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November 20, 2007

Why Do People Keep Believing in Homeotherapy?

Ben Goldacre in The Guardian:

There are some aspects of quackery that are harmless - childish even - and there are some that are very serious indeed. On Tuesday, to my great delight, the author Jeanette Winterson launched a scientific defence of homeopathy in these pages. She used words such as "nano" meaninglessly, she suggested that there is a role for homeopathy in the treatment of HIV in Africa, and she said that an article in the Lancet today will call on doctors to tell their patients that homeopathic "medicines" offer no benefit.

The article does not say that, and I should know, because I wrote it. It is not an act of fusty authority, and I claim none: I look about 12, and I'm only a few years out of medical school. This is all good fun, but my adamant stance, that I absolutely lack any authority, is key: because this is not about one man's opinion, and there is nothing even slightly technical or complicated about the evidence on homeopathy, or indeed anything, when it is clearly explained.

And there is the rub. Because Winterson tries to tell us - like every other homeopathy fan - that for some mystical reason, which is never made entirely clear, the healing powers of homeopathic pills are special, and so their benefits cannot be tested like every other pill.

Posted by Robin Varghese at 10:48 AM | Permalink

Comments

Homeopathy is religion not medicine. Would be very funny but for the fact that they are offering homeopathic vaccines for children. Might as well wave a crucifix over the child.

Posted by: The Worst of Perth | Nov 20, 2007 10:04:17 PM

Widespread anecdotal evidence has long suggested to me that homeopathic remedies often work, especially with animals - creatures without any predisposition to believing or condemning the approach.


Posted by: oliviab | Nov 21, 2007 7:44:17 AM

oliviab, did you not read the article? It is only the placebo effect.

Posted by: anon | Nov 21, 2007 9:14:14 AM

The Flying Spaghetti Monster takes homeopathic pills to keep His holy appendages from drying out, and it always works (as long as He takes them with 20 to 25 glasses of water three times a day).

Posted by: beajerry | Nov 21, 2007 9:43:07 AM

I have relatives who prescribe herbs and homeopathic 'remedies' for everything and it drives me crazy... Everything from ginko to a particular kind of honey (for acid reflux) or Reiki (which as far as i can understand is a kind of 'laying on of hands) - all it does is get my blood pressure up by making me v. annoyed!

Posted by: anna | Nov 21, 2007 3:38:21 PM

My sister is an acupuncturist, and while I can't offer controlled study results proving its effectiveness I would say that one reason why people like alternative medicine is because of the holistic approach of practicioners. The patient prefers to be considered as a whole, integrated being rather than as a particular solute level in a blood test result. It would be wrong to dismiss the placebo effect as a trivial delusion, as it is well established that a patient's mood and depression state can effect immune response levels. Confidence in the doctor may not be enough to cure the disease, but it can effect a patient's attitude and well being.

Posted by: aguy109 | Nov 22, 2007 6:49:35 PM

The position that homeopathy is bunk is itself just pseudo-scientific claptrap.

If you look at the studies that "refute" homeopathy, you will see that not one of them takes into account the unique symptom picture of carefully-selected participants. Not having done so, they cannot claim to be testing classical homeopathy.

The people who designed and carried out these tests apparently felt that since homeopathy "makes no sense" anyway, they might as well test something that was easy, instead of something that actually reflected the claims of classical homeopathy. It's as if a logician wanted to refute A, but decided that since B was right next to A in the alphabet, he could refute them both at the same time simply by refuting B.

It is extremely unfortunate that such "logicians" have captured the ears and the sympathy of mainstream science.

Homeopaths have not made the situation easier by their fractionated position on these issues, but in the past several years, a group of homeopathic medical researchers has decided to address this question with the rigor that it demands. People who want to understand the real terms of the scientific debate about the efficacy of homeopathy would do well to watch the recent debate at the University of Connecticut, entitled "A Debate: Homeopathy - Quackery Or A Key To The Future of Medicine?"

The video of this debate is available at:

http://mediasite.uchc.edu/Mediasite41/Viewer/Viewers/Viewer240TR.aspx?mode=Default&peid=407916ea-6301-4ede-b04f-c3650e4073a7&pid=cb4535b1-6610-4f6f-9c47-89f4114476ec&playerType=WM64Lite

The presentation by Dr. Iris Bell, in particular, will give those with an open mind an opportunity to see what the terms of the debate should be.

Bell has also written a paper surveying the history of research into homeopathy, with thoughtful comments from the homeopathic point of view:

Bell IR. All evidence is equal, but some evidence is more equal than others: can logic prevail over emotion in the homeopathy debate? J Altern Complement Med. 2005; 11 (5):763-9.

(Dr. Bell has also provided a list of papers on both sides of the debate at
http://nationalcenterforhomeopathy.org/articles/view,173)

Posted by: Richard | Nov 23, 2007 1:13:37 AM

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