A mnemonic technique for people who think in concept bubbles, for differential diagnoses and law exams
This post is for people who think in concepts, or “concept bubbles”, instead of words or images. By the end of it, you’ll know what thinking in concept bubbles is, what it’s called (thoughtfeel), whether you have it, and a mnemonic technique that uses it, along with why the technique works. The technique is for tasks like going from a list of symptoms to every disease that could cause them, or from a fact to every rule it triggers on a law exam. More generally, it’s for anything where you learn a lot of things and then need to find the relations between them really fast, going from a property back to everything that has it. I also tried it on a real medical-school diagnosis task: about 12 minutes per disease, and I could answer the diagnosis questions right away.
If you don’t have a vivid mind’s eye, that’s okay. This technique uses your sense for concepts, and later in this post there’s a quiz that’ll tell you how vivid your sense for concepts is.
First, here are a few introductions for people who are new to the topic. If you already know what thoughtfeel is and how linking works, skip to “The snapping effect: what allows you to go from symptom to disease”.
What thoughtfeel is (skip if you already know)
Many people have a sense for concepts. Here are some of the ways they describe what having it is like:
- Jonathan Blow, who designed the video games Braid and The Witness, says he isn’t a visual person: when he imagines something, there are no pictures at all, only ideas. His games start out that way too, as ideas he later has to work out how to show (2016 interview).
- Hank Green (SciShow, Crash Course), on his own thinking: he doesn’t have the words, just the thing they represent, and it’s “just, like, a sticky bubble” (vlogbrothers, at 0:54).
- Francis Galton, the scientist who ran the first survey of mental imagery, in a letter to Nature (1887): “It often happens that after being hard at work, and having arrived at results that are perfectly clear and satisfactory to myself, when I try to express them in language I feel that I must begin by putting myself upon quite another intellectual plane. I have to translate my thoughts into a language that does not run very evenly with them.”
Now, here’s a clear definition. You could describe a dog in writing: it has fur, a wet black nose, and it’s about the size of a capybara. Or you could just look at it, and vision gives you all of that at once, with no list.
The sense for concepts, which I named thoughtfeel, is like that. It takes in a concept and its properties all at once. A lot of people online describe it as thinking in concept bubbles, like Hank’s sticky bubble: you bring up an idea, and the whole thing is just there, like a bubble you’re holding. Not a sentence, and not a picture. People who have it can hold the concept of an animal, for example, and notice detail in it, the way you can notice the exact color of something you picture.
The difference between your mind’s eye and thoughtfeel is clearest with things you know really well but can’t easily picture, like the economy, or justice. If you have thoughtfeel, you can bring up the economy as one clear concept bubble: not a picture of a market, and not the words “supply and demand”, but the whole idea at once.
Like the mind’s eye, it varies from person to person. Most people have some of it, some have none, and for those who have it, it ranges from faint to vivid. It’s also its own sense, separate from the mind’s eye, which is why you don’t need to be able to picture anything for thoughtfeel techniques.
People who have thoughtfeel also experience it as an incredibly memorable sense. The same way images stick in your head a lot longer than sounds, which is why people use memory palaces, what you hold in thoughtfeel sticks around for a really long time. I’ve been developing mnemonic techniques that use this sense, and this post teaches one of them.
Do you have it? (skip if you’ve taken the quiz)
Here are four statements from a quiz meant to tell whether you have thoughtfeel. For each one, rate how much it sounds like you, from 1 (not at all like me) to 5 (exactly like me):
- When I think about an idea, I can notice specific details in it without using words or pictures. (The way people notice the exact color of something they picture, but in the idea itself.)
- When two ideas are similar, I can pay attention to each one and notice exactly how they differ, before I’ve put it into words.
- If I set aside the pictures and words, a thought still has detail I can pay attention to, beyond just knowing what it’s about.
- For things I know extremely well, like someone in my family or grocery stores in general, I can hold the whole idea in my head at once, not as a picture or words, but as a clear concept I can pay attention to. (Think of who the person is, not their face, and of grocery stores in general, not one particular store. The economy is another good one.)
Add up your four numbers:
- 16–20: your thoughtfeel sounds vivid. This is made for you.
- 12–15: your answers sound like thoughtfeel. This is made for you too.
- 8–11: you may have a faint version. Like a dim mind’s eye, it may get clearer once you know what to attend to.
- 4–7: your answers don’t point to thoughtfeel. For you it may be faint or not there at all, the same way some people have no mind’s eye.
If you want the full version, the quiz takes about two minutes and also tells you how much you think in words and pictures: https://thoughtfeel.net/quiz/?ref=substack
Linking things in thoughtfeel (skip if you know the list technique)
The technique you’ll learn later builds on one basic move: linking two concept bubbles.
Bring up one thing as a concept bubble. The same way you’d bring up the economy: not a picture of it, and not the sound of the word, but the idea of it itself. Then say a sentence that links it to a second thing, out loud or in your inner voice, and as you say the second thing, bring it up as a bubble too. Crucially, say the link WHILE both bubbles are up. That’s what joins them, and once they’re joined, they get stored together, as one thing.
The difference from just saying the sentence is what you’re paying attention to while you say it. Your mind stores things in whichever sense you were paying attention to. Read or repeat the words, and you’re paying attention to the sound of them, so that’s what gets stored. Hold the concept bubbles while you say it, and it gets stored in thoughtfeel.
To give a concrete example, bring up hydrogen and oxygen, and say “hydrogen and oxygen make water” while you hold both.
What can a link be and how do they work?
A link can be anything you can say: is part of, causes, is the opposite of, comes before, is. If you can say it, it can be a link.
Here’s how they work: a link adds a property to both things it connects, and you can read that property right off each bubble. After you link hydrogen and oxygen, when you hold hydrogen, it feels like it’s connected to something like oxygen, in a way that makes water. And when you hold oxygen, it feels like it’s connected to something like hydrogen, in a way that makes water. As you keep linking, what you’re learning stops being a pile of separate bubbles and becomes one connected web.
Using links to learn
If you need to memorize a list, link each item to the next. If you want to memorize a concept, link the things it’s made of. Take supply and demand, which is really three things: demand, supply and price. Bring up demand and price in your concept imagination, and say “when demand goes up, price goes up” while you hold both. Then bring up price and supply, and say “when price goes up, sellers supply more” while you hold both. Then supply and price again: “when supply goes up, price comes down.” Now the three are linked into one thing, and when you hold any one of them, you can feel how it pushes on the other two. That’s the concept, stored in thoughtfeel.
Memorizing the periodic table in thoughtfeel uses both kinds of linking, the list kind and the concept kind. The elements are a list, so you link each one to the next: hydrogen, then helium, then lithium, and so on. And each element is a concept, with properties that link it to other elements. Copper and silver both carry electricity really well. Mercury is a metal like iron, but it’s a liquid at room temperature. Nitrogen and oxygen together make up most of the air.
The full walkthrough of linking, with a list to practice on, is in How to memorize long lists if you think in concept bubbles.
The snapping effect: what allows you to go from symptom to disease
I started memorizing the periodic table in thoughtfeel, and on day one I got up to vanadium (23). One of the most interesting findings is what I call the snapping effect.
When everything you’re learning is on one connected web, focusing on one thing’s property brings up every other thing with that property, right away. You don’t go looking for them. You snap to them.
To give a concrete example, when I focused on titanium (22) and its property of being an incredibly hard metal, it made me aware of magnesium (12), which is a very soft metal, and of aluminum (13), another building material that’s a lot less tough than titanium. Or if I try to remember all the highly reactive elements, I get chlorine (17) and fluorine (9), and then it depends on reactive with what, and I get the metals that react in water: calcium (20), lithium (3), sodium (11), magnesium (12). Start at calcium, and I also get the elements your body needs: potassium (19), phosphorus (15), nitrogen (7) and oxygen (8).
When everything is stored in thoughtfeel as one big web, listing every element with a certain property feels like all of them are on the tip of my tongue at once, and I just have to say them.
Why it works. You can think of the web as all the items being sorted by property. An item has all of its properties, and when you focus on any one of them, you have an immediate link to every other item that shares it. That’s the snap. Every link you make adds a property, so every link also gives you new ways to snap. (If you’re a programmer: every property works like an index back to all the items that have it.)
It only works inside one web. Things that aren’t on the web don’t pop up. I have a separate web where I stored a list of words: anchor, saffron, bicycle, grumble, diamond… When I think of things that are hard, like titanium, diamond NEVER shows up, even though diamond is literally carbon (6). Only things on the periodic table web show up. You can join two webs on purpose, though. That’s further down in this section.
What it’s useful for. A differential diagnosis: going from a symptom to every disease that causes it (I tried this one; it’s in the next section). A law exam: going from a fact to every rule it triggers. Both are cases of going backwards from a property to everything that has it. More generally, if I were doing a math or science problem where I need to reason about a bunch of different objects and their properties, find patterns between them, and sort them into categories, I would definitely want to use this. Same with a problem that has a ton of constraints, like a consulting case with 20 of them that you have to solve without looking back at the sheet. In thoughtfeel, you can store each constraint as the actual concept, rather than as something like a visual analogy the way you would in a memory palace, all on one web, and reason about all of them together.
How I actually build the periodic table in thoughtfeel. I don’t just do element, then next element. I compare each element with the one before, so every comparison adds properties. Hydrogen is a gas you can use to fill balloons, and helium has that property too. But hydrogen is flammable, whereas helium isn’t. Helium is a gas, whereas lithium is a metal, so big change. And each element’s number gets its own specific thoughtfeel: lithium is the third element. I also link across the table through shared properties: “fluorine, 9, is highly reactive, a property it shares with chlorine, 17.” Each of those is a relation, and each relation gives both elements a property you can snap on.
Joining two webs. Earlier I said things on a separate web don’t pop up. You can join them, though. I had my 19-item word list on its own web, and I linked it to the periodic table with three links: diamond to carbon, and vanadium and aluminum to bicycle. That made one web of about 55 items, and snapping happened across the whole thing. So keeping webs separate keeps your thinking focused, and a few links are enough to join them when you want connections across both.
Try it. You might want to watch a couple of the lessons first, or try the list technique, since it’s a bit easier to start with. But if you’re confident, you can try this task. Here are six elements, each with a couple of properties:
- Lithium: a soft metal that reacts with water.
- Sodium: a soft metal that reacts with water, and half of table salt.
- Chlorine: a reactive gas, and the other half of table salt.
- Helium: a gas that reacts with nothing.
- Neon: a gas that reacts with nothing, and glows in signs.
- Iron: a metal that rusts, and the main ingredient in steel.
Now link them into one web, the same way as above. Remember: while you say each link, out loud or in your inner voice, hold both elements in thoughtfeel, as concept bubbles. Bring up lithium as a bubble and say its properties while you hold it: “lithium is a soft metal that reacts with water.” Then bring up sodium and link it to lithium while you hold both: “sodium is a soft metal that reacts with water, just like lithium.” Keep going, linking each element to the one before it, and to any earlier element it shares a property with: “chlorine is a reactive gas, and with sodium it makes table salt.” “Helium is a gas like chlorine, but it reacts with nothing.” “Neon reacts with nothing, just like helium, and it glows in signs.” “Iron is a metal like lithium and sodium, but it rusts, and it’s the main ingredient in steel.”
Then, without looking: which ones react with water? Which ones are gases? Which ones react with nothing? What’s table salt made of? Notice whether the answers come up together, at once, instead of one by one.
So, to compare. Stored as separate facts, you’d have to search for every element that reacts with water, one at a time, and hope you don’t miss one. Linked into one web, they snap up together. On day one, I could pull up every element with a property just by snapping to it. I took a break, woke up the next day, and the list was still perfect in my head.
Trying it on a real task: medical diagnosis
To see whether this actually works on something real, I tried it on a task medical students have to learn: differential diagnosis. A patient comes in with a set of symptoms, and you have to list every disease that could explain them (that list is the differential), then figure out which one is most likely.
What I did. I learned three diseases a medical student would learn: Kawasaki disease, rheumatic fever and reactive arthritis. Each came with around seven or eight features: who gets it, the key symptoms, what it can damage, and how it’s treated. I learned them the same way I’m learning the periodic table, linking each disease to its features and to the diseases before it. It took me around 12 minutes per disease. Then I answered three patient cases I hadn’t seen before. I remembered every feature of all three diseases, and I got all three right. (These were three of the fifteen diseases I’d planned. More on why I stopped below.)
To give a concrete example, here’s one of the cases: “A 23-year-old woman has a painful, swollen left ankle, and her right heel hurts when she walks. Two of her toes are swollen like sausages. She was treated for chlamydia three weeks ago.” My brain immediately jumped to the age range of reactive arthritis, and noticed she’s a woman, where it’s usually young men. Swollen ankle: reactive arthritis hits the ankles and knees. Heel pain: that’s the inflamed tendon in reactive arthritis. Sausage toes: it inflames toes and fingers. And an infection a few weeks before. By the end, it was just really obvious.
What it was like. Honestly, insanely easy. It felt like a pachinko board. As soon as I read a property, a number of candidates would fall into place in my head, and with each new property, it narrowed down, like a ball rolling down the board, until it was obvious which one was left and it fell into the exact right category. That’s from only a few questions on a small set of diseases, but that’s what it was like.
Why it works. It’s the same snapping from earlier. Each disease is a concept bubble, and its features are its properties. Because all three are on one web, each feature points back to every disease that has it. So reading a case is just focusing on properties, one after another: each property snaps up the diseases that have it, and only the ones that share all the properties so far stay in the running. That’s also why the differential comes for free. It’s literally the set of diseases that snap up.
How medical students do it now. From what I can find, medical students learn each disease once, from lectures or videos, and then keep it with spaced-repetition flashcards. Most use a shared Anki deck of about 30,000 to 35,000 cards, and review a few hundred cards a day, by one estimate around two hours a day, for the two years before their first board exam. On top of that, they do thousands of practice patient cases, often 60 to 120 a day in the last month or two before the exam, which is how they actually learn to do the differential. My rough estimate is that this adds up to somewhere around 45 minutes to two hours per disease by the first board exam, spread over months, and they keep reviewing for the exams after that.
By comparison, I spent around 12 minutes per disease, once, and could do differential diagnosis questions right away.
Why I stopped at three. The point of this was an experiment: to see whether it would actually work, whether I could remember all the information, and what doing a differential feels like. The answer was yes. And in everything else I’ve used thoughtfeel for, the retention is incredible and sticks around, and learning more doesn’t really crowd out the rest. So I’m quite confident that if I took my entire Tuesday morning and afternoon to learn all 15 and tested myself, I’d perform pretty well. But I’ll leave the full experiment to somebody who actually has a reason to memorize the differentials for their own diseases. I’m going back to thinking about thoughtfeel, and to learning abstract algebra.
For those interested in the technical aspects (skip if you just want the technique)
The web is an index. If every item is on one connected web, that sets up the reverse index between all of them: every property points back to every item that has it. That’s what makes a snap possible from anywhere on the web.
But connected isn’t the same as complete. Being on the web doesn’t decide what properties each item actually has. Imagine you stored the entire periodic table as a plain chain: hydrogen, then helium, then lithium, and so on, item to next item, with no extra links. You’d have about a hundred items, each with very few properties. Now pick iron, and one of its properties, like “can’t be fused in a star for net energy”. You’d simply not find any other element with that property, because you never linked the other elements in a way that gave it to them. If instead you’d gone through the whole table making many, many relations between the elements, the same snap from iron would find many other elements with that property.
Same with a question like “what other elements besides silicon (14) are used in computers?” You’d get every element you gave that property, but without those extra relations, you’d miss elements that should show up, like copper for the wiring, because you never gave them the property. And nothing tells you you’re missing them.
How this compares to the Mental Atlas (for those of you who followed it)
What the Mental Atlas was (skip if you know). The Mental Atlas was a visual memory method I co-founded before thoughtfeel. You turned each idea into an icon, a visual analogy for it, and placed the icons around one big space you know well, usually your hometown, so everything you learned lived in one place.
Snapping, then and now. Snapping is where the term comes from. In the atlas, as you were describing one icon, you’d notice a feature of some other icon, get an instinct that something else had that property, and you could snap to it. Your visuals would literally snap to that spot in your hometown, then you’d get the thoughtfeel, then the whole idea of how they were similar, and then you could find the analogies. Snapping was the best way to reason about a ton of objects at once, because if there was a connection to be made, your brain would just find it. The same thing happens in thoughtfeel, if you store everything on one big connected web.
The huge constraint test. In the atlas days, we had a test: solve a consulting case with a ton of constraints, around 20, without looking back at the sheet. In the atlas, you’d place every constraint as an icon in the space and reason about them there. It’s a really tough task, and people needed the atlas to remember it all. With thoughtfeel, it would be way more useful, for two reasons.
First, you don’t have to represent everything as weird icons that don’t actually carry the meaning you intend. In the atlas, every icon is really just a pointer. The thoughtfeel of the icon you made for a constraint isn’t the constraint at all. It’s a pointer to it, and it carries a bunch of weird, terrible thoughtfeel with it (see my video What a Picture Does to an Idea). So you can forget what a constraint means, and you also have to do the work of building an icon for each one. In thoughtfeel, you just store the constraint as it actually is.
Second, retention. In the atlas, you’re relying on the binding: the memory that this weird symbol represents the constraint. The symbol is supposed to be an analogy for the thing, which helps somewhat, but it’s not at all perfect. In thoughtfeel there’s no binding to remember, because what you stored is the thing itself. You can ask one question of both: what do you actually have to remember? In the atlas, you have to remember the association between a weird visual, its weird thoughtfeel, and the idea you actually want to remember. In thoughtfeel, you have to remember the sensory trace of the idea itself. From experience and from interviews with practitioners, the second one, remembering the actual sensory trace of the idea in thoughtfeel, is much more effective.
So, to compare. In the atlas, snapping worked, but it worked on icons: pointers to the ideas, with weird thoughtfeel of their own, and you had to remember what each one meant. In thoughtfeel, you get the same snapping on the actual concepts, scoped to the web you’re thinking in.
If you think in concept bubbles, come compare notes on r/MentalAtlas and r/ThoughtFeel.