医学虚无主义
Medical Nihilism
Jacob Stegenga · 初版 2018 年
4人推荐
9位读者提及
10次提及
- 对现代医学有效性持怀疑态度的极具争议性的论点 - 借鉴跨学科研究，并以医学实例为论据支撑 - 适合任何学术背景的读者阅读 Medical nihilism 是一种认为我们对医疗干预的有效性应抱有极少信心的观点。本书论证了 medical nihilism 是对现代医学一种极具说服力的看法。如果我们考虑到失败医疗干预的频繁发生、医学研究中误导性证据的泛滥，以及许多干预措施薄弱的理论基础……
Hacker News 上怎么说
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制药研究现在问题非常大。除了少数几种药，绝大多数药物居然都没啥效果，简直让人震惊。Jacob Stegenga 写的《医学虚无主义》（Medical Nihilism）就是探讨这个话题的绝佳好书。
Pharmaceutical research is very broken. It is startling how ineffective all but a few drugs are. Medical Nihilism by Jacob Stegenga is a great book on the topic.
前一周的那期甚至更深刻：http://www.econtalk.org/jacob-stegenga-on-medical-nihilism/
The week before that was even more incisive http://www.econtalk.org/jacob-stegenga-on-medical-nihilism/
相关推荐：https://www.amazon.com/Medical-Nihilism-Jacob-Stegenga/dp/01... 你可以去听一下最近的 EconTalk 播客，里面有一小时对这本书的总结。
Related, Recommended: https://www.amazon.com/Medical-Nihilism-Jacob-Stegenga/dp/01... You can listen to a recent EconTalk podcast for a one hour summary of the book.
……推行之后病例就下降了”根本不算证据，因为你看看那些没戴口罩的地区，同期病例也下降了。——我现在用手机码字，没法把原话翻出来，但我强烈推荐读读 Stegenga 写的《医学虚无主义》。你对证据标准的理解似乎有点本末倒置了。也就是说，大多数研究发现其实都是错的（Ioannidis 有篇关于这个的著名论文）。这也是为什么 RCT 之类的方法会如此极其地……
…was adopted cases went down” isn’t proof because if you look at the non-mask areas, cases also went down during the period. — I’m on mobile so can’t dig up the quote but I’d really recommend reading Medical Nihilism by Stegenga. You seem to have a backwards view of evidentiary standards. That is to say, most findings are false (Ionnidis has a famous paper on this too). That’s why RCTs and the like are so incredibly…
……或者国家实验室+ => 国家实验室。当然，我主要读的是我自己领域（实验物理）的论文。不过几年前我也开始读一些医学和心理学方面的文章。我的观点受到了像《医学虚无主义》（Medical Nihilism）和《科学伪证》（Science Fictions）这些书的影响。读了那些关于新冠的论文，也让我把自己的先验概率往下调了。
…or nat. lab + => national lab I mostly read papers in my field (exp. physics), of course. But I began reading a bit more in medical and psyche a few years ago. My views are influenced by books like "Medical Nihilism", and "Science Fictions". Reading COVID papers was also caused me to revise my prior-probabilities downward.
……几乎花零时间去了解运动在改善健康结果方面的作用[4]。[0] https://www.brainyquote.com/quotes/eric_hoffer_142924 [1] https://www.econtalk.org/jacob-stegenga-on-medical-nihilism/ [2] https://peterattiamd.com/katherineeban/ [3] https://peterattiamd.com/davidlight/ [4] https://www.exerciseismedicine.org/
…spend close to zero time learning about the uses of exercise in improving health outcomes[4]. [0] https://www.brainyquote.com/quotes/eric_hoffer_142924 [1] https://www.econtalk.org/jacob-stegenga-on-medical-nihilism/ [2] https://peterattiamd.com/katherineeban/ [3] https://peterattiamd.com/davidlight/ [4] https://www.exerciseismedicine.org/