Thank you for your response to me, Dr. Poses,
Ja, I know of the "science wars" and criticism upon
postmodern critiques as somewhat extremists.
What I want to say is one should NOT insist everybody
must be obedient to evidence derived from EBM methodology
because they are invincible truth.
The truth is Evidence is relatively true in terms of clinical
pragmatism. Evidence is NOT impregnable, and we cannot
force to patients to obey directions of doctors because they
have evidence-base.
That is quite misuse of EBM. I think EBM is much friendly
to patient's will.
regards
SAIO
----- Original Message -----
From: "Roy Poses" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, May 23, 2002 5:20 AM
Subject: THE PHILOSOPHICAL BASIS OF EVIDENCE-BASED MEDICINE: BEYOND
OPERATIONALISM (fwd)
> In response, one should look at "Defense of a Modest Scientific Realism"
by
> Jean Bricmont and Alan Sokal. It's available on the web at:
> http://www.physics.nyu.edu/faculty/sokal/bielefeld_final.pdf
> Let me attempt a quick summary.
>
> In short, the notion that the philosophical bases of science are
pragmatism,
> positivism, and/or realism, and that these have been superseded by social
> constructivism, has been pushed by postmodernists for the last 10-20
years.
> However, radical social constructivism, which holds that all facts are
> socially constructed, scientific theories are only myths or narratives,
> and that scientific debates are resolved politically, would have
disastrous
> consequences if used in one's daily approach to the real world (e.g.,
while
> standing in the middle of the street, wondering whether the rapidly
approaching
> bus is a mere narrative for any length of time would not lead a long life
> expectancy.) Those who propose such beliefs in rarefied academic
arguments
> demonstrably don't subscribe to them in their real life activities. Thus
why
> should scientists, or those interested in applying science as best we can
to
> medical practice, pay them any heed?
>
>
> ---------------------------------------------------------
> Roy M. Poses MD
> Brown University Center for Primary Care and Prevention
> Memorial Hospital of RI
> 111 Brewster St.
> Pawtucket, RI 02860
> USA
> 401 729-2383
> fax: 401 729-2494
> [log in to unmask]
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