The power of the fake diagnosis

“Please spit in the cup,” the nurse said. “And now we take the test strip and wait a few seconds. Oh… you see how the color changed? I’m afraid that means you’re positive for TAA deficiency.”

Back in 1988, a bunch of undergrads at Williams College got tested for Thioamine Acetylase (TAA) deficiency.

TAA is a pancreatic enzyme, the undergrads were told. People who don’t have enough of it can experience mild but irritating pancreatic disorders.

Turns out TAA doesn’t really exist. The point of the charade was to see how the undergrads would react to the fake diagnosis. Because next they were given a questionnaire.

The questionnaire had a list of common symptoms of TAA deficiency (“headache, diarrhea, backache, …”).

It also had a list of common risk factors contributing to TAA deficiency (“taking aspirin or Tylenol, getting less than seven hours of sleep, skipping a meal, …”).

Perhaps you can see where this is going:

The deficiency group of students noticed 50% more symptoms in their life… and 20% more risk factors … than the control group did. (The control was people who didn’t have the test strip change color.)

But as I said, in reality, both groups had the same levels of TAA coursing through their bodies — zero.

The authors of this study call this “confirmatory search.”

It’s the underlying mechanism by which our brains get infected by medical student syndrome… personality tests… and horoscopes.

We look for proof, we ignore disproof.

My point is there is power inside these made-up diseases, syndromes, and categories. Even when they don’t explain anything. And even when people who get a diagnosis are not given any way out.

So imagine what would happen if you actually diagnose a real and troubling condition for people… point out the symptoms and risk factors so they can convince themselves… and then give them a solution that can fix it.

It might make you immune to empty lobby syndrome… for the rest of your life.

If that’s something you currently suffer from, and if you experience the anxiety and lack of cash flow it brings, I have a solution for you. It’s the ideas and suggestions I share inside my email newsletter. You can sign up for it here.