APA's Abortion Agenda

In the ongoing comments to my first post about Priscilla Coleman's latest salvo in the abortion= insanity scam, Anonymous outed it/him/herself as a concern troll with:

You ought to use your knack for skepticism on some of these mainstream organizations..rather than passively trusting...they have agendas that often depart significantly from science and are doing society a grave disservice when it comes to the topic of abortion. I did look at your other post and I really believe all the angst here is misplaced.

Angst? How sympathetic of it/him/her. But then, both skeptic and 'passively trusting'? Twisty brains, these fetus fetishists have, don't they?

Anyway, I bit and asked what bias the American Psychological Association might have.

It/he/she answered.

Well the problem is that the organization declared abortion a civil right decades ago and they have an open pro-choice agenda..this precludes the objectivity necessary to conduct credible science...very simple. If they had a pro-life agenda it would be just as bad obviously. We need good science to inform women..you aren't going to get it from the APA..but there is hope from people like Coleman, Broen, Pedersen, and Fergusson who do not have agendas and know how to conduct the studies. I really encourage you to get the paper from Coleman. You will be impressed and you'll feel foolish for having trashed her...even her face*..come on.

After I cleaned the coffee off the keyboard from the 'do not have agendas' bit, I googled.

First, basic info about the American Psychological Association or, as social science students and researchers might be more familiar with, APA, as in the ubiquitous APA style.

The American Psychological Association (abbreviated APA) is the largest scientific and professional organization of psychologists in the United States. It is the world's largest association of psychologists with around 154,000 members including scientists, educators, clinicians, consultants and students.
. . .
Full membership with the APA in United States and Canada requires doctoral training whereas associate membership requires at least two years of postgraduate studies in psychology or approved related discipline. The minimal requirement of a doctoral dissertation related to psychology for full membership can be waived in certain circumstances where there is evidence that significant contribution or performance in the field of psychology has been made.

Anon is quite right about APA's abortion position adopted in way back in 1969.

WHEREAS, in many state legislature, bills have recently been introduced for the purpose of repealing or drastically modifying the existing criminal codes with respect to the termination of unwanted pregnancies; and WHEREAS, termination of unwanted pregnancies is clearly a mental health and child welfare issue, and a legitimate concern of APA; be it resolved, that termination of pregnancy be considered a civil right of the pregnant woman, to be handled as other medical and surgical procedures in consultation with her physician, and to be considered legal if performed by a licensed physician in a licensed medical facility.

I know. Shocking, isn't it? Just about every human rights organization, including the UN, recognizes abortion -- as it translates into bodily autonomy -- as a human/civil right. Cool that APA was in on board pretty early on for a mainstream organization.

We sane people don't consider the recognition of women's human and civil rights to be a matter of pro- or anti-choice, merely a small matter of equality and justice. (Of course this is disputed by fetus fetishists.)

Here are APA's mission and vision statements.

'The mission of the APA is to advance the creation, communication and application of psychological knowledge to benefit society and improve people’s lives.'

Last of the seven goals in the vision statement is to serve as 'an effective champion of the application of psychology to promote human rights, health, well being and dignity'.

Not among those goals is anything like 'maximize the earnings of our members by scaring the shit out of prospective clients with fatuous claims of abortion's mental-health risks, thus MASSIVELY increasing our members' client base, and making them a pisspot of money'.

An article at the Guttmacher Institute (an organization sometimes quoted as 'prestigious' by ff's when it agrees with them), cites Nancy Adler, professor of psychology at the University of California, pointing out the obvious idiocy of the claim of widespread psychological fallout from abortions.

Adler said that given the millions of women who had had abortions, "if severe reaction were common, there would be an epidemic of women seeking treatment. There is no evidence of such an epidemic."

There are about 1.3 million abortions in the US and 100,000 in Canada every year. That's a fuck of a lot of insane women. Added up over the decades, the funny farms should be bursting with deranged women needing intense (and expensive) psychological treatment.

Using the Underpants Gnomes' business plan, the APA's agenda should be: 1) Lie about abortion/mental-health connection. 2). . . . 3) PROFIT!

Ain't happening, because the APA is a mainstream organization with principled, educated people running it.

Sorry, Anon, asserting an agenda for APA is illogical. The only people set to profit with the Underpants Scheme are anti-choice orgs, researchers, counsellors, and churches. NOT the APA and other responsible professionals.

One last thing (for now; we're NOT done with this by a long shot), look who wrote the 'Abortion and the APA' entry for Conservapedia. Yup. Dear Priscilla. Nope. No agenda there, atall atall.



*This what I said about Coleman's photo. You decide whether it's trashing.

Truthiness and Scientific Research

In the comments on my blogpost about the latest move in 'abortion = insanity' game, I'm having a convo with an Anonymous who claims Priscilla Coleman's methodology is impeccable and I should read the study and not attack the messenger. Anon said Coleman would send me a copy if I emailed her. Anon didn't supply email address, though I suppose I could find it. But, as I said, I am not a statistician, so there'd be little point in my trying to figure how the figures were fudged this time. At this point, Anon hasn't answered my question about whether he or she is a statistician.

But Coleman belongs to a small gang of dodgy 'scientists' who are engaged in creating a body of pseudo-sciency literature to refute millions of person-hours of real research. In other words, they are just making shit up.

This con was spotted by PBS's Now back in July 2007. From the transcript:

[Senior correspondent Maria] HINOJOSA: It's a seismic shift in strategy...a carefully calculated effort to convince the public that abortion irreparably harms women. The Pro-Life movement has invested millions in a multifaceted strategy that embraces the language of the Women's Right's Movement, promotes questionable scientific evidence and seeks to portray women as victims.

There had been a recent Supreme Court decision restricting so-called late-term abortion that cited some of this bogus research.

HINOJOSA: Dr. Nada Stotland is president-elect of the American Psychiatric Association...we caught up with her while she was visiting her pregnant daughter in New York City.

DR. STOTLAND: It was a great shock to me to find out that—legislators and judges could write down anything they wanted whether it had a scientific basis or not. And, that Supreme Court opinion did not have a scientific basis.

HINOJOSA: Every year in the United States about 1.3 million women terminate their pregnancies. And while it's often a wrenching decision, most studies show that the vast majority of women suffer no long term negative mental health affects.

DR. STOTLAND: There is no such official psychiatric diagnosis despite attempts to produce what looks like evidence

HINOJOSA: In fact both the American Psychological Association and the American Psychiatric Association—two giant mainstream scientific institutions—say there is no causal link: "Abortion in and of itself, is not associated with negative mental health consequences."

Got that? NO causal link.

Now, over to the pseudo side:

REARDON: It's in God's design that the woman and the child's best interests are intertwined.

HINOJOSA: But this man, David Reardon, says mainstream science is wrong.

He is the author of seven books on abortion. In 1996 he wrote, "Making Abortion Rare," often called the playbook for the pro-life movement's shift in focus.

Well, natch PBS wanted to interview him. But they couldn't get him so got Priscilla instead. Read her wriggle around on her association with the fetus fetishists.

HINOJOSA: David Reardon has not responded to our many emails and phone calls requesting an interview...however one of his frequent co-authors, Priscilla Coleman, a human development and family studies professor at Ohio's Bowling Green State University came to New York to talk about her research.

HINOJOSA: So you don't have a problem with the fact that David Reardon has a Ph.D. from an unaccredited university?

COLEMAN: It's—I don't have a problem with anything about David really, except for if, when we're working together, there's anything in the writing or the analysis that—that I don't agree with. I mean, I—all we do—we don't have discussions about pro-life issues. All we do is work on a paper together.

HINOJOSA: And you don't feel that your information—

COLEMAN: I know it—

HINOJOSA: —because you're so tied to David Reardon—

COLEMAN: I'm—

HINOJOSA: —is—is—

COLEMAN: —I'm not really tied to David Reardon. I've met him—

HINOJOSA: But you've published more than a dozen—

COLEMAN: Not that many—

HINOJOSA: —articles—

COLEMAN: —with him.

HINOJOSA: Well, actually, let's see. We have them right here.

COLEMAN: I don't think it's that many.

HINOJOSA: —the number of articles—that you have co-authored, and studies. One, two, three—we have 12 right here.

So when you have this level of collaboration with David Reardon—and—and people say, "Look, Priscilla Coleman is tied to the anti-abortion movement, we can't look at her science as being unbiased," you say?

COLEMAN: I handled the data, I analyzed it in a scrupulous way. We encouraged people to reanalyze our data.

And we've used—nationally representative samples, data that's been collected by other people—for other purposes that just happened to have the right variable repro—reproductive history and—various mental health outcomes.

And we're finding that—you know, approximately ten to 20 percent of women suffer severely from abortion.

HINOJOSA: Coleman and Reardon's articles have indeed appeared in peer reviewed journals, but that doesn't impress Nada Stotland.

DR. STOTLAND: This is another part of a deliberate effort. One of the—one of the parts of that effort is to accumulate as though you have more evidence if the stack of papers is higher rather than where are these people—people's papers being published? And, how good and how rigorous was the peer review?

HINOJOSA: This study by Coleman, Reardon and associates for instance appeared in the Canadian Medical Association Journal and concludes that low income women who abort are more likely to need psychiatric care later...and even through the Journal's editors defended the decision to publish the paper - they said it generated a barrage of letters.

Several came from scientists, claiming the study's poor methodology rendered the results less than credible.

So when you, Priscilla Coleman, read the kinds of criticisms that say that your methodology is flawed—

COLEMAN: Actually, they don't usually talk about my methodology. They usually talk about—my co-authors who have been involved in—some of them have been involved in the pro-life movement. And so it's—it's usually not specifics about our studies that they're criticizing.

HINOJOSA: In emails, two prominent independent scientists, on a panel that is reviewing the scientific literature for the American Psychological Association told us the studies have "inadequate or inappropriate" controls and don't adequately control "for women's mental health prior to the pregnancy and abortion."

Ah, there's Priscilla, er, wriggling again. There was a major hoo-haw when the CMAJ published this tripe but to its credit the journal gave room to a respected scientist, Dr. Brenda Major, to demolish the methodology.

Ah, but all that is so long ago. Let's have a look at something more recent. This is from April this year.

Priscilla K Coleman, Professor of Human Development and Family Studies at Bowling Green State University, Ohio, has, over the last few years, been the most prolific author of studies which purport to show a link between elective, induced abortion and subsequent mental health problems in women. Pubmed currently lists 21 papers on abortion and mental health in which Coleman is either a lead or co-author, a figure exceeded only by her sometime co-author and collaborator David C Reardon*, who currently has 25 papers to his name.

*Reardon’s output has dropped off considerably since 2004 following an article in the Washington Monthly by Chris Mooney which revealed that his claimed ‘PhD’ in biomedical ethics had been awarded by an unaccredited correspondence school that provided no classroom instruction. [1]. His most recent Pubmed listed paper dates to 2006.

In my previous articles on the evidence base relating to abortion and mental health, I’ve noted the strong criticism directed towards Coleman’s work and its methodological short-comings, the most serious of which have tended to be the use of inappropriate or inadequate controls and a general failure to control for women’s mental health prior to pregnancy and/or abortion. Coleman is part of a small clique of researchers, which includes David Reardon, Vincent Rue, Jesse Cougle, Phillip Ney, Martha Shuping and Catherine T Coyle, who are actively engaged in building a literature to be used in efforts to restrict abortion using methods which closely parallel those adopted by proponents of homeopathy and other so-called ‘alternative medicines’. The strategy in question is that of manipulating public opinion by creating a false perception of the strength of the scientific evidence which supports a particular hypothesis, such the efficacy of homeopathy or a causal relationship between abortion and subsequent mental health problems, based of the number of published studies which appear to support the hypothesis rather than on quality, validity and reliability of each paper’s actual findings.

The author goes on to demolish -- again -- the gang's methodology.

Now I'd never suggest that there is any kind of fraud going on. Maybe it's just some kind of irrremediable bias. And nothing, nada, zero, zip to do with money unlike the charlatan Andrew Wakefield, who totally fabricated the autism/vaccine connection. His work -- first published in the The Lancet, note -- was discredited, then more recently, was revealed by Brian Deer of The Sunday Times to be a lucrative fraud.

Research fraud happens, though rarely on this scale. The real tragedy is that many otherwise intelligent people have come to believe the purported MMR-autism link, and the health of a lot of children has been endangered as a result.

In Britain, childhood vaccination rates fell to as low as 80 per cent, allowing a return of measles, mumps and rubella. Thankfully, those rates are climbing back up again.

It is hard to imagine that the greed and arrogance of one man could do so much damage.

Hopefully, the diligent work of Mr. Deer has put the final nail in the coffin of Dr. Wakefield’s career of fraud and deception.

Synchronically, yesterday CBC's The Current had a piece on medical ghost-writing.

If you look at a scientific research paper, you probably assume that the person who signed their name to it is in fact the person who wrote it. But it turns out, that's not always the case. In some cases, the paper you're looking at was actually written by someone paid by a drug company ... a ghost-writer whose name is nowhere to be found on the final product.

Critics say this kind of medical ghost-writing taints the integrity of the results and that a medication's side-effects can end up being down-played or omitted altogether. It's not known how often this practice happens. But one study run by the Journal of the American Medical Association suggested that more than seven per cent of the articles in its own journal had unacknowledged contributions.

Again, prestigious journals duped.

To review: Coleman, P., et al., have a history and an agenda. Their methodology is continually questioned.

I have no doubt that this latest steaming pile paper will be demolished. Again.

Scientific journals have a duty to publish work that seems to go against accepted views. Fine. But they also have a duty to properly vet the work before it is published. Because, as The Lancet discovered, it really really smarts to issue a retraction.

Nonetheless, the media churns the SHRIEEEKING headlines out and people are confused and frightened.

Deliberately.

No, Priscilla, Abortion Does NOT Cause Insanity

Well, isn't this an amazing case of synchronicity? Or -- donning tin-foil hat -- a case of extremely well-planned coordination?

Just as UK MPs are preparing to vote on letting religious nutbars 'counsel' women seeking abortions, yet another pseudo-scientific study is released on the causal connection between abortion and mental health.

Recalibrate your SHRIIEEEEK-o-meters! Abortion increases your risk of insanity by 81% !!!!!!11! Or even by 230%!!!1!!!1

At least this source puts quotation marks around 'linked' and bothers to refer to real scientists.

Abortion and mental health 'linked'
Having an abortion increases the risk of mental health problems by 81%, according to a new study.

Compared to women who have not undergone a termination, those having one are significantly more likely to suffer issues, it found.

Furthermore, around one in 10 cases of mental health problems among women may be due to abortion.

Experts from the Royal College of Obstetricians and Gynaecologists (RCOG) said their own research had found women were not at higher risk of mental health problems compared to those who fell pregnant accidentally and went on to have a baby.

The latest review of studies, published in the British Journal of Psychiatry, is cited as the largest ever estimate of the mental health risks from abortion. It included 22 studies from 1995 to 2009 involving more than 877,000 women, of which almost 164,000 had had an abortion.

The research was carried out by Priscilla Coleman, professor of human development and family studies at Bowling Green State University in Ohio.

She found that while the overall increased risk of mental health problems was 81%, the results "indicate that the level of increased risk associated with abortion varies from 34% to 230% depending on the nature of the outcome (whether women abused drugs, alcohol, or suffered depression, and so on)".

Prof Coleman concluded: "The strongest effects were observed when women who had had an abortion were compared with women who had carried to term and when the outcomes measured related to substance use and suicidal behaviour."

The Royal College of Psychiatrists is currently carrying out a systematic review of the impact of abortion on women's mental health. Results will be published this autumn.

A spokesman for the RCOG said: "What this research does not fully examine is if these women had pre-existing mental health complications such as dependency issues and mood disorders before the abortion."

Dear Priscilla has been spanked for her methodology and ideology more than once and by very prestigious sciencey-facty types, but for unfathomable reasons, her crap keeps on getting published.

Hell, I am not a trained scientist and even I know that correlation does NOT equal causation. And so should everyone who graduated high school.

But the media can't resist the headlines and many, like this one don't arse themselves to find a reputable person to counter the bullshit.

And, of course, the fetus fetishist bloggers are all over it.

Again.

From the wiki link:

Some other researchers have been unable to reproduce Coleman's results on abortion and mental health despite using the same dataset, and have described her findings as "logically inconsistent" and potentially "substantially inflated" by faulty methodology. The American Psychological Association (APA) and other major medical bodies have concluded that the evidence does not support a link between abortion and mental health problems, and APA panelists charged with reviewing the evidence were similarly critical of the methodology of Coleman's studies.

Science IS hard, Priscilla. To get the real, grown-up sciencey people to take your work seriously, such studies have to be well-designed and bear up under scrutiny.

When the facts do not support her desired conclusion, instead of going back to the lab bench and trying to improve the design, Priscilla just rejigs the numbers. She's been at this game for nearly a decade.

Really, isn't it time for 'peers' on peer-review committees to politely decline to participate in this charade?

I'm looking at you, Canadian Medical Association Journal, as well as the British Journal of Psychiatry.

Just. Don't. Publish. This. Crap.

ADDED: Someone with a head for stats might be interested in this (seemingly) thorough explanation of Priscilla's lying with numbers.