Posts Tagged ‘skepticism’
Traditional Chinese medicine? You must be joking
bear bile, a TCM that tortures and kills bears and prevents humans from receiving effective treatments – just one of the horrors of TCM
If we don’t know what’s in them, it’s very difficult to predict the interactions, … that’s obviously of great concern if they are been given to children, or pregnant women, the potential outcomes there are very serious.
Murdoch University biochemist Dr Garth Maker
There’s nothing particularly positive to say about naturopathic treatments generally – some of which (homeopathy, reflexology, iridology, acupuncture and cupping, to name a few) are not so much ‘natural’, whatever that means, as examples of comprehensively failed hypotheses (hardly worthy of the name). But so-called traditional Chinese medicine is on the lowest rung, considering how much damage it has done, not only to humans but to other species that have been horribly exploited in its name. The latest damning finding about what is actually contained in many of these unregulated pills will probably barely create a ripple amongst the anti-science crowd, but nevertheless it needs to get as much publicity as possible. You never know, maybe someone, somewhere will take notice (and we’re fighting a real battle here, because if you go online to find out about TCM, you’ll find the whole internet disturbingly skewed towards the positive). Please, if only for the sake of the children exposed to this crap by ignorant parents, let’s do something about this. It’s an effing outrage.
group think revisited, or how to improve your mind
Confirmation bias (and the benefits of social reasoning) in a nutshell:
How can you say to your brother, ‘Brother, let me take the speck out of your eye,’ when you yourself fail to see the plank in your own eye? Luke 6: 42 New International Version
The argumentative theory of reason
The recent New Scientist collection, Being Human, includes an essay, ‘The argumentative ape’, by Dan Jones, which is worth reading and contemplating for any teacher involved in encouraging her students to think richly about current ethical or political issues. In my college, NESB students study ‘English for academic purposes’, which involves a lot of basic grammar and vocabulary at the lower levels, and academic presentations and essays at the higher levels. In these ‘discussion’ or ‘argument’ essays and presentations, students are required to examine the pros and cons of some chosen activity or decision, such as the proper driving age, the consumption of GM food, or even whether humanity has benefitted or blighted our planet.
However, there seems to be a contradiction in asking students to write, and be examined on, individually written ‘discussion essays’, when discussions and arguments are group rather than individual activities. More importantly, if we want to improve our students’ understanding of current issues, perhaps we should be placing more emphasis on group discussion than on individual analysis.
This is hardly a new idea. The ancient Athenians, founders of democracy – decision-making by the people – built their city around the agora, a gathering place for public talk and argument. This design was quite deliberate, as all Athenian citizens were required to contribute to discussions from which civic decisions were made.
‘The argumentative ape’, however, provides contemporary evidence about the evolutionary importance of argument in human society. It describes a thesis put forward by European researchers Hugo Mercier and Dan Sperber, that human reason evolved not so much to assist us in more clearly understanding our world, but to argue, to persuade, to convince others of our position, our right-ness. So, it evolved socially. And there appears to be some evidence for the more general ‘social brain’ hypothesis, in that a clear correlation has been found between the number of individuals in a primate group and the average brain size of that particular species.
Now one essential problem here should be obvious, as it was to Socrates in his battle with the sophists. The most persuasive arguments aren’t necessarily the best. So it’s natural that along with persuasiveness, skepticism would have developed, as humans sought to evaluate competing arguments.
Through scepticism we’ve identified many types of fallacious reasoning, and ways we have of convincing ourselves in the process of trying to convince others. Confirmation bias, or motivated reasoning, probably tops this list, as it is extremely pervasive if not universal. As Mercier points out, using confirmation bias seems counter-productive if you wish to arrive at correct results, for example in scientific research, but it can be highly effective in argument, as your bias commits you to garnering a multitude of arguments for your position while ignoring, and thus rendering insignificant, all arguments against. If we accept an argumentative theory of the evolution of reason, then, we will see confirmation bias not as a flaw, but as a device to strengthen our own arguments, and the ability to detect such biases would in turn be a device to undo or diminish the arguments of others.
how individual reasoning is affected by the larger group
Experimental psychologists have found many ways in which our reasoning can be affected or manipulated. Take, for example, the framing effect. It has been found, and regularly confirmed, that how the same problem is worded will affect our decision. Jones presents the scenario, used by psychologists, of a small village of 600 people threatened by a deadly disease. In scenario one, if Plan A is adopted, exactly 200 people will survive. If plan B is adopted, there will be a 1 in 3 chance that all will survive, and a 2 in 3 chance that none will survive. When this scenario is presented to subjects, the majority invariably choose Plan A. However when, in scenario two, Plan A is framed with the slight difference that exactly 400 people will die (with no change to Plan B), this is enough for the majority to flip over to Plan B. This consistent result has been explained in terms of ‘loss aversion’ – we prefer to avoid the explicit loss of life as expressed in the change to Plan A in scenario two. Significantly though for the argumentative ape hypothesis, this loss aversion bias is strengthened when we have to justify our decision to a larger group. We have a ready-made justification as expressed in the framing. It’s probable that we always have in mind what the larger group, or ‘society’ will think of our decision, but when this need to justify ourselves is made explicit, the ready rationalisation is more likely to be adopted.
Other effects of apparently faulty reasoning, such as the attraction effect and the sunk-cost fallacy, have been detected in psychological studies, and all have been shown to be enhanced when there is an explicit need for justification. The ‘argumentative’ thesis claims that we tend to choose the most easily justified option rather than what might be best.
Confirmation bias for me, scepticism towards you, and how it pans out
While this may seem a pessimistic outlook on our use of reason, the counterbalance lies in our ability, from clear evolutionary need, to identify and so counter the faulty arguments of others. This pattern follows a familiar evolutionary trajectory, in which a predator evolves a means to capture its prey, leading the prey to develop a defence mechanism to protect itself against the predator. Scepticism helps us to avoid being sucked in and ‘devoured’.
The result for group reasoning is that bias and the scepticism can balance each other out, leading to a greater recognition of the weaknesses in our own opinions and the strengths in those of others. And experimental evidence backs up this result. To quote from Jones’ article:
In one convincing study, psychologists David Moshman and Molly Geil at the University of Nebraska-Lincoln looked at performance in the Wason selection test – a simple card game based on logical deduction. When thinking about this task on their own, less than 10 per cent of people got the right answer. When groups of 5 or 6 people tackled it, however, 75 per cent of the groups eventually succeeded. Crucially for the argumentative theory, this was not simply down to smart people imposing the correct answer on the rest of the group: even groups whose members had all previously failed the test were able to come to the correct solution by formulating ideas and revising them in light of criticism (Thinking and Reasoning, vol 4, p 231).
He also points to research indicating that groups are more creative in their thinking than individuals (see sources below).
Implications for teaching, or how to best facilitate the best group thinking
Evidence from a series of studies by Anita Williams Woolley of Carnegie Mellon University in Pennsylvania suggests that a group’s individual skills are not the best predictor of the group’s overall performance in problem-solving. These studies were designed to measure the ‘collective intelligence’ of the group, in something like the manner of IQ tests for individuals. She found that those groups who scored highest were the most inclusive, allowing maximal participation within the group. Sensitivity to the moods and feelings of others helped groups to score highly, and the best groups were those with the greater number of female members, presumably because females have a greater social sensitivity.
Group thinking can, of course, backfire. Groupthink in fact has long been seen negatively, but this is because people with the same cognitive biases often congregate together, as with political parties and religious organisations, or gravitate towards similar professions, such as the police or the military. In such groupings it’s often the case that the group moves collectively to quite extreme positions. Where group thinking would be expected to work most effectively is precisely in a college for NESB students from different cultures and backgrounds, in which individuals are challenged by widely different but (hopefully!) cogent opinions.
As educators, we need to consider the best outcomes for our students. Clearly there is pressure, in an individualised results-based system, to push for individual skill in argumentation, with the resultant high test scores. However, the evidence for group interaction in improving students’ understanding of the many issues focused on in essays and seminars at the higher levels is clear. Of course the situation is complicated by the fact that many students at EAP2 and EAP3 levels still don’t have the grammatical and lexical skills to present cogent arguments in English, so that it’s often hard to determine whether their difficulties are those of reasoning or of language. Even so, I believe it is vital to take advantage of the cultural diversity of students’ experience and knowledge (even within identical language groups) to encourage interaction that will challenge biases and create awareness of a variety of perspectives. Hopefully this will enliven their thinking both within the college and in their studies beyond Eynesbury.
Some sources are found in the links. Here are others.
D Sperber and H Mercier,”Why do humans reason? Arguments for an argumentative theory”, Behavioural and brain sciences: Published online March 2011. http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1698090
http://edge.org/conversation/hugo_mercier-the-argumentative-theory. Mercer elaborates on the theory very interestingly in a video on this website
Williams Woolley, Anita, ‘Collective intelligence in human groups’, April 2012: Center for Collective Intelligence: http://cci.mit.edu/ci2012/plenaries/speaker%20slides%20ci%202012/Woolleyslidesci2012.pdf
D Moshman & M Geil, 1998 ‘Collaborative reasoning: evidence for collective rationality’. Thinking and reasoning V4 issue 3: http://www.tandfonline.com/doi/abs/10.1080/135467898394148
Is Malcolm Turnbull a libertarian?
Jacinta: Okay so here’s a topical topic. I was listening with baited breath – I can do that, I’m a multi-tasker – to Malcolm Turnbull’s post-election speech the other day, and along with the whole nation I heard him extoll three ‘roolly good things’, in his estimation. The holy trinity – freedom, the individual and the market. Did y’all hear that? And I thought, Jeez, the libertarians among us will be doing cartwheels right now. And I further thought ‘hang on a minute Malcolm, turn that bull around’.
Canto: I see, so you prefer slavery, group-think and state control?
Jacinta: Ah very good, but let’s prise ourselves out of the straightjacket of ideology and slip into something more comfortable, like reality. Of course freedom’s a good thing, but of course it has its limits. And of course individuals are great, but as any mathematician will tell you, all individuals are members of a set, that’s actually what makes them individuals, and the market..
Canto: That’s not a very good analogy, I don’t think – that one about individuals.
Jacinta: That wasn’t an analogy.
Canto: Well… maybe, but bringing maths into it isn’t very helpful.
Jacinta: Okay. Okay, let me focus on the individual thing, because that’s probably my biggest gripe – it all flows from a misconception of the individual, IMHO.
Canto: What flows?
Jacinta: The horrors of libertarianism. I’ve been bottling this up for years, now I’m going to let it all seethe out. And it just so happens that ‘All hail freedom, the individual and the mighty market’ is essentially the libertarian mantra. Of course I don’t take Malcolm’s mellifluencies too seriously, but libertarianism really shits me.
Canto: But really – politics? Can’t we talk about water on Mars? Or Homo naledi?
Jacinta: Well, there is world enough, and time…
Canto: Bullshit.
Jacinta: Ok I’ll try to be the soul of wit. Libertarians – and I know they come in all shapes, sizes and political colours – tend to believe in small government, minimal regulation and the invisible, wonderfully shaping and fixing hand of the market. I got my first dose of libertarianism years ago when I read – or tried to read – Anarchy, State and Utopia, by the American philosopher Robert Nozick. I could barely comprehend it, but I could see it was underpinned by a sacrosanct notion of rights, particularly the rights of the individual. It was also, I thought, an overly rational analysis of how individuals might aggregate. Or rather, that’s how I’ve come to think of it since. I had no idea what to think of it at the time.
Canto: So how do you think individuals aggregate?
Jacinta: No no what I think doesn’t matter, it’s more about what history and psychology and sociology tells us. And they tell us about families and extended families and kinship groups and trade affiliations, becoming ever more extended and convoluted as societies grow. And all this without any concept of rights.
Canto: Okay I think I see where you’re coming from. You think the individual shouldn’t be seen as the central human unit, or political unit, you’re wanting to emphasise social connections.
Jacinta: Of course! We didn’t get where we are now, the top predators of the biosphere for better or worse…
Canto: The fat controllers of the planet…
Jacinta: We didn’t get to this situation as individuals, we got here because we’re the most socially-oriented mammals around. Our language, our technology, our superior brainpower, these are all socially constructed. And our systems of government are just ways of organising and trying to get the best out of this dynamic, interactive, co-operative and competitive society.
Canto: So there are legitimately diverse views about the role of government. So what’s wrong with that? Libertarians just happen to lean towards the individualist, unregulated, small-government side.
Jacinta: Well, as I’ve said, I’m not so much interested in opinions as in what actually works to create the most effective society…
Canto: You’re trying to be scientific, but the question of what makes for an effective society will have different answers, not based on science. Some will say an effective society is one that looks after its minorities and its disadvantaged, others will say that diversity and dynamism is key, and this means inevitably that there will be winners and losers. How can there be an objective, scientific definition of an effective society?
Jacinta: Okay, I concede your point that there are a range of legitimate views on this, but I would be guided by what works, and that would reduce the range of legitimacy. Extreme libertarianism – of the ‘there is no society, only individuals’ kind – seems to me to be paradoxically an outcome of the success of certain societies in educating and empowering their members, so that they start to fantasise about themselves as ‘self-made’ and owing nothing to anyone. It’s delusional and would result in scrapping all history has taught us about the communities of language and shared knowledge and values which have shaped us. It’s an ahistorical ideology which has never been instantiated anywhere. Not to mention its arrogant (and ultimately self-defeating) selfishness. Of course the other extreme is also unworkable, that of communism with an equal share of communal goods, which would stifle innovation and diversity and would have to be imposed from above.
wtf? Most people don’t give a tinker’s toss about the state when they act. But they do think about the consequences for others
Canto: Which would be self-contradictory because in communism, there is no ‘above’, presumably absolute equality is just meant to happen naturally…
Jacinta: There’s no perfect or perfectly fair society, just some are fairer than others, and it’s an endless balancing act, it seems to me, between encouraging the freedom to develop ideas and ‘get ahead’, and protecting others from being exploited and done down. So to me it’s a matter of pragmatism and endless adjustment rather than gung-ho ideology. Individuals are pretty well infinitely complex so you would expect society to multiply that complexity to to a new level of infinity.
Canto: But I notice that many libertarians tend to avoid going on about ‘society’, they prefer to focus their ire on ‘the state’, as if it’s the enemy of society.
Jacinta: Oh yes, good point, the rhetoric goes that the state is this abstract, inhuman monster that steals our money, stifles our initiative and makes a mess of everything it touches. Insofar as it consists of people, it consists of really dumb or power-mad types who haven’t seen the light and just don’t realise that society functions better either without the state or with a minimalist one. They’ve never been able to point to any evidence to support their claims though. Essentially, the libertarian ‘state’ has been trialled in the real world even less than the communist state, its polar opposite, has been.
Canto: So how is it supposed to work?
Jacinta: Well, clearly there are libertarians of many different types and degrees who would argue endlessly about that. But many of them seem to think it would grow ‘organically’ through adherence to certain basic principles, one of which has to do with the primacy of private property, though I’m not sure how to articulate it. Another is that no law or imposition should be applied that interferes with an individual’s liberty, the idea being I think, that you’re free to do what you like as long as it doesn’t interfere with everybody else’s right to do what he or she likes, which when you think about it is a recipe for disaster, because who decides between competing claims – for example my right to enjoy the peace and quiet of my own residence versus my neighbour’s right to play shite music all night with the volume up to eleven?
Canto: Aww, is that neighbour still bothering you Jass?
Jacinta: Fuck off. Actually what really bothers me is the obsession with private property and ownership. Coming from a pretty impoverished background, I was always more fond of the ‘property is theft’ mantra. And that reminds me of a story from my youth. I was living in a share-house very close to the spacious grounds of Saint Peter’s College, the biggest and most exclusive private school in South Australia. It must’ve been school holiday time, and we decided to take our racquets and balls and have a hit around on one of their tennis courts. There was no fence or anything, we just walked in and started playing. There was no net either, so it wasn’t a particularly serious hit-out, but we were absorbed enough not to notice a fellow scurrying across the greensward to tick us off. The look of outrage on the face of this fellow was unforgettable, it was as if he’d caught us pissing on the altar…
Canto: Which is exactly what you were doing mate.
Jacinta: His get-up was unforgettable too, he had this bright orange cravat, and sort of pantaloons with braces as I remember…
Canto: You’ve forgotten the candy-striped jacket and the Old Boys’ cap…
Jacinta: No, it was too hot for that. Anyway, I remember his words, more or less. ‘What are you doing here? Don’t you know this is private property!!’
Canto: Ah yes, a defining moment in the Great Australian Class War. So you made mince-meat out of him with your graphite, carbon-fibre and kevlar weaponry?
Jacinta: Well, we were just teenagers. I remember we stood our ground for a while, more out of shock than anything. So he went on haranguing us about our outrageous behaviour and threatening to call the police, so we wandered off. But I was so infuriated when I realised what was happening. I wish I’d confronted the guy, and I ran though imaginary narratives in my head many times afterwards. It was a defining moment for me, actually, it crystallised for me my attitude to private property…
Canto: Which is?
Jacinta: Well, it’s never been very important to me – I mean, as part of his harangue, this guy said something like ‘how would you like it if someone came into your garden and started..’, and my honest answer would’ve been that it wouldn’t have bothered me, certainly nothing like the way it bothered him. And the comparison was odorous anyway, I didn’t own any spacious grounds, I wasn’t born into that world. The way this guy mentioned private property, as if it was his Lord and Master, to be protected and fought for with life and limb, it just sickened me.
Canto: You were outraged?
Jacinta: Yeah, I suppose our intellectual positions are just post-hoc rationalisations of some basic feelings.
Canto: Reason is but the slave of the passions and all that. Anyway, I’m keen to get on to some of those more interesting topics. So let’s get back to the original question – is Malcolm Turnbull a libertarian?
Jacinta: Well the correct answer is that he didn’t say enough, in that first Prime Ministerial speech, for us to make that inference. He believes strongly in freedom. So do I, of course. He believes in the individual. So do I, and I believe individual expression and effort should be nurtured. He believes in the market or markets. I most certainly do too, as sources of exchange, cross-fertilisation, community and growth. The devil or delight is in the detail. I mean, I’ve called his statement a libertarian mantra, which it is, but it’s also classical liberalism. In the end, though, we need to judge governments on their actions, not their words. We’ll have to wait and see.
kinesiology, TCM and depression
a kinesiology wheel – proof positive of profundity
Jacinta: So, Canto, the new USSR hasn’t posted recently on old Wesley Smith and his wellness treatments. I think we should post on another one of those.
Canto: Oh god, do we have to? I’d rather talk about black holes or the edge of the universe…
Jacinta: I know I know, but, you could think of Wesley’s treatment centre as a black hole of sorts…
Canto; Yes, and like the other kind, the more you look for them the more you find them, and they all have similar properties…
Jacinta: Hopefully, though, they’re not as dangerous…
Canto: Well, that depends. The real black holes are light years away, whereas there’s a black hole of a wellness centre just around the corner from me.
Jacinta: Kinesiology. That’s the subject for today. Know anything about it?
Canto: No, except that, presumably, old Wesley offers it as a treatment. And kinetic energy is energy of motion, right? So, let me guess, kinesiology is the science of getting your energy system moving so fast that it flings your toxins out of every available orifice leaving you feeling not only light-headedly well, but thoroughly exercised, and of course exorcised.
Jacinta: Well I doubt if it’s as scientific as that, but you’re on the right track. Actually there are two meanings of kinesiology. It’s the scientific study of bodily movement, in humans and other animals, which means applying anatomy, physiology, biomechanics, neuroscience, and even robotics, to the understanding of movement. And then there’s the naturopathically bullshittical meaning of kinesiology as deepily ancient chi-based treatment, much along the lines you just mentioned. And it’s this second meaning, as presented by the Australian Kinesiology Association (AKA), that we’ll be focusing on.
Canto: Chi wizz, this could be fun. Are they really into chi?
Jacinta: Oh yes. Their website gushes with it. It’s teeth-gnashing stuff actually. Apparently it combines western science with traditional Chinese medicine (TCM) to promote your spiritual well-being, among other things.
Canto: Hey, I’ve got an idea. You’ve heard about James Randi’s million-dollar challenge?
Jacinta: The one to psychics, promising a million to anyone who can provide scientific proof of their psychic abilities?
Canto: That’s the one, and I don’t know the details, and of course they all argue that it’s rigged against them, but it’s a good kind of bad publicity for psychics at least, but what if we offered a million dollars to anyone who can provide solid, or liquid, or gaseous evidence of the existence of chi?
Jacinta: Canto, we don’t have a million dollars.
Canto: But we don’t need a million dollars, we know there’s no such thing, right?
Jacinta: Uhhh I don’t think it would work that way. We’d need a rich backer, but in any case we wouldn’t get any takers. Having looked at a few forums discussing chi, its supporters usually say that, though it’s undoubtedly real, it’s not detectable or measurable by western methods, because it’s part of a wholly different mindset, a different way of knowing, a spiritual understanding that takes years to develop. They say, for example, that only by believing in chi can you unlock its healing powers.
Canto: So it’s placebo energy?
Jacinta: Okay small-minded little-faith man, let’s move on to kinesiology. The practice clearly takes advantage of the scientific cachet of kinesiology as body movement studies. Here’s what the AKA has to say about it:
Kinesiology encompasses holistic health disciplines which use the gentle art of muscle monitoring to access information about a person’s well being. Originating in the 1970’s, it combines Western techniques and Eastern wisdom to promote physical, emotional, mental and spiritual health. Kinesiology identifies the elements which inhibit the body’s natural internal energies and accessing the life enhancing potential within the individual.
Canto: aka bullshit.
Jacinta: Ha ha, but get what it has to say next:
The maturity of ‘Complementary Therapies’ is shown by some of Australia’s major health funds now paying rebates for many therapies, including Kinesiology. This acknowledges what is happening in the health sciences in the 21st Century. Australians spend over $1 billion annually on therapies not part of mainstream medicine. Kinesiology is one of the fastest growing of these and is now practised in over 100 countries.
Canto: Popularity as evidence. They’re really keen to show how legit they are.
Canto: Their choice, isn’t it? Survival of the brightest?
Jacinta: Maybe so, but I think the phenomenon’s worth pondering more deeply. How long does it take to become a qualified doctor in this country?
Canto: A GP? Well, for example, the University of Adelaide offers a six-year MBBS, that’s a Bachelor of Medicine and Bachelor of Surgery, to start off, but in order to get into that you need really good year 12 results – what they call your ATAR score (Australian Tertiary Admissions Rank) plus you have to pass a UMAT test, that’s a 3 hour multiple choice thing. UMAT stands for Undergraduate Medicine and Health Sciences Admission Test. Oh, and then you have to do well in an interview before a medical panel. So once you’ve been accepted and done your 6-year MBBS, you can apply to do Australian General Practice Training (AGPT) – or maybe you can apply while you’re doing the MBBS and integrate it into your undergraduate degree, I’m not sure. Anyway the AGPT takes another 3 0r 4 years, so it’s a pretty long journey.
Jacinta: Well, thanks for that fulsome response, it well illustrates the gap between evidence-based medicine and naturopathy. I see they’re very much into four-letter acronyms (FLAs) in that field. TLAs aren’t good enough?
Canto: Yes they like to consider themselves more lettered than others. But I should also point out that once they’ve been accepted into the ranks of GPs, or any other medical specialisation, they’ll automatically be able to access the latest medical knowledge in their field. In fact they’ll be bombarded with it, and will be expected to keep up to date. Whereas naturopaths are usually relying on ‘traditional’ techniques and ‘ancient’ herbal treatments, none of this new-fangled invasive or big pharma stuff.
Jacinta: Well I suppose there are a few properly qualified doctors who are into naturopathy, but by and large you’re right. So why is it that so many people are choosing naturopaths over these highly-trained and knowledgable practitioners of the latest evidence-based medicine?
Canto: Well, isn’t it because they aren’t getting what they want from GPs or other specialists? Whatever that might be. Holistic treatment, as they like to call it. A sense of trust. Something psychological, I suspect.
Jacinta: Yes, there’s that – some doctors are still not getting the message about how to share information with their clients, and how to see the approach to health as an interactive process. But it could be that evidence-based medicine is the victim of its own success?
Canto: How so?
Jacinta: Well these days, and WHO figures bear this out, patients are increasingly presenting with chronic conditions. That’s to say, the ratio of chronic illness to acute illness is increasing, and I’d say that’s largely due to the success of evidence-based medicine in the treatment of acute illness. Now of course chronic conditions can be serious and life-threatening – 60% of the world’s population die of them, according to the WHO – but they represent a whole gamut of complaints, from degenerative diseases to niggling backaches, neuralgia and the more difficult to pin down stuff such as chronic fatigue syndrome and fibromyalgia, or the chronic itching that some attribute to Morgellons disease. And then there’s depression…. So some of these ailments are met with skepticism or at least contradictory responses from trained medicos…
Canto: ‘Medical experts are baffled… ‘
Jacinta: Precisely, and many naturopaths see this area as their niche. They can get in and ‘listen’ to the client and treat her ‘holistically’ – that’s to say sympathetically. Much of it is feel-good treatment, so much more pleasant than what’s offered by hard-nosed, know-it-all, condescending doctors.
Canto: So it’s all perfectly harmless, then?
Jacinta: Well perhaps mostly, but there are obvious problems with giving too much legitimacy to these largely bogus treatments. An example of this is precisely what the AKA says on its website, that the ‘maturity’ of naturopathy is proven by the fact that many of their therapies are attracting health fund rebates. This is complete BS, it’s simply a populist move from the health funds, who know full well that naturopathy is here to stay, regardless of evidence. This of course gives the Wesley Smiths of the world more legitimacy and increases the chances of people with serious health issues being led to think that naturopathic shite can cure them.
Canto: Well, doesn’t that get back to survival of the brightest?
Jacinta: Maybe, but what about the scenario – and this has been played out – that a seriously sick child has been given a bogus treatment in lieu of real medicine, and has died of something perfectly curable, courtesy of her parents?
Canto: Mmm, couldn’t that be handled case by case? The parents could be up for gross neglect, and the associated naturopath could be had up for bogus claims leading to the death of a minor or something, and be barred from practising… or given some more serious penalty. Anyway we need to wind this up. Is there anything more specific about kinesiology we should be concerned about?
Jacinta: Kinesiology is generally associated with chiropractic, which is about as bad as it gets. As with naturopaths in general, some kinesiacs are more into woo than others, but the AKA website goes on about acupressure and meridians, and no credible evidence has ever been presented that acupressure points or meridional points actually exist. They’re of course part of TCM, along with vital energy and various other concepts and treatments that have no evidence or coherent mechanism of action to back them up.
Canto: You mean rhino horns and the penis bones of dogs don’t cure anything?
Jacinta: Sorry but rhinos are going extinct for an ignorant fantasy, not to mention the 12,000 or so asiatic black bears being kept on farms so that their bile can be extracted for ‘medicine’, which often drives them to suicidal frenzy. Other creatures being decimated by TCM include sharks, seahorses, tigers, turtles and saiga antelopes….
Canto: OK enough, I’m getting depressed. The final verdict on kinesiology?
Jacinta: Well it seems to be just a variant of chiropractic stuff, though probably even more unregulated, with a greater admixture of TCM woo. I have nothing more positive to say about it than that.
Canto: Whatever next…
it’s all about evidence, part 2: acupuncture and cupping
a picture of health
Okay, having been sick myself with my usual bronchial issues, I haven’t made much progress on researching the ‘alternative’ treatments offered by Wesley Smith and his colleagues at the Wellness Centre. I must admit, too, that I’ve found it a bit depressing focusing on these negatives, so I’ve been working a bit on my Solutions OK blog (a few posts still in preparation) which focuses on being positive about global issues.
So before briefly dealing with acupuncture, I’ve discovered accidentally through looking up Mr Smith that ‘wellness centres’ or ‘total wellness centres’ are everywhere around the western world, including at least one more in Canberra itself. It seems that this is a moniker agreed on by practitioners of holistic medical pseudoscience world-wide, to create a sense of medical practice while avoiding the thorny issue of medicine and what it actually means. But maybe it does partially mean treating people kindly? I’m all for that. Laughter is often quite good medicine, especially for chronic rather than acute ailments.
It’s an interesting point – ‘alternative’ medicine is on the rise in the west, and the WHO informs us that by 2020, due to its own great work and that of other science-based medical institutions, the proportion of chronic ailments to acute ones will have risen to over 3 to 1. It’s in the area of chronic conditions that naturopathy comes into its own, because psychology plays a much greater part, and vague ‘toxins’ and dubious ‘balance’ assume greater significance. That’s why education and evidence is so important. There are a lot of people out there wanting to smile and seduce you out of your money.
Acupuncture
There’s no reason to suppose acupuncture is anything other than pure placebo. It’s similar to homeopathy in that it proposes a treatment involving physical forces that, when tapped, can produce miraculous cures, and it’s also similar in that these forces have never been isolated or measured or even much researched. In the case of homeopathy, Samuel Hahnemann, its inventor, conducted ‘research’, but with no apparent rigour. See this excellent examination of his approach.
Acupuncture posits Qi (pronounced ‘chee’) as an energy force – apparently invisible and undetectable by mere science – which operates under the skin and is ‘strongest’ at certain nodes where experts insert needles to stimulate it. There’s not much agreement as to where exactly these nodes are, how many there are, or how deep under the skin they’re to be found. Is everybody’s Qi the same? Is the Qi of other mammals identical? If you haven’t enough Qi, can you have a Qi transfusion, or will you be contaminated by the wrong Qi and suffer a horrible death? Amazingly, acupuncture practitioners have no interest whatever in these life and death questions. Why has nobody thought to operate on a patient and withdraw a sample of her Qi, considering that the stuff has been known about since ancient times? It’s a puzzlement. And with that I’ll say no more about acupuncture.
Cupping
Cupping, or cupping therapy, is fairly new to me – I mean I’ve heard about it over the years but I’ve never bothered to research it. It was apparently used in Egypt 3,000 years ago, and it’s considered a part of TCM (traditional Chinese medicine). How it got from Egypt to China is anyone’s guess, but when used there, it’s associated with our old friend, the non-existent Qi. Yes, according to TCM, much disease is due to blocked Qi, and cupping is one way to fix it.
Briefly, there are two kinds of cupping, wet and dry, with wet cupping being the more ‘invasive’ and used for more acute treatments. The idea is to create a vacuum which draws the skin up in the cup and increases the blood flow. The cup, or the air inside it, is heated, and when the cup is applied to the skin and allowed to cool, the air contracts, ‘sucking up’ the skin. With wet cupping the skin is actually punctured, so that those nasty but never-quite-indentifial ‘toxins’ can ooze out. By the way, next time you go to your naturopath to get your toxins removed, ask them for a sample, and don’t forget to ask them to name those toxins. Perhaps you could look at them under a microscope together.
There’s very little in the way in the way of evidence to support the effectiveness of cupping, and as you might expect, the best ‘evidence’ comes from the most poorly controlled trials. Serious and obviously dangerous claims have been made that cupping can cure cancer. Here’s the American Cancer Society’s response:
“There is no scientific evidence that cupping leads to any health benefits….No research or clinical studies have been done on cupping. Any reports of successful treatment with cupping are anecdotal. There is no scientific evidence that cupping can cure cancer or any other disease.”
If cupping was effective, this would be easily provable. No proof has been offered in thousands of years, and there’s no credible scientific mechanism associated with the treatment. You’ve been warned. It’s your money. Why hand it over to these parasites?
it’s all about evidence – part 1
I wrote an open letter to a homeopath recently, and received an interesting response, which I’ve promised to deal with publicly. My letter was sent by email at the same time that it was posted on this blog, and this was followed by another couple of emails back and forth. Here they are.
Wesley Smith to myself, April 13 2015
Hi Stewart
I thank you for the courtesy of bringing your article to my attention.
Can you please publish the following corrections to your blog:
To the best of my knowledge, Wesley Smith has never made any claim to be a medical practitioner and I wish to correct any inference in my article “An open letter to a Homeopath” that Wesley Smith misrepresented his qualifications or is not suitably qualified under Australian law to practice or write about complementary medicine. At the time of publishing I was unaware that Wesley Smith is a AHPRA registered Chinese Medicine practitioner (CMR0001709253). Furthermore I withdraw any implication that the phrase “the depth of crazy in which our Wesley is mired” may suggest that Wesley is not of sound mind, or is not fit to either educate people about or practice complementary medicine. Furthermore I acknowledge that I have no knowledge of the appropriateness or otherwise of the qualifications of any of the practitioners at the Live Well Spa & Wellness Centre and therefore I withdraw any inference that any of Live Well’s practitioners may be practicing in their chosen fields without appropriate qualifications.Stewart I have absolutely no interest in debating you, please advise me when you have published the corrections.
Kind regards
Wesley
Myself to Wesley Smith, April 18 2015
Hello Wesley
At no place in my blog post did I write that you claimed to be a medical practitioner, I simply pointed out that you were not one, as far as I could ascertain. Whether you (or your colleagues) are permitted under law to practise complementary medicine is neither here nor there, and I didn’t address that matter in my article. My concern is to point out that homeopathy is not a valid treatment, a view with which the NHMRC concurs. Nor are the other treatments I mentioned in my piece, none of which have scientific evidence to support them. I will of course not be making any changes to my article. Of course it doesn’t surprise me that you absolutely don’t want to debate me, as it would absolutely not be in your interest to do so.
Regards
Stewart Henderson
Wesley Smith to myself, April 20 2015
Hi Stewart
I would have had absolutely no concern if you kept your criticism focused on homeopathy or acupuncture. I don’t agree with you but I’m hardly going to loose sleep over that.
My concern is that you were lazy with your research and published your opinions as if they were fact. You also weakened your argument when you made it personal by disparaging me, Live Well and it’s practitioners. Not only is that sloppy writing and a lazy way to make an argument it is also defamation. I have given you the opportunity to make the appropriate corrections which you have rejected, therefore I will pursue the matter via legal action.
Stewart, my research into your background tells me that you have an arts degree, it’s interesting that you choose to write about a topic for which you seem to have no qualifications. Apparently you work, or have worked at Centacare in Adelaide? Their website homepage states “we believe that everyone has the right to be treated with respect and dignity.” Sounds like great advice and perhaps a tenet you personally would do well to reflect upon especially when dealing with people with whom you disagree.
Kind regards
Wesley
Myself to Wesley Smith, April 23 2015
Dear Wesley
Thanks for your response, which I will be posting in toto on my blog in the near future, together with my response. Your complete lack of interest in addressing the matter of evidence, which was clearly the issue of my blog post, is well noted. I don’t wish to have a private email correspondence with you, as I’m interested in complete transparency and openness. I’ll address all your ‘concerns’ on my blog, with my usual gusto and good humour.
Thanks
Stewart
So now we’re up to date, and I’ll try to suppress the sense of disgust and contempt I feel for this individual, and deal with the issues.
Firstly, let’s look at Wesley’s email number 1. It is, of course, intended to be threatening – ‘make these corrections to your blog, or else…’. The first ‘correction’ is to my ‘inference’ (it looks like old Wesley has been consulting a lawyer) that Wesley has been claiming to be a doctor when he isn’t. As I pointed out in my response, I made no such inference. The point is, when someone heads up an institution called the ‘Live Well Spa and Wellness Centre’, any reasonable soul might expect that individual to be a medical practitioner, working with a staff of medical practitioners. In fact that was exactly what I expected (oh and I think a court of law would agree, Wesley). Imagine my surprise when I found that there were no MDs on the premises!
The second ‘correction’ he wanted was the removal of the phrase ‘the depth of crazy in which our Wesley is mired’, because it suggested he wasn’t of sound mind. I’ll look more closely at that ‘depth of crazy’ shortly, but first I’ll make the obvious point that people believe all sorts of crazy things (though they don’t usually make their living out of them) – that the moon landing was a fake, that September 11 was an inside job, that vaccines cause all sorts of diseases, etc, but we don’t think they should be committed, we just try to get them (usually unsuccessfully) to think more reasonably. I’ve tried to do this with Wesley by pointing out the absurdity of homeopathy from a scientific perspective – again unsuccessfully, because he’s completely unwilling to even discuss the matter.
When I wrote of the ‘depth of crazy’, I really meant it, and this is not my opinion. My opinion isn’t worth a pinch of shit, actually, and nor is Wesley’s. All that matters is EVIDENCE.
EVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCEEVIDENCE
Get it, Wesley?
So let’s do a review of the treatments Wesley’s clinic, or whatever he calls it, offers.
Homeopathy
I gave a fairly full account of homeopathy here, where I referenced Dr Ben Goldacre’s Bad Science, Chapter 4 of which gives an even more comprehensive account of the pseudoscience. I’ve also written more recently about it here, and of course in my criticism of Wesley Smith. I’ve also referenced Wikipedia’s excellent article on Homeopathy, and while I’m at it I’d like to defend Wikipedia as an excellent, and well-referenced source of reliable scientific information. If you feel unsure about what it presents, you can always check the references for original sources. I should remind readers, too, that Wikipedia has been put under pressure by practitioners of ‘holistic medicine’ to give more credence to their methods, and its founders and gatekeepers have heroically refused. I won’t go into detail here, but the story is well-presented by Orac on his Respectful Insolence blog.
So I’m not going to rehash the absurdity of homeopathy here, but since Wesley makes the claim that I was ‘lazy with my research’ and ‘published my opinions as if they were fact’ (when in fact I focused entirely on the NHMRC’s comprehensive and negative findings regarding the practice), I will give here a list of just some of the books, academic papers, scientific articles and government and medical society factsheets that report negatively on the multi-million dollar homeopathy industry, and pseudoscience in general, as well as the major figures in debunking medical pseudoscience. They’re in no particular order.
Dr Ben Goldacre, Bad Science, esp Chapter 4 ‘Homeopathy’ – Dr Goldsworthy works for the NHS in Britain and is a broadcaster, blogger and writer on science-based medicine
Raimo Tuomela, ‘Science, protoscience and pseudoscience’, in Rational changes in science.
Stephen Barrett, M.D, ‘Homeopathy, the ultimate fake’, on Quackwatch – a well-referenced site, but note the hilarious-sad reader responses!
Orac, aka Dr David Gorski – Gorski is a surgeon and scientist, and writer of the Respectful Insolence blog, which deals mostly with the health claims of pseudo-scientists. His posts on homeopathy are too numerous to mention here, just type in homeopathy on his blog.
Edzard Ernst, “A systematic review of systematic reviews of homeopathy”, and “Homeopathy: what does the ‘best’ evidence tell us?’ – Ernst, a former professor of complementary medicine, has published innumerable articles on the subject in academic journals. He co-wrote Trick or treatment? with Simon Singh, which deals critically with homeopathy, acupuncture and various other pseudoscientific treatments. His emphasis on scientific evidence has made him many enemies among the CAM (Complementary and Alternative Medicine) camp.
The Cochrane Collaboration – an independent, non-profit NGO – partnered since 2011 with the WHO – in which over 30,000 volunteers work together to provide the best healthcare evidence.
Shang et al, ”Are the clinical effects of homoeopathy placebo effects? Comparative study of placebo-controlled trials of homoeopathy and allopathy”, The Lancet 366 (9487): 726–732 – This study, conducted by a number of scientific collaborators, is regarded as one of the best and most relevant studies available for proof of homeopathy’s lack of efficacy. To quote from its conclusion: ‘Biases are present in placebo-controlled trials of both homoeopathy and conventional medicine. When account was taken for these biases in the analysis, there was weak evidence for a specific effect of homoeopathic remedies, but strong evidence for specific effects of conventional interventions. This finding is compatible with the notion that the clinical effects of homoeopathy are placebo effects’.
World Health Organisation – the WHO has warned against the use of homeopathy for major diseases, though, generally speaking it has taken a softly, softly approach to the pseudoscience, presumably for political reasons. Here and here are reports about the WHO’s warnings.
NHMRC – Australia’s National Health and Medical Research Council. It has conducted a comprehensive review of homeopathy, which I reported on in my criticism of Mr Smith’s ‘wellness centre’.
Science-based medicine and the FDA (the US Food and Drug administration). The Science-based medicine blog, contributed to by a number of writers, is dedicated to expose as quackery everything that Mr Smith and his ilk are promoting. The report linked to above criticises the FDA for abdication of responsibility in dealing with homeopathy. It also points out that American pharmacists are calling for tighter regulations. Homeopaths have had it too easy for too long. The FDA is finally beginning its own investigation into the pseudoscience.
I could go on – there are many many more articles and sites I could mention, but you get the point. Homeopathy is a joke, and there are many videos poking fun at its ‘science’ – for example, here, here and here. A movement designed to expose its fraudulence, the 10:23 campaign, had people ‘overdosing’ on homeopathic pills, which usually have warnings about dosage levels on the bottles(!) And yet we still have people buying into this shite – quite possibly in increasing numbers.
I don’t know Mr Smith personally. It might be that he’s a very nice if deluded fellow who treats his clients very well, adding to the placebo effect of his ‘remedies’. The placebo effect appears to be very real and we’ve only just begun to investigate its power. On the other hand, Mr Smith may be a charlatan who is cynically exploiting the vulnerability of his rich but deluded patients – his ‘wellness centre’ is in a leafy suburb of Canberra, not exactly the poorest region of Australia. Of course it’s more likely that he’s a bit of both – we deceive others best when we’ve already deceived ourselves.
However, to judge by his email responses, Wesley isn’t as much of a sincere believer as he should be, because he’s far far more concerned with protecting his reputation and with making threats, than with exploring the evidence, and thence, the further application of these homeopathic treatments (I mean, if the ‘like cures like, in infinitesimal doses’ system works, then why couldn’t it cure every cancer known to humans?). In my earlier post I suggested to him an exciting project of getting his fellow homeopaths and their satisfied clients together to ‘crowd fund’ research which would prove homeopathy to be true once and for all. And yet Wesley doesn’t even effing mention the idea. AMAZING!!!!
Well, not, actually. Mention this idea to any homeopath, and the response would be the same. They’re totally uninterested in any real research. Testimonials and anecdotes are enough for them. They just want the evidence to be less rigorous – less real and more ‘imaginary’.
Wesley has made threats about defamation, presumably because I wrote that he’s mired in crazy – which he is. This post is already too long, so I’ll investigate the other crazy treatments he and his team offer in later posts, starting with acupuncture. But as to his threats, the man must be living on another planet if he’s not aware of the many websites, some of which are mentioned above, dedicated to exposing the pseudoscience practiced by people like himself, for financial gain. They generally use far harsher language than I have. If you’re going to set up a practice devoted to procedures which seem to share only one feature – that none of them are accepted as established science – then you’ll need to develop a thicker skin, even if you can’t develop any sensible arguments to support them.
And one more thing – Wesley has tried to cast aspersions on me as a mere English graduate. I think on my ‘about’ page I describe myself as a dilettante, which most certainly and proudly is what I am. However, as a blogger, I suppose my official position is that of a journalist. Freelance of course, with the emphasis on ‘free’, as I’ve never earned a cent from it. No defamation action could ever succeed against a journalist who’s trying to expose ‘sharp practice’ through the investigation of evidence, but perhaps Wesley thinks he can intimidate ‘small fry’ like me with his threats and arrogance. I don’t get much traffic here because I’m hopeless at and positively resistant to networking. But I do know how tight-knit and supportive the sceptical community is when anyone tries to threaten it as Wesley has, because I’ve been observing it for years, and if Wesley tries any further intimidation, I suppose I’ll have to pull my finger out and start letting people know what’s happening. It’ll probably do me a power of good.
Anyway, in later posts I’ll be looking at acupuncture (briefly, as I’ve already dealt with this one before), cupping, kinesiology, bowen therapy and other treatments offered by Wesley and his team.
the fall – when curiosity was shameful, and miracles abounded
the benedictine abbey of Gottweig in the Danube Valley, now enjoying more freedom as a guesthouse
I’ve been reading some medieval literature recently, and I’d like to make a brief comparison here between the writings of Benedict of Nursia (c480-547) and Pope Greg the Great (reigned from 589 to 604), and the Roman writers of a few centuries before, such as Livy, Tacitus, Cicero and Plutarch. It’s maybe a bit unfair as Greg and Ben perhaps weren’t typical writers of the sixth century, I’m hardly medievalist enough to say, but still they capture for me the tragedy of the soi-disant Dark Ages for the development of thought and ideas. I’ll be quoting from the medieval writers, but only referring to the Romans – you’ll just have to take my word for it about their smarts.
Benedict of Nursia is probably better known as Saint Benedict, but I don’t like that appellation – not because he doesn’t deserve it, but because nobody does, as in order to become a saint it must’ve been ‘proven’ that you performed miracles, and such silliness shouldn’t be encouraged. More importantly, this nominatively determined method of severing such individuals from common humanity does us all a disservice. Anyway, Benedict was the founder of 12 monasteries or communities in Italy, and he wrote rules for them which were later adopted in other regions to form the basis of the Benedictine system of monks – though there was never really a strict Benedictine order (monks who live communally under a set of rules are called cenobites). I’ve just read these rules, followed by Pope Gregory’s hagiography of Benedict, and it gives me a perspective on the closing of the European mind – if that’s not too grandiose a term – associated with the Dark Ages.
Benedict is praised for what Wikipedia calls the ‘balance, moderation and reasonableness’ of his rules, which facilitated their adoption by many European monasteries. However, moderation is a relative term, and as a rabid anti-authoritarian I probably chafe more than most under imposed rules. Still, I reckon most independent-minded modern westerners would find Benedict’s rules deadeningly stifling, and if they were considered moderate for the time, I’d hate to think about the more immoderate rules that the pious were forced to submit to. But judge for yourself.
Benedict states at the outset that ‘we are going to establish a school for the service of the Lord’. This isn’t of course a school in the modern sense, it’s more like certain types of Madrassa, in which nothing outside of sacred texts is studied. The school or institute is to be presided over by an Abbot, chosen for his personal qualities, including self-discipline, firmness, compassion and insight into the ways of the Lord. Recalcitrant souls need to be coaxed or reproved into the narrow path. However,
… bold, proud, hard and disobedient characters he should curb at the very beginning of their ill-doing by stripes and other bodily punishments, knowing that it is written, ‘The fool is not corrected with words’, and again, ‘Beat your son with the rod and you will deliver his soul from death’.
I suppose this isn’t too much worse than a lot of army-style biffo, as depicted in Full Metal Jacket and the like, but there’s more, and monasticism was a life commitment. Benedict goes on a lot about humility and seriousness – he frowns upon laughter. He also insists, ominously, on narrowness, for ‘strait is the gate and narrow is the way’ to salvation, as we all know. Clearly the lives of these life-long penitents are going to be highly circumscribed. Patience, endurance, humility and obedience are the watchwords.
The monks’ days are rigidly ordered. Prayers are to be offered up 7 times a day (more often than in Islam, even) because, according to Benedict, the Prophet says ‘seven times in the day I have rendered praise to you’. Who this prophet was I can’t ascertain, and there’s no such quote in the Bible, though Isaiah and Luke both display a fondness for the number. In any case, Benedict gives instructions about the number and type of psalms to be sung at the Morning Office, Prime, Terce, Sext, None, Vespers and Compline. Prayers are to be ‘short and pure’, in compliance with the spirit of silence that should inhabit, not to say inhibit, the school. One of the longest chapters is ‘On Humility’, in which Benedict defines 12 different degrees of humility, as the monk becomes more and more cleansed of vice and sin:
The tenth degree of humility is that he be not ready and quick to laugh, for it is written, ‘The fool lifts up his voice in laughter’.
The eleventh degree of humility is that when a monk speaks he do so gently and without laughter, humbly and seriously, in few and sensible words, and that he be not noisy in his speech. It is written, ‘A wise man is known by the fewness of his words.’
Again, Benedict doesn’t tells us where these dubious claims are written, but they don’t seem to come from the Bible. In any case, you get the idea, the fantasy that suppression of all spontaneity and originality leads through the narrow gate unto heaven.
Of course, the microcosm of the monastery doesn’t necessarily reflect the macrocosm of medieval Europe, but in a world of more or less homogenous Christian belief many of these ‘ideals’ would have been prominent. Not that the previous Roman world was that much better, as far as the nurturing of curiosity and intellectual inquiry was concerned. Roman society was also quite rigid in its structure, and philosophically, neither the Stoics nor the Epicureans thought in terms of intellectual progress. But the near-obsessive stifling of curiosity, the obsession with an obedient, humble, slavish attitude before an all-knowing master-god, that was very much a product of the Christianising of the Empire and ultimately of all Europe. The kind of reflective history-writing and philosophising found in the work of Tacitus, Cicero and Marcus Aurelius, dealing with human psychology and conduct in its own right, without reference to divine expectations, all but disappeared for centuries.
Interestingly, along with the fashion for slavishness came a flourishing of credulity. Pope Gregory the Great’s bio of Benedict teems with his miracles and fulfilled prophecies, reminding us that the age of Jesus wasn’t the dimmest for unbelievable beliefs, though it may have sparked the fashion for them. There’s virtually a miracle on every page, so I’ll quote here one of the first, from when he was a youth, having abandoned his studies to serve his Master, to give you a taste:
When Benedict abandoned his studies to go into solitude, he was accompanied by his nurse, who loved him dearly. As they were passing through Affile, a number of devout men invited them to stay there and provided them with lodging near the Church of St Peter. One day, after asking her neighbours to lend her a tray for cleaning wheat, the nurse happened to leave it on the edge of the table and when she came back she found it had slipped off and broken in two. The poor woman burst into tears, she had just borrowed this tray and now it was ruined. Benedict, who had always been a devout and thoughtful boy, felt sorry for his nurse when he saw her weeping. Quietly picking up both the pieces, he knelt down by himself and prayed earnestly to God, even to the point of tears. No sooner had he finished his prayer than he noticed that the two pieces were joined together, without even a mark to show where the tray had been broken. Hurrying back at once, he cheerfully reassured his nurse and handed her the tray in perfect condition.
Of course, this little tale is partly designed to show Benedict’s kindness and attentiveness in small matters, and perhaps that’s the best take-home message, but not all the miracles are so nice, and some display the wish-fulfilling fantasy of bringing down enemies. The point, though, is that these miracles are disseminated by the highest religious authorities in Europe, so that it would amount to sacrilege to deny them. Interestingly, when I was nine years old, my mother bought me a collection of books called ‘Uncle Arthur’s Bedtime Stories’ – about ten books each with about ten stories in them, and every one told of a miracle much like this one (and to be fair to my mother, she hadn’t vetted them first and wasn’t aware that they were Christian propaganda). People had fallen on hard times or had suffered an accident, they prayed to God, their fortunes were miraculously reversed. They were very formulaic stories, and I steamed with annoyance on reading them, but it’s fascinating to find a template for that kind of writing from nearly 1400 years before. How the world has changed and how some aspects of it remain.
What is interesting for me, though, is the connection between credulity and authority that marks the Dark Ages. As a youngster I was free to, and took delight in, spurning the ‘authority’ of Uncle Arthur and his benevolent miracles. I’m a creature of my era and social milieu, as we all are, but there are many social milieux in our world. I’ve just seen a TV clip about the ‘fight of the century’ between one Floyd Mayweather and the Filipino boxer Manny Pacquiao. I’m not much into boxing these days (I was a keen follower of the sport in my youth), but I hear this fight is being billed as goodie v baddie, because Mayweather is a convicted wife-beater and apparently something of a self-advertising loudmouth whereas Pacquiao is a member of parliament, charity worker and other respectable things. However, when I just looked at the screen I saw Pacquaio wearing a t-shirt with ‘Jesus is my Lord’ or some such thing emblazoned on it, and I felt a spurt of disgust. I have a visceral reaction to the slavishness and submission of the two most common religions on the planet. The old ‘pagan’ religions certainly engaged in seasonal placatory gestures but they didn’t practice or preach eternal submission to their invisible and undetectable masters. And not only are we supposed to accept our enslavement, but to exalt in our specialness. It’s the most horrible kind of unreality, to me. So there’s still plenty of darkness to deal with, or to avoid. Let’s remember Goethe’s reputed last words – more light.
an open letter to a homeopath
When I was in Canberra last year I came across an article in the Canberra Weekly, written by one Wesley Smith, director of the ‘Live Well Spa & Wellness Centre’ in Manuka, a Canberra suburb. It was called ‘Homeopathy in the cross-hairs’, and you can probably guess the rest.
I tore out the article, vaguely intending to do something about it, and promptly forgot about it, but having rediscovered it today, I’m thinking it’s not too late. An online version of Mr Smith’s (he’s not a doctor) article is here. On this centre’s website, I note that it advertises ‘holistic’ wellness (see my recent post), and offers ‘acupuncture, herbal medicine, kinesiology, naturopathy, remedial massage, meditation and yoga’ as some of its treatments – and reading the bios of Wesley’s quite large team tells me that cupping, EFT (Emotional Freedom Techniques), dry needling and ‘soft tissue therapy’ are also on offer, though I note that nowhere in these extensive bios is there any mention of a medical degree. The only mention of qualifications is in Wesley’s own bio – he has a Bachelor of Applied Science in Acupuncture from the University of Technology, Sydney (shame on the institution). But this gladbag of BS is too large to deal with, though it does indicate the depth of crazy in which our Wesley is mired. I’ll just keep to homeopathy, with maybe a dash of acupuncture (I can’t help myself).
So here’s a letter, which I’ll send by email to Mr Wesley Smith. It may mark the beginning of a rich relationship.
Dear Mr Smith
In reference to your article ‘Homeopathy in the cross-hairs’ published in the Canberra Weekly some time last year, I would like to point out some problems with your analysis of the situation with homeopathy.
Firstly, as you know, the NHMRC has now completed its review on homeopathy and its findings were made available online in March 2015. They are clear: there are no health conditions for which there is reliable evidence that homeopathy is effective. The review also states that
People who choose homeopathy may put their health at risk if they reject or delay treatments for which there is good evidence for safety and effectiveness. People who are considering whether to use homeopathy should first get advice from a registered health practitioner.
Having visited your website and read your biography, I’ve found that you’re not on the APHRA list of registered health practitioners. I could check out your team, but as I notice that no medical qualifications are mentioned for any of them, it’s probably reasonable to assume that none of them are in fact registered health practitioners.
I find it strange that in your summary of homeopathy in your article, which is reasonably accurate as far as it goes, you describe its principles as ‘challenging’, and suggest that it would be particularly so for those with some knowledge of basic chemistry and ‘a lack of imagination’.
While imaginative insight is indeed required to postulate a new theory, as with Maxwell’s insight about the relationship between electricity and magnetism, Einstein’s insight about the relationship between space and time, and Darwin’s insights about competition and variation, the really hard work involves proving the theory to be true, as I’m sure you’ll agree. Maxwell and Einstein had to develop accurate, watertight, explanatory equations as proofs of their theories, to enable them to be tested ad infinitum by others. Newton developed a whole mathematical calculus, which has since become one of the most valuable tools available to science, in order to precisely calculate his revolutionary laws of motion. Darwin devoted a whole lifetime to providing detailed evidence of adaptive development in a wide variety of species…
Yet it’s remarkable how little work has been done, especially by self-proclaimed homeopaths, to provide proofs of the efficacy of homeopathy. Imagination is hardly sufficient. It seems that, out of exasperation, as well as a sense of ‘duty of care’, the NHMRC, representing medical professionals, has decided to take on this proof-providing responsibility, and the results have been damning, but unsurprising to any one with a scientific bent and a respect for evidence.
You’ve defended homeopathy by claiming there ‘must be’ hundreds of thousands of Australians who’ve been ‘astounded’ at how their bruises respond to homeopathic arnica. Surely you can’t expect any medically trained person to accept such claims as evidence. It would be like accepting someone’s word that hundreds of thousands of people have had their prayers answered by their god, therefore their god really exists and really does answer prayers. In order for such claims to be counted as evidence – as you well know – information would have to be gathered about this multitude of individuals, the nature of their ‘bruises’, and the mechanism by which the bruises responded to the treatment. You would think that homeopaths the world over would be enormously interested in how arnica, in such infinitesimally minute doses, has this miraculously curative effect. The fact is surely sensational and would revolutionise the treatment of bruising – essentially, internal haemorrhaging – around the world, saving millions of lives. Yet homeopaths appear not to have the slightest interest in causal mechanisms. They’re only interested in claimed effects. There are no laboratories working on how homeopathic treatments work, in testing and developing their theoretical underpinnings, in finding further applications for these truly extraordinary ‘principles’. Why ever not? How can homeopaths be so irresponsible? So completely incurious?
You claim that it’s impossible to dismiss the curative effects of this treatment as due to placebo. In other words, you know that it works. That’s fantastic news, now all you have to do is prove it. I cannot believe that this would be difficult for you, since you claim that hundreds of thousands of Australians (and presumably hundreds of millions worldwide) are astounded at the treatment’s efficacy. Considering this, you must be astounded, in your turn, at the NHMRC’s final report. How could they have got it so wrong? Furthermore, how is it that in Britain a study by Edzard Ernst (himself a professor of complementary medicine), which made a systematic review of the Cochrane Database of reviews (the Cochrane Database being justly famous for its rigour), found, again, that homeopathy had no discernible effect beyond placebo? Is there a conspiracy happening here? You seem to be suggesting as much when you write of the huge profits for pharmaceutical companies in successfully trialling their products, compared to the difficulties for poor homeopaths. But homeopaths could surely unite, with each other and with these millions of delighted clients, to provide the proof you need in the form of double-blind, placebo-controlled, randomised trials with large sample sizes. After all, you yourself have testified that the treatment is nothing short of sensational. It would surely haver wider application than simply healing bruises. If these principles really work, why wouldn’t they be effective for curing cancer, ebola, malaria, or any other scourge to humanity? The benefits would be such that you would be criminally negligent not to pool your resources and provide these proofs for humanity’s sake. There would certainly be a Nobel Prize for medicine in it for you if you were to organise the trials that led to these revolutionary cures, not to mention eternal fame and the gratitude of billions…
But let’s not get carried away. The ‘revolution’ of homeopathy has been around for over two hundred years, and it has never progressed beyond the French characterisation of it as médicine douce, the kind of medicine you take when you don’t need medicine, our fabulous immune system being what it is. If it really was as effective as you claim, pharmaceutical companies would have financed the research trials in a jiff, thereby turning their millions of dollars of profits into billions. Not to mention the fact that if homeopathic ‘principles’ worked, much of the science we know would be up-ended, and most of our modern physics and chemistry would have to be scrapped.
The real situation is as described by Dr Steven Novella at Science-based medicine:
… proponents of homeopathy would have the world believe that one man, Samuel Hahnemann, stumbled upon a fantastic secret two centuries ago (actually, multiple secrets) that defy scientific explanation, have been ignored by 200 years of scientific progress, and yet to this day would turn our scientific understanding of the world upside down. For some reason, however, believers just can’t seem to produce any convincing evidence for any of it, not even that homeopathic products have any properties at all, let alone clinical efficacy. After 200 years all they can produce are endless excuses and demands for more research.
And what do we have in your article, Mr Smith? In its last lines, true to form, you make excuses about (200 plus years of) limited funding, and demands for more research. QED.
the myth of holistic medicine
It does get my goat rather that so-called naturopaths, in spite of having varied and often contradictory therapies, love to call themselves practitioners of holistic medicine. It’s a feel-good term that, like spirituality, seems to make a virtue of its own vagueness. Of course, holistic medicine can be defined in a superficial sense – it’s treating the whole person, right? But how does that work in reality, and how do naturopaths manage it?
Well, the obvious answer is, they don’t. It’s nothing more than a propaganda term.
Clearly, holistic, whole-person treatment would be fabulous if it could be achieved, but it would entail not only knowing the whole anatomy and physiology of the client, but her psychology and her entire medical history from birth, and even before. Would there be any other way of treating ‘the whole person’?
Personalised medicine may in fact become the way of the future – I’ve heard as much – but that has nothing to do with naturopathy. That has to do with science – your personal microbiome, your heart rhythms, your cholesterol, your triglycerides, your lung function, your bowel movements, your bone density (not to mention your sequenced genome), taking more responsibility for those things as far as is possible and in co-operation with healthcare providers. Naturopathy is something else altogether – it’s about herbs instead of pills (unless they’re homeopathic), ‘age-old’ treatments such as reflexology and TCM rather than invasive tests and vaccinations, getting in tune with or detoxifying your body rather than taking impersonal prescriptions to your local impersonal pharmacist.
So the question is – how did taking an entirely chemical herbal treatment from a naturopath come to seem more holistic than taking a chemical such as theophylline prescribed by your specialist?
I don’t see how a naturopath would or could treat a client as a ‘whole person’ any more than a conventional GP could. Limited info, limited time, it’s the same whether your treatments are science-based or traditional. But I do know at least one happy client who swears by her naturopath, who really does treat the whole person, unlike the medical establishment, according to her. I haven’t pressed her to explain this, but I have my own nasty theory. The woman is clearly obese, and wouldn’t take kindly to being told so, and she’s found a practitioner whose greatest skill is to tell her everything but what she most needs to hear. At last, someone who really understands her, who really listens and accepts her own expertise about her own body. And it must be said that many doctors, full to the brim of years and years of training and practice, do sometimes treat their clients in an offhand or specimen-like way. The psychological effects of healthcare practice are surely underestimated. So many people, but especially the unhealthy, want to be seen as, or made, whole. ‘Holistic medicine’ therefore, makes for a very effective propaganda label.
Yet many treatments that eagerly make use of the holistic banner are about as far from being individualised as can be imagined.
Acupuncture supposedly manipulates your ‘chi’ or ‘qi’, a system of energy flow that, if it existed, could be individualised to the client. Some clients might have a different chi from others, just as we have different blood types, different hormonal levels, different cholesterol levels, different insulin levels, etc, all of which can be measured. But acupuncturists don’t measure our chi levels and give us a read-out. Why ever not? Surely that would be the holistic, personalised thing to do. The fact is, nobody, in the supposedly thousands of years of acupunctural history, has ever thought to isolate this energy force and describe its wave function or the molecules or particles associated with its action. Nobody has even shown the slightest curiosity about the physical properties of what is advertised as a fundamental energy source in humans and perhaps all other living things. That’s fucking amazing – the only amazing thing I can say about acupuncture. Yet, apparently, there are particular points in the body where chi is more abundant, and that’s where you should stick your needles, and at a certain depth, otherwise you won’t be in touch with the chi. So acupuncture depends entirely upon chi being a physical, measurable entity…
Say no more. Your chi can’t be personalised and made a part of your whole-person profile because it doesn’t exist.
Homeopathy also likes to travel under the holistic banner, and you’ll find it advertised in all those brochures featuring glowingly healthy individuals, often dressed in white, meditating or staring lovingly at the sky-spirits. The trouble is, homeopathic treatments are designed to treat the illness, not the individual. The bogus ‘law of similars’ involves swallowing pills which are supposed to contain material ‘like’ whatever it was that made you sick. If that doesn’t sound very scientific, don’t blame me. It’s obviously a problem if you don’t know what made you sick, but the solution is simple. Just pay attention to your symptoms – say itchy skin or funny-coloured urine – and take pills containing a substance that produces similar symptoms. But hang on, won’t that just make you more sick? No, not at all, because the offending substance will be diluted to infinitesimal proportions. Okay, but won’t that render it useless? Ah but you’re clearly unaware of the ‘law of infinitesimals’ which defines a substance as increasing in potency the more it’s diluted. Welcome to the world of homeopathy, where the more truth is watered down, the more obviously true it becomes.
But the point I wanted to make here, before becoming entranced by the homeopathic mindset, was a simple one. Far from treating clients as ‘whole people’, it is solely concerned with physical symptoms. A homeopathic treatment would work just as well on a horse or a hedgehog as on a human. The client’s humanity, let alone her particular history or psychological make-up, isn’t a factor. It’s as far removed from holistic medicine as you can get.
I could go on – reflexology, iridology, reiki, chiropractic – these are all bogus, and the fact that they all jump eagerly onto the holistic bandwagon is further evidence of their crappiness. Holistic medicine is an impossible ideal, though personalised medicine, where you take personal responsibility to educate yourself about and keep records of your own health and physical maintenance, in collaboration with health specialists, is a great way to go. And that involves a lot more than just holding hands in a smiley circle.
the most absolute way to lose credibility
now I know not buy a used car from this guy
Daniel Dennett, in his most recent writings, excerpted in the second issue of The new philosopher (a mag which will be a part of my regular reading from now on) made this interesting point:
When you’re reading or skimming argumentative essays, especially by philosophers, here is a quick trick that may save you much time and effort, especially in this age of simple searching by computer: look for “surely” in the document, and check each occurrence.
Not always, not even most of the time, but often the word “surely” is as good as a blinking light locating a weak point in the argument. Why? Because it marks the very edge of what the author is actually sure about. (If the author were really sure all the readers would agree, it wouldn’t be worth mentioning).
Dennett goes on to prove the point with some examples. He performs a useful service here, for “surely” and similar terms like “clearly” seem anodyne enough to pass under our radar. The term “absolutely“, not so, and as such, it’s far less sophisticated. In fact, it’s one of the most obvious signposts for BS that we have, and it should send any worthwhile skeptic’s antennae bouncing off the ceiling. The anti-vaccination guru screams that vaccination is absolutely the worst medical intervention in human history, the creationist that evilution is absolutely contrary to their god’s plan, and the climate-change denier asseverates that there’s absolutely no credible evidence…
Step no further, for here lurks the big bad demon of absolutely committed ideology. It’s not the sort of term you read in the philosophical articles Dennett has been targeting, but of course it’s everywhere on the internet, and in the generally unsophisticated arena of political debate.
So I was amused to hear our current human rights commissioner Tim Wilson falling into the trap, like a drunken stumblebum falling off a well-signposted cliff. Wilson was on a panel of the ABC’s current affairs program The drum, and one of the topics discussed was the impact that the anti-vaccination movement was having on the incidence of measles in the USA. Wilson’s response was essentially pro-science, and so condemnatory of the anti-vaccination trend, though he also invoked the interesting argument that this was to protect children, while adults should be free to be as anti-science as they liked, and presumably free to promote the kind of anti-science agenda that’s causing all the problems in the first place.
But while it’s a thorny question as to whether or not good science should be enforced in some way, it was Wilson’s response to another panel commentator that really tickled me. The commentator pointed out the parallels between the anti-vaccination movement and climate change deniers – a fairly obvious point, I would’ve thought – and Wilson jumped in with the claim that ‘there are absolutely no parallels…’
Considering the fairly obvious parallels, Wilson’s remark (which he wasn’t able to elaborate on due to to it being made just as the final credits were about to roll), was a massive red flag, which immediately prompted me to check his bonafides on anthropogenic global warming.
But before checking out Wilson, let me state the parallels. First, both the vaccination debate and the AGW debate are loud and passionate. They also both exhibit the age-old truism that there’s an inverse relation between passionately-held positions and knowledge of the subject. Third and most important, they are both debates over what is essentially settled science. In the case of vaccination, the science tells us that vaccinations have led to the prevention and reduction of multiple diseases around the world over many decades, and that the negative effects of vaccination, if any, are far outweighed by the lives saved and the suffering minimised. In the case of AGW, climate scientists are in consensus that the globe is experiencing a warming event, and that this warming event, as measured through atmospheric and oceanic temperatures, is being significantly contributed to by human activity, and emissions of CO2 in particular.
Wilson’s impressive resumé here tells me that he’s ‘currently completing a Graduate Diploma of Energy and the Environment (Climate Science and Global Warming) at Perth’s Murdoch University’ and that he’s an ‘international public policy analyst specialising in international trade, health, intellectual property and climate change policy’, so he’s presumably well acquainted with climate science, which makes his ‘absolutely’ claim all the more odd. Digging deeper though, we find that for some time he was the policy director of the Institute of Public Affairs (IPA), a well-known free market think tank. Free marketeers are not always keen on accepting AGW, as it tends to interfere with business…
Wilson himself has been pretty careful about his public comments on AGW – at least I can’t find any outrageously silly remarks from him, but in 2010, while he was the IPA’s director of climate change policy, the organisation brought out a publication called Climate change: the facts, which is largely anti-climate science propaganda, as is evidenced by the fact that none of the contributors agree with the overwhelming consensus of climate scientists, i.e. that AGW is a serious problem that we need to act upon. Some of the authors accept AGW but minimise its extent and its negative effects while others simply deny its existence. The publication includes as authors the wholly discredited Ian Plimer, and the quite literally insane Christopher Monckton, who has no scientific training whatsoever. It also includes ‘old guard’ scientists such as Garth Partridge, Richard Lindzen, Bob Carter and William Kininmouth, all well into their seventies, and with links to the fossil fuel industries. One contributor, Willie Soon, has since been found to be a hireling of the fossil fuel lobby, to the tune of over $1 million. Others, such as Nigel Lawson, the eighty-something-year-old ex-Chancellor of the Exchequer under Thatcher, just make the publication look more embarrassingly irrelevant than it might have been for propaganda purposes. One has to wonder why the book was published – it must surely have harmed the climate deniers’ cause amongst the fence-sitters at whom it was presumably targeted.
The quality of the work can be judged by its brief introduction, written by John Roskam, current executive director of the IPA. Take this excerpt:
We don’t believe ‘the science is settled’. As a think tank committed to the ideals of free and open enquiry and debate we are not afraid to stand against the mainstream of prevailing elite opinion.
Why is the word elite in there, in a book supposedly dedicated to debating the facts? Scientists are always debating, criticising each other’s published work, suggesting alternative interpretations of raw data – that’s a standard scientific process. Skepticism as to results is a sine qua non of scientific enquiry. But they never describe those they disagree with as elites. That would suggest that something else was at play. It seems particularly inappropriate when the writers themselves are Lords, ex-leaders of government, and linked to some of the world’s largest corporations, while those accused of elitism are usually living on an unreliable stream of grants and scholarships.
Welcome, though, to the world of climate change denial, which, far from presenting alternative facts, is largely fact-free. Although I’ve not read Climate change: the facts, I expect it will present the same variety of views, many of them contradicting each other, that Naomi Klein describes in the first chapter of her book on the politics of climate change, This changes everything. Her description – which hits you like an icy cold shower – is of a conference dedicated to climate change denial run by the USA’s Heartland Institute, another right-wing think tank, though much bigger and more bullish than the IPA. And surprise surprise, a number of the Australian book’s contributors were speakers at that conference. As it turns out, right-wing think tanks are almost solely responsible for the slew of anti-AGW propaganda that assails us today, and of all the contentious scientific issues, this one divides most neatly along politico-ideological lines.
So this helps to explain why Tim Wilson says he finds ‘absolutely no parallels’ between AGW and the vaccination ‘debate’. For him, though not for climate scientists, the science is not settled. But, being educated on the matter, he also knows that what he wants to be true, really isn’t. So, to cover what he knows to be bullshit, he resorts, quite unthinkingly, to the word ‘absolutely’. What a fine mess bad faith gets people into, and how painfully obvious it all is.