- What meaning is there in doing anything (being a doctor or a psychologist for instance... or any number of other professions) if we can't even trust the research or the schooling? How can I make a difference in the world or do anything useful with no real knowledge?
That makes things sound worse than they are. I disagree that we have no real knowledge, and I'm also not sure about lumping doctors or psychologists together in this context. In medicine there are effects so huge that explaining them away as publication bias or spurious correlations is implausible (maybe because the relative risk is so huge, as with smoking causing lung cancer, or because the base rate is so low, as with asbestos causing malignant mesothelioma), so I count them as real knowledge. But I don't know of similarly huge effects in psychology, so psychology might differ in that key respect.
(Here's a speculative tangent that belongs in brackets. The foregoing might partly explain bad epistemic habits in research. Historically, lots of research went into things we basically fixed with magic bullets. So it didn't much matter when people suppressed negative results or leaned heavily on observational studies; the true effect of the magic bullets was so huge that it held up despite the biases. This might've gotten researchers into the habit of not worrying about, or not finding out about, methodological biases. But now we're searching for smaller effects those biases matter.)
Better still, most of the problems you refer to above are solvable. We could, for instance,
So, supposing I did accept the premise that the research base is so bad as to make doctors and psychologists useless, there'd still be an obvious alternative to giving up and walking away: I could become an epidemiologist or a medical statistician or a policy pundit, and encourage people to do the things I listed above.
Thank you for responding to this, Satt. I really did need some input here, and it's very good to see another perspective and to have been shown a whole list of things that could be done.
I am in an unusually bad situation because the subject I'm most interested in is psychology. I noticed something was wrong with the psychology industry while I was still young enough to avoid getting into it. The three main problems are:
That you have to diagnose people immediately to collect insurance payments when in reality it takes a long time to know whether ther
If it's worth saying, but not worth its own post, even in Discussion, it goes here.