Over the last few days, I've been involved in informal conversations about homeopathy and its corollary, the so-called placebo effect. This morning, on the phone, Christine pointed out (if I understood her correctly) that the tiny white pills of homeopathy serve as a focus for an act of intense autosuggestion, and that this situation is vastly superior to the alternative solution of consuming authentic pharmaceutical products whose effects are not necessarily totally positive. I think that Merisi [click here to visit the beautiful blog of this Viennese photographer] was saying much the same thing. Although I dislike all forms of quackery, I'm obliged to realize that there are intelligent observers who disagree with the combat against homeopathy that is being fought by outspoken scientists belonging to what we might call the Dawkins School.
To my mind, things such as prayer, astrology and homeopathy work most efficiently, if not exclusively, when the autosuggestion process is based upon a solid thick layer of impenetrable ignorance.

The thing I find difficult to understand is how intelligent and educated individuals, knowing full well that homeopathic substances are practically devoid of active molecules, could nevertheless assemble within themselves a sufficiently intense field of autosuggestive forces to instigate a self-healing process. Maybe such individuals have a kind of poetic vision of the notion of the absence of active molecules. That's why I referred recently to the anecdote about a French scientist who had claimed, a few years ago, that ordinary water might be capable of retaining memories of past events. Maybe, their imagination is so vivid that they can succeed in convincing themselves that infinitesimal quantities of an active substance can remain concealed in the interstices of the diluted product. Maybe, they end up believing that the more you dilute the product, the more these tiny gremlins of active substances are obliged to become defiant, hiding ever more deeply within the obscure matrix in order to save their tiny souls from getting washed away. And the more defiant they are, the more powerful they become. Finally, when there's only a single gremlin left, he's as proud and defiant as hell, and he's sufficiently powerful to cure people of their ills. In any case, if certain individuals are capable of thinking that way, then maybe they're in an excellent state of mind to unfold their personal forces of autosuggestion. Honestly, I don't know if that's how things work, because I've never been capable of believing truly in minuscule gremlins or sprites.
Alternatively, maybe some people have the vague feeling that the active molecules in a homeopathic product have been transformed mysteriously into some kind of bacteria. After all, it's not so long ago that people believed in the spontaneous creation of living organisms. When I was a child, I seem to recall that somebody tried to make me believe that tadpoles came into existence miraculously, out of pure moisture, up in the clouds. Insofar as the microscopic world is indeed mysterious, and infinitely more so if you care to soak up a few notions of modern chemistry, then people might well be prepared to believe that their homeopathic pills do indeed contain infinitesimal organisms, of a mysterious kind, that are capable of doing them a lot of good. And, once they believe that, they're in an ideal state to set the autosuggestion ball rolling.
What I've just been saying is very much like religious belief. Since nobody can ever prove that God or the Great Spaghetti Monster don't exist, many people carry on leaving a tiny place open in their mind, ready to welcome a friendly divinity if ever he came along looking for a warm bed for the night. We become incapable of accepting the idea that nothing means nothing. Instead, nothing (like the quantity of active molecules in a homeopathic preparation) is interpreted as meaning "extremely small" but possibly "extremely powerful".
In my recent article entitled Health-giving drugs [display], the word "placebo" made an appearance, but I believe that my article and this term have generated confusion. So, I'll make a rapid attempt here to rectify the situation. The experimental situation in which I found myself is described as a double-blind trial. That means that the guinea pigs are divided into two groups, known as the experimental group (receiving the active molecules) and the control group (receiving a trivial substance that I would refer to, not as a placebo, but simply as powder). The expression "double-blind" means that neither the experimenters nor the guinea pigs know in which group each guinea pig is located. Why do they do this? That's where the word "placebo" enters with its correct usage. If a guinea pig knew that he was in the experimental group, receiving the active molecule, then he might become like a believer taking homeopathic pills, or praying at Lourdes. That's to say, his health might improve through autosuggestion, regardless of whether or not the active molecule was in fact efficient. So, to discourage guinea pigs from becoming over-confident in the positive effects of the active molecule, everybody is kept in the dark, right up until the end of the experiment.
I wrote the above-mentioned article as a kind of joke. (I even included the keyword "offbeat" at the end of the article.) So, much of what I said was in mirth: a case of my slightly weird sense of humor. For example, it's not true at all that the length of my penis increased through my confidence in a mythical molecule, and it's not true that I was struck by nausea when I forgot to take the tablets. I think my readers realized that the article was basically a joke. To be perfectly truthful, I was constantly aware of an almost comical aspect of this kind of double-blind test: namely, the fact that, for the needs of scientific objectivity, certain guinea pigs were obliged to consume inert powder, assiduously, every day for several years. I find this situation highly amusing, and this brought out a kind of playful but evil streak in me. The experimenters were constantly asking us whether it was boring to take the tablets every day. Then, towards the end, they even asked each one of us whether we had imagined that we were taking the active molecule or inert powder. In telling a lie and pretending that I was utterly convinced that I was being cured by a miracle product, I was viciously aware that I was being a bad boy, as it were. For, if it had turned out that I had in fact been receiving the active molecules, the experimenters would have had lingering doubts about what had actually kept me alive. Was it because of the authentic power of the molecules, or because of a placebo effect (my autosuggestive self-healing)? In a similarly playful spirit, I used to amuse myself during their annual medical visit. It included an Alzheimer test in which you're asked to give the names of animals for twenty seconds. A normal person will reply, say: lion, tiger, elephant, giraffe, camel, etc. An Alzheimer candidate will reply: horse, cow, horse, calf, cow, etc. I liked to give them my special list of animals (all things bright and beautiful, all creatures great and small): cockroach, toad, worm, wasp, eel, flea, rat, jellyfish, louse, etc. It amused me to glimpse the startled expression on the face of the nurse.

My Pascalian gamble in the case of the alleged tablets of omega 3 and vitamins was that I had nothing to lose by thinking of them as miracle molecules (even though they might be inert powder), whereas I would have egg on my face if I said they were powder and then discovered that these powerful little tablets had in fact saved my life. So, like a Christian who goes to church solely as a good bet on eternal bliss, I pretended at times (when I had nothing better to do, or when I took pleasure in making fun of the experimenters) that my tablets were indeed the body and blood of my Savior.
Fabulous post William - one of your finest.
ReplyDeleteThanks for your kind remarks. Several related events happened within a short time span. There was the homeopathic overdose stunt in the UK [display]. Next, your Schuessler story. Finally, the termination of the double-blind test in which I had participated for several years. In the background, there was the clearly-expressed plea of Dawkins for a double-blind test in the domain of homeopathy [display]. Meanwhile, the quaint old Guardian continued its thinly-disguised crusade for all kinds of archaic beliefs [display].
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