{"id":2116,"date":"2012-10-23T10:59:23","date_gmt":"2012-10-23T09:59:23","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=2116"},"modified":"2012-10-23T11:12:33","modified_gmt":"2012-10-23T10:12:33","slug":"198","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2012\/10\/23\/198\/","title":{"rendered":"198!"},"content":{"rendered":"<p>Seriously! \u00a0<em>Theoretical Medicine and Bioethics<\/em>\u00a0has published a paper with\u00a0<span style=\"color: #0000ff;text-decoration: underline\"><span style=\"text-decoration: underline\"><a href=\"https:\/\/springerlink3.metapress.com\/content\/8604w75051764v50\/fulltext.pdf\"><span style=\"color: #0000ff;text-decoration: underline\">a hundred and ninety-eight listed authors<\/span><\/a><\/span><\/span>!<\/p>\n<p>I&#8217;ve always been slightly puzzled by multi-authored papers &#8211; by just how many people get to add their names to a piece of work. \u00a0<span style=\"text-decoration: underline\"><span style=\"color: #0000ff\"><a href=\"http:\/\/xtaldave.wordpress.com\/\"><span style=\"color: #0000ff;text-decoration: underline\">A friend of mine<\/span><\/a><\/span><\/span> who is a proper scientist once tried to explain how it works in the sciences\u00a0to me &#8211; about how you need to give credit to the people who ran the experiment, but also to those who did the titration and general donkey-work. \u00a0That seems fair enough. \u00a0Having said that, I suspect that there&#8217;s often a bunch of people who get credits that shouldn&#8217;t be there. \u00a0(I remember once seeing a CV from a guy that had 45 pages&#8217; worth of publications listed. \u00a0Granted, it was double-spaced&#8230; but, still: there must have been the thick end of a thousand papers listed; there&#8217;s no way on God&#8217;s good Earth that he could have played a significant role in <em>all<\/em>\u00a0of them. \u00a0So why was he entitled to claim them? \u00a0Why did he take the credit? \u00a0Apparently, it was because, although not all of the papers referred to work he&#8217;d done, they did all refer to work done by other people in a lab he ran.)\u00a0\u00a0Anyway&#8230; the Steinhauser <em>et al ad infinitum<\/em>\u00a0paper, with its 198 authors,\u00a0isn&#8217;t lab-based, so the credit-where-it&#8217;s-due argument wouldn&#8217;t work.<\/p>\n<p>(Jozsef Kovacs, writing in a <span style=\"text-decoration: underline\"><span style=\"color: #0000ff\"><a href=\"http:\/\/jme.bmj.com\/content\/early\/2012\/09\/14\/medethics-2012-100568.full.pdf\"><span style=\"color: #0000ff;text-decoration: underline\">paper currently available as a pre-pub in the <em>JME<\/em><\/span><\/a><\/span><\/span>, is also concerned about authorial inflation, and who should get the credit for a given paper, and how to improve things. \u00a0It&#8217;s definitely worth a look.)<\/p>\n<p>The author list for the Steinhauser\u00a0paper seems to have been generated at least in part via the membership of a Facebook group (and one that no longer exists, or at least one that is so private that it doesn&#8217;t show up on a search). \u00a0That&#8217;s just silly, and there&#8217;s no way that anyone can successfully marshall so many contributors. \u00a0That turns a paper into an open letter. \u00a0Indeed: the &#8220;authors&#8221; seem to think that their paper could be treated as such without loss:<!--more--><\/p>\n<blockquote><p>[T]here seem to be papers and topics for which peer review per se is hardly applicable. For instance, now that 198 authors have thoroughly discussed and expressed their views, we wonder how the opinions of two, three, or four referees could improve a manuscript such as this one.<\/p><\/blockquote>\n<p>I might try that with my next submission. \u00a0After all, most papers are road-tested in seminars or conferences before they get submitted to a journal; so if I just name the people in the room, I can &#8211; presumably &#8211; say that the number of authors will be more than the number of reviewers, and therefore there&#8217;s nothing important that reviewers could say.<\/p>\n<p>I suppose I should mention the point of the paper. \u00a0From the abstract:<\/p>\n<blockquote><p>We argue that the process of peer\u00a0review can be prone to bias towards ideas that affirm the prior convictions of reviewers and against innovation and radical new ideas. \u00a0Innovative hypotheses are thus highly vulnerable to being \u2018\u2018filtered out\u2019\u2019 or made to accord with conventional wisdom by the peer review process.<\/p><\/blockquote>\n<p>I think that this is a not-unreasonable view in itself, and not all that wild. \u00a0Peer-review is at risk of being institutionally conservative. \u00a0Whether that&#8217;s a vice or a virtue is a matter for further debate.<\/p>\n<blockquote><p>Consequently, having introduced peer review, the Elsevier journal <em>Medical Hypotheses<\/em> may be unable to continue its tradition as a radical journal allowing discussion of improbable or unconventional ideas.<\/p><\/blockquote>\n<p>Whoa there! \u00a0The Steinhauser paper&#8217;s a defence of\u00a0<em>Medical Hypotheses<\/em>? \u00a0The no-peer-review-until-recently &#8220;journal&#8221; <em>Medical Hypotheses<\/em>?<\/p>\n<p>Crikey.<\/p>\n<p>If you&#8217;re not familiar with <em>MH<\/em>, a\u00a0quick look at some of its <span style=\"text-decoration: underline\"><span style=\"color: #0000ff\"><a href=\"http:\/\/www.journals.elsevier.com\/medical-hypotheses\/most-cited-articles\/\"><span style=\"color: #0000ff;text-decoration: underline\">most cited papers<\/span><\/a><\/span><\/span>\u00a0might be instructive. \u00a0There&#8217;s a curious obsession with vitamin D, for one thing. \u00a0But possibly its most famous moment was in 2007, when it published <span style=\"text-decoration: underline\"><span style=\"color: #0000ff\"><a href=\"http:\/\/www.medical-hypotheses.com\/article\/S0306-9877(07)00047-3\/abstract\"><span style=\"color: #0000ff;text-decoration: underline\">this paper<\/span><\/a><\/span><\/span> (also available <span style=\"text-decoration: underline\"><span style=\"color: #0000ff\"><a href=\"http:\/\/www.badscience.net\/wp-content\/uploads\/down-syndrome.pdf\"><span style=\"color: #0000ff;text-decoration: underline\">here<\/span><\/a><\/span><\/span>), described by Ben Goldacre as &#8220;<span style=\"text-decoration: underline\"><span style=\"color: #0000ff\"><a href=\"http:\/\/www.badscience.net\/2007\/08\/observations-on-the-classification-of-idiots\/\"><span style=\"color: #0000ff;text-decoration: underline\">bonkers and unhinged<\/span><\/a><\/span><\/span>&#8220;, the broad content of which is captured by its title: &#8220;Down Subjects and Oriental Population Share Several Specific Attitudes and Characteristics&#8221;. \u00a0Oh, yes.<\/p>\n<blockquote><p>Another aspect of Down person that remind the Asiatic population, are alimentary characteristics. Down subjects adore having several dishes dis- played on the table and have a propensity for food which is rich in monosodium glutamate (a salt of glutamate), such as parmigiano, beef broth, tinned food, etc. [&#8230;]<\/p>\n<p>The tendencies of Down subjects to carry out recreative\u2013reabilitative activities, such as embroi- dery, wicker-working ceramics, book-binding, etc., that is renowned, remind the Chinese hand-crafts, which need a notable ability, such as Chinese vases or the use of chop-sticks employed for eating by Asiatic populations.<\/p>\n<p>Perhaps the explanation for their capacities re-sides in the monkey-like cast of the hand or rather in the single transversal solcus that replaces the normal creases of the flexion of the hand, and their laxity of ligaments. Also this characteristic of the Down syndrome may be considered a point in com- mon with oriental populations.<\/p><\/blockquote>\n<p><span style=\"color: #0000ff;text-decoration: underline\"><span style=\"text-decoration: underline\"><a href=\"http:\/\/en.wikipedia.org\/wiki\/Medical_Hypotheses#Research\"><span style=\"color: #0000ff;text-decoration: underline\">This taster from Wikipedia<\/span><\/a><\/span><\/span>\u00a0provides more indications of the sort of thing that <em>MH<\/em>\u00a0published in its pre-peer-review days\u00a0(or do a quick web search of your own: the <em>ScienceBlogs<\/em>\u00a0stable seems to have a decent collection of pointing-and-laughing entries). \u00a0<em>MH<\/em>\u00a0was forced to change its editorial policy a little while ago, and its editor, Bruce Charlton, removed. \u00a0Thus Steinhauser <em>et al<\/em>:<\/p>\n<blockquote><p>Charlton reported having received more than 150 letters of support by March 2010 (mostly from <em>Medical Hypotheses<\/em> authors), indicating widespread concern within the scientific community about the policy changes.<\/p><\/blockquote>\n<p>Hmmm. \u00a0I don&#8217;t know how to break the news here &#8211; but 150 letters of support doesn&#8217;t really indicate widespread concern, especially if and when the writers benefitted from the previous regime.<\/p>\n<p>The case being made in the Steinhauser paper is not a mad one; the argument isn&#8217;t persuasive in the end, but it&#8217;s worth giving it its head. \u00a0But quite aside from its argumentative strengths and faults, a paper like this is inevitably going to lose at least some of its rhetorical punch just by virtue of being a crowd-sourced piece in defence of the erstwhile editorial policy of a journal that &#8211; whatever might be said in its defence &#8211; has generated for itself a reputation as a print-any-old-shyte outlet for cranks. \u00a0A strategic error, that.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Seriously! \u00a0Theoretical Medicine and Bioethics\u00a0has published a paper with\u00a0a hundred and ninety-eight listed authors! I&#8217;ve always been slightly puzzled by multi-authored papers &#8211; by just how many people get to add their names to a piece of work. \u00a0A friend of mine who is a proper scientist once tried to explain how it works in [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2012\/10\/23\/198\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1240,1542,443,1543,576,407],"tags":[],"class_list":["post-2116","post","type-post","status-publish","format-standard","hentry","category-blogosphere","category-in-the-journals","category-jme","category-the-academy","category-the-art-of-medicine","category-wtf"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>198! - Journal of Medical Ethics blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2012\/10\/23\/198\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"198! - Journal of Medical Ethics blog\" \/>\n<meta property=\"og:description\" content=\"Seriously! \u00a0Theoretical Medicine and Bioethics\u00a0has published a paper with\u00a0a hundred and ninety-eight listed authors! 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