“Eat your broccoli“ is benign enough advice to tell a breast cancer patient, but shouldn’t we tell her precisely the small effect of eating broccoli for progression and outcome of cancer? Is such advice simply giving cancer patients the illusion of control over their condition?https://twitter.com/clevelandclinic/status/977950991030149120 …
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Replying to @CoyneoftheRealm
I would posit that (in conjunction with evidence based interventions) giving a patient the illusion of control, or at least something to do, in such a benign activity as eating their greens, is better than leaving them feeling helpless.
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Of course, where do we draw the line? Cancer quacks work by making people think they have way more control over their disease than they actually do, and their advice is oft far less benign and more expensive than "eat your vegetables."
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And what about patients who don't want an illusion of control? Informed consent should be required before this sort of psychosocial management is inflicted.
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Precisely. And quacks use that too by making patients think that if the quackery didn't work and their cancer progresses it was their fault for not doing it right, not following the protocol closely enough. The treatment can't fail the patient; the patient fails the protocol.
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