DENYING TO THE GRAVE: WHY WE IGNORE THE FACTS THAT WILL SAVE US Summary of a few good ideas. Alan Silverstein, ajs@frii.com, posted Novembe 1, 2017 I haven't gotten around to reading this book yet, but a a friend summarized for me the paragraph headings in the last chapter, and this list seemed worth sharing. Guiding Principles: #1: It is not simply uneducated people who make irrational health decisions. #2: It isn't about a simple "lack of information". #3: Empathy and evolutionary benefits may sometimes be at odds with rational thinking. #4: Hypothesis testing lends itself to an inability to profess absolute certainty, and people are uncomfortable with this. #5: People respond more to emotion than statistics, but charismatic leaders use emotion and scientists use statistics. #6: People have trouble changing their minds. #7: People have trouble understanding probability and risk. Solutions: #1: Science must deal with increased access to various types of information via the internet. #2: Members of the media need to be better trained to understand what a valid scientific debate is and what it is not. #3: Scientists must be more sensitive to difficulties in communicating causality, people's discomfort with uncertainty, and their own weaknesses. #4: We need better childhood education about statistics and probability, in-depth understanding of the scientific method, places for error in science, development of critical thinking skills, and techniques to understand what's "good evidence." #5: We need healthcare professionals who can engage in motivational interviewing with people who have incorrect medical beliefs. #6: We all must examine our tendency to think uncritically and to place emotion over reason. A Final Word: Some people's views will never change. But if we can reach those people who are unsure and keep them from buying into incorrect scientific ideas, then we can declare a triumph. Undergirding our efforts to reach people should always be understanding and compassion. No one is immune from bias, heuristics, or emotional decision making... It is not our intention to promote a world in which people do not care about stories, do not come together over issues that bother them, and do not feel inspired by charismatic leaders. But we do want to emphasize that until we bring these psychological, emotional, and social forces into the conversation, we will never get anywhere in the struggle against dangerous, unscientific ideas... By adding compassion, empathy, and emotion into this equation we will finally be able to effectively help people make the crucial decisions that will ultimately save their lives.