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Healthy Skepticism Library item: 19054

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

Schwartz LM, Woloshin S.
The case for letting information speak for itself.
Eff Clin Pract 2001; 4:(2):76-9
http://www.acponline.org/clinical_information/journals_publications/ecp/marapr01/schwartz.htm


Abstract:

Some health messages, like those in Figure 1, use fear to persuade people to do the “right” thing to stay healthy. These messages are motivated by the belief that if more people adopted specific healthy behaviors (e.g., had mammograms, ate more fruits and vegetables, stayed out of the sun), they would live longer, healthier lives. While some persuasive messages encourage people to adopt a recommended behavior by making them feel good (e.g., “do something healthy, eat 5 fruits a day”), many use fear to promote change (e.g., “do this or else…”). The messages in Figure 1 say that “if you feel well, you may still be sick—you may even have cancer.” Are these messages fair? Do they promote health? The purpose of this essay is to consider different types of health messages, to highlight some problems with persuasive messages (particularly scary ones), and to make recommendations about when persuasion might be justified and when we should let the information speak for itself. …

Keywords:
Health Behavior* Health Education* Humans Patient Acceptance of Health Care* Persuasive Communication*

 

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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