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1/ Public health messaging & #scicomm ≠ therapeutic relationship.
Autonomy depends on informed consent.
Publicly, we can inform, but ultimately the individual makes a choice.
Public misinformation distorts the ability to make informed consent. https://twitter.com/jonathanstea/status/1304988914092969984
Autonomy depends on informed consent.
Publicly, we can inform, but ultimately the individual makes a choice.
Public misinformation distorts the ability to make informed consent. https://twitter.com/jonathanstea/status/1304988914092969984
2/ Let's say I take a drug off-label, and it helps me. But, it's not based on any specific evidence... I would be spreading misinformation if I keep broadcasting this publicly.
Why? Because, we often arrive at our individual circumstances in quirky, idiosyncratic ways.
Why? Because, we often arrive at our individual circumstances in quirky, idiosyncratic ways.
3/ Let's say a childhood song makes me feel good and relieves my stress and anxiety.
This is something that I cannot generalize.
This isn't something that I can recommend as a professional.
No more than I can recommend anyone to watch my favorite show.
This is something that I cannot generalize.
This isn't something that I can recommend as a professional.
No more than I can recommend anyone to watch my favorite show.
4/ Advocates of "alternative" medicine are essentially advocating for the ability of professionals to charge the public money for their personal biases and preferences.
And... They drive a false conclusion that EBM professions discourage personal choice. Nonsense.
And... They drive a false conclusion that EBM professions discourage personal choice. Nonsense.
5/ If I have a patient that tells me that when they listen to heavy metal they relax, in no way would I question or discourage that. Any more than I would deny their subjective experience of pain (for example).
6/ But if this same patient asks me to blast heavy metal to help ALL of my patients and see if it works for some, that would be completely ridiculous. As would recommending this approach to anyone else.
PS. And no, studying it isn't a good idea. Prior plausibility/probability would dictate that studying hard metal as a relaxation technique is a waste of resources and time.
