The Scientism of Psychiatry

Sami Timimi
Mad in America
Originally posted January 10, 2018

Here is an excerpt:

Mainstream psychiatry has been afflicted by at least two types of scientism. Firstly, it parodies science as ideology, liking to talk in scientific language, using the language of EBM, and carrying out research that ‘looks’ scientific (such as brain scanning). Psychiatry wants to be seen as residing in the same scientific cosmology as the rest of medicine. Yet the cupboard of actual clinically relevant findings remains pretty empty. Secondly, it ignores much of the genuine science there is and goes on supporting and perpetuating concepts and treatments that have little scientific support. This is a more harmful and deceptive form of scientism; it means that psychiatry likes to talk in the language of science and treats this as more important than the actual science.

I have had debates with fellow psychiatrists on many aspects of the actual evidence base. Two ‘defences’ have become familiar to me. The first is use of anecdote — such and such a patient got better with such and such a treatment, therefore, this treatment ‘works.’ Anecdote is precisely what EBM was trying to get away from. The second is an appeal for me to take a ‘balanced’ perspective. Of course each person’s idea of what is a ‘balanced’ position depends on where they are sitting. We get our ideas on what is ‘balanced’ from what is culturally dominant, not from what the science is telling us. At one point, to many people, Nelson Mandala was a violent terrorist; later to many more people, he becomes the embodiment of peaceful reconciliation and forgiveness. What were considered ‘balanced’ views on him were almost polar opposites, depending on where and when you were examining him from. Furthermore, in science facts are simply that. Our interpretations are of course based on our reading of these facts. Providing an interpretation consistent with the facts is more important than any one person’s notion of what a ‘balanced’ position should look like.

The article is here.

The New Scientism

We can value scientific inquiry without viewing the natural sciences as free of politics.

By Kamil Ahsan
Jacobin Magazine
Originally published August 5, 2014

Here is an excerpt:

Ever since its coining by conservatives, “scientism” has been used pejoratively, most commonly by the same people who deny evolution and climate change. Consequently, leftists have historically renounced the word, signaling that that they fall on the side of scientific truth and not religion or spirituality.

This is a false dichotomy. One can value scientific inquiry without viewing the natural sciences as unimpeachable truth. And one can assail purported scientific progress without assailing science itself.

But try telling that to Michael Shermer, who, writing in Scientific American, sees in every critique of corporate behavior an anti-science temper tantrum: “Try having a conversation with a liberal progressive about GMOs…in which the words “Monsanto’ and ‘profit’ are not dropped like syllogistic bombs… The fact is that we’ve been genetically modifying organisms for 10,000 years through breeding and selection.”

The tunnel vision brought on by scientism resolves itself in a kind of social apathy, a dismissiveness of “real” problems, for which scientific data is the only antidote. This “just the facts, ma’am” approach excises ethics from the discussion and frames science as an appropriately depoliticized sphere. And in the process, it completely disregards what the humanities or the social sciences are able to tell us.

The entire article is here.

Science Is Not Your Enemy

An impassioned plea to neglected novelists, embattled professors, and tenure-less historians

By Steven Pinker

The New Republic

Originally published August 6, 2013

Here is an excerpt:

Scientism, in this good sense, is not the belief that members of the occupational guild called “science” are particularly wise or noble. On the contrary, the defining practices of science, including open debate, peer review, and double-blind methods, are explicitly designed to circumvent the errors and sins to which scientists, being human, are vulnerable. Scientism does not mean that all current scientific hypotheses are true; most new ones are not, since the cycle of conjecture and refutation is the lifeblood of science. It is not an imperialistic drive to occupy the humanities; the promise of science is to enrich and diversify the intellectual tools of humanistic scholarship, not to obliterate them. And it is not the dogma that physical stuff is the only thing that exists. Scientists themselves are immersed in the ethereal medium of information, including the truths of mathematics, the logic of their theories, and the values that guide their enterprise. In this conception, science is of a piece with philosophy, reason, and Enlightenment humanism. It is distinguished by an explicit commitment to two ideals, and it is these that scientism seeks to export to the rest of intellectual life.

The entire story is here.