Who’s the Professional?

Posted on 14/02/2012 | 1 Comments

One of my friends sent me this link: http://www.nationalpost.com/Ozzy+crazy+Prince+Darkness+white+coat+health+column/3172347/story.html. Amazing story. Apparently a “reputable” newspaper has engaged Ozzy Osborne to be their health columnist. According to his batness himself, he is well qualified to dispense health advice because: “I’ve seen literally thousands of doctors over my lifetime, and spent well over £1-million on them, to the point where I sometimes think I know more about being a doctor than doctors do.”  
 
This raises the issue of “who knows what” and how do we “know what we know”? This of course is very complex and if every page that has been written on this general topic was laid end to end they might stretch all the way to the moon and back. Now, what do you think about that statement. Did it sound reasonable to you? Was it a plausible concept? Did you dismiss it out of hand or did you sort of just accept it?
 
Here is the rub. I just made that up completely. No idea about any of those concepts. Scary!
 
If this same kind of reasoning is applied to knowing what works to help people get well when they have a mental disorder, we are in big trouble. Without an objective ruler, we can not measure. If all we have is our own experience, we can not see beyond our own lens. That does not mean that our personal experience is not valuable, it is very valuable. It just can not tell us what works and what does not work.
 
To do this we need rigorous controlled scientific studies. We should be putting all of our ideas to the highest test. We need to know what works, for whom and ideally, how? We need to know the alternatives. We need to know what does not work. We need to know the cost and compare that to the benefits. We need to know what adverse effects any intervention (be it for a person or a community) has. These are important and essential issues. We can not move forward without this kind of knowledge.
 
And we are really behind in our knowledge in the field of child and youth mental health. We do know some things, and those things that we know work we should be putting into place. Those things that we know do not work we should stop doing. But, we should be investing heavily in finding out – that means research.
 
Canada does not have a child and youth mental health research agenda. Recently, Keli Anderson, Jana Davidson and I started a process that brings together young people, parents, concerned citizens and researchers to put our collective heads together and come up with some priorities for child and youth mental health research in Canada. I encourage you to join that process. If you have any ideas please drop me a line at my hospital email address: skutcher@dal.ca. I will make sure your ideas get into the discussion.
 

As for Ozzy? Here is my question. What do you do when you do not know something? Admit you do not know or fake that you do?


--Stan

What people are saying?

Itok said...

N   I understand that the opcits of mental illness and hallucinations are sensitive subjects.  The idea of mental illness as a myth is highly controversial, and my thoughts on the subject are intended only to pose questions and stimulate discussion, not to judge.  I work with clients who experience a wide variety of mental issues and supporting them in understanding their experiences and alleviating their suffering is very important to me.I am open-minded to all ideas grounded in research or with strong theoretical underpinnings.  The specific idea of mental illness as a myth can be explored further in an article published in the American Psychologist by Thomas Szasz many years ago: Modern scientific research has provided us with an incredible body of knowledge related to the neuroanatomy of auditory hallucinations.  Scientists in the Netherlands have recently discovered that particular regions of the left temporal lobe are more active during auditory hallucinations.  They ascertained that the brain is essentially tricked into believing that a voice is coming from an outside/other source, but in reality the voice is being produced within the person’s own brain.The is a much more current discussion on the topic of choice & mental illness than is Thomas Szasz’s article from the 1960 s.No matter what the true origins of any form of mental illness or emotional distress are (e.g., choice, brain dysfunction, family/childhood origins, trauma, etc.), all forms of mental illness or distress cause great suffering to people.  People respond to different approaches to treatment in very different ways.  Some forms of therapeutic interventions are more helpful to some individuals than others.  What matters is finding an approach to treatment that is effective in reducing suffering.Thank you for your comment and for generating this discussion.

Comment made on March 13th, 2012

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This is a great set of comments and rings very true. 

I totally agree that scientists (just like everyone else) have their biases and foibles.  After all, scientists are human beings too!  But science is different than scientists. 

The scientific method is the most objective frame that we have by which to evaluate and predict.  Science is not about finding truth.  It is only about being less wrong most of the time.  The scientific method (experimental design and mathematics) gives us the ability to test what we believe.  The scientific method is not used to prove something is correct, on the contrary, the scientific method is designed to prove that something is not correct!  It is designed to test what is called the “null hypothesis”.  It takes ideas that come out of left field (or wherever else they come from) and puts those ideas to an independent test.

t does not drive our beliefs.  It does however challenge our beliefs.  In that way it is self-correcting. Of course scientific inquiry and understanding lives within a wider social context.  That is one of the great features of science. 

But gravity is gravity, social context notwithstanding.  And thus it is nasty, brutish and long.  As Brecht said, (something like this) - the purpose of science is to save us from everlasting error.

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