People tend to limit their reading to sources that agree with their beliefs. We find ourselves mostly preaching to the choir; our message usually doesn’t reach those who most need to hear it. I recently received an inquiry from a science-based medical doctor asking how to approach others in building a bridge to clarify so much misinformation.
My first thought was that you can build a bridge but the real challenge is persuading people to cross that bridge. Like leading a horse to water…
How to approach others? That’s a tough question. The best approach varies with the individual and with where he is in his journey. Confrontation seldom works: it just makes people angry. It is counterproductive: it only serves to make them invent more rationalizations to defend their beliefs. Although sometimes anger can be a good thing. I got an e-mail from an acupuncturist who was incensed by an article I wrote saying that acupuncture was not based on good evidence. He set out to prove me wrong by looking up the evidence behind what he had been taught by his teachers about acupuncture’s efficacy for specific conditions, and when he couldn’t find any, he realized that his teachers and his textbooks had misled him with lies. He gave up acupuncture and went back to school to learn a science-based health profession.
If someone has never had his belief challenged and thinks it a universally accepted truth, it might do some good to show him otherwise. When I was in the dentist’s office earlier this week he asked me what I thought about detoxification. I told him I thought it was a pseudoscientific concept with no scientific validity, that proponents couldn’t even tell you what those “toxins” were, much less measure how much had been removed, and that there was no evidence that detox objectively benefitted patients. He had me repeat this to his assistant who was currently doing a detox. She looked at me very strangely and I may have created an enemy for life. But just possibly I may have started a small crack in her certainty that might someday widen to let accurate information seep in.
Some people respond to accurate information. I belong to the Healthfraud discussion list on Quackwatch and we have had several people thank us for providing accurate information, debunking false information, showing the fallacies in arguments for claims, and helping them learn about the scientific process. They tell us they have discarded their previous false beliefs because of what they read there.
When I spoke at a local college I mentioned that diet supplements are not regulated like FDA approved drugs and have been found contaminated with everything from insect parts to prescription drugs, and that dosages sometimes vary wildly from what the label says. One older student got very upset and said she was going right home to clean out her cabinet and throw all those products away.
I have gotten e-mails from people who decided not to waste their money at the Amen Clinics or on treatments with the DRX-9000 spinal decompression machine after reading my articles.
Unfortunately, many people do not respond to accurate information. Some people choose to form strong beliefs on hearsay or personal perceptions or ideological grounds without any input from science. Scientific information is irrelevant to them so they are not likely to change their minds no matter how much evidence from scientific studies you throw at them. It is useful to ask people what evidence it would take to change their minds. True believers frequently say nothing would change their minds: they know they are right and they are sure that testing would only serve to demonstrate the truth of their beliefs. It’s a waste of time to talk to these people.
I met a believer in dowsing and I gave him a book explaining the ideomotor effect, showing that dowsers had never been able to pass controlled tests, and debunking dowsing in detail. We held a public debate afterwards, and what he said was as if he had never read the book. He managed to just ignore everything in it: his “pro” side of the argument boiled down to two points: he’d personally seen it work and lots of people believed in it. That was enough for him.
Then there are people who are capable of responding to new information but don’t want to hear it. Don’t confuse me with the facts; my mind’s made up. It’s more comforting to have a belief and stick to it than to deal with uncertainty.
Something I haven’t tried yet but want to: ask them if they know of something that doesn’t work but that some other people believe in. Once you find something they reject, you might be able to argue that logical consistency requires that their pet remedy be rejected on the same grounds. For instance, if they reject bloodletting to balance the humors but accept reflexology, you might point out that during the many centuries bloodletting was used, there were far more testimonials from patients and doctors than there are for reflexology today. So if they accept reflexology on the basis of testimonials, they should logically accept bloodletting on the same basis. If they reject bloodletting because science showed it didn’t work, they should look more closely at what science says about reflexology.
Humor can be effective in making a point, like the comedian who said “Of course science doesn’t know everything; it KNOWS it doesn’t know everything, otherwise it would stop.” And like Mark Crislip’s “Alternative Flight.”
The best strategy would be to guide people to discover the truth for themselves and claim it as their own, but I’m afraid I don’t have the patience or the psychological acumen to carry that out. It’s too bad Socrates isn’t around to help.
I am not foolish enough to think I could ever influence true believers; but even for them, it might be possible to plant a tiny seed of doubt that might be reinforced by future experiences and might eventually grow into a plant. Dripping water can wear away the hardest stone over time. But realistically, I can only hope to reach the fence-sitters: those who have not yet irrevocably made up their mind.
I hope readers will share their own success stories and bridge-building ideas in the comments section.
- Four Timely Memoirs from the Halls of Medicine - New York Times - June 27th, 2017
- Medicine And Metaphor - HuffPost - June 27th, 2017
- 3D printing in medicine - News-Medical.net - June 27th, 2017
- The Relationship of Health Insurance and Mortality: Is Lack of Insurance Deadly? Free - Annals of Internal Medicine - June 27th, 2017
- Senate Republicans' health care bill is bad medicine - The Denver Post - June 27th, 2017
- Stanford School of Medicine Communication office wins six national awards - Stanford University News - June 27th, 2017
- James Harrison practically spiking medicine balls on volleyball court ... - ESPN (blog) - June 26th, 2017
- WATCH: James Harrison still loves playing volleyball with a medicine ball - CBSSports.com - June 26th, 2017
- Houston Methodist Center for Performing Arts Medicine Receives National Award - Texas Medical Center (press release) - June 26th, 2017
- Marquette Family Medicine Residency Program welcomes new residents - UpperMichigansSource.com - June 26th, 2017
- States rights might be best medicine for TrumpCare - The Hill (blog) - June 26th, 2017
- Lisa Wong: Conducting an ensemble of music, medicine, and education - STAT - June 26th, 2017
- Dr. David Katz, Preventive Medicine: Truth about the bell curve and health - New Haven Register - June 26th, 2017
- NorthBay redefines community medicine - Fairfield Daily Republic - June 26th, 2017
- Marshall Sports Medicine Offers Concussion Testing for Children - The Exponent Telegram (press release) (registration) - June 26th, 2017
- The miracles of modern medicine - ABC Online - June 24th, 2017
- Reacting to Kake scandal, Abe now urges even more new animal medicine departments - The Japan Times - June 24th, 2017
- Cryotherapy: Is it the coolest thing in sports medicine? - San Francisco Chronicle - June 24th, 2017
- 'Street medicine' project for the homeless to start in Madison this fall ... - Madison.com - June 24th, 2017
- Precision medicine is creeping up on healthcare, and it sure is exciting - Healthcare IT News - June 23rd, 2017
- Supporting medicine and its finest practitioners - Washington Times - June 23rd, 2017
- Shawnee County Safe Kids recommendations on kid medicine safety - KSNT News - June 23rd, 2017
- Is Modern Medicine a Luxury? - HuffPost - June 23rd, 2017
- medicine | science | Britannica.com - June 22nd, 2017
- Florida Board of Medicine- Healthcare Practitioner Licensing ... - June 22nd, 2017
- In a first for US academic medical center, Stanford Medicine hires chief physician wellness officer - Stanford Medical Center Report - June 22nd, 2017
- Air Force Medicine: Anytime, anywhere in the world - Air Force Link - June 22nd, 2017
- How to respond when medicine's culture causes moral distress - American Medical Association (blog) - June 22nd, 2017
- Combat Veteran Fights PTSD Through Hip-Hop : Shots - Health ... - NPR - June 21st, 2017
- On the Case - Cornell Chronicle - June 21st, 2017
- Northwestern Medicine to close nursing center and adult day care in Lake Forest - Chicago Tribune - June 21st, 2017
- KYF(M) celebration spoils Arts and Medicine event - The Hindu - June 21st, 2017
- Fish as Medicine for Rheumatoid Arthritis - New York Times - June 21st, 2017
- George T. Hare, 86, chose medicine over baseball - Philly.com - June 21st, 2017
- Study highlights need for more research in primary care and family medicine - News-Medical.net - June 21st, 2017
- Centura Health Integrative Medicine to hold open house in Longmont - Longmont Times-Call - June 21st, 2017
- Stanford Medicine launches health care trends report - Stanford Medical Center Report - June 20th, 2017
- Medicine information leaflets 'too scary', say experts - BBC News - June 19th, 2017
- University of Chicago Medicine will remain in UnitedHealthcare's network - Chicago Tribune - June 19th, 2017
- A hit on alternative medicine - Washington Post - June 19th, 2017
- Community invited to explore botanical and culinary medicine - HSC Newsbeat - June 19th, 2017
- Valley doctor putting residency on hold to study medicine in Mars - ABC15 Arizona - June 19th, 2017
- Bakersfield man pleads no contest to practicing medicine without a license - The Bakersfield Californian - June 19th, 2017
- Martin Wolfe, doctor specializing in tropical and travel medicine, dies at 82 - Bangor Daily News - June 18th, 2017
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- Week Ahead - Mr. Market Takes His Bitter Medicine - Seeking Alpha - June 18th, 2017
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- Dr. David Katz, Preventive Medicine: Saturated fat is weighed, measured, and found wanting - New Haven Register - June 18th, 2017
- Dr. Overstreet made 'monumental' contributions to Black Belt medicine - Montgomery Advertiser - June 17th, 2017
- Martin Wolfe, doctor specializing in tropical and travel medicine, dies at 82 - Washington Post - June 17th, 2017
- Yes, those 'kids' are doctors and they can see you now - The News Tribune - June 17th, 2017
- St. Jude Medicine Room Tour - WSAV-TV - June 17th, 2017
- Y-Speak: Herbal medicine vs. synthetic drugs: What's better? | SunStar - Sun.Star - June 17th, 2017
- Michigan Medicine health system posts better bottom line | Crain's ... - Crain's Detroit Business - June 16th, 2017
- Know Your Madisonian: Veterinarian is pioneer in shelter medicine - Madison.com - June 16th, 2017
- WVU School of Medicine names new lead of surgery department - The Dominion Post - June 16th, 2017
- UAB Medicine - UAB Medicine - June 16th, 2017
- ct.gov-connecticut's official state website - June 16th, 2017
- Precision medicine demands 'evolutionary leaps of interoperability' - Healthcare IT News - June 16th, 2017
- California Dreams of Single-Payer Medicine - WSJ - Wall Street Journal (subscription) - June 16th, 2017
- Women are flocking to wellness because modern medicine still doesn't take them seriously - Quartz - June 16th, 2017
- Regents OK $61M for UCCS sports medicine component of City for Champions - Colorado Springs Gazette - June 16th, 2017
- Michigan Medicine health system posts better bottom line - Crain's Detroit Business - June 16th, 2017
- I shunned studying medicine to become a nurse. Here's why - The Guardian - June 16th, 2017
- Disparities of women in medicine and science to be explored in Brown conference - The Providence Journal - June 14th, 2017
- WHO classes HIV drug as an essential medicine - New Scientist - June 14th, 2017
- A precision medicine fight is brewing between clinicians, public health - Healthcare IT News - June 14th, 2017
- New AMA president: Physicians must lead to reshape medicine - American Medical Association (blog) - June 14th, 2017
- Quest to spread precision medicine to oncologists nationwide ... - Healthcare IT News - June 14th, 2017
- Chinese Medicine is Using Donkey Skins to Boost Libidoand Africa's Animals Are at Risk - Newsweek - June 14th, 2017
- Is precision medicine a matter of national security? | Healthcare IT ... - Healthcare IT News - June 14th, 2017
- University of Chicago Medicine may soon be out of UnitedHealthcare's network - Chicago Tribune - June 13th, 2017
- Eric Dishman wants precision medicine to move from personal to universal - Healthcare IT News - June 13th, 2017
- Widespread precision medicine is still years away, experts say ... - Healthcare IT News - June 13th, 2017
- Henrik Stenson's advice for US Open: take your medicine - Golfweek.com - June 13th, 2017
- Traditional Chinese medicine may benefit some heart disease patients - Medical Xpress - June 13th, 2017
- Support for alternative medicine research: CM - The Hindu - June 13th, 2017
- Acoustic Old Crow Medicine Show electrifies Dylan at Palace ... - Minneapolis Star Tribune - June 13th, 2017
- Using Herbs as Medicine - Albany Times Union (blog) - June 12th, 2017
- Regenerative Medicine Can Help Make America Great - Morning Consult - June 12th, 2017