Saturday, December 14, 2013

An Open Letter to the Authors & Editors of the National Science Foundations, Indicators 2002 Publication

Dear Editor,
I am surprised and disappointed that the National Science Foundation has decided to maintain the 2002 version of Indicators publication including the portion titled, Science Fiction and Pseudoscience (NSF, 2002).  Although 2002 is fairly recent, many of the far-reaching statements made by the writers have been effectively refuted. 
            First, the writers discuss the popularity of science fiction and then transition to their definition of pseudoscience.  The issue with this approach is that they are implying a sense of deductive reasoning (Jones, 2010).  The implication is that the phenomena that the writers list as pseudoscience is essentially science fiction.  Current research has proven this implication false.
            Second, the writers do not appear to hold to their own given definitions for “pseudoscience” and “science” (NSF, 2002).  The stated definition for pseudoscience focuses on claims that lack evidence (NSF, 2002) and yet as I share below, the authors’ inaccurately overstate this assertion.  Additionally, their own definition of science includes the view that science attempts to interpret phenomena and aims to find a testable means of evaluation (NSF, 2002).  Therefore, by their definitions, science should continue testing since it aims to understand.  Thus, much of what was questioned in the past has now been answered (NCCAM, 2013).
            For example, many of the phenomena that the writers list as pseudoscience have been validated and in fact, the committee that they cite for their list of pseudoscience no longer lists many of these areas, and the links on their resources page no longer work.  These pages just may need to be updated, or this may be due to the fact that several of these theoretical forms have been tested to be valid (CSICOP, n.d.).  Either way, this would still be an indicator of a publication being out of date.
            The writers list a number of specific phenomena, and then add alternative medicine as a pseudoscience (NSF, 2002).  As previously noted, the first mistake is that some of the items in the list concerning health treatments have been determined to be valid.  For example, therapeutic touch applies an understanding that some have refuted, yet research has demonstrated the effectiveness of the technique.  A study conducted in Brazil sought to understand if therapeutic touch was effective in treating chronic pain in the elderly.  Not only did the researchers see improvement in pain levels, the patients also noted improvement in anxiety, quality of sleep, and depression (Marta, Baldan, Berton, Pavam, & da Silva, 2010).
A second mistake is that alternative medicine includes a wide number of possible treatment options for improving health, and this list is regularly changing (NCCAM, 2013).  One such alternative is acupuncture.  Although somewhat new for Western culture, acupuncture is regularly practiced in many other cultures, and has been for years.  Having lived in South Korea for two years I have seen a number of people who have found pain relief through acupuncture.  However, you do not need to take my word for it.  A randomized clinical trial was completed in 2012 and the researchers found that patients struggling with functional dyspepsia, which is known for epigastric pain, experienced a greater relief from their pain through acupuncture, even when compared to a group that received a false style of acupuncture in order to eliminate any placebo effect (Ma, Yu, Li, Liang, Tian, Zheng, Sun, Chang, Zhao, Wu, & Zeng, 2012).
An additional example is from the treatment of PTSD, one of the more challenging disorders facing our military and veterans today.  As an active duty Army chaplain I have sought to assist a number of Soldiers who have wrestled with PTSD.
A study conducted at Camp Pendleton, CA worked with 123 combat veterans.  The researchers found that patients who received treatment with healing touch and guided imagery noted significant improvements in their symptoms compared to those who received the standard PTSD treatment (Jain, McMahon, Hasen, Kozub, Porter, King, & Guarneri, 2012).
It may be significant to note that some of these examples are from sound research studies that were accomplished outside of the United States.  It has been, and most likely will always continue to be, a challenge to recognize the strong work of others that are outside of our culture, our comfort-zone, and often times even our language.  Although the United States has a strong history for science and discovery, it is possible that our preconceived ideas concerning the body and how it operates may be hindering some of the opportunities presented to us to learn something new (Freeman, 2009).  For example, aromatherapy to some seems as simple as lighting a few candles.  However, researchers in Japan found that the use of lavender, in particular, improved symptoms of women suffering from premenstrual syndrome (Matsumoto, Asakura, & Hayashi, 2013).  A key attribute of this study was that the researchers judged some of their findings on the reaction of the autonomic nervous system (Matsumoto, et al, 2013).
After reviewing all of this information, it is interesting to note that the stated mission of the NSF is focused on the fields of science and engineering and is to specifically not delve into medical science (NSF, 2002).  Is it possible that there may be a little arrogance at play if the writers are ignoring their own mission and strategic plan?  How much may we risk missing if we too quickly dismiss vast areas of possible understanding because we act too arrogantly and with too broad of a stroke?

References
Committee for the Scienctific Investigation of Claims of the Paranormal (CSICOP) (n.d.).  Resources.  Retrieved from http://www.csicop.org/resources
 
Freeman, L.W. (2009) Mosby's complementary & alternative medicine: A research-based approach. (3rd ed). St. Louis, MO: Mosby.  
 
Hains, G., Descarreaux, M., Lamy, A., & Hains, F. (2010). A randomized controlled (intervention) trial of ischemic compression therapy for chronic carpal tunnel syndrome. Journal of The Canadian Chiropractic Association, 54(3), 155-163.  http://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?sid=ba4ca0bd-fdda-4764-ae6c-0b64d7fbbdca%40sessionmgr10&vid=4&hid=15
 
Jain, S., McMahon, G., Hasen, P., Kozub, M., Porter, V., King, R., & Guarneri, E. (2012).  Healing Touch with Guided Imagery for PTSD in returning active duty military: a randomized controlled trial. Military Medicine177(9), 1015-1021.  http://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?sid=1f740017-15ac-46e9-9e14-8f8f74c6acde%40sessionmgr12&vid=4&hid=3
 
Jones, R. (2010). Finding the good argument or Why bother with logic?.  Retrieved from http://writingspaces.org/sites/default/files/jones--finding-the-good-argument.pdf
 
Ma, T., Yu, S., Li, Y., Liang, F., Tian, X., Zheng, H., & ... Zeng, F. (2012). Randomised clinical trial: an assessment of acupuncture on specific meridian or specific acupoint vs. sham acupuncture for treating functional dyspepsia. Alimentary Pharmacology & Therapeutics35(5), 552-561. doi:10.1111/j.1365-2036.2011.04979.x  http://ehis.ebscohost.com/eds/pdfviewer/pdfviewer?sid=e7825cc8-7b6a-441b-a5a9-1717f807fcf2%40sessionmgr14&vid=8&hid=15
 
Marta, I., Baldan, S., Berton, A., Pavam, M., & da Silva, M. (2010). The effectiveness of Therapeutic Touch on pain, depression and sleep in patients with chronic pain: clinical trial. Revista Da Escola De Enfermagem Da Usp44(4), 1094-1100.  http://www.scielo.br/pdf/reeusp/v44n4/en_35.pdf
 
Matsumoto, T., Asakura, H., & Hayashi, T. (2013). Does lavender aromatherapy alleviate premenstrual emotional symptoms?: a randomized crossover trial. Biopsychosocial Medicine7(1), 1-8. doi:10.1186/1751-0759-7-12  http://xt6nc6eu9q.search.serialssolutions.com/?ID=DOI:10.1186%2f1751-0759-7-12&genre=article&atitle=Does+lavender+aromatherapy+alleviate+premenstrual+emotional+symptoms%3f%3a+a+randomized+crossover+trial.&title=BioPsychoSocial+Medicine&issn=17510759&isbn=&volume=7&issue=1&date=20130701&aulast=Matsumoto%2c+Tamaki&spage=1&pages=1-8&rft.sid=EBSCO:Academic+Search+Index:88843417
 
National Center for Complementary and Alternative Medicine (NCCAM) (2013).  What Is Complementary and Alternative Medicine?  Retrieved from http://nccam.nih.gov/health/whatiscam
 
National Science Foundation (NSF). (2002). Science Fiction and Pseudoscience.  Retrieved from http://www.nsf.gov/statistics/seind02/c7/c7s5.htm#c7s5l2

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