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> But there is also variation in study quality, which ipso facto implies that some studies might just even be good.

The fact that there's variation doesn't at all imply that any of it is any good. It could vary from "embarrassingly flat-earth-theory-in-2024" bad, to "unable to produce a falsifiable hypothesis" bad.

And even when some of it is good (controls, reproducability, etc), it gets completely ignored by practitioners[1]. Imagine if doctors prescribed eye of newt even when there's studies proving the efficacy of paracetemol.

[1] By practitioners I mean therapy and therapists. You could send 100 random people to 100 different therapists and all of them would report that a followup visit has been recommended. As far as therapists are concerned, there is no such thing as "You're perfectly normal. Congratulations and come back only when you have a problem"




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