How One Flawed Study Spawned a Decade of LiesIs this the same APA which is defining illnesses and their cures in the DSM? And what could possibly go wrong when shrinks get to define illnesses and supposed cures?
In 2001, Dr. Robert L. Spitzer, psychiatrist and professor emeritus of Columbia University, presented a paper at a meeting of the American Psychiatric Association about something called “reparative therapy” for gay men and women. By undergoing reparative therapy, the paper claimed, gay men and women could change their sexual orientation. Spitzer had interviewed 200 allegedly former-homosexual men and women that he claimed had shown varying degrees of such change; all of the participants provided Spitzer with self reports of their experience with the therapy.
Spitzer, now 79 years old, was no stranger to the controversy surrounding his chosen subject. Thirty years earlier, he had played a leading role in removing homosexuality from the list of mental disorders in the association’s diagnostic manual. Clearly, his interest in the topic was more than a passing academic curiosity – indeed, it wouldn’t be a stretch to say he seemed invested in demonstrating that homosexuality was changeable, not unlike quitting smoking or giving up ice cream.
Spitzer’s mission to clean the slate is commendable, but the effects of his work have been coursing through the homosexual community like acid since it made headlines a decade ago. His study was seized upon by anti-homosexual activists and therapists who held up Spitzer’s paper as proof that they could “cure” patients of their sexual orientation.
Spitzer didn’t invent reparative therapy, and he isn’t the only researcher to have conducted studies claiming that it works, but as an influential psychiatrist from a prestigious university, his words carried a lot of weight.
In his recantation of the study, he says that it contained at least two fatal flaws: the self reports from those he surveyed were not verifiable, and he didn’t include a control group of men and women who didn’t undergo the therapy for comparison. Self reports are notoriously unreliable, and though they are used in hundreds of studies every year, they are generally regarded as thin evidence at best. Lacking a control group is a fundamental no-no in social science research across the board. The conclusion is inescapable — Spitzer’s study was simply bad science.
What’s remarkable is that this classic example of bad science was approved for presentation at a conference of the leading psychiatric association, and was subsequently published in a peer-reviewed journal of the profession. …
This wasn’t just anyone claiming that the self reports were valid, it was one of the most highly regarded diagnostic assessment experts in the world.…
Saturday, May 26, 2012
When Shrinks Try To Define Illnesses And Treatments
Posted by Tony Mach Posted on Saturday, May 26, 2012
5-AZA A. Melvin Ramsay Acne Advocacy Alan Light Alternative medicine is an untested danger Ampligen Andrew Wakefield Anecdote Anthony Komaroff Antibiotics Antibodies Anxiety Aphthous Ulcers Apnea Asthma Autism Autoimmune Disease Behçet’s Ben Katz Bertrand Russell Biology Blood sugar Bruce Carruthers Caffeine Calcium Cancer Capitalism Cardiology Carmen Scheibenbogen CBT/GET CDC Celiac Disease Cereal Grains CFIDS Chagas Charité Charles Lapp Christopher Snell Chronix Clinician Coconut Milk Cognition Common Sense and Confirmation Bias Conversion Disorder Coxiella Burnetii Coxsackie Criteria Crohn's Cushing's Syndrome Cytokine Daniel Peterson Darwinism David Bell Depression Diabetes Diagnostic Differential Disease Diseases of Affluence DNA DNA Sequencing Dog DSM5 EBV EEG Eggs Elaine DeFreitas Elimination Diet Enterovirus Epstein-Barr ERV Etiology Evolution Exercise Challenge Faecal Transplant Fame and Fraud and Medical Science Fatigue Fatty Acids Fibromyalgia Francis Ruscetti Fructose Gene Expression Genetics Giardia Gordon Broderick Gulf War Illness Gut Microbiome Harvey Alter Health Care System Hemispherx Hemolytic Uremic Syndrome Herpesviridae High Blood Pressure Historic Outbreaks HIV HPV Hyperlipid Ian Hickie Ian Lipkin Immune System Infection Intermittent Fasting It's the environment stupid Jacob Teitelbaum Jamie Deckoff-Jones Jo Nijs John Chia John Coffin John Maddox José Montoya Judy Mikovits Karl Popper Kathleen Light Kenny De Meirleir Lactose Lamb Laszlo Mechtler LCMV Lecture Leonard Jason Leukemia Life Liver Loren Cordain Low Carb Low-Dose Naltrexone (LDN) Luc Montagnier Lucinda Bateman Ludicrous Notions Lumpers and Splitters Lyme Mady Hornig Mark Hasslett Martin Lerner Mary Schweitzer MCS ME/CFS Medical Industry Medicine is not based on anecdotes Michael Maes Migraine Milk and Dairy Mitochondria MMR Money and Fame and Fraud MRI Multiple Chemical Sensitivity Multiple Sclerosis Mutton My Symptoms n-1 Nancy Klimas Narcolepsy Neurodermitis Neuroscience NK-Cell Nocebo NSAID Nutrition Obesity On Nutrition Pain Paleo Parathyroid Pathogen Paul Cheney PCR Pharmaceutical Industry Picornavirus Placebo Polio Post Exertional Malaise POTS/OI/NMH PTSD PUFA Q Fever Quote Rare Disease Research Retrovirus Rheumatoid Arthritis Rituximab RNA Robert Gallo Robert Lustig Robert Silverman Robert Suhadolnik Rosario Trifiletti Sarah Myhill Sarcasm Science Sequencing Seth Roberts Shrinks vs. Medicine Shyh-Ching Lo Simon Wessely Sinusitis Sjögren's Somnolence Sonya Marshall-Gradisnik Speculation Stanislaw Burzynski Statins Stefan Duschek Study Sucrose Sugar Supplements Symptoms T1DM T2DM There is no such thing as Chronic Lyme There is no such thing as HGRV Thyroid Tinitus To Do Toni Bernhard Tourette's Treatment Tuberculosis Vaccine Video Vincent Lombardi Vincent Racaniello Virus Vitamin B Vitamin D VP62 When Evidence Based Medicine Isn't Whooping Cough Wolfgang Lutz WPI XMRV You fail science forever