt, what distinguishes the situation of a person with an unwilling addiction to some substance is that they have a first-order desire that conflicts with their second-order volition — they want <em>not to want</em> the substance, but they find it too difficult to act on that second-order preference.&nbsp;</p>

<p class="has-text-align-none">When considering my own experience, I find this clarifying. I know I have a second-order stance about the kind of person I want to be: someone capable of being deeply present with others, being kind and patient, being creative and productive, and being (more often than not) delighted by life. And this, for me, translates into a first-order desire to take my medication because I think it’s helping me achieve that second-order desire. In other words, my desires feel aligned.&nbsp;</p>

<p class="has-text-align-none">Importantly, I feel capable of taking a step back periodically and choosing whether I want to continue taking the medication or whether I want to get medical support to taper or come off it. I recognize that the latter might be very hard, but it still feels within the realm of choice. So although I feel some ambivalence, like you do, it doesn’t keep me up at night.&nbsp;</p>

<p class="has-text-align-none">If your experience is different —&nbsp;if it does keep you up at night —&nbsp;then I hope you’re able to find a mental health professional who is sensitive to the importance of the “moral career” and can help you thoughtfully explore it.</p>

<h2 class="wp-block-heading has-text-align-none"><strong>Bonus: What I’m reading</strong></h2>

<ul class="wp-block-list">
<li>In light of this week’s question, I reread Lauren Oyler’s <a href="https://www.newyorker.com/culture/the-weekend-essay/my-anxiety">New Yorker piece about her anxiety</a>. She explains that, despite her various symptoms, she’s never tried to get a formal diagnosis or go on psychiatric medication because “I do not want to have these problems that are notoriously difficult to solve, about which there is no professional agreement.”</li>
</ul>

<ul class="wp-block-list">
<li>My mind is always spinning up a narrative about my life, and that storytelling tendency is so strong that I was surprised to learn, from the philosopher Galen Strawson, that <a href="https://philosophybreak.com/articles/galen-strawson-our-lives-are-not-stories/">some people don’t experience themselves narratively at all</a>.<br></li>



<li><a href="https://aeon.co/essays/the-japanese-ethics-of-ningen-dethrones-the-western-self">This recent Aeon essay</a> explains how Japanese philosophy thinks of the “self,” and argues that the tendency of Western philosophers like Descartes to believe in one true self has led to a messed-up view of ethics for the rest of us. A taste: “Western philosophers succumb to the temptation to hold on to a fixed notion of the self that exists independently of that uncompromisingly polyphonic world, so that we can somehow construct a universal theory of ethics through the self-referential universalisation of individual consciousness.” </li>
</ul>

<p class="has-text-align-none"><em>This story was originally published in </em><a href="https://www.vox.com/the-highlight/480726/welcome-to-the-march-issue-of-the-highlight"><em>The Highlight</em></a><em>, Vox’s member-exclusive magazine. To get access to member-exclusive stories every month, </em><a href="https://www.vox.com/support-membership?itm_campaign=article-header-Q42024&amp;itm_medium=site&amp;itm_source=in-article"><em>become a Vox Member today</em></a><em>.</em></p>
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			<entry>
			
			<author>
				<name>Sigal Samuel</name>
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			<title type="html"><![CDATA[4 ways people try to make their lives meaningful — and the one that works best for you]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/483392/rebecca-newberger-goldstein-mattering-instinct-meaning-of-life" />
			<id>https://www.vox.com/?p=483392</id>
			<updated>2026-03-20T17:57:35-04:00</updated>
			<published>2026-03-22T08:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Advice" /><category scheme="https://www.vox.com" term="Artificial Intelligence" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Innovation" /><category scheme="https://www.vox.com" term="Living in an AI world" /><category scheme="https://www.vox.com" term="Technology" /><category scheme="https://www.vox.com" term="Your Mileage May Vary" />
							<summary type="html"><![CDATA[The most unique thing about human beings is this: We are creatures who long to matter. That’s according to Rebecca Newberger Goldstein, the philosopher and author of a new book called The Mattering Instinct. If you’ve ever wondered why we humans are so singularly obsessed with discovering the meaning of life, this book — and [&#8230;]]]></summary>
			
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<p class="has-text-align-none">The most unique thing about human beings is this: We are creatures who long to matter.</p>

<p class="has-text-align-none">That’s according to Rebecca Newberger Goldstein, the philosopher and author of a new book called <a href="https://wwnorton.com/books/9781324096856"><em>The Mattering Instinct</em></a>. If you’ve ever wondered why we humans are so singularly obsessed with discovering the meaning of life, this book — and her ideas — are for you.&nbsp;&nbsp;</p>

<p class="has-text-align-none">Goldstein presents an evolutionary explanation that starts off with a law of physics: the law of entropy, which basically says that things naturally tend toward disorder and destruction over time. All biological creatures need to devote a huge amount of energy and attention to resisting entropy — to surviving. But humans also have a special ability to self-reflect, and we can’t help but notice that we ultimately devote the vast majority of our attention to ourselves. To our own thriving, not the thriving of others. And so we feel the need to somehow justify that.</p>

<p class="has-text-align-none">This, Goldstein says, is why we developed the “mattering instinct” — the drive that pushes us to find a “mattering project” that makes our lives feel purposeful and worthy. Goldstein sketches out four main ways people try to do that.&nbsp;</p>

<p class="has-text-align-none">Some are transcenders, who seek to matter to a transcendent presence like God. Others are socializers, who find purpose in helping and mattering to other people. Then there are heroic strivers, who push themselves to achieve excellence in the domain that matters to them, whether it’s intellectual, artistic, athletic, or moral. And finally, there are competitors, who focus on mattering more than others.</p>

<p class="has-text-align-none">In the <a href="https://www.vox.com/future-perfect/482460/ai-jobs-automation-meaning-work">newest installment of my Your Mileage May Vary advice column</a>, I suggested that Goldstein’s “mattering map” (see below) can be a useful tool for anyone who’s worried that AI may soon replace them in an arena where they find meaning, like their career. Locating ourselves on the map can help us each think afresh about which of the four categories makes us feel a sense of purpose, so we can consider additional types of work that could form a satisfying mattering project for us in the future.</p>

<p class="has-text-align-none">I was curious about how Goldstein is thinking about automation-induced joblessness, what she’d do if her own work gets automated, and whether she thinks we’re in danger of losing our human dignity. So I asked her for a follow-up chat. Here’s a smattering of our nattering about mattering.</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2026/03/Screenshot-2026-03-12-at-11.05.51%E2%80%AFPM.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="Sea of Longing graphic" title="Sea of Longing graphic" data-has-syndication-rights="1" data-caption="" data-portal-copyright="Courtesy of Rebecca Newberger Goldstein" />
<p class="has-text-align-none"><strong>You argue that our drive to matter is one of the cornerstones of human life. What convinced you of that? How have you felt that drive show up in your own life?&nbsp;&nbsp;</strong></p>

<p class="has-text-align-none">I really feel justified in my righteous anger when people treat me as if I don’t matter!&nbsp;</p>

<p class="has-text-align-none">I have a very favorite story about that. I mean, just being a woman, there are a lot of stories. But I was once at a party in Princeton with a bunch of physicists, and one very, very prominent physicist wanted to talk to another prominent physicist, and I was in the middle. So he just picked me up —&nbsp;I’m very slight&nbsp;— he picked me up and moved me like I was a potted palm!</p>

<p class="has-text-align-none">And I had this real sense of…<em>but I’m a person! I matter! </em>That feels justified. And if I can justify that about myself, I have to universalize it to everybody. There’s no way it’s going to work for me and not work for everybody else.</p>

<p class="has-text-align-none"><strong>Wow, that’s pretty appalling!&nbsp;</strong></p>

<p class="has-text-align-none"><strong>So from that, you offer this evolutionary account of how everybody ended up with a mattering instinct. I always find it hard to evaluate evolutionary stories because there’s an element of speculation in them. Your account about how we evolved the mattering instinct seems plausible, but I could also imagine another account being true. For example, maybe the drive for mattering is a way of making sure that others will think we matter, because we want society to think well of us and take care of us. What convinces you that your account is more likely than others?</strong></p>

<p class="has-text-align-none">To me, it explains more of the variety of ways that people try to go about this. If the more social story were true, we would all be socializers. But I mean, the fact that there is a very strong religious aspect — I spent a good part of my life as a transcender — means that to me, phenomenologically, it doesn&#8217;t ring true. And it doesn&#8217;t ring true to the diversity [of how different people find mattering].&nbsp;</p>

<p class="has-text-align-none">But it might be that I&#8217;ve just spent too much time with mathematicians who don&#8217;t give a damn about social acceptance!</p>

<figure class="wp-block-pullquote"><blockquote><p>“What I’m thinking in my most optimistic moments is that the deepest questions, they&#8217;re still going to belong to us.”</p></blockquote></figure>

<p class="has-text-align-none"><strong>Yes, we can see that from their fashion! But seriously, I have to say that I really love the mattering map in your book. I feel like I’m mostly one of the artistic-intellectual strivers, but I’m also a bit of a socializer in that I derive meaning from helping others with my work. Do you think most people live on only one island?</strong></p>

<p class="has-text-align-none">No, I don&#8217;t think so. I know that I don’t.</p>

<p class="has-text-align-none">And I think all of us have a strong need for connectedness — it’s the other part of flourishing. We need people in our lives, and we often want to make a difference in people’s lives.</p>

<p class="has-text-align-none">Maybe we have our main residence, and then we have our vacation home. You can definitely make a bridge [between the islands].</p>

<p class="has-text-align-none"><strong>Why is the island of transcenders exclusively populated with different religions and spiritual traditions? I can imagine other sorts of people — like artists or psychedelic users — who feel there’s a transcendent dimension to the universe, and who derive their sense of mattering by tapping into that.</strong></p>

<p class="has-text-align-none">I think in some sense, all heroic strivers have some notion of the transcendent. They often talk in terms of these ideals. I mean, every artist I know talks about beauty. For knowledge workers, it’s knowledge.</p>

<p class="has-text-align-none">But I really wanted to single out the ones who actually feel that there is some sort of personal presence in the universe that has intentions — that there&#8217;s an intentionality that permeates the universe. It’s just so very different.</p>

<p class="has-text-align-none">I had a very religious childhood — I was brought up Orthodox [Jewish] — and it was like, God knows if I cheated and took a bite of a Hostess cupcake! And there was this sense of mattering, that I was created for a purpose. I really felt like I had a role to play in the narrative of eternity. God has his plan, and I’m part of it. And I know that when I went from believing that to not believing that, the universe changed in such a big way for me. It just felt a little meaningless, to tell you the truth. That [form of mattering through transcendence] seemed worthy of its own continent on the map.</p>

<p class="has-text-align-none"><strong>You suggest that humans are the only animal that has a mattering instinct — we are “creatures of matter who long to matter.” You also call us “dust with dignity.” How does the mattering instinct connect with the idea of human dignity?</strong></p>

<p class="has-text-align-none">We are wired to take ourselves very seriously — the bulk of our attention is going to somehow be self-referential — and then we ask ourselves for justification. We feel we have to come up with some project, some story, and we devote so much energy to this justificatory project. I find that there&#8217;s a certain dignity in that. There’s something estimable, there’s something noble about a species that needs to prove to itself that it really matters.</p>

<p class="has-text-align-none"><strong>That leads me to a very timely question: What happens to human dignity if AI replaces us in an important area, like our jobs, which is how many of us carry out our mattering projects? Are we in danger of losing our dignity, or is that some inalienable quality that we’ll just end up expressing in other ways?</strong></p>

<p class="has-text-align-none">The latter. I really think that when one is not able to minister to this, to appease this [mattering instinct], you end up with death within life, which is what extreme chronic depression is. So we will come up with something.</p>

<p class="has-text-align-none">Here’s me at my most optimistic: I think about philosophy, because I’ve been speaking to a lot of philosophers who were worried about it. There&#8217;s a lot of shit work that&#8217;s done in philosophy, and yes, let AIs do it. Let them explain the 53 ways of interpreting Kant’s deontological argument. They’ll be able to do it and come up with all the utilitarian counterarguments and all of that.&nbsp;</p>

<p class="has-text-align-none">But there’s still so many problems that I think come out of being human and knowing what it’s like to be motivated by the mattering instinct and how hard it is to live an ethical life, given how much attention we are wired to pay to ourselves. AI can’t do that for us. So what I’m thinking in my most optimistic moments is that the deepest questions, they&#8217;re still going to belong to us.</p>

<p class="has-text-align-none"><strong>I think plenty of people could listen to this conversation and say, “I don&#8217;t get my meaning from my job. What is this obsession with your career? Maybe it&#8217;s great if AI takes your job because you&#8217;ll finally learn how to find mattering in ministering to others or something!” Should we perhaps start thinking more expansively about where we find our sense of mattering?</strong></p>

<p class="has-text-align-none">Yeah, I think it’s not a bad idea to be thinking about that. But I also think you can&#8217;t force mattering strategies on people. It comes from something very deep — temperament, interest, passions, all of this. I’ve always resented it very much when people say, well, <em>this here</em> is the meaning of life.&nbsp;&nbsp;&nbsp;</p>

<p class="has-text-align-none">So I really want to be a pluralist about this. I do think that there always are going to be heroic strivers. There are people who have to meet or at least approach certain standards of excellence, including ethical and athletic and artistic.</p>

<p class="has-text-align-none">With the artistic — just as when you have a forgery of a great painting and it&#8217;s indistinguishable from the original, it&#8217;s just not as valuable because it doesn&#8217;t come out of a human experience that came out of somebody&#8217;s individuality and what they&#8217;re struggling with — maybe that extra thing is always important in our aesthetic pleasure. If an AI writes something and it&#8217;s comparable to Shakespeare, I don’t believe that our aesthetic pleasure is going to be the same. It&#8217;s about knowing: Oh, this is a window into somebody else&#8217;s subjectivity!</p>

<div class="wp-block-vox-media-highlight vox-media-highlight">
<h2 class="wp-block-heading">Have a <strong>question you want me to answer in the next Your Mileage May Vary column?</strong></h2>



<p class="has-text-align-none">Just&nbsp;<a href="https://forms.gle/wTU5egBukdhyKeL56">fill out this anonymous form</a>! Newsletter subscribers will get my column before anyone else does, and their questions will be prioritized for future editions.&nbsp;<a href="https://www.vox.com/pages/future-perfect-newsletter-signup">Sign up here.</a></p>
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<p class="has-text-align-none"><strong>In my recent advice column, </strong><a href="https://www.vox.com/future-perfect/482460/ai-jobs-automation-meaning-work"><strong>I suggested that even if AI takes your job, you can hang onto a sense of mattering</strong></a><strong> by looking at the mattering map, identifying the broader island of mattering that tends to make you feel satisfied, and seeing what other jobs might be an expression of that. If you yourself weren’t able to work as a philosopher and novelist anymore, what would you do instead to make ends meet while still fulfilling your drive for mattering?</strong></p>

<p class="has-text-align-none">There are two careers that I’ve often thought,<em> Gee, I should have given them more thought.</em> One is to work with children. I just love kids and I think they&#8217;re really fascinating. I have a daughter who&#8217;s a clinical psychologist, and she deals with a lot of kids, and I think it&#8217;s really interesting work. And it is that socializer [drive], which is very strong in me as well.&nbsp;</p>

<p class="has-text-align-none">The other thing is to go to Africa and just live with animals, observing [them]. I love elephants, I love chimpanzees. And I could see doing that too — a more scientific career.</p>

<p class="has-text-align-none"><strong>This is reminding me that ever since I was a kid, thinking of humanity makes me think of an injured animal —&nbsp;I always pictured a three-legged dog. It’s struggling, it’s limping along. And I feel like our search for meaning is that limp. It&#8217;s a burden on us, in a way, right?</strong></p>

<p class="has-text-align-none">Yeah, it’s hard to be a living thing. It&#8217;s that much harder to be a human and to want to get it right. You can think of that as our limp. But you can also think of it as our crown.</p>

<p class="has-text-align-none"><strong>For me it’s precisely because humanity is saddled with this sort of struggle that I’m rooting for it extra, that I feel a special affinity for it.&nbsp;</strong></p>

<p class="has-text-align-none">That’s almost a protectiveness. And that&#8217;s a beautiful emotion. I mean, that is something to cultivate: Wherever there is humanity, there is a struggle, and that matters.&nbsp;</p>
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			<entry>
			
			<author>
				<name>Sigal Samuel</name>
			</author>
			
			<title type="html"><![CDATA[A guide to finding meaning at work in the age of AI]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/482460/ai-jobs-automation-meaning-work" />
			<id>https://www.vox.com/?p=482460</id>
			<updated>2026-03-18T17:28:26-04:00</updated>
			<published>2026-03-15T08:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Advice" /><category scheme="https://www.vox.com" term="Careers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Life" /><category scheme="https://www.vox.com" term="Living in an AI world" /><category scheme="https://www.vox.com" term="Your Mileage May Vary" />
							<summary type="html"><![CDATA[Your Mileage May Vary&#160;is an advice column offering you a unique framework for thinking through your moral dilemmas. It’s based on&#160;value pluralism&#160;— the idea that each of us has multiple values that are equally valid but that often conflict with each other.&#160;To submit a question, fill out this&#160;anonymous form. Here’s this week’s question from a [&#8230;]]]></summary>
			
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<img alt="Illustration of AI writer where the image is warped" data-caption="" data-portal-copyright="﻿Pete Gamlen for Vox" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/03/AI-Writer-v4-A.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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<p class="has-text-align-none"><em><a href="https://www.vox.com/your-mileage-may-vary-advice-column" target="_blank" rel="noreferrer noopener">Your Mileage May Vary</a>&nbsp;is an advice column offering you a unique framework for thinking through your moral dilemmas. It’s based on&nbsp;<a href="https://www.vox.com/future-perfect/418783/liberal-democracy-value-pluralism-isaiah-berlin" target="_blank" rel="noreferrer noopener">value pluralism</a>&nbsp;— the idea that each of us has multiple values that are equally valid but that often conflict with each other.&nbsp;To submit a question, fill out this&nbsp;<a href="https://docs.google.com/forms/d/e/1FAIpQLSctX2yDEss1RnRlesUBKc1vmCxneDRvsgJlGQ5pDsef39RKtA/viewform" target="_blank" rel="noreferrer noopener">anonymous form</a>. Here’s this week’s question from a reader, condensed and edited for clarity:</em></p>

<p class="has-text-align-none"><strong>I’m grappling with the impact AI is having in my industry and what it means for my career. I feel wildly lucky to have found a line of work I love, one that brings a lot of meaning and fulfillment to my life (I’m a journalist and author). So far I&#8217;ve been able to mostly pay the bills, and crucially, it feels invaluable to get to use my brain in this way every day and to have the sense that my skills and human experience are somehow useful in the world.&nbsp;</strong></p>

<p class="has-text-align-none"><strong>But like other knowledge workers, I’m suddenly wondering if I may soon truly not be adequate for this job that AI will be better equipped to do than I, with my meager meat-brain and physical constraints like needing to sleep and take my kids to school. Am I being self-indulgent — or worse, reckless — if I think I can keep doing this sort of work that I love for the next two or three decades?</strong></p>

<p class="has-text-align-none"><strong>I hear tech leaders proclaiming that the future of professional and financial security is in the trades. And I do have a mortgage to pay and children to raise. Should I start planning a full career switch to something less AI-replaceable, even if it might not fill me up in the same deep way my work does now?&nbsp;</strong></p>

<p class="has-text-align-none">Dear Irreplaceable You,</p>

<p class="has-text-align-none">I hear you — these are anxious times! So much so, that a couple of researchers recently proposed a new psychological clinical construct — <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC12459875/">artificial intelligence replacement dysfunction</a> (AIRD) — to describe the existential distress that more people may start to experience as AI systems automate their jobs.</p>

<p class="has-text-align-none">“Workers may present to mental health professionals with symptoms such as anxiety, insomnia, depression, or identity confusion symptoms that may reflect deeper fears about relevance, purpose, and future employability,” the researchers write. Sounds a lot like the worries you’re feeling.</p>

<p class="has-text-align-none">And the worries make sense. AI won’t leave journalists or authors unscathed. It’s already <a href="https://www.bloodinthemachine.com/p/inside-the-escalating-struggle-over">changing</a> <a href="https://www.nytimes.com/2025/11/07/business/media/ai-news-media.html">newsrooms</a>. One higher-up at the Associated Press straight-up <a href="https://www.semafor.com/article/03/03/2026/its-bots-vs-reporters-at-the-ap">to</a>l<a href="https://www.semafor.com/article/03/03/2026/its-bots-vs-reporters-at-the-ap">d</a> staff recently that when it comes to <a href="https://www.semafor.com/article/03/03/2026/its-bots-vs-reporters-at-the-ap">AI becoming part of the writing process</a>, “resistance is futile.”</p>

<div class="wp-block-vox-media-highlight vox-media-highlight">
<h2 class="wp-block-heading"><strong>Have a question you want me to answer in the next Your Mileage May Vary column?</strong></h2>



<p class="has-text-align-none">Just&nbsp;<a href="https://forms.gle/wTU5egBukdhyKeL56">fill out this anonymous form</a>! Newsletter subscribers will get my column before anyone else does, and their questions will be prioritized for future editions.&nbsp;<a href="https://www.vox.com/pages/future-perfect-newsletter-signup">Sign up here.</a></p>
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<p class="has-text-align-none">I think that’s an overstatement — by<a href="https://www.vox.com/future-perfect/468672/how-to-fight-generative-ai"> participating in a union</a>, for example, workers can win some meaningful protections. And I don’t believe all journalism or writing jobs (or all white-collar jobs for that matter) will disappear. Human creative input is the lifeblood of AI systems; without it, they’d have no idea what’s going on in the world.</p>

<p class="has-text-align-none">But I do think there will be fewer jobs out there for knowledge workers like us. Probably a lot fewer. The market will incentivize cash-strapped employers to <a href="https://gradual-disempowerment.ai/">automate whatever they can</a>. And in the near term, I doubt we’ll get a genuinely livable <a href="https://www.vox.com/future-perfect/23810027/openai-artificial-intelligence-google-deepmind-anthropic-ai-universal-basic-income-meta">universal basic income</a>, because companies would likely resist the mass redistribution of wealth it would require. So it does make sense to think ahead and be pragmatic.</p>

<p class="has-text-align-none">Does that mean you should panic-switch careers right now and become a plumber or electrician, as so many <a href="https://www.inc.com/kit-eaton/a-godfather-of-the-internet-says-you-should-become-a-plumber-heres-why/91203062">leaders in AI</a> are <a href="https://finance.yahoo.com/news/worried-ai-become-plumber-says-122621986.html?">recommending</a>?</p>

<p class="has-text-align-none">Not so fast. <a href="https://www.planned-obsolescence.org/p/i-underestimated-ai-capabilities">AI is developing</a> at an unbelievable pace, but disagreement persists over just how quickly it will <a href="https://www.planned-obsolescence.org/p/takeoff-speeds-rule-everything-around">transform the real world</a>.</p>

<p class="has-text-align-none">Skeptics argue that the <a href="https://knightcolumbia.org/content/ai-as-normal-technology">tech won’t diffuse as broadly</a> or quickly as the AI leaders say it will; in their view, retraining as a plumber now would be premature. Meanwhile, <a href="https://www.nytimes.com/2025/05/15/opinion/artifical-intelligence-2027.html">believers in a fast AI takeoff</a> argue that even plumbing, which so far isn’t automatable because we don’t know how to build really good robots, will get automated pretty fast if we build superintelligence (because surely the superintelligence will figure out how to build the really good robots). Either way, it’s <a href="https://www.vox.com/the-highlight/480155/will-ai-replace-your-job">not at all clear</a> that it’s worth ditching your career right now and taking a few years to retrain as a plumber. </p>

<p class="has-text-align-none">And then there’s the question of meaning.</p>

<p class="has-text-align-none">Having enough of an income to raise your kids and pay your mortgage is obviously important. But you know what else is important? Feeling a sense of purpose in your life.&nbsp;&nbsp;</p>

<p class="has-text-align-none">That is not a luxury, the philosopher Rebecca Newberger Goldstein argues in her new book, <a href="https://wwnorton.com/books/9781324096856"><em>The Mattering Instinct</em></a>. Every human being has a need for meaning. We are, per Goldstein, “matter longing to matter,” and we each undertake different “mattering projects” that give us our raison d’être.</p>

<p class="has-text-align-none">When our efforts to pursue a mattering project are frustrated for too long, “the result is psychologically disastrous, the kind of rupture that is described as an existential crisis,” the philosopher writes. “At its most extreme, a person can fall into that death-within-life that is called persistent depressive disorder.”</p>

<p class="has-text-align-none">Not everyone has to find their “mattering project” in their job. But everyone has to find it somewhere. Goldstein identifies four different types of people, each with a different type of mattering: transcenders, socializers, heroic strivers, and competitors. She locates them all on “the mattering map,” which gives you a sense of what each category is like:</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2026/03/Screenshot-2026-03-13-at-2.28.00%E2%80%AFPM.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="The Sea of Longing" title="The Sea of Longing" data-has-syndication-rights="1" data-caption="" data-portal-copyright="Courtesy of Rebecca Newberger Goldstein" />
<p class="has-text-align-none">I love this kind of map. (And not just because it reminds me of the kind that appear in books like <em>The Hobbit</em>!) Looking at it can help us each think afresh about the broader category of stuff that makes us feel a sense of meaning, so we can consider additional types of work that could form a satisfying “mattering project” for us in the future.</p>

<p class="has-text-align-none">To illustrate, I’ll tell you what I see when I look at the map. I immediately gravitate toward the island of “heroic strivers,” because intellectual and artistic pursuits are the primary way I make meaning in life — that’s why I became a journalist and a novelist. (A dead giveaway: The fact that the water nearby comes labeled with a warning — <em>Beware of the Shoals of Perfectionism</em> — made me feel extremely seen.) But I think where I really live is on a bridge, not pictured on this map, between the island of heroic strivers and the island of socializers. Because I’ve never been fully content to just write an article or a novel in a vacuum. I want my work to actually help some community of people, too.</p>

<p class="has-text-align-none">Zooming out from my current career and considering the broader type of mattering it fits into is helpful. It shows me that if I can no longer work as a writer one day, the best alternative for me is probably not to become a plumber. To be clear, plumbing matters immensely — my bathtub was clogged just last week, so this feels very salient —&nbsp;and I can easily imagine someone deriving a sense of mattering from that profession; maybe they inhabit the island of “socializers,” where they help “non-intimates” every day. But I don’t think I’m well-suited to it, either temperamentally or physically. (Something the “learn a trade” recommendation often overlooks:<a href="https://www.nytimes.com/2025/12/28/opinion/artificial-intelligence-jobs.html"> Physically based work can be hard on the body</a>. And I’m already cursed with bad knees.) </p>

<p class="has-text-align-none">If I’m fortunate enough to get to choose, you know what I think <em>would </em>be a good alternative career for me? Being a rabbi. I was lucky to get an in-depth Jewish education growing up, and I think lots of people will continue to want their spiritual life mediated by humans, <a href="https://www.vox.com/future-perfect/2023/5/7/23708169/ask-ai-chatgpt-ethical-advice-moral-enhancement">not</a> <a href="https://www.vox.com/future-perfect/2019/9/9/20851753/ai-religion-robot-priest-mindar-buddhism-christianity">robots</a>. As someone who loves using intellectual and creative means in service of helping a community of people, retraining as a rabbi could be a great fit for me if I need to change my work at some point.</p>

<p class="has-text-align-none">What about you? When you look at the mattering map, can you identify the broader category of pursuit that tends to fill you up, and see what else, aside from your current job, might be an expression of that?</p>

<p class="has-text-align-none">If you want a fallback option for the AI era, my suggestion would be to develop <em>that</em> — even as you continue to happily work in your current career now.</p>

<p class="has-text-align-none">And as for your current career, I want to caution against buying the premise that, as you put it, “I may soon truly not be adequate for this job that AI will be better equipped to do than I, with my meager meat-brain and physical constraints like needing to sleep and take my kids to school.”</p>

<p class="has-text-align-none">It’s precisely your physicality that allows you to get out into the field and report, to cultivate trust with your sources so you can draw out that perfect quote, to build a personal relationship with your audience. And it’s precisely your meat-brain that allows you to exercise the sort of judgment that will actually serve the interests of your human readers — to ask the questions that you believe ought to be asked right now, not just the ones AI determines are statistically most likely to be asked.</p>

<p class="has-text-align-none">Rather than assuming you’ll soon be totally replaceable, lean into these aspects of your career, where your humanness is an obvious benefit. Once you feel confident about what you bring to the table, you might even feel more psychologically open to using AI in ways that can actually augment your work — like sifting through gargantuan troves of data so you can hold powerful people to account. That is a genuinely helpful use of AI in journalism, and one that we shouldn’t be fearful of embracing.</p>

<p class="has-text-align-none">It might take your industry years to realize what we should outsource to AI and what we should keep for us humans. But understanding the difference for yourself now can help you maintain your sense of mattering, or as you beautifully put it, “the sense that my skills and human experience are somehow useful in the world.”<strong>&nbsp;</strong></p>

<h2 class="wp-block-heading has-text-align-none"><strong>Bonus: What I’m reading</strong></h2>

<ul class="wp-block-list">
<li>There are some fields where most people prefer a human touch — think child care, nursing, and performance art — and I suspect they’ll be more protected from automation, at least for a while. <a href="https://www.theatlantic.com/ideas/2026/03/claude-piano-ai/686318/">This Atlantic article</a> about the triumph of piano players over player pianos highlights that ray of hope. Mind you, eventually the cheapness of robot nursing relative to human nursing may become so hard to resist that only the wealthy opt for the latter. The human touch may become a luxury good.</li>
</ul>

<ul class="wp-block-list">
<li>By far my favorite episode of the <em>Dwarkesh</em> podcast is this recent <a href="https://www.youtube.com/watch?v=PAIhVfGbREA&amp;t=1s">interview with Ada Palmer</a>, probably the most entertaining Renaissance historian ever. She made me want to somehow make “Renaissance historian” a part of my own mattering project.</li>
</ul>

<ul class="wp-block-list">
<li>As I mentioned, I am aulde, with bad knees. So I loved learning, from Shayla Love’s piece in the New Yorker <a href="https://www.newyorker.com/culture/annals-of-inquiry/when-do-we-become-adults-really">exploring how we define the stages of life</a>, that according to the ancient Athenian philosopher Solon, adulthood doesn’t start until age 42! Apparently I am still a youth.&nbsp;</li>
</ul>
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			<entry>
			
			<author>
				<name>Sigal Samuel</name>
			</author>
			
			<title type="html"><![CDATA[The honest conversation about antidepressants I wish my psychiatrist had with me]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/481854/ssri-antidepressant-withdrawal-dependence-tapering" />
			<id>https://www.vox.com/?p=481854</id>
			<updated>2026-03-06T15:03:18-05:00</updated>
			<published>2026-03-08T08:00:00-04:00</published>
			<category scheme="https://www.vox.com" term="Advice" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Health Care" /><category scheme="https://www.vox.com" term="Mental Health" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="Public Health" /><category scheme="https://www.vox.com" term="Your Mileage May Vary" />
							<summary type="html"><![CDATA[If you’ve been taking antidepressants or anti-anxiety medications for years, you might have certain questions. Do you still need the medication? How would you know if you didn’t? Does it make sense to stay on it indefinitely, or do you owe it to yourself to see what life would be like without the medication? I [&#8230;]]]></summary>
			
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<img alt="illustration of two people trapped inside a pill capsule, one trying to escape" data-caption="" data-portal-copyright="Pete Gamlen for Vox" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/03/YMMV_3-5_2.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
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<p class="has-text-align-none">If you’ve been taking antidepressants or anti-anxiety medications for years, you might have certain questions. Do you still need the medication? How would you know if you didn’t? Does it make sense to stay on it indefinitely, or do you owe it to yourself to see what life would be like without the medication?</p>

<p class="has-text-align-none">I don’t believe any of us has one true self, so I don’t think you can “owe” it to a central self to act in this way or that. Instead, I offered an alternative way of approaching this dilemma in a recent installment of <a href="https://www.vox.com/future-perfect/480842/antidepressants-personality-self-stopping-psychiatric-drugs">my Your Mileage May Vary advice column</a>. </p>

<p class="has-text-align-none">But beyond the philosophical question of what you do or don’t owe yourself, there are medical questions that might still gnaw at you. Some people worry, for instance, about the <a href="https://www.newyorker.com/magazine/2019/04/08/the-challenge-of-going-off-psychiatric-drugs">withdrawal symptoms</a> they might experience should they try to taper off selective serotonin reuptake inhibitors (SSRIs), the most commonly prescribed type of antidepressant. Others worry that perhaps they’ve become dependent on a drug and are not sure how to feel about that.</p>

<p class="has-text-align-none">Since I have no medical training, I can’t give medical or psychiatric advice. But one of the most interesting voices tackling these questions is Awais Aftab, a psychiatry professor at Case Western Reserve University School of Medicine. I came across him through his insightful newsletter, <a href="https://www.psychiatrymargins.com/">Psychiatry at the Margins</a>, and a piece he wrote for the New York Times <a href="https://www.nytimes.com/2025/05/03/opinion/antidepressants-withdrawal-rfk.html?unlocked_article_code=1.EU8.rXiu.iBIw3kAQyXeo&amp;smid=url-share">calling for psychiatry to engage honestly</a> and transparently with patients&#8217; concerns about antidepressants, rather than ceding that conversation to those — like <a href="https://www.vox.com/podcasts/470049/antidepressants-ssri-rfk-maha-pregnancy-shooting-lexapro">RFK Jr. and the MAHA movement</a> — who would exploit it for political ends.</p>

<p class="has-text-align-none">Aftab is critical of the psychiatric establishment’s failings, but he doesn’t throw the baby out with the bathwater; he is very aware that for some people, antidepressants can be lifesaving. I reached out to him because I knew he’d have a nuanced take on all these questions —&nbsp;some of which have niggled at me as someone who&#8217;s been taking an anti-anxiety medication for years. Our conversation, edited for length and clarity, follows.</p>

<p class="has-text-align-none"><strong>Why are so many people unsure how to think about the meaning of taking antidepressants, especially long-term? Are most psychiatrists failing us in some way? Or is ambivalence just an unavoidable feature of living at a time when medical progress keeps handing us choices that come loaded with tradeoffs?</strong></p>

<p class="has-text-align-none">I think it’s both, honestly. Let me start with the deeper issue. Medical progress keeps giving us more and more control over aspects of our lives, such as our moods, our anxiety, our emotional reactivity, but that control is imperfect and comes with genuine tradeoffs. [The philosopher] <a href="https://www.uehiro.ox.ac.uk/people/professor-bill-fulford">Bill Fulford</a> has articulated the idea that scientific progress creates new technologies which create new choices for us, and this increasingly brings the full diversity of human values into play. More choices mean more uncertainty, more ambivalence. That’s just the moral cost of living in a world where these options exist.&nbsp;</p>

<figure class="wp-block-pullquote"><blockquote><p>“We can choose to take antidepressants or not, continue them or stop them, but we can&#8217;t choose not to have the choice. And the uncertainty is genuine.”</p></blockquote></figure>

<p class="has-text-align-none">We can choose to take antidepressants or not, continue them or stop them, but we can&#8217;t choose not to have the choice. And the uncertainty is genuine. “Are the drugs helping?” “Do I still need them?” aren’t always easy questions to answer for any specific person.</p>

<p class="has-text-align-none">That said, too few clinicians are attuned to any of this. Most psychiatrists aren’t trained to explore the meaning and emotions patients assign to their medications. Patients can feel relieved by symptom improvement and simultaneously detest feeling dependent on a pill. They may credit the drug with saving their life and still wonder who they’d be without it. When clinicians don’t anticipate and directly address that ambivalence, patients are left to navigate it alone. </p>

<p class="has-text-align-none">The goal should neither be to nudge people toward staying on medications or encourage them to discontinue, but to support them in making decisions that align with their own priorities. That requires a kind of clinical attention most people just aren’t getting.</p>

<p class="has-text-align-none"><strong>If someone says to you, “Look, I’ve been on these meds for years, and at this point I honestly can’t tell whether they&#8217;re still necessary” — what would you advise them to do?</strong></p>

<p class="has-text-align-none">I’d say: That uncertainty you’re feeling is completely legitimate, and you’re not alone in it. A lot of people on long-term antidepressants feel this way. What I’d recommend depends on multiple factors. Their mental health history is especially relevant. Someone who’s had multiple severe depressive episodes with hospitalizations has a very different risk calculus than someone who started an SSRI for mild anxiety five years ago and has been stable since. The subjective meaning matters too. Some people are at peace with taking a daily medication; for others, it gnaws at them. Some patients would rather stay on a medication and minimize any chance of relapse or deal with withdrawal; others are determined to find out whether they still need it, even if that means going through some rough patches.</p>

<p class="has-text-align-none">What I recommend to my patients is the courage to make an informed choice — to continue or taper, whatever the case may be. A lot of people stay on antidepressants because they’re stuck in a kind of ambivalent inertia. Years pass while they wonder what their life would be like without the drugs, whether they’d feel more brightly, think more creatively, have a more intimate sense of their own resilience.</p>

<p class="has-text-align-none">If someone wants to stop their meds, it should be done carefully, with clinical help and with a slow taper. If someone has been on SSRIs for years, a cautious taper would take several months at least. But I also want to be honest: A slow, gradual taper is not easy because it often requires using doses that are not available in standard pills available at pharmacies, which means people at times have to use liquid versions of the medications or use expensive compounding pharmacies. There is also no agreement in the psychiatric field right now about the best tapering protocols, and patients will encounter all sorts of guidance online.</p>

<p class="has-text-align-none"><strong>How common is it for people who take antidepressants for years to form either a physical dependence or a psychological dependence on them? What does each kind of dependence look like?</strong></p>

<p class="has-text-align-none">Physical dependence on antidepressants is a well-established phenomenon. Your body adapts to the presence of the drug, and when you stop or reduce the dose, you can experience withdrawal symptoms, like dizziness, nausea, “brain zaps” (an electric shock-like sensation in the head), vertigo, irritability, insomnia, and sometimes a rebound of anxiety or mood symptoms that can be difficult to distinguish from a relapse of the original problem. Most people who have been on antidepressants for years will experience some degree of withdrawal, although severe withdrawal appears to be less common. Some people have also reported protracted withdrawal online, lasting months or even years, though this remains poorly understood.</p>

<p class="has-text-align-none">Psychological dependence is more about the anxiety of going without it. Once you’ve internalized the idea that you need the pill to feel okay, it can feel almost impossible to stop. Why run the risk? Why open yourself up to withdrawal, to a possible return of depression or anxiety? This is understandable, but it can keep people on medications for years and decades more out of fear and inertia than any active choice. My view is that such psychological dependence shouldn’t be ignored by clinicians and any distorted worries and fears should be addressed.</p>

<p class="has-text-align-none"><strong>One thing that confuses some people is whether it makes sense to think of this dependence in terms of “addiction.” Some people reason that if they experience withdrawal symptoms when going off the pills, that means they’re addicted to the pills in some way. Is addiction the wrong frame when thinking about antidepressants?</strong></p>

<p class="has-text-align-none">Yes, addiction is the wrong frame. Addiction in the clinical sense involves compulsive use of a substance despite harmful consequences, quickly escalating doses to achieve the same effect (tolerance in the classic sense), craving, and loss of control. Antidepressants don’t produce any of that. People don’t crave antidepressants the way someone addicted to opioids craves opioids.</p>

<p class="has-text-align-none">What antidepressants can produce is physiological dependence. The body adapts to the drug’s presence and reacts when it’s removed. The confusion with addiction is understandable. If you experience withdrawal symptoms when you stop a substance, the intuitive conclusion is “I must be addicted.” But dependence and addiction are different phenomena medically. Many medications can produce physical dependence without being addictive.</p>

<p class="has-text-align-none">That said, I’m sympathetic to why people reach for the addiction frame. When you’re experiencing terrible withdrawal and you feel trapped on a medication you want to stop, the language of addiction becomes appealing and powerful. But clinically, it’s not accurate, and using that becomes confusing and stigmatizing.</p>

<p class="has-text-align-none"><strong>My own psychiatrist once told me that my SSRI is not the kind of drug where it makes sense to worry about addiction. She said that instead, I should put it in the mental category of “if you have high blood pressure, you take blood pressure medication.” Is that a more accurate way to think about it? </strong></p>

<p class="has-text-align-none">Your psychiatrist is right about the core point: Antidepressants aren’t addictive in the way that, say, opioids or benzodiazepines can be. Putting them in a different mental category from drugs of abuse is appropriate. But the blood pressure medication analogy is limited in its own way, and I think it can be misleading if taken too far. </p>

<p class="has-text-align-none">With most blood pressure medications, if you stop taking them, your blood pressure goes back up and possibly may even shoot up higher than what it used to be, but you don’t experience a distinct withdrawal syndrome with symptoms you hadn’t previously experienced. With SSRIs and other antidepressants, stopping can trigger symptoms that are distinct from a return of depression or anxiety. Like dizziness, brain zaps, nausea, electrical sensations, severe irritability. For some people, these symptoms are mild and brief. For others, they’re genuinely debilitating.</p>

<div class="wp-block-vox-media-highlight vox-media-highlight">
<h2 class="wp-block-heading"><strong>Have a question you want me to answer in the next Your Mileage May Vary column?</strong></h2>



<p class="has-text-align-none">Feel free to <a href="https://forms.gle/wTU5egBukdhyKeL56">fill out this anonymous form</a>! Newsletter subscribers will get my column before anyone else does, and their questions will be prioritized for future editions.&nbsp;<a href="https://www.vox.com/pages/future-perfect-newsletter-signup">Sign up here!</a></p>
</div>

<p class="has-text-align-none"><strong>Why has the psychiatric establishment been slow to research withdrawal struggles? What would fixing the research gap require? </strong></p>

<p class="has-text-align-none">The failure here is multilayered. Part of it is a funding problem. Federal research funding in psychiatry has been heavily tilted toward basic neuroscience and drug development, understanding the brain, finding new molecules, at the expense of studying the everyday clinical realities of how people actually experience medications, including what happens when they try to stop. Tapering and deprescribing just aren’t where the prestige or the grant money has been. Nearly four decades after the approval of Prozac, there is not a single high-quality randomized controlled trial that compares specific methods of tapering patients off antidepressants. That’s a remarkable gap.</p>

<p class="has-text-align-none">Part of it is ideological. There’s been a prevailing attitude in psychiatry that withdrawal is rare and mild, “<a href="https://www.nytimes.com/2018/04/09/opinion/antidepressants.html#:~:text=retired%20psychiatric%20nurse.-,To%20the%20Editor:,and%20SUNY%20Upstate%20Medical%20University.">low on the list of priorities</a>,” as a group of prominent psychiatrists once put it in a letter to the New York Time<em>s.</em> This dismissiveness has been enormously damaging. Patients who experience severe withdrawal have been told it’s just their depression coming back, or that what they’re experiencing isn’t real. Clinicians who are trained to see medications primarily as solutions naturally have difficulty recognizing them as sources of harm.</p>

<p class="has-text-align-none">Part of it is methodological. The tools we have to measure withdrawal are inadequate. We don’t have good ways to distinguish withdrawal from relapse. We don’t know what tapering strategies actually work best under rigorous conditions.</p>

<p class="has-text-align-none">Fixing this would require making research into iatrogenic harm, that is, harm caused by medical treatments, a genuine funding priority. It would require developing better measurement tools, running proper tapering trials, updating clinical guidelines, and training clinicians to take deprescribing as seriously as prescribing. Deprescribing should be the bread and butter of every working psychiatrist, not outsourced to fringe critics of the profession.</p>

<p class="has-text-align-none"><strong>Speaking of critics of the profession, how do you see the MAHA movement and RFK Jr. fitting into this? Is their <a href="https://www.vox.com/podcasts/470049/antidepressants-ssri-rfk-maha-pregnancy-shooting-lexapro">war on antidepressants</a> complicating psychiatry’s ability to course-correct?</strong></p>

<p class="has-text-align-none">I’m deeply concerned about the direction of that movement. RFK Jr. has said things about antidepressants that resonate with many people who’ve been harmed by them. He’s echoing language that has circulated in prescribed-harm communities for a long time. But RFK Jr. and the MAHA movement are not equipped to navigate the clinical and scientific complexity here. Their political agenda and funding decisions will not lead to better research and better clinical care. They will, in all likelihood, lead to confusion, distrust, stigma, polarization, and possibly restricted access to medications for people who need them.</p>
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									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Sigal Samuel</name>
			</author>
			
			<title type="html"><![CDATA[The one question everyone should be asking after OpenAI’s deal with the Pentagon]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/481322/pentagon-anthropic-openai-surveillance-china" />
			<id>https://www.vox.com/?p=481322</id>
			<updated>2026-03-03T10:16:24-05:00</updated>
			<published>2026-03-03T10:20:00-05:00</published>
			<category scheme="https://www.vox.com" term="Artificial Intelligence" /><category scheme="https://www.vox.com" term="Explainers" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Innovation" /><category scheme="https://www.vox.com" term="Policy" /><category scheme="https://www.vox.com" term="Politics" /><category scheme="https://www.vox.com" term="Technology" />
							<summary type="html"><![CDATA[American AI companies love to say that the US must win the AI arms race, or China will.&#160; Anthropic, OpenAI, Google, Microsoft, and Meta have all invoked the threat of a Chinese victory to justify speeding ahead on AI development, seemingly no matter what. The argument is simple: Whoever pulls ahead in building the most [&#8230;]]]></summary>
			
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<figure>

<img alt="Sam Altman, chief executive officer of OpenAI" data-caption="Sam Altman, CEO of OpenAI, swooped in to sign a deal with the Pentagon right after Anthropic was blacklisted. | Al Drago/Bloomberg via Getty Images" data-portal-copyright="Al Drago/Bloomberg via Getty Images" data-has-syndication-rights="1" src="https://platform.vox.com/wp-content/uploads/sites/2/2026/03/GettyImages-2225624392.jpg?quality=90&#038;strip=all&#038;crop=0,0,100,100" />
	<figcaption>
	Sam Altman, CEO of OpenAI, swooped in to sign a deal with the Pentagon right after Anthropic was blacklisted. | Al Drago/Bloomberg via Getty Images	</figcaption>
</figure>
<p class="has-text-align-none">American AI companies love to say that the US must win the AI arms race, or China will.&nbsp;</p>

<p class="has-text-align-none">Anthropic, OpenAI, Google, Microsoft, and Meta have all invoked the threat of a Chinese victory to justify speeding ahead on AI development, seemingly no matter what. The argument is simple: Whoever pulls ahead in building the most powerful AI could be the global superpower for a long, long time. China’s authoritarian government suppresses dissent, surveils its citizens, and answers to no one. We cannot let that model win.</p>

<p class="has-text-align-none">And to be clear — we shouldn’t. The Chinese Communist Party’s human rights abuses are <a href="https://www.vox.com/future-perfect/2022/9/14/23351153/china-uyghur-muslim-genocide-xinjiang-united-nations">real</a> and <a href="https://www.vox.com/future-perfect/22311356/china-uyghur-birthrate-sterilization-genocide">horrific</a>, and AI technologies like facial recognition have made them worse. We <em>should</em> be scared of a scenario where that becomes the norm.&nbsp;</p>

<p class="has-text-align-none">But what if authoritarian rule that <a href="https://www.pbs.org/newshour/politics/department-of-homeland-security-intensifies-surveillance-in-immigration-raids-sweeping-in-citizens">uses tech to surveil people</a> <a href="https://puck.news/ice-surveillance-state-trumps-ai-powered-dragnet-exposed/">in alarming ways</a> is already becoming the norm in the US? If America is shape-shifting into the bogeyman it critiques, what happens to the case for racing ahead on AI?</p>

<p class="has-text-align-none">This is the question everyone should be asking now that the Pentagon has blacklisted Anthropic —&nbsp;and embraced its rival, ChatGPT-maker OpenAI, which was more willing to accede to its demands. (Disclosure: Vox Media is one of several publishers that have signed partnership agreements with OpenAI. Our reporting remains editorially independent. Future Perfect is funded in part by the BEMC Foundation, whose major funder was also an early investor in Anthropic. They do not have any editorial input into our content.)</p>

<p class="has-text-align-none">The US Department of Defense is already using AI powered by private companies for everything from logistics to intelligence analysis. That has included a $200 million contract with Anthropic, which makes the chatbot Claude. But after the US used Claude in its January raid in Venezuela, a dispute erupted between Anthropic and the Pentagon.</p>

<p class="has-text-align-none">The two redlines Anthropic insisted on in its contract with the Defense Department — that its AI shouldn’t be used for mass domestic surveillance or fully autonomous weapons —&nbsp;represent such fundamental rights that they should have been uncontroversial. And yet <a href="https://www.vox.com/politics/480750/anthropic-pentagon-artificial-intelligence-pete-hegseth-ai-weapons">the Pentagon threatened</a> that it would either force Anthropic to submit to full and unfettered use of its tech, or else name Anthropic a supply chain risk, which would mean that any external company that also works with the US military would have to swear off using Anthropic’s AI for related work.&nbsp;</p>

<p class="has-text-align-none">When Anthropic didn’t back down on its requirements, Defense Secretary Pete Hegseth followed through on the latter threat —&nbsp;an unprecedented move, given that the designation has previously been reserved for foreign adversaries like China’s Huawei, not American companies.</p>

<p class="has-text-align-none">As a journalist who’s spent years <a href="https://www.theatlantic.com/international/archive/2018/08/china-pathologizing-uighur-muslims-mental-illness/568525/">reporting</a> on <a href="https://www.theatlantic.com/international/archive/2018/09/china-internment-camps-muslim-uighurs-satellite/569878/">China’s use of AI</a> to <a href="https://www.theatlantic.com/international/archive/2018/08/china-surveillance-technology-muslims/567443/">surveil</a> and <a href="https://www.theatlantic.com/international/archive/2018/09/china-internment-camps-uighur-muslim-children/569062/">repress Uyghur Muslims</a>, learning of the Pentagon’s threats reminded me of nothing so much as China’s own policy of “military-civil fusion.” That policy involves compelling private tech companies to make their innovations available to the military, whether they want to or not. Either wittingly or unwittingly, Hegseth seemed to be borrowing directly from Beijing’s playbook.</p>

<p class="has-text-align-none">“The Pentagon’s threats against Anthropic copy the worst aspects of China’s military-civil fusion strategy,” <a href="https://politicalscience.columbian.gwu.edu/jeffrey-ding">Jeffrey Ding</a>, who teaches political science at George Washington University and specializes in China’s AI ecosystem, told me. “China’s actions to force high-tech private companies into military obligations may lead to short-term technology transfer, but it undermines the trust necessary for long-term partnerships between the commercial and defense sectors.”</p>

<p class="has-text-align-none">To be clear, America is not the same as China. After all, Anthropic was able to freely voice its opposition to the Pentagon’s demands, and the company says it’ll sue the US government over the blacklisting, which would be unthinkable for a Chinese firm in the same situation. But the US government’s embrace of authoritarian conduct is undeniable.&nbsp;</p>

<p class="has-text-align-none">“Racing” to build the most powerful AI <a href="https://www.vox.com/the-highlight/23621198/artificial-intelligence-chatgpt-openai-existential-risk-china-ai-safety-technology">was always a dangerous game</a>; even AI experts building these systems don’t understand how they work, and the systems often don’t behave as intended. But it’s even more dangerous to try building that powerful AI under the Trump administration, which is increasingly proving itself happy to bully American companies in order to preserve the option of using AI for mass surveillance and weapons that kill people with no human oversight.</p>

<p class="has-text-align-none">Those who are still bought in on the idea that the US must win the AI race at all costs should now be asking: What’s the point of the US winning if the government is going to create a China-like surveillance state anyway?</p>

<p class="has-text-align-none">At least one of the major AI companies is not taking this question seriously.&nbsp;&nbsp;</p>

<h2 class="wp-block-heading has-text-align-none"><strong>What’s really in OpenAI’s deal with the Pentagon —&nbsp;and why many are now boycotting ChatGPT</strong></h2>

<p class="has-text-align-none">OpenAI announced that it had struck a deal to deploy its AI models in the Pentagon’s classified network — just hours after the Pentagon blacklisted Anthropic.&nbsp;</p>

<p class="has-text-align-none">This was extremely confusing.</p>

<p class="has-text-align-none">Sam Altman, the CEO of OpenAI, had <a href="https://www.axios.com/2026/02/27/altman-openai-anthropic-pentagon">claimed</a> that he shares Anthropic’s red lines: no mass surveillance of Americans and no fully autonomous weapons. Yet somehow Altman managed to cut a deal that, by his account, didn&#8217;t compromise either of them. Apparently, the Pentagon had no problem with that.</p>

<p class="has-text-align-none">How is that possible? Why would the Pentagon agree to OpenAI’s terms if they’re really the same as Anthropic’s?</p>

<p class="has-text-align-none">The answer is that they’re not the same. Unlike Anthropic, OpenAI acceded to a key demand of the Pentagon’s —&nbsp;that its AI systems can be used for “all lawful purposes.” On the face of it, that sounds innocuous: If some type of surveillance is legal, then it can’t be that bad, right?</p>

<p class="has-text-align-none">Wrong. What many Americans don’t know is that the law just has not come close to catching up to new AI technology and what it makes possible. Currently, the law does not forbid the government from buying up your data that’s been collected by private firms. Before advanced AI, the government couldn’t do all that much with this glut of information because it was just too difficult to analyze all of it. Now, AI makes it possible to analyze data en masse —&nbsp;think geolocation, web browsing data, or credit card information —&nbsp;which could enable the government to create predictive portraits of everyone’s life. The average citizen would intuitively categorize this as “mass surveillance,” yet it technically complies with existing laws.</p>

<p class="has-text-align-none">For Anthropic, the collection and analysis of this sort of data on Americans was <a href="https://www.theatlantic.com/technology/2026/03/inside-anthropics-killer-robot-dispute-with-the-pentagon/686200/">a bridge too far</a>. This was <a href="https://www.nytimes.com/2026/03/01/technology/anthropic-defense-dept-openai-talks.html">reportedly</a> the main sticking point in its negotiations with the Pentagon.</p>

<p class="has-text-align-none">Meanwhile, take a look at <a href="https://openai.com/index/our-agreement-with-the-department-of-war/">an excerpt</a> of OpenAI’s contract with the Pentagon, and you can see in the first sentence that it is allowing the Pentagon to use its AI for “all lawful purposes”:&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2026/03/Screenshot-2026-03-01-at-10.10.03%E2%80%AFPM.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="" />
<p class="has-text-align-none">You might be wondering: What are all those other clauses that appear after the first sentence? Do they mean your fundamental rights will be protected?</p>

<p class="has-text-align-none">Altman and his colleagues certainly tried to give that impression. But many experts have pointed out that they don’t guarantee that at all. As one University of Minnesota law professor wrote:&nbsp;</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2026/03/Screenshot-2026-03-01-at-10.24.59%E2%80%AFPM.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="" />
<p class="has-text-align-none">In fact, as several observers <a href="https://x.com/justanotherlaw/status/2027857218935394441">noted</a>, the contract clauses call to mind what an Anthropic spokeswoman said about updated wording it had received from the Department of Defense at a late stage in their negotiations: “New language framed as compromise was paired with legalese that would allow those safeguards to be disregarded at will,” she said.&nbsp;</p>

<p class="has-text-align-none">OpenAI did get some assurances into the contract; the company’s <a href="https://openai.com/index/our-agreement-with-the-department-of-war/">blog post</a> says it’ll have the ability to build in technical guardrails to try to ensure its own red lines are respected, and it’ll have “OpenAI engineers helping the government, with cleared safety and alignment researchers in the loop.” But it’s unclear how much good that’ll do, given that <a href="https://www.theverge.com/ai-artificial-intelligence/887309/openai-anthropic-dod-military-pentagon-contract-sam-altman-hegseth?view_token=eyJhbGciOiJIUzI1NiJ9.eyJpZCI6IkRxb01JVEJQcGIiLCJwIjoiL2FpLWFydGlmaWNpYWwtaW50ZWxsaWdlbmNlLzg4NzMwOS9vcGVuYWktYW50aHJvcGljLWRvZC1taWxpdGFyeS1wZW50YWdvbi1jb250cmFjdC1zYW0tYWx0bWFuLWhlZ3NldGgiLCJleHAiOjE3NzI4OTUwMjcsImlhdCI6MTc3MjQ2MzAyN30.QVBujdM6UEjv1O6rMdXx9nQUYvaMPkY2GEc6rB4-Q8Q&amp;utm_medium=gift-link">the impact of technical safeguards is limited</a> and the language doesn’t guarantee a human in the loop when it comes to autonomous weapons.</p>

<p class="has-text-align-none">“In terms of safety guardrails for ‘high-stake decisions’ or surveillance, the existing guardrails for generative AI are deeply lacking, and it has been shown how easily compromised they are, intentionally or inadvertently,” <a href="https://ainowinstitute.org/contributor/heidy">Heidy Khlaaf</a>, the chief AI scientist at the nonprofit AI Now Institute, told me. “It&#8217;s highly doubtful that if they cannot guard their systems against benign cases, they&#8217;d be able to do so for complex military and surveillance operations.”</p>

<p class="has-text-align-none">What’s more, “Nothing in the contractual language released up to this point seems to provide enforceable red lines beyond having a ‘lawful purpose,’” said <a href="https://cdt.org/staff/samir-jain/">Samir Jain</a>, the vice president of policy at the Center for Democracy &amp; Technology. “Embedding OpenAI engineers does not solve the problem. Even if they are able to identify and flag a concern, at most, they might alert the company, but absent a contractual prohibition, the company could not have any right to require the Pentagon to halt the activity at issue.” </p>

<p class="has-text-align-none">OpenAI and Anthropic did not respond to requests for comment. OpenAI later said it was <a href="https://www.nytimes.com/2026/03/02/technology/openai-pentagon-deal-amended-surveillance.html">amending the contract</a> to add more protections around surveillance.</p>

<p class="has-text-align-none">Perhaps if Altman did not already have a reputation for misleading people with <a href="https://sarahshoker.substack.com/p/a-few-observations-on-ai-companies">vague or ambiguous language</a>, AI watchers would be less alarmed. But he does have that reputation. When the OpenAI board tried to fire Altman in 2023, <a href="https://www.vox.com/future-perfect/2023/11/21/23971765/openai-sam-altman-microsoft">it famously said</a> he was “not consistently candid in his communications,” which sounds like board-speak for “lying.” Others with inside knowledge of the company have likewise <a href="https://www.vox.com/future-perfect/2024/5/17/24158403/openai-resignations-ai-safety-ilya-sutskever-jan-leike-artificial-intelligence">described</a> duplicity. </p>

<p class="has-text-align-none">​​Even Leo Gao, a research scientist employed by OpenAI, posted:</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2026/03/Screenshot-2026-03-01-at-11.05.26%E2%80%AFPM.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="" />
<p class="has-text-align-none">For now, only a minuscule portion of OpenAI’s contract with the Pentagon has been made public, so we can’t say for certain what guarantees it does or doesn’t contain. And some aspects of this story remain murky. How much of the Pentagon’s decision to replace Anthropic with OpenAI was due to the fact that OpenAI’s leaders have donated millions of dollars to support President Donald Trump while Anthropic’s Amodei has refused to bankroll him or give the Pentagon carte blanche with the company’s AI, earning him Hegseth’s dislike and <a href="https://truthsocial.com/@realDonaldTrump/posts/116144552969293195">Trump’s insistence</a> that he leads “A RADICAL LEFT, WOKE COMPANY”?</p>

<p class="has-text-align-none">While these uncertainties linger, public mood has turned against OpenAI with nearly the speed of the tech itself. A public campaign called <a href="https://quitgpt.org/#">QuitGPT</a> launched last month and has gained immense traction since the Pentagon clash, urging those who feel betrayed by OpenAI to boycott ChatGPT. By the group’s count, over 1.5 million people have already taken action as part of the boycott.&nbsp;</p>

<p class="has-text-align-none">It’s no coincidence that Anthropic’s chatbot, Claude, became the No. 1 most downloaded app in the App Store over the weekend, with users seeing it as a better alternative to ChatGPT.</p>

<p class="has-text-align-none">Historian and bestselling author Rutger Bregman, who has studied the boycott movements of the past, was one of those who felt fired up upon seeing the QuitGPT campaign. He has since become its informal spokesperson. </p>

<p class="has-text-align-none">“What effective boycotts have in common, in my view, is that they&#8217;re narrow, they&#8217;re targeted, and they&#8217;re easy,” Bregman told me. “I looked at the ChatGPT boycott and was like: This is exactly it! This is the first opportunity to start a massive consumer boycott in the AI era, and to send an incredibly powerful signal to the whole ecosystem, saying, ‘Behave, or you could be next.’” He suggests switching over to the chatbot of any other AI company, except Elon Musk’s Grok.</p>

<p class="has-text-align-none">Mind you, it’s worth noting that Anthropic itself is no dove. After all, the company has a deal with the AI software and data analytics company Palantir, which is infamous for powering operations of Immigration and Customs Enforcement (ICE). Anthropic is not opposed to all forms of mass surveillance, nor does it seem to be categorically opposed to using its AI to power autonomous weapons (its current refusal is based on the fact that its AI systems can’t <em>yet</em> be trusted to do that reliably). What’s more, it recently <a href="https://time.com/7380854/exclusive-anthropic-drops-flagship-safety-pledge/">dropped its key promise</a> not to release AI models above certain capability thresholds unless it can guarantee robust safety measures for them in advance. And as an employee of Anthropic (or Ant, as it’s sometimes known) pointed out, the company was happy to sign a contract with the Department of Defense in the first place:</p>
<img src="https://platform.vox.com/wp-content/uploads/sites/2/2026/03/Screenshot-2026-03-01-at-11.40.41%E2%80%AFPM.png?quality=90&#038;strip=all&#038;crop=0,0,100,100" alt="" title="" data-has-syndication-rights="1" data-caption="" data-portal-copyright="" />
<p class="has-text-align-none">Still, many believe that if you’re going to use a chatbot, Anthropic’s Claude is morally preferable to OpenAI’s ChatGPT —&nbsp;especially in light of the recent clash at the Pentagon.</p>

<h2 class="wp-block-heading has-text-align-none"><strong>What else can be done to ensure AI isn’t used for mass surveillance or fully autonomous weapons?</strong></h2>

<p class="has-text-align-none">There was a time when some AI experts urged <a href="https://www.vox.com/the-highlight/23621198/artificial-intelligence-chatgpt-openai-existential-risk-china-ai-safety-technology">an alternative to a US-China AI arms race</a>: What if Americans who care about AI safety tried to coordinate with their Chinese counterparts, engaging in diplomacy that could ensure a safer future for everybody?</p>

<p class="has-text-align-none">But that was a couple of years ago —&nbsp;eons, in the world of AI development. It’s rarer to hear that option floated these days.</p>

<p class="has-text-align-none">Some experts have been calling for an international treaty. A dozen Nobel laureates backed the <a href="https://red-lines.ai/">Global Call for AI Red Lines</a>, which was presented at the UN General Assembly last September. But so far, a multilateral agreement hasn’t materialized.</p>

<p class="has-text-align-none">In the meantime, another option is gaining prominence: solidarity amongst the tech workers at the major AI companies.</p>

<p class="has-text-align-none">An open letter titled “<a href="https://notdivided.org/">We Will Not Be Divided</a>” has garnered more than 900 signatures from employees at OpenAI and Google over the past few days. Referring to the Pentagon, the letter says, “They’re trying to divide each company with fear that the other will give in. That strategy only works if none of us know where the others stand. This letter serves to create shared understanding and solidarity in the face of this pressure.” Specifically, the letter urges OpenAI and Google leadership to “stand together” to continue to refuse their AI systems to be used for domestic mass surveillance or fully autonomous weapons.</p>

<p class="has-text-align-none">Another <a href="https://app.dowletter.org/?utm_source=substack&amp;utm_medium=email">open letter</a> — which has over 175 signatories, including founders, executives, engineers, and investors from across the US tech industry, including OpenAI employees — urges the Department of Defense to withdraw the supply chain risk designation against Anthropic and stop retaliating against American companies. It also urges Congress “to examine whether the use of these extraordinary authorities against an American technology company is appropriate” — a tactful way of suggesting, perhaps, that the Pentagon’s moves were an abuse of power. </p>

<p class="has-text-align-none">Federal regulations and global treaties would be a much stronger defense against unsafe and unethical AI use than relying on the goodwill of individual technologists. But for the moment, cross-company coordination is at least a start —&nbsp;a way to push back against Pentagon pressure that would lead, if left unchecked, to something America keeps insisting it’s nothing like.</p>
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									</content>
			
					</entry>
			<entry>
			
			<author>
				<name>Sigal Samuel</name>
			</author>
			
			<title type="html"><![CDATA[Why people are craving a different kind of therapy right now]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/479843/internal-family-systems-therapy-is-ifs-legitimate" />
			<id>https://www.vox.com/?p=479843</id>
			<updated>2026-02-20T17:48:07-05:00</updated>
			<published>2026-02-22T08:00:00-05:00</published>
			<category scheme="https://www.vox.com" term="Advice" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Mental Health" /><category scheme="https://www.vox.com" term="Your Mileage May Vary" />
							<summary type="html"><![CDATA[Internal Family Systems has become a wildly popular form of therapy over the past few years. Some of my friends swear by it. But after trying IFS myself and studying some of its underlying assumptions, I’m skeptical.&#160; I shared some of the reasons for that skepticism in a recent installment of my Your Mileage May [&#8230;]]]></summary>
			
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<p class="has-text-align-none">Internal Family Systems has become a wildly popular form of therapy over the past few years. Some of my friends swear by it. But after trying IFS myself and studying some of its underlying assumptions, I’m skeptical.&nbsp;</p>

<p class="has-text-align-none">I shared some of the reasons for that skepticism in a <a href="https://www.vox.com/future-perfect/479186/ifs-therapy-risks-evidence" data-type="link" data-id="https://www.vox.com/future-perfect/479186/ifs-therapy-risks-evidence">recent installment of my Your Mileage May Vary advice column</a>. I noted that IFS is being used to treat all kinds of psychiatric conditions, even though its scientific foundation is shaky. Yet there’s no question that this therapy, which teaches that we’re each made up of a bunch of different parts and insists that there are “no bad parts,” appeals to tons of people — including very smart people who care a lot about evidence.</p>

<p class="has-text-align-none">One of those people is <a href="https://www.carlerikfisher.com/">Carl Erik Fisher</a>, a Columbia University bioethicist and psychiatrist who specializes in addiction. In his book <a href="https://bookshop.org/p/books/the-urge-our-history-of-addiction-carl-erik-fisher/c19bf3ed95ceefc1?ean=9780525561446&amp;next=t&amp;next=t&amp;affiliate=55215"><em>The Urge</em></a>, he writes that he initially thought IFS sounded hokey —&nbsp;until he tried it:</p>

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<p class="has-text-align-none">I feel like most of my supervisors at Columbia would turn up their noses at it — IFS does not have much of an evidence base, and it has neither the cerebral cachet of psychoanalysis nor the prestige of the more explicitly scientific therapies. But something about it works for me.</p>
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<p class="has-text-align-none">That piqued my curiosity. My column, <a href="https://www.vox.com/your-mileage-may-vary-advice-column">Your Mileage May Vary</a>, is pluralistic by design; I believe in weighing multiple values and viewpoints. So I reached out to Fisher to ask what it is about IFS that he thinks works.</p>

<p class="has-text-align-none">We talked about why this therapy is trending right now, how IFS might be both helping and epistemically harming clients, and whether it’s actually misguided to require a healing modality to be backed by randomized controlled trials before we give it a try. Our conversation, edited for length and clarity, follows.</p>

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<h2 class="wp-block-heading"><strong>Key ideas of Internal Family Systems therapy:</strong></h2>



<ul class="wp-block-list">
<li>IFS was developed in the 1980s by therapist Richard Schwartz, who was inspired by family systems therapy.</li>



<li>Schwartz argued that just as a family is made up of members who get into conflicts and also protect each other in patterned ways — so too is your mind. You’re not a single unified self; you’re a collection of “parts.”</li>



<li>Your parts include “exiles” (which carry pain and shame), “managers” (which try to prevent the pain and shame from surfacing — for example, through perfectionism), and “firefighters” (which may use drinking, bingeing, or numbing out to protect you when pain or shame break through). There’s also the “Self,” which is your supposed true essence, wise and undamaged by trauma.</li>
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<p class="has-text-align-none"><strong>Sigal Samuel</strong></p>

<p class="has-text-align-none">Why do you think IFS has become so wildly popular?&nbsp;&nbsp;</p>

<p class="has-text-align-none"><strong>Carl Erik Fisher</strong></p>

<p class="has-text-align-none">I think IFS embodies a turn toward the experiential in psychotherapy these days. A lot of other modalities that are really popular right now —&nbsp;and not without reason — are things that are experientially based: EMDR [eye movement desensitization and reprocessing], somatic therapy, mindfulness. The thing that unites these is the shift away from rational or analytical insight to a more direct experiential practice.</p>

<p class="has-text-align-none">There’s a sort of intuitive, ecumenical, wisdom-oriented, potentially secular spirituality in it. There’s something about a deep compassion toward your own defenses and promoting a kind of metacognition that’s not just mindfulness, it’s not just being in contact with the present moment, it’s also bringing an awareness to all the different parts of yourself and identifying less with the analytic, observing, logical parts of yourself. There is a kind of lowercase-T transcendence to that practice. People are searching for that, especially in the context of having less of a properly spiritual or religious worldview.</p>

<p class="has-text-align-none"><strong>Sigal Samuel</strong></p>

<p class="has-text-align-none">You mean that for people who are secular but nevertheless have an ongoing yearning for spirituality, maybe the IFS framework of looking at yourself as a multiplicity of parts and moving away from the view of “I have one rational command center in my brain” helps them access this feeling of transcendence?</p>

<p class="has-text-align-none"><strong>Carl Erik Fisher</strong></p>

<p class="has-text-align-none">Yeah. And I think as people get isolated —&nbsp;I think it’s safe to say people have gotten more isolated since Covid —&nbsp;there’s more of a worry that people are left to form internet-based relationships, parasocial relationships with an audiobook or a podcast or a relationship with AI, and these are all analytical, text-based, logical relationships based on explicitly verbal content as opposed to embodied content.&nbsp;</p>

<p class="has-text-align-none">There’s a natural inclination, maybe even a self-correcting inclination, where people want more embodied experiences. It’s a cultural reaction. When you feel like you&#8217;re just a head floating in a Zoom box for most of the day, like a lot of knowledge workers do now, you really start to feel it.</p>

<p class="has-text-align-none"><strong>Sigal Samuel</strong></p>

<p class="has-text-align-none">That’s really interesting because I did notice that IFS enjoyed a huge surge in popularity right around Covid.</p>

<p class="has-text-align-none">But I’m curious if you think it’s problematic that IFS has been used in the treatment of all sorts of patients, even patients with very serious conditions, even though so far we don’t have a single randomized controlled trial [RCT] done on it as a treatment for a psychiatric disorder.&nbsp;</p>

<p class="has-text-align-none"><strong>Carl Erik Fisher</strong></p>

<p class="has-text-align-none">In the ’90s and the 2000s, there was a big focus on randomized controlled trials, a big focus on the evidence base. And it <em>is</em> important to do good-quality psychotherapy research. The field <em>should</em> have testable hypotheses and find ways of testing them. But the fact is that an RCT — as much as people call it the “gold standard” —&nbsp;is not the ultimate arbiter of truth or epistemic authority.</p>

<p class="has-text-align-none">There’s a very strong argument, to my mind, from some of the people who criticize the overinstrumentalization of psychotherapy evidence: They say that when you over-rely on all these short-term randomized controlled trials, you get a bunch of biases just built into the process. It&#8217;s short-term, so of course you’re going for the low-hanging fruit. The outcome measures are the symptom checklists, like the Beck Depression Inventory, and those are kind of diametrically opposed to the big depth psychology targets like personality change, leading a purposeful life, and all the rest. And then there are even more concrete critiques of psychotherapy evidence [when it comes to things like] control conditions and the difficulty in blinding. So I think it&#8217;s okay to be a little bit skeptical about the field of psychotherapy research overall.&nbsp;</p>

<p class="has-text-align-none">Whenever a therapy gets rapidly popular, more people will start to use it and the practice will go far ahead of the evidence base. And I don’t know a way around that. I mean, there’s not going to be any sort of professional organization arguing for a moratorium on the use of a psychotherapy until we get adequate data. If we did that, more than half of the psychotherapy modalities out there couldn’t be taught.&nbsp;</p>

<p class="has-text-align-none"><strong>Sigal Samuel</strong></p>

<p class="has-text-align-none">One of the good things about RCTs is that they force us to track harms to patients. And there’s been some <a href="https://www.thecut.com/article/truth-about-ifs-therapy-internal-family-systems-trauma-treatment.html">reporting</a> about harms done to patients in an IFS context. So who would you recommend IFS therapy to, who would you<em> not</em> recommend it to, and crucially, how can we tell apart people who might benefit and people who are likely to be harmed?</p>

<p class="has-text-align-none"><strong>Carl Erik Fisher</strong></p>

<p class="has-text-align-none">Anybody who does any kind of psychotherapy might experience a kind of symptom worsening; they might experience some internalization of a harmful self model. I think it’s good just in general to be conscious of the fact that not everyone will be helped by psychotherapy. Some people will be hurt. And sometimes it’s not predictable.</p>

<p class="has-text-align-none">But sometimes it is predictable! Who are the people at most risk with IFS? People who are at imminent risk of destabilization, whether it’s self-harm or substance use disorders — I don’t know that IFS is the best fit for immediately stabilizing someone seeking safety. And people who have an unstable self-concept overall, people who might be vulnerable to identity fragmentation or suggestibility. Certain personality disorders might fall into that framework.</p>

<p class="has-text-align-none">Also, someone with an eating disorder, I would put that in the category of dysregulated behavior. That’s a category of problems that traditionally we think of as needing really structured behavioral change intervention. Eating disorder treatment is a great example where there’s a highly specialized, really well-developed group of practices.&nbsp;</p>

<p class="has-text-align-none">One of the big problems with pseudoscience or interventions that are not necessarily proven&nbsp;— homeopathy is a great example of this — is that people will say, <em>homeopathy is just diluted whatever, it&#8217;s just water, it’s placebo</em>. Well, the problem is if you go get homeopathy for cancer, then you’re missing the opportunity to get a real treatment for cancer.&nbsp;</p>

<p class="has-text-align-none"><strong>Sigal Samuel</strong></p>

<p class="has-text-align-none">A moment ago you mentioned suggestibility. There are a few things about IFS that seem to me to be relying on the power of suggestion. When you tell an IFS therapist about some anxiety or emotional pain you’re feeling, they’ll often say, “Where do you feel that in your body?” Anecdotally, my sense is that many people secretly just don’t feel it in their body. But the therapist asks that question as if it’s so profound that when you’re the client sitting there, you feel like you’ve got to come up with something. Maybe your shoulders are tense —&nbsp;like, just because you’ve got a desk job — so you grab onto that and say, “It’s in my shoulders.” To what extent is the power of suggestion potentially playing a big role here?</p>

<p class="has-text-align-none"><strong>Carl Erik Fisher</strong></p>

<p class="has-text-align-none">I think it’s an important point. Generally, one of the deep critiques of psychotherapy going back decades is that the therapist has a sort of causal narrative about how the world works, what counts as suffering, what counts as the good. Because they have this asymmetrical authority, they can guide a client. And some of the critiques say that invalidates the epistemic authority of the client. In other words, people have their own authority to have their own experiences, and if you undermine that and you just tell them, “No, you’ll feel the sadness in your body,” then it’s not only that you’re maybe promoting suggestibility or barking up the wrong tree, but you might actually be invalidating their own experience.&nbsp;</p>

<p class="has-text-align-none">So I think it’s important not to lead clients toward some sort of worldview. That’s a danger in a lot of psychotherapies, and it’s arguably a much more heightened danger in a trendy, popular psychotherapy modality where the founder and the leading popularizers are making increasingly totalistic claims about how the world works and how the mind works and how spirituality works. That&#8217;s the part where some of the rhetoric gets a little questionable to me.</p>

<p class="has-text-align-none"><strong>Sigal Samuel</strong></p>

<p class="has-text-align-none">In terms of totalizing claims about how people work, one of the core premises of IFS is that underneath all our parts, we each have a core wise “Self.” But that core unitary self is just…not a thing. If you dissect my brain, you will not find a homunculus in there. So I’m wondering if that emphasis on this idea of the Self bothers you?</p>

<p class="has-text-align-none"><strong>Carl Erik Fisher</strong></p>

<p class="has-text-align-none">Well, it depends on how people use it. There’s a lot of talk in similar ways in Buddhist practice. People talk about “big mind,” “wise mind,” “Buddha mind.” That might sound like you&#8217;re talking about an essential thing — like, Buddha mind is superior, it’s wiser, it’s better — but that’s balanced by the Buddhist teaching of emptiness, which says that there’s no core essential thing.</p>

<p class="has-text-align-none">In my own experience receiving IFS, there are careful practitioners who don’t essentialize the self. They don’t make it a core reified homunculus. But I am sure there are people out there who do. And I do worry that in the soundbite-y, simplified versions, it does sound like it&#8217;s a homunculus and you need to surrender your will to some sort of magical, intuitive force. That’s just a set-up for failure. There’s a very basic psychotherapy principle that says healing is possible and when people are integrated, they themselves have the agency and the capacity to get well. If you reify the self in such a way that it’s not the you that think you are, that there’s some other Self in there that’s kind of spiritual or metaphysical, then it’s kind of surrendering some autonomy. It’s a little bit like fracturing off your own capacity for change.</p>

<div class="wp-block-vox-media-highlight vox-media-highlight">
<h2 class="wp-block-heading"><strong>Have a question you want me to answer in the next Your Mileage May Vary column?</strong></h2>



<p class="has-text-align-none">Feel free to email me at&nbsp;<a href="mailto:sigal.samuel@vox.com">sigal.samuel@vox.com</a>&nbsp;or&nbsp;<a href="https://forms.gle/wTU5egBukdhyKeL56">fill out this anonymous form</a>! Newsletter subscribers will get my column before anyone else does, and their questions will be prioritized for future editions.&nbsp;<a href="https://www.vox.com/pages/future-perfect-newsletter-signup">Sign up here!</a></p>
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<p class="has-text-align-none"><strong>Sigal Samuel</strong></p>

<p class="has-text-align-none">Sometimes people report that they’ll tell their IFS therapist, “Hey, I’m skeptical about this aspect of IFS,” and the therapist will respond, “Oh, that’s your skeptical part talking.” My worry is that when any resistance on the client’s part is getting interpreted as just another fearful part acting up, then we’re in a self-reinforcing loop that makes it hard for the client to challenge how the therapist is depicting their reality — even if it seems off.&nbsp;</p>

<p class="has-text-align-none"><strong>Carl Erik Fisher</strong></p>

<p class="has-text-align-none">I don’t think it’s good practice in general for someone to say, “Oh, that’s just your skeptical part.” That is invalidating.&nbsp;</p>

<p class="has-text-align-none">I think my own response, 99 out of 100 times [as the psychiatrist] in a situation like that, would be to validate and say: “That makes sense. It’s okay to be skeptical. Psychotherapy is messy and we don’t really know how it works. We don&#8217;t know that IFS is the perfect solution. We don’t have to treat this as a final word about mental health. It’s one tool that we could try. And if it doesn’t fit, we can make an adjustment.”</p>

<p class="has-text-align-none">It’s bad practice if you just totally invalidate somebody&#8217;s reasonable skepticism about something that is really, really far from a settled science.&nbsp;</p>
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				<name>Sigal Samuel</name>
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			<title type="html"><![CDATA[One of the hottest therapy styles is scientifically shaky — so why does it seem to work?]]></title>
			<link rel="alternate" type="text/html" href="https://www.vox.com/future-perfect/479186/ifs-therapy-risks-evidence" />
			<id>https://www.vox.com/?p=479186</id>
			<updated>2026-02-17T15:17:40-05:00</updated>
			<published>2026-02-15T08:00:00-05:00</published>
			<category scheme="https://www.vox.com" term="Advice" /><category scheme="https://www.vox.com" term="Future Perfect" /><category scheme="https://www.vox.com" term="Health" /><category scheme="https://www.vox.com" term="Mental Health" /><category scheme="https://www.vox.com" term="Psychology" /><category scheme="https://www.vox.com" term="Your Mileage May Vary" />
							<summary type="html"><![CDATA[Your Mileage May Vary&#160;is an advice column offering you a unique framework for thinking through your moral dilemmas. It’s based on&#160;value pluralism&#160;— the idea that each of us has multiple values that are equally valid but that often conflict with each other.&#160;To submit a question, fill out this&#160;anonymous form. Here’s this week’s question from a [&#8230;]]]></summary>
			
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<p class="has-text-align-none"><em><em><a href="https://www.vox.com/your-mileage-may-vary-advice-column" target="_blank" rel="noreferrer noopener">Your Mileage May Vary</a>&nbsp;is an advice column offering you a unique framework for thinking through your moral dilemmas. It’s based on&nbsp;<a href="https://www.vox.com/future-perfect/418783/liberal-democracy-value-pluralism-isaiah-berlin" target="_blank" rel="noreferrer noopener">value pluralism</a>&nbsp;— the idea that each of us has multiple values that are equally valid but that often conflict with each other.</em>&nbsp;<em>To submit a question, fill out this&nbsp;<a href="https://docs.google.com/forms/d/e/1FAIpQLSctX2yDEss1RnRlesUBKc1vmCxneDRvsgJlGQ5pDsef39RKtA/viewform" target="_blank" rel="noreferrer noopener">anonymous form</a>. Here’s this week’s question from a reader, condensed and edited for clarity</em>:</em></p>

<p class="has-text-align-none"><strong>What’s going on with Internal Family Systems therapy? It looks like IFS is becoming really popular, an increasing number of my friends are trying it, and mostly they report extremely positive experiences. But as far as I can tell, the evidence base for this kind of therapy is thin. A professional therapist I know with a PhD in psychology hadn&#8217;t even heard of it. I asked a chatbot to rank the top 10 evidence-based therapies and IFS didn’t even make the list.</strong></p>

<p class="has-text-align-none"><strong>So, I’m confused. Should I be trying to dissuade my friends from going to this kind of therapy? Or am I the one who’s missing something, and maybe I should be trying IFS myself?</strong></p>

<p class="has-text-align-none">Dear Evidence-Based,&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p>

<p class="has-text-align-none">There’s a mantra in IFS: Inside us, there are “no bad parts.” That may well be true of us, but I don’t think it’s true of IFS itself. This is a type of therapy that has a lot going for it, but it also has some parts that should absolutely make you skeptical.</p>

<p class="has-text-align-none">Here&#8217;s a basic primer for the uninitiated: IFS was developed in the 1980s by therapist Richard Schwartz. Inspired by family systems therapy, he argued that just as a family is made up of members who form alliances, get into conflicts, and protect each other in patterned ways — so too is your mind. You’re not a single unified self; you’re a collection of “parts,” each with its own agenda. To understand yourself, you have to understand the dynamics between these internal “family members.”</p>

<p class="has-text-align-none">Schwartz says your parts fall into a few categories. “Exiles” are wounded parts that carry pain and shame from when you were younger. “Managers” are protectors that try to prevent those painful exiles from surfacing — for example, through perfectionism. “Firefighters” are like the emergency response team that jumps into action when painful exiles break through anyway; they’ll use drinking, bingeing, or numbing out to protect you from the fiery, difficult feelings.</p>

<p class="has-text-align-none">And finally, there’s “Self” — note the capital S — which is your supposed true essence, undamaged by trauma, always waiting for you underneath everything else. Your Self is characterized by calm, curiosity, compassion, and clarity. If you can access it, you can more easily build trusting relationships with all your parts, understand why they developed the coping mechanisms they did, and gradually help them release the maladaptive ones so you can live a healthier life.</p>

<p class="has-text-align-none">Okay. Got all that? Now, here’s what I think is really going on.&nbsp;</p>

<p class="has-text-align-none">There’s a lot people like about the IFS model —&nbsp;and with good reason. Let’s start with the core idea that your mind is not a single unified thing. That is both very intuitive and very scientifically true. You can tell it’s intuitive because we all commonly say things like “a part of me wants X, but a part of me wants Y,” or “I’m of two minds about that.” We have a natural sense that we each contain multitudes. And that’s because, well, we do! If you’ve ever taken a psychology or neuroscience class, you know that the brain isn&#8217;t a single command center — it’s a collection of systems that evolved at different times for different purposes, and they don’t always agree.&nbsp;</p>

<p class="has-text-align-none">IFS’s acknowledgement of multiplicity is especially refreshing because Western philosophy has spent centuries trying to convince us that we humans are “the rational animal” —&nbsp;that rationality and cool logic are at the center of what it means to be human. In other words, there’s a “real you,” that real you is rational, and if you sometimes engage in illogical behavior, that’s just because passions are clouding your core judgment.&nbsp;</p>

<p class="has-text-align-none">But the brain isn’t actually organized that way. It’s not a unified rational self. Your prefrontal cortex is not more “you” than your amygdala — they&#8217;re both you, pulling in different directions. And by acknowledging that we’re not fully rational beings, IFS frees us up from the expectation that we <em>should</em> be —&nbsp;a feature that bedevils other forms of therapy, like Cognitive Behavioral Therapy. CBT is based on the idea that we can catch our automatic thoughts and assumptions, check to see if they’re true, and simply change them if not. By consciously and logically adjusting our thoughts, we can, the thinking goes, transform how we feel about things.&nbsp;</p>

<p class="has-text-align-none">This idea of a rational self in the driver’s seat sure offers a nice sense of control&nbsp;—&nbsp;and it works to a degree (CBT has a <a href="https://www.vox.com/future-perfect/22765423/cbt-therapy-developing-world-strongminds">strong evidence base</a> when it comes to treating conditions like depression and anxiety). But you can’t logic your way out of everything. Pretending that you can <a href="https://www.newyorker.com/culture/annals-of-inquiry/can-cognitive-behavioral-therapy-change-our-minds">can be counterproductive</a>. It can also make you feel ashamed: If you don’t manage to get your moods and reactions under rational control, it feels like you’ve got nobody to blame but your one and only self.</p>

<p class="has-text-align-none">By contrast, IFS insists that even though some parts of you may act in misguided ways, they’re just trying their best to protect you. And that brings us to what is, for my money, the number one thing drawing people to IFS: This modality, and particularly the catchphrase “no bad parts,” gives people a rubric for tapping into self-compassion rather than self-judgment. For anyone with a loud inner critic, that is a huge deal.</p>

<p class="has-text-align-none">When we see ourselves behaving maladaptively —&nbsp;whether it’s staying up late doomscrolling or drinking way too much —&nbsp;it’s really easy to hate ourselves for it. We think:<em> I know that’s not a smart thing to do, but I did it anyway —&nbsp;what’s wrong with me? I’m such a screw-up!</em> It’s incredibly helpful to instead be able to say:<em> This is coming from a part of me that’s trying to protect me in some way, and even though it’s not going about it very well, I know the intentions are good.</em>&nbsp;</p>

<p class="has-text-align-none">So it doesn’t surprise me that so many people are flocking to IFS. It’s got some genuinely positive aspects —&nbsp;and it doesn’t hurt that movies like<em> Inside Out</em> helped popularize the idea that we’re all made up of lots of little parts!</p>

<p class="has-text-align-none">But holy hell are there also some problematic aspects to IFS.&nbsp;</p>

<p class="has-text-align-none">For one thing, let’s talk about the evidence base. There is…very little of it. Randomized controlled trials are the gold standard of medical evidence, and so far not a single one has been done on IFS as a treatment for a psychiatric disorder. As <a href="https://www.thecut.com/article/truth-about-ifs-therapy-internal-family-systems-trauma-treatment.html?isNewSocialUser=false&amp;providerId=google.com">an investigation in The Cut</a> noted last year, the strongest evidence for IFS, according to Schwartz, comes from <a href="https://www.jrheum.org/content/jrheum/early/2013/08/10/jrheum.121465.full.pdf">a small 2013 study</a> he co-wrote in which rheumatoid arthritis patients undergoing the therapy reported, on average, improved joint pain, reduced depressive symptoms, and more self-compassion several months later.&nbsp;</p>

<p class="has-text-align-none">And yet IFS has been used in the treatment of all sorts of things — sometimes to patients’ detriment. Some people with eating disorders have gotten sicker, The Cut reported, as their IFS treatment focused on dredging up harrowing memories rather than stabilizing them. And some people developed “memories” of being abused by their parents, only to later allege that those were false memories introduced in the course of IFS therapy.</p>

<p class="has-text-align-none">Experts have also begun warning that encouraging a client to play out conversations between their parts can be dangerous if the client doesn’t have a firm grasp on reality. “Our concern is that encouraging splitting of the self into parts for those who struggle with reality testing might be disorganizing,” wrote psychologist Lisa Brownstone and co-authors in <a href="https://societyforpsychotherapy.org/internal-family-systems-exploring-its-problematic-popularity/">a paper</a> last year.</p>

<p class="has-text-align-none">Even for very high-functioning clients, there’s a feature of IFS therapy that risks leading them further away from what’s real. Tell an IFS therapist that you’re skeptical about some aspect of the therapy, and <a href="https://www.thenation.com/article/society/internal-family-systems-scam/">too often the therapist will say</a> something like: <em>Oh, that’s your skeptical part talking.</em> They may invite that part to express its thoughts, but you’re still expected to buy the premise that your unease is coming from some part that’s not to be fully trusted.&nbsp;</p>

<p class="has-text-align-none">When any resistance tends to be interpreted as just another fearful part of you acting up, the therapeutic logic you end up with is a tight, self-confirming loop —&nbsp;one that makes it harder for you to challenge your therapist’s depiction of reality, even if it seems off to you.&nbsp;</p>

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<p class="has-text-align-none">Likewise with the idea (fundamental to IFS) that your feelings can be located in specific parts of the body. If you tell an IFS therapist about an anxiety or a nagging doubt, they’ll likely ask you where you can feel it in your body. Many people secretly feel…<a href="https://www.thenation.com/article/society/internal-family-systems-scam/">nothing</a>. But it’s Bessel van der Kolk’s world, and we’re all just living in it: So popular is the idea that “<a href="https://www.vox.com/the-highlight/22876522/trauma-covid-word-origin-mental-health">the body keeps the score</a>,” that people sometimes feel implicit pressure to imagine they can locate an emotional pain somewhere physical. </p>

<p class="has-text-align-none">One of my colleagues confessed to me that when he’s been asked this, “all I can think of is ‘my shoulders’&#8230;because I have bad posture and have a desk job”! But once you’ve imagined that the nagging doubt lives in your shoulders, and you can feel the therapist waiting for your answer to this purportedly profound question, what do you do? You go for the first thing that comes to mind, and you say “my shoulders.”</p>

<p class="has-text-align-none">If an individual walks away from a therapy session like this and feels better, I’m glad for them. But when IFS is being held up as a treatment for very serious conditions like depression and addiction, it really matters for the underlying science to be right.</p>

<p class="has-text-align-none">That brings us to another issue: One of the core premises of IFS —&nbsp;the idea of the Self — is just not based on evidence. Ironically, for all its insistence that we are not unitary creatures, IFS does posit that underneath all our parts there is a unitary essence.&nbsp;</p>

<p class="has-text-align-none">Believing that we each have a wise inner self is fine if you hold the idea lightly, as a kind of metaphor. But some IFS therapists talk about it way too literally.</p>

<p class="has-text-align-none">When I tried IFS, I found this disorienting. Asked to connect with my Self, I remembered a day when I was 11 years old, singing joyously from the bleachers in my neighborhood park. Was that my one true Self? I didn’t actually believe it was&nbsp;—&nbsp;it seemed more like one version of me, a version I like and want to cultivate more. But it was so clear that I was expected to identify this as Self that I played along.</p>

<p class="has-text-align-none">This wasn’t great, both because I felt epistemically wronged (I know the one true Self is not a thing), and because it would’ve actually been more empowering if I’d just been told: “No, this isn’t the essential you, buried deep down within and therefore sometimes accessible but sometimes not. It’s one possible you among many, and if you’d like to lean into it, you can <em>choose </em>to do that. And you can do that at any moment, because this is about your agency —&nbsp;not some preexisting metaphysical essence.”&nbsp;&nbsp;</p>

<p class="has-text-align-none">Finally, while we’re talking about metaphysics, I need to mention the demons.&nbsp;</p>

<p class="has-text-align-none">Yes, you read that right. No, I don’t mean allegorical demons.&nbsp;</p>

<p class="has-text-align-none">Some leading figures in IFS, like the therapist and author Robert Falconer, believe that people sometimes become possessed by literal demons —&nbsp;though they call them “Unattached Burdens.” Last year, Falconer <a href="https://www.astralcodexten.com/p/book-review-the-others-within-us">wrote a book</a> about these malevolent beings and how to exorcise them, and Schwartz wrote the foreword. The journalist and researcher Jules Evans <a href="https://www.ecstaticintegration.org/p/does-internal-family-systems-implant">argues there’s a significant risk that by talking to clients about these supposed demons, IFS therapists will end up actually implanting a belief in demons</a> into their clients —&nbsp;which could terrify some clients and actually worsen their mental health. The power of suggestion is not to be underestimated.</p>

<p class="has-text-align-none">So, should you try to get your friends to stop going to IFS therapy, even if they say they’re having extremely positive experiences? It depends. If they suffer from a serious condition&nbsp;—&nbsp;an eating disorder, a history of abuse or trauma —&nbsp;then I do think it’s good to make them aware of the problems with IFS. If their issues are more run-of-the-mill (think: someone who just doesn’t get along great with their mom), then IFS might be helping them overall, even in spite of some of IFS’s own features. In that case, you don’t necessarily have to rush to ring the alarm, but I would periodically check in with them to make sure they’re maintaining the ability to think critically about their experience.</p>

<p class="has-text-align-none">And as for whether you should try IFS yourself? I wouldn’t recommend starting on that path. I suspect you can reap a lot of the benefits of IFS without incurring its problematic metaphysical baggage. If, as I believe, one of the key advantages of IFS is that it helps people cultivate self-compassion, why not cut out the IFS middleman and go straight to the source by <a href="https://www.vox.com/even-better/23274105/self-compassion-shame-anxiety-depression">taking a self-compassion class</a>?</p>

<p class="has-text-align-none">A few years ago, I tried IFS therapy and, separately, an eight-week self-compassion course run by the nonprofit <a href="https://centerformsc.org/">Center for Mindful Self-Compassion</a>. I benefited a bit from the former, but I felt like it actually required me to push away some parts of myself. Meanwhile, I gained hugely from the latter, and I didn’t feel like it asked me to leave my critical thinking at the door.&nbsp; </p>
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