Unsightly

Scanning down the BBC News headlines page I came across a few headlines that bothered me and I think they show a disconnect between what the public think and what is correct. This has always been the case but social media and the ease of connectivity now means that people who are wrong can gather together and think that being in a community of like-minded people means that their views are correct.

Holocaust Denial
Holocaust Denial

Apparently 5% of the population do not think the holocaust happened. Whether this is the same as denial I am not sure. Perhaps they just haven’t appraised the evidence. Apparently 45% of people polled didn’t know how many people were killed in the holocaust but I think that is more forgivable. To know something happened is one thing but to know numbers about it is another. As long as they all know it was a bad thing then we should be ok. There were 17 million victims in total.

What this news article seems to be pointing out is that we clearly are not learning from the mistakes of the past. We are also pretty poor at appraising evidence. Too many people don’t understand how to read articles critically and to appraise their sources of information. Too many people can easily be swayed by group-think and the idea that many people saying the same thing over and over must be right.

What’s more these people also probably don’t care that they are wrong. They are going to believe what they want because they can. They also probably think that there isn’t objective truth. They probably struggle to cope with the idea that they can be easily manipulated and are possibly being used by other forces or that they are just stupid. The reason we have experts in certain fields of human endeavour is so that not everyone needs to be an expert about everything. People should be accepting of allowing us to defer our human knowledge to people who have spent their lives pursuing the best-as-we-know-it truth in these matters. We also need to understand that it’s not just a single expert we should trust but the consensus view of the world of experts.

This is what science does. Science changes its views with evidence and sometimes it changes quickly and sometimes its a more gradual change but over time the direction of scientific knowledge is to getting things correct. In terms of history we should listen to the consensus view of academics while we learn more and more. In terms of economics we shouldn’t really listen to anyone because it’s not a science, more a dark art. In terms of Brexit we should listen to the lawyers, the economists and the scientists. We should not be listening to the MPs because they aren’t experts in those fields. They are people elected by us to represent us whom, we would think, have the best interests of the country and its citizens as a whole. But we should also recognise that they are human and so fundamentally flawed individually.

We also need to understand that sometimes we just won’t know and answer to a particular problem or that the question isn’t a valid question. Think about something from history, something like what Masham said to Queen Anne. We can’t know what was said but we can use the best evidence we have to try and build a picture. Think about the start of the universe, we have a pretty good idea of what happened and asking “what” is a very legitimate question. The problem with that one is asking “why”. Although why something happens is a legitimate question the answer is unknowable and this makes the question reasonably void. It is these gaps in answers to questions that humans don’t seem to like and in those are inserted many stupid theories along with the concept of god.

Education is how we get out of this. We need to educate the country in particular matters so that people understand why and how. This is not an easy process. To allow a decent explanation to the country on matters of importance with a series on TV or radio or the internet somewhere. Mind you, you can’t make the horse drink. Some people will choose to be willfully ignorant and others are just ignorant. Personally I think this is correlated to good effect with empathy, but that is something I haven’t investigated.

Holocaust
Holocaust

This is how it is done. We educate people. We let them understand the experiences. We talk to them. We hope they are willing to listen and learn. I do think, however, that there is an awful lot of the Dunning-Kruger effect going on with people who choose not to learn.

Asstrology
Asstrology

Two more headlines next to each other on the very same BBC News front pages as the others in this communication. I did not read each article and that may be the start of the problem but I want to point out the following:

Astrology is bollocks and, unfortunately, people fall for its charm and simplicity. Perhaps if we could educate people more about appraising evidence and understanding a little more physics we could kill off this bollocks and other religious bollocks too.

Finally, putting a question mark at the end of a headline does not good journalism make. It is really lazy. It implies that the answer is yes but also shows that the journalist doesn’t really have any proper evidence to answer the question because otherwise the question mark wouldn’t need to be there. If you have evidence then it is fact and you can write something like that as an indictment of underfunding of our roads. But if you are just using “anecdotal evidence”, or to give it its proper name; “anecdotes”, then you are just a lazy piece of shit and you shouldn’t be a journalist.

Always remember when your aunt starts telling you that she took activated carbon tablets and that cleared up her cancer that the plural of anecdotes is not evidence. People are flawed and terrible at understanding evidence. That is why science and experts exist.

Hmmm. Snoring Cure?

So, stumbled across a snoring cure. You can see the website here. Now, I’m gonna call bullshit on this right now, but that would seem rather unfair to the company so let’s look a little closer at what they claim.

I have screen clipped their website and I will discuss each section. The main page looks like this:

Snoring1

This says that you wear the ring on your little finger and that it is a snoring treatment that is guaranteed to work. Apparently it’s also been clinically tested! They have made a very specific claim here that wearing this ring on your little finger will make you stop snoring. What else do they have to say?

Snoring5

This explains how it works. Or rather it doesn’t. All it says is that there are Acu-activators on the ring. A quick google shows that this isn’t a real term and isn’t used anywhere apart from the stop snoring website.

Snoring9

It’s not looking too good for this product and we’ve not even really started. I think they may be trying to imply that the things on the ring activate acupuncture points? This is irrelevant as acupuncture is clearly bullshit.

Next bit from the www.goodnightsnoring.com website:

Testimonials amount to nothing. The plural of anecdote is NOT data. I don’t care. 3500 years of history can’t be wrong can it? Of course it can. We now use medicine with evidence not rubbish about Chi and acupuncture points. Also, being mentioned in the Daily Fail is not necessarily a good thing. In fact if a medical “cure” is mentioned in the Mail or Express you can pretty much assume it’s bullshit.

Now, the website covers this with the following page:

Snoring7They claim that a good clinical trial was performed and the results were almost a miracle. This is good because if there is good evidence then I would be prepared to change my mind. The goodnightsnoring.com website doesn’t have a link to the clinical trial. I want to be able to read it and then change my mind. It seems that these are extraordinary claims and so it would be prudent to examine the evidence.

I searched PubMed. There was nothing about the Snoring Ring as being sold here. So I tried searching Google Scholar. Nothing again, just a paper about breast cancer. This was troublesome, my two main sources for scientific papers were showing nada. I decided to look using plain old Google. I searched for “snoring ring clinical trial”.

search1

From these results I wasn’t interested in the Snoring Ring website, there’s nothing on there. I also couldn’t care for a news article in the Daily Fail [they don’t know how to report science]. The other links were mostly places that sell the product and so have probably just got the blurb from a product information release. What interested me originally was the ASA link.

In 2012 a complaint was made to the ASA about the evidence for the claims that the Snoring Ring company were making. The complaint was upheld and the company were told not to make claims about the snoring ring. The so called medical trial was completed after this ruling by the ASA!

Also in the search results was a link to ANTISNOR, a company who produce anti snoring rings. Now, this company mentioned on this page a French company who had done the clinical trials.

In 2012, a French scientific research organisation, Proclaim (www.proclaim.fr), studied the effect of AntiSnor Acupressure Ring . . . .

The Proclaim website doesn’t exist. Even though ANTISNOR link to it. Oh dear, the trail has gone cold.

There are a number of RED FLAGS on the original website. The mention of the following aspects all cause concern. They don’t mean it doesn’t work, they just mean we should be sceptical until we have seen the evidence.

  • Money back guarentees
  • Testimonials
  • No links to the evidence
  • Publicity from the Daily Mail
  • Anecdotes
  • Non invasive and side effect free
  • Appeal to antiquity on the acupressure part of the site
  • No email address to ask for a copy of the clinical trial

So far, I’ve had some people say they think this work and no actual medical trials even though one is claimed. Back to Google.

Another link from Google heads towards Princeton Consumer Research. It appears that this company will undertake clinical trials for you and then allow you to use the results in your publicity. Here’s a Princeton Brochure with their claims. After finding this I found a company called Aspen Clinical Research. They had a pdf linked here and also Aspen-Clinical-Anti-Snoring-Ring-Media-Coverage1 from my site. This PDF essentially claims that the publicity they managed to produce for the Anti Snoring ring was brilliant. They seem to be more of a PR firm than a clinical trial firm. This makes me very wary.

Aspen Clinical Research even went so far as to persuade the press that there was a National Stop Snoring Week in 2014. This is depressing reading.

stopsnoringweek

I hadn’t realised there would be companies that are willing to be paid to undertake some form of research to legitimise PR claims and also produce media puff.

Both Aspen Clinical Research and Princeton Consumer Research do not seem concerned with legitimate medical trials, rather they concentrate on PR friendly trials to produce media results. Neither of the websites were searchable from their homepages. Also, both companies seem to be offering to pay participants. This can’t be a good thing, it would bias the results. All I want is a copy of the clinical trial for the Anti Snoring Ring and I can’t find it. What I have found are companies who provide easy results for PR.

It seems to me that these companies offer to do science the wrong way around and therefore they don’t offer science. It looks like the cycle goes:

  • You have a product and want to make specific claims
  • You will be banned from advertising if you can’t substantiate these claims
  • You PAY one of these companies to do a trial for you so you can then substantiate your claim
  • You then advertise claiming scientific proof.

The correct cycle should be:

  • Scientific research indicates that a specific product could work
  • The product is developed
  • A trial is designed and the details published before being conducted
  • The product is tested rigorously
  • The product is deemed to work, the product can be advertised with specific claims
  • The product is deemed not to work, the product can’t be advertised

I feel utterly depressed at the state of media manipulation and that there are companies that do this as their raison d’etre. Everything we see and hear is manipulated to sell products. I started this communication as a simple investigation into the evidence for a product as they claim. What I found was a collection of companies willing to provide you the evidence you want so you can claim what you want for your product that (probably) does nothing.

Anyway, I can’t get to the evidence for the Snoring Ring. I haven’t found the paper with details of the trial and so I am going to complain to the ASA about their website claims. Watch this space.

Evidence – How To Change My Mind

Let’s take something that is quite obviously a load of rubbish: Homoeopathy. I will now state the following:

Homoeopathy does not work

My reasoning for homoeopathy goes as follows:

  • Implausible (there is no prior plausibility that suggests HOW it should work)
  • No good scientific evidence to show it works

I want to make the following clear:

I would love for homoeopathy to work. It would revolutionise medicine and curing people and it would also create whole new areas of physics for us to learn about.

However, the evidence does not show it works. The gold standard of medical trials, double blind random controlled, all show negative. See my “discussion“.

If you can show me the evidence and it needs to be good evidence then I would be willing to change my mind. I will shout it from the rooftops and I will become your cheerleader. I will work tirelessly for your cause because it would be so wonderful.

If you can show me the evidence I will change my mind.

I think that’s quite a simple rule to live by. It does mean I have to be able to evaluate the quality of evidence and I could make mistakes there, but I am willing to correct myself.

If what you are suggesting is a quite remarkable “new thing” then the evidence needs to also be quite remarkable to persuade me. If what you are suggesting adds to my current understanding then it will take a normal amount evidence. This is not to say I am closed minded. I would love to be wrong about many of the things I currently know are not true. It would be a brilliant and happy thing to be shown good evidence for something you say is true. As I mentioned earlier I would happily change my mind. Here’s a list of types of evidence ranging from very bad to good:

  • Anecdote [NOT evidence. NOT even interesting]
  • Testimony [NOT evidence. Human memory is remarkably poor at recalling what happened]
  • Human Experience [NOT evidence. We can only explain the world within our understanding]
  • A single experiment or non-blinded medical trial [an interesting start but NOT fact]
  • Results of single experiment reproduced by teams working separately [Good evidence]
  • A medical trial which is controlled [still more interesting]
  • Results of different reproducible experiments leading to same conclusion [this can go in stone]
  • Results of large scale double-blinded placebo controlled medical trial NOT paid for by pharmaceutical company [expect the results to lower efficacy a bit over time but this is a good treatment]

The wonderful thing about this process of requiring evidence, oh I know, let’s call it the scientific method, is that it does not rely on me believing. The truth is there whether I believe it or not. A scientist working in Japan should come to the same conclusions as a scientist working in Brazil. The scientific method leads us to knowledge whatever our social and cultural background.

A good place to start when faced with something you understand to be quite fanciful is to ask for the VERY BEST evidence for the thing. If this is poor, then walk away. Do NOT accept the following argument:

Oh, the effects are subtle and can’t be measured.

If the effects are that subtle that they can’t be measured by scientific means then they don’t exist. We observe our world and we do our best to understand it and measure it. If you can’t measure it then it deserves to be rubbished. Just because someone believes it dearly it doesn’t mean it’s any more true. Aren’t we doing them an injustice by not educating them?