Search Results for "acupuncture"

Aug 22 2014

What’s The Harm – Ebola Edition

A common defense of implausible treatments is the question – “what’s the harm.” In other words, implausible therapies might help and can’t hurt, so there is no harm in trying. Is this a valid argument, however?

In trying to assess which side of a controversy has the better position I look toward logic and evidence. Evidence is critical, of course, but in fields outside my expertise I have to rely upon experts to interpret that evidence and put it into a broad and deep scientific context. In controversies, often the data itself is not the core issue, but which data to trust and how to interpret that data.

Therefore, when evaluating various controversial positions, it is very helpful to determine which side has the better arguments. If there is a dramatic asymmetry with one side relying heavily on logical fallacies, that is often very telling. Further, on any particular point you can follow the exchange through to completion and see which side ultimately has the better position.

For example, creationists argue that evolution violates the second law of thermodynamics which states that in any system entropy should increase. Scientists counter that the second law only applies to closed systems and the Earth is an open system, receiving energy from the sun. Creationists then counter that the universe is a closed system and so entropy should be increasing in the universe. Scientist counter further that entropy is increasing in the universe but this does not preclude local decreases in entropy where energy is available, such as the biosphere of the Earth. Creationists then respond by changing the subject. In other words – they have no response. They are wrong and have lost the argument.

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14 responses so far

Jul 15 2014

BBC Fail on Acupuncture Documentary

Alternative Medicine’s best friend, and in my opinion largely responsible for what popularity it has, is a gullible media. I had thought we were turning a corner, and the press were over the gushing maximally clueless approach to CAM, and were starting to at least ask some probing questions (like, you know, does it actually work), but a 2006 BBC documentary inspires a more pessimistic view.

The documentary is part of a BBC series hosted by Kathy Sykes: Alternative Medicine, The Evidence. This episode is on acupuncture. The episode is from 2006, but was just posted on YouTube as a “2014 documentary.” Unfortunately, old news frequently has a second life on social media.

First, let me point out that Sykes is a scientist (a fact she quickly points out). She is a physicist, which means that she has the credibility of being able to say she is a scientist but has absolutely no medical training. It’s the worst case scenario – she brings the credibility of being a scientist, and probably thinks that her background prepares her to make her own judgments about the evidence, and yet clearly should have relied more on real experts.

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24 responses so far

Jun 20 2014

Inflation Evidence Questioned

Published by under Astronomy

A critical part of skeptical outreach is teaching the public about how science works. Surveys of scientific literacy generally have dismal outcomes, but they also generally focus on knowledge about the findings of science, and not so much on the process of science. My personal experience from engaging with the public in multiple venues over decades is that those who are critical or suspicious of science generally are laboring under a gross misunderstanding of how science operates.

Actually it’s not quite accurate to talk about “science,” and that is not how I think about or evaluate scientific claims. Rather, the global scientific community has a certain culture and norms of acceptable behavior. Each country, however, has their own subculture and may have problems or failings specific to them. China, for example, apparently can only publish positive studies about acupuncture, betraying a national bias that calls into question any acupuncture study originating from that country.

Each scientific discipline also has its own subculture. Some professions and specialties are more rigorous than others. Further, each institution, lab, and researcher has their own culture and behavior.

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4 responses so far

May 05 2014

David Katz on Evidence in Medicine

David Katz is a fellow physician at Yale, and he is also a strong proponent of so-called “integrative medicine.” He has written a recent commentary at the Huff Po, defending the integrative approach. He writes:

Integrative Medicine — a fusion of conventional and “alternative” treatments — provided patients access to a wider array of options. So, for instance, if medication was ineffective for anxiety or produced intolerable side effects, options such as meditation, biofeedback, or yoga might be explored. If analgesics or anti-inflammatories failed to alleviate joint pain or produced side effects, such options as acupuncture or massage could be explored.

His basic argument is this – when we lack strongly evidence-based options, we need to explore not-so-evidence-based options, for the good of our patients. Mainstream medicine is not that evidence-based either. And – mainstream medicine relies on money-driven research, which is biased against integrative approaches.

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102 responses so far

Apr 15 2014

Why We Need a Skeptical Movement

Published by under Skepticism

Skeptics tend (as they should) to question everything, even the need for a movement of self-identified skeptics. It is an interesting question – what is the net cultural effect of organized scientific skepticism?

Of course, we can’t really ever know the answer to this question. There are too many moving parts. We could point to cultural trends, but this is probably the worst line of evidence. There is no way to control for skepticism as an isolated variable. We have no way of knowing what the world would be like without organized skepticism.

We can point to individuals whose lives have been changed, they believe for the better. I am heartened by every e-mail I receive from a reader or listener who says their life has been changed for the better because of skeptical outreach. Perhaps they were steered away from a career in pseudoscience, learned how to think more critically about everything, or just found a community to which they could connect.

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101 responses so far

Mar 31 2014

Acupuncture – Science as Promotion

Almost weekly I see a new press release about an acupuncture study claiming benefits. While I have written extensively about acupuncture previously, and will continue to cover the topic, I can’t cover every little study that comes out. Most of the studies are utterly useless – they contain no control group, they are effectively pilot studies, they are of “electroacupuncture” (which is really just transdermal electrical nerve stimulation pretending to be acupuncture), or they are looking at some dubious biomarker rather than objective clinical outcomes.

Occasionally, however, an acupuncture study deserves a mention, in this case because it is particularly abusive.

Rachael Dunlop, my skeptical colleague from down under, sent me a report of an acupuncture study performed in Melbourne. News outlets are reporting the study at face value, in typical gushing terms, stating that “acupuncture is just as effective as drugs in treating back pain and migraine.”

It seems to me that this is the actual purpose of such studies – to produce positive news coverage. They are not designed to actually answer the question of efficacy.

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164 responses so far

Feb 13 2014

P-Hacking and Other Statistical Sins

Published by under General Science

I love learning new terms that precisely capture important concepts. A recent article in Nature magazine by Regina Nuzzo reviews all the current woes with statistical analysis in scientific papers. I have covered most of the topics here over the years, but the Nature article in an excellent review. It also taught be a new term – P-hacking, which is essentially working the data until you reach the goal of a P-value of 0.05. .

The Problem

In a word, the big problem with the way statistical analysis is often done today is the dreaded P-value. The P-value is just one way to look at scientific data. It first assumes a specific null-hypothesis (such as, there is no correlation between these two variables) and then asks, what is the probability that the data would be at least as extreme as it is if the null-hypothesis were true? A P-value of 0.05 (a typical threshold for being considered “significant”) indicates a 5% probability that the data is due to chance, rather than a real effect.

Except – that’s not actually true. That is how most people interpret the P-value, but that is not what it says. The reason is that P-values do not consider many other important variables, like prior probability, effect size, confidence intervals, and alternative hypotheses. For example, if we ask – what is the probability of a new fresh set of data replicating the results of a study with a P-value of 0.05, we get a very different answer. Nuzzo reports:
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62 responses so far

Nov 14 2013

Is There a Pseudoscience Event Horizon?

Earlier this week Massimo Pigliucci over at Rationally Speaking wrote an intriguing blog post asking whether or not there is a pseudoscience black hole – a point beyond which a pseudoscience gets sucked in and can never escape? Asked from the other direction – are there any historical examples of a pseudoscience that became legitimate, essentially turned out to be true?

I thought this was an interesting enough question to pick up the ball and explore the question further.

First, the question requires a discussion of what is pseudoscience. This is a common topic of discussion among skeptics. Any definition must contend with the demarcation problem – there is no bright line between legitimate science and pseudoscience. Rather, there is a smooth continuum, although I do think the distribution along that continuum is bimodal.

The differences between science and pseudoscience have to do with process, not subject matter. Pseudoscientists display a number of typical behaviors  (I will quickly list some of them here, but I am overdo for an updated post just on this topic):

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74 responses so far

Oct 04 2013

CAM Research – Be Careful What You Wish For

Edzard Ernst is the first professor of complementary and alternative medicine (CAM). He began 20 years ago as a CAM enthusiast, and a trained homeopath, and genuinely wanted to point the critical eye of science onto CAM. Many CAM proponents claim this, but Ernst was different in a key respect – he wanted to use rigorous scientific research to find out if CAM worked, not to prove that it does.

He recently wrote about his 20 years of CAM research, and eloquently makes this point. He writes:

Unfortunately, we also had a few co-workers who, despite of our best efforts, proved to be unable of critical thinking, and more than once this created unrest, tension and trouble. When I analyse these cases in retrospect, I realise how quasi-religious belief  must inevitably get in the way of good science. If a person is deeply convinced about the value of his/her particular alternative therapy and thus decides to become a researcher in order to prove his/her point, serious problems are unavoidable.

Problems are indeed unavoidable. There is a problem with researcher bias and publication bias in medical research. Science magazine also reports on a “sting” operation in which an author submitted a hopelessly flawed paper to 304 open access journals, with more than half accepting the paper for publication. There are plenty of places to publish terrible research that proves whatever point you wish to make.

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7 responses so far

Sep 26 2013

The Pharma Shill Gambit and Other Nonsense

Those of us who have been writing about science and medicine for a few years or more quickly experience the fact that there is a subculture of people who are greatly hostile to our message. In addition, they tend to use the same fallacious arguments against us over and over again, as if they are reading from the same script.

As a result we answer the same bad arguments repeatedly, at least so that those who are paying attention will be more prepared to deal with such arguments themselves. Earlier this week Harriet Hall wrote an excellent post over at Science-Based Medicine in which she answers 30 common fallacious arguments against SBM.  The next day I received a comment here that parroted some of the same arguments yet again.

I have addressed these common anti-SBM arguments multiple times, mostly in piecemeal, so it’s good to have Harriet’s post as a sort-of SBM FAQ. Before you leave a critical comment, read the FAQ.

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28 responses so far

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