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gjm comments on How could one (and should one) convert someone from pseudoscience? - Less Wrong Discussion
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Define "very real". I don't think it's a serious threat -- in such situations a stern talking-to from a doctor is usually more than sufficient. To stick to one's guns in the face of opposition from the mainstream and the authority figures (like doctors) requires considerably more arrogance and intestinal fortitude than most people have. Fanatics, thankfully, are rare.
I hope you're right.