The Failure of Science By Press Release
Scientific journals serve as an important conduit for the dissemination of new knowledge. Getting published in one of the big medical journals is major accomplishment. This doesn’t mean that every article published in, say, the New England Journal of Medicine is good, but it has undergone rigorous peer review and is at least somewhat likely to report a valid test of an interesting hypothesis. This peer review process is important in vetting the quality of medical research, and while it isn’t perfect, it’s better than most of the alternatives.
There are other ways of disseminating medical knowledge, many of which serve purposes other than scientific progress. If, for example, I wanted to hype a new medical procedure which I just happen to provide, I could write a blog or issue a press release. The former strategy is common at the Huffington Post, where a recent piecehyped “platelet rich plasma” injections, a procedure with little scientific validity. The author of the post provides a link to her institution, where the procedure is performed, without any disclosure of conflict of interest.
While this sort of informercial is pretty sleazy, there is a subtler way to hype your institution. Science by press release is so common it’s hardly noticed. Superficially, it’s in an institution’s best interest to control their message and to promote their research, but when the source of medical news is a PR department rather than a peer-reviewed journal the results can be unsettling, and can ultimately erode scientific credibility.
A case in point is a press release from SUNY Buffalo. The headline proclaims, “Hypnosis Can Help Control Pain Among Women with Metastatic Breast Cancer, UB Researcher Finds.” Whenever I see a dramatic claim like this, I try to go straight to the primary source. In this case, the primary source is a journal (Health Psychology) that none of my parent institutions subscribe to, so all I have to go on is the abstract. Still, an abstract can be pretty informative.
The abstract describes a study of 124 breast cancer patients:
This randomized clinical trial examined the effects of group therapy with hypnosis (supportive-expressive group therapy) plus education compared to an education-only control condition on pain over 12 months among 124 women with metastatic breast cancer.
Setting aside the problems I have with the study design and the plausibility of hypnosis as a phenomenon, the results were not very encouraging:
[T]he intervention resulted in significantly less increase in the intensity of pain and suffering over time, compared to the education-only group, but had no significant effects on the frequency of pain episodes or amount of constant pain…
I’m not sure what these results mean, other than hypnosis didn’t do that much. Cancer pain is usually treated with medications, and there was no arm in this study to compare hypnosis with this standard of care, so the extent of the benefit of hypnosis (if any) in entirely unknown. But the press release (and the study’s primary author) found a way to put these results in the best possible light:
“The results of this study suggest that the experience of pain and suffering for patients with metastatic breast cancer can be successfully reduced with an intervention that includes hypnosis in a group therapy setting,” according to Butler. “These results augment the growing literature supporting the use of hypnosis as an adjunctive treatment for medical patients experiencing pain.”
The study found a small effect on one measurement of cancer pain. To telegraph this into such a broad and strong statement is, generously speaking, premature.
Testing hypotheses and publishing an honest assessment of the results is hard work. But in the end, it’s much better for science than promotional blog posts and press releases.
References
Butler LD, Koopman C, Neri E, Giese-Davis J, Palesh O, Thorne-Yocam KA, Dimiceli S, Chen XH, Fobair P, Kraemer HC…. (2009) Effects of supportive-expressive group therapy on pain in women with metastatic breast cancer. Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 28(5), 579-87. PMID: 19751084
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Nice companion piece to yrs @Butterworthy from blog http://bit.ly/bmRRFw RT Blogs better than papers for med reporting? http://bit.ly/biwsm9
HuffPo should really be ashamed of some of the medical misinformation they publish — everything from new age snakeoil treatments to vaccine-autism link BS. It’s so irresponsible.

RT @RebeccaSkloot: “The failure of science by press release,” @palmd breaks it down in Forbes: http://is.gd/9a9AE

Matthew HerperRT @RebeccaSkloot: “The failure of science by press release,” @palmd breaks it down in Forbes: http://is.gd/9a9AE
RT @RebeccaSkloot: “The failure of science by press release,” @palmd breaks it down in Forbes: http://is.gd/9a9AE

RT @matthewherper @RebeccaSkloot: “The failure of science by press release,” @palmd breaks it down in Forbes: http://is.gd/9a9AE

RT @cwsampson @matthewherper @RebeccaSkloot: “The failure of science by press release,” @palmd breaks it down in Forbes: http://is.gd/9a9AE

RT @RebeccaSkloot: “The failure of science by press release,” @palmd breaks it down in Forbes: http://is.gd/9a9AE

“The failure of science by press release,” nice Forbes piece by @palmd: http://is.gd/9a9AE

The failure of science by press release « The Science Business - Forbes.com http://is.gd/9a9AE

The Failure of Science By Press Release http://bit.ly/a38ZmQ #psychology #therapy

The Failure of Science By Press Release: Forbes (blog) The headline proclaims, “Hypnosis Can Help Control Pain Amo… http://bit.ly/9piS0M
The Failure of Science By Press Release: Forbes (blog) The headline proclaims, “Hypnosis Can Help Control Pain Amo… http://bit.ly/9j3ExW

The failure of science by press release http://bit.ly/bxGEMP




It doesn’t cease to baffle me that whenever I turn on the news it does not seem to matter at all which channel I choose — they all seem to agree on what is relevant in this world.




Tiger Woods at the Masters: A Test of Mental Preparation:
read from @time:
I’ve never been much of a sports fan, getting excited, usually, pretty much only for championship games (and sometimes the playoffs leading up to the finale). But Tiger Woods got me far more excited than I ever dreamed I would become over any sport, including football — and I grew up in football-crazed Texas. (If you think high-school football is a waste or a joke, here’s a hint: don’t say that to a Texan!!! )
Now that Tiger has been dragged through the mud, I hope he is indeed able to stay focused on his game and returns to his former glory and to his providing enormous inspiration to untold numbers of people, and not just golfers. I remember seeing a television show about a guy, a professional chef, who had long dreamed of opening his own restaurant, something he finally did — inspired by Tiger. He said he had followed Tiger’s professional career closely, and tried to figure out how to apply Tiger’s approach to golf to his own approach to establishing his restaurant, which was inordinately successful in an inordinately short time — for which he credits what he called “Tiger tactics.” (Incidentally, the chef’s other source of great inspiration was one that on the face of it seems entirely disconnected from Tiger: Sun Tze’s The Art of War — but think about that a few minutes. Interesting, huh?)
Regarding Tiger’s problems in his personal life, you know what? — They’re absolutely, 100%, completely, and totally none of my business. He’s a golfer, not a guru. Both the media at large and the general public remind me of vampires sitting around drooling, rubbing their hands in gleeful anticipation of the next revelation. So the hell what??? That’s between him and his family, plus anyone else whom he may wish to let in. I find the morbid fascination with the “Woods’ Woes” on the part of so many repulsive. Sure, I hope he gets his personal life straightened out, especially now that it has been laid as bare as a devout Catholic bares his or her soul in the confessional. Were Tiger not already famous, his marital cheating wouldn’t raise many, if any, eyebrows. What competent editor would run a story about anyone completely unknown who couldn’t keep his pants on? Lots of guys have been guilty of marital infidelity — but they don’t become rich and famous for it.
Just as the sports psychotherapists quoted in this story all essentially say Tiger needs to stay focused on his golf in his public persona, we need to stay focused on it too.
After all, that’s why we began paying any attention to him in the first place.
I’ve never been much of a sports fan, getting excited, usually, pretty much only for championship games (and sometimes the playoffs leading up to the finale). But Tiger Woods got me far more excited than I ever dreamed I would become over any sport, including football — and I grew up in football-crazed Texas. (If you think high-school football is a waste or a joke, here’s a hint: don’t say that to a Texan!!! )
Now that Tiger has been dragged through the mud, I hope he is indeed able to stay focused on his game and returns to his former glory and to his providing enormous inspiration to untold numbers of people, and not just golfers. I remember seeing a television show about a guy, a professional chef, who had long dreamed of opening his own restaurant, something he finally did — inspired by Tiger. He said he had followed Tiger’s professional career closely, and tried to figure out how to apply Tiger’s approach to golf to his own approach to establishing his restaurant, which was inordinately successful in an inordinately short time — for which he credits what he called “Tiger tactics.” (Incidentally, the chef’s other source of great inspiration was one that on the face of it seems entirely disconnected from Tiger: Sun Tze’s The Art of War — but think about that a few minutes. Interesting, huh?)
Regarding Tiger’s problems in his personal life, you know what? — They’re absolutely, 100%, completely, and totally none of my business. He’s a golfer, not a guru. Both the media at large and the general public remind me of vampires sitting around drooling, rubbing their hands in gleeful anticipation of the next revelation. So the hell what??? That’s between him and his family, plus anyone else whom he may wish to let in. I find the morbid fascination with the “Woods’ Woes” on the part of so many repulsive. Sure, I hope he gets his personal life straightened out, especially now that it has been laid as bare as a devout Catholic bares his or her soul in the confessional. Were Tiger not already famous, his marital cheating wouldn’t raise many, if any, eyebrows. What competent editor would run a story about anyone completely unknown who couldn’t keep his pants on? Lots of guys have been guilty of marital infidelity — but they don’t become rich and famous for it.
Just as the sports psychotherapists quoted in this story all essentially say Tiger needs to stay focused on his golf in his public persona, we need to stay focused on it too.
After all, that’s why we began paying any attention to him in the first place.
Great article on Tiger Woods and the Masters
“An ultimate test of toughness?” My goodness what a farce. To play a game when strangers might say mean things to you? I dug ditches today to feed my family. I will do that tomorrow in Boulder, in 45 degree temps. You are an absurd man.
I was going to write something prolific, and then I read Jane Iddings’ response. Kudos and “wow.” I cannot do better.
Tiger at the Masters: An Ultimate Test of Toughness
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There is no question that Tiger has control of his mind and by controlling it, he will control his behavior — he will play a magnificent game of golf.
He uses all his inner resources to tap into his right brain, to program his subconscious to play that perfect or near-perfect game of golf. We can learn much from Tiger’s full use of his left and right brain.
We can also learn from the experts quoted in this article who tell us to relax (get in an alpha state); visualize past successes; keep the brain focused; program the right brain for success; have a physical trigger to prompt the right brain’s programming; repeat affirmations; and encourage his resurrection as the world’s greatest golfer and possibly the world’s greatest athlete.
Most certainly (aside from his shameful infidelities) he is a role model for programming success and practising kaizen: continuous improvement. His personal life is a learning experience. It does not negate everything else that Tiger is.
Tiger will continue to do wonderful things.
Stop the bull — he won’t even make the cut.
Tiger at the Masters: An Ultimate Test of His Toughness