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Friday, August 24, 2007 | Science : Medicine | print version Print | Comments

Document Feeding the fear gene

by Mark Larson

Reposted from:

Health scares are almost a religion for the media - but this summer we are in danger of overdosing.

It began as a rash, a summer virus of a familiar kind, but by yesterday morning had become an epidemic, leading readers to fear for their sanity. Within the pages of a single British newspaper, it was reported that pensioners risk sexually transmitted infections because of their energetic bedhopping; that daily exposure to the sun may help to prevent cancer; that so-called good cholesterol might actually increase the risk of heart attacks; and that permitting nurses to write prescriptions is putting patients at risk.

But, although the Daily Mail has it worse than most, it is not an isolated case. Elsewhere in yesterday's news were reports that yoghurt may kill you, as may "weekend mini-breaks", while noisy neighbours can bring on cardiac arrest, potentially fatal insect bites are increasing in Britain - and making children wait to use the loo on motorway trips might make them susceptible to urinary infections. On the positive side, zebrafish might cure skin cancer.

Virulent as ebola, this outbreak of medical fear is partly explained by the conditions of journalism. The reports on which the fear pieces are based are generally published in medical journals, where they're offered for sober peer review. Such a process will acknowledge that bodies are unpredictable and still often unknowable, and the pill that cures one patient can kill another. This means that medical research, rather like law, becomes an adversarial system, proposition and counter-claim alternating. So, a week after one lot of doctors say that sunbathing will give us all skin cancer, another laboratory asserts that a tan may protect against colon carcinoma.

However newspaper reporting, a broad-brush form, tends to present the headline findings without statistical balance - how many grannies actually have the clap? What proportion of UK funerals is caused by the stress of the neighbours turning up the radio, or by taking a few days in Amsterdam? This approach has not changed, but what is new this summer is the increase in space for tabloid quackery because of a general decision to give Gordon Brown a period of quarantine from the kind of anti-government coverage that has filled front pages for years. Blair scare has been replaced by health scare.

A deeper explanation, though, is psychological or anthropological. By interesting coincidence, Channel 4 this week screened a remarkable film by Richard Dawkins in which he examined the paradox that, though homeopathy and other alternative medical therapies are scientifically ridiculous, they are successful for a significant number of patients. His conclusion was that, though homeopathic treatments consist of water and a speck of something else, they work because the practitioners of the art are generally kind, gentle people who offer a length and intensity of care impossible for GPs. What alternative medicine is offering is that old parental medicine: TLC.

In the film, Dawkins didn't link this with his other area of investigation - the durability of organised religion - but there surely is a connection. Alongside the "selfish gene" best-sellingly identified by Dawkins, there seems to be a "fear gene" or "lonely gene" that predisposes people to respond to kindness and reassurance, even to the extent of reversing illness and injury.

The cliched idea of doctors playing God here takes on a new meaning. What the writer Anthony Burgess called the "God-shaped hole" that many humans feel the need to fill can also present itself as a doctor-sized gap and, in a world becoming more generally secular outside pockets of religious intensity, is perhaps more likely to do so. Just as religious doctrine can make life more tolerable by offering scientifically unverifiable promises that bring psychological benefits, so does alternative medicine.

But the extent to which health has become a displacement religion - a desire for a spotless body replacing that for a pure soul - is shown by the daily diet of scare stories in the papers. In most religions, the hope of the faithful is encouraged by fear of what may happen if they fail to comply. The media, with burning sermons every day, including Sunday - warning that what you've got in your fridge or your genes may finish you off - are the Book of Apocalypse of the Church of the Latter-Day Quacks; the medical correspondents and headline writers its high priests.

This matters because worship of the god of the body has consequences. These may not be as serious as the perversions of organised religion - jihad, murdered abortion doctors - but they still matter.

The worst that can happen from the reports of octogenarians with gonorrhoea is longer queues in Boots as arthritic fingers fumble out the change for a packet of three. Other sermons, though, have potentially fatal consequences. The bewilderingly conflicting pieces on the mechanics of blood pressure and cholesterol may convince patients to abandon medication. The injunction to let children pee whenever they need could lead scores of cars to pull on to the hard shoulder where, road statistics show, they face much greater risks than urinary infection.

The biggest medical risk, though, is reading a summer newspaper, in the car or anywhere else. That can really make you sick.

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1. Comment #65408 by Yorker on August 24, 2007 at 5:15 am

 avatar"His conclusion was that, though homeopathic treatments consist of water and a speck of something else..."

No, there's not even a speck!

This guy watched the program, I guess he didn't listen. People who wrongly report on something annoy me, it's not as if he had to figure anything out, just pay attention!

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2. Comment #65409 by Yorker on August 24, 2007 at 5:25 am

 avatar"Within the pages of a single British newspaper, it was reported that pensioners risk sexually transmitted infections because of their energetic bedhopping;"

What! Where is this happening? I'm almost a pensioner and there's not much coming my way I can tell you! Please give me directions, I'll take the risk. :)

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3. Comment #65410 by Yorker on August 24, 2007 at 5:34 am

 avatar"..potentially fatal insect bites are increasing in Britain"

What insects? I'm sure I'm not alone in noticing the severe lack of insects in the UK these days. In years past you could guarantee plenty of wasps around in Scotland during August, this year I've yet to see a single one! Not just wasps; bees, moths, daddy-long-legs, flies and even spiders seem to be in deep decline. Ever since I returned to Scotland I've noticed this, not just this year; seems that E.O.Wilson was right on the button.

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4. Comment #65412 by JanChan on August 24, 2007 at 5:41 am

Alongside the "selfish gene" best-sellingly identified by Dawkins, there seems to be a "fear gene" or "lonely gene" that predisposes people to respond to kindness and reassurance, even to the extent of reversing illness and injury.


Ok, this guy really doesn't know what the proposition in the selfish gene is. It definitely not that there's a gene that makes people behave selfishly, it's that genes are inherently selfish by virtue of competing with other genes.

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5. Comment #65413 by Philip1978 on August 24, 2007 at 5:41 am

 avatarYorker,
You did say "almost" a pensioner, give it a bit more time!!

I agree with most of what this guy is saying, I found a similar thing in Bowling for Columbine, I don't quite know what to make of Michael Moore but his point about the media perpetuating fear in the populace was a well thought out one. I thought that the idea of fear spreading in America causing the gun crime to go up was quite good, I am worried about the recent increase in gun crime in England, its getting stupid and I think the media has a lot to answer for. 10- 15 years ago where I used to live the idea of someone being shot or stabbed there was unthinkable, now I hear stories pretty much each month of the most horrific things going on.

But I think I will keep the idea of bed hopping if I reach a pensioners age in mind!

Right, I am off for a cup of cancer stopping Tea!!

Philip

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6. Comment #65414 by Yorker on August 24, 2007 at 5:42 am

 avatar"The worst that can happen from the reports of octogenarians with gonorrhoea is longer queues in Boots as arthritic fingers fumble out the change for a packet of three"

'Er....I don't think so, an octogenarian with arthritis isn't even going to try applying a condom to an imaginary erection, his partner will have probably died before he even got the packet open!

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7. Comment #65415 by scooternyc on August 24, 2007 at 5:49 am

 avatarI may be mistaken, but the more people understood about science, the more each person could understand objectively the statistical probability of any given situation.

In doing so, you take fear out of the equation and instead insert reason and logic about decisions regarding one's health and well being.

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8. Comment #65427 by Yorker on August 24, 2007 at 6:24 am

 avatar5. Comment #65413 by Philip1978

The two strongest points the pro-gun lobby in the USA has are these:

1. The police come after my wife has been murdered or my daughter raped, how can I protect my family without a gun?

2. When you take away guns from law-abiding citizens, only criminals will have them.

The increase of gun-crime here lends weight to their 2nd point. I was burgled twice in the USA, the second time the police advised me to buy a home defence weapon; I did.

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9. Comment #65433 by nickthelight on August 24, 2007 at 6:43 am

 avatarIm glad someone has mentioned the 'panic panic panic' style of reporting that seems to be so frequent in the British press, particularly the Daily Mail and the Mirror. I don't know if this is the same in most other countries, but in the past we have been told that vitamins will kill us, then they are ok, then red wine is good then bad, blah blah blah.

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10. Comment #65447 by Philip1978 on August 24, 2007 at 8:09 am

 avatarYorker,

I understand a bit, I guess guns make me feel uncomfortable. When I went to America and South Africa when I was 19 I was aghast to see policemen with guns, I even had a couple of policemen point guns at me as they were arresting the drug dealer next door to the hostel I was staying in. One had a pump action shotgun, the other a Barretta pistol, it was peculiar because I had never seen anything like it before.

In England it is something I guess I am simply not familiar with, we have an armed response unit for treating gun situations. I think its more my experience that forces my opinion. The only people I know with guns are farmers! Look at Michael Moore, he got a gun at the bank he registered in for goodness sake! If some stupid burglar wants to come in my flat I will twat him with my cricket bat, I hate the idea of shooting someone, they could die rather than have a bloody awful headache and busted bollocks! I would beef up the home security as much as I could but the idea of shooting someone horrifies me and unless it was absolutely necessary I simply couldn't do it. But that is just me, I am sure in America it is different because people are more used to guns than I am. I am simply appalled at how easy it is to get a gun plus the horrific accidents that happen with them being in a house with small kids in etc

Those points you made I agree with up to a point but I think my dislike of guns would never force me to get one, despite the criminals having access to them.

Philip

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11. Comment #65448 by hungarianelephant on August 24, 2007 at 8:14 am

 avatarscooternyc – Educate people about science? That's just crazy talk.

I thought this article made a good point, and it's one that's easy to miss for most people who are reasonably familiar with science. That is that science has a lousy public image. In his documentary, RD seemed to be suggesting that alternative remedies were undermining science. That may have an element of truth, but I suspect it puts the cart before the horse. It seems to me that many people turn to alternative remedies precisely because they are sceptical about conventional medical science.

I see the parallels in law. The public image of judges is pretty terrible. They are seen as senile upper class twits, who have no understanding of ordinary life. I've met lots of senior judges, and that perception couldn't be further from the truth. Almost without exception, they are very smart people who have perfectly normal lives. But therein lies the problem. The public don't often encounter Lord Justice Splendid in the Court of Appeal. They are more likely to encounter District Judge Bastard-Face in Romford County Court. There's a much higher chance that he will be impatient, aloof, bored, downright incompetent or all of the above.

Medical science achieves some amazing things, but that is not most people's experience. When they encounter a doctor, most are given 8 minutes and a prescription. GP's can't necessarily be blamed for this – they work within the constraints of a system which favours this – but that is not the point. Meanwhile, the mainstream press laps up stories warning of dire consequences if we don't immediately eat more broccoli, eat less chocolate … no wait, more chocolate, drink exactly two thirds of a glass of red wine every day, blah blah blah. The "advice" often directly contradicts what we heard a year ago, or is laughably detached from reality. Does anyone really think two pints of beer constitutes "binge drinking"?

The fact that most of this is media twisting of questionable "reports" by people not good enough to do proper peer-reviewed science is beside the point, since the public doesn't generally see the difference.

So it shouldn't surprise us when people develop a distrust of "conventional" medicine and look at the supposed alternatives.

What's the solution? I don't know, but I suspect scooternyc has part of the solution. Educate people about real science, and they might be able to tell the difference between hype and fact. A crucial part must be in teaching the concept of scientific method. I bet not one school-leaver in 100 would be able to give you a reasonable summary of it – even the ones taking science. Why? Because it's never properly taught, just like logic and critical reasoning. It's just assumed that we will pick up the method. Most of us don't.

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12. Comment #65451 by oarwhat on August 24, 2007 at 8:49 am

Philip, guns are like anything. Become familiar with them and the fear goes away. I live in a bad area of the USA, and I have home defense weapons. People around here know this and leave my stuff alone. There are break-ins around me, robberies and such. They leave me be. I have no interest in shooting anybody, and the vast majority of gun owners are the same. However, if you come to do harm to me, be ready. I hope to never fire a weapon in defense, but if somebody comes in my house with bad intentions, look out.

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13. Comment #65458 by geckoman on August 24, 2007 at 9:36 am

oarwhat

I think you could make a case that if any Jehovah's Witnesses come to your door, they come with bad intentions-ie to convert you to their warped and insane worldview.

In that case a few shots in their direction would be entirely justified.

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14. Comment #65460 by oarwhat on August 24, 2007 at 9:41 am

geckoman;
Although I think the law would support me in that, I would find more entertainment in taking Philips coure with the bat in that case. It is funny though, everytime the JW's come through my area, even when I am outside in plain site, they leave me alone. I wonder if it is the big red A on my shirt?

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15. Comment #65461 by n0rr1s on August 24, 2007 at 9:45 am

The problem of unscrupulous reporting is a big one. Even if everyone were capable of employing the scientific method in their reasoning, nobody has the time to become an expert in every field of knowledge, and unless you actually read the scientific papers yourself, you're going to have to take a lot of things on trust. Understanding how to reason can help you decide who to trust, and to spot obvious flaws in arguments, but you can still get fooled if the author is somewhat skilled at deception. I find it difficult to judge the merits of articles on which I know little about the controversial topic, such as global warming or, when circumcision is an appropriate medical treatment.

Of course, as things are, the mass media is most people's only source of information. I think they see them as an authority, and accept whatever they hear. Unfortunately, I have no idea how we can force journalists to behave responsibly.

I am reminded of a poem that I just read by Humbert Wolfe. It seems fitting here:

You cannot hope to bribe or twist,
Thank God, the British journalist.
But seeing what the man will do
Unbribed, there's no occasion to.

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16. Comment #65462 by n0rr1s on August 24, 2007 at 9:49 am

geckoman, oarwhat: sure, taking some weaponry to the Jehovah's witnesses might be a giggle. But for maximum fun, invite them in and subject them to some logic. Watch 'em squirm. They never seem to come back after that...

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17. Comment #65469 by Dr Benway on August 24, 2007 at 10:48 am

 avatar
hungarianelephant: A crucial part must be in teaching the concept of scientific method. I bet not one school-leaver in 100 would be able to give you a reasonable summary of it – even the ones taking science. Why? Because it's never properly taught, just like logic and critical reasoning. It's just assumed that we will pick up the method. Most of us don't.
I work with a bright young woman pursuing a master's degree in psychology. Her instructor asked for a paper demonstrating critical thinking skills. She wrote about competence and guardianship for people with serious mental disorders, and some of the practical problems for this population.

After a few minutes, it became clear to me that she felt "critical thinking" meant appreciating both sides of a controversy and being able to weigh competing values.

I explained how I'd judge a person's critical thinking skills:

1. can the person tell when a conclusion logically follows from certain premises?
2. can the person propose alternative hypotheses for a given phenomenon?
3. can the person describe ways to rule-out competing hypotheses?

I recommended she Google "logical fallacies" for a start. I'm also going to lend her a book, Rival Hypotheses: Alternative Interpretations of Data Based Conclusions by Schuyler W. Huck. It's full of short summaries of dodgy research, followed by a question or two. You flip to the back for answers. Lots of fun.

It genuinely surpised me that this intelligent, college educated woman didn't have a firm grasp upon what "critical thinking" means.

If Dawkins is thinking of topics for future TV shows, might I put in a request that he consider critical thinking? Someone needs to teach people that critical thinking is not the same as being critical, or being aware of controversy.

It's deeply troubling that the words "critical thinking" have become a shibboleth for "teach the controversy" right-wing political tactics.

I envision a two-part series: the first to define reason; the second to illustrate how easy it is to fool one's self, and therefore the high value science places upon corroboration and peer review.

Content ideas:
- Ramachandran is a good source for perceptual illusions, and he comes across well on camera.
- Comparisons between normal and autistic brains illustrate how normal brains constantly corrupt sense data in service to processing efficiency.
- The Monty Hall problem is a great way to show how our intuitions about probability go wrong.

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18. Comment #65473 by Philip1978 on August 24, 2007 at 11:34 am

 avataroarwhat

Am glad you are open to the suggestion of burglar getting contact with some decent English Willow!

I see what you mean about being used to the guns, I guess if I had grown up with it I would be more comfortable with it all but I just would get more satisfaction of of giving a burglar a good solid cover drive! (Cricketing term, meaning to slap it out to the boundary in a certain place on the pitch!)

In all seriousness though, in England we have recently had some 11 year old shot and killed by a teenager who had got his hands on a gun, what a waste of life, its so terrifying. I hear countless stories from America, esp that one in Bowling for Columbine about a kindergarten kid who got hold of his uncles gun and shot his classmate. It breaks my heart that these things happen because guns are so dangerous. I could blame a lot of things on why guns are so popular, esp rap culture and gang culture but I don't want to make sweeping statements like that without further research. Guns just worry me because I am not used to them being around me and I worry so much that they can do such untold damage to people who are in the wrong place at the wrong time.

However, on a lighter note, I do feel the Witnesses are fair game and proceed to terrorise them hehehhe!

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19. Comment #65476 by oarwhat on August 24, 2007 at 11:53 am

Philip,

In my belief system, the world would of course be a much better place on all levels without guns, just as religion, they can and are used incorrectly. This being America, were the lawsuit thrives, I had a friend who had a man kick his door in, so he locked himself and his wife in the bed room. The guy kicked that door in as well, so my friend took action, hit the man once in the face, broke his nose and cheek bone. The intruder sued , and won. Had my buddy shot the man in self defense, there would have been no lawsuit. That does not make it right, but it does make it America.

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20. Comment #65501 by Yorker on August 24, 2007 at 1:36 pm

 avatar20. Comment #65476 by oarwhat

I mentioned earlier about a cop advising me to get a home defense weapon, he also said that if I had to use it make sure I didn't shoot the attacker in the back and only inside my house, then he grinned and said:

"...or at least make sure he's inside before we get here!".

My neighbor had one of those signs that says:

"This house is guarded 4 nights a week by Smith & Wesson; you guess which 4!"

Philip:

Guns are popular in the UK because they're illegal and they make frightened people feel braver. Given that many kids today are raised to be selfish by selfish or uncaring parents; have no respect for life, even their own; and will always want what society won't give them, then it's not really a surprise they are violent. From an early age all they see and hear is buy this, buy that, the message is you're not cool without possessions, but many can't buy so they steal.

Yes, the IOD must accept some blame but they are themselves driven and funded by corporate greed; they are the real villians, they screw everyone, some even make the mistake of screwing their own kind and of course that's a big no-no as recent scandals have shown. I myself was screwed out of a huge sum of money, but I wasn't a member of the right club so I lost. It's a club you can only be born into or have so much money that they make sure you become a member. The sad fact is the average sucker stumbles through life not even knowing what goes on, many of them fall for the bullshit and criticise people like me, it's a disease very much like religion actually. Indeed, the best consumer is the person who toes the line, keeps buying without thinking, is religious, royalist, patriotic and dies on command. Identical for the USA - just skip the royalist.

I've ranted politically: must be the mood I'm in; no apology though. :)

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21. Comment #65506 by Corylus on August 24, 2007 at 1:54 pm

 avatarDr Benway said
After a few minutes, it became clear to me that she felt "critical thinking" meant appreciating both sides of a controversy and being able to weigh competing values... It genuinely surpised me that this intelligent, college educated woman didn't have a firm grasp upon what "critical thinking" means.

You know what I think this is about? A nasty confusion between critical thinking and critical theory.

I know that relying on wikipedia is a bad thing, but I have to say that their entry on "critical theory" is quite interesting in this regard.

http://en.wikipedia.org/wiki/Critical_theory

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22. Comment #65529 by Dr Benway on August 24, 2007 at 3:36 pm

 avatar
Corylus: ...A nasty confusion between critical thinking and critical theory.
I think you're right. The student was wondering aloud why her teacher didn't like her paper. Either she'd developed a sense of "critical thinking" more in line with the notion of criticism, and so missed the mark, or there's some other communication problem with the teacher.

In a debate over textual interpretation, the person offering the most coherent and, well, sexy point of view dominates. But this approach is not appropriate to science. Science strives to be independent of particular subjectivities. You'll never read something like, "Analyzing these data from a feminist perspective, we find that..."in a proper scientific paper.

A lot of smart, powerful people running our government don't seem to appreciate the distinction between critical thinking and criticism. You might sell a social policy with a clever marketing campaign. But you can't establish scientific truth like this. You can't make intelligent design a more plausible hypothesis by pouring money into an MTV style movie. ID will remain bollocks no matter how many people vote to teach it in school.

Imagine being a shuttle astronaut. One engineering team wants to convince you that the foam hitting the craft during liftoff isn't a serious problem; another team is worried. In deciding whether or not to fly, would any of these factors make a difference: which team has more supporters, nicer Powerpoint slides, tastier finger foods at their parties, more attractive speakers, better funding, or a political party affiliation like your own.

Truth isn't always a function of the narrative. I'm sorry. No.

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23. Comment #65700 by hightrekker on August 25, 2007 at 7:09 pm

These should help our New Age Friends--
http://www.ericisgreat.com/tinfoilhats/index.html

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24. Comment #65827 by hungarianelephant on August 27, 2007 at 1:38 am

 avatarDr Benway - Thanks for the Huck reference. I'll look that up.

I'd also like to see a series from RD on reason - what could be more relevant as Professor of Public Understanding of Science? - but I fear he'd be preaching to the choir on this occasion.

In another thread OhioAtheist suggested teaching critical reasoning at kindergarten level. I don't see why not. I've known 3 year olds who can spot a problem with logic and don't see why this couldn't be developed. The whole class could play a game of Spot The Fallacy, where the winner is the first person to say why the teacher is being silly. Then in first class we could move on to Test Teacher, where the kids work in groups to design experiments to test a theory, while the teacher tries to come up with ways to cheat the experiment.

Now if they can only keep the kids from rioting for long enough ...

Other Comments by hungarianelephant

25. Comment #65845 by Veronique on August 27, 2007 at 4:48 am

 avatarYorker, what's that avatar all about? You are a Scot. Tell me please, or, at least, give me a good story:-)

I love stories
V

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26. Comment #65850 by pewkatchoo on August 27, 2007 at 5:34 am

 avatarV
Looks like the last of the Mohicans to me!

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