Sep 23 2019
Outrage, Bias, and the Instability of Truth
One experience I have had many times is with colleagues or friends who are not aware of the problem of pseudoscience in medicine. At first they are in relative denial – “it can’t be that bad.” “Homeopathy cannot possibly be that dumb!” Once I have had an opportunity to explain it to them sufficiently and they see the evidence for themselves, they go from denial to outrage. They seem to go from one extreme to the other, thinking pseudoscience is hopelessly rampant, and even feeling nihilistic.
This general phenomenon is not limited to medical pseudoscience, and I think it applies broadly. We may be unaware of a problem, but once we learn to recognize it we see it everywhere. Confirmation bias kicks in, and we initially overapply the lessons we recently learned.
I have this problem when I give skeptical lectures. I can spend an hour discussing publication bias, researcher bias, p-hacking, the statistics about error in scientific publications, and all the problems with scientific journals. At first I was a little surprised at the questions I would get, expressing overall nihilism toward science in general. I inadvertently gave the wrong impression by failing to properly balance the lecture. These are all challenges to good science, but good science can and does get done. It’s just harder than many people think.
This relates to Aristotle’s philosophy of the mean – virtue is often a balance between two extreme vices. Similarly, I find there is often a nuanced position on many topics balanced precariously between two extremes. We can neither trust science and scientists explicitly, nor should we dismiss all of science as hopelessly biased and flawed. Freedom of speech is critical for democracy, but that does not mean freedom from the consequences of your speech, or that everyone has a right to any venue they choose.
A recent Guardian article about our current post-truth world reminded me of this philosophy of the mean. To a certain extent, society has gone from one extreme to the other when it comes to facts, expertise, and trusting authoritative sources. This is a massive oversimplification, and of course there have always been people everywhere along this spectrum. But there does seem to have been a shift. In the pre-social media age most people obtained their news from mainstream sources that were curated and edited. Talking head experts were basically trusted, and at least the broad center had a source of shared facts from which to debate.