This is a message / question to my fellow healthcare professionals:
I wonder how others feel about this. I keep reading / hearing this statement:
“I don’t care how it works, as long as it works”
And it really bothers me.
I’m sure for some people it works like a charm, as would be expected in anything with normal variance. And perhaps more people get better than those who don’t.
Still, our confirmation bias (and we all have it) would cause us to pay more attention to the successes than the failures.
So I ask you this – what do you do for the people who don’t get better?
(and don’t even pretend you make everyone better… 1. prove it, 2. get over yourself)
In my experience, there is a lot of “blaming” the patient… “they don’t want to get better”, “they’re catastrophizing”, “it’s all in their head”, “they’re lying / malingering”, “they just want a settlement”, or just an apathetic “they’re not curable / it’s permanent”.
While such things can be true, it’s often the default explanation for when things don’t go as planned. But could we just swallow our pride for one minute, and think: maybe we’re wrong? Maybe things don’t work the way we think, and that’s why there’s always a fraction of people don’t improve?
How stuff works matters – a lot. It guides future research and aids in the development of new, hopefully better theories and techniques.
Personally, I feel the stance: “I don’t care how it works, as long as it works”, is professionally irresponsible, and perpetuates misinformation (which dies hard).
But maybe it’s just me.