Evidence Based Practice Quotes

Science seeks the truth. And it does not discriminate. For better or worse it finds things out. Science is humble. It knows what it knows and it knows what it doesn’t know. It bases its conclusions and beliefs on hard evidence -­- evidence that is constantly updated and upgraded. It doesn’t get offended when new facts come along. It embraces the body of knowledge. It doesn’t hold on to medieval practices because they are tradition.

Science is often expensive, and who pays for it can influence the outcome and whether or not the results are published. As enthusiastic as we are about evidence-based practices, it’s important to remember where that evidence comes from and why we might not see contrary evidence.

As long as people think poverty is the problem,” Ganz explained, “they’re missing the whole point. Poverty is evidence of a problem; it’s not the source of the problem. They’re all based on the weakening of collective institutions—the decline of labor, of common interests. The core question is not about poverty, it’s really about democracy. The galloping poverty in the United States is evidence of a retreat from democratic beliefs and practices.

If doctors practiced medicine the way many companies practice management, there would be far more sick and dead patients, and many more doctors would be in jail.

The unique stigma of PTSD. The stigma of PTSD remains one of the most formidable barriers to effective care.

Things that look like they were designed, probably were... If intelligence is an operative component of the universe, a science that methodologically excludes its existence will be susceptible to being trapped in an endless chase for materialistic causes that do not exist... Where there are sufficient grounds for inferring intelligent causation, based on evidence of "specified complexity," it should be considered as a component of scientific theories. Inclusion of intelligent causation in the scientific equation is not novel and has not impeded the practice of science in the past, e.g. Newton and Kepler, in an age when science was not constrained by a philosophical materialism, and by many current scientists who have remained open to following the evidence where it leads.

The nine in our list are based on a longer list in Robert Leahy, Stephen Holland, and Lata McGinn’s book, Treatment Plans and Interventions for Depression and Anxiety Disorders. For more on CBT—how it works, and how to practice it—please see Appendix 1.) EMOTIONAL REASONING: Letting your feelings guide your interpretation of reality. “I feel depressed; therefore, my marriage is not working out.” CATASTROPHIZING: Focusing on the worst possible outcome and seeing it as most likely. “It would be terrible if I failed.” OVERGENERALIZING: Perceiving a global pattern of negatives on the basis of a single incident. “This generally happens to me. I seem to fail at a lot of things.” DICHOTOMOUS THINKING (also known variously as “black-and-white thinking,” “all-or-nothing thinking,” and “binary thinking”): Viewing events or people in all-or-nothing terms. “I get rejected by everyone,” or “It was a complete waste of time.” MIND READING: Assuming that you know what people think without having sufficient evidence of their thoughts. “He thinks I’m a loser.” LABELING: Assigning global negative traits to yourself or others (often in the service of dichotomous thinking). “I’m undesirable,” or “He’s a rotten person.” NEGATIVE FILTERING: You focus almost exclusively on the negatives and seldom notice the positives. “Look at all of the people who don’t like me.” DISCOUNTING POSITIVES: Claiming that the positive things you or others do are trivial, so that you can maintain a negative judgment. “That’s what wives are supposed to do—so it doesn’t count when she’s nice to me,” or “Those successes were easy, so they don’t matter.” BLAMING: Focusing on the other person as the source of your negative feelings; you refuse to take responsibility for changing yourself. “She’s to blame for the way I feel now,” or “My parents caused all my problems.”11

Science seeks the truth. And it does not discriminate. For better or worse it finds things out. Science is humble. It knows what it knows and it knows what it doesn’t know. It bases its conclusions and beliefs on hard evidence—evidence that is constantly updated and upgraded. It doesn’t get offended when new facts come along. It embraces the body of knowledge. It doesn’t hold on to medieval practices because they are tradition. If it did, you wouldn’t get a shot of penicillin, you’d pop a leech down your trousers and pray.

A modern fad which has gained widespread acceptance amongst the semi-educated who wish to appear secular is the practice of meditation. They proclaim with an air of smug superiority, ‘Main mandir-vandir nahin jaata, meditate karta hoon (I don’t go to temples or other such places, I meditate).’ The exercise involves sitting lotus-pose (padma asana), regulating one’s breathing and making your mind go blank to prevent it from ‘jumping about like monkeys’ from one (thought) branch to another. This intense concentration awakens the kundalini serpent coiled at the base of the spine. It travels upwards through chakras (circles) till it reaches its destination in the cranium. Then the kundalini is fully jaagrit (roused) and the person is assured to have reached his goal. What does meditation achieve? The usual answer is ‘peace of mind’. If you probe further, ‘and what does peace of mind achieve?’, you will get no answer because there is none. Peace of mind is a sterile concept which achieves nothing. The exercise may be justified as therapy for those with disturbed minds or those suffering from hypertension, but there is no evidence to prove that it enhances creativity. On the contrary it can be established by statistical data that all the great works of art, literature, science and music were works of highly agitated minds, at times minds on the verge of collapse. Allama Iqbal’s short prayer is pertinent: Khuda tujhey kisee toofaan say aashna kar dey Keh terey beher kee maujon mein iztiraab naheen (May God bring a storm in your life, There is no agitation in the waves of your life’s ocean.)

pervasiveness of patterns and repetitions from the past.

If evidence-based policy is to do its job then, it is best to construe evidence widely enough to cover all the facts without which you will not have a good argument.

In order to be an executive coach with a thriving practice, you need to have been a leader, be fluent in psychology, and have a evidence-based methodology." My book can't help you with #1, but it can help you with the rest.

Here we will see that pharmaceutical companies spend tens of billions of pounds every year trying to change the treatment decisions of doctors: in fact, they spend twice as much on marketing and advertising as they do on the research and development of new drugs. Since we all want doctors to prescribe medicine based on evidence, and evidence is universal, there is only one possible reason for such huge spends: to distort evidence-based practice.

There are two reasons why I currently teach within the framework of mindfulness. The first is that mindfulness is the least culture-bound of the three Buddhist practice traditions. It is relatively easy to extract it from the cultural and doctrinal matrix within which it arose and to present it as an evidence-based, secular, and culturally neutral process. The second reason is that the general method of mindfulness shares some features with the general method of modern science. I

Broken payment models. Because we rely on insurance companies to pay for care, the treatments offered are not necessarily the most effective or those supported by the most current evidence—they’re simply the treatments that insurance companies have agreed to reimburse. This is not evidence-based medicine, it’s reimbursement-based medicine.

Gratitude practices as they’re generally presented in pop culture—usually some form of grateful-for-what-you-have exercise, like “Every day, write a list of ten things you’re grateful for”—don’t cut it, empirically speaking. When Emily tried this, it always made her feel worse because it just reminded her of how many people don’t have those things, which made her feel helpless and inadequate. Then she read the research herself and followed the instructions of the evidence-based interventions…and it worked like a charm. There are two techniques that really get the job done, and neither involves gratitude-for-what-you-have. The key is practicing gratitude-for-who-you-have and gratitude-for-how-things-happen. A Short-Term Quick-Fix Gratitude Boost is gratitude-for-who-you-have. Mr. Rogers, accepting a Lifetime Achievement Award, asked everyone in the audience to take ten seconds to remember some of the people who have “helped you love the good that grows within you, some of those people who have loved us and wanted what was best for us, […] those who have encouraged us to become who we are.” That’s how to gratitude-for-who-you-have.

The new black conservatives assume that without affirmative action programs, white Americans will make choices on merit rather than on race. Yet they have adduced no evidence for this. Most Americans realize that job-hiring choices are made both on reasons of merit and on personal grounds. And it is this personal dimension that is often influenced by racist perceptions. Therefore the pertinent debate regarding black hiring is never "merit vs. race" but whether hiring decisions will be based on merit, influenced by race-bias against blacks, or on merit, influenced by race-bias, but with special consideration for minorities and women, as mandated by law. In light of actual employment practices, the black conservative rhetoric about race-free hiring criteria (usually coupled with a call for dismantling affirmative action mechanisms) does no more than justify actual practices of racial discrimination.

Why science? Many people, with the best intentions, like to give parents advice about raising a child, including parents, non-parents, health visitors, friends, celebrities, bloggers and next-door neighbours. Unfortunately, much of this advice can be completely wrong or based on archaic ideas and practices that have since been disproved or debunked. Some of this advice can even be damaging. In addition, some parents say that they advocate using ‘common sense’ or ‘intuition’ in raising their children, but what do those things mean? How is intuition classified, when it differs so greatly from one person to another? Some people do the ‘common sense’ thing only to find out it was wrong later in life, which is why it is altogether better to be guided by the latest scientific research. In order to learn how to filter the good advice from the bad, I believe that new parents need science-based evidence in their corner. You’ll find it in this book.

It is evident that most of what we think of as our medieval ancestors’ barbaric practices were based on mistaken beliefs about how the laws of nature actually operate. If you—and everyone around you, including ecclesiastical and political authorities—truly believe that witches cause disease, crop failures, sickness, catastrophes, and accidents, then it is not only a rational act to burn witches, it is also a moral duty. This is what Voltaire meant when he wrote that people who believe absurdities are more likely to commit atrocities.

Research shows that practices like yoga and meditation that help us to focus our attention on the present moment, are especially powerful in restructuring the brain. When new neural pathways are forged, we are able to break free of our default patterns and live more actively in a conscious state. In fact, functional MRI (fMRI) brain scans confirm this,23 showing tangible evidence that consistent consciousness practices actually thicken the prefrontal lobes, the area where our conscious awareness actually lives. Other forms of compassion-based meditation (or just closing your eyes and thinking about someone you love) help strengthen an area called the limbic system, which is the emotional center of the brain. All of this work helps to rewire our brain, disrupt our default thought patterns, and wake us up out of our subconscious-driven autopilot. From this foundation of consciousness we can then begin to witness the conditioned patterns in our thoughts, beliefs, and relationships. This honest self awareness shows us our pathway towards change and ultimately healing.

Today the causes of suicide are similarly unknown, but evidence from multiple sources suggests that certain types of treatments and interventions can reduce suicidal behaviors better than status quo practices, which often conceptualizes suicide as a symptom or outcome of mental illness. Consistent with this perspective, status quo practices target a patients diagnosed mental illness based on the assumption that reducing these symptoms or eliminating the psychological or behavioral disorder also will reduce or eliminate the risk of suicide.

My point is that bias is not advertised by a glowing sign worn around jurors’ necks; we are all guilty of it, because the brain is wired for us to see what we believe, and it usually happens outside of everyone’s awareness. Affective realism decimates the ideal of the impartial juror. Want to increase the likelihood of a conviction in a murder trial? Show the jury some gruesome photographic evidence. Tip their body budgets out of balance and chances are they’ll attribute their unpleasant affect to the defendant: “I feel bad, therefore you must have done something bad. You are a bad person.” Or permit family members of the deceased to describe how the crime has hurt them, a practice known as a victim impact statement, and the jury will tend to recommend more severe punishments. Crank up the emotional impact of a victim impact statement by recording it professionally on video and adding music and narration like a dramatic film, and you’ve got the makings of a jury-swaying masterpiece.45 Affective realism intertwines with the law outside the courtroom as well. Imagine that you are enjoying a quiet evening at home when suddenly you hear loud banging outside. You look out the window and see an African American man attempting to force open the door of a nearby house. Being a dutiful citizen, you call 911, and the police arrive and arrest the perpetrator. Congratulations, you have just brought about the arrest of Harvard professor Henry Louis Gates, Jr., as it happened on July 16, 2009. Gates was trying to force open the front door of his own home, which had become stuck while he was traveling. Affective realism strikes again. The real-life eyewitness in this incident had an affective feeling, presumably based on her concepts about crime and skin color, and made a mental inference that the man outside the window had intent to commit a crime.

Only accurate information has practical application, so it doesn't matter what you wanna believe. All that matters is why we should believe it too, and how accurate your perception can be shown to be. You can't just make up stuff in science like you can in religion because you have to substantiate everything, and you have to be able to defend it—even against peers who may not want to believe as you do. Be prepared to convince them anyway. It's possible to do that in science because science is based on evidence and reason. That means you must be ready to reject or correct whatever you hold true should you discover evidence against it.

Some have estimated that the pharmaceutical industry overall spends about twice as much on marketing and promotion as it does on research and development. Regardless of how those two figures compare to each other, the fact that they are in the same ballpark gives one pause, and this is worth mulling over in various contexts. For example, when a drug company refuses to let a developing country have affordable access to a new AIDS drug it’s because – the company says – it needs the money from sales to fund research and development on other new AIDS drugs for the future. If R&D is a fraction of the company’s outgoings, and it spends a similar amount on promotion, then this moral and practical argument doesn’t hold water quite so well. The scale of this spend is fascinating in itself, when you put it in the context of what we all expect from evidence-based medicine, which is that people will simply use the best treatment for the patient. Because when you pull away from the industry’s carefully fostered belief that this marketing activity is all completely normal, and stop thinking of drugs as being a consumer product like clothes or cosmetics, you suddenly realise that medicines marketing only exists for one reason. In medicine, brand identities are irrelevant, and there’s a factual, objective answer to whether one drug is the most likely to improve a patient’s pain, suffering and longevity. Marketing, therefore, one might argue, exists for no reason other than to pervert evidence-based decision-making in medicine.

I drew a long breath so I could point out to her all the fallacies in her argument, but then I thought; why? Out of an overwhelming duty to the truth? Fuck, as I may have observed before, the truth. If it was here, would it go out of its way to defend me? Unlikely. The truth is utterly selfish and doesn’t give a damn about anyone else. Serving the truth is like serving the empire. Nobody thanks you for it and you die poor. Besides, what is the truth, anyway? In a court of law, it’s the testimony of credible witnesses corroborating each other. She’d been a witness and she knew what she saw. So was I, but even my mother wouldn’t say I was credible. And there’d been hundreds of people there, all rock-solid upright pillars of Dejauzi society. And when I stabbed myself, there were loads of people watching, and they saw what happened with their own eyes. And, come to that, Alyattes was now the nephew of the old emperor and the rightful heir to the throne. He hadn’t been until quite recently, but pretty soon anyone who could testify against his claim would be dead or singing a very different tune, and what was once a lie would become the truth, official, carved on the lintels of triumphal arches; and if you can’t believe what you read on a government arch, what can you believe? All the books would tell it that way, and in a thousand years’ time it will be the truth, just as what was once the bottom of the sea is now a mountaintop. Ask the wise men at the university what truth is and they’ll tell you it’s the consensus of informed and qualified scholars, based on the best evidence available. Availability is governed by what gets burned in the meanwhile, but I see no real problem with that. All living things change or else they die, and why should the truth be any different?

The studies reviewed above provide evidence to support the intuitions of teachers and learners that instruction based on the ‘Get it right from the beginning’ proposal has important limitations. Learners receiving audiolingual or grammar-translation instruction are often unable to communicate their messages and intentions effectively in a second language. Experience has also shown that primarily or exclusively structure-based approaches to teaching do not guarantee that learners develop high levels of accuracy and linguistic knowledge. In fact, it is often very difficult to determine what students know about the target language. The classroom emphasis on accuracy often leads learners to feel inhibited and reluctant to take chances in using their knowledge for communication. The results from these studies provide evidence that learners benefit from opportunities for communicative practice in contexts where the emphasis is on understanding and expressing meaning.

Like many biblical terms we see in scripture, the word "holy" and the call to be holy have often been co-opted by various tribes and adjusted to suit their particular agendas. In my experience, and perhaps this is true for you, too, the call to be holy has been a call to conform. Preachers...then prescribe for us all of the changes we need to make in our lives so that we'll conform to the image and likeness of their particular brand of Christianity. "Holy living," then, becomes a call to conform to the beliefs and practices of a particular group or tribe as evidence that we are truly walking with God. Although we are called to be imitators of Christ, and to conform to his image and likeness, we must remember that his image and likeness do not conform to any of the various paradigms we like to use to box God in. Holy living, then, becomes conformity with Christ, but radical nonconformity with all those Christian tribes or labels that try to neatly create a limited space where God supposedly lives and works.

In 2011 in Swansea, Wales, Colin Batley was found guilty of 35 charges relating to his role as the leader of a 'satanic cult' that sexually abused children and women, manufactured child abuse images and forced children and women into prostitution (de Bruxelles 2011). His partner and two other women were also convicted on related charges, with one man convicted of paying to abuse a victim of the group. The groups' ritualistic activities were based on the doctrine of Aleister Crowley, an occult figure whose writing includes references to ritual sex with children. Crowley's literature has been widely linked to the practice of ritualistic abuse by survivors and their advocates, who in turn have been accused by occult groups of religious persecution. During Batley's trial, the prosecution claimed that Crowley's writings formed the basis of Batley's organisation and he read from a copy of it during sexually abusive incidents. It seems that alternative as well as mainstream religious traditions can be misused by sexually abusive groups. p38

I would here observe that very much of what is rejected as evidence by a court, is the best of evidence to the intellect. For the court, guiding itself by the general principles of evidence- the recognized and booked principles- is averse from swerving at particular instances. And this steadfast adherence to principle, with rigorous disregard of the conflicting exception, is a sure mode of attaining the maximum of attainable truth, in any long sequence of time. The practice, in mass, is therefore philosophical; but it is not the less certain that it engenders vast individual error ("A theory based on the qualities of an object, will prevent its being unfolded according to its objects; and he who arranges topics in reference to their causes, will cease to value them according to their results. Thus the jurisprudence of every nation will show that, when law becomes a science and a system, it ceases to be justice. The errors into which a blind devotion to principles of classification has led the common law, will be seen by observing how often the legislature has been obliged to come forward to restore the equity its scheme had lost."- Landor.)

The Japanese word seiki is also a way of pointing to this vitality of presence. Carl Whitaker hinted at it when he said therapy was as good as the goodness of the therapist. Though his words are easy to misunderstand, they imply a truth: “I found seiki at the heart of most healing traditions.” Keeney is referring to his decade-long journey around the world, studying with the most accomplished healers in southern Africa, Latin America, South Asia, among the aborigines of Australia, and to many other far-flung places that hold ancient practices. He finds it more than a little amusing that in the culture of therapy we are so obsessed with things that matter so little to others around the world. “I have learned that one’s model or protocols matter not at all and that evidence-based therapy is a gambler’s way of pulling the authority card. If you have seiki, or a powerful life force, then any model will come to life. Without it, the session will be dead and incapable of transformation.” Keeney finds it challenging, if not frustrating, to try to explain this idea to those who don’t speak this language. “I guess if you have seiki or n/om, you feel what I am talking about; if you don’t, no words will matter. The extent to which you feel, smell, taste, hear, and see this vitality is a measure of how much mastery there is in your practice and everyday life.” We believe it is an illusion that master therapists truly understand what therapy is all about and how it works. The reality is that the process has many different dimensions and nuances that we never really grasp. There are aspects that appear both mysterious and magical.

Andrei Yanuaryevich (one longs to blurt out, “Jaguaryevich”) Vyshinsky, availing himself of the most flexible dialectics (of a sort nowadays not permitted either Soviet citizens or electronic calculators, since to them yes is yes and no is no), pointed out in a report which became famous in certain circles that it is never possible for mortal men to establish absolute truth, but relative truth only. He then proceeded to a further step, which jurists of the last two thousand years had not been willing to take: that the truth established by interrogation and trial could not be absolute, but only, so to speak, relative. Therefore, when we sign a sentence ordering someone to be shot we can never be absolutely certain, but only approximately, in view of certain hypotheses, and in a certain sense, that we are punishing a guilty person. Thence arose the most practical conclusion: that it was useless to seek absolute evidence-for evidence is always relative-or unchallengeable witnesses-for they can say different things at different times. The proofs of guilt were relative, approximate, and the interrogator could find them, even when there was no evidence and no witness, without leaving his office, “basing his conclusions not only on his own intellect but also on his Party sensitivity, his moral forces” (in other words, the superiority of someone who has slept well, has been well fed, and has not been beaten up) “and on his character” (i.e., his willingness to apply cruelty!)… In only one respect did Vyshinsky fail to be consistent and retreat from dialectical logic: for some reason, the executioner’s bullet which he allowed was not relative but absolute…

A soup dumpling is a little marvel of engineering. Called xiao long bao in Chinese, shōronpō in Japanese, and "soupies" by Iris, soup dumplings consist of silky dough wrapped around a minced pork or crab filling. The filling is mixed with chilled gelatinous broth which turns back into soup when the dumplings are steamed. Eating a soup dumpling requires practice. Pop the whole thing in your mouth and fry your tongue; bite it in the wrong place and watch the soup dribble onto your lap. The reason I thought about chocolate baklava is because Mago-chan pan-fries its soup dumplings. A steamed soup dumpling is perfect just the way it is. Must we pan-fry everything? Based on the available evidence, the answer is yes. Pan-fried soup dumplings are bigger and heartier than the steamed variety and more plump with hot soup. No, that's too understated. I'm exploding with love and soup and I have to tell the world: pan-fried soupies are amazing. The dumplings are served in groups of four, just enough for lunch for one adult or a growing eight-year-old. They're topped with a sprinkle of sesame and scallion. You can mix up a dipping sauce from the dispensers of soy sauce, black vinegar, and chile oil at the table, but I found it unnecessary. Like a slice of pizza, a pan-fried soup dumpling is a complete experience wrapped in dough. Lift a dumpling with your spoon, poke it with a chopstick, press your lips to the puncture wound, and slurp out the soup. (This will come in handy if I'm ever bitten by a soup snake.) No matter how much you extract, there always seems to be a little more broth pooling within as you eat your way through the meaty filling and crispy underside. Then you get to start again, until, too soon, your dumplings are gone.

It turns out that in that terrible year Andrei Yanuaryevich (one longs to blurt out, “Jaguaryevich”) Vyshinsky, availing himself of the most flexible dialectics (of a sort nowadays not permitted either Soviet citizens or electronic calculators, since to them yes is yes and no is no), pointed out in a report which became famous in certain circles that it is never possible for mortal men to establish absolute truth, but relative truth only. He then proceeded to a further step, which jurists of the last two thousand years had not been willing to take: that the truth established by interrogation and trial could not be absolute, but only, so to speak, relative. Therefore, when we sign a sentence ordering someone to be shot we can never be absolutely certain, but only approximately, in view of certain hypotheses, and in a certain sense, that we are punishing a guilty person. Thence arose the most practical conclusion: that it was useless to seek absolute evidence—for evidence is always relative—or unchallengeable witnesses—for they can say different things at different times. The proofs of guilt were relative, approximate, and the interrogator could find them, even when there was no evidence and no witness, without leaving his office, “basing his conclusions not only on his own intellect but also on his Party sensitivity, his moral forces” (in other words, the superiority of someone who has slept well, has been well fed, and has not been beaten up) “and on his character” (i.e., his willingness to apply cruelty!). In only one respect did Vyshinsky fail to be consistent and retreat from dialectical logic: for some reason, the executioner’s bullet which he allowed was not relative but absolute. . . . Thus it was that the conclusions of advanced Soviet jurisprudence, proceeding in a spiral, returned to barbaric or medieval standards. Like medieval torturers, our interrogators, prosecutors, and judges agreed to accept the confession of the accused as the chief proof of guilt.

Rather than measuring results and rewarding excellent providers with more patients, the focus has been on lifting all boats by attempting to raise all providers of a service to an acceptable level. The principal tools have been practice guidelines and standards of care that every provider is expected to meet. Evidence-based medicine is another term for practicing based on accepted standards of care.

Pragmatically, there is an evident need for the continuation of many of the functions of the original apostles. This would include church planting, laying good foundations in churches, continuing to oversee those churches, appointing the leaders, giving ongoing fatherly care to leaders, and handling difficult questions that may arise from those churches. There are really only three ways for churches to carry out these functions: 1. Each church is free to act totally independently and to seek God’s mind for its own government and pastoral wisdom, without any help from outside, unless the church may choose to seek it at any particular time. When we started the church which I am still a part of, for example, we were so concerned to be ‘independent’ that we would not even join the Fellowship of Independent Evangelical Churches, although we adopted their trust deed and constitution because that would prevent us being purely independent. We were at that time very proud of our ‘independence’! 2. Churches operate under some sort of structured and formal oversight, as in many denominations today, where local church leaders are appointed by and accountable to regional leadership, whether ‘bishops’, ‘superintendents’ or ‘overseers’. It is hard to justify this model from the pages of the New Testament, though we recognize that it developed very early in church history. Even the word episkopos, translated ‘bishop’ or ‘overseer’, which came to be used of those having wider authority and oversight over other leaders and churches, was used in the New Testament as a synonym for the local leaders or elders of a particular church. The three main forms of church government current in the institutional church are Episcopalianism (government by bishops), Presbyterianism (government by local elders) and Congregationalism (government by the church meeting). Each of these is only a partial reflection of the New Testament. Commenting on these forms of government without apostolic ministry, Phil Greenslade says, ‘We assert as our starting point what the other three viewpoints deny: that the apostolic role is as valid and vital today as ever before. This is to agree with the German charismatic theologian, Arnold Bittlinger, when he says “the New Testament nowhere suggests that the apostolic ministry was intended only for first-century Christians”.’39 3. We aim to imitate the New Testament practice of travelling ministries of apostles and prophets, with apostles having their own spheres of responsibility as a result of having planted and laid the foundations in the churches they oversee. Such ministries continue the connection with local churches as a result of fatherly relationships and not denominational election or appointment, recognizing that there will need to be new charismatically gifted and friendship-based relationships continuing into later generations. This is the model that the ‘New Apostolic Reformation’ (to use Peter Wagner’s phrase) is attempting to follow. Though mistakes have been made, including some quite serious ones involving controlling authority, and though those of us involved are still seeking to find our way with the Holy Spirit’s help, it seems to reflect more accurately the New Testament pattern and a present-day outworking of scriptures such as 1 Corinthians 12 and Ephesians 4. ‘Is the building finished? Is the Bride ready? Is the Body full-grown, are the saints completely equipped? Has the church attained its ordained unity and maturity? Only if the answer to these questions is “yes” can we dispense with apostolic ministry. But as long as the church is still growing up into Christ, who is its head, this ministry is needed. If the church of Jesus Christ is to grow faster than the twentieth century population explosion, which I assume to be God’s intention, then we will need to produce, recognize and use Pauline apostles.’40

Collection Methods in Qualitative Studies Where was the setting of the study? What was the rationale for choosing the setting? Who were the participants and what were their roles and characteristics? Why were they chosen? What data collection methods were used? What role did the researcher adopt within the setting? Who collected the data and were they qualified for their roles? How were data collectors trained? Was the training adequate? Was the process of the fieldwork adequately reported? How did the event unfold? Was data collection continued until saturation was achieved? Were the researchers’ assumptions or biases acknowledged?

Individual clinicians’ practices tend to go unquestioned (current practice has been described as “eminence based,” not “evidence based”).

What I offer in this book are stories of hanging in, the practice-based evidence from working with our most challenging students,

Augustus actually had his poets and scribes rewrite his mythic biography to fit his own agenda that included changing calendar years in order to substantiate his divinity." His face crinkled into a smile. "I'm not completely certain what my findings add up to yet. I can tell you I've found convincing evidence that there's a fundamental identification between Octavius Caesar Augustus and Christianity as we call it today. I've studied comparative religions all my life, but only recently come to the conclusion that the Emperor Augustus was a comparatist extraordinaire, albeit a thoroughly pragmatic one. He was a master of turning the common themes in the religions of the cultures he conquered to the service of his empire, and of his personal reputation. He based his own spiritual practices on the moral principles he encountered in all religions,

Astrophysicist Bernard Haisch, former science editor for The Astrophysical Journal and The Journal of Scientific Exploration, defines a true skeptic as “one who practices the method of suspended judgment, engages in rational and dispassionate reasoning as exemplified by the scientific method, shows willingness to consider alternative explanations without prejudice based on prior beliefs, and who seeks out evidence and carefully scrutinizes its validity.

In 1996, the U.S. Preventive Services Task Force, the independent panel of experts that reviews screening tests, recommended against routine fetal monitoring.5 But according to their current Web site, fetal monitoring has become such an ingrained fixture of medical care that, frankly, the task force seems to have simply given up on trying to dissuade doctors from using it: Despite the lack of evidence on its positive impact on health outcomes and the 1996 USPSTF recommendation against its routine use, intrapartum electronic fetal monitoring in pregnancy has become common practice in the U.S. Based on currently available evidence, the USPSTF believes there would be limited potential impact on clinical practice in updating the 1996 recommendation. The

It has also clarified the continuing need for treatment of other problems such as developmental and lifecycle issues that are not symptom based, such as identity formation, intimacy and relationship problems, and loss and grieving. Common clinical scenarios include teenagers in conflict with their parents as they try to "find themselves," young adults with

The observation has been made that that only psychodynamic psychotherapy among the psychotherapies retains the ambition to cure or help patients transform themselves in a profound way (Seligman, 2002).

Indeed, we recognize that a deep treatment may not be required for all patients. Much of the success of behavioral therapy is thought to reside in its focus on symptoms and in its parsimonious and directed use of therapeutic resources to decrease symptoms. It does not aim to be a therapy of depth, and this is one of its strengths. In contrast dynamic psychotherapy, which facilitates a patient's rewriting of his life narrative, his picture of himself, his past, present, and future, seems uniquely positioned to address the depth of a individual's experience.

Research on comprehension-based approaches to second language acquisition shows that learners can make considerable progress if they have sustained exposure to language they understand. The evidence also suggests, however, that comprehension-based activities may best be seen as an excellent way to begin learning and as a supplement to other kinds of learning for more advanced learners. Comprehension of meaningful language is the foundation of language acquisition. Active listening and reading for meaning are valuable components of classroom teachers’ pedagogical practices. Nevertheless, considerable research and experience challenge the hypothesis that comprehensible input is enough. VanPatten’s research showed that forcing students to rely on specific linguistic features in order to interpret meaning increased the chances that they would be able to use these features in their own second language production. Another response to comprehension-based approaches is Merrill Swain’s (1985) comprehensible output hypothesis. She argues that it is when students have to produce language that they begin to see the limitations of their interlanguage (see Chapter 4). However, as we will see in the discussion of the ‘Let’s talk’ proposal, if learners are in situations where their teachers and classmates understand them without difficulty, they may need additional help in overcoming those limitations.

Students need the opportunity to process these gut reactions.

Making the connection between the boyfriend and the father was frightening to her, but after discussing this several times, she began to feel some relief and an unaccustomed sense of calm.

We see the central task of psychotherapy as the rewriting of a more complex and useful narrative of the patient's life and experience.

the essence of dynamic psychotherapy-exploration of current conflicts and relationships

in order to understand how they relate to the past, the search for recurring patterns, and a focus on the therapeutic relationship to see how conflicts are repeated.

This moment is an interpersonal crisis, but also a psychodynamic opportunity. The task of the therapy is to elucidate what is going on in this moment. The patient did not come to therapy to solve her problem with the therapist, but rather to decrease her depression. However, the enactment in the therapeutic

relationship makes it possible to understand the underlying issue better and therefore helps her solve it.

psychodynamic psychotherapy and psychoanalysis are convergent with respect to their interest in transference, countertransference, unconscious meanings in the here and now, the importance of analyzing character, and the impact of early relationships.

When laws are based on ideology and not evidence, and when public health is based on revelation rather than reality, medical care suffers. Both the privacy and sanctity of the doctor-patient relationship are compromised. As noted by U.S. medical specialty societies, intrusion of uninformed lay persons (viz., State legislators) into the practice of medicine is dangerous and unwarranted.

PEOPLE GENERALLY ARE going about learning in the wrong ways. Empirical research into how we learn and remember shows that much of what we take for gospel about how to learn turns out to be largely wasted effort. Even college and medical students—whose main job is learning—rely on study techniques that are far from optimal. At the same time, this field of research, which goes back 125 years but has been particularly fruitful in recent years, has yielded a body of insights that constitute a growing science of learning: highly effective, evidence-based strategies to replace less effective but widely accepted practices that are rooted in theory, lore, and intuition. But there’s a catch: the most effective learning strategies are not intuitive.

In recent philosophy there has been a growing awareness of the gap between the abstract principles proposed by philosophers and the ways in which people actually think. The kind of rationality admired in the theory of knowledge is idealization. In the real world people have to act on beliefs often based on fragmentary and unreliable evidence.

All of these models and others have been heavily criticized. In 2009, a panel commissioned by the Association for Psychological Sciences published a report that outlined a research design to properly study the effect of learning styles, and it asserted that this methodology was almost entirely absent from learning styles studies. Of the few studies utilizing this research design, all but one feature negative findings. They also doubted the value of the significant cost of attempting to identify the precise learning style of every student over other interventions such as individual tutors. They concluded that “at present, there is no adequate evidence base to justify incorporating learning styles assessments into general educational practice. Thus, limited education resources would better be devoted to adopting other educational practices that have strong evidence base, of which there are an increasing number.” Then,

Great doubt: great awakening. Little doubt: little awakening. No doubt: no awakening. —Zen mantra

This model also offers each group of providers the opportunity to learn from each other. Midwives would gain more exposure to high-risk patients and complications and, thus, learn to more readily recognize and initially manage them. Obstetricians would gain exposure to alternative delivery techniques they may not have learned in their training, such as hands and knees positions or birthing stool deliveries, as well as comfort with less aggressive management styles. In an ideal integrative model, both groups would have opportunities to work together even at the training level to help build professional camaraderie and respect from the onset of practice.

You may think God's solution to sin is axiomatic, but if you practice sin you only force others around you into wanting more evidence because your evidence is just words and not evidence of a changed life

About a quarter of the money taken by pharmaceutical companies for the drugs they sell is turned around into promotional activity which has, as we will see, a provable impact on doctors' prescribing. So we pay for products, with a huge uplift in price to cover their marketing budgets, and that money is then spent on distorting evidence-based practice, which in turn makes our decisions unnecessarily expensive, and less effective.

pharmaceutical companies spend tens of billions of pounds every year trying to change the treatment decisions of doctors: in fact, they spend twice as much on marketing and advertising as they do on the research and development of new drugs. Since we all want doctors to prescribe medicine based on evidence, and evidence is universal, there is only one possible reason for such huge spends: to distort evidence-based practice.

These programs have been successfully integrated into schools in the US, Canada, and/or the UK; have a clearly articulated curriculum that can be easily accessed and replicated; are based in developmentally appropriate practice; and have some preliminary evidence of efficacy that has been published in a peer-reviewed journal.

When you practice self-acceptance, you learn to embrace all aspects of yourself, including both your strengths and the areas you think you need to work on.

MILF Token: What Is It and What Are the Prospects? Why MILF symbols? Whoever had actually the intense suggestion of producing a MILF token has actually located a cutting-edge means of touching into 2 distinctive yet similarly eye-catching streams. On the one hand, here's a fresh cryptocurrency including distinctively collectible characters, with evidence of possession saved in a blockchain. On the various other hand, when it concerns those characters, it likewise ventures a fixation among several songs in the very early 21st-century: fully grown, sexually knowledgeable ladies looking for daring times with their suitors. Any kind of speculator wanting to explore the idea behind these extravagant as well as attractive characters can conveniently acquaint themselves with a few of the very best sites concentrating on dating MILFs. These systems provide an algorithm-based solution, where brand-new consumers can surely join, as well as the details offered throughout this enrollment procedure - inspirations, kind of MILF they are brought in to, and so on. - can surely be as compared to the information they currently carry submit. This way, the liaison can surely be easily organized without the individual enquiring also needing to make up a candid message. The computer system software application will certainly give a shortlist of ideal dating prospects. Comparable character-driven symbols MILF symbols are top on from formerly prominent characters that have actually gripped the focus of crypto investors, such as CryptoPunks. These were a collection of 10,000 characters, each distinct, that exposed evidence of possession on the Ethereum blockchain. MILF symbols operate similarly. Due to the fact that no 2 characters are alike, each token can surely ended up being the authorities residential building of a solitary proprietor on this blockchain. Those 10,000 CryptoPunk symbols were quickly purchased, immediately providing the specific characters boosted worth. The presumption is that the MILF symbols will certainly go similarly, so any individual wanting to obtain their practical a certain MILF personality will certainly need to buy this through the market-place that's likewise installed in the Ethereum blockchain. Presently, the most affordable offered rate for MILF symbols is $0.00004078, standing for a 0.61% increase over the previous 24-hour. Shade coding Generally, these characters will certainly have actually a condition when they show up in the crypto markets. Where the CrytoPunks are worried, a blue history suggested that punk was except sale, neither exist energetic quotes. Punks that were offered offer for sale would certainly have actually a red history. Those with an energetic quote would certainly have actually a purple history. MILFs have actually built such a solid track record for desirability, their incorporation as

We also gave teams a primer on teamwork based on insights gleaned from research in group dynamics. On the one hand, we warned, groupthink is a danger. Be cooperative but not deferential. Consensus is not always good; disagreement is not always bad. If you do happen to agree, don't take the agreement—in itself—as proof that you are right. Never stop doubting. Pointed questions are as essential to a team as vitamins are to a human body. On the other hand, the opposite of groupthink—rancor and dysfunction—is also a danger. Team members must disagree without being disagreeable, we advised. Practice 'constructive confrontation' to use the phrase of Andy Grove, the former CEO of Intel. Precision questioning is one way to do that. Drawing on the work of Dennis Matthies and Monica Worline, we showed them how to tactfully dissect the vague claims people often make. Suppose someone says, 'Unfortunately, the popularity of soccer, the world's favorite pastime, is starting to decline.' You suspect [they] are wrong. ... Zero in. You might say, 'What do you mean by 'pastime?' or 'What evidence is there that soccer's popularity is declining? Over what time frame.' The answers to these precise questions won't settle the matter, but they will reveal the thinking behind the conclusion so it can be probed and tested.

affective instability, emotional dysregulation, and interpersonal sensitivity has little resemblance to classical depression. It is also the key feature of BPD

Practice Guideline 5 Assign comparison practice exercises to build relevant prior knowledge, to correct flawed or incomplete mental models, or to reflect on decisions made in a training scenario.

As recent research evidence suggests, mindfulness/attention training practices enable learners to receive a plethora of information on the matter at hand via sensory organs (most importantly in a nonjudgemental way) until clarity is enhanced (Rechtschaffen & Rechtschaffen, 2015; Hanson, 2019; Spoon, 2018; Langer, 2015; Kabat-Zinn, 2005).

research evidence shows repeatedly, learners in such disadvantaged situations/conditions could benefit from attention training/mindfulness practices so that they can continue engaging in higher-order learning activities.

Who you are should be a question of what you value, not what you believe. Values are your core principles in life - they might be excellence and generosity, freedom and fairness, or security and integrity. Basing your identity on these kinds of principles enables you to remain open-minded about the best ways to advance them. You want the doctor whose identity is protecting health, the teacher whose identity is helping students learn, and the police chief whose identity is promoting safety and justice. When they define themselves by values rather than opinions, they buy themselves the flexibility to update their practices in light of new evidence.

He adds, “If someone used blind faith and bought the first house he or she saw with a For Sale sign in front of it, but made no effort to get information about the house and neighborhood, we would consider that person foolish. Why? Because when we use our reason and base decisions on the best assessment of the evidence we can make, we increase our chances that our decisions are based on true beliefs…Now if this is the case for day-to-day issues, why should we suddenly abandon the importance of reason and evidence when it comes to religion? We should not.

One of Clark’s earliest statements on the proper nature of economics argued that economics should be “based on a foundation of terms, conceptions, standards of measurement, and assumptions which is sufficiently realistic, comprehensive, and unbiased” to provide a basis for the analysis and discussion of practical issues (Clark 1919, p. 280). Relevance to practical issues, accuracy of data, and comprehensiveness, in the sense of not excluding any evidence relevant to the problem at hand, were the characteristics of a scientific approach to economics that Clark most frequently stressed (Clark 1924, p. 74).

One of Clark’s earliest statements on the proper nature of economics argued that economics should be “based on a foundation of terms, conceptions, standards of measurement, and assumptions which is sufficiently realistic, comprehensive, and unbiased” to provide a basis for the analysis and discussion of practical issues (Clark 1919, p. 280). Relevance to practical issues, accuracy of data, and comprehensiveness, in the sense of not excluding any evidence relevant to the problem at hand, were the characteristics of a scientific approach to economics that Clark most frequently stressed (Clark 1924, p. 74). Clark certainly thought of theory as playing a key role, but he saw the aim of theorizing as that of forming hypotheses “grounded in experience” for further study and inductive verification, rather than the production of a highly abstract system of laws.

Evidence-Based Practice in Psychology de la APA expresa que la formulación basada en evidencia es la que aplica la mejor investigación, conocimiento, y experiencia al caso (American Psychological Association Task Force on the Assessment of Competence in Professional Psychology, 2006).

Crossing the Quality Chasm: A New Health System for the 21st Century” and it recommends six strategic aims on which to focus healthcare quality improvement efforts.

Based on this evidence, the NQF endorsed bar coding , and it has since been adopted as standard practice in hospitals nationwide.

The report was titled To Err Is Human [4]. It “made the case” for patient safety, explaining the science of error-making and the theoretical and practical evidence for human-factors -based systems changes.

In sum, the Indian tradition shows no evidence for the kind of posture-based practices that dominate transnational anglophone yoga today. We should except from this assertion, of course, seated postures such as padmāsana and siddhāasana, which have played an enormously important practical and symbolic role throughout the history of yoga. And today, largely thanks to modern advertising, cross-legged yoga postures such as these have become powerful and universally recognized signifiers of relaxation, self-control, self-cultivation, a balanced lifestyle, good health, fitness, and spiritual urban cool.

The most effective evidence-based discipleship happens when we combine the wisdom of God's Word with the insights of research and practice.

If we practice conscious breathing, we will calm the turmoil and sorrow in our minds whenever they appear. If at first our practice is not successful, we continue until we see the results. When we see that the practice works, slowly our faith in it grows. Our faith is always based on empirical evidence. We do not believe it just because it has been repeated many times by others.

Astrology Course 101: The Ultimate Guide for Beginners to Professional Level Astrology Course - You should approach astrology with an open mind and a critical viewpoint if you're interested in knowing more about it. Here are some tips to get you started learning about astrology: Know Its Nature: A belief system that has not been proven by science is astrology. The scientific community discredits it as a pseudoscience because none of its tenets are supported by empirical data. Consider astrology as a sort of entertainment or personal belief rather than as a science. Basic Knowledge: Learn the basic principles of astrology, such as the meanings of the zodiac signs, natal charts, planets, aspects, and houses, before moving on. There are numerous publications, websites, and educational programmes that can offer a solid foundation. Analyze Your Natal Chart: Your birth date, time, and location can be used to make your own natal chart. You may create your chart for free with the aid of several online tools and programmes. A map of the celestial bodies' positions at the moment of your birth is called your natal chart. Analyze Your Natal Chart: Spend some time studying your natal chart once you have one. Find out what each house's planets mean and how they interact with one another. Your personality, weaknesses, and prospective life path will all be revealed by this. Observe Your Sun, Moon, and Rising Signs by Reading This: Your Sunrise (or Ascendant) sign affects your outward behavior, while your Moon sign and Sun sign both reflect your emotional nature. A more complete understanding of these signs might give you a better understanding of your astrological profile. Consult with Expert Astrologers: Consider speaking with a qualified astrologer if you want a more thorough examination of your chart or if you have specific queries. Based on your chart, they can provide unique insights and interpretations. Use astrology to reflect on yourself: Astrology is a useful tool for introspection and personal development. Examine how your own experiences and emotions align with the astrological insights. Use it to gain a deeper understanding of who you are and the course of your life. Keep in Mind That Symbolism: Numerous people have called astrology a symbolic language. Astrologers interpret the locations and aspects of celestial bodies as symbols in their own unique ways. It does not accurately describe how the cosmos affects your life. Learn to Think Critically: Keep a critical mindset while you research astrology. Recognise that connections drawn by astrology lack scientific support and that correlation does not imply causation. Consider several points of view and be willing to be skeptical. Respect for Various Beliefs: Regarding astrology, people hold a variety of beliefs and practices. Even if they differ from your own, respect other people's decisions and ideas. For some people, astrology holds significant personal value. Science and balance: Astrology is not a replacement for critical thinking or decision-making based on evidence. Use more trustworthy information and logic while making crucial life decisions. In Conclusion - Astrology has the potential to be a fascinating and contemplative activity that provides insights into personality and self-awareness. But it's crucial to approach it from a well-informed and impartial standpoint, mindful of its limitations and cognizant that it is largely a belief system rather than a science. For More Details : Click Here

An excessively positive outlook can also complicate dying. Psychologist James Coyne has focused his career on end-of-life attitudes in patients with terminal cancer. He points out that dying in a culture obsessed with positive thinking can have devastating psychological consequences for the person facing death. Dying is difficult. Everyone copes and grieves in different ways. But one thing is for certain: If you think you can will your way out of a terminal illness, you will be faced with profound disappointment. Individuals swept up in the positive-thinking movement may delay meaningful, evidence-based treatment (or neglect it altogether), instead clinging to so-called “manifestation” practices in the hope of curing disease. Unfortunately, this approach will most often lead to tragedy. In perhaps one of the largest investigations on the topic to date, Dr. Coyne found that there is simply no relationship between emotional well-being and mortality in the terminally ill (see James Coyne, Howard Tennen, and Adelita Ranchor, 2010). Not only will positive thinking do nothing to delay the inevitable; it may make what little time is left more difficult. People die in different ways, and quality of life can be heavily affected by external societal pressures. If an individual feels angry or sad but continues to bear the burden of friends’, loved ones’, and even medical professionals’ expectations to “keep a brave face” or “stay positive,” such tension can significantly diminish quality of life in one’s final days. And it’s not just the sick and dying who are negatively impacted by positive-thinking pseudoscience. By its very design, it preys on the weak, the poor, the needy, the down-and-out. Preaching a gospel of abundance through mental power sets society as a whole up for failure. Instead of doing the required work or taking stock of the harsh realities we often face, individuals find themselves hoping, wishing, and praying for that love, money, or fame that will likely never come. This in turn has the potential to set off a feedback loop of despair and failure.

Health and healing come from a state of harmony, unity, and calm awareness. Yet somehow, we have gotten the message that it’s a state we need to achieve, or something we acquire from outside of us. We push ourselves in hopes of becoming more healthy and more fit. We measure health by the number of minutes we walk, how many calories we eat, how much weight we lift, how long we meditate. We think that the more we can squeeze into our routine the healthier we will be. We are missing the point. The essence of health is deep within each of us.

There is a spaciousness that arises when we aren’t trying to fill every second. When we know how to slow down and create space, the important things in life will present themselves without us having to chase them.

new insight into out-of-body experiences (OBEs) has emerged from Swiss neurologist Olaf Blanke’s research on epileptic seizures. Searching for the source of a female patient’s epilepsy, Dr. Blanke used electrodes to map her brain, pairing brain areas with the functions each controlled. When he stimulated the angular gyrus, part of the TPJ, the patient had a spontaneous OBE. She reported to Blanke that she was looking down on herself from above. Blanke discovered that each time he stimulated that area, his patient would go into an OBE. Blanke theorizes that in the flood of information entering the TPJ, neural pathways in epileptics might get crossed, leading to a momentary release from the borders of one’s body. In meditation, this is a side effect of deliberate practice. A similar mechanism might be at work in near-death experiences (NDEs). Physician Melvin Morse, MD, had this thoughtful comment on the relationship of these brain states to objective reality: “Simply because religious experiences are brain-based does not automatically lessen or demean their spiritual significance. Indeed, the findings of neurological substrates to religious experiences can be argued to provide evidence for their objective reality.” By activating this hub of emotional intelligence, meditation upgrades a whole host of positive qualities, including altruism, adaptability, empathy, language skills, self-awareness, conscientiousness, and emotional balance.

Teaching academic writing to Bachelor of Science in Nursing (BSN) students is crucial early in their academic journey and should continue throughout their program. Here's a breakdown: Foundation Level (First Year): Introducing basic academic writing skills at the onset helps students develop a strong foundation. This includes understanding essay structure, proper citation methods (APA, MLA), and critical reading and writing skills NURS FPX 4010 Assessment 2. Core Nursing Courses: As students progress into core nursing courses, integrating academic writing into these subjects is beneficial. Assignments related to evidence-based practice, research papers, case studies, and reflective writing can aid in linking theoretical knowledge to practical application through writing.NURS FPX 4010 Assessment 3 Clinical Practice Integration: Incorporating writing assignments that reflect on clinical experiences or patient interactions helps students articulate their observations, reflections, and professional development, enhancing their communication skills.online class help services Advanced Nursing Courses: In advanced years, focus on more complex academic writing, such as scholarly articles, thesis or capstone projects, and literature reviews. This phase aligns with deeper research and specialization within nursing fields. Continuous Improvement: Encourage ongoing improvement by providing resources, workshops, and feedback on writing. Additionally, revisiting and reinforcing academic writing skills periodically ensures students maintain and enhance these crucial abilities.nursfpx.com By introducing and reinforcing academic writing skills across various stages of the BSN program, students develop proficiency in communicating their ideas effectively, a skill essential for their future practice, research endeavors, and professional growth.

Here it is necessary to bring to the fore a major and highly revealing difference, at least in the common sense pervading our historical conjuncture, between the idea of communism and that of democracy. It is sometimes said of communism that it was, in fact, a good idea on paper, but that the reality was a veritable catastrophe. One thereby highlights a discrepancy between political theory and historical reality by insisting on the fact that the idea of communism is perhaps quite simply not realizable. One sometimes adds for good measure that it was precisely faith in the communist idea—a faith that lies beyond the reach of the manifest evidence of concrete experience—that led to the totalitarian turn of actually existing communism. Yet on the other hand, when one speaks of democracy, this type of criticism is no longer operative. One frequently admits that contemporary institutions are not perfect, that actually existing democracy has insufficiencies, that there is still progress to be made, that there is a democratic deficit, or that democracy quite simply remains to come. But despite all the setbacks and all the limitations of contemporary practices, people shout themselves hoarse proclaiming that it is a good idea, or even that it is the sole and unique Idea. In one instance, reality takes precedence over the idea; in the other, the idea gains the upper hand over reality. At base, the same operation is at work, which is a comparison between an ideal system and its historical institution. Yet a revealing discrepancy manifests itself in the criteria of evaluation. In the case of communism, history is capable of refuting the idea, whereas for democracy the idea transcends historical reality and orients it toward something that is perhaps always to come. Whatever the case may be, it is impossible to call into question the democratic idea, for it hovers well above concrete practices. Towering over the real, democratic discourse thereby functions as a pseudo-science, which is to say a discourse that is beyond the reach of material refutations. Illustrating another surreptitious recuperation of vulgar Marxism, faith in the idea—this time democratic—can never be refuted by experience. If this sort of belief was what sustained the misdeeds of Soviet bureaucracy, should not one expect that the liberal recuperation would come full circle and that the icon of democracy would come to allow innumerable “anti-democratic abuses,” and even the development of what Sheldon Wolin has called “inverted totalitarianism”?

Another significant study that was based on the practices of millennials rather than their claims was conducted by sociologists Leslie Picca and Joe Feagin.13 They asked 626 white college students at twenty-eight colleges across the United States to keep journals and record every instance of racial issues, racial images, and racial understanding that they observed or were part of for six to eight weeks. The students recorded more than seventy-five hundred accounts of blatantly racist comments and actions by the white people in their lives (friends, families, acquaintances, strangers). These accounts come from the generation most likely to claim they were taught to see everyone as equal—those who grew up in the age of color-blind ideology after the civil rights movement. Picca and Feagin’s study provides empirical evidence that racism continues to be explicitly expressed by whites, even those who are young and profess to be progressive. Consider these examples from their study: “As I sit in a room with a bunch of frat guys, Phil walks in chanting ‘rotchie, rotchie, rotchie!!’ I ask . . . what that term means and I am answered with a giggle and a quick ‘it’s slang for nigger, like niggerotchie.’ . . . ” [Eileen] “Robby was there telling a joke. . . . He glanced to see if anyone was around. He starts, ‘A black man, a Latin man, and a white guy find a magical lamp on the beach [racist joke ensues].’ I thought it was pretty funny and I wasn’t the only one. But, I’m glad he waited till no one was around to tell it. If you didn’t know Robby you might misunderstand.” [Ashley]14

There are controlled ACT studies on work stress, pain, smoking, anxiety, depression, diabetes management, substance use, stigma toward substance users in recovery, adjustment to cancer, epilepsy, coping with psychosis, borderline personality disorder, trichotillomania, obsessive–compulsive disorder, marijuana dependence, skin picking, racial prejudice, prejudice toward people with mental health problems, whiplash-associated disorders, generalized anxiety disorder, chronic pediatric pain, weight maintenance and self-stigma, clinicians’ adoption of evidence-based pharmacotherapy, and training clinicians in psychotherapy methods other than ACT. The only sour notes so far are the use of ACT for more minor problems, where existing technology exceeded ACT outcomes on some measures (e.g., Zettle, 2003).

Skeptical Empiricism and the a-Platonic School The Platonic Approach Interested in what lies outside the Platonic fold Focuses on the inside of the Platonic fold Respect for those who have the guts to say “I don’t know” “You keep criticizing these models. These models are all we have.” Fat Tony Dr. John Thinks of Black Swans as a dominant source of randomness Thinks of ordinary fluctuations as a dominant source of randomness, with jumps as an afterthought Bottom-up Top-down Would ordinarily not wear suits (except to funerals) Wears dark suits, white shirts; speaks in a boring tone Prefers to be broadly right Precisely wrong Minimal theory, considers theorizing as a disease to resist Everything needs to fit some grand, general socioeconomic model and “the rigor of economic theory;” frowns on the “descriptive” Does not believe that we can easily compute probabilities Built their entire apparatus on the assumptions that we can compute probabilities Model: Sextus Empiricus and the school of evidence-based, minimum-theory empirical medicine Model: Laplacian mechanics, the world and the economy like a clock Develops intuitions from practice, goes from observations to books Relies on scientific papers, goes from books to practice Not inspired by any science, uses messy mathematics and computational methods Inspired by physics, relies on abstract mathematics Ideas based on skepticism, on the unread books in the library Ideas based on beliefs, on what they think they know Assumes Extremistan as a starting point Assumes Mediocristan as a starting point Sophisticated craft Poor science Seeks to be approximately right across a broad set of eventualities Seeks to be perfectly right in a narrow model, under precise assumptions

It’s more than possible that the world’s first mixed drinks were created in order to mask the bad flavors of the base ingredient. Alcoholic potions of our dim and distant past were far inferior to the technologically clean products we enjoy today. Archeological evidence shows that the ancient Egyptians used dates and other fruits to flavor their beer, and that Wassail, a spiced drink originally made with a base of hard cider, dates back to pagan England—it was served to celebrate a bountiful apple harvest. We also know that the Romans drank wine mixed with honey and/or herbs and spices. The practice could have arisen from the inferior quality of the wine, but it probably also had roots in the medicinal, restorative, or digestive qualities attributed to the various ingredients.

The study’s authors concluded, based on their review and analysis of the empirical evidence, that the Seattle Police Department’s decisions to focus so heavily on crack, to the near exclusion of other drugs, and to concentrate its efforts on outdoor drug markets in downtown areas rather than drug markets located indoors or in predominantly white communities, reflect “a racialized conception of the drug problem.”87 As the authors put it: “[The Seattle Police Department’s] focus on black and Latino individuals and on the drug most strongly associated with ‘blackness’ suggest that law enforcement policies and practices are predicated on the assumption that the drug problem is, in fact, a black and Latino one, and that crack, the drug most strongly associated with urban blacks, is ‘the worst.’”88

Not being able to study the cream of the crop means the effects we see will probably be weak and sporadic. That means having to collect an enormous amount of data to gain confidence in the results. Fortunately there is also an advantage to studying ordinary people. If Joe Sixpack, our randomly picked “man off the street,” can show weak but positive results in the lab, then it indicates that the siddhis are part of a spectrum of abilities that are broadly distributed across the population. It is much easier to accept the reality of a claimed skill if it turns out to be a basic human potential rather than an extreme idiosyncrasy that only a handful of people in the world possess. I suspect that there are those among us who have high-functioning siddhis gained not through extensive meditation practice but through raw talent. Like Olympic athletes or Carnegie Hall musicians, these people are rare. Based on my experience in testing a wide range of participants in laboratory psi tests, I’d estimate that perhaps one in ten or a hundred thousand have exceptional skills comparable to the traditional siddhis.

From one test session to the next, the interference patterns tended to differ because of slight variations in ambient temperature and vibration. So for the sake of simplicity I based the formal statistical analysis not on a change in the precise shape of the interference pattern, but rather on a decrease in the average illumination level over the entire camera image during the concentration or “mental blocking” condition as compared to the relaxed or “mental passing” condition. To test the design and analytical procedures for possible problems, I also included control runs to allow the system to record interference patterns automatically without anyone being present in the laboratory or paying attention to the interferometer. Data from those control sessions were analyzed in the same way as in the experimental sessions. Results I was fortunate to recruit five meditators, four of whom had many decades of daily meditative practice. Those five contributed nine test sessions. Five other individuals with no meditation experience, or less than two years of practice, contributed nine additional sessions. I referred to the latter group as nonmeditators. I predicted an overall negative score for each experimental session (illustrated by the idealized negative curve shown in Figure 15). The combined results were in fact significantly negative, with odds against chance of 500 to 1. The identical analysis across all the control sessions resulted in odds against chance of close to 1 to 1, indicating that the experimental results were not due to procedural or analytical biases. Figure 16 shows the cumulative score (in terms of standard normal deviates, or z-scores) for the nine sessions contributed by experienced meditators and nine other sessions involving nonmeditators. The experienced meditators resulted in a combined odds against chance of 107,000 to 1, and the nonmeditators obtained results close to chance expectation. This supported my conjecture that meditators would be better at this task than nonmeditators. Figure 16. Experienced meditators (more than two years of daily practice) obtained combined odds against chance of 107,000 to 1. Nonmeditators obtained results close to chance.

The best approach to teaching procedural skills is a directive design. Direct instruction includes three core elements: explanations, as summarized in the previous chapter; demonstrations of skills; and student practice with feedback.

To qualify as practice, the learner must make some kind of behavioral response. For the purposes of formal training, that response usually generates a visible product—one that can be evaluated by the instructional environment.

Pilot test your training to determine an optimal amount of practice to reach acceptable job competence. As you plan your practice activities, find ways to spread them over a lesson or course. Spaced practice results in better long-term learning with a high effect size of 0.71.

However, the benefits of spaced practice are apparent after 60 days. Since many training organizations don’t evaluate learning over time, the benefits of spaced practice are rarely documented. Based on a lot of accumulated evidence, though, spaced practice will give you a better long-term return.

At the same time, in my reading, I discovered some evidence that traditional talk therapy might not actually be particularly effective for C-PTSD. In The Body Keeps the Score, Bessel van der Kolk writes about how talk therapy can be useless for those for whom “traumatic events are almost impossible to put into words.” Some people are too dissociated and distanced from these traumatic experiences for talk therapy to work well. They might not be able to access their feelings, let alone convey them. For others, they’re in such an activated state that they have a hard time reaching into difficult memories, and the very act of recalling them could be retraumatizing. One study showed that about 10 percent of people might experience worsening symptoms after being forced to talk about their trauma. Between 40 percent and 60 percent of people drop out of therapy at some point. Most drop out within the first two sessions. And plenty of statistics show that even pointed, skills-based talk therapy is ineffective for PTSD. Cognitive behavioral therapy (CBT), a form of talk therapy where patients unlearn negative patterns of behavior and try to practice strategically positive patterns, is widely accepted as a treatment for PTSD. But it has abysmal statistics. In one study of seventy-four patients, eight got better with CBT, compared with four who received no therapy at all.