Guest guest Posted October 25, 2003 Report Share Posted October 25, 2003 Rory, Thanks for your post. There are two very important considerations that as far as I can see must apply to all research: 1) 'Observation is theory-laden'. 2) 'The unit of empirical significance is the whole of science'. (Quine) An expression that possibly merges these two points was provided by Noam Chomsky in a lecture I attended in London last year. Chomsky said that the reason for scientific experiment was that 'it's chaos out there'. There's very little that one can directly infer from phenomena, hence experiments, in which one variable is altered. However [and this is the point I wish to emphasise], Chomsky stresses that 'scientific experiment is a small strand in theory.' In other words, scientific research is conducted in a manner that is not independent of theory, but to the contrary, is embedded within, and inextricably linked to, theory. If you are doing astronomical observations, you need a theory of light, a theory of optics, a theory of the nature of the cosmos, etc. Quine's comment involves the insight that if you enquire into this deeply, you'll realise that you need to presuppose the entire edifice of science. So when a scientist formulates theories about acupuncture, it assumes the existence of atoms, subatomic particles, nerves, neurotransmitters, etc., etc. When Harvard researchers say they're going to do research to see if acupuncture is a placebo, being scientists they're most surely going to bring all of these assumptions with them. And as I previously argued, the very definition of placebo must involve formulations of mechanisms, and these will be within the biomedical paradigm. Ted Kaptchuk has informed the readers of Scientific American Frontiers http://www.pbs.org/saf/1307/features/kaptchuk.htm " Some of my research looks into what its mechanism is [referring to placebo]. Do we see what physiological pathways it takes? How does ritual get translated into physiology? Does acupuncture or herbal medicine have more efficacy than a placebo? " I'm not a proponent [of alternative medicine]. I actually am the same way anyone else is at [Harvard Medical School] - probably even more critical of those phenomena. I consider myself a scholar and a scientist. " As mentioned above, the moment mechanism is discussed, you know for sure that a paradigm is involved - guess which one? Now, returning to Rory's question, can you do research within a different paradigm to the scientific? In the first instance, you have to have a paradigm to work with. Unschuld has provocatively asserted that there is no unique paradigm for CM, a point on which I think we all agree. So you have to construct one. But now, you're not conducting research according to the framework of CM, you're conducting it according to the paradigm you've constructed. It's not irrelevant to ask whether you'll even get research money to conduct your research using your own constructed paradigm, but even if you do, what claim will it have in relation to other people's constructs? I could go on with this type of analysis, but I think that it is already becoming clear that any research into CM using non-biomedical paradigms is fraught with problematic issues, and it should be apparent in any case that CM research will quickly head in a biomedical direction. Wainwright - " Rory Kerr " <rory.kerr Saturday, October 25, 2003 1:48 PM Re: Incommensurability of paradigms > Wainwright, > > Thanks for your interesting post. > > Going back to a previous discussion, I believe you and others said > that the use of research would inevitably lead to the > bio-medicalization of Chinese medicine. I'm interested in > understanding how this might come about. > > Part of my question is, what can be considered strongly paradigmatic, > and what may not? ie what may be useful in, or common to, more than > one paradigm. For example, are methods of measurement paradigmatic? > It seems to me, that in order to count ten apples, ten Chinese > fingers are much the same as ten European fingers. A digital > calculator and an abacus can both render the same arithmetic results. > If so, can we not extend this analogy to the use of more > sophisticated methods of counting, such as statistics? Is the use of > statistical measurement so at odds with the paradigm of Chinese > medicine, that any measured results are not longer associated with > that paradigm? In what way would the use of statistics to measure > clinical outcomes of CM treatment, render those results meaningful in > terms of bio-medicine? > > Rory > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 25, 2003 Report Share Posted October 25, 2003 , " kenrose2008 " <kenrose2008> wrote: > And one thing is not optional. If you want > to play the music, you have to be > able to read the score. One could always jazz things up, play by ear and improvise. No? Fernando Quote Link to comment Share on other sites More sharing options...
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