science

A fatal irony: Why the “circumcision solution” to the AIDS epidemic in Africa may increase transmission of HIV

by Brian D. Earp
May 22, 2012January 19, 2016

* Note: this article has been re-posted at various other sites, sometimes with minor edits. This is the original and should be referred to in case of any discrepancies.

A fatal irony: Why the “circumcision solution” to the AIDS epidemic in Africa may increase transmission of HIV

1. Experimental doubts

A handful of circumcision advocates have recently begun haranguing the global health community to adopt widespread foreskin-removal as a way to fight AIDS. Their recommendations follow the publication of three [1] randomized controlled trials (RCTs) conducted in Africa between 2005 and 2007.

These studies have generated a lot of media attention. In part this is because they claim to show that circumcision reduces HIV transmission by about 60%, a figure that (interpreted out of context) is ripe for misunderstanding, as we’ll see. Nevertheless, as one editorial [2] concluded: “The proven efficacy of MC [male circumcision] and its high cost-effectiveness in the face of a persistent heterosexual HIV epidemic argues overwhelmingly for its immediate and rapid adoption.”

Well, hold your horses. The “randomized controlled trials” upon which these recommendations are based are not without their flaws. Their data have been harnessed to support public health recommendations on a massive scale whose implementation, it has been argued, may have the opposite of the claimed effect, with fatal consequences. As Gregory Boyle and George Hill explain in their extensive analysis of the RCTs:

Love and other drugs, or why parents should chemically enhance their marriages

by Brian D. Earp
February 21, 2012March 7, 2012

By Brian Earp

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Love and other drugs, or why parents should chemically enhance their marriages

Valentine’s day has passed, and along with it the usual rush of articles on “the neuroscience of love” – such as this one from Parade magazine. The penner of this particular piece, Judith Newman, sums up the relevant research like this:

It turns out that love truly is a chemical reaction. Researchers using MRIs to look at the brain activity of the smitten have found that an interplay of hormones and neurotransmitters create the state we call love.

My humble reckoning is that there’s more to “the state we call love” than hormones and neurotransmitters, but it’s true that brain chemistry is heavily involved in shaping our experience of amour. In fact, we’re beginning to understand quite a bit about the cerebral circuitry involved in love, lust, and human attachment—so much so that a couple of Oxford philosophers have been inspired to suggest something pretty radical.

They think that it’s time we shifted from merely describing this circuitry, and actually intervened in it directly—by altering our brains pharmacologically, through the use of what they call “love drugs.”

Sam Harris is wrong about science and morality

by Brian D. Earp
November 17, 2011January 21, 2015

By Brian Earp (Follow Brian on Twitter by clicking here.)

WATCH MY EXCHANGE WITH SAM HARRIS AT OXFORD – ON YOUTUBE HERE.

I just finished a booklet by “New Atheist” Sam Harris — on lying — and I plan to write about it in the coming days. But I want to dig up an older Harris book, The Moral Landscape, so that I may express my hitherto un-expressed puzzlement about Harris’ (aging) “bold new” claim — presented in this book — that science can “determine human values” or “tell us what’s objectively true about morality” or “give us answers about right and wrong,” and the like.

In his new book (the one about lying) Harris says, in effect, you should never, ever, do it — yet his pretense in The Moral Landscape to be revolutionizing moral philosophy seems to me the very height of dishonesty. What he actually does in his book is plain old secular moral reasoning — as non-religious philosophers have been doing for a very long time — but he claims that he’s using science to decide right from wrong. That Harris could be naive enough to think he’s really bridged the famous “is/ought” chasm seems unlikely (Harris is a very smart writer and researcher, and I tend to like a lot of what he publishes), and so I submit that he’s exaggerating* to sell books. Shame on him (or his publisher).

*A previous version of this post had the word “lying” here, but I was told that my rhetorical flourish might be interpreted as libel. I hope “exaggerating” is sufficiently safe. Now onward to my argument: