http://bmj.bmjjournals.com/cgi/content/full/329/7480/1473

Amusing, and with a lot of truth, this article give TIC instructions 
to physicians on how they can resist changing their practice....as 
well as laughing, I thought to myself 'hmm........' on more than one 
occasion.

Here's a sample:

Attack the data
When provided with new information that may require a change in practice:


*	Firstly, diss the source. No one expects you really to 
believe information from sources outside your specialty or 
geographical area.
*	Secondly, question the validity of the information. Every 
study or report contains some loophole in its fabric, however small, 
that can be snagged and used to unravel the validity of the whole 
study. Use the common logical ploy that holds that if any aspect of 
the study is imperfect, the entire study results must be wrong.
*	Thirdly, question the applicability to your patients. Studies 
are done "out there" and can't possibly reflect the unique nature of 
your practice. This technique is especially useful when data from 
large studies contradict our impressions gleaned from personal 
experience with a few patients.



This is one of the reasons why any training in bf support *has* to 
allow for some debriefing of personal experience of breastfeeding and 
contact with breastfeeding clients.

People (I include myself!) may have a hard time believing stuff that 
doesn't chime with their own personal experience, even people who 
have had some scientific or medical training.

Heather Welford Neil
NCT bfc, tutor, UK

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html