“How can skeptics have a dialogue with homeopaths?” Michelle asks that modern well of insight and wisdom, ‘Yahoo’. “[W]ithout pointing out the stupidity of their arguments? I’m thinking about the paranoid ramblings about big pharma as well as the ignorance of simple science.”
Ignoring for a moment the framing of Michelle’s query, I was interested to scan through the responses for a solution two centuries of debate on the topic might have overlooked.
“Crucially, homeopaths lack the educational level to understand how their potions can only be water,” says Dave, a top contributor. Another top contributor says, “They only start with the fallacies to avoid providing evidence – so no matter what they crap on about, keep dragging them back to evidence.”
“Never argue with an idiot, they’ll drag you down to their level and beat you with experience,” says Flizbap 2.0.
And on it goes. There are some that advocate avoidance of engagement without resorting to well-poisoning or flippant antagonism, but for the most part the advice involves engaging in a behaviour anthropologists and other social scientists refer to as ‘othering‘.
Regardless of the intentions, the practice involves judgments of inferiority or impeded progress based on observations of contrasting social beliefs, behaviours and values. It is born of ethnocentrism, where observations are made with the assumption that one’s own experiences define what is objectively desirable. The result is a sense that a group of people, ‘them’, is inferior to one’s own company, or ‘us’, on account of differences in beliefs and values.
By the dawn of the 21st century, however, ethnology has had enough of an influence on the developed world that it’s become difficult to ‘other’ non-local cultures without seeming naïve or xenophobic. Most people have come to see that subsistence farming or hunter-gathering is not a mark of inferiority or low intelligence, and limited technological dependence is a socioeconomic issue rather than a cultural or cognitive failing. Openly claiming a village in the Papua New Guinea highland is ignorant, stupid or indulgent in logical fallacies would probably raise eyebrows, leading such discussions on cultural practices to be couched in less derisive terms. While the debate over racial intelligence might continue, it’s harder to find people who justify their beliefs by pointing out contrasting traditions, lifestyles or cultural practices.
However, within national borders, ethnocentrism returns with all of the ignorance of our colonial ancestors. If it’s one habit we can’t seem to shake, it’s that our nationalistic heritage has embedded in us a strong correlation between culture and country, as if by being white and sharing an accent our cultural values must be homogeneous. As a result, othering occurs far easier with those who appear (at least superficially) to share an ethnic background.
What’s missed is that within our own community there are shades of culture and sub culture that pool, ebb and overlap. Healthcare is just one example, yet one that has significant consequences beyond other examples of cultural behaviour such as art or language. Medicine in the context of a scientific product leads many to interpret healthcare as a ‘culture without a culture‘. Science and medicine is typically presented as timeless, truthful and above all, objectively correct. It’s strictly biophysical, with its sociocultural component reduced to a vestigial nub.
As such, it’s far easier to other those who demonstrate contrasting medical behaviours. Lack of intellect or education can be easily held up as reasons for their alternative beliefs without evidence, as it’s assumed that all else must be equal. As such, archaic and empty solutions such as ‘better education’ or legal enforcement is suggested as a way of making people see sense.
In truth, there is a multitude of reasons why people use alternative medicines, few of which (if any) have much of a direct link with a level of education or cognitive deficiencies. Rather, values in what constitutes good evidence, familial traditions, cultural identities and distrust of contrasting sociocultural groups play far greater roles in determining health behaviour than university degrees or brain function. In other words, the very same factors medical anthropologists deal with abroad when studying any other health culture are responsible for the same alternative beliefs in our own community.
The question on how best to address culture change is also just as relevant here as it is elsewhere. It’s all well and good that African or Indigenous communities retain their cultural heritage, but what does one do when it conflicts with treatments for HIV, alcohol abuse or diabetes? This is a question a good friend of mine is currently researching through the Australian National University; as you might expect, the resulting discussion demands more than a simplistic ‘they need better education’ or ‘they’re just stupid’. Yet it’s not a novel dilemma; whether it’s vaccination, water sanitation, nutrition or infant care, the question of how to effectively assist diverse communities in improving and maintaining their health and wellbeing has occupied anthropologists for years, producing rich debate and diverse results.
Ironically, those who propose answers for Michelle seem to identify as individuals who would normally value science as a way of presenting useful solutions to a problem. Why then do few seem to be informed by research? Why are the answers without citations or references, seeming to be based on little more than personal hunches or folk wisdom?
Based on my own experience, few would be inclined to look further as they already assume to be correct. Science works for some things…unless you already think you know, at which point it’s all rhetoric and pedantry. Social science is a soft science, therefore gut feelings and intuition are as useful (if not more so).
Michelle’s question and many of the answers reveal the roadblock we face here in our efforts to address alternative healthcare. Rather than treating it as a legitimate sociological question, where science might provide some insight, the issue is reduced to a dichotomy of smart vs. stupid, of educated vs. naive. When those are the questions we ask, we certainly can’t hope for any productive answers.