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Jacob Stegenga – Medical Nihilism

Jacob Stegenga – Medical Nihilism
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Jacob Stegenga – Medical NihilismPublication Date: March 8, 2018 http://www.amazon.com/Medical-Nihilism-Jacob-Stegenga-ebook/…This book argues that if we consider the ubiquity of small effect sizes in medicine, the extent of misleading evidence in medical research, the thin theoretical basis of many interventions, and the malleability of empirical methods, and if we employ our best inductive framework, then our confidence in medical interventions ought to be low. – A highly controversial argument for a sceptical view about the effectiveness of modern medicine – Draws on interdisciplinary research and grounds the arguments in medical examples – Accessible to readers from any academic background Table of Contents1. IntroductionPart I. Concepts 2. Effectiveness of Medical Interventions3. Effectiveness and Medicalization4. Magic BulletsPart II. Methods 5. Down with the Hierarchies6. Malleability of meta-Analysis7. Assessing Medical Evidence8. Measuring Effectiveness9. Hollow Hunt for HarmsPart III. Evidence and Values 10. Bias and Fraud11. Medical Nihilism12. ConclusionAppendix 1. Bayes’ Theorem and ScreeningAppendix 2. Measurement ScalesAppendix 3. Epistemic Proof of Superiority of RD over RRAppendix 4. Decision-Theoretic Proof of Superiority of RD over RRAppendix 5. Modeling the Measurement of EffectivenessEditorial Reviews”This book is philosophy with a bite. Should we trust medicine? Stegenga shows there is much to be sceptical of. This is a scary thesis, all the more so because Stegenga’s arguments are persuasive and his accounts of the empirical facts seem fair and well balanced. The underlying problem that the book tackles in medicine -how to distinguish compelling science from chaff- is not only at the heart of philosophy of science but at the heart of every science. Here Stegenga shows how we can address this problem in a particular scientific context by understanding the fine details of research. This is first-rate philosophy applied to one of our most important sciences.” –Nancy Cartwright, University of California San Diego & Durham University “Jacob Stegenga’s book is timely as it arrives when many doctors feel medicine is in crisis. We have become unsure what medicine is for and have over-reached ourselves; and despite the appearance of evidence-based medicine 20 years ago there is deep anxiety now about the quality and completeness of the evidence that underpins medicine. The best doctors, I believe, have always been medical nihilists, aware that many new interventions are oversold, but the depth and scope of this book can help doctors move beyond their present crisis.” –Richard Smith, Former Chief Editor, BMJ About the AuthorJacob Stegenga is a Lecturer in the Department of History and Philosophy of Science at the University of Cambridge. He received a Ph.D. from the University of California San Diego, and he has held fellowships at the University of Toronto and the Institute of Advanced Study at Durham University. His research focuses on philosophy of science, including methodological problems of medical research, conceptual questions in evolutionary biology, and fundamental topics in reasoning and rationality. http://www.amazon.com/Medical-Nihilism-Jacob-Stegenga-ebook/…

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