mandag, mai 28, 2007

If randomized clinical trials don't show that your woo works, try anthropology!

A common refrain among practitioners and advocates of alternative medicine is that the reason randomized clinical trials frequently fail to find any objective evidence of clinical efficacy for their favorite woo is because, in essence, science is not the right tool to evaluate whether it works. In essence, they either appeal to other ways of knowing, invoke postmodernist nonsense claiming that science is just one way of knowing that is not any better than any other ways, or both. The most outrageously absurd example of postmodernist silliness in this regard that I've ever seen was the infamous "microfascist" paper, in which the authors called science "microfascism." Less gleefully silly and over-the-top but peddling essentially the same message was an article claiming that double-blind randomized controlled trials of homeopathic medications are not ideally possible, and, it seems, every so often I come across alternative medicine silliness of this sort.

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