Molecular biology has a "central dogma," so why not alternative medicine. Here, I argue that the central dogma of alternative medicine is The Secret.
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The Central Dogma of Alternative Medicine
I happened to have a busy day yesterday, and in addition today’s a deadline to submit a letter of intent for a grant application, as well as to write a response to some criticism in a letter to the editor of my recent Nature Reviews Cancer article. (Trust me, it’s fun.) Never one to let such an opportunity pass, I decided to take advantage in order to do a little shameless self promotion. A week and a half ago, I gave a talk at Skepticon 7 in Springfield, MO entitled The Central Dogma of Alternative Medicine. It’s now been posted …
Off to Skepticon…
As this goes live I’ll be heading to the airport, my purpose being to wing my way to Skepticon 7, where I’ll be speaking tomorrow on a little ditty I like to call The Central Dogma of Alternative Medicine. It’ll be fun, and I’m looking forward to it. However, in true Orac fashion, I haven’t finished the slides and outline for my talk yet, something I hope to do on the planes (there are no direct flights to Springfield, MO from here) and the 3+ hour layover I have to look forward to in Chicago. What this means is that …
Fabrizio Benedetti asks: “Does placebo research boost pseudoscience?”
Professor Fabrizio Benedetti is the most famous and almost certainly also the most influential researcher investigating the physiology of placebo effects. In a recent commentary, he asks whether placebo research is fueling quackery, as quacks co-opt its results. The answer to that question is certainly yes. A better question is: How do supporters of science counter the placebo narrative promoted by quacks, in which placebos represent the “power of the mind to heal the body”?
Medicaid and the Oregon Health Authority: The scam of replacing opioids with “nonpharmacologic treatments for pain” like acupuncture
The Oregon Health Authority is on the verge of passing a radical policy that would require chronic pain patients receiving Medicaid to have their opioids tapered to zero while covering "nonpharmacologic treatments for pain" that include primarily acupuncture, chiropractic, massage therapy, and other "alternative" treatments. Not surprisingly, the Oregon Chronic Pain Task Force, which is responsible for this proposed infliction of quackery on the most vulnerable, has three acupuncturists and a chiropractor sitting on it.
ASCO: Endorsing the Society for Integrative Oncology’s “integration” of quackery into oncology
In 2014, the Society for Integrative Oncology first published clinical guidelines for the care of breast cancer patients. Not surprisingly, SIO advocated “integrating” dubious therapies with oncology. Last week, the most influential oncology society, the American Society of Clinical Oncology (ASCO), endorsed a 2017 update to the SIO guidelines, thus endorsing the “integration” of quackery with oncology and paving the way for insurance coverage. The advance of quackademic medicine in oncology continues apace.
True believers and scammers in alternative medicine
In the online echo chamber promoting alternative medicine, there are varying degrees of deception. There are true believers (who are often victims), entrepreneurs (who are often true believers who found a profitable business), and scammers. The categories are not mutually exclusive.
The scam of “detox”: Ritual purification by another name
“You need to detox.” How many times have you heard or read this? Maybe a friend of yours suggested it for the New Year. Maybe you saw it on a website, in a magazine, or as part of an ad. I like to say sometimes, “Toujours les toxines,” because in many branches of alternative medicine the overarching idea behind the interventions used is that vague, unnamed “toxins” are somehow poisoning you and that the only way to fix what’s wrong with you is to “detoxify.” These “detox” interventions can take many forms, ranging from the relatively (but not completely) benign, …
Quackademic medicine at Memorial Sloan-Kettering Cancer Center
The Society for Integrative Oncology (SIO) doesn’t like me much. I understand. I haven’t exactly been supportive of the group’s mission or activities. So it wasn’t surprising that SIO wrote letters trying to rebut a Perspectives article on “integrative oncology” that I published in Nature Reviews Cancer two years ago. What depressed me about that encounter was that one of the complaints the SIO had about my article was that it spent too much verbiage discussing homeopathy as one pseudoscientific treatment that “integrative” oncology “integrates” with science-based medicine and no one uses homeopathy. This led me to point out in …
The placebo narrative: Justifying integrative medicine through exaggeration
I write quite a bit about placebo effects. Of course, part of the reason is that placebo effects are just plain interesting from a scientific perspective. After all, if one can relieve symptoms with inert sugar pills or other ineffective interventions because of the power of expectation, that’s something we should want to understand. Also, given the mission of this blog, another major reason is that placebo effects are inextricably bound to the question of whether the alternative medicine modalities that are being “integrated” into medicine through the brand of integrative medicine actually have any useful therapeutic effects or not, …
