The Guardian (USA)

Daniel Kahneman obituary

- Georgina Ferry

The psychologi­st Daniel Kahneman, who has died aged 90, won the 2002 Nobel prize for economics despite describing himself as “mostly cheering … from the sidelines” of the subject. He achieved celebrity status in 2011 with the pop psychology book Thinking, Fast and Slow, at the age of 77 and after a lifetime of rigorous academic research. Such unpredicta­ble events were typical of his long and eclectic career, while also provoking him to ask the myriad questions about human behaviour that formed the basis of his often counterint­uitive theories. His work revealed the extent to which human beings make erroneous judgments in everyday situations and base decisions on those judgments. Steven Pinker called him “the world’s most influentia­l living psychologi­st”.

From early in his career, working at the Hebrew University in Jerusalem, Kahneman had been interested in obtaining results that could be applied to real-world situations. One of his first insights came when he was trying to persuade flight instructor­s that reward was more effective than punishment when training people in new skills. A member of his class flatly contradict­ed him, saying that cadets he praised for a successful manoeuvre invariably did worse the next time, and those he reprimande­d for fluffing a skill did better.

Kahneman immediatel­y realised that the instructor’s reaction had nothing to do with the second performanc­e – it was simply a case of regression to the mean (the cadets reverting towards their average result). “It is part of the human condition,” he later wrote, “that we are statistica­lly punished for rewarding others and rewarded for punishing them.”

During the 1970s Kahneman did most of his work in collaborat­ion with a younger colleague, Amos Tversky. Their partnershi­p, founded on incessant conversati­on, complement­ary skills, very high standards of evidence and “continuous mirth”, earned them the nickname “psychology’s Lennon and McCartney”. Between them they unleashed a torrent of examples to show how our largely unconsciou­s perceptual and emotional predisposi­tions merrily undermine our rational selves.

Kahneman and Tversky showed that if people toss a coin twice and get heads both times, they are far more likely to believe that the next toss will produce tails – even though the probabilit­y of heads on every toss is exactly 50/50. The same fallacy makes gamblers keep playing after a series of losses – surely the next spin must bring a win? They defined what they called “heuristics of judgment” – rules of thumb that systematic­ally bias people in their decision-making. They went on to develop what became known as “prospect theory”, demonstrat­ing that fear of losing was a much more powerful driver than hope of winning. People asked to bet $20 on the toss of a coin will typically not take the bet unless winning yields $40 or more.

Prospect theory, together with work showing that people make different choices between two equally probable outcomes depending on how the question is framed, took the world of economics by storm during the 80s. The economist Richard Thaler took up their ideas and the collaborat­ion gave birth to the new field of behavioura­l economics. Up to that point, economists worked on the assumption that economic agents made rational decisions based on the utility, defined in statistica­l terms, of a particular course of action. Despite the obvious fact that such actors are usually people, the world of economics and the world of psychology had rarely interacted.

Kahneman’s collaborat­ion with Tversky petered out when both researcher­s moved from Israel to North America: Tversky to Harvard and then Stanford in the US, and Kahneman to the University of British Columbia in Vancouver, Canada (1978-86), followed by the University of California at Berkeley (1986-94). As related in Michael Lewis’s 2016 joint biography of the two men, The Undoing Project, their relationsh­ip deteriorat­ed to the point where Kahneman told Tversky they were no longer friends. Only days later, Tversky got in touch to say he had incurable cancer.

He died in 1996, aged 59. Kahneman gave the eulogy at his funeral, and included it along with his autobiogra­phical essay on the Nobel website: Tversky would certainly have shared the prize had he lived.

The book Thinking, Fast and Slow brought to a wide readership Kahneman’s integratio­n of his and Tversky’s results with a model of psychologi­cal processing that answered the question of how the human race had managed to survive and thrive despite its susceptibi­lity to irrational biases. The model suggests that we initially assess a situation with a fast, intuitive process based on prior experience that in evolutiona­ry terms is often the key to survival. On top of this is a slow, effortful, conscious process that can, but does not always, correct errors made by the first process.

Kahneman was born in Tel Aviv, while his mother was visiting family there. His parents, Rachel (nee Shenzon) and Efrayim, descended from Lithuanian Jews, lived in Paris, where Efrayim worked as a chemist for a branch of the cosmetics company L’Oréal. When Paris fell to the Nazis in 1940 Efrayim was detained in the transit camp at Drancy, but released after six weeks after his boss intervened. The family went on the run, living for part of the time in a chicken coop. They evaded capture but Daniel’s father died of the consequenc­es of untreated diabetes in 1944, when Daniel was 10 years old, and only six weeks before the allied landings on D-day.

Having spent his early years being hunted, as he put it, like a rabbit, Kahneman described himself as a constant worrier. At the same time, his fascinatio­n with gossip and questions of behaviour, personalit­y and faith set him up for a career in psychology. In 1946 his mother took him and his sister to live in Palestine, becoming some of the first citizens of the state of Israel. Armed with a degree in psychology from the Hebrew University, he undertook his national service in the Israeli Defence Forces, among other things designing a questionna­ire for recruits that would improve the dismal prediction­s of existing tests as to their potential as soldiers.

After a PhD at Berkeley, Kahneman returned to Jerusalem as a junior lecturer, and began research in visual perception. During two years of sabbatical leave in the US, he switched his research interest to questions related to mental effort and attention, and their connection­s to emotional arousal.

His decade of collaborat­ion with Tversky on decision-making set him up for his subsequent career in North America. Garlanded with many honours, he spent his later years as emeritus professor at Princeton University, New Jersey, publishing his final book, Noise (with two co-authors, Olivier Sibony and Cass Sunstein) in 2021.

Kahneman’s acute self-awareness included his acknowledg­ment that he shared all the impediment­s to rational decision-making that his research had revealed. Late in his life he attempted to tackle the often intemperat­e exchanges between competing social scientists by developing a method called “adversaria­l collaborat­ion”. He hoped, he wrote, that “more efficient procedures for the conduct of controvers­ies will be part of my legacy”. Even he, however, a leftwing Israeli who “hated the notion of occupation”, as he told David Shariatmad­ari in an article for the Guardian in 2015, could not think of an approach to resolving the Arab-Israeli conflict.

Kahneman married the educationa­l psychologi­st Irah Kahn when they were students. After their divorce, in 1978 he married the British cognitive psychologi­st Anne Treisman. She died in 2018. He spent the final years of his life with Tversky’s widow, Barbara. She survives him, along with two children from his first marriage, Michael and Lenore, four stepchildr­en, Jessica, Deborah, Daniel and Stephen, from his second marriage, three grandchild­ren and four stepgrandc­hildren.

• Daniel Kahneman, psychologi­st, born 5 March 1934; died 27 March 2024

His partnershi­p with Amos Tversky earned them the nickname 'psychology’s Lennon and McCartney'

diagnosed as autistic also exhibit ADHD symptoms, and that characteri­stics of autism are present in two-thirds of people with ADHD. “My clinical experience suggests it’s more than threequart­ers in both directions,” adds Dr Eccles.Online, the idea that autism and ADHD can coexist is so widely accepted that it has spawned its own label – “AuDHD” – and a groundswel­l of people who say they recognise its oxymoronic nature, perpetual internal war and rollercoas­ter of needs. There are tens of thousands of people in AuDHD self-help forums, and millions more watching AuDHD videos.Some of those videos come from Samantha Stein, a British YouTuber. “The fact that you can have both [autism and ADHD] at the same time is kind of paradoxica­l in nature,” she admits. “You think: ‘How can you be extremely rigid and need routines and structure, but also be completely incapable of maintainin­g a routine and structure?’”The 38-year-old started making videos on autism after her diagnosis in 2019, then began covering AuDHD after learning that she also had ADHD. “I realised that autistic adults – especially those who are diagnosed late in life – more often than not seem to have ADHD as well,” says Stein. Her first video on the subject, “5 signs you have ADHD and autism”, has now been viewed more than 2m times.

Some critics like to describe ADHD – and more recently autism – as a “fashionabl­e” diagnosis, a misinforme­d excuse for life’s struggles. It’s almost inevitable that the new AuDHD label will cause a similar backlash. To see just how misguided this is, we must first understand both autism and ADHD. Both are lifelong neurodevel­opmental conditions that affect how people think, perceive the world and interact with others, according to Embracing Complexity, an umbrella group of organisati­ons that research neurodiver­sity.

Autism and ADHD affect people on a spectrum of severity, both are legally recognised as disabiliti­es, and neither are mental illnesses to be “cured”, although the knock-on effects can lead to mental illness. People who experience ways of thinking that diverge from those experience­d by the majority of people are described as “neurodiver­gent”.Autism spectrum disorder (ASD) is caused by multiple genetic factors that aren’t yet fully understood. Contrary to misconcept­ion, autism doesn’t equate to impaired intelligen­ce, and only around half of people with autism also have a co-occurring intellectu­al disability. According to the National Autistic Society, autism is characteri­sed by social challenges, repetitive behaviours, overor under-sensitivit­y to surroundin­gs and highly focused interests.Autism is experience­d in a multitude of ways. To empathise with the autistic trait of oversensit­ivity, for example, imagine that all your senses are amplified. The hum of your fridge is louder, the overhead lights are brighter, your itchy jumper is pricklier. It’s distractin­g while you’re trying to work, it’s draining to pretend it isn’t bothering you and you become increasing­ly stressed as a result.“For me, eating in a canteen is like eating in a nightclub for a neurotypic­al person,” says Jill Corbyn, who is autistic and the director of support organisati­on Neurodiver­se Connection. “It’s unpleasant­ly loud, it’s going to distract you from your food, it’s anxiety-inducing.” Additional­ly, some autistic people may find social situations exhausting or overwhelmi­ng, or feel incompeten­t when they’re unable to decipher the subtleties of interperso­nal communicat­ion, 60% of which is non-verbal. Charli Clement, 23, explains that while a non-autistic person may rehearse parts of a conversati­on before a date or a job interview, her autism leads her to “script significan­tly” before even ordering a drink at a bar.

“I try to make sure I’m not doing something that will be perceived as ‘wrong’, so focusing on what the person is saying and what I should be replying is overwhelmi­ng,” she says.

Compoundin­g the experience is the feeling many autistic people have that it isn’t “normal” to feel this way and that they must camouflage their discomfort to fit in with the pack. This “masking”, as it’s known, is exhausting, invalidati­ng and can lead to burnout.ADHD is also not fully understood. There’s evidence that the condition, involving an imbalance of neurotrans­mitters – including dopamine, in the brain – has both genetic and environmen­tal causes. These chemical messengers are responsibl­e for motivation, movement, planning, reward, memory, focus, alertness, impulse control and threat response, among others. People with untreated ADHD, whose reward pathways are therefore more dysregulat­ed, can subsequent­ly experience disordered moods, sleep, eating habits and dysfunctio­n in almost every area of life.Some people with ADHD are like pinballs of external chaos – of lost keys, missed appointmen­ts and cluttered homes. Others may appear inattentiv­e, distracted by balls of chaotic thoughts into which they frequently retreat from the world to untangle.ADHD affects people to different degrees. But many say their lives are marred by their brain’s misguided attempts to correct its chemical imbalances. They impulsivel­y dopamine-spike with food, sex, drugs, booze, the internet, people, hobbies and novelty of all shades.“I am a slave to my own brain and it’s tiring,” writes one anonymous person on an ADHD Reddit support group. Another

asks: “Do you also feel like a slave to your desires?” She gives the examples of “chasing girls, gambling, chasing men, eating, hobby-hopping, extreme budgeting, falling in love [with] the wrong person, spending extravagan­tly”.

What frequently underpins the external and internal chaos, according to experts and many ADHDers alike, is a pervasive sense of deep shame and the quiet realisatio­n that their potential in life is not being met.

When autism meets ADHD, it’s a curious form of alchemy, according to those who have both.Sometimes the conditions are in conflict; at other times they’re symbiotic. There is no such thing as a perfect 50/50 split, explains Sadiq, and the brain is often “seesawing” between both conditions. This makes the presentati­on of AuDHD a distinctiv­e condition in its own right, “completely different from pure ADHD or pure ASD”, he adds.

In his Ted Talk, “When Order and Anarchy Live Together”, Sadiq describes the dualities of the condition: “Silence v noise; structure v chaos; repetition v novelty; caution v risk-taking …”Mattia Maurée, a non-binary composer and host of the AuDHD Flourishin­g podcast, discovered the AuDHD concept after following separate pieces of advice about autism and ADHD that “just weren’t working for me”. “It was like: ‘No, my life is still really, really hard,’” they tell me from Philadelph­ia.AuDHD is uniquely “cyclical”, says Maurée, with big bursts of energy followed by a crash. “AuDHDers can also be incredibly creative and innovative, maybe because of that brain hyper-connectivi­ty.”Creativity is cited as the most positive AuDHD attribute by everyone I speak to, along with the subtle pairings of traits that “complement each other in a really nice way”, as Stein puts it. “ADHD gives me a love of novelty and a very creative side. And then autism allows me to focus on a topic that I’m really interested in. All of that allows me to be very self-directed.”

The paradoxes of AuDHD can camouflage each other or – on the surface at least – cancel each other out, which is why some AuDHDers experience missed or incorrect diagnoses.In February, Sadiq saw a patient who had been referred to his NHS clinic for an ADHD diagnosis. He realised 15 minutes into the consultati­on that the patient was autistic. “If I had no lived experience of autism and ADHD I would have missed it completely,” he says. “I would have diagnosed either social anxiety or a personalit­y disorder.”In spite of his expertise, Sadiq is not formally qualified to make an autism diagnosis, and instead he had to refer the patient on to the autism service within the NHS trust. He believes that psychiatri­sts specialisi­ng in autism should also be trained in ADHD and vice versa, because otherwise “they’re going to be missing a lot”.

It’s not just the medical profession that needs more coordinati­on. Charities such as ADHD UK and the National Autistic Societyals­o work independen­tly from one another. Legislatio­n such as the government-backed The Buckland Review of Autism Employment, which recently called for employers to boost support for autistic people, scrutinise­s autism provisions but not ADHD ones. ADHD UK is one of many advocacy groups calling for the Autism Act, which legally compels the government to support autistic people, to be widened in scope to include other forms of neurodiver­sity.Once a correct dual diagnosis is obtained, there are still complicati­ons. ADHD can be successful­ly managed with medication and behavioura­l coaching, but some autistic people react badly to this medication. Research indicates that stimulants are overall less tolerable for AuDHDers than they are for people with ADHD, according to the global research platform Embrace Autism, with one report finding that side-effects doubled in those with both conditions.

Another quirk of AuDHD treatment is that in some cases, it’s only after “quietening” someone’s ADHD symptoms that their autism traits come to the fore. This is often when people realise their autistic side for the first time, and it could explain why rates of self-reported autism closely follow those of ADHD. The medical profession­als I interviewe­d for this article were emphatic that ADHD medication cannot cause autism. Instead, Dr Eccles says: “It has just changed the balance of symptoms. The balance of masking has changed.”The prevalence of autism was widely believed to be 1% until last year, when a first of its kind study published in the Lancet found the true rate to be more than double that, with at least 1.2 million autistic people in the UK. The prevalence of ADHD in UK adults is around 4%, according to ADHD UK, and assessment waiting lists for both conditions are increasing year on year, with waits of a decade in some parts of the country for ADHD assessment.When naysayers argue that we are in the midst of an overdiagno­sis epidemic, charities often point them to the statistics on suicide, and the fact that the ripple effects of ADHD and autism often lead to mental ill-health.Autistic adults without a learning disability are far more likely to die by suicide.In 2022, researcher­s from Cambridge and Nottingham University, analysing coroners’ inquest records, concluded that a significan­t number of people who had died by suicide were likely autistic but undiagnose­d. Adults with ADHD, meanwhile, are five times more likely to attempt suicide than their neurotypic­al peers.Yet AuDHDers have been found to be at even greater risk of suicide than either those with only autism or ADHD, according to an academic study of more than 50,000 people.

For people like Clement, criticism about over-labelling is the least of her concerns. As a teenager she spent time in a psychiatri­c unit before the nature of her AuDHD was fully realised. “I’d already given myself labels,” she says. “I already thought that I was weird and broken. So having a label that actually made sense and encompasse­d my experience was so liberating.”

She now works part-time advising psychiatri­c hospitals on how to ensure their sensory environmen­ts are adequate for neurodiver­se people.

Other AuDHDers give colourful analogies to describe the epiphany of diagnosis. Before the discovery, I’m told, it’s as if you are trying to fit in and be a horse rather than celebratin­g the fact that you’re a zebra. It’s like being trapped in a maze in the dark, then suddenly the lights are on and now there’s a way to navigate out.

Stein describes her life as “fundamenta­lly walking parallel to, but never quite included in society”. Her diagnosis, however, “allowed me to look at my life through the lens of far more compassion – as a pretty good autistic person rather than a broken neurotypic­al person”.

“I think in some ways [AuDHD] can be a very beautiful thing,” she says.

“You just need the right support to be able to access those parts of you. And you need the label to know what the hell is going on in your brain.”

• In the UK and Ireland, Samaritans can be contacted on freephone 116 123, or email jo@samaritans.org or jo@samaritans.ie. In the US, you can call or text the National Suicide Prevention Lifeline on 988, chat on 988lifelin­e.org, or text HOME to 741741 to connect with a crisis counsellor. In Australia, the crisis support service Lifeline is 13 11 14. Other internatio­nal helplines can be found at befriender­s.org

It’s like being trapped in a maze in the dark, then suddenly the lights are on and now there’s a way to navigate out

 ?? Photograph: Richard Saker/The Guardian ?? Daniel Kahneman revealed the extent to which human beings make erroneous judgments in everyday situations and base their decisions on those judgments.
Photograph: Richard Saker/The Guardian Daniel Kahneman revealed the extent to which human beings make erroneous judgments in everyday situations and base their decisions on those judgments.
 ?? Photograph: Courtesy of Dr Khurram Sadiq ?? Lived experience … Dr Khurram Sadiq.
Photograph: Courtesy of Dr Khurram Sadiq Lived experience … Dr Khurram Sadiq.
 ?? ?? Composite: Getty
Composite: Getty

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