Filed under Science, Tech by TruePath | 0 comments
The capability of computers and our ability to program them seems to be increasing exponentially. Even if we hit a brick wall in terms of increased miniaturization and frequency our CS knowledge seems sure to continue building on itself. It stands to reason that within the next century we will have the ability to build computers, or at least augment our own brains, to create entities smarter than ourselves (whether or not you think they will have experiences). But if our creations are smarter than us then, barring any limit imposed by fundamental physics, one would think they could improve on our design and design another generation that was even smarter. These machines (or augmented humans) would soon reach transcendent levels of intelligence and change our society beyond recognition.
At least this is (more or less) the notion of the Singularity as popularized by Vernor Vinge and Ray Kurzweil. For more details I recommend reading Vinge himself or checking out one Kurzweil’s many interviews and talks (audio) as well as his webpage. These are certainly two very smart individuals who have the rare ability to look beyond the specifics and take a fairly clear headed look at how technology will transform society. But smart doesn’t mean infallible and predicting the future is a notoriously difficult business.
While I used to find the arguments for the singularity convincing I’m now much more skeptical. In particular it seems the argument for the singularity rests on a misconception of intelligence. I mean it seems obvious to us that if someone was significantly smarter than us they would be significantly better at designing intelligent computers or human augmentation. But that’s because we both assume that intelligence is some kind of fully general ability to solve problems and conflate intelligence with technical skill and achievement. After all we rarely see people’s raw IQ scores so we tend to simply call people intelligent if they are especially capable in technical fields or other academic endeavors. However, while intelligence is certainly helpful much of what makes for a good scientist or engineer is their store of accumulated experience, both personal and distilled into formal education.
While it does seem that people’s ability at a wide range of reasoning tasks is substantially correlated this doesn’t mean talking about intelligence makes sense for anyone but biologically natural humans. It seems quite plausible that there is no such thing as general reasoning ability. Rather there are only heuristics applicable to certain types of problems, e.g., ability to do mental rotations, solve crosswords, recognize objects etc.. Yet if so there is no reason to believe that there is any good heuristic for designing good heuristics, in fact it seems downright unlikely. Thus just because we were able to find a collection of heuristics that give rise to something better at math and play chess than us doesn’t mean we should expect it to have a substantially easier time discovering better heuristics for the next generation. Sure, we will probably be able to create beings who can remember more numbers, do CAD drawings in their heads and so forth but the singularity requires an exponential (or at least super-linear) increase in capability over time so mere elimination of minor inefficiencies we have at AI design isn’t sufficient.
Even in mathematics people primarily reason inductively. We don’t blindly search for a formal proof, rather, we try the same techniques we’ve seen work in ’similar’ problems in the past and attempt minor modifications. In other words what makes someone a good mathematician is largely their mental collection of heuristics they use to approach problems. While continued miniaturization of computer chips might enable AI to reduce the time it takes to do mathematics pure increases in computational speed a may already be near the physically practical limit (though going 3D and using light should eventually give a few more orders of magnitude) and certainly this effect wouldn’t be sufficient to create the singularity. Thus it seems the singularity requires a sequence of exponentially increase sequence of better and better heuristics to guess the true theory based on limited data. In other words a more effective form of scientific induction.
In other words people currently use some heuristic to guess at a rule underlying a set of observations. We make some finite number of observations about disease occurring near wells near sick families and hypothesize that disease can be spread through the water. We observe some examples of current generated by metal exposed to various frequencies of light and hypothesize that light must come in quantized units. The singularity seems to require that not only is there a heuristic that lets us make equally effective guesses at the true theory based on less information but that there is an exponentially increasing sequence of such heuristics. Moreover, it would be necessary that each heuristic can discover the next in roughly the same amount of time despite the substantially greater performance each subsequent heuristic requires. Frankly, I find this somewhat implausible.
Filed under Miscellaneous, Science by TruePath | 0 comments
So today on science Friday on NPR they had some kind of expert on smell on the program. According to him scientists have actually done studies that when women pass gas it has a stronger smell per volume of gas than male emissions. Apparently though men pass a greater volume of gas, perhaps explaining the difference.
Frankly, I’m just amazed that this has been studied. To be fair it was probably a result noticed during a more general study of the subject but it’s still amusing to think that some poor grad student’s job was to document people’s farts and collect samples. Makes me glad I’m not doing an experimental science.
On the plus side that grad student had an interesting answer when people asked what they did but I don’t know if it was a plus for getting dates. It would also make for some amusing work experience on a resume.
I wonder if they have this information up on wikipedia. This is the sort of totally useless information that is important to record and catalog. Both to protect future generations of graduate students and to settle drunken bets.
Filed under Science/Gender Differences, Social Issues/Race and Gender by TruePath | 0 comments
I know I’m beating this issue to death so I will try to keep this post short but reading slashdot today I ran across this awful article from the Wall Street Journal Blogs saying women write better code than men. Now in and of itself the idea that statistically women write better code than men is neither absurd nor offensive but this article might as well have been ripped out of a 1950s era stereotype about women’s inferiority at math1.
Emma McGrattan, the senior vice-president of engineering for computer-database company Ingres–and one of Silicon Valley’s highest-ranking female programmers–insists that men and women write code differently. Women are more touchy-feely and considerate of those who will use the code later, she says. They’ll intersperse their code–those strings of instructions that result in nifty applications and programs–with helpful comments and directions, explaining why they wrote the lines the way they did and exactly how they did it.
This remark is shortly followed by an equally over broad statement to the effect that men are too interested in showing off how clever they are to write readable code. Now while it’s certainly possible that (of the people who program) women are somewhat more likely to write better code (though I know of no evidence to this effect) this article adopts the sweeping tones of stereotype and bias to suggest that individual hiring decisions should favor women on these grounds. It is exactly this sort of unwarranted assumption that group characteristics make a difference even after individual factors (like say looking at previous code they have written, interviewing them) that distinguishes outright prejudice and discrimination from mere scientific hypothesizing. Well that plus the tendency to offer totally unsupported explanations that play into gender stereotypes (women are more touchy-feely).
If the conclusion had been the other way around and suggested that women were too touchy-feely to program well this vice-presidenty would probably quickly find themselves out of a job. This is why I blame faux feminism for this sort of attitude. It is exactly the confusion of feminism with the idea that we should cheer on women like they were a sports team that creates the impression this kind of harmful remark is reasonable. Despite obviously validating the idea that we should hire people based on unproven stereotyped generalizations about their gender instead of individual accomplishment this remark is seen as ‘ok’ because it favors hiring women. Another good example of this effect is how acceptable it has become to advocate for single sex education when coached in terms of helping women, even when the underlying theory would make Larry Summers cringe.
Now if the only harm these attitudes inflicted was a bit of discrimination against men you might reasonably think it wasn’t a huge deal2. However, you simply can’t train people to accept traditional gender stereotypes and discriminate based on those only when it gives a certain kind of result. If you convince people to hire women for coding jobs because they are more touchy-feely you can’t avoid the fact that they are going to turn around and favor men for jobs in math, physics or the military where being touchy-feely is perceived as a negative (perhaps with some justification). Hell, even being good team players and leaving clear directions are going to be negatives for some job.
In fact I think what we are seeing right now is the harm of being touchy-feely about gender equality. The point is that deciding what views/people are good based on who sounds like they are on your side might have been fine when discrimination was primarily overt but when the primary concern is the affect of societal gender roles and semi-conscious stereotypes the greatest danger comes from the people encouraging that type of thinking and behavior, especially if they do so while claiming the `feminist’ moral high ground.
Filed under Science/Gender Differences, Social Issues/Race and Gender by TruePath | 1 comment
So in a recent post I argued that we really shouldn’t care at all if there are innate gender differences because such differences would be irrelevant to our judgments about any individual’s ability. In that post I simply took it for granted that the presence of innate gender differences really shouldn’t affect our judgment of people’s ability but now I see this is a point I need to explore at greater length. In particular I think there are three major fallacies that people fall into which leads them to assume that the question of whether there are innate statistical differences in men and women’s proclivity for math and science makes a difference in people’s daily lives. These fallacies lead people to think that the existence of innate gender differences would somehow justify gender discrimination and bigoted stereotypes. Of course not liking the consequences of a theory is no reason to reject it but in this case it’s certainly worthwhile to repudiate the fallacious thinking that makes people care so much about this issue.
The three fallacies that I’ve noticed are the following.
- The confusion of small statistical differences with our intuitive notion of a valid generalization.
- The belief that innate factors are somehow set in stone while cultural or social effects are temporary and thus justify different inferences.
- Failure to appreciate the power of conditionalization.
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The first fallacy is pretty obvious but very hard to correct. Most people don’t have good quantitative skills, much less experience with statistics so tend to translate claims about small statistical differences into simple stereotypes. Even people who should know better often don’t apply their quantitative training to this domain. This is why you see people respond to claims about innate statistical differences as if someone had claimed that women simply couldn’t do math and science. Once you get beyond this point you tend to run into the second fallacy.
Unfortunately both sides in the nature vs. nurture debate encourage the notion that innate differences are simple matters of ability and social effects are easily overcome issues of confidence. This leads to the fallacious conclusion that somehow innate differences call for a policy of denying women positions in math/science while nurture effects simply call for more encouragement. This couldn’t be further from the truth. One of the largest determiners of math/science achievement is interest and any possible innate differences could just as easily be differences in interest as they are differences in ‘ability.’ Moreover, it’s totally unclear to what extent differences in experience and exposure at young ages make. Thus it’s easily possible that the current gender gap could be the result of some innate difference that makes girls less interested in science as currently presented but small tweaks in science education could grab their attention. Alternatively it’s surely possible that the gender gap is the result of deep cultural forces that are nearly impossible to change and can’t be compensated for by our educational system, e.g., the type of behavior that attracts male romantic interest biases girls away from math and science. Quite simply there is no simple moral or effect on our judgment that one answer to the nature/nurture debate should have as opposed to the other.
The third and last fallacy is perhaps the most problematic, particularly in light of the second fallacy. People tend to assume that if women statistically tend to be worse at task X this is reason to lower their estimate of some particular woman’s (perhaps themselves) ability at task X. Counterintuitively this just isn’t the case. Conditionalizing on the standard information we gather about virtually anyone we meet can eliminate or even reverse the effect that gender should have on our estimation of someone’s ability. If you’ve taken any probability courses you’ve probably seen this point made using the example of the famous berkeley discrimination case. If you haven’t let me give you a simple example.
It’s undoubtedly true that statistically men are worse at nursing than women. This isn’t a claim about innate ability just a simple observation following from the fact that more women than men are nurses hence fewer men have received nursing training. Thus if you know nothing about someone other than their gender you should expect men to have a lower nursing ability. However, this doesn’t entail that you should trust male nurses less than female ones. Nor does it entail that men who aren’t nurses are somehow worse at nursing than women who aren’t nurses. It could even be that men who choose to become nurses despite the stereotypes have particular talent for it and thus conditionalizing on profession reverses the effect gender should have on your expectation of someone’s nursing ability.
The same could very well be true for skill at math/science. Even if there is some innate factor that makes women statistically worse at math/science it’s quite possible that those women who do pursue math/science tend to be more skilled than their male counterparts. In other words once you know that someone is interested in pursuing math/science finding out that individual is a woman might increase the expectation of her ability despite the fact that statistically women were worse than men at math/science. Since we tend to gather all sorts of information about someone we meet or consider for a job it’s totally unjustified to use statistical facts about men vs. women in the general population to reach conclusions about a particular individual.
The issue of nature vs. nurture really, really doesn’t matter that much. It’s almost never justified to use weak group characteristics like this to judge an individual and it’s equally unjustified to take mere statistical differences in a profession as proof of discrimination. So aside from pure scientific curiosity we should forget about nature vs. nurture and concentrate on applied questions like: Does science education unnecessarily make girls feel marginalized or less able? Would greater exposure to female role models in science make more women satisfied with their choice of career? Does rote memorization at the middle school level create barriers that discourage more studious individuals from pursuing math and physics?
Filed under Science/Gender Differences, Social Issues/Race and Gender by TruePath | 3 comments
In the post before last I pointed out that despite the spin a recent study in science was actually better evidence for biological effects in mathematics ability than it was for the environmental hypothesis. In short showing that girls get better at both math and reading as gender equality increases without shrinking the gap between their math and reading scores is most of the hypothesis that girls simply gain some general academic advantage over boys (for instance they study more) in cultures that don’t oppress them. If this was straightforwardly a matter of discrimination or stereotyping we would expect women’s math and reading scores to equalize as gender equality increased.
Now it was bad enough when some random science summaries spun the study in this fashion but it’s even worse to see ars technica running stories saying things like this about the study:
But a new study suggests that, when it comes to math, we can forget biology, as social equality seems to play a dominant role in test scores.
Ughh, what is it about this topic that causes people to check their reasoning ability at the door? I mean I can understand that the general public might think the suggestion of a statistical difference amounted to a claim that women were incapable of doing math/science but people with a science background should know better. There is no serious doubt that the variation inside the genders is vastly larger than any possible difference in averages. Moreover, once you actually have some evidence about a person’s mathematical/scientific ability (like you’ve talked to them) their gender isn’t relevant. That is we should expect conditioning on actual evidence about someone’s ability should screen off any impact of their gender.
I write about this topic for the same reason I write about other topics. I find fallacious reasoning to be infuriating, especially when it seems to be motivated by a desire to reach certain comforting beliefs. However, it really should be a minor scientific curiosity. It doesn’t matter one jot what the cause of observed differences in gender performance might be. What matters is the effect these differences have on society and what actions we can take to minimize any harms that result from them.
I mean (hypothetically) suppose it turns out that the gender gap in math/science is caused entirely by social conditioning that makes women prefer some disciplines and men others but that those women who do choose to do math/science face no discouragement and those who don’t are made genuinely happy by their choices. In that case there is no compelling reason to force a change to the gender ratio in the sciences, especially if that change could only be brought about by painful social reorganization and reeducation (say by actively punishing women who pursue stereotypical careers to stop them from being role models for next generation).
On the other hand (hypothetically) suppose that the gender gap is the result of some innate difference in cognition but a simple change in the way science is conducted or taught would let many women who want to be scientists contribute productively to the field instead of having their dreams frustrated. Then obviously we should make that change regardless of the fact that the an innate difference was underneath the gender gap.
In short this issue really doesn’t fucking matter but it really really bothers me when I see people, especially scientists, spinning studies so heavily to reach the conclusions they find pleasant to believe. The roots of the gender gap are clearly complicated and almost certainly result from some complex interplay of innate and environmental factors but just think about how differently we would approach this problem if we were studying another species. Instead of prematurely trying to announce the death of either theory we would say the issue was still murky, explain the competing evidence and leave it at that. Why can’t we do that here too?
Filed under Science/Gender Differences, Social Issues/Race and Gender by TruePath | 0 comments
So my procrastination tonight started early with this interesting article about the proclivities of infants for racial and cultural bias. It’s a good article but I take a bit of an issue with this paragraph.
Spelke’s studies found baby boys and girls have similar mathematical ability, an incidental finding that was at the forefront of her mind in January 2005 when the former Harvard president Larry Summers suggested that the relative lack of female engineers and scientists was down to innate gender differences. ‘When it comes to the basic modules we are born with, they are pretty much the same,’ says Spelke, who was in the thick of the verbal fisticuffs that followed (Summers was ‘wrong, point for point’). Summers resigned as controversy raged. Spelke does not deny that there are differences in the way men and women think but most of this, she believes, is learnt over time, and down to prejudice and the expectations of society.
Of course it’s always easier to repudiate someone’s remarks when you simply assume they said whatever you are itching to reject. But besides mischaracterizing Summers this paragraph also buys into widespread but fallacious assumption that basic computational skills (adding, subtracting etc..) are the skills needed by scientists and engineers; calculation is easy it is the ability to reason abstractly and construct proofs that is hard. I would normally have simply dismissed this as another instance of sloppy journalism but a few minutes later I found the same errors being made in a respectable summary of an article published in the current edition of science, errors seemingly encouraged by the paper itself and it’s lead author.
Tipping off their hand early the summary begins with it’s own (IMO unethical) misquotation of Summers1 but quickly moves on to reading the result they want to see into this recent study. The study basically plotted gender differences on math tests in a country versus that country’s level of gender equity and concluded that the more equitable the country the smaller the advantage boys enjoyed on math tests. The message the summary takes from this, with support from the study’s lead author, is that gender differences in mathematics are largely a result of enviornmental effects. Of course latter we are given the following qualification.
Having linked social structures to the math gender gap from country to country, Sapienza wonders whether this result rules out biological influences entirely. The answer is no. The biological hypothesis suggests that an average boy would score higher in mathematics than in reading, while for girls the reverse is true. This pattern does not change in more gender equal societies hinting that some aspects of academic performance may be innately different between boys and girls.
Sapienza and colleagues found that boys, regardless of the country and social environment in which they live, typically do better in math than in reading. Similarly, girls are usually better in reading than in math, regardless of the degree of gender equality in their society. As a result, in more gender equal societies, girls will gain an absolute advantage relative to boys.
In short an uncritical reading of either the paper in science or the summary would leave the reader with the impression that we now have even stronger evidence that boys don’t have an innate advantage at mathematics but there are still a few issues that need to be worked out about reading ability. Except the study really shows exactly the opposite. Ignoring for a moment the implicit (but false) assumption that these math tests are good measures of the skills needed to enter math and science professions just try and think about what theory would best explain the fact that cross-culturally boys are better at math than they are at reading while girls are better at reading than they are at math? Seems pretty clear to me that this evidence best supports the idea that their is an innate gender based attraction to math or reading and that in societies with greater gender equity women just perform better in school generally.
Now I don’t actually endorse that theory. It overly simplifies the complex interactions of culture and innate traits and it would be silly to just rely on this evidence while ignoring other evidence supporting larger cultural effects. However, the point remains that the evidence provided actually points in the exact opposite direction of the spin that is provided. Ultimately the point that I take from this is that if you want to have any idea about what’s plausible in this area you really can’t trust anyone’s (except mine of course :-) ) interpretation, even that of the scientists doing the study. You really have to go read the actual papers with a skeptical eye to get something other than spin. In short I worry that their is a bias in the spin given to papers and opinions on this stuff because you get a lot more flak for strident support of one side than the other.
Filed under Science by TruePath | 7 comments
Lately several blogs I read commented on the Fermi paradox and the existance of intelligent alien life. First Greg Laden critisizes a historical argument (poor summary) by Professor Watson that the probability of evolving intelligent life must be quite low given the many lucky breaks that seem to have been necessary for our own evolution. A point I think is largely correct. However, perhaps we should hope that the evolution of intelligent life is rare. This this technology review article argues the reason we don’t observe any aliens is that there are very few of them so the discovery that life is common should make us very scared about our future. Robert O’Callahan’s suggests that instead the low probability event might very well be the transition to intelligent life. Thus if we want to find alien life without learning that we are likely to wipe ourselves out in the short future we should hope something like Professor Watson’s argument holds water.
I tend to think most of these arguments (except perhaps Laden’s) and most discussions of the Fermi paradox or the supposed fine-tuning of the universe for life assume far too much about the nature of intelligent life. In particular it seems unjustified to assume that intelligent life must look anything at all like us. Even assuming that intelligent life must be chemically based seems unjustified. Could configurations of plasma inside stars reproduce in some sense and evolve into intelligent life? Could the patterns of elementary particles in a neutron star do the same? I’m uncertain that we even have any reason to be confident that the chemistry and physics of the gases on jupiter can’t support life. Before we get to the stage of predicting that intelligent life must be rare, and certainly before we can assume our universe is fined tuned for life we need to do some deep mathematics to determine what sorts of laws give rise to interactions likely to support self-reproduction and selection.
On the Fermi paradox, the idea that if intelligent life was common in the universe we should have seen it already, I once again think it incorporates a deep anthropocentric bias. Worse it assumes that millions of years of technological sophistication will leave us with the same primitive desire to fuck our way across the universe. It seems totally plausible to me that the reason we don’t observe much intelligent life is that it’s just not worth the bother to them of looking for us or spreading out across the galaxy. After just begining to build computers we already spend massive amounts of time in them, perhaps aliens are too busy living in virtual worlds to come out and play in the real world. Moreover, we already have the very limited ability to control our own reward system. Give us a few million years and I’m sure that a press of a button could bring us more pleasure than any discovery of an alien civilization. The ultimate fate of intelligent life may very well be unimaginable drugged out bliss.
Additionally the very idea that aliens would colonize planets or be out here in the boring galactic nether regions seems to unimaginatively assume that aliens would remain chemical life forms. Sure people contemplate the idea that advanced life might become largely computational with sufficently advanced races learning to replace their brains with computer chips or other computing machines but few seem to really consider the implications of this idea. Beings such as this wouldn’t be constrained by physical space and would have no need to spread out to avoid overcrowding, rather, they would be limited by computational power. Thus the most likely behavior of truly advanced life is to seek out the most computationally rich physical systems and stay there. This suggests that perhaps we should be looking for the truly advanced alien civilizations to be somehow encoded into the most violent, high energy systems around. Visiting planets or sending out signals to the primitive animals who live there might be the last thing on their minds.
This is just one speculation thrown out about an area we know so impossibly little that it’s hard to conclude anything except that we shouldn’t trust any of our intuitions about what life must be like too much. Ohh and I can’t write a post about this subject without throwing a shout out to Greg Egan for being one of the most imaginative and thoughtful science fiction writers about these issues.
Filed under Science/Enviornmentalism, Science/Global Warming by TruePath | 0 comments
As American consciousness of global warming has increased and a consensus that we need to do something about it has emerged my confidence that we will actual address the problem has waned. Fundamentally global warming is a scientific, engineering and economic problem which requires a solution on those levels. Indeed, dealing with domestic CO2 emissions isn’t that hard of a problem. A CO2 tax would be an easy and (relative to GDP) a fairly inexpensive way to solve the problem. Admittedly there is a real worry that this would drive industries to the third world where they would be subject to less stringent emissions controls but this is one situation where an appropriate use of tariffs could address. In my opinion an optimal solution would be to offer developing countries tariff free export to the US and other participating industrialized countries in return for imposing taxes on CO2 emissions.
Unfortunately greater environmental awareness doesn’t seem to have increased support for sane policies like this one jot. Just in the last few days McCain announced his proposal for a gas tax holiday. Lest you think that this is only a proposal that caters to the trucks and guns crowd consider the fact that no democratic candidates would dare to propose an increased gas tax for fear of the public backlash. It doesn’t seem to matter that such a tax could be made revenue neutral and could even favor the poor people since people respond viscerally to expensive gasoline.
Instead of responding rationally to the global warming issue people, especially those claiming to be environmentally conscious, instead lash out at conspicuous consumption. It is somehow considered a moral hazard to buy a gas guzzling car, take plane flights, run an air conditioner or engage in other activities that have a salient link the emissions. This of course ignores the fact that the money people save as a result of these various conservation measures goes into buying other products which themselves likely have a large carbon footprint. All the tips about how to save electricity/gas or reuse items instead of throwing them out are particularly silly. After all if I save gas that reduces the price for other consumers who may then use more. Of course these factors are likely not 1-1 but it illustrates the point that urging people to avoid activities that seem wasteful is not only a waste of utility (moral guilt doesn’t discriminate between the people for whom running their air conditioning isn’t a big deal and those who get great utility from it) but it isn’t a very effective way of accomplishing the goal.
Unfortunately this attitude that environmentalism is really about eliminating consumer excess seems to be on the lips of every environmental activist I meet lately. They remark about how we will look back on our wasteful product packaging and huge trucks as gross and wasteful. Well hopefully we will look back on them as being inefficient in terms of carbon but there is absolutely no reason we shouldn’t expect the future to eventually provide cheaper energy, more disposable cruft, more gadgets and less need for conspicuous recycling (automated sorting) while making a smaller environmental impact. Even if this isn’t possible surely we ought to aim to improve our standard of living while saving the environment.
I don’t know where this idea that environmentalism is some sort of personal virtue of frugality came from but it’s not only a bunch of bunk but it’s hurting the environment. Not only does this attitude alienate many people who might get on board with a more pragmatic engineering/economic approach to the environment but it also competes with real solutions. People are willing to make a limited amount of sacrifices and if you tell them that they are being good people for enduring daily inconveniences like turning off their AC or buying a car they don’t like as much they won’t be as eager to ’sacrifice’ again by voting up the gas tax.
Filed under Science by TruePath | 4 comments
A new study1 suggesting that the benefits of SSRIs (antidepressants like prozac) don’t provide clinically significant benefit to most patients has been making the rounds in the news today. Relying on unpublished studies submitted to FDA during the approval process for various SSRI drugs the authors did a meta-analysis and only found a clinically significant difference between the drugs and placebo for the most severely depressed patients, and only then because these patients seem to respond less to placebo not because they respond more to the medication. The news is reporting this as if this class of antidepressants (still considered some of the most effective medications) only makes a big difference for the very depressed but for once the news may be understating the scientific evidence. The truth is that it’s not clear if antidepressants work at all.
The problem is that the trials used to test antidepressant efficacy compare the medication to a sugar pill but most patients and their doctors are able to tell when they aren’t on a sugar pill. Given the small benefits of these antidepressants over placebos the fact that study participants are able to break the blind may well explain the entire effect. For those who are interested I’ll lay out a full argument for this position below the break. However, it’s important to note that just because antidepressants might not work isn’t any reason to stop prescribing them. So long as they give greater response than placebos (i.e. people believe in them) they may be of use to some people. Alternatively one might think these drugs really do have a *very *minor effect in the most depressed individuals, if for no other reason than a system that is sufficiently far from the mean might be (on average) pushed closer by any substantial intervention (think wacking your ipod to make it work) amplified by the placebo effect.
These considerations add weight to the view that depression is not a disease or even condition in the way that Downs syndrom or Asthma is but is instead the extreme end of a distribution. Thus rather than being the result of a determinate dysfunction as those cute Zoloft commercials would have you believe having depression is more like being short2. This theory is being advanced by some serious researchers3 4. For some reason, however, these attitudes seem to frequently come part and parcel with the idea that we ought not to treat ‘natural’ sadness, in this case apparently justified by the evolutionary ‘argument’ that sadness must serve some purpose (of course an inclination toward or efficacy at rape might have been selected for as well it would hardly prove it was something important to preserve in modern society). While some would dispute this theory everyone, it seems, is obsessed with distinguishing normal and abnormal sadness.
I could not disagree more forcefully. Far from being an argument to abandon the idea of alleviating suffering via chemical intervention the idea that depression is just an extreme for of unhappiness, if true, militates for research into effective drugs to elevate mood. Would we deny those so short they experience serious hardship or those with GH deficiencies in adulthood treatment with growth hormone just because some of it’s benefits are available to those with average levels of the hormone? Of course one always has to balance benefits with side effects and depending on the drug that balance may very well weigh against treatment in those who are already quite happy (as I understand does for HGH treatment for most people) but it’s hard to imagine that any bearable level of side effects is enough to justify denying an effective treatment to those who are chronically suicidally depressed.
(more…)
Filed under Policy/Healthcare, Science by TruePath | 0 comments
Now I occasionally complain about the reporting of some science story in the press but that’s mostly for what amounts to poor choice of analogy in what is essentially a fluff piece that props up public support for science research. This particular example is something different. It’s not only negligent, if not downright fraudulent, as far as journalism goes but is likely to fairly directly result in the death of at least one woman. True, many newspaper stories likely result in a gain or loss of life years but when the loss of life is an obvious effect of misleading reporting.
What I’m talking about is the article in the East Bay Express on the Gardasil vaccine for HPV (thus cervical cancer) titled “One Less“. True, the article describes the ‘controversy’ about the Gardasil vaccine’s deadly side effects for HPV (thus Cervical cancer) without article asserts nothing factually untrue. I don’t doubt the mother of the girl who died as the result of blod clots shortly after taking the vaccine really said the quotes attributed to her nor that the semi-anonymous remarks really do come from someone who had the shots. However, the whole article is set up to portray these as reasonable fears that are on one side of a ‘growing debate’ while plastering a picture of a sweet little 17 year old who died after taking the vaccine on the front of the print magazine with the “One Less” slogan of Gardasil written over it.
I mean the arguments for the involvement of Gardasil are really this bad:
“Some are pretty hard to discount as being a reaction,” Grothe said. “When a patient dies of a blood clot three hours after getting a Gardasil vaccination, that’s pretty consistent to me.”
Of course all the medical professionals interviewed point out that the birth control pills being taken by the girls who died are likely the cause but that doesn’t stop the article from throwing logic overboard to pander to the emotions of a grieving mother and friends or by mixing in real concerns and disadvantages of the vaccine as if they were concessions. Of course even if you grant that the vaccine is as horrible as the grieving mother trying to blame it claims it is hard to see how the harms would overwhelm the 4,000 deaths it could save a year not to mention the suffering it could erase.
Given that newspaper articles like this generate readers and likely convince people not to take the vaccine I have grave doubts about the ability of jurors to evaluate expert testimony in drug and medical device trials.