I wrote an open letter to a homeopath recently, and received an interesting response, which I’ve promised to deal with publicly. My letter was sent by email at the same time that it was posted on this blog, and this was followed by another couple of emails back and forth. Here they are.
Wesley Smith to myself, April 13 2015
I thank you for the courtesy of bringing your article to my attention.
Can you please publish the following corrections to your blog:
To the best of my knowledge, Wesley Smith has never made any claim to be a medical practitioner and I wish to correct any inference in my article “An open letter to a Homeopath” that Wesley Smith misrepresented his qualifications or is not suitably qualified under Australian law to practice or write about complementary medicine. At the time of publishing I was unaware that Wesley Smith is a AHPRA registered Chinese Medicine practitioner (CMR0001709253). Furthermore I withdraw any implication that the phrase “the depth of crazy in which our Wesley is mired” may suggest that Wesley is not of sound mind, or is not fit to either educate people about or practice complementary medicine. Furthermore I acknowledge that I have no knowledge of the appropriateness or otherwise of the qualifications of any of the practitioners at the Live Well Spa & Wellness Centre and therefore I withdraw any inference that any of Live Well’s practitioners may be practicing in their chosen fields without appropriate qualifications.
Stewart I have absolutely no interest in debating you, please advise me when you have published the corrections.
Myself to Wesley Smith, April 18 2015
At no place in my blog post did I write that you claimed to be a medical practitioner, I simply pointed out that you were not one, as far as I could ascertain. Whether you (or your colleagues) are permitted under law to practise complementary medicine is neither here nor there, and I didn’t address that matter in my article. My concern is to point out that homeopathy is not a valid treatment, a view with which the NHMRC concurs. Nor are the other treatments I mentioned in my piece, none of which have scientific evidence to support them. I will of course not be making any changes to my article. Of course it doesn’t surprise me that you absolutely don’t want to debate me, as it would absolutely not be in your interest to do so.
Wesley Smith to myself, April 20 2015
I would have had absolutely no concern if you kept your criticism focused on homeopathy or acupuncture. I don’t agree with you but I’m hardly going to loose sleep over that.
My concern is that you were lazy with your research and published your opinions as if they were fact. You also weakened your argument when you made it personal by disparaging me, Live Well and it’s practitioners. Not only is that sloppy writing and a lazy way to make an argument it is also defamation. I have given you the opportunity to make the appropriate corrections which you have rejected, therefore I will pursue the matter via legal action.
Stewart, my research into your background tells me that you have an arts degree, it’s interesting that you choose to write about a topic for which you seem to have no qualifications. Apparently you work, or have worked at Centacare in Adelaide? Their website homepage states “we believe that everyone has the right to be treated with respect and dignity.” Sounds like great advice and perhaps a tenet you personally would do well to reflect upon especially when dealing with people with whom you disagree.
Myself to Wesley Smith, April 23 2015
Thanks for your response, which I will be posting in toto on my blog in the near future, together with my response. Your complete lack of interest in addressing the matter of evidence, which was clearly the issue of my blog post, is well noted. I don’t wish to have a private email correspondence with you, as I’m interested in complete transparency and openness. I’ll address all your ‘concerns’ on my blog, with my usual gusto and good humour.
So now we’re up to date, and I’ll try to suppress the sense of disgust and contempt I feel for this individual, and deal with the issues.
Firstly, let’s look at Wesley’s email number 1. It is, of course, intended to be threatening – ‘make these corrections to your blog, or else…’. The first ‘correction’ is to my ‘inference’ (it looks like old Wesley has been consulting a lawyer) that Wesley has been claiming to be a doctor when he isn’t. As I pointed out in my response, I made no such inference. The point is, when someone heads up an institution called the ‘Live Well Spa and Wellness Centre’, any reasonable soul might expect that individual to be a medical practitioner, working with a staff of medical practitioners. In fact that was exactly what I expected (oh and I think a court of law would agree, Wesley). Imagine my surprise when I found that there were no MDs on the premises!
The second ‘correction’ he wanted was the removal of the phrase ‘the depth of crazy in which our Wesley is mired’, because it suggested he wasn’t of sound mind. I’ll look more closely at that ‘depth of crazy’ shortly, but first I’ll make the obvious point that people believe all sorts of crazy things (though they don’t usually make their living out of them) – that the moon landing was a fake, that September 11 was an inside job, that vaccines cause all sorts of diseases, etc, but we don’t think they should be committed, we just try to get them (usually unsuccessfully) to think more reasonably. I’ve tried to do this with Wesley by pointing out the absurdity of homeopathy from a scientific perspective – again unsuccessfully, because he’s completely unwilling to even discuss the matter.
When I wrote of the ‘depth of crazy’, I really meant it, and this is not my opinion. My opinion isn’t worth a pinch of shit, actually, and nor is Wesley’s. All that matters is EVIDENCE.
Get it, Wesley?
So let’s do a review of the treatments Wesley’s clinic, or whatever he calls it, offers.
I gave a fairly full account of homeopathy here, where I referenced Dr Ben Goldacre’s Bad Science, Chapter 4 of which gives an even more comprehensive account of the pseudoscience. I’ve also written more recently about it here, and of course in my criticism of Wesley Smith. I’ve also referenced Wikipedia’s excellent article on Homeopathy, and while I’m at it I’d like to defend Wikipedia as an excellent, and well-referenced source of reliable scientific information. If you feel unsure about what it presents, you can always check the references for original sources. I should remind readers, too, that Wikipedia has been put under pressure by practitioners of ‘holistic medicine’ to give more credence to their methods, and its founders and gatekeepers have heroically refused. I won’t go into detail here, but the story is well-presented by Orac on his Respectful Insolence blog.
So I’m not going to rehash the absurdity of homeopathy here, but since Wesley makes the claim that I was ‘lazy with my research’ and ‘published my opinions as if they were fact’ (when in fact I focused entirely on the NHMRC’s comprehensive and negative findings regarding the practice), I will give here a list of just some of the books, academic papers, scientific articles and government and medical society factsheets that report negatively on the multi-million dollar homeopathy industry, and pseudoscience in general, as well as the major figures in debunking medical pseudoscience. They’re in no particular order.
Dr Ben Goldacre, Bad Science, esp Chapter 4 ‘Homeopathy’ – Dr Goldsworthy works for the NHS in Britain and is a broadcaster, blogger and writer on science-based medicine
Stephen Barrett, M.D, ‘Homeopathy, the ultimate fake’, on Quackwatch – a well-referenced site, but note the hilarious-sad reader responses!
Orac, aka Dr David Gorski – Gorski is a surgeon and scientist, and writer of the Respectful Insolence blog, which deals mostly with the health claims of pseudo-scientists. His posts on homeopathy are too numerous to mention here, just type in homeopathy on his blog.
Edzard Ernst, “A systematic review of systematic reviews of homeopathy”, and “Homeopathy: what does the ‘best’ evidence tell us?’ – Ernst, a former professor of complementary medicine, has published innumerable articles on the subject in academic journals. He co-wrote Trick or treatment? with Simon Singh, which deals critically with homeopathy, acupuncture and various other pseudoscientific treatments. His emphasis on scientific evidence has made him many enemies among the CAM (Complementary and Alternative Medicine) camp.
The Cochrane Collaboration – an independent, non-profit NGO – partnered since 2011 with the WHO – in which over 30,000 volunteers work together to provide the best healthcare evidence.
Shang et al, ”Are the clinical effects of homoeopathy placebo effects? Comparative study of placebo-controlled trials of homoeopathy and allopathy”, The Lancet 366 (9487): 726–732 – This study, conducted by a number of scientific collaborators, is regarded as one of the best and most relevant studies available for proof of homeopathy’s lack of efficacy. To quote from its conclusion: ‘Biases are present in placebo-controlled trials of both homoeopathy and conventional medicine. When account was taken for these biases in the analysis, there was weak evidence for a specific effect of homoeopathic remedies, but strong evidence for specific effects of conventional interventions. This finding is compatible with the notion that the clinical effects of homoeopathy are placebo effects’.
World Health Organisation – the WHO has warned against the use of homeopathy for major diseases, though, generally speaking it has taken a softly, softly approach to the pseudoscience, presumably for political reasons. Here and here are reports about the WHO’s warnings.
NHMRC – Australia’s National Health and Medical Research Council. It has conducted a comprehensive review of homeopathy, which I reported on in my criticism of Mr Smith’s ‘wellness centre’.
Science-based medicine and the FDA (the US Food and Drug administration). The Science-based medicine blog, contributed to by a number of writers, is dedicated to expose as quackery everything that Mr Smith and his ilk are promoting. The report linked to above criticises the FDA for abdication of responsibility in dealing with homeopathy. It also points out that American pharmacists are calling for tighter regulations. Homeopaths have had it too easy for too long. The FDA is finally beginning its own investigation into the pseudoscience.
I could go on – there are many many more articles and sites I could mention, but you get the point. Homeopathy is a joke, and there are many videos poking fun at its ‘science’ – for example, here, here and here. A movement designed to expose its fraudulence, the 10:23 campaign, had people ‘overdosing’ on homeopathic pills, which usually have warnings about dosage levels on the bottles(!) And yet we still have people buying into this shite – quite possibly in increasing numbers.
I don’t know Mr Smith personally. It might be that he’s a very nice if deluded fellow who treats his clients very well, adding to the placebo effect of his ‘remedies’. The placebo effect appears to be very real and we’ve only just begun to investigate its power. On the other hand, Mr Smith may be a charlatan who is cynically exploiting the vulnerability of his rich but deluded patients – his ‘wellness centre’ is in a leafy suburb of Canberra, not exactly the poorest region of Australia. Of course it’s more likely that he’s a bit of both – we deceive others best when we’ve already deceived ourselves.
However, to judge by his email responses, Wesley isn’t as much of a sincere believer as he should be, because he’s far far more concerned with protecting his reputation and with making threats, than with exploring the evidence, and thence, the further application of these homeopathic treatments (I mean, if the ‘like cures like, in infinitesimal doses’ system works, then why couldn’t it cure every cancer known to humans?). In my earlier post I suggested to him an exciting project of getting his fellow homeopaths and their satisfied clients together to ‘crowd fund’ research which would prove homeopathy to be true once and for all. And yet Wesley doesn’t even effing mention the idea. AMAZING!!!!
Well, not, actually. Mention this idea to any homeopath, and the response would be the same. They’re totally uninterested in any real research. Testimonials and anecdotes are enough for them. They just want the evidence to be less rigorous – less real and more ‘imaginary’.
Wesley has made threats about defamation, presumably because I wrote that he’s mired in crazy – which he is. This post is already too long, so I’ll investigate the other crazy treatments he and his team offer in later posts, starting with acupuncture. But as to his threats, the man must be living on another planet if he’s not aware of the many websites, some of which are mentioned above, dedicated to exposing the pseudoscience practiced by people like himself, for financial gain. They generally use far harsher language than I have. If you’re going to set up a practice devoted to procedures which seem to share only one feature – that none of them are accepted as established science – then you’ll need to develop a thicker skin, even if you can’t develop any sensible arguments to support them.
And one more thing – Wesley has tried to cast aspersions on me as a mere English graduate. I think on my ‘about’ page I describe myself as a dilettante, which most certainly and proudly is what I am. However, as a blogger, I suppose my official position is that of a journalist. Freelance of course, with the emphasis on ‘free’, as I’ve never earned a cent from it. No defamation action could ever succeed against a journalist who’s trying to expose ‘sharp practice’ through the investigation of evidence, but perhaps Wesley thinks he can intimidate ‘small fry’ like me with his threats and arrogance. I don’t get much traffic here because I’m hopeless at and positively resistant to networking. But I do know how tight-knit and supportive the sceptical community is when anyone tries to threaten it as Wesley has, because I’ve been observing it for years, and if Wesley tries any further intimidation, I suppose I’ll have to pull my finger out and start letting people know what’s happening. It’ll probably do me a power of good.
Anyway, in later posts I’ll be looking at acupuncture (briefly, as I’ve already dealt with this one before), cupping, kinesiology, bowen therapy and other treatments offered by Wesley and his team.
I’ve been reading some medieval literature recently, and I’d like to make a brief comparison here between the writings of Benedict of Nursia (c480-547) and Pope Greg the Great (reigned from 589 to 604), and the Roman writers of a few centuries before, such as Livy, Tacitus, Cicero and Plutarch. It’s maybe a bit unfair as Greg and Ben perhaps weren’t typical writers of the sixth century, I’m hardly medievalist enough to say, but still they capture for me the tragedy of the soi-disant Dark Ages for the development of thought and ideas. I’ll be quoting from the medieval writers, but only referring to the Romans – you’ll just have to take my word for it about their smarts.
Benedict of Nursia is probably better known as Saint Benedict, but I don’t like that appellation – not because he doesn’t deserve it, but because nobody does, as in order to become a saint it must’ve been ‘proven’ that you performed miracles, and such silliness shouldn’t be encouraged. More importantly, this nominatively determined method of severing such individuals from common humanity does us all a disservice. Anyway, Benedict was the founder of 12 monasteries or communities in Italy, and he wrote rules for them which were later adopted in other regions to form the basis of the Benedictine system of monks – though there was never really a strict Benedictine order (monks who live communally under a set of rules are called cenobites). I’ve just read these rules, followed by Pope Gregory’s hagiography of Benedict, and it gives me a perspective on the closing of the European mind – if that’s not too grandiose a term – associated with the Dark Ages.
Benedict is praised for what Wikipedia calls the ‘balance, moderation and reasonableness’ of his rules, which facilitated their adoption by many European monasteries. However, moderation is a relative term, and as a rabid anti-authoritarian I probably chafe more than most under imposed rules. Still, I reckon most independent-minded modern westerners would find Benedict’s rules deadeningly stifling, and if they were considered moderate for the time, I’d hate to think about the more immoderate rules that the pious were forced to submit to. But judge for yourself.
Benedict states at the outset that ‘we are going to establish a school for the service of the Lord’. This isn’t of course a school in the modern sense, it’s more like certain types of Madrassa, in which nothing outside of sacred texts is studied. The school or institute is to be presided over by an Abbot, chosen for his personal qualities, including self-discipline, firmness, compassion and insight into the ways of the Lord. Recalcitrant souls need to be coaxed or reproved into the narrow path. However,
… bold, proud, hard and disobedient characters he should curb at the very beginning of their ill-doing by stripes and other bodily punishments, knowing that it is written, ‘The fool is not corrected with words’, and again, ‘Beat your son with the rod and you will deliver his soul from death’.
I suppose this isn’t too much worse than a lot of army-style biffo, as depicted in Full Metal Jacket and the like, but there’s more, and monasticism was a life commitment. Benedict goes on a lot about humility and seriousness – he frowns upon laughter. He also insists, ominously, on narrowness, for ‘strait is the gate and narrow is the way’ to salvation, as we all know. Clearly the lives of these life-long penitents are going to be highly circumscribed. Patience, endurance, humility and obedience are the watchwords.
The monks’ days are rigidly ordered. Prayers are to be offered up 7 times a day (more often than in Islam, even) because, according to Benedict, the Prophet says ‘seven times in the day I have rendered praise to you’. Who this prophet was I can’t ascertain, and there’s no such quote in the Bible, though Isaiah and Luke both display a fondness for the number. In any case, Benedict gives instructions about the number and type of psalms to be sung at the Morning Office, Prime, Terce, Sext, None, Vespers and Compline. Prayers are to be ‘short and pure’, in compliance with the spirit of silence that should inhabit, not to say inhibit, the school. One of the longest chapters is ‘On Humility’, in which Benedict defines 12 different degrees of humility, as the monk becomes more and more cleansed of vice and sin:
The tenth degree of humility is that he be not ready and quick to laugh, for it is written, ‘The fool lifts up his voice in laughter’.
The eleventh degree of humility is that when a monk speaks he do so gently and without laughter, humbly and seriously, in few and sensible words, and that he be not noisy in his speech. It is written, ‘A wise man is known by the fewness of his words.’
Again, Benedict doesn’t tells us where these dubious claims are written, but they don’t seem to come from the Bible. In any case, you get the idea, the fantasy that suppression of all spontaneity and originality leads through the narrow gate unto heaven.
Of course, the microcosm of the monastery doesn’t necessarily reflect the macrocosm of medieval Europe, but in a world of more or less homogenous Christian belief many of these ‘ideals’ would have been prominent. Not that the previous Roman world was that much better, as far as the nurturing of curiosity and intellectual inquiry was concerned. Roman society was also quite rigid in its structure, and philosophically, neither the Stoics nor the Epicureans thought in terms of intellectual progress. But the near-obsessive stifling of curiosity, the obsession with an obedient, humble, slavish attitude before an all-knowing master-god, that was very much a product of the Christianising of the Empire and ultimately of all Europe. The kind of reflective history-writing and philosophising found in the work of Tacitus, Cicero and Marcus Aurelius, dealing with human psychology and conduct in its own right, without reference to divine expectations, all but disappeared for centuries.
Interestingly, along with the fashion for slavishness came a flourishing of credulity. Pope Gregory the Great’s bio of Benedict teems with his miracles and fulfilled prophecies, reminding us that the age of Jesus wasn’t the dimmest for unbelievable beliefs, though it may have sparked the fashion for them. There’s virtually a miracle on every page, so I’ll quote here one of the first, from when he was a youth, having abandoned his studies to serve his Master, to give you a taste:
When Benedict abandoned his studies to go into solitude, he was accompanied by his nurse, who loved him dearly. As they were passing through Affile, a number of devout men invited them to stay there and provided them with lodging near the Church of St Peter. One day, after asking her neighbours to lend her a tray for cleaning wheat, the nurse happened to leave it on the edge of the table and when she came back she found it had slipped off and broken in two. The poor woman burst into tears, she had just borrowed this tray and now it was ruined. Benedict, who had always been a devout and thoughtful boy, felt sorry for his nurse when he saw her weeping. Quietly picking up both the pieces, he knelt down by himself and prayed earnestly to God, even to the point of tears. No sooner had he finished his prayer than he noticed that the two pieces were joined together, without even a mark to show where the tray had been broken. Hurrying back at once, he cheerfully reassured his nurse and handed her the tray in perfect condition.
Of course, this little tale is partly designed to show Benedict’s kindness and attentiveness in small matters, and perhaps that’s the best take-home message, but not all the miracles are so nice, and some display the wish-fulfilling fantasy of bringing down enemies. The point, though, is that these miracles are disseminated by the highest religious authorities in Europe, so that it would amount to sacrilege to deny them. Interestingly, when I was nine years old, my mother bought me a collection of books called ‘Uncle Arthur’s Bedtime Stories’ – about ten books each with about ten stories in them, and every one told of a miracle much like this one (and to be fair to my mother, she hadn’t vetted them first and wasn’t aware that they were Christian propaganda). People had fallen on hard times or had suffered an accident, they prayed to God, their fortunes were miraculously reversed. They were very formulaic stories, and I steamed with annoyance on reading them, but it’s fascinating to find a template for that kind of writing from nearly 1400 years before. How the world has changed and how some aspects of it remain.
What is interesting for me, though, is the connection between credulity and authority that marks the Dark Ages. As a youngster I was free to, and took delight in, spurning the ‘authority’ of Uncle Arthur and his benevolent miracles. I’m a creature of my era and social milieu, as we all are, but there are many social milieux in our world. I’ve just seen a TV clip about the ‘fight of the century’ between one Floyd Mayweather and the Filipino boxer Manny Pacquiao. I’m not much into boxing these days (I was a keen follower of the sport in my youth), but I hear this fight is being billed as goodie v baddie, because Mayweather is a convicted wife-beater and apparently something of a self-advertising loudmouth whereas Pacquiao is a member of parliament, charity worker and other respectable things. However, when I just looked at the screen I saw Pacquaio wearing a t-shirt with ‘Jesus is my Lord’ or some such thing emblazoned on it, and I felt a spurt of disgust. I have a visceral reaction to the slavishness and submission of the two most common religions on the planet. The old ‘pagan’ religions certainly engaged in seasonal placatory gestures but they didn’t practice or preach eternal submission to their invisible and undetectable masters. And not only are we supposed to accept our enslavement, but to exalt in our specialness. It’s the most horrible kind of unreality, to me. So there’s still plenty of darkness to deal with, or to avoid. Let’s remember Goethe’s reputed last words – more light.
Having finished reading the big Darwin book I’m letting the influence of his character and world percolate through me, for example on my way home from work the other day, walking by the city river, I got the idea of taking pics of the bird species hanging by the riverside with my mobile phone – murray magpie, mallard, eurasian coot, black swan, masked lapwing, Australian pelican, Australian magpie, dusky moorhen, Australian white ibis and little pied cormorant. It really brightened my day, though the photos were pretty crappy, but I looked up the species when I got home (this is where the internet really comes into its own) and learned so much about habitats, male-female differences (the male murray magpie, or magpie-lark, has a white ‘eyebrow’ and a black throat) and such. Fun, and now I’m thinking about a good camera for bird-watching. I’ve also, on something of an impulse, bought a digital microscope, on its way from the USA. No idea as yet what to use it for.
At a recent meetup group I had a stimulating discussion, or rather listened in on one, about the end of humanity, the various possibilities for our impending doom, the principal one being artificial intelligence. The idea is that so many things that humans are engaged in are barely in control, and that the best option for the survival of a species isn’t constant change and development, but stasis, as with trilobites perhaps, or some types of bacteria. Since this appears not to be an option for us, some think that we’re hurtling, with all our good intentions, not towards the singularity, but towards extinction. Anthropogenic global warming, mass species extinction, human-induced epidemics, out-of-control artificial intelligence, or a combination of these might cause this event, but it was the view of one conversationalist that AI would be our undoing, and possibly quite soon. It might lead to a gradual transhumanism, which we won’t recognise until it’s too late. One of the key figures mentioned in analysis of humanity’s possibly grim future was Nick Bostrum, whose name has come to my attention from time to time. Wikipedia tells me he’s a philosopher based at Oxford, and the director of its Future of Humanity Institute. So, a person and an institute I should be conversant with for my solutions ok blog. I should probably link to it there, and it’ll mean a lot more reading and study, groan. Meanwhile, one of the arguments I heard the other night was that this could explain why we don’t find complex life out there looking for us, with their super-clever antimatter rockets and super light-speed travel techniques, because complexity of that sort beats an inevitable path to destruction. Highly-developed life-forms like us and our superiors burn with brief intensity then snuff themselves out. For us, this might be sooner than later. Hmmmm. In any case, existential risk is something I’ll have to pay more attention to in the future, if we have one.
The other day I was listening to the amusing Answer Me This podcast when the name Marky Mark came up – apparently an actor, for he was chosen to star in Peter Jackson’s film The Lovely Bones. Not being too keyed in on popular culture, I’d never heard of Marky Mark (or The Lovely Bones for that matter) so I looked him up. It turned out that this was an early moniker for the actor Mark Wahlberg – whose name I’d heard of, but that was about it. Having now seen some photos of him, I don’t think I’ve seen him in anything, and I had no idea that in his early life as Marky Mark he was a notorious rapper and petty crim. But interestingly, I read that Wahlberg was now seeking a government pardon for the crimes he was convicted of as a teenager – including a few bashings of Asian-looking people. One of these incidents resulted in the victim having permanent eye damage. I don’t automatically trust too many internet sites, but the story appears to be that Marky, as a probably drug-fuelled and undoubtedly peer-influenced teen, indulged in some pretty nasty behaviour, spiced with language about ‘gooks and ‘slopes’, but he did have potential – don’t we all – and with the help of mentors he turned his life around to become, eventually, a Hollywood ‘star’. He did receive punishment for some of his crimes – and I read that he was tried as an adult for at least one of them – probably the one in which a victim lost an eye, or part of one….
I mention all this because it’s a case that raises a number of fascinating and important ethical issues. Firstly, there’s the tendency, most prevalent in the US but increasingly here too, to try juveniles as adults when they commit serious crimes, as if their ability to be fully responsible for their actions is in direct proportion to the damage they do. This smacks of a slide down the slippery slope of retributive justice – people have been really really hurt so the perp has to be really really punished, no matter that she’s eleven years old. While I have some sympathy for that attitude, and I’ll elaborate on that later, we have to accept that teenagers and children are different and that there are good, scientifically verified reasons for granting them diminished responsibility in a graded way from earliest childhood to the latest teens. The law is always a bit of a bludgeon of course, rarely taking full account of individual developmental and psychological peculiarities, which is one of the problems of ‘equality before the law’, but there’s no doubt that we generally do stupid things as teenagers and school kids, often under peer pressure, things we’d never do as mature adults. I myself got into trouble with the law for stealing, together with four or five of my friends, at the age of fourteen. We’d been egging each other on, and we perpetrated a lot more than we were charged with, but it all came crashing to a halt when we got caught. None of us were nasty brutish types, and it’s unlikely that any of us have reoffended.
Marky’s offending was rather brutish though, with serious consequences for a least one victim. His desire for a pardon is apparently driven by the fact that he’s disqualified at the moment from getting an Oscar or other accolades because of his past. Unlike me he has a permanent criminal record presumably due to being tried as an adult. He’s written a letter to government authorities wanting recognition for being an entirely different person than the one who committed those acts. Marky now does charitable work on the side like many other Hollywood stars – which is fine and dandy especially as they’re significantly overpaid for what they do and would have good reason to consider themselves bloody lucky to be in their position – but as online critics have pointed out, he’s never apologised or made reparations to his permanently-scarred victim. It goes without saying that this soul has also had a change of life since being bashed with a two-by-four all those years ago. Not much work for a one eyed Asian in Hollywood, methinks.
So this is the dilemma. Why doesn’t Marky Mark face up to the damage he did by trying to help the one person whose life he changed irreparably as an oafish teenager? That would seem to be an obvious move. And that brings me back to the treatment of serious crimes committed by persons of diminished responsibility. The reason we seek to impose harsher penalties, and for that reason to attribute greater responsibility to the young perpetrator, is because of the consequences of the crime. We believe someone has to pay for all that damage, and if not the perp, then who? It’s a really vexed question, but imposing an extremely harsh penalty on an adolescent for an extreme crime doesn’t really help, especially when the penalty, such as a prison term, will tend to harden the adolescent and make him more resentful, angry, and subject to bad influence, than he was before.
Unfortunately, we don’t live in a very forgiving society, a society which immediately seeks to help adolescents who’ve gone off the rails to the extent that Marky Mark presumably did – and I should make it clear here that I’m just using him as an example, and I’ve no idea if the facts of his case are exactly as, or even close to, what I’ve reported (I got it off the internet after all). As part of that help, he should’ve been made to face the living consequences of the damage he had done, the suffering and change he had wrought in the lives of others. But that of course would require a massive change in our system of crime and punishment. For adolescent crime though, I think it would work well, and to be fair, it does operate to some extent in some juvenile court systems, conferencing between perpetrators and victims and their families, though there isn’t enough of it, I suspect.
When I was in Canberra last year I came across an article in the Canberra Weekly, written by one Wesley Smith, director of the ‘Live Well Spa & Wellness Centre’ in Manuka, a Canberra suburb. It was called ‘Homeopathy in the cross-hairs’, and you can probably guess the rest.
I tore out the article, vaguely intending to do something about it, and promptly forgot about it, but having rediscovered it today, I’m thinking it’s not too late. An online version of Mr Smith’s (he’s not a doctor) article is here. On this centre’s website, I note that it advertises ‘holistic’ wellness (see my recent post), and offers ‘acupuncture, herbal medicine, kinesiology, naturopathy, remedial massage, meditation and yoga’ as some of its treatments – and reading the bios of Wesley’s quite large team tells me that cupping, EFT (Emotional Freedom Techniques), dry needling and ‘soft tissue therapy’ are also on offer, though I note that nowhere in these extensive bios is there any mention of a medical degree. The only mention of qualifications is in Wesley’s own bio – he has a Bachelor of Applied Science in Acupuncture from the University of Technology, Sydney (shame on the institution). But this gladbag of BS is too large to deal with, though it does indicate the depth of crazy in which our Wesley is mired. I’ll just keep to homeopathy, with maybe a dash of acupuncture (I can’t help myself).
So here’s a letter, which I’ll send by email to Mr Wesley Smith. It may mark the beginning of a rich relationship.
Dear Mr Smith
In reference to your article ‘Homeopathy in the cross-hairs’ published in the Canberra Weekly some time last year, I would like to point out some problems with your analysis of the situation with homeopathy.
Firstly, as you know, the NHMRC has now completed its review on homeopathy and its findings were made available online in March 2015. They are clear: there are no health conditions for which there is reliable evidence that homeopathy is effective. The review also states that
People who choose homeopathy may put their health at risk if they reject or delay treatments for which there is good evidence for safety and effectiveness. People who are considering whether to use homeopathy should first get advice from a registered health practitioner.
Having visited your website and read your biography, I’ve found that you’re not on the APHRA list of registered health practitioners. I could check out your team, but as I notice that no medical qualifications are mentioned for any of them, it’s probably reasonable to assume that none of them are in fact registered health practitioners.
I find it strange that in your summary of homeopathy in your article, which is reasonably accurate as far as it goes, you describe its principles as ‘challenging’, and suggest that it would be particularly so for those with some knowledge of basic chemistry and ‘a lack of imagination’.
While imaginative insight is indeed required to postulate a new theory, as with Maxwell’s insight about the relationship between electricity and magnetism, Einstein’s insight about the relationship between space and time, and Darwin’s insights about competition and variation, the really hard work involves proving the theory to be true, as I’m sure you’ll agree. Maxwell and Einstein had to develop accurate, watertight, explanatory equations as proofs of their theories, to enable them to be tested ad infinitum by others. Newton developed a whole mathematical calculus, which has since become one of the most valuable tools available to science, in order to precisely calculate his revolutionary laws of motion. Darwin devoted a whole lifetime to providing detailed evidence of adaptive development in a wide variety of species…
Yet it’s remarkable how little work has been done, especially by self-proclaimed homeopaths, to provide proofs of the efficacy of homeopathy. Imagination is hardly sufficient. It seems that, out of exasperation, as well as a sense of ‘duty of care’, the NHMRC, representing medical professionals, has decided to take on this proof-providing responsibility, and the results have been damning, but unsurprising to any one with a scientific bent and a respect for evidence.
You’ve defended homeopathy by claiming there ‘must be’ hundreds of thousands of Australians who’ve been ‘astounded’ at how their bruises respond to homeopathic arnica. Surely you can’t expect any medically trained person to accept such claims as evidence. It would be like accepting someone’s word that hundreds of thousands of people have had their prayers answered by their god, therefore their god really exists and really does answer prayers. In order for such claims to be counted as evidence – as you well know – information would have to be gathered about this multitude of individuals, the nature of their ‘bruises’, and the mechanism by which the bruises responded to the treatment. You would think that homeopaths the world over would be enormously interested in how arnica, in such infinitesimally minute doses, has this miraculously curative effect. The fact is surely sensational and would revolutionise the treatment of bruising – essentially, internal haemorrhaging – around the world, saving millions of lives. Yet homeopaths appear not to have the slightest interest in causal mechanisms. They’re only interested in claimed effects. There are no laboratories working on how homeopathic treatments work, in testing and developing their theoretical underpinnings, in finding further applications for these truly extraordinary ‘principles’. Why ever not? How can homeopaths be so irresponsible? So completely incurious?
You claim that it’s impossible to dismiss the curative effects of this treatment as due to placebo. In other words, you know that it works. That’s fantastic news, now all you have to do is prove it. I cannot believe that this would be difficult for you, since you claim that hundreds of thousands of Australians (and presumably hundreds of millions worldwide) are astounded at the treatment’s efficacy. Considering this, you must be astounded, in your turn, at the NHMRC’s final report. How could they have got it so wrong? Furthermore, how is it that in Britain a study by Edzard Ernst (himself a professor of complementary medicine), which made a systematic review of the Cochrane Database of reviews (the Cochrane Database being justly famous for its rigour), found, again, that homeopathy had no discernible effect beyond placebo? Is there a conspiracy happening here? You seem to be suggesting as much when you write of the huge profits for pharmaceutical companies in successfully trialling their products, compared to the difficulties for poor homeopaths. But homeopaths could surely unite, with each other and with these millions of delighted clients, to provide the proof you need in the form of double-blind, placebo-controlled, randomised trials with large sample sizes. After all, you yourself have testified that the treatment is nothing short of sensational. It would surely haver wider application than simply healing bruises. If these principles really work, why wouldn’t they be effective for curing cancer, ebola, malaria, or any other scourge to humanity? The benefits would be such that you would be criminally negligent not to pool your resources and provide these proofs for humanity’s sake. There would certainly be a Nobel Prize for medicine in it for you if you were to organise the trials that led to these revolutionary cures, not to mention eternal fame and the gratitude of billions…
But let’s not get carried away. The ‘revolution’ of homeopathy has been around for over two hundred years, and it has never progressed beyond the French characterisation of it as médicine douce, the kind of medicine you take when you don’t need medicine, our fabulous immune system being what it is. If it really was as effective as you claim, pharmaceutical companies would have financed the research trials in a jiff, thereby turning their millions of dollars of profits into billions. Not to mention the fact that if homeopathic ‘principles’ worked, much of the science we know would be up-ended, and most of our modern physics and chemistry would have to be scrapped.
The real situation is as described by Dr Steven Novella at Science-based medicine:
… proponents of homeopathy would have the world believe that one man, Samuel Hahnemann, stumbled upon a fantastic secret two centuries ago (actually, multiple secrets) that defy scientific explanation, have been ignored by 200 years of scientific progress, and yet to this day would turn our scientific understanding of the world upside down. For some reason, however, believers just can’t seem to produce any convincing evidence for any of it, not even that homeopathic products have any properties at all, let alone clinical efficacy. After 200 years all they can produce are endless excuses and demands for more research.
And what do we have in your article, Mr Smith? In its last lines, true to form, you make excuses about (200 plus years of) limited funding, and demands for more research. QED.
The Darwin book continues to be a rollicking good read, I’m into the post Origin period, where shit hits the fans and Darwin’s fans, led by that young Turkish bulldog Tommy Huxley, shovel shit on the opposition, captained by soapy Sam Wilberforce and the brains of high Anglicanism, Dicky Owen – the most gifted naturalist of his age, to be fair. What’s fascinating is that the Origin precipitated the last great politico-religious struggle in England, a very drawn-out affair which crossed the Atlantic and continues in the US to this day, but in England it has been a slow-acting poison to conservative Anglicanism. Liberal Anglicanism, essentially a bridge to atheism, has swallowed natural selection with a sort of diffident, dumb grace, flexible as to their god’s ever-changing plan. As a semi-student of history though, I can well understand Darwin’s own diffidence about publicizing his theory. It was bad enough for the time, had it been a century earlier (impossible of course given the eighteenth century state of knowledge) he would absolutely have been martyred for it. As it was, during the couple of decades between formulating his theory and going public, the public, especially the disaffected Chartist ‘rabble’, had become increasingly keen for a weapon to strike down the High Clergy and the swanningly civilised aristos, and apes for ancestors, monkeys for uncles, even gorillas for girlfriends, fitted the bill perfectly. Darwin, of course, presented his case as dispassionately as humanly possible, with nary a mention of human descent, and afterwards kept his head down in Downe, obsessing over pigeons and orchids and sexual selection (actually chipping away very effectively at the god-did-it argument), while Tommy Huxley, Joe Hooker and co fought the good Darwinian battle in the big smoke with consummate derring-do (don’t believe a word of this by the way, as if you would). Darwin was anything but a fighter – he had vomiting fits at the very thought of confrontation – but in his oddly reclusive way he was always the leader, because unlike many of his supporters, even the closest ones, he knew he was right. His aim, his obsession, with all his apparently arcane researches, was to keep adding to the mountain of evidence.
There are many intriguing things about Darwin. He was vain but genuinely humble, highly-strung and emotional but profoundly analytical, a hypochondriac and yet a real invalid for stretches of his life, and of course a revolutionary who hated revolutionaries. As a young, footloose, disgustingly well-heeled intellectual, he could think of nothing better than to make a pleasant living as a naturalist-clergyman, like many a gentleman among his family’s connections. By his career’s end, the naturalist-clergyman was becoming a relic, probably more due to his own productions than to any other cause.
And this leads to a consideration of his most profound impact, outside the confines of science, what makes him the most controversial and contested, and in some circles reviled, figure of the past two hundred years, and that is his, and his theory’s, complete denial of human specialness. A specialness which is at the heart of the Abrahamic religions, without which not.
This recognition of human relatedness to other species, the bringing of humans back to the pack, wasn’t an anti-Christian urge by any means, it was more a result of his obsessive interest in solving the problems of adaptation and basic survival of creatures such as barnacles, earthworms and pigeons. This obsession gave him great respect for the sometimes barely fathomable complexity and ingenuity of even the most ‘basic’ life-forms. He saw human complexity as a continuation of that adaptive process, but biologists and many other scientists were, at that time, unable to shake off notions of human exceptionality. Owen, Wallace, Luis Agassiz, Asa Gray, Charles Lyell, St George Mivart and others of Darwin’s time, all had qualms about, or simply rejected outright, the implications for humanity of Darwinian natural selection, and these represented the scientific mainstream, essentially. Darwin himself was able to weather the storm through the support of strong allies such as Hooker and Huxley, his own ability to avoid and deflect controversy, his inaccessibility at Downe, his long-suffering but profoundly loyal wife, and his habit of retreating into the messy fine detail of his studies. He also, through voluminous correspondence – he would’ve loved the world of email and Facebook – built up a huge network of scientific boffins, breeders and farmers, with whom he was unfailingly polite and charming while exploiting their specialist knowledge. So he was able to adapt very well to the challenges thrown at him.
I’m writing here as if delivering a lecture, and I do wish I could reach more people. I don’t have too many contacts with a penchant for science, or for history, but then I don’t have many contacts. But enough complaining (mea culpa after all), I note that the vaccination controversy drags on, with too many people standing on their ‘right’ to not vaccinate their children, which shows up the problems with the rights concept, which I’ve always considered artificial but a useful fiction which has helped to build a more humane global society, and speaking of globalism the battle to save the lives of Australians under the death penalty is almost over, but we should continue the battle to the end because it’s a bad law and national sovereignty be damned, and that should be the same for any national under any national or state law. Which makes me wonder, I’m not a lawyer, but what would happen if an Australian citizen was charged with a capital offence and sentenced to death in the notorious US state of Texas? Maybe they only kill US citizens, that’d keep them out of international trouble, but what we need to keep working on is an international code of ethics and an international law and I do think we’re creeping towards it slowly slowly.
It does get my goat rather that so-called naturopaths, in spite of having varied and often contradictory therapies, love to call themselves practitioners of holistic medicine. It’s a feel-good term that, like spirituality, seems to make a virtue of its own vagueness. Of course, holistic medicine can be defined in a superficial sense – it’s treating the whole person, right? But how does that work in reality, and how do naturopaths manage it?
Well, the obvious answer is, they don’t. It’s nothing more than a propaganda term.
Clearly, holistic, whole-person treatment would be fabulous if it could be achieved, but it would entail not only knowing the whole anatomy and physiology of the client, but her psychology and her entire medical history from birth, and even before. Would there be any other way of treating ‘the whole person’?
Personalised medicine may in fact become the way of the future – I’ve heard as much – but that has nothing to do with naturopathy. That has to do with science – your personal microbiome, your heart rhythms, your cholesterol, your triglycerides, your lung function, your bowel movements, your bone density (not to mention your sequenced genome), taking more responsibility for those things as far as is possible and in co-operation with healthcare providers. Naturopathy is something else altogether – it’s about herbs instead of pills (unless they’re homeopathic), ‘age-old’ treatments such as reflexology and TCM rather than invasive tests and vaccinations, getting in tune with or detoxifying your body rather than taking impersonal prescriptions to your local impersonal pharmacist.
So the question is – how did taking an entirely chemical herbal treatment from a naturopath come to seem more holistic than taking a chemical such as theophylline prescribed by your specialist?
I don’t see how a naturopath would or could treat a client as a ‘whole person’ any more than a conventional GP could. Limited info, limited time, it’s the same whether your treatments are science-based or traditional. But I do know at least one happy client who swears by her naturopath, who really does treat the whole person, unlike the medical establishment, according to her. I haven’t pressed her to explain this, but I have my own nasty theory. The woman is clearly obese, and wouldn’t take kindly to being told so, and she’s found a practitioner whose greatest skill is to tell her everything but what she most needs to hear. At last, someone who really understands her, who really listens and accepts her own expertise about her own body. And it must be said that many doctors, full to the brim of years and years of training and practice, do sometimes treat their clients in an offhand or specimen-like way. The psychological effects of healthcare practice are surely underestimated. So many people, but especially the unhealthy, want to be seen as, or made, whole. ‘Holistic medicine’ therefore, makes for a very effective propaganda label.
Yet many treatments that eagerly make use of the holistic banner are about as far from being individualised as can be imagined.
Acupuncture supposedly manipulates your ‘chi’ or ‘qi’, a system of energy flow that, if it existed, could be individualised to the client. Some clients might have a different chi from others, just as we have different blood types, different hormonal levels, different cholesterol levels, different insulin levels, etc, all of which can be measured. But acupuncturists don’t measure our chi levels and give us a read-out. Why ever not? Surely that would be the holistic, personalised thing to do. The fact is, nobody, in the supposedly thousands of years of acupunctural history, has ever thought to isolate this energy force and describe its wave function or the molecules or particles associated with its action. Nobody has even shown the slightest curiosity about the physical properties of what is advertised as a fundamental energy source in humans and perhaps all other living things. That’s fucking amazing – the only amazing thing I can say about acupuncture. Yet, apparently, there are particular points in the body where chi is more abundant, and that’s where you should stick your needles, and at a certain depth, otherwise you won’t be in touch with the chi. So acupuncture depends entirely upon chi being a physical, measurable entity…
Say no more. Your chi can’t be personalised and made a part of your whole-person profile because it doesn’t exist.
Homeopathy also likes to travel under the holistic banner, and you’ll find it advertised in all those brochures featuring glowingly healthy individuals, often dressed in white, meditating or staring lovingly at the sky-spirits. The trouble is, homeopathic treatments are designed to treat the illness, not the individual. The bogus ‘law of similars’ involves swallowing pills which are supposed to contain material ‘like’ whatever it was that made you sick. If that doesn’t sound very scientific, don’t blame me. It’s obviously a problem if you don’t know what made you sick, but the solution is simple. Just pay attention to your symptoms – say itchy skin or funny-coloured urine – and take pills containing a substance that produces similar symptoms. But hang on, won’t that just make you more sick? No, not at all, because the offending substance will be diluted to infinitesimal proportions. Okay, but won’t that render it useless? Ah but you’re clearly unaware of the ‘law of infinitesimals’ which defines a substance as increasing in potency the more it’s diluted. Welcome to the world of homeopathy, where the more truth is watered down, the more obviously true it becomes.
But the point I wanted to make here, before becoming entranced by the homeopathic mindset, was a simple one. Far from treating clients as ‘whole people’, it is solely concerned with physical symptoms. A homeopathic treatment would work just as well on a horse or a hedgehog as on a human. The client’s humanity, let alone her particular history or psychological make-up, isn’t a factor. It’s as far removed from holistic medicine as you can get.
I could go on – reflexology, iridology, reiki, chiropractic – these are all bogus, and the fact that they all jump eagerly onto the holistic bandwagon is further evidence of their crappiness. Holistic medicine is an impossible ideal, though personalised medicine, where you take personal responsibility to educate yourself about and keep records of your own health and physical maintenance, in collaboration with health specialists, is a great way to go. And that involves a lot more than just holding hands in a smiley circle.
(Being a thousand words or so of mental drivel)
I’d prefer not to be coy about the title but I’ve a job to protect.
Began watching documentary series chronicles of the third reich, yet another rake-over of that terrible but ghoulishly fascinating period, and it kicked off with noted historian Ian Kershaw saying that the regime was unique in that it aimed to overthrow the entire Judeo-Christian system of ethics that sustained western Europe for centuries. Bullshit I say. No such thing. What nazism was overthrowing, or delaying or subverting, was the progress of western Europe, for example the Renaissance and the Enlightenment, movements towards democracy, individual liberty, internationalism, none of which owed anything to the Judeo-Christian belief system. This lazy thinking and remarking continually goes unchallenged. At the height of Judeo-Christian control we had monarchical dictatorships, divine right, religious authoritarianism, extreme corruption, torture, rigid hierarchies, feudal slavery, etc, a world of inhumanity and brutality. Not saying that Christianity caused this, life wouldn’t have been any better in China or Japan, doubtless. Depended on chance and ‘birthright’ as to how well you fared.
Reading the big bio of Darwin by Desmond and Moore, thinking how so much that was radical or extreme becomes mainstream within a few generations, such as materialism, atheism, democratic principles, equality for women, humans as apes. Chartism’s aims – extension of suffrage, taxation reform, the repeal of laws too unjust to be enacted nowadays, all horrific to the upper classes, who armed themselves with crowbars to protect their homes and privileges. And among them, quite a few favouring transmutation (though not of the Darwinian kind – more a sort of Lamarckian progressive development towards the human pinnacle) and atheistic science. Makes you think of today’s accelerating trends, e.g gay marriage. All these ideas were opposed because they would bring down civilisation as we know it. Rock n roll was another one.
Also thinking how science threatened and continues to threaten religion. Moslem student asked me last week, do you think humans come from apes? Could see what his hopes were, was happy to crush them and move on. No doubt he’ll return to Saudi, ask the question again and be reassured as to his human specialness. But maybe not. But in Darwin’s day, so many associates, Sedgwick, Henslow, Lyell, Owen, Whewell, even Herschel, even bloody Wallace, couldn’t countenance our ‘demotion’ to a primate, on grounds some of them didn’t even recognise as religious. How can it possibly be argued that religion and science are compatible? Only if we have a very different religion, and perhaps a very different science – panpsychism, spooky action at a distance, positively conscious positrons.
A love-hate thing with Darwin, all his stuffy aristocratic connectedness, his family’s money, but then his boldness of ideas, but then his timidity born of an unwillingness to offend, a need to be admired, feted, but two kinds of glory, the one for a grand idea that might just outlast the opprobrium of his elite class in mid-nineteenth century England, the other for being a model member of that class, civilized, restrained, highly intelligent, pushing gently outwards the boundaries of knowledge. The tension between immediate, hail-fellow-well-met acceptance and something more, his dangerous idea, something barely digestible but profoundly transformative.
Keep reading about the hard problem of consciousness, without greatly focusing. Don’t really believe in it. We’re surely just at the beginning of getting to grips with this stuff – but how much time do we have? Dennett talks of the mind as cultural construct, Cartesian theatre as he calls it, and you don’t need to have ever heard of Descartes to wonder at how memories, rehearsals, fantasies can be played out inside the head, inaccessible to everyone but yourself, but without the boundaries of the skull, or of a theatre, no straightforward boundaries of space or time, yet composed of reality-bits, physical and emotional. One of my first serious wonderings, I seem to remember (not trustworthy) was about this boundary-less but secret place-thing called the mind. Not sure about a cultural construct, seemed very real and self-evident to me, and a wonderful safe haven where you can think and do things for which you’ll never get arrested, never have to apologise, a theatre of blood, sex and brilliance…
But I don’t think I thought then, and I don’t think now, that this was anything other than a product of the brain because to me the brain was like every other organ, the heart, the liver, the kidneys, the lungs, they were all mysterious, I didn’t know how any of them worked, and though I knew that I could learn a lot more about them, and would over the course of my life, I suspected that nobody knew everything about how any of them functioned, and the brain was just more complex and so would contain more mysteries than any of the others perhaps put together, but it had to come from the brain because, well everybody said thoughts were produced by the brain and these were just thoughts after all and where else could they come from – there was no alternative. And it seems we’re slowly nutting it out, but humans are understandably impatient to find answers, solutions. We like to give prizes for them.
Also reading Natalie Angier’s Woman, a revised version of a book brought out in the nineties. It’s a popular biology book from a good feminist perspective, and I’m learning much about breast milk and infant formula, about the breast itself, about menstruation, about the controversies around hysterectomies and so on, but her style often irritates, drawing attention to too much clever-clever writing rather than the subject at hand. It’s a tricky area, you want your writing lively and engaging, not like reading an encyclopedia, but especially with science writing you want it all to be comprehensible and transparent – like an encyclopedia. Angier sometimes uses metaphors and puns and (for me) arcane pop references which have me scratching my head and losing the plot, but to be fair it’s worth persevering for the content. But it shouldn’t be about persevering.