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ABSTRACT: Alternative Medicine: A "Mirror Image" for Scientific
Reasoning in Conventional Medicine
A reflection on the scientific behavior of adherents of conventional
medicine toward one form of alternative medicine homeopathy teaches
us that physicians do reject seemingly solid evidence because
it is not compatible with theory.
Further reflection, however,
shows that physicians do the same within conventional medical
science: Sometimes they discard a theory because of new facts,
but at other times they cling to a theory despite the facts.
This essay highlights the seeming contradiction and discusses
whether it still permits the building of rational medical science.
We propose that rational science is compatible with physicians'
behavior, provided that physicians acknowledge the subjective
element in the evaluation of science, as exemplified in the crossword
analogy by the philosopher Haack. This type of thinking fits
very well with the Bayesian approach to decision making that
has been advocated for decades in clinical medicine.
It does
not lead to complete and uncontrollable subjectivity because
discernment between rivaling explanations is still possible through
argument and counterargument.
[10/02/2001; Annals of Internal Medicine]
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