Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Explaining why belief in pseudoscience is often evidence resistant

Amy Tuteur, MD
Conditions
May 4, 2011
Share
Tweet
Share

What links belief in tarot cards, UFOs and vaccine rejectionism? Yes, they are all forms of superstitious or magical thinking, but are there characteristics that predict who will believe in such nonsense? That’s one of the questions that psychologists Marjaana Lindeman and Kia Aarnio seek to answer in their paper, Superstitious, magical, and paranormal beliefs: An integrative model.

Lindeman and Aarnio postulate that believers in superstition, paranormal phenomena and pseudoscience make similar cognitive errors, errors that can be characterized as a holdover of the immature errors of reasoning made by children still learning about the natural world. They label these errors “ontological confusions.” The authors explain:

According to developmental psychologists, there are three major sorts of knowledge that determine children’s understanding of the world: intuitive physics, intuitive psychology, and with certain reservations, intuitive biology…

Developmental studies show that core knowledge of physical entities includes the notion that the world is composed of material objects, which have volume and an independent existence in space. The core of intuitive knowledge about psychological entities, in turn, consists of knowledge that animate beings are intentional agents who have a mind… In addition, small children understand that the contents of mind, such as thoughts, beliefs, desires, and symbols, are not substantial and objective but non-material and mental, and that they do not have the properties they stand for…

As regards biological phenomena, it seems that at least notions like contamination and healing can be characterized as core knowledge…

The authors argue that belief in superstitions, paranormal phenomena and pseudoscience conflate this knowledge across categories and constitute ontological confusions. Therefore:

… [M]ental contents … have the attributes of physical or animate entities, resulting in the possibility that a thought can touch objects (psychokinesis) and move by itself (telepathy).

… Moreover, in superstitions a force is an equally important factor as in lay physics but here force is regarded as a living and intentional entity. For example, feng shui teaches us that erroneous furnishings may absorb vital force .., and astrologers suggest that planets have living energy, which pushes and pulls on human beings … Thus, in superstitious thinking biological and physical processes are no longer non-intentional but they are seen as having a purpose, that is, as directed toward certain goals …

These cognitive errors can be found in a variety of alternative health treatments that are predicated on the belief that thought can alter health outcomes and that touch can convey healing powers. Similar cognitive errors underlie homeopathy (“like cures like”), reiki, acupuncture and healing by touch (invoking healing “forces” or “energies”), belief in herbs (“the natural form of the molecule differs from the synthetic form”), and distance healing and birth affirmations (the belief that thoughts can modify physical events).

Errors in intuitive thinking are usually corrected by giving preference to analytical thinking. While belief in healing “energies” or healing thoughts may have intuitive appeal, such beliefs are clearly contradicted by what we know about physics and biology. But those who give priority to intuition, and those who lack understanding of physics and biology, are far more likely to accept superstitions, paranormal beliefs and belief in pseudoscience.

The authors investigated the beliefs and thinking styles of 250 individuals, divided evenly between those who were superstitious and those who were skeptics.

… Compared with the skeptics, the superstitious individuals assigned more physical and biological attributes to mental phenomena. Thus, they understood such notions as a mind that can touch objects and an evil thought that may be contaminated more literally than the skeptics. Superstitious individuals also assigned more mental attributes to water, furniture, rocks, and other material things than skeptics did and accepted that entities like these may — literally, not only metaphorically — have psychological properties such as desires, knowledge, or a soul…

The results also showed that various manifestations of the beliefs, for example beliefs in astrology, feng shui and paranormal abilities of human beings, were associated with ontological confusions and with higher intuitive thinking … The discriminant analysis indicated that the best measures to distinguish believers from skeptics were ontological confusions, and secondarily intuitive thinking…

ADVERTISEMENT

Believers in pseudoscience don’t hide their reliance on intuition. Indeed, they are quite clear in giving preference to intuition over analytical thinking and represent intuition as an equally valid way of knowing about the world. Jenny McCarthy bases vaccine rejectionism on her intuition. Many natural childbirth advocates exhort reliance on intuition to justify risky childbirth choices. Yet far from being beneficial, this overt reliance on intuition leads to a plethora of false beliefs including superstition, belief in paranormal phenomena and belief in pseudoscience.

… [S]uperstitious individuals’ knowledge about the world is inaccurate in that their early, as yet undeveloped intuitive conceptions about psychological, biological, and physical phenomena have retained their autonomous power and co-exist side by side with later acquired rational knowledge…

This goes a long way toward explaining why belief in pseudoscience is often evidence-resistant. In addition to the fact that believers in pseudoscience lack knowledge of science and statistics, they often give priority to intuition above analytical thinking. Even after a deficit of empirical knowledge is remedied, advocates of pseudoscience persist in relying on intuition.

Amy Tuteur is an obstetrician-gynecologist who blogs at The Skeptical OB.

Submit a guest post and be heard on social media’s leading physician voice.

Prev

How skipping medical school lecture is preparing doctors for the future

May 4, 2011 Kevin 12
…
Next

Why quality did not improve with hospital EHR implementation

May 4, 2011 Kevin 13
…

Tagged as: Patients

< Previous Post
How skipping medical school lecture is preparing doctors for the future
Next Post >
Why quality did not improve with hospital EHR implementation

ADVERTISEMENT

More by Amy Tuteur, MD

  • a desk with keyboard and ipad with the kevinmd logo

    I am so glad that you have chosen me to be your guide

    Amy Tuteur, MD
  • a desk with keyboard and ipad with the kevinmd logo

    What breastfeeding and sex have in common

    Amy Tuteur, MD
  • a desk with keyboard and ipad with the kevinmd logo

    It’s time for a VBAC court

    Amy Tuteur, MD

More in Conditions

  • AI-assisted therapy: Why supervision makes the difference

    Farid Sabet-Sharghi, MD
  • When language becomes the barrier: IMGs and autism diagnoses

    Ronald L. Lindsay, MD
  • Charles Bonnet syndrome: Why the blind see hallucinations

    Ceres Alhelí Otero Peniche
  • Geriatric diabetes management: Why strict A1c targets can harm seniors

    George James
  • Why progression independent of relapse activity is the silent driver of disability in multiple sclerosis

    Andreas Muehler, MD, MBA
  • A physician’s quiet reflection on January 1, 2026

    Dr. Damane Zehra
  • Most Popular

  • Past Week

    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • Visual language in health care: Why words aren’t enough

      Hamid Moghimi, RPN | Conditions
    • Breast cancer and the daughter who gave everything

      Dr. Damane Zehra | Conditions
    • End-of-life care cost substance use: When compassion meets economic reality

      Brian Hudes, MD | Physician
    • Smart design choices improve patient care outcomes [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • Doctors often struggle to separate professional advice from family love [PODCAST]

      The Podcast by KevinMD | Podcast
    • Beyond weight loss: the expanding benefits of GLP-1 receptor agonists

      Zehra Haider, MD | Meds
    • Medical misinformation: Navigating vaccine hesitancy with empathy

      Christine J. Ko, MD | Physician
    • AI-assisted therapy: Why supervision makes the difference

      Farid Sabet-Sharghi, MD | Conditions
    • When language becomes the barrier: IMGs and autism diagnoses

      Ronald L. Lindsay, MD | Conditions
    • Simple choices prevent chronic disease [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 11 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • Visual language in health care: Why words aren’t enough

      Hamid Moghimi, RPN | Conditions
    • Breast cancer and the daughter who gave everything

      Dr. Damane Zehra | Conditions
    • End-of-life care cost substance use: When compassion meets economic reality

      Brian Hudes, MD | Physician
    • Smart design choices improve patient care outcomes [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • Doctors often struggle to separate professional advice from family love [PODCAST]

      The Podcast by KevinMD | Podcast
    • Beyond weight loss: the expanding benefits of GLP-1 receptor agonists

      Zehra Haider, MD | Meds
    • Medical misinformation: Navigating vaccine hesitancy with empathy

      Christine J. Ko, MD | Physician
    • AI-assisted therapy: Why supervision makes the difference

      Farid Sabet-Sharghi, MD | Conditions
    • When language becomes the barrier: IMGs and autism diagnoses

      Ronald L. Lindsay, MD | Conditions
    • Simple choices prevent chronic disease [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Explaining why belief in pseudoscience is often evidence resistant
11 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...