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Healthy Skepticism Library item: 12771

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Spence D.
From the Frontline: The perils of commissioning bias
BMJ 2008 Feb 9; 336:(7639):332
http://www.bmj.com/cgi/content/extract/336/7639/332?etoc


Abstract:

The late Friday night debriefing in the kitchen: “You’re not listening.” I have that male trait of being easily distracted by other ideas.

She was right, but fortunately we’d had this discussion many times. “Well, you believe that ADHD is not a ‘condition,’ but an evolutionary trait of men. That boys need exercise to function and that in modern society, and in particular our education system, this is lacking. Boys are like puppies-coop them up, and they will chew the legs off your furniture and shred the newspaper. That vigorous exercise should be used to ‘treat’ this ‘condition.’ You based this argument on our three boys and being a vet. Is that about right?” I replied. She beamed a red wine smile.

Could she actually be right? After a blurry eyed trawl of Medline and the Cochrane database, I found nothing on exercise as an intervention-just thousands of papers on . . .

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909