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	<title>Comments on: Au Revoir, Paula Ross</title>
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	<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html</link>
	<description>Experiments and Thoughts on Quackery, Health Beliefs and Pseudoscience</description>
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		<title>By: Julie Oakley</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-17069</link>
		<dc:creator>Julie Oakley</dc:creator>
		<pubDate>Mon, 30 Jan 2012 22:45:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-17069</guid>
		<description>As someone who mistakenly believed that homeopathy could be effective I can tell you how and why I thought it was effective. About 40 years ago I saw a documentary on television as a child which showed the remarkable efficacy of this treatment called homeopathy. I had the disadvantage of going to a girl&#039;s convent school that didn&#039;t think it was necessary for girls to be taught any sciences whatsoever and so I found this documentary fascinating and compelling and it stuck in my mind at a very impressionable age. 

Then as an adult I discovered that there was an NHS homeopathic hospital staffed by doctors who had had conventional medical training and homeopathic training. So I naturally assumed that if the NHS were funding it, it must be efficacious. Then when nothing was helping me with my hayfever I asked to be referred to the London Homeopathic hospital for treatment. The treatment worked. Well the couple of years that I went for treatment I didn&#039;t suffer from the particularly bad hayfever that I had suffered from in previous years. 

However I was having a chat with one of the doctors about the success rate they had with hayfever treatments and how they worked out the statistics. He said &quot;people come to see us for about three years and then it usually doesn&#039;t need further treatment after that, and they&#039;ve invariably been cured&quot; I asked &quot;how do you know that?&quot; to which he replied &quot;they haven&#039;t come back for further treatment so they must be better&quot;. Even with my scientific ignorance that sounded a bit fishy.

Then I read Ben Goldacre&#039;s book and realised how stupid I had been. If I hadn&#039;t read his book - maybe the placebo would still be working for me!</description>
		<content:encoded><![CDATA[<p>As someone who mistakenly believed that homeopathy could be effective I can tell you how and why I thought it was effective. About 40 years ago I saw a documentary on television as a child which showed the remarkable efficacy of this treatment called homeopathy. I had the disadvantage of going to a girl&#8217;s convent school that didn&#8217;t think it was necessary for girls to be taught any sciences whatsoever and so I found this documentary fascinating and compelling and it stuck in my mind at a very impressionable age. </p>
<p>Then as an adult I discovered that there was an NHS homeopathic hospital staffed by doctors who had had conventional medical training and homeopathic training. So I naturally assumed that if the NHS were funding it, it must be efficacious. Then when nothing was helping me with my hayfever I asked to be referred to the London Homeopathic hospital for treatment. The treatment worked. Well the couple of years that I went for treatment I didn&#8217;t suffer from the particularly bad hayfever that I had suffered from in previous years. </p>
<p>However I was having a chat with one of the doctors about the success rate they had with hayfever treatments and how they worked out the statistics. He said &#8220;people come to see us for about three years and then it usually doesn&#8217;t need further treatment after that, and they&#8217;ve invariably been cured&#8221; I asked &#8220;how do you know that?&#8221; to which he replied &#8220;they haven&#8217;t come back for further treatment so they must be better&#8221;. Even with my scientific ignorance that sounded a bit fishy.</p>
<p>Then I read Ben Goldacre&#8217;s book and realised how stupid I had been. If I hadn&#8217;t read his book &#8211; maybe the placebo would still be working for me!</p>
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		<title>By: Gretawilliams</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-11576</link>
		<dc:creator>Gretawilliams</dc:creator>
		<pubDate>Sun, 25 Apr 2010 15:34:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-11576</guid>
		<description>I don&#039;t think that &#039;effective placebo&#039; is an oxymoron as I understand that you could give me a placebo and I might not feel better. I thought that the term &#039;placebo&#039; was dependent on the placebo effect but presumably a tablet is still a placebo if one feels the same after taking it.
The enigma of why so many&#039;middle class&#039; people[according to        Michael Brooks]have faith in homeopathy has to be based on a personality that responds to placebo and yet, I would have thought that this section of society would be the least influenced.
The opposite of all this is sadly reflected in the swine flu diagnosis of the 8 year old boy who had a rare form of diabetes and died.It seems that many diseases were attributed to the H1N1 virus and shows how easily people can be brainwashed in a negative way.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t think that &#8216;effective placebo&#8217; is an oxymoron as I understand that you could give me a placebo and I might not feel better. I thought that the term &#8216;placebo&#8217; was dependent on the placebo effect but presumably a tablet is still a placebo if one feels the same after taking it.<br />
The enigma of why so many&#8217;middle class&#8217; people[according to        Michael Brooks]have faith in homeopathy has to be based on a personality that responds to placebo and yet, I would have thought that this section of society would be the least influenced.<br />
The opposite of all this is sadly reflected in the swine flu diagnosis of the 8 year old boy who had a rare form of diabetes and died.It seems that many diseases were attributed to the H1N1 virus and shows how easily people can be brainwashed in a negative way.</p>
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		<title>By: Le Canard Noir</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-11541</link>
		<dc:creator>Le Canard Noir</dc:creator>
		<pubDate>Fri, 23 Apr 2010 17:56:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-11541</guid>
		<description>Good for you. It looks as if the Northern Ireland pharmacists are heading down that route.

http://news.bbc.co.uk/1/hi/northern_ireland/8640582.stm

&lt;i&gt;&lt;b&gt;New guidance for homeopathy use&lt;/b&gt;&lt;br/&gt;The regulatory body for pharmacists in NI has proposed that patients be told that homeopathic products do not work, other than having a placebo effect.
The draft guidance comes following a report on homeopathy published earlier this year by the House of Commons Science committee.
It reviewed the evidence base for homeopathy and concluded that it was &quot;not an efficacious form of treatment.&quot;&lt;/i&gt;</description>
		<content:encoded><![CDATA[<p>Good for you. It looks as if the Northern Ireland pharmacists are heading down that route.</p>
<p><a href="http://news.bbc.co.uk/1/hi/northern_ireland/8640582.stm" rel="nofollow">http://news.bbc.co.uk/1/hi/northern_ireland/8640582.stm</a></p>
<p><i><b>New guidance for homeopathy use</b><br />The regulatory body for pharmacists in NI has proposed that patients be told that homeopathic products do not work, other than having a placebo effect.<br />
The draft guidance comes following a report on homeopathy published earlier this year by the House of Commons Science committee.<br />
It reviewed the evidence base for homeopathy and concluded that it was &#8220;not an efficacious form of treatment.&#8221;</i></p>
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		<title>By: Richard Rawlins (FRCS)</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-11540</link>
		<dc:creator>Richard Rawlins (FRCS)</dc:creator>
		<pubDate>Fri, 23 Apr 2010 17:50:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-11540</guid>
		<description>Everything has an &quot;effect&quot;. In one way or another. So of course homeopathy has an effect - and is by definition, &quot;effective&quot;.

But to what extent and in what way?

Homeopathy has no effect (as demonstrated by credible scientific evidence) on any pathological process.

So the effect of Homeopathy is, as Le Canard points out - on and by the &quot;experience&quot;.

And similar effects can be, and are, obtained by many means including other &#039;placebos&#039; (sugar pills and the like), but also Tender Loving Care, a stiff drink, a satisfactory date with a loved one, a holiday, shaking hands with a member of the Royal Family or other celebrity (or perhaps touching the hem of their robe)...etc; etc.

Simple.

If some folk want to dress up in white coats, bash leather pads with phials of water, organise racks of water with fancy sounding names on the phials, conjure pseudo scientific explanations for non-existant effects,get naieve celebrities to endorse their behaviour, fair enough - whatever turns you on. But they should be honest and admit that is what they are up to.

Just as when I perform &quot;Entertainmant at the Speed of Thought&quot; in the guise of &quot;Professor Riccardo&quot; I admit I am a Member of The Magic Circle&quot; - which of course imples that I do not actually use &#039;magic&#039; except in the show business sense.

I call on Homeopaths to carry on their good work, but with honesty, integrity and probity about what they are up to.

At this year&#039;s BMA Conference (June 28-30th) I am proposing that chemist shops remove homeopathic remedies from shelves marked as &quot;medicines&quot; (of any sort), and sell them from shelves clearly marked as &quot;Placebos&quot;.

I hope homeopaths will support this motion. Why would they not do so?


I am also proposing that no more funding should accrue to homeopathy unless and until NICE reports and makes recommendations.

My last proposal in 2008 established BMA policy that NICE should report. I now propose that until they have done so, public funding should be withdrawn.</description>
		<content:encoded><![CDATA[<p>Everything has an &#8220;effect&#8221;. In one way or another. So of course homeopathy has an effect &#8211; and is by definition, &#8220;effective&#8221;.</p>
<p>But to what extent and in what way?</p>
<p>Homeopathy has no effect (as demonstrated by credible scientific evidence) on any pathological process.</p>
<p>So the effect of Homeopathy is, as Le Canard points out &#8211; on and by the &#8220;experience&#8221;.</p>
<p>And similar effects can be, and are, obtained by many means including other &#8216;placebos&#8217; (sugar pills and the like), but also Tender Loving Care, a stiff drink, a satisfactory date with a loved one, a holiday, shaking hands with a member of the Royal Family or other celebrity (or perhaps touching the hem of their robe)&#8230;etc; etc.</p>
<p>Simple.</p>
<p>If some folk want to dress up in white coats, bash leather pads with phials of water, organise racks of water with fancy sounding names on the phials, conjure pseudo scientific explanations for non-existant effects,get naieve celebrities to endorse their behaviour, fair enough &#8211; whatever turns you on. But they should be honest and admit that is what they are up to.</p>
<p>Just as when I perform &#8220;Entertainmant at the Speed of Thought&#8221; in the guise of &#8220;Professor Riccardo&#8221; I admit I am a Member of The Magic Circle&#8221; &#8211; which of course imples that I do not actually use &#8216;magic&#8217; except in the show business sense.</p>
<p>I call on Homeopaths to carry on their good work, but with honesty, integrity and probity about what they are up to.</p>
<p>At this year&#8217;s BMA Conference (June 28-30th) I am proposing that chemist shops remove homeopathic remedies from shelves marked as &#8220;medicines&#8221; (of any sort), and sell them from shelves clearly marked as &#8220;Placebos&#8221;.</p>
<p>I hope homeopaths will support this motion. Why would they not do so?</p>
<p>I am also proposing that no more funding should accrue to homeopathy unless and until NICE reports and makes recommendations.</p>
<p>My last proposal in 2008 established BMA policy that NICE should report. I now propose that until they have done so, public funding should be withdrawn.</p>
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		<title>By: Le Canard Noir</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-11530</link>
		<dc:creator>Le Canard Noir</dc:creator>
		<pubDate>Fri, 23 Apr 2010 12:38:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-11530</guid>
		<description>To ask &quot; Why is homeopathy such an effective placebo?&quot; is to misunderstand what a placebo is, in my book. It is the wrong sort of question to be asking.

That homeopathy is a placebo is beyond reasonable doubt. A placebo is just a treatment &#039;given to please&#039; that in themselves do not have any specific effects.

An &quot;effective placebo&quot; is oxymoronic, I would argue.

What you could ask is why do so many people &lt;i&gt;believe&lt;/i&gt; homeopathy to be effective and what is it about homeopathy that appears to be so good at instilling this belief? That is a valid question - and there are lots of good answers, although I would be the first to confess we do not know all the answers to that one.

The other interesting topic, and one Michael Brooks touches on, is the question of whether beliefs induced by a placebo can in themselves give rise to specific measurable health improvements. 

There is an assumption amongst many that they can - and that this placebo effect is &#039;powerful&#039;. But studies to confirm this are few and far between and is is looking more and more that this might just be largely a myth.

A placebo does not alter the course of your illness. It may, however, change your mood and your beliefs that effect directly your &lt;i&gt;experience&lt;/i&gt; of your illness. That may have some benefits, but it is an effect available to all medications and not just pseudo-medical treatments like homeopathy. The valid questions around this are to do with how you might enhance any effect here and, more importantly, what are the ethical issues of doing so - e.g. can you achieve benefit without deceit.</description>
		<content:encoded><![CDATA[<p>To ask &#8221; Why is homeopathy such an effective placebo?&#8221; is to misunderstand what a placebo is, in my book. It is the wrong sort of question to be asking.</p>
<p>That homeopathy is a placebo is beyond reasonable doubt. A placebo is just a treatment &#8216;given to please&#8217; that in themselves do not have any specific effects.</p>
<p>An &#8220;effective placebo&#8221; is oxymoronic, I would argue.</p>
<p>What you could ask is why do so many people <i>believe</i> homeopathy to be effective and what is it about homeopathy that appears to be so good at instilling this belief? That is a valid question &#8211; and there are lots of good answers, although I would be the first to confess we do not know all the answers to that one.</p>
<p>The other interesting topic, and one Michael Brooks touches on, is the question of whether beliefs induced by a placebo can in themselves give rise to specific measurable health improvements. </p>
<p>There is an assumption amongst many that they can &#8211; and that this placebo effect is &#8216;powerful&#8217;. But studies to confirm this are few and far between and is is looking more and more that this might just be largely a myth.</p>
<p>A placebo does not alter the course of your illness. It may, however, change your mood and your beliefs that effect directly your <i>experience</i> of your illness. That may have some benefits, but it is an effect available to all medications and not just pseudo-medical treatments like homeopathy. The valid questions around this are to do with how you might enhance any effect here and, more importantly, what are the ethical issues of doing so &#8211; e.g. can you achieve benefit without deceit.</p>
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		<title>By: Gretawilliams</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-11529</link>
		<dc:creator>Gretawilliams</dc:creator>
		<pubDate>Fri, 23 Apr 2010 12:03:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-11529</guid>
		<description>Le Canard Noir, I don&#039;t approve or disapprove of the way you spend your time.I have just read the piece by Michael Brooks and he says that the homeopathic situation requires much time and energy and it probably doesn&#039;t matter anyway.That is how I feel:it doesn&#039;t matter;other things do.
I have already posted this question but will repeat it here. Why is homeopathy such an effective placebo? Would it work in that way when prescribed medication doesn&#039;t? I don&#039;t &#039;get&#039; the placebo effect.</description>
		<content:encoded><![CDATA[<p>Le Canard Noir, I don&#8217;t approve or disapprove of the way you spend your time.I have just read the piece by Michael Brooks and he says that the homeopathic situation requires much time and energy and it probably doesn&#8217;t matter anyway.That is how I feel:it doesn&#8217;t matter;other things do.<br />
I have already posted this question but will repeat it here. Why is homeopathy such an effective placebo? Would it work in that way when prescribed medication doesn&#8217;t? I don&#8217;t &#8216;get&#8217; the placebo effect.</p>
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		<title>By: Statement from the Society of Homeopaths on the departure of Paula Ross &#171; gimpy&#8217;s blog</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-11526</link>
		<dc:creator>Statement from the Society of Homeopaths on the departure of Paula Ross &#171; gimpy&#8217;s blog</dc:creator>
		<pubDate>Fri, 23 Apr 2010 11:30:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-11526</guid>
		<description>[...] irregularities at th&#8230;Prince of Wales Char&#8230; on Financial irregularities at th&#8230;Au Revior, Paula Ros&#8230; on Society of Homeopaths &#8211; &#8230;Au Revior, Paula Ros&#8230; on [...]</description>
		<content:encoded><![CDATA[<p>[...] irregularities at th&hellip;Prince of Wales Char&hellip; on Financial irregularities at th&hellip;Au Revior, Paula Ros&hellip; on Society of Homeopaths &#8211; &hellip;Au Revior, Paula Ros&hellip; on [...]</p>
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		<title>By: Le Canard Noir</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-11486</link>
		<dc:creator>Le Canard Noir</dc:creator>
		<pubDate>Wed, 21 Apr 2010 18:23:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-11486</guid>
		<description>Dear Greta,

I am sorry the topic of my blog is not the same as what you think I &lt;i&gt;ought&lt;/i&gt; to be talking about. I understand there are many scientists looking into the problems you mention and debating with each other. 

As a matter of interest, how many problems do you think need solving in the world before you would approve of people discussing the dreadful problems inherent within the world of homeopathy?</description>
		<content:encoded><![CDATA[<p>Dear Greta,</p>
<p>I am sorry the topic of my blog is not the same as what you think I <i>ought</i> to be talking about. I understand there are many scientists looking into the problems you mention and debating with each other. </p>
<p>As a matter of interest, how many problems do you think need solving in the world before you would approve of people discussing the dreadful problems inherent within the world of homeopathy?</p>
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		<title>By: Greta Williams</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-11484</link>
		<dc:creator>Greta Williams</dc:creator>
		<pubDate>Wed, 21 Apr 2010 15:28:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-11484</guid>
		<description>Do you ever feel that your obsession with homeopathy is a waste of your energy? You seem to be so effective at putting across your views that it would be great if you could address some of the big health issues in this country.We need scientists to address the MRSA problem and someone to take up issues such as the swine flu panic that resulted in unused vaccinations to the cost of £150 million.These are the important medical situations.Can&#039;t understand why you are so bothered about homeopathy.Go make a difference!</description>
		<content:encoded><![CDATA[<p>Do you ever feel that your obsession with homeopathy is a waste of your energy? You seem to be so effective at putting across your views that it would be great if you could address some of the big health issues in this country.We need scientists to address the MRSA problem and someone to take up issues such as the swine flu panic that resulted in unused vaccinations to the cost of £150 million.These are the important medical situations.Can&#8217;t understand why you are so bothered about homeopathy.Go make a difference!</p>
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		<title>By: gimpy</title>
		<link>http://www.quackometer.net/blog/2010/04/au-revior-paula-ross.html#comment-11467</link>
		<dc:creator>gimpy</dc:creator>
		<pubDate>Tue, 20 Apr 2010 16:32:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.quackometer.net/blog/?p=1234#comment-11467</guid>
		<description>Jack of Kent, it&#039;s always worth considering when trying to analyse the actions of a quack that they tend to believe in conspiracies.  Homeopaths are especially bad for this.  They believe that they are up against a conspiracy of doctors and big pharma and that this justifies strong action, whether that be threats of libel or circumventing the rigours of medical ethics to feed illiterate AIDS patients sugar pills masquerading as miracle cures.</description>
		<content:encoded><![CDATA[<p>Jack of Kent, it&#8217;s always worth considering when trying to analyse the actions of a quack that they tend to believe in conspiracies.  Homeopaths are especially bad for this.  They believe that they are up against a conspiracy of doctors and big pharma and that this justifies strong action, whether that be threats of libel or circumventing the rigours of medical ethics to feed illiterate AIDS patients sugar pills masquerading as miracle cures.</p>
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