how to know if a treatment is science based

How do you determine if a treatment is evidence-based?

Is therapy science based?

What therapies are considered evidence-based?

Which type of therapy has no scientific basis?

Is reality therapy evidence-based?

What are some examples of evidence-based interventions?

What type of therapy is interpersonal therapy?

Is interpersonal therapy evidence-based?

What does Restoule say about Indigenous people?

Restoule claims that, for Indigenous people, “the senses can know more deeply and concretely than knowledge gained through reading and being told.”. He asserts that “knowledge is sometimes revealed through dreams, visions and intuitions.”.

What is the ICD-10 standard?

Of note, ICD-10 (the current version) is the standard that the whole world uses to classify diseases. Government health agencies use it, as do private insurers to determine reimbursement for services.

What to do if you have the law on your side?

If you have the law on your side, hammer the law. If you have neither the facts nor the law, hammer the table. It’s a little different in medicine, where, if you have science on your side, you hammer the science, but if you don’t you hammer anecdotes, sow doubt, or appeal to other ways of knowing. Regular readers will be familiar ...

Is placebo effect good?

First, a placebo effect is a good thing. The outcome is to feel your best one way or another. Now, for national guidelines, the placebo effect should be discounted. But for individuals, even if we feel better because of a placebo, that’s a good thing.

Do placebos work for everyone?

But for individuals, even if we feel better because of a placebo, that’s a good thing. Second, placebos do not work for everyone or work to varying degrees based on the situation and genetics.

Is SBM a cult?

SBM is a cult organization that is highly dogmatic. However, much of what they write I agree with such as when they debunk stuff that is just loaded with crap.

Is homeopathy implausible?

On Implausibility. There is something to be said about things being implausible. Homeopathy, for example, is implausible. I can’t say for certain anything is impossible, but homeopathy is one of those things that has such a small chance of doing anything that it’s not even worth it to try it out .

Does serotonin affect placebo?

This likely means that lower levels of serotonin can enhance the placebo response. ( rs4570625 GG is associated with a greater placebo response.) People with a variation of the COMT V158M gene ( rs4680 AA), which increases dopamine in the prefrontal cortex, are more likely to respond to the placebo treatment.

Does correlation prove causation?

Correlation certainly doesn’t prove or equal causation, but if something is correlated then I believe it’s more likely to work compared to a treatment that’s not correlated. So correlation might be evidence for something, but it’s certainly not proof. Science is actually based on correlation, if you think about it.

What is evidence based therapy?

Therapists who use treatments based on science engage in what is called “evidence-based practice” (EBP). If the treatments they use have scientific evidence supporting the effectiveness of the treatments, they are called evidence-based treatments (EBTs).

What is mental health care?

Mental health care providers (psychologists, social workers, psychiatrists) use different treatment approaches to help children and adolescents who are experiencing mental health problems. Some treatment approaches have a strong backing in scientific evidence and other treatments have less evidence supporting them.

What is triple blind study?

In a triple-blind study no person involved in the trial, including the person doing the analysis, is aware of the allocation. In a medical trial one group of people is given the new treatment and another a placebo or an existing treatment.

What did scientists do in the 19th century?

Realising that the improvement of one patient receiving a treatment didn't conclusively tell you much, scientists proposed a method of controlling very carefully exactly what was happening, and then recording any changes in the patients' condition.

Is bed rest a treatment?

Evidence changing views. Bed rest is an example of a treatment that was widely believed to be effective before rigorous testing but has since been disproved. Before 1994 doctors recommended that patients with lower back pain rest in bed.

Is bed rest effective?

Bed rest is an example of a treatment that was widely believed to be effective before rigorous testing but has since been disproved. Before 1994 doctors recommended that patients with lower back pain rest in bed.

What is the placebo effect?

There are many other factors that could have caused their recovery: for example, the patient may have felt better simply because they were being treated by a doctor. This reaction is known as the placebo effect. Or the patient's recovery may have happened anyway, regardless of the treatment.

Is minocycline safe for acne?

A systematic review of the evidence for minocycline, an antibiotic that was heavily promoted as the best cure for acne, was recently conducted to investigate its efficacy and its safety.

Is blood pressure normal?

Blood pressure measurements are thought to have a roughly normal distribution: in a large group of people a few would have lower blood pressure, a few higher, and the majority's blood pressure would be fairly close to the average.

How does science based medicine work?

Scientists can do the most fantastic translational research in the world, starting with elegant hypotheses, tested through in vitro and biochemical experiments , after which they are tested in animals . They can understand disease mechanisms to the individual amino acid level in a protein ...

When did attitudes change in medicine?

Remember, it was primarily in the 1960s and 1970s when attitudes began to change. Before the 1970s, for instance, researchers thought little of using prisoners for experiments, even though prisoners are correctly considered a population that is vulnerable and for whom true informed consent without coercion is difficult to obtain without special attention to making it happen. Indeed, in his news story Stobbe recounts an anecdote of a man at Holmesburg Prison in Philadelphia who agreed in exchange for cigarette money to have the skin peeled off of his back and searing chemicals painted on the open wounds in order to test a drug. Similarly, as the Willowbrook story shows us, it was not really all that long ago when scientists apparently felt justified in infecting profoundly mentally retarded children with hepatitis on the basis of at best dubious ethical justification.

When was the study of syphilis conducted?

This study, conducted by our very own Public Health Service (PHS) was conducted between 1932 and 1972 and examined the natural progression of untreated syphilis in poor black men who received free health care from the government. In 1932, when this study was conceived it was not inherently unethical.

When did penicillin become available?

However, in the late 1930s and early 1940s , penicillin became available, and by 1947 was the standard of care for treating syphilis. When campaigns to eradicate syphilis came to the county in which most of the subjects, study researchers prevented their subjects from participating.

What does "evidence based" mean?

If a decision is based on evidence, that means that evidence related to the issues at hand were taken into account in making the decision.

Is science left or right?

Science is, of course, not an issue of the left or the right. Science is what it is. As I see it, science is the set of best practices of inquiry, shaped by millions of thinkers over hundreds of human generations, to help us understand any and all phenomena in the universe.

Other Ways of Knowing About Medicine

• Because so much of what is being “integrated” into medicine as “complementary and alternative medicine” (CAM), “integrative medicine,” “integrative health,” or whatever the next nom du jour will be is either unproven, a distortion of existing SBM, or outright quackery, proponents of integrating pseudoscience into medicine—of course, that is not how...

See more on sciencebasedmedicine.org

“Subjective” Knowledge

Distrust of “Western Science” and The Role of The Shaman-Healer

Science, Culture, and Other Ways of Knowing