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Woozle effect

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The Woozle effect, also known as evidence by citation,[1] or a woozle, occurs when frequent citation of publications lacking evidence misleads individuals, groups, and the public, and nonfacts become urban myths and factoids.[2]

Origin and definition

A Woozle is an imaginary character in the A. A. Milne book Winnie-the-Pooh, published in 1926. In chapter three, "In which Pooh and Piglet Go Hunting and Nearly Catch a Woozle", Winnie-the-Pooh and Piglet start following tracks left in snow believing they are the tracks of an imaginary animal called a woozle. The tracks keep multiplying until Christopher Robin explains to them that they have been following their own tracks in circles around a spinney.[3]

Prior to the introduction of the specific term "Woozle effect", the underlying research phenomenon (and connection to the Woozle) dates back over 60 years. Bevan (1953), writing about scientific methodology and research errors in the field of psychology, uses the term "scientific woozle hunters".[4] Wohlwill (1963) refers to a "hunt for the woozle" in social science research,[5] and Stevens (1971) cautions readers about woozles in the study of a misquoted letter.[6]

The term "woozle effect" was coined by Beverly D. Houghton in 1979[7][8][9] during a panel discussion, in order "to critique the burgeoning belief in a myth/archetype [of] the batterer emerging from the [then] virtually nonexistent literature and the popular press."[10] More recently she described the effect as "reification-by-accretion."[11] Other researchers have attributed the term to Gelles (1980)[12] and Gelles and Murray A. Straus (1988).[13][14] Gelles and Straus argue that the woozle effect describes a pattern of bias seen within social sciences and which is identified as leading to multiple errors in individual and public perception, academia, policy making and government. A woozle is also a claim, made about research, that is not supported by original findings.[15] According to Donald G. Dutton, a woozle effect, or a woozle, occurs when frequent citation of previous publications that lack evidence misleads individuals, groups and the public into thinking or believing there is evidence, and non-facts become urban myths and factoids.[2] The creation of woozles is often linked to the changing of language from qualified ("it may", "it might", "it could") to absolute form ("it is"), firming up language and introducing ideas and views not held by an original author or supported by evidence.[16]

Dutton sees the woozle effect as an example of confirmation bias and links it to belief perseverance and groupthink.[17] Because in the social sciences empirical evidence may be based on experiential reports rather than objective measurements, there may be a tendency for researchers to align evidence with expectation. According to Dutton it is also possible that the social sciences may be likely to align with contemporary views and ideals of social justice, leading to bias in favor of those ideals.[18] Gambrill (2012) links the woozle effect to the processes that create pseudoscience.[19] Gambrill and Reiman (2011) also link it with more deliberate propaganda techniques; they also identify introductory phrases like "Every one knows ...", "It is clear that ...", "It is obvious that ...", "It is generally agreed that ..." as alarm bells that what follows might be a Woozle line of reasoning.[20]

Examples

In 1980, Gelles [21] illustrated the Woozle effect, showing how work by Gelles (1974) based on a small sample and published in The Violent Home[22] by Straus, who had written the foreword for Gelles's book, was presented as if it applied to a large sample.[23][24] Both of these were then cited by Langley & Levy in their 1977 book, Wife Beating: The Silent Crisis.[25] In the 1998 book Intimate Violence, Gelles and Straus use the Winnie-the-Pooh woozle to illustrate how poor practice in research and self-referential research causes older research to be taken as fresh evidence causing error and bias.[2]

One notable example of the effect can be seen in citations of "Addiction Rare in Patients Treated with Narcotics", a letter to the editor by Jane Porter and Hershel Jick published by the New England Journal of Medicine in 1980. The letter, which was five sentences long and unlikely to have been peer reviewed according to a NEJM spokesperson,[26] reported findings from analysis of medical records regarding the use of pain medication for hospital patients and concluded that "despite widespread use of narcotic drugs in hospitals, the development of addiction is rare in medical patients with no history of addiction".[27] However, although the study only concerned use of narcotics in hospital settings, over time it was increasingly incorrectly cited to support claims that addiction to painkillers was similarly uncommon among patients prescribed narcotics at home.[26] The authors of a 2017 letter published in the NEJM concerning the original 1980 letter found 608 citations of Porter and Jick, with a "sizable increase" after the release of OxyContin in 1995:[28] Purdue Pharma, the manufacturers of OxyContin, cited the Porter and Jick study, as well as others, to argue that it carried a low risk of addiction.[29] In 2007, Purdue and three of the company's senior executives pleaded guilty to federal criminal charges that they had misled regulators, physicians and patients about the addiction risk associated with taking OxyContin.[28] The 1980 study was also misrepresented in both academic and non-academic publications: it was described as an "extensive study" by Scientific American, whilst Time said that it was a "landmark study" showing that "exaggerated fear that patients would become addicted" to opiates was "basically unwarranted",[26] and an article in the journal Seminars in Oncology claimed that the Porter and Jick study examined cancer patients when the letter made no mention of what illnesses the patients were suffering from.[30] The authors of the 2017 NEJM letter suggested that the inappropriate citations of the 1980 study played a role in the North American opioid epidemic by under-representing the risk of addiction:[28] the page for the Porter and Jick letter on the Journal's website now includes a note informing the reader that it "has been 'heavily and uncritically cited' as evidence that addiction is rare with opioid therapy".[27]

A possible example among scholars is the Dorian invasion around 1200–1000 BCE, a hypothesized mass invasion of Greece to explain the subsequent Greek Dark Ages, part of the Late Bronze Age collapse. While historians agree that something bad happened in Greece, archaeological evidence of a mass migration being at fault has proven nearly non-existent.[31]

In a study conducted by the Vera Institute of Justice, Weiner and Hala (2008) reported some of the research-related difficulties associated with measuring human trafficking.[32] They describe and map the unfolding of the Woozle effect in connection with prevalence estimates of human trafficking. Searching the relevant literature between 1990 and 2006, Weiner and Hala found 114 prevalence estimates in 45 publications. Only one of the publications cited original research, and several prevalence estimates appeared unsourced.[32] The authors concluded that the sources they reviewed lacked citations, adequate operational definition, and discussion of methodology.[32] Stransky and Finkelhor (2008/2012) criticize the general methodology involved in human trafficking research. They cite the Woozle effect[33] and post a prominent warning on the first page of their report cautioning against citing any specific estimates they present, as the close inspection of the figures "...reveals that none are based on a strong scientific foundation."[34]

Geraldine Hoff Doyle claimed to be the inspiration for "We Can Do It!", achieving fame and honors, but the photograph she offered was not even of her, and it is unclear if the photograph really inspired the wartime poster regardless.

Gambrill and Reiman (2011) analyze scientific papers and mass-market communications about social anxiety and conclude that many of them engage in disease mongering by presenting the disease model of social anxiety as an incontrovertible fact by resorting to unchallenged repetition techniques and by leaving out of the discourse any competing theories. Gambrill and Reiman further note that even after educating their subjects about the tell-tale signs of such techniques, many of them still failed to pick up the signs in a practical test.[20]

James J. Kimble gives as an example the 1994–2015 historiography of the 1943 American "We Can Do It!" wartime poster. After Michigan resident Geraldine Hoff Doyle said in 1994 that she was the real-life model for the poster, many sources repeated her assertion without checking the two foundational assumptions: that Doyle was the young factory worker pictured in a 1942 wartime photograph, and that the photograph had inspired commercial artist J. Howard Miller to create the poster. Though some media representations described the connection as unconfirmed, many more enthusiastically endorsed it. The weight of these multiple endorsements gave Doyle's story a "convincing" authority, despite the lack of authority in establishing the connection. In 2015 Kimble found the original photographic print of the factory worker, its caption identifying the young woman as Naomi Parker, working in California in March 1942, when Doyle was still in high school.[35]

The woozle effect propagated a “one-third MCA rule” in the emergency treatment of acute ischemic brain infarcts (a kind of stroke). Coined in 1995 by the first ECASS (European Cooperative Acute Stroke Study), this rule set a volume threshold equal to 1/3 of the supposed volume of the middle cerebral artery (MCA) territory (roughly half the volume of a cerebral hemisphere [36]) as the upper limit on the volume of an infarct in the cerebral carotid arterial territory—“the anterior circulation” comprising the anterior and middle cerebral artery territories—to be treated by an intravenous clot-dissolver (tissue plasminogen activator, tPA) without too much fear of causing a large bleed into the infarct. The 1/3 MCA rule, and the ECASS as its source, went on to be successively cited. But the ECASS has no primary data to support such a rule, and its report’s citations ostensibly for it mention no such 1/3 MCA threshold or supportive data.[11] In a subsidiary (2nd) woozle effect, ECASS’s attention to the entire anterior circulation for treatment was soon arbitrarily narrowed by ASPECTS (discussed below) to only the middle cerebral artery territory.[37] The 1/3 MCA threshold was eventually abandoned for intravenous treatment, but it was picked up for intra-arterial treatment (below), where it was modified and propagated in literature and guidelines without supportive data as a 3rd stroke-related woozle effect, and this modified rule, too, is increasingly doubted.[38]

A 4th woozle effect in acute ischemic stroke care promoted a categorical scoring system called “ASPECTS” as a substitute for measuring infarct volume, and its use for intra-arterial treatment persists in some quarters.[39] Randomized controlled trials (RCTs) have shown the value of thrombectomy (pulling an obstructing clot out through a catheter) by comparing thrombectomy to treatment of similar patients (controls) without thrombectomy. Among these RCTs, some did and some did not use ASPECTS to select patients for treatment eligibility, while none studied ASPECTS per se by comparing ASPECTS to its own methodological controls (i.e., any other rating of infarct volume, such as measured volume itself). But because some RCTs used ASPECTS, many publications have attributed to the unstudied ASPECTS the same high level of scientific credibility as thrombectomy itself earned from the RCTs.[40] Then in a 5th woozle effect, many publications have claimed to “validate” the preferential use of ASPECTS by showing, without comparison to control measures, only that ASPECTS correlates statistically with certain stroke-related clinical measures or outcomes.[41]

See also

References

  1. ^ Straus, Murray A. (July 2010). "Thirty Years of Denying the Evidence on Gender Symmetry in Partner Violence: Implications for Prevention and Treatment". Partner Abuse. 1 (3): 332–362. doi:10.1891/1946-6560.1.3.332. ISSN 1946-6560.
  2. ^ a b c Gelles & Straus (1988), p. 39
  3. ^ Milne, A. A. (1926). "3". Winnie The Pooh (1st ed.). London: Methuen & Co Ltd. In Which Pooh and Piglet Go Hunting and Nearly Catch a Woozle
  4. ^ William Bevan (1953). Modern Psychologists: Scientific Woozle Hunters?: An Opinion in Outline. E. Munksgaard.
  5. ^ Wohlwill, Joachim F. (1963). "Piaget's system as a source of empirical research". Merrill-Palmer Quarterly of Behavior and Development. 9 (4): 253–62. JSTOR 23082932.
  6. ^ Stevens, Joan (1971). "Woozles in Brontëland: A cautionary tale". Studies in Bibliography. 24: 99–108. JSTOR 40371529.
  7. ^ Houghton, Beverly D. (1979). Panel Presentation: Review of Research on Women Abuse. Annual meeting of the American Society of Criminology. Philadelphia, November 7-10.{{cite conference}}: CS1 maint: location (link)
  8. ^ Gelles (1980).
  9. ^ Jean Malone; Andrea Tyree; K. Daniel O'Leary (August 1989). "Generalization and Containment: Different Effects of Past Aggression for Wives and Husbands". Journal of Marriage and Family. 51 (3): 687–97. doi:10.2307/352168. JSTOR 352168. Gelles (1980) suggested that the 'woozle' effect, first named by Houghton (1979), is operating in the cycle-of-violence area to magnify findings and to ignore peculiarities of sampling issues.
  10. ^ Suss (2021), p. 86.
  11. ^ a b Suss (2021), p. 25.
  12. ^ Nilsen, Linda (2012). Father-Daughter Relationships: Contemporary Research and Issues. New York: Routledge Academic. p. 4. ISBN 978-1-84872-933-9.
  13. ^ Dutton, Donald D.; Corvo, Kenneth (2006). "Transforming a flawed policy: A call to revive psychology and science in domestic violence research and practice". Aggression and Violent Behavior. 11 (5): 466. CiteSeerX 10.1.1.337.1019. doi:10.1016/j.avb.2006.01.007.
  14. ^ Ehrensaft, Miriam K. (2009). "Intimate partner violence: Persistence of myths and implications for intervention". Children and Youth Services Review. 30 (3): 279–286. doi:10.1016/j.childyouth.2007.10.005.
  15. ^ Gelles & Straus (1988), p. 28.
  16. ^ Dutton (2006), p. 28.
  17. ^ Dutton (2006), p. 109.
  18. ^ Dutton (2006), p. 110.
  19. ^ Eileen Gambrill (1 May 2012). Critical Thinking in Clinical Practice: Improving the Quality of Judgments and Decisions (3rd ed.). John Wiley & Sons. p. 109. ISBN 978-0-470-90438-1.
  20. ^ a b Gambrill, E.; Reiman, A. (2011). "A Propaganda Index for Reviewing Problem Framing in Articles and Manuscripts: An Exploratory Study". PLoS ONE. 6 (5): e19516. Bibcode:2011PLoSO...619516G. doi:10.1371/journal.pone.0019516. PMC 3102054. PMID 21647426.
  21. ^ Gelles (1980), p. 880.
  22. ^ Gelles (1974).
  23. ^ Gelles (1974), pp. 13–17.
  24. ^ Gelles (1980), "The 'Woozle Effect' begins when one investigator reports a finding, such as Gelles (1974) report...In the 'Woozle Effect,' a second investigator will then cite the first study's data, but without the qualifications (such as done by Straus, 1974a). Others will then cite both reports and the qualified data gain the status of generalizable 'truth.'"
  25. ^ Roger Langley; Richard C. Levy (1977). Wife Beating: The Silent Crisis. Dutton. ISBN 978-0-87690-231-8.
  26. ^ a b c Zhang, Sarah (2 June 2017). "The One-Paragraph Letter From 1980 That Fueled the Opioid Crisis". theatlantic.com. Retrieved 28 May 2020.
  27. ^ a b Porter, Jane; Jick, Hershel (1980). "Addiction Rare in Patients Treated with Narcotics". New England Journal of Medicine. 302 (2) (published 10 January 1980): 123. doi:10.1056/NEJM198001103020221. ISSN 1533-4406. PMID 7350425.
  28. ^ a b c Leung, Pamela; Macdonald, Erin; Dhalla, Irfan; Juurlink, David (2017). "A 1980 Letter on the Risk of Opioid Addiction". New England Journal of Medicine. 376 (22) (published 1 June 2017): 2194–2195. doi:10.1056/NEJMc1700150. PMID 28564561.
  29. ^ Van Zee, Art (February 2009). "The Promotion and Marketing of OxyContin: Commercial Triumph, Public Health Tragedy". American Journal of Public Health. 99 (2): 221–227. doi:10.2105/AJPH.2007.131714. PMC 2622774. PMID 18799767.
  30. ^ Kaplan, Karen (31 May 2017). "How a 5-sentence letter helped fuel the opioid addiction crisis". LATimes.com. Retrieved 28 May 2020.
  31. ^ Cartledge, Paul (2002). Sparta and Lakonia: A Regional History, 1300–362. Routledge. p. 68. ISBN 0-415-26276-3.
  32. ^ a b c Weiner, Neil A.; Hala, Nicole (2008). Measuring human trafficking: Lessons from New York City (PDF) (Report). Vera Institute of Justice. Retrieved 5 February 2014.
  33. ^ Stransky & Finkelhor (2012), p. 3.
  34. ^ Stransky & Finkelhor (2012), p. 1.
  35. ^ Kimble, James J. (Summer 2016). "Rosie's Secret Identity, or, How to Debunk a Woozle by Walking Backward through the Forest of Visual Rhetoric". Rhetoric and Public Affairs. 19 (2): 245–74. doi:10.14321/rhetpublaffa.19.2.0245. ISSN 1094-8392. S2CID 147767111.
  36. ^ Suss (2021), p. 24.
  37. ^ Suss (2021), p. 15.
  38. ^ Suss (2021), pp. 64–67.
  39. ^ Suss (2021).
  40. ^ Suss (2021), pp. 65, 67, 73.
  41. ^ Suss (2021), pp. 27–28.

Sources