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Healthy Skepticism Library item: 14022

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

Cain DM, Detsky AS.
Everyone's a Little Bit Biased (Even Physicians)
JAMA. 2008 Jun 25; 299:(24):2893-2895
http://jama.ama-assn.org/cgi/content/extract/299/24/2893?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=biased&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT


Abstract:

Medical schools and professional medical associations have developed policies and guidelines in response to increasing concerns over potential conflicts of interest.1 While many physicians agree with these concerns, some view conflict-of-interest policies as affronts to their integrity and an indictment of the ethical conduct of the profession as a whole. These individuals believe that their training as scientists and their devotion to professionalism protects them from external influences that might bias their opinions. However, this view may be based on an incorrect understanding of human psychology. Conflicts of interest are problematic, not only because they are widespread but also because most people incorrectly think that succumbing to them is due to intentional corruption, a problem for only a few bad apples. In this Commentary, we argue that succumbing to a conflict of interest is more likely to result from unintentional bias, . . .

Keywords:
MeSH Terms: Bias (Epidemiology)* Conflict of Interest* Disclosure Ethical Analysis* Ethical Relativism* Humans Interprofessional Relations Judgment Prejudice Unconscious (Psychology)

 

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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