Skepticat_UK is

Maria MacLachlan

Accolades & Quackolades

"There are ~20 published reviews of my book, but this one must be THE BEST! THANK YOU."
Edzard Ernst

"Best blog of the day IMHO."
Simon Singh

"This blogpost is simply brilliant."
Mark Burnley

"You are a rude argumentative bully. You are a typical "skeptic" - not sceptical at all."
Andrew, anti-vaxer

"Your piece about House of Commons Science and Technology sub-Committee’s ‘evidence check’ on homeopathy was one of the best I’ve seen. Strength to your elbow."

" individual calling themselves ‘scepticat’ or ‘sceptikat’- a highly volatile dictatorial site run by a wannabe megalomaniac. A truly disturbed person with a anger management issue venting via their little site to their own personal herd of sycophants."
Centella, one of Dr Andrew Jones personal herd of sycophants.

"Excellent report, which I can vouch for completely."
Jack of Kent

"The ludicrous nature of the complaint, and some of the responses by Dr Ranj and the BBC, has already been expertly documented on the Skepticat UK blog".
Dean Burnett

"Choke on your own vomit and die in agony..."
r wesley edwards, aka @CommonCormorant, author

"A very good rebuttal…"
Anna Watson, anti-vaxer Arnica UK

"A staggering amount of pathological disbelief allied with a staggering amount of arrogance."
Antony J Palmer, homeopath

"I just love this blog, and this post is a fine example of it’s content – ‘Inside the spine wizard’s den’ – Skepticat. Why do some of us feel that we are above challenging argument and peer review? I just wish that I could write as well as some of these bloggers!"
Jonathan Hearsey, osteopath

"Skepticat is a particularly venomousness (sic) skeptic, a humanist who lives by the "golden rule", she refused to let me follow her on twitter because I am "bonkers" which may endear her to many in the chiropractic profession..."
Richard Lanigan, chiropractor

Facebook image helpfully captioned by Sandra A Hermann-Courtney (@brownbagpantry)

"Die Die die die!"
r wesley edwards, aka @CommonCormorant, author

"Loved that article. It really shows what chiropractors are really all about. What I call the "chiro show" Exposing people to totally unnecessary X-rays should be criminal. Thank you!"

"I think skepticat is plain mad at not having children of her own. Hatred projected out to the world. It's sad to see someone with so much self hatred, destroying themself internally without even realising it."
Bebo, chiropractor (Note: In fact I'm the proud mother of two brilliant children, whom I mention frequently. Glad of the excuse to do so again.)

"Hooray for Reason! Just want to thank you for writing this. Even though the arguments presented are tired, and played out, they still must be refuted."

"I understand that you have been traumatised by your experience and that this is your way of coming to terms with the emotional scars."
Stefaan Vossen, chiropractor

"All you really seem interested in is banging your repetitive drum and preaching to the converted."
Rick, osteopath

"All the entries I’ve read are excellent. I’ll be coming back to read more. Love the cat logo as well."

"Research in Homeopathy Conference - Skepticat's hilarious account. She went to it."
David Colquhoun

"Her site is Skepticat UK... she wouldn’t know a punchline if it raped her. Or maybe she’d thank it."
Scott Cappurro, comedian

"I rather love the lunacy of the anti-Homeopathists, such as yourself."
James Pannozzi, acupuncturist & would-be homeopath

"Good blog from a skeptic which examines the "science" of Homeopathy in a very detailed way. Skeptics will love this. Proponents of homeopathy? Not so much."

"I really shouldn’t waste my valuable time with someone who obviously has at the very least a borderline personality disorder."
Erika Alisuag, homeopathist

"I’m finding it difficult to come up with some suitable words to say how good and interesting your stuff is. So, in the absence of suitable hyperbole can I say what a very well written and presented blog you have here. Really well thought out and researched. And passionate about it too! Complimenti!"

"You’re whole life is worthless because you lack reason."
Antony J Palmer, homeopath

"Great stuff Skepticat."

"When you have learnt some big words and also studied your history books you’ll find that the world was once thought to be flat…by people just like you."
Sarah Hamilton, homeopath

"Thanks for keeping the banner of reason flying high."
John Willis Lloyd

"This is just a general comment. I love this well-written an unfussy little blog (I don’t mean little in a derogatory way, but in the sense it’s not bombastic, self-important and posturing). Excellent material and a worthwhile focus, keep up the good work."

"Her website is a temple to diatribe – I have no sympathy for the homeopaths, etc, with whom she battles, but she clearly gets off on confrontation."
JF Derry

"Skepticat is strictly logical and attacks in unparliamentary words what she deems to be “quackery” – or suggestions that she sounds a little strident."
Andy Reporter

"LOVE the badass attitude! Seriously...KEEP IT UP!"

"You were a playful little diversion for a. moment, but I do have better things to do with my time than waste more than half an hour of it stooping down to play your ego supporting self delusional mind games……"
Susan Elizabeth, homeopathist

"An excellent read, thanks for taking thr time to compose it."
Alan C

"You need to do a course in anger management."
katenut, nutritionist

"FWIW I think you manage your anger rather well...mostly by focusing it into a thin, narrow beam of incisive rage which you then use to inscribe words on screen. ;)"

"Excellent description of the events."
Simon Perry

"You seem to be of probably well-meaning, but bigoted and fundamentalist disposition, just parroting slogans from others without any really knowledge or insight yourself."
Neil Menzies

"Superb, as usual"

"You seem only interested in ranting against an enemy which you are apparently still struggling to come to terms with “fifteen years” later."
Rick, osteopah

"Bravo, great post!"

"One day if you are not very careful you will be left behind in the dark ages. I’m sure this will not be printed..but hope it is read by you poor little scaredy cats."
Sarah Hamilton, homeopath

"Brilliant piece!"

"While you babble on like a total airhead about Myhill, you ignore the real doctors who are a danger in the UK".
struck-off doctor, Rita Pal, 'NHS whistle-blower'

"I sincerely hope I never get to your stage of wilful ignorance. You know absolutely diddly squat about the subject but you think your opinion is the only opinion."
Antony J Palmer, homeopath

"Keep up the spin, you manky old chicken's foot."
JB, chiropractor

"I am forced to conclude you are blogging on behalf of a specific entity that does wish to remain anonymous."
Antony J Palmer, homeopath

"The person writing all this negative press on homeopathy must be getting a big fat check from one of the pharmaceutical companies who would dearly love to push homeopathy off the map."
Erika Alisuag

"Such reporting lands you clearly in the realm of fundamentalist extremism–much noise, no substance, and money from those who have something to sell. It is so unfortunate that your listening skills are in need of repair."
Tanya Marquette, homeopath

"She seems to revel in presenting the many insults that she has attracted as a column of “Quackolades” on her site, as if war wounds on display,"
JF Derry, self-publicist

"Oh shut up SK. You write hot air and spew rubbish as usual."
Rita Pal again.

Do alternative therapies work?

I’ve already said elsewhere that I believe some complementary therapies are potentially useful. What about the rest…do they work?

Well, it depends what we mean by ‘work’. I don’t know who originally came up with the well-worn gag but it bears repeating:

Q: What do you call alternative medicine that works?

A: Medicine.

In other words, once it has been conclusively demonstrated that a therapy works, it becomes part of mainstream medicine.

No alternative remedy cures or prevents serious illness or injury. I know that not all practitioners claim that they do, but some certainly do make that claim and they are lying.

But if by ‘work’ we simply mean that they make us feel better – free from pain, energised, with a healthy appetite, perhaps getting to sleep quicker, it’s fair to say that for some people they do work as a placebo. Whether a patient’s recovery from their sore throat or headache is due to the placebo effect or whether they would have recovered exactly the same without taking anything, is anybody’s guess. But anyone who’s spent an hour talking about themselves to someone who really listens and seems to care, will know how much better you can feel as a result. If someone’s CAM remedy was prescribed after a session with a charismatic therapist who made them feel really, really special and, at the end of it, devised an ‘individualised’ remedy, my guess would be that their recovery is down to the placebo effect of the whole CAM package. The placebo effect is far more powerful than people realise.

It must be frustrating, for those who swear by one or other CAM therapies because ‘it works for them’, to find their faith challenged by people who, not being open-minded enough to try it themselves, are content to point to the lack of clinical evidence that they work. And how delighted they are if they discover that there are at least some trials that give positive results for their favourite brand of quackery. This is particularly true of homeopushers who love mentioning certain reviews such as Linde et al (1997) and Cucherat et al (2000) as being evidence that homeopathy has been scientifically proven.

Let’s look at the conclusions in those two studies:

The results of our meta-analysis are not compatible with the hypothesis that the clinical effects of homeopathy are completely due to placebo. However, we found insufficient evidence from these studies that homeopathy is clearly efficacious for any single clinical condition. Further research on homeopathy is warranted provided it is rigorous and systematic. Linde K, Clausius N, Ramirez G, Melchart D, Eitel F, Hedges LV, Jonas WB, 1997 (89 studies)

CONCLUSIONS: There is some evidence that homeopathic treatments are more effective than placebo; however, the strength of this evidence is low because of the low methodological quality of the trials. Studies of high methodological quality were more likely to be negative than the lower quality studies. Further high quality studies are needed to confirm these results. Cucherat M, Haugh MC, Gooch M, Boissel JP. 2000, (16 studies)

Linde’s follow up paper in 1999 concluded that,

in the study set investigated, there was clear evidence that studies with better methodological quality tended to yield less positive results…it seems, therefore, likely that our meta-analysis at least over-estimated the effects of homeopathic treatments.

There have been hundreds of trials of homeopathic remedies including many that show positive results. Invariably there are problems with these trials. There are numerous ways in which clinical trials can give false or ambiguous results and this is just as true for trials of conventional drugs as it is for CAM therapies. To be truly fair and produce results that can be considered reliable, clinical trials must be sufficiently large, they must be double-blinded and they must be properly randomised.

It’s incredibly easy, it seems, to get one or more of these factors wrong as the meta-analysis by Shang et al (2005) demonstrates. Starting with 110 homoeopathy trials and 110 matched conventional medicine trials, Shang ruthlessly excluded any trials that didn’t involve a sufficiently large number of participants and didn’t meet his high benchmark for quality i.e. decent blinding and proper randomisation. He ended up with a mere 8 trials for homeopathy and 6 for conventional medicine and they were unmatched i.e. the homeopathy trials were for different ailments than the conventional trials. This didn’t particularly matter as all the trials included a placebo control. The results on how the treatments compared against placebo gave very weak evidence for homeopathy and very strong evidence for conventional medicine and declared that,

This finding is compatible with the notion that the clinical effects of homoeopathy are placebo effects.

But the homeopushers don’t let such details bother them and leap at any opportunity to publicise the fact that there are lots of trials showing a positive benefit from homeopathy, thereby contributing to the impression that there is good scientific evidence for homeopathy.

But there isn’t.

If there were any benefits beyond placebo, this would have been proven overwhelmingly and conclusively by now. The best we have are many poor quality trials that show an effect slightly better than placebo. The only research left to do, as far as I’m aware, is on the homeopathic consultation i.e. a trial in which the value of having an hour long consultation with a therapist hanging on to your every word is compared to the typical rushed job you get with an NHS GP. I wonder why a big homeopathic pill company like Boiron (estimated to be worth $500 million) hasn’t offered to fund such a trial.

CAM therapy promoters display pronounced schizophrenic tendencies when it comes to science. They’ll happily quote any review they think supports them, without even reading it properly, while any that doesn’t is dismissed as being funded directly or indirectly by Big Pharma. They will applaud proper (i.e. medically qualified) doctors and nurses who lend an air of credibility to alternative therapies by offering them in addition to evidence-based ones. But they will sneer at the vast majority of health professionals who eschew or criticise them. Similarly, they’ll happily use sciencey-sounding but meaningless terms and phrases when talking about their therapies because they think it makes them sound all complicated and important.

However, on realising what evidence there is for homeopathy isn’t likely to fool all of the people all the time, they will earnestly explain how homeopathy does not lend itself to conventional clinical trials. Win-win from their perspective.

In fairness, there are many alternative therapies that have not yet been subjected to rigorous clinical testing. They may yet be found to work. In the meantime, use alternative remedies at your peril. The fact that a remedy is not being produced by Big Pharma or prescribed by a proper doctor of medicine but can be bought on the High Street or in a shopping mall, does not mean it’s harmless.

I recommend this website: What’s the harm?

Related Posts

One Response to Do alternative therapies work?

  • THx I hadn’t heard of the Shang et al study.

    I recently had in a run with the Homeopath AJP whom I believe you know. Utter douchebag. I asked him like 5 times why Tapwater is not the ultimate cure, I asked him why there is an inverse correlation between the quality of the study and the efficacy found of homeopathy. I asked him why homeopaths always lie when they say homeopathy stopped an epidemic of Weil’s disease in cuba. (The homeopaths always leave out that the cuban government was running numerous reality based programs to combat the spread of the disease.)

    All I got was conspiracy mongering, logical fallacies (his favorite is shifting attention away from the shortcomings of homeopathy to the short comings of conventional medicine.)
    Kinda like a red herring and ‘you too’ fallacy. Oh an ad hominem’s, lots of those.

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