[Vision2020] Doulas and birthing centers

[Rosemary Huskey]

Hi Roger,

 

Doulas do not offer medical assistance to pregnant or laboring mothers.  They provide emotional and as needed physical support – think backrubs, massage therapy, a calm, encouraging presence.  Do I think they are an important part of a “birth team” ?  Of course not. Generally speaking getting pregnant isn’t a team event (and I am not denigrating or minimizing the importance of trained medical personnel helping  women with infertility issues achieve pregnancy).  A spouse, partner, family member or a very close friend  with the help of  professional nursing staff, a nurse midwife or a physician provides all the support and attention any laboring women needs.  Doulas represent a recent status symbol for self-dramatizing women with more money than good sense.  Competently trained doulas are harmless but certainly expensive and provide limited palliative care.  A local direct entry midwife <http://www.motherwisemidwifery.com/services.php>  who apparently is also available as a doula charges $600 for her services. That fee probably reflects current charges for doula services in this area.

 

You have probably guessed  that I am not a fan of what I consider attention seeking, narcissistic, labor.  When I see a parade of “support personnel”  who flock to film, collectively knit, drink tea,  socialize,  gawk, and fill birthing pooIs I wonder why such a monumentally important and intimate occasion needs (or wants) an audience.  

 

Which reminds me, Roger.  Both the Uma Birth Center and local direct entry midwives include birthing pools as an option during labor and delivery - another disgusting and potentially dangerous practice.  Who in their right mind would ever consider immersing ourselves or their babies  in a fecal, urine, and blood contaminated wading pool?  And contrary to those who claim babies don’t take a breath while under water, they can and do.   Links demonstrating that fact can be found here <http://www.ncbi.nlm.nih.gov/pmc/articles/PMC557235/> ,  here <http://pediatrics.aappublications.org/content/115/5/1413.full>  and here <http://homebirthdebate.blogspot.com/2008/06/irish-hospitals-suspend-waterbirths.html> .  So, aside from the issue of the filthy, contaminated environment that a inflatable birthing pool offers, who would want to even consider risking their baby’s life in such a silly, stunting manner?  (I suppose  it does make clean up more convenient for the midwife.)

 

It is my sincere belief that Certified Professional Midwives aka direct entry midwives, whether conducting deliveries in homes or privately owned birth centers. are the worst possible option for a pregnant women.  Of course, they are not allowed to deliver in hospitals because they lack meaningful credentials. I believed that private homes and birth centers are clearly undesirable venues for delivering babies.  It is true that most labors and deliveries produce normal, healthy babies.  But, when things go awry – often without warning - or, as in the case of the Godwin <http://www.huffingtonpost.com/2012/05/01/coleen-and-jerusha-goodwi_n_1466912.html> ’s in Meridian, Idaho with clear warning and stupid, feckless direct entry midwives in charge, every second counts.  The Uma Birthing Center is a few blocks from the hospital but even ten minutes to transport a patient (and begin patient assessment) is too much delay in a critical situation.  It is my very sad conclusion that birth centers staffed by direct entry midwives represent a preventable tragedy waiting to happen. I certainly hope that I am wrong - that kind of event is too heartbreaking to even think about.  

 

I strongly support the Nurse Midwife model of care.  Nurse Midwives have hospital privileges, and collegial relationships with physicians, registered nurses and other hospital staff. Most importantly they have devoted the time and attention to receive the training and education that allows them to care appropriately for their patients.   It is obvious that best medical practices don’t come from uneducated practitioners who don’t respect their patients or themselves enough to gain the training and education every patient deserves and every genuine professional seeks to provide.

 

Rose Huskey

 

PS  I note on the Motherwise <https://www.facebook.com/motherwisemidwifery>  facebook page that information from a study in the Netherlands claims that homebirths are safer than hospital births.  That is an false and misleading rendering of the report.  For an accurate understanding of the statistical findings please read this <http://www.skepticalob.com/2013/06/no-new-dutch-study-does-not-show-that-homebirth-is-safe.html> .  And, then, scroll down to read the comments below.  They elaborate on the home birth culture in an interesting and informative way.

 

From: lfalen [mailto:lfalen at turbonet.com]
Sent: Saturday, June 22, 2013 2:52 PM
To: Rosemary Huskey; Joe Campbell; Saundra Lund
Cc: Moscow Vision2020
Subject: Re[2]: Re[2]: [Vision2020] The Science of Why We Don't Believe Science

 

Thanks for the info. What can you tell me about the Palouse Doula Association and The Ulma center( is this the birh center you referenced).  

Roger





-----Original Message-----
Subject: RE: Re[2]: [Vision2020] The Science of Why We Don't Believe Science
From: "Rosemary Huskey" 
To: lfalen , "Joe Campbell" , "Saundra Lund" 
Date: 06/22/13 09:05:22

 

Hi Roger,

 

The titles are confusing and I am glad to help sort it out. 

 

1.        A Nurse Midwife is a Registered Nurse and a graduate of a four year regionally accredited university or college with a B.S. in nursing. After receiving an undergraduate degree they receive post-graduate training (an M.S. or equivalent) in midwifery. Midwifery programs also have academic accreditation and include hundreds of hours of supervised clinical and in-class work.

 

2.       Direct Entry Midwives aka Certified Professional Midwives (a misleading description if ever there was one - made up by their parent organization composed of, you guessed it, self-educated midwives) require no accredited academic work or appropriate clinical supervision. When I started unwinding the pseudo profession of direct entry midwives I was appalled. Until this year DEMs didn't even need a high school diploma. It is a self-study program, in which the student prepares a portfolio of the work she has done including an apprenticeship with a Certified Professional Midwife who serves as a mentor. Keep in mind, Roger, there is nothing professional about any of these women. No accredited academic training, no supervision or hospital experience (there is a hospital in the Philippine Islands which allows direct midwife candidates -for a generous fee by local standards - to come work with them for a month or two) but the direct entry midwife path does not require hospital experience. To my knowledge no hospital in the United States allows direct entry midwives access to practice their trade nor do they provide obstetrical training to them. No insurance company will sell malpractice insurance to them - the corporate financial risk is too great. The term Direct Entry means exactly what it says; women who are direct entry midwives have received no formal academic training in obstetrics, gynecology, pediatrics or neonatology. Generally, to become a Certified Professional Midwife the applicant. must:

1.        Watch 10 births

2.       Help with 20 deliveries including 3 prenatal exams, 20 newborn exams, and 10 post partum visits as an assistant to another (self educated) direct entry aka Certified Professional Midwife

3.       Deliver 20 babies under the supervision of (you guessed it a self-educated, direct entry midwife aka CPM ) provide post partum care as above, conduct new born exams

4.       Provide letters of reference

5.       Pass a skills assessment

6.       Pass a three hundred and fifty multiple choice test given in two four hour sessions.

7.       Pay a $700 fee for a portfolio evaluation, $700 fee for certification fee, plus application fees. Do you sense the scam aspect of this? Frankly, I think it reeks.

 

The founder of modern midwifery and a living saint to these women is a freakish old hag named Ina Mae Gaskins <http://en.wikipedia.org/wiki/Ina_May_Gaskin> . Ina Mae was a hippy dropout in the sixties who, with her cult leader husband started a commune called The Farm in Tennessee. Please click on the link under her name to read the puff piece about her on Wikipedia. She is a big local heroine with direct entry midwives in Moscow as well. Click on the local link to Moscow's new Birth Center <http://umacenter.wordpress.com/2013/05/02/announcing-a-showing-of-birth-story/>  to learn how highly she is regarded among these folks. 

 

In truth, Roger, I am sorry to provide the next link - it is graphically offense, indeed, sickening. Ina Mae Gaskins, is an evil, foul woman. And, those who admire her and read her jackassery on obstetrics, if they had a brain in their addled noggins, would shun not celebrate her. Her behavior is criminal if she does in fact do the things she describes in the following quotes published in the "bible" of direct entry midwives, Spiritual Childbirth  <http://www.skepticalob.com/2013/06/would-you-hire-this-midwife.html> by Ina Mae Gaskins. These quotes are published in a blog by Dr. Amy Tuteur. an OB-GYN physician who is extremely concerned about direct entry midwives and the havoc they create. After reading the foul language of Ina Mae, please scroll down to read some of the reader comments about Ina Mae's activities. They serve as a antidote to her toxicity.

 

Idaho Direct Entry Midwives are either uneducated, anti-feminist birth junkies or pathetic pretenders to a profession in which they are neither adequately educated nor clinically trained. In 2014 the Idaho legislature will review current law related to direct entry midwives. Now is the time for thoughtful citizens to contact legislators and tell them they strongly oppose the licensing of direct entry midwives. It is equally important to support Nurse Midwives who have had the education and training to affiliate with hospitals and other medical professionals. 

 

If you have other questions Roger, I will be happy to try to answer them myself or direct you to someone who can.

 

Rose Huskey

 

 

 

 

From: lfalen [mailto:lfalen at turbonet.com]
Sent: Friday, June 21, 2013 5:40 PM
To: u\"Rosemary Huskey\"; Joe Campbell; Saundra Lund
Cc: Moscow Vision2020
Subject: Re[2]: [Vision2020] The Science of Why We Don't Believe Science

 

Rose

 

Thanks for your post. Would you please define the term Direct entry midwife. Even after reading the items in your attachement, I am not sure how it differs from any other type of midwife.

Thanks for your concern on this issue.

Roger




 

-----Original Message-----
Subject: Re: [Vision2020] The Science of Why We Don't Believe Science
From: "Rosemary Huskey"
To: "Joe Campbell" , "Saundra Lund"
Date: 06/21/13 09:08:00

 

Hi Joe

Thanks to you, Saundra, and Ron Force for reminding us that science trumps what I call magical thinking. Our local direct entry midwives certainly illustrate that point. I have spent a significant amount of time over the last year researching standards, education, and practices of direct entry midwives in the state of Idaho. I was absolutely gobsmacked that that such a "profession" was allowed to even exist in the state, let alone receive state Medicaid funding for delivering babies. (I clearly underestimated the Cheap Ass Charlies in the state legislature who apparently don't think financially challenged women and their babies deserve the standard of care that reflects best medical practices.)

 

While there may be a few (very few) exceptions to the following two categories of direct entry midwives in Idaho, I learned that the majority fall comfortably into one of two groups. On the right hand we have women who have patriarchal marriages, embrace religious doctrines that recognize biblical inerrancy (and, consequently, the curse of painful childbirth as a result of Eve's sin), have little or no recognizable academic education in science beyond elementary school, and lack professional training or credentials for a career outside the home. On the left hand is the group of women who enjoyed post high school educational opportunities, choose course work heavily slanted toward social science and liberal arts, rely on the services of full time day care or nannies to ease the personal "burden" of childcare, and, swan about with a world weary ennui that is adolescent stunting at its very worst.

 

Regardless of the circumstances surrounding the direct entry midwife - limited career opportunities because of religious gender-based boundaries or privileged boredom - the results are potentially life-threatening for their clients. Does anyone really have to point out that there is absolutely no way that a person who teaches herself obstetrics and apprentices herself to another self-educated midwife should be allowed to monitor pregnancies, or attend labors and deliveries? This is literally a situation that the direct entry midwife is so ignorant she doesn't even know what she doesn't know. The fact that DEMs monitor pregnancies and deliver VBAC [vaginal birth after Cesarean) mothers at home or in a birthing clinic is obscene. There is a hubris attached to direct entry midwives that is unbelievable to rational adults.

 

If these women actually valued their patients, as they claimed they do, they would respect them enough to earn a registered nursing degree and follow it up with post-graduate work in midwifery. Certified Professional Midwifes (the fancy and misleading title they bestow on themselves) are not recognized nor allowed to practice in Europe, Great Britain, or Canada because they do not meet the educational standards of those countries. 

 

A excellent way to become educated on the issues associated with direct entry midwives may be found here <http://www.skepticalob.com/> . Dr. Amy Tuteur demolishes the mythology and unscientific practices peddled by direct entry midwives and the sheeple who defend them.

 

Rose Huskey

 

 

From: vision2020-bounces at moscow.com [mailto:vision2020-bounces at moscow.com] On Behalf Of Joe Campbell
Sent: Thursday, June 20, 2013 3:52 PM
To: Saundra Lund
Cc: Moscow Vision2020
Subject: Re: [Vision2020] The Science of Why We Don't Believe Science

 

Thanks a lot for writing that Saundra! And thanks to Ron too for the original post.

My gut feeling was that the GMO worries were based on the Frankenstein Syndrome: the fear of technology. I should add that I know nothing about this issue other than what Ron and Sandra have posted; so I'm open to changing my mind if given some solid reasons! Besides, I confess that I can relate to this fear! Should we really be messing with genes? But like in other issues, it seems that science got us in this mess and more science can help get us out. That is to say, if the scientists aren't worried, we shouldn't be worried either. Like I said previously, I good way to handle many controversial issues is just to leave the policy decision up to scientists, since the scientific method has been developed precisely to weed out the kinds of irrational biases that seem to afflict all of us. Of course, the Frankenstein Syndrome generally comes with a fear of science, so good luck get this kind of policy passed!


 

 

The midwife issue is wild too. I have a nurse friend who made a similar point. He said 9 times out of 10 you won't need a hospital when you are having a baby because usually nothing goes wrong; everything goes as planned. But it is those other, few times where things go wrong where you do need a hospital. He added that people often forget that women often died during child birth not too long ago -- and for this exact reason.

Here is another nice article that puts a different spin on this issue:

http://ensia.com/voices/pregnant-pause/

In this article, a comparison is made between global warming skeptics and the writer's situation -- being pregnant and being knowingly ignorant about various potential harms to her fetus. And she's a science writer! Here are a few passages:


... a friend who writes about health and the environment suggested that I was choosing to ignore (as opposed to, say, fact check) the pregnancy warnings largely for emotional reasons. While I normally take a rational, science-based view of things - climate change, say, or vaccines - my desire to avoid the paralysis of fear, she said, prompted me to overlook some of the science surrounding pregnancy.

And suddenly, I began to understand something else: exactly how - and why - so many people opt to ignore the looming threat of climate change. Or to cherry-pick the facts that convince us that environmental problems are vastly overstated. Or to think that those preaching the most alarming outcomes are being melodramatic. "A threat this great can generate a great deal of anxiety if we let it," Glenn Croston, author of The Real Story of Risk: Adventures in a Hazardous World, wrote last year in  <http://www.psychologytoday.com/blog/the-real-story-risk/201210/climate-change-psychological-challenge> Psychology Today.  "So we don't." It's how climate deniers gain an upper hand, Croston maintained: They take advantage of the "inner denier" we all harbor. "They merely exploit our own desire to create a safe bubble of denial," he wrote, "to build a levee holding back the rising tide of uncertainty and allow ourselves to preserve a vision of a safe, happy, and stable world."

 


 

 


 


 

 

On Thu, Jun 20, 2013 at 1:04 PM, Saundra Lund <v2020 at ssl1.fastmail.fm <http://index.html?_n%5Bp%5D%5Bmain%5D=win.main.tree&_n%5Bp%5D%5Bcontent%5D=mail.compose&to=v2020@ssl1.fastmail.fm> > wrote:

Well, it's not short, but here are Mark Lynas' pro-science comments to the Oxford Farming Conference at the beginning of the year where he starts out apologizing for being one of the original "anti" crowd and traces his . . . maturity on the topic:

http://www.marklynas.org/2013/01/lecture-to-oxford-farming-conference-3-january-2013/

 

Here's the opening to whet your whistle:

I want to start with some apologies. For the record, here and upfront, I apologise for having spent several years ripping up GM crops. I am also sorry that I helped to start the anti-GM movement back in the mid 1990s, and that I thereby assisted in demonising an important technological option which can be used to benefit the environment.

 

And, here's the conclusion:

So my message to the anti-GM lobby, from the ranks of the British aristocrats and celebrity chefs to the US foodies to the peasant groups of India is this. You are entitled to your views. But you must know by now that they are not supported by science. We are coming to a crunch point, and for the sake of both people and the planet, now is the time for you to get out of the way and let the rest of us get on with feeding the world sustainably.

 

Hopefully, those teasers should be enough to motivate you to read the rest  J

 

To Roger's addition of the left's anti-science stance on GMO (as well as the original article's vaccine-autism example), I was going to add the misogynistic planned home birth/"the medical profession is evil & untrained midwives are good" & lactivist wacko crowds, but then I realized that just as the anti-science left/right line isn't so clear with the vaccine-autism issue (a lot of those on the religious right have jumped on that bandwagon - remember what Gresham Bouma had to say on the topic?), the same holds true for the anti-science planned home birth & lactivist nuts.

 

Ron, the article was a very good one that provides lots of food for thought - thanks for sharing it.

 

 

Saundra

 

From: vision2020-bounces at moscow.com <http://index.html?_n%5Bp%5D%5Bmain%5D=win.main.tree&_n%5Bp%5D%5Bcontent%5D=mail.compose&to=vision2020-bounces@moscow.com>  [mailto:vision2020-bounces at moscow.com <http://index.html?_n%5Bp%5D%5Bmain%5D=win.main.tree&_n%5Bp%5D%5Bcontent%5D=mail.compose&to=vision2020-bounces@moscow.com> ] On Behalf Of Joe Campbell
Sent: Wednesday, June 19, 2013 1:31 PM
To: lfalen
Cc: Moscow Vision2020
Subject: Re: [Vision2020] [Spam 3.11] The Science of Why We Don't Believe Science

 

I don't know much about the GMO debate. What are the main reasons for rejecting, say, genetically modified foods? Anyone want to provide a short list of reasons?

 

On Wed, Jun 19, 2013 at 1:04 PM, lfalen <lfalen at turbonet.com <http://index.html?_n%5Bp%5D%5Bmain%5D=win.main.tree&_n%5Bp%5D%5Bcontent%5D=mail.compose&to=lfalen@turbonet.com> > wrote:

Good article. Another area in addition to  the vaccine-autism link where some of the left is anti-science is GMO's or what they call Frankin Foods

Roger

 

-----Original Message-----
Subject: [Spam 3.11] [Vision2020] The Science of Why We Don't Believe Science
From: "Ron Force"
To: "Moscow Vision2020"
Date: 06/19/13 17:33:28

 


The Science of Why We Don't Believe Science


How our brains fool us on climate, creationism, and the vaccine-autism link.


 

 By  <https://twitter.com/chriscmooney> Chris Mooney 

 "A MAN WITH A CONVICTION is a hard man to change. Tell him you disagree and he turns away. Show him facts or figures and he questions your sources. Appeal to logic and he fails to see your point." So wrote the celebrated Stanford University psychologist Leon Festinger, in a passage that might have been referring to climate change denial-the persistent rejection, on the part of so many Americans today, of what we know about global warming and its human causes. But it was too early for that-this was the 1950s-and Festinger was actually describing a  <http://www.powells.com/biblio/61-9781617202803-1> famous case study in psychology.

Festinger and several of his colleagues had infiltrated the Seekers, a small Chicago-area cult whose members thought they were communicating with aliens-including one, "Sananda," who they believed was the astral incarnation of Jesus Christ. The group was led by Dorothy Martin, a Dianetics devotee who transcribed the interstellar messages through automatic writing.

Through her, the aliens had given the precise date of an Earth-rending cataclysm: December 21, 1954. Some of Martin's followers quit their jobs and sold their property, expecting to be rescued by a flying saucer when the continent split asunder and a new sea swallowed much of the United States. The disciples even went so far as to remove brassieres and rip zippers out of their trousers-the metal, they believed, would pose a danger on the spacecraft.

Festinger and his team were with the cult when the prophecy failed. First, the "boys upstairs" (as the aliens were sometimes called) did not show up and rescue the Seekers. Then December 21 arrived without incident. It was the moment Festinger had been waiting for: How would people so emotionally invested in a belief system react, now that it had been soundly refuted?

At first, the group struggled for an explanation. But then rationalization set in. A new message arrived, announcing that they'd all been spared at the last minute. Festinger summarized the extraterrestrials' new pronouncement: "The little group, sitting all night long, had spread so much light that God had saved the world from destruction." Their willingness to believe in the prophecy had saved Earth from the prophecy!

>From that day forward, the Seekers, previously shy of the press and indifferent toward evangelizing, began to proselytize. "Their sense of urgency was enormous," wrote Festinger. The devastation of all they had believed had made them even more certain of their beliefs.

 IN THE ANNALS OF DENIAL, it doesn't get much more extreme than the Seekers. They lost their jobs, the press mocked them, and there were efforts to keep them away from impressionable young minds. But while Martin's space cult might lie at on the far end of the spectrum of human self-delusion, there's plenty to go around. And since Festinger's day, an array of new discoveries in psychology and neuroscience has further demonstrated how our preexisting beliefs, far more than any new facts, can skew our thoughts and even color what we consider our most dispassionate and logical conclusions. This tendency toward so-called " <http://www.ncbi.nlm.nih.gov/pubmed/2270237> motivated reasoning" helps explain why we find groups so polarized over matters where the evidence is so unequivocal: climate change, vaccines, "death panels," the birthplace and  <http://www-personal.umich.edu/~bnyhan/obama-muslim.pdf> religion of the president (PDF), and much else. It would seem that expecting people to be convinced by the facts flies in the face of, you know, the facts.

The theory of motivated reasoning builds on a  <https://motherjones.com/files/descartes.pdf> key insight of modern neuroscience (PDF): Reasoning is actually suffused with emotion (or what researchers often call "affect"). Not only are the two inseparable, but our positive or negative feelings about people, things, and ideas arise much more rapidly than our conscious thoughts, in a matter of milliseconds-fast enough to detect with an EEG device, but long before we're aware of it. That shouldn't be surprising: Evolution required us to react very quickly to stimuli in our environment. It's a "basic human survival skill," explains political scientist  <http://www-personal.umich.edu/~lupia/> Arthur Lupia of the University of Michigan. We push threatening information away; we pull friendly information close. We apply fight-or-flight reflexes not only to predators, but to data itself.

We apply fight-or-flight reflexes not only to predators, but to data itself.

Consider a person who has heard about a scientific discovery that deeply challenges her belief in divine creation-a new hominid, say, that confirms our evolutionary origins. What happens next, explains political scientist  <http://www.stonybrook.edu/polsci/ctaber/> Charles Taber of Stony Brook University, is a subconscious negative response to the new information-and that response, in turn, guides the type of memories and associations formed in the conscious mind. "They retrieve thoughts that are consistent with their previous beliefs," says Taber, "and that will lead them to build an argument and challenge what they're hearing."

In other words, when we think we're reasoning, we may instead be rationalizing. Or to use an analogy offered by University of Virginia psychologist  <http://people.virginia.edu/~jdh6n/> Jonathan Haidt: We may think we're being scientists, but <https://motherjones.com/files/emotional_dog_and_rational_tail.pdf> we're actually being lawyers (PDF). Our "reasoning" is a means to a predetermined end-winning our "case"-and is shot through with biases. They include "confirmation bias," in which we give greater heed to evidence and arguments that bolster our beliefs, and "disconfirmation bias," in which we expend disproportionate energy trying to debunk or refute views and arguments that we find uncongenial.

That's a lot of jargon, but we all understand these mechanisms when it comes to interpersonal relationships. If I don't want to believe that my spouse is being unfaithful, or that my child is a bully, I can go to great lengths to explain away behavior that seems obvious to everybody else-everybody who isn't too emotionally invested to accept it, anyway. That's not to suggest that we aren't also motivated to perceive the world accurately-we are. Or that we never change our minds-we do. It's just that we have other important goals besides accuracy-including identity affirmation and protecting one's sense of self-and often those make us highly resistant to changing our beliefs when the facts say we should.

Scientific evidence is highly susceptible to misinterpretation. Giving ideologues scientific data that's relevant to their beliefs is like unleashing them in the motivated-reasoning equivalent of a candy store.

 MODERN SCIENCE ORIGINATED from an attempt to weed out such subjective lapses-what that great 17th century theorist of the scientific method, Francis Bacon, dubbed the "idols of the mind." Even if individual researchers are prone to falling in love with their own theories, the broader processes of peer review and institutionalized skepticism are designed to ensure that, eventually, the best ideas prevail.

Our individual responses to the conclusions that science reaches, however, are quite another matter. Ironically, in part because researchers employ so much nuance and strive to disclose all remaining sources of uncertainty, scientific evidence is highly susceptible to selective reading and misinterpretation. Giving ideologues or partisans scientific data that's relevant to their beliefs is like unleashing them in the motivated-reasoning equivalent of a candy store.

Sure enough, a large number of psychological studies have shown that people respond to scientific or technical evidence in ways that justify their preexisting beliefs. In  <http://synapse.princeton.edu/~sam/lord_ross_lepper79_JPSP_biased-assimilation-and-attitude-polarization.pdf> a classic 1979 experiment (PDF), pro- and anti-death penalty advocates were exposed to descriptions of two fake scientific studies: one supporting and one undermining the notion that capital punishment deters violent crime and, in particular, murder. They were also shown detailed methodological critiques of the fake studies-and in a scientific sense, neither study was stronger than the other. Yet in each case, advocates more heavily criticized the study whose conclusions disagreed with their own, while describing the study that was more ideologically congenial as more "convincing."

Since then, similar results have been found for how people respond to "evidence" about affirmative action, gun control, the  <http://psp.sagepub.com/content/23/6/636.abstract> accuracy of gay stereotypes, and much else. Even when study subjects are explicitly instructed to be unbiased and even-handed about the evidence, they often fail.

And it's not just that people twist or selectively read scientific evidence to support their preexisting views. According to research by Yale Law School professor  <http://www.law.yale.edu/faculty/DKahan.htm> Dan Kahan and his colleagues, people's deep-seated views about morality, and about the way society should be ordered, strongly predict whom they consider to be a legitimate scientific expert in the first place-and thus where they consider "scientific consensus" to lie on contested issues.

In  <https://motherjones.com/files/kahan_paper_cultural_cognition_of_scientific_consesus.pdf> Kahan's research (PDF), individuals are classified, based on their cultural values, as either "individualists" or "communitarians," and as either "hierarchical" or "egalitarian" in outlook. (Somewhat oversimplifying, you can think of hierarchical individualists as akin to conservative Republicans, and egalitarian communitarians as liberal Democrats.) In one study, subjects in the different groups were asked to help a close friend determine the risks associated with climate change, sequestering nuclear waste, or concealed carry laws: "The friend tells you that he or she is planning to read a book about the issue but would like to get your opinion on whether the author seems like a knowledgeable and trustworthy expert." A subject was then presented with the résumé of a fake expert "depicted as a member of the National Academy of Sciences who had earned a Ph.D. in a pertinent field from one elite university and who was now on the faculty of another." The subject was then shown a book excerpt by that "expert," in which the risk of the issue at hand was portrayed as high or low, well-founded or speculative. The results were stark: When the scientist's position stated that global warming is real and human-caused, for instance, only 23 percent of hierarchical individualists agreed the person was a "trustworthy and knowledgeable expert." Yet 88 percent of egalitarian communitarians accepted the same scientist's expertise. Similar divides were observed on whether nuclear waste can be safely stored underground and whether letting people carry guns deters crime. (The alliances did not always hold. In  <http://digitalcommons.law.yale.edu/cgi/viewcontent.cgi?article=1095&context=fss_papers> another study (PDF), hierarchs and communitarians were in favor of laws that would compel the mentally ill to accept treatment, whereas individualists and egalitarians were opposed.)

Head-on attempts to persuade can sometimes trigger a backfire effect, where people not only fail to change their minds when confronted with the facts-they may hold their wrong views more tenaciously than ever.

In other words, people rejected the validity of a scientific source because its conclusion contradicted their deeply held views-and thus the relative risks inherent in each scenario. A hierarchal individualist finds it difficult to believe that the things he prizes ( <http://digitalcommons.law.yale.edu/cgi/viewcontent.cgi?article=1095&context=fss_papers> commerce, industry, a man's freedom to possess a gun to defend his family) (PDF) could lead to outcomes deleterious to society. Whereas egalitarian communitarians tend to think that the free market causes harm, that patriarchal families mess up kids, and that people can't handle their guns. The study subjects weren't "anti-science"-not in their own minds, anyway. It's just that "science" was whatever they wanted it to be. "We've come to a misadventure, a bad situation where diverse citizens, who rely on diverse systems of cultural certification, are in conflict,"  <http://seagrant.oregonstate.edu/blogs/communicatingclimate/transcripts/Episode_10b_Dan_Kahan.html> says Kahan.

And that undercuts the standard notion that the way to persuade people is via evidence and argument. In fact, head-on attempts to persuade can sometimes trigger a backfire effect, where people not only fail to change their minds when confronted with the facts-they may hold their wrong views more tenaciously than ever.

Take, for instance, the question of whether Saddam Hussein possessed hidden weapons of mass destruction just before the US invasion of Iraq in 2003. When political scientists Brendan Nyhan and Jason Reifler <http://www-personal.umich.edu/~bnyhan/nyhan-reifler.pdf> showed subjects fake newspaper articles (PDF) in which this was first suggested (in a 2004 quote from President Bush) and then refuted (with the findings of the Bush-commissioned Iraq Survey Group report, which found no evidence of active WMD programs in pre-invasion Iraq), they found that conservatives were more likely than before to believe the claim. (The researchers also tested how liberals responded when shown that Bush did not actually "ban" embryonic stem-cell research. Liberals weren't particularly amenable to persuasion, either, but no backfire effect was observed.)

Another study gives some inkling of what may be going through people's minds when they resist persuasion. Northwestern University sociologist  <http://www.sociology.northwestern.edu/faculty/prasad/home.html> Monica Prasad and her colleagues wanted to test whether they could dislodge the notion that Saddam Hussein and Al Qaeda were secretly collaborating among those most likely to believe it-Republican partisans from highly GOP-friendly counties. So the researchers set up  <http://sociology.buffalo.edu/documents/hoffmansocinquiryarticle_000.pdf> a study (PDF) in which they discussed the topic with some of these Republicans in person. They would cite the findings of the 9/11 Commission, as well as a statement in which George W. Bush himself denied his administration had "said the 9/11 attacks were orchestrated between Saddam and Al Qaeda."

One study showed that not even Bush's own words could change the minds of Bush voters who believed there was an Iraq-Al Qaeda link.

As it turned out, not even Bush's own words could change the minds of these Bush voters-just 1 of the 49 partisans who originally believed the Iraq-Al Qaeda claim changed his or her mind. Far more common was resisting the correction in a variety of ways, either by coming up with counterarguments or by simply being unmovable:

 Interviewer: [T]he September 11 Commission found no link between Saddam and 9/11, and this is what President Bush said. Do you have any comments on either of those?

 Respondent: Well, I bet they say that the Commission didn't have any proof of it but I guess we still can have our opinions and feel that way even though they say that.

The same types of responses are already being documented on divisive topics facing the current administration. Take the "Ground Zero mosque." Using information from the political myth-busting site <http://www.factcheck.org/> FactCheck.org, a team at Ohio State  <http://www.comm.ohio-state.edu/kgarrett/FactcheckMosqueRumors.pdf> presented subjects (PDF) with a detailed rebuttal to the claim that "Feisal Abdul Rauf, the Imam backing the proposed Islamic cultural center and mosque, is a terrorist-sympathizer." Yet among those who were aware of the rumor and believed it, fewer than a third changed their minds.

A key question-and one that's difficult to answer-is how "irrational" all this is. On the one hand, it doesn't make sense to discard an entire belief system, built up over a lifetime, because of some new snippet of information. "It is quite possible to say, 'I reached this pro-capital-punishment decision based on real information that I arrived at over my life,'" explains Stanford social psychologist  <http://communication.stanford.edu/faculty/krosnick/> Jon Krosnick. Indeed, there's a sense in which science denial could be considered keenly "rational." In certain conservative communities, explains Yale's Kahan, "People who say, 'I think there's something to climate change,' that's going to mark them out as a certain kind of person, and their life is going to go less well."

This may help explain a curious pattern Nyhan and his colleagues found when they  <http://www-personal.umich.edu/~bnyhan/obama-muslim.pdf> tried to test the fallacy (PDF) that President Obama is a Muslim. When a nonwhite researcher was administering their study, research subjects were amenable to changing their minds about the president's religion and updating incorrect views. But when only white researchers were present, GOP survey subjects in particular were more likely to believe the Obama Muslim myth than before. The subjects were using "social desirabililty" to tailor their beliefs (or stated beliefs, anyway) to whoever was listening.

A predictor of whether you accept the science of global warming? Whether you're a Republican or a Democrat.

Which leads us to the media. When people grow polarized over a body of evidence, or a resolvable matter of fact, the cause may be some form of biased reasoning, but they could also be receiving skewed information to begin with-or a complicated combination of both. In the Ground Zero mosque case, for instance,  <http://www.comm.ohio-state.edu/kgarrett/MediaMosqueRumors.pdf> a follow-up study (PDF) showed that survey respondents who watched Fox News were more likely to believe the Rauf rumor and three related ones-and they believed them more strongly than non-Fox watchers.

Okay, so people gravitate toward information that confirms what they believe, and they select sources that deliver it. Same as it ever was, right? Maybe, but the problem is arguably growing more acute, given the way we now consume information-through the Facebook links of friends, or tweets that lack nuance or context, or " <http://en.wikipedia.org/wiki/Narrowcasting> narrowcast" and often highly ideological media that have relatively small, like-minded audiences. Those basic human survival skills of ours, says Michigan's Arthur Lupia, are "not well-adapted to our information age."

 IF YOU WANTED TO SHOW how and why fact is ditched in favor of motivated reasoning, you could find no better test case than climate change. After all, it's an issue where you have highly technical information on one hand and very strong beliefs on the other. And sure enough, one key predictor of whether you accept the science of global warming is whether you're a Republican or a Democrat. The two groups have been growing more divided in their views about the topic, even as the science becomes more unequivocal.

So perhaps it should come as no surprise that more education doesn't budge Republican views. On the contrary: In  <http://people-press.org/report/417/a-deeper-partisan-divide-over-global-warming> a 2008 Pew survey, for instance, only 19 percent of college-educated Republicans agreed that the planet is warming due to human actions, versus 31 percent of non-college educated Republicans. In other words, a higher education correlated with an increased likelihood of denying the science on the issue. Meanwhile, among Democrats and independents, more education correlated with greater acceptance of the science.

Other studies have shown a similar effect: Republicans who think they understand the global warming issue best are least concerned about it; and among Republicans and those with higher levels of distrust of science in general, learning more about the issue doesn't increase one's concern about it. What's going on here? Well, according to Charles Taber and Milton Lodge of Stony Brook, one insidious aspect of motivated reasoning is that political sophisticates are prone to be more biased than those who know less about the issues. "People who have a dislike of some policy-for example, abortion-if they're unsophisticated they can just reject it out of hand," says Lodge. "But if they're sophisticated, they can go one step further and start coming up with counterarguments." These individuals are just as emotionally driven and biased as the rest of us, but they're able to generate more and better reasons to explain why they're right-and so their minds become harder to change.

That may be why the selectively quoted emails of Climategate were so quickly and easily seized upon by partisans as evidence of scandal. Cherry-picking is precisely the sort of behavior you would expect motivated reasoners to engage in to bolster their views-and whatever you may think about Climategate, the emails were a rich trove of new information upon which to impose one's ideology.

Climategate had a substantial impact on public opinion, according to <http://environment.yale.edu/profile/leiserowitz/> Anthony Leiserowitz, director of the  <http://environment.yale.edu/climate/> Yale Project on Climate Change Communication. It contributed to an overall drop in public concern about climate change and a significant loss of trust in scientists. But-as we should expect by now-these declines were concentrated among particular groups of Americans: Republicans, conservatives, and those with "individualistic" values. Liberals and those with "egalitarian" values didn't lose much trust in climate science or scientists at all. "In some ways, Climategate was like a Rorschach test," Leiserowitz says, "with different groups interpreting ambiguous facts in very different ways."

Is there a case study of science denial that largely occupies the political left? Yes: the claim that childhood vaccines are causing an epidemic of autism.

So is there a case study of science denial that largely occupies the political left? Yes: the claim that childhood vaccines are causing an epidemic of autism. Its most famous proponents are an environmentalist ( <http://www.huffingtonpost.com/robert-f-kennedy-jr-and-david-kirby/vaccine-court-autism-deba_b_169673.html> Robert F. Kennedy Jr.) and numerous Hollywood celebrities (most notably  <http://www.huffingtonpost.com/jenny-mccarthy/vaccine-autism-debate_b_806857.html> Jenny McCarthy and Jim Carrey). TheHuffington Post gives a very large megaphone to denialists. And  <http://sethmnookin.com/> Seth Mnookin, author of the new book  <http://www.powells.com/biblio/1-9781439158647-0> The Panic Virus, notes that if you want to find vaccine deniers, all you need to do is go hang out at Whole Foods.

Vaccine denial has all the hallmarks of a belief system that's not amenable to refutation. Over the past decade, the assertion that childhood vaccines are driving autism rates  <http://discovermagazine.com/2009/jun/06-why-does-vaccine-autism-controversy-live-on/article_print> has been undermined by multiple epidemiological studies-as well as the simple fact that autism rates continue to rise, even though the alleged offending agent in vaccines (a mercury-based preservative called thimerosal) has long since been removed.

Yet the true believers persist-critiquing each new study that challenges their views, and even rallying to the defense of vaccine-autism researcher Andrew Wakefield, after  <http://www.thelancet.com/journals/lancet/article/PIIS0140673697110960/fulltext> his 1998 Lancet paper-which originated the current vaccine scare-was retracted and he subsequently  <http://www.gmc-uk.org/Wakefield_SPM_and_SANCTION.pdf_32595267.pdf> lost his license (PDF) to practice medicine. But then, why should we be surprised? Vaccine deniers created their own partisan media, such as the website Age of Autism, that instantly blast out critiques and counterarguments whenever any new development casts further doubt on anti-vaccine views.

It all raises the question: Do left and right differ in any meaningful way when it comes to biases in processing information, or are we all equally susceptible?

There are some clear differences. Science denial today is considerably more prominent on the political right-once you survey climate and related environmental issues, anti-evolutionism, attacks on reproductive health science by the Christian right, and stem-cell and biomedical matters. More tellingly, anti-vaccine positions are virtually nonexistent among Democratic officeholders today-whereas anti-climate-science views are becoming monolithic among Republican elected officials.

Some researchers have suggested that there are psychological differences between the left and the right that might impact responses to new information-that conservatives are more rigid and authoritarian, and liberals more tolerant of ambiguity. Psychologist John Jost of New York University has further argued that conservatives are "system justifiers": They engage in motivated reasoning to defend the status quo.

We all have blinders in some situations. The question then becomes: What can be done to counteract human nature?

This is a contested area, however, because as soon as one tries to psychoanalyze inherent political differences, a battery of counterarguments emerges: What about dogmatic and militant communists? What about how the parties have differed through history? After all, the most canonical case of ideologically driven science denial is probably the rejection of genetics in the Soviet Union, where researchers disagreeing with the anti-Mendelian scientist (and Stalin stooge) Trofim Lysenko were executed, and genetics itself was denounced as a "bourgeois" science and officially banned.

The upshot: All we can currently bank on is the fact that we all have blinders in some situations. The question then becomes: What can be done to counteract human nature itself?

 GIVEN THE POWER OF our prior beliefs to skew how we respond to new information, one thing is becoming clear: If you want someone to accept new evidence, make sure to present it to them in a context that doesn't trigger a defensive, emotional reaction.

This theory is gaining traction in part because of Kahan's work at Yale. In  <http://www.scribd.com/doc/3446682/The-Second-National-Risk-and-Culture-Study-Making-Sense-of-and-Making-Progress-In-The-American-Culture-War-of-Fact> one study, he and his colleagues packaged the basic science of climate change into fake newspaper articles bearing two very different headlines-"Scientific Panel Recommends Anti-Pollution Solution to Global Warming" and "Scientific Panel Recommends Nuclear Solution to Global Warming"-and then tested how citizens with different values responded. Sure enough, the latter framing made hierarchical individualists much more open to accepting the fact that humans are causing global warming. Kahan infers that the effect occurred because the science had been written into an alternative narrative that appealed to their pro-industry worldview.

You can follow the logic to its conclusion: Conservatives are more likely to embrace climate science if it comes to them via a business or religious leader, who can set the issue in the context of different values than those from which environmentalists or scientists often argue. Doing so is, effectively, to signal a détente in what Kahan has called a "culture war of fact." In other words, paradoxically, you don't lead with the facts in order to convince. You lead with the values-so as to give the facts a fighting chance.

 This  <http://www.motherjones.com/politics/2011/03/denial-science-chris-mooney> story first appeared in  <http://www.motherjones.com/> Mother Jones magazine. 

 


 

 


 

  _____  

=======================================================
List services made available by First Step Internet,
serving the communities of the Palouse since 1994.
              http://www.fsr.net
         mailto:Vision2020 at moscow.com <http://index.html?_n%5Bp%5D%5Bmain%5D=win.main.tree&_n%5Bp%5D%5Bcontent%5D=mail.compose&to=Vision2020@moscow.com> 
=======================================================


 


 


=======================================================
 List services made available by First Step Internet,
 serving the communities of the Palouse since 1994.
               http://www.fsr.net
          mailto:Vision2020 at moscow.com <http://index.html?_n%5Bp%5D%5Bmain%5D=win.main.tree&_n%5Bp%5D%5Bcontent%5D=mail.compose&to=Vision2020@moscow.com> 
=======================================================


 

 


 


 


 

 


 

 

  _____  

=======================================================
List services made available by First Step Internet,
serving the communities of the Palouse since 1994.
              http://www.fsr.net
         mailto:Vision2020 at moscow.com <http://index.html?_n%5bp%5d%5bmain%5d=win.main.tree&_n%5bp%5d%5bcontent%5d=mail.compose&to=Vision2020@moscow.com> 
=======================================================

 

 

 

-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://mailman.fsr.com/pipermail/vision2020/attachments/20130622/b49101bd/attachment-0001.html>