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Healthy Skepticism Library item: 13475

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

Steer P.
Follies and Fallacies in Medicine
BMJ 2008 Mar 22; 336:(7645):673
http://www.bmj.com/cgi/content/extract/336/7645/673-a


Abstract:

Petr Skrabanek, a Czech, was in Ireland when the Soviets invaded his country, so he stayed, publishing many criticisms of medical humbug while working with James McCormick in the Department of Community Health at Trinity College, Dublin, until his premature death in 1994. The book has been translated into six languages and is on the reading list of medical schools around the world, to encourage an appropriate scepticism about medical dogma.

For example, could strict adherence to evidence based practice be harmful to patients? This is the intriguing hypothesis suggested in the first section of this subversive book. It points out that although the placebo effect is very powerful, to work best it requires both the patient and the doctor to believe in it. As most of the common conditions that disturb our equanimity are self limiting, arguably the priority is for treatments that make us feel better, thereby boosting . . .

profphilsteer@blueyonder.co.uk

 

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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