Saturday, April 13, 2024

Multiple ways of knowing, the holistic approach

By Mathew Goldstein


The US Office of Science and Technology Policy and the Council on Environment Quality published the “Guidance for Federal Departments and Agencies on Indigenous Knowledge” which states that Multiple ways of knowing or lines of evidence can improve research outcomes and improve decision making.” It describes “Indigenous Knowledge” as follows: “Indigenous Knowledge is based in ethical foundations often grounded in social, spiritual, cultural, and natural systems that are frequently intertwined and inseparable, offering a holistic perspective. Indigenous Knowledge is inherently heterogeneous due to the cultural, geographic, and socioeconomic differences from which it is derived, and is shaped by the Indigenous Peoples’ understanding of their history and the surrounding environment. Indigenous Knowledge is unique to each group of Indigenous Peoples and each may elect to utilize different terminology or express it in different ways. Indigenous Knowledge is deeply connected to the Indigenous Peoples holding that knowledge.״


Guidance for federal departments and agencies interacting with indigenous nations and tribes arguably does not need to say anything about what knowledge is and who is knowledgeable. And insofar as it does discuss knowledge that topic should not be the central focus of such a document. Yet this particular guidance almost exclusively focuses on indigenous ways of knowing and science in contrast to, and in concert with, non-indigenous ways of knowing and “western” science, as if knowledge and science come in different flavors like ice cream does and we select our ways of knowing and science on personal and social group preferences like we select our clothing. 


Much of what this document says in this regard is dubious, starting with the theme that there are multiple, coequal ways of knowing which vary by group and individual identities. While multiple lines of evidence can improve decision making - the more relevant lines of evidence taken into account the better - how does “multiple ways of knowing” also achieve that goal? This document repeatedly asserts that Native American ways of knowing are coequal to alternative ways of knowing of nonNative Americans. What about various coequal ways of knowing for different Protestant denominations? Are there coequal Confucian ways of knowing? This document does not say, but the implication is that each group has its own, equally valid, way of knowing.


Grounding knowledge in ethical foundations is a mistake common to religious beliefs. The operation of the universe may be, and as far as we can see from the available evidence actually is, ethically indifferent. Deriving knowledge from ethical foundations simultaneously results in unreliable knowledge claims and unreliable ethics. To be non-fictional ethics needs to be grounded in knowledge and knowledge needs to be derived from evidence. So the sequence is evidence first (not “social, spiritual, cultural, and natural systems”) as the foundation for knowledge second as a grounding for ethics third, not the other way around.


This White House document, while it has good intentions, is misguided. Knowledge claims need to be properly justified with evidence to be valid. Both indigenous and non-indigenous people are prone to pass on stories of their history or how the universe operates over many generations that are false. The mere fact that a group of people claim to speak about their own history or in accord with their own experience  does not suffice to establish that their understanding of their history, or of how the universe works, is true. Nor does the observation that they adopt a more holistic approach give their understandings of how the universe works additional credence. On the contrary, insofar as a more holistic approach equates with claiming knowledge outside of, and beyond the reach of, what the available evidence supports, that is a counter-productive recipe for overstating and exaggerating claims of possessing true knowledge.


This document is counter-productively slighting and denigrating the distinction between well justified knowledge claims anchored in overall best fit with available evidence and poorly evidenced or non-evidence assertions being misrepresented as knowledge. The standard for what qualifies as knowledge should not, and does not, vary by tribe, by ethnicity, by race, by culture, by location, or by any individual or group identities. This should be obvious, but sadly, as this document demonstrates, it is not, at least not for the US federal government executive branch responsible for overseeing science policy. IMO, this is a symptom of an overreaching politicization of our governments and of our institutions more generally.


Believing in a single unitary religion, both Protestants and Catholics sometimes viewed non-Christians who were also neither Jewish or Muslim as suitable either for conversion to the true faith or worthy only of death or enslavement. This attitude, baked into mistaken religious beliefs, which in turn are rooted in incompetent epistemology, shaped the Europeans’ relations with Africans as well as Native Americans. This attitude also spilled over into similarly negative attitudes towards Jews and Muslims, and also contributed to warfare between different groups of self-identifying Christians. Native Americans were among those who suffered the ugly consequences of this arrogance. It is a misdirected and counterproductive mistake to try to redress and counter this history by disputing and attacking the epistemological foundation of reliable knowledge formation.

We do not know the long-term impacts

By Mathew Goldstein


Dr. Hilary Cass, former President of the Royal Colleg of Pediatrics and Child Health, recently submitted her final report and recommendations to the National Health Services (NHS) England in her role as Chair of the Independent Review of gender identity services for children and young people. The report concluded that “for most young people, a medical pathway will not be the best way to manage their gender-related distress”. Five European countries, Finland, Sweden, France, Norway, and the U.K. have recently restricted hormone treatments for adolescents and pre-adolescents with gender distress who are not intersex/hermaphroditic because of a lack of evidence of the benefits and concern about medium and long-term harms. Intersex, defined as chromosomal and phenotype inconsistency or phenotype not classifiable, characterizes about 0.018% of people [Sax L. How common is intersex? a response to Anne Fausto-Sterling. J Sex Res. 2002 Aug;39(3):174-8. doi: 10.1080/00224490209552139. PMID: 12476264.].


Additional concerns cited in the report commissioned by the NHS include that “Social justice” ideology is driving medical decision-making, and “the toxicity of the debate” has created an environment “where professionals are afraid to openly discuss their views.” That “social transition”—when children assume other gender identities—is an “active intervention” that may set youths on a path to medical transition. And that this intervention may make gender dysphoria worse. That clinicians “are unable to reliably predict which children/young people will transition successfully and which might regret or detransition at a later date.” That a disproportionate number of patients were “birth registered females presenting in adolescence. . . . a different cohort from that looked at by earlier studies.”  That many parents feared their children had been medicalized by professionals who didn’t take other difficulties into account, “such as loss of a parent, traumatic illness, diagnosis of neurodiversity, and isolation or bullying in school.” That the majority of gender-dysphoric patients in early studies found that their symptoms desisted during puberty, with most coming out as gay or bisexual later.


IMO, adolescents can be encouraged to explore without medical interventions. We do not yet understand what we are doing to the young people who are being medically transitioned. There is some evidence that sex hormones have a role in brain developmentOne concern is that the brain is among the last organs to mature.  We should accumulate sufficient evidence to confidently estimate the benefit versus harm ratio with controlled and monitored trials first, before commercializing medical gender transitioning for young people


United States medical authorities are continuing to endorse and promote unquestioning, affirmation style, commercial medicalized gender transitioning for youth. We are doing so “on shaky foundations” according to Dr. Cass and a substantial number of other experts. Sex is observed, usually at birth, by looking at genitalia, with a chromosome assessment back up when genitalia do not suffice. Like eye color, fingerprint pattern, etc., sex is an observable biological reality. A babies name is assigned at birth. Yet the American Medical Association, the American Psychological Association, and the American Academy of Pediatrics promote the less accurate and more politicized phrase “sex assigned at birth”. IMO, we should be protecting transgender people from hate and discrimination by expressing our solidarity with them and supporting their entitlement to be themselves and freely express themselves, not by obscuring or denying the facts about biological sex.


The National Association of Intercollegiate Athletics unanimously voted to change its policy. It now bans transgender women athletes from participating in women’s sports. IMO, that is the better policy and other sports organizations should do the same. There are some sports competitions where male puberty has no impact on performance, but the impact of male puberty on sports performance is usually substantial, lasts for years or is irreversible, and is firmly evidenced.