The distrust of science – a task for science communication

Michael Foley

Michael Foley, a Senior Lecturer in Public health dentistry at The University of Queensland has an interesting  article in The Conversation* – ‘Holistic’ dentistry: more poppycock than panacea?

He declares that “all dentists should be practicing holistic medicine.” After all, the World health Organisation’s definition of health (“a complete state of physical, mental and social well-being, and not merely the absence of disease or infirmity”) “sits very well with the concept of holistic dentistry”

But, as Foley says, dentists “should all be practising evidence-based dentistry, too.”

And there is the problem. A perfectly legitimate term has been hijacked in an effort to misinform possible clients. An internet search shows most Australian holistic dentists also endorse and encourage alternative therapies like:

homeopathy, naturopathy, Bach flower essences, acupuncture, traditional Chinese medicine, chiropractic, ayurvedic medicine, osteopathy, kinesiology, crystals, aromatherapy, reiki, vibrational healing, Buteyko and esoteric chakra-puncture.”

As he says, despite  his belief that “Most holistic dental practices will provide a wonderfully caring and nurturing environment for patients .. . . a patient-dentist relationship must also be based on trust and professionalism.”

The placebo effect is not enough and reliance on it could even be dangerous.

But alternative health practices like this do have a market – and for some people their appeal lies with their distrust of science.

Distrust of science and the power of consensus

Sander van der Linden and Stephan Lewandowsky discuss this distrust and how to combat it in a recent scientific American article – How to Combat Distrust of Science.

They centre their argument around the issue of climate science, but I think they are also relevant to alternative health and the distrust of health experts common in our society.

On the one hand they attribute difference in the acceptance of science to the way that people interpret the same information very differently.

“As psychologists, we are more than familiar with the finding that our brains selectively attend to, process and recall information. One consequence of this is “confirmation bias,” a strong tendency to automatically favor information that supports our prior expectations. When we consider issues that we feel strongly about (e.g., global warming), confirmation bias reaches a new height: it transitions into “motivated reasoning.” Motivated reasoning is the additional tendency to defensively reject information that contradicts deeply held worldviews and opinions. One example of this is the “motivated rejection of science”; if you are personally convinced that global warming is a hoax, you are likely to reject any scientific information to the contrary – regardless of its accuracy.”

A message for science communicators

That is an argument which could suggest that science communicators are “just blowing in the wind.”

On the other hand the authors argue that “expert consensus” can counter this.

“Our research shows that highlighting how many experts agree on a controversial issue has a far-reaching psychological influence. In particular, it has the surprising ability to “neutralize” polarizing worldviews and can lead to greater science acceptance.”

In their work they found that if people had been exposed to background material containing the message “97% of climate scientists have concluded that human-caused climate change is happening” they actually increased their estimate of scientific support for human-caused climate change by about 13% (and 20% in some cases). In later work they found a causal link between highlighting expert consensus and increased science acceptance.

This suggests to me that many people may take up an essentially anti-science stance because they are just unaware of the facts of consensus, or are under the illusion that scientific dissent is greater than the objective facts show.

I see that as a positive message. We often concentrate on the anti-science position of ideologically motivated people and forget that the majority are probably misinformed – both about the science and the degree of expert consensus. It is this majority, rather than the ideologically motivated science distrusters, who science communicators need to target.

Are we biologically wired to accept consensus?

The authors suggest there are good biological reasons for the positive effect of consensus information and the negative effect of dissent information on the acceptance of science.

“One feature that clearly distinguishes “consensus” from other types of information is its normative nature. That is, consensus is a powerful descriptive social fact: it tells us about the number of people who agree on important issues (i.e., the norm within a community). Humans evolved living in social groups and much psychological researchhas shown that people are particularly receptive to social information. Indeed, consensus decision-making is widespread in human and non-human animals. Because decision-strategies that require widespread agreement lie at the very basis of the evolution of human cooperation, people may be biologically wired to pay attention to consensus-data.”

That is also sensible:

” Imagine reading a road sign that informs you that 97% of engineers have concluded that the bridge in front of you is unsafe to cross. You would likely base your decision to cross or avoid that bridge on the expert consensus, irrespective of your personal convictions. Few people would get out of their car and spend the rest of the afternoon personally assessing the structural condition of the bridge (even if you were an expert).”

And practical:

” it makes perfect sense for people to use expert consensus as a decision-heuristic to guide their beliefs and behavior. Society has evolved to a point where we routinely defer to others for advice—from our family doctors to car mechanics; we rely on experts to keep our lives safe and productive. Most of us are constrained by limited time and resources and reliance on consensus efficiently reduces the cost of individual learning.”

The message, then, is:

“A recent study showed that people are more likely to cling onto their personal ideologies in the absence of “facts.” This suggests that in order to increase acceptance of science, we need more “facts.” We agree but suggest that this is particularly true for an underleveraged but psychologically powerful type of fact — expert consensus.”

The “merchants of doubt”

The ideologically and commercially motivated opponents of science recognise this – hence their attempts to sow doubt on the scientific consensus.

They will promote the message that there is no consensus. Or that the very fact of a consensus is somehow a “proof” the science is wrong because scientific understanding will change in the future (the Galileo gambit – see The Galileo fallacy and denigration of scientific consensus).

They will promote the message that the experts are frauds (eg Climategate) “shills” – in the pay of political or economic forces – Big Pharma, the fertiliser industry in the case of fluoridation, etc. Ironic, really, because these very anti-science propagandists are often themselves supported and/or financed by energy companies (in the case of climate change deniers) and “natural”/alternative health big business in the case of anti-fluoridation and anti-vaccination activists

So, perhaps another task for science communicators. propaganda claiming scientific fraud, unethical scientific funding, etc., needs to be countered. But also the public needs to be made aware of the commercial and ideological motivations of those who attempt to misrepresent the science and the expert consensus.


* The conversation has some excellent articles. But Christopher Pyne in his article Government funding for The Conversation website to be axed, reveals that government funding for it is to be stopped.

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7 responses to “The distrust of science – a task for science communication

  1. soundhill1

    There are still entities trying to build consensus on false ideas of climate change. People cannot tell what is what. The confusion they have brought about has meant a large proportion of the public don’t know whom to trust, and that transfers to other reportedly scientific claims.

    So to go by consensus is risky. As for scientific consensus, people are suspicious it is all about grants.

    As for Buteyko, I grew up in the days before steroids and a couple of times when I passed out from asthma my mother called the doctor who gave me an adrenalin injection. I eventually found out for myself that struggling for breath till I could not continue was not the best process. When the CO2 content of the blood gets too low then haemoglobin cannot release oxygen to the tissues, I now have learned.

    Dental problems today include dysfunction of the temperomandibular joint. Conventional medicine is far too quick to replace the joint with a synthetic which may cause more trouble. Excessive clenching/grinding of the teeth may be involved. When I asked a dentist to look under some fillings in molars when the xray was not showing anything, I wish he would have said to me, “maybe you are just clenching on those teeth too much,” and refer me to an osteopath and someone to make a bite guard. Osteopaths press on nerve plexuses until the muscles relax, then slowly let go.

    Until science can encompass such matters people must continue to doubt.

    Take a laugh as I have seen sceptics practising and you will discredit science acceptance.

    Brian Sandle

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  2. That is my point, Brian. There are still some people who try to pretend there is not an overwhelming consensus that humanity is contributing to climate change as indicated in the IPCC documents. These people lie about things accusing honest scientists of fraud, etc., while being themselves in the pockets of the energy industry.

    However, this article is about the psychology of belief and the role awareness of expert consensus must play in this. It is also about the way anti-science propagandists also recognise this psychology and that is why they attack the concept of expert consensus.

    It is also about the need for science communicators to expose the motivations and often funding of the anti-science propagandists.

    >

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  3. Interesting reference. Here’s an alternative viewpoint of the same.

    http://www.patient.co.uk/health/panic-attack-and-panic-disorder

    Chicken or egg?

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  4. soundhill1

    Thanks Stuartg, your ref gives a bit of the same advice in Ken’s Buteyko link.

    If a musician your drugs may make expression go wonky and/or affect the extreme coordination needed.

    As for asthma even exercise in cold air sometimes for me brought on the constriction. The panic didn’t arrive till it got pretty bad.

    I grew out of asthma pretty much but still could get very bus/sea sick and my hands would tingle and I did not realise it was the hyperventilation.

    I think it weakens science to put a whole lot of treatments into the bad books and seeks to further drug treatment without totally looking into benefits and iatrogenics of all.

    Brian Sandle

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  5. soundhill1

    My life also got a lot better when the sulphur content of diesel fuel was reduced. I am thinking that a doctor of osteopathic medicine or a naturopath would be interested in manipulating the environment like that, rather than prescribing drugs.

    I had been at a good job for a few weeks in the 1970s but chose to leave when the diesel fumes from a supply truck permeated the building weekly. Also I have had to go out of a classroom when sulphur was being burnt in a demonstration.

    Maybe I should have sought the steroids which were probably becoming available? What does science say to have its dignity?

    Brian Sandle

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  6. soundhill1

    Are we correct here?: “Because creationism and intelligent design cannot be tested and are not falsifiable, they do not meet the criteria of scientific theories. They might be valid topics for philosophy or religion classes, UCS argues, but when conflated with science make it harder for people to trust scientists.”
    http://www.theguardian.com/us-news/2015/may/05/america-politicians-evolution-climate-change

    Be an interesting test for consensus having retired neurosurgeon Ben Carson in the presidential race USA: a Black Creationist Republican. He does however believe in natural selection, which may be a challenge for two-valued thinkers.

    Brian Sandle

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