Category Archives: Sociology

In the words of Wikipedia: Sociology is the study of social behaviour or society, including its origins, development, organization, networks, and institutions. In the context of this blog, it usually relates to the sociology of health.

Ideology and the Illusion of Disagreement in Empirical Research

There is deep scepticism about the honesty of researchers and their capacity to say things that are true about the world. If one could demonstrate that their interpretation of data was motivated by their ideology, that would be powerful evidence for the distrust. A recent paper in Science Advances ostensibly showed just that. The authors, Borjas and Breznau (B&B), re-analysed data from a large experiment designed to study researchers. The researcher-participants were each given the same dataset and asked to analyse it to answer the same question: “Does immigration affect public support for social welfare programs?” Before conducting any analysis of the data, participant-researchers also reported their own views on immigration policy, ranging from very anti- to very pro-immigration. B&B reasoned that, if everyone was answering the same question, they would be able to infer something about the impact of prior ideological commitments on the interpretation of the data.

Each team independently chose how to operationalise variables, select sub-samples from the data, and specify statistical models to answer the question, which resulted in over a thousand distinct regression estimates. B&B use the observed diversity of modelling choices as data, and examined how the research process unfolded, as well as the relationship of the answers to the question and researcher-participants’ prior views on immigration.

B&B suggested that participant-researchers with moderate prior views on immigration find the truth–although they never actually say it that cleanly. Indeed, in the Methods and Results they demonstrate appropriate caution about making causal claims. However, from the Title through to the Discussion, the narrative framing is that immoderate ideology distorts interpretation—and this is exactly the question their research does not and cannot answer—by design.

Readers of the paper did not miss the narrative spin in which B&B shrouded their more cautious science. Within a few days of publication, the paper had collected hundreds of posts and it was picked up in international news feeds and blogs. Commentaries tended to frame pro-immigration positions as more ideologically suspect.

There are significant problems with the B&B study, however, which are missed or not afforded sufficient salience. To understand the problems more clearly, it helps to step away from immigration altogether and consider a simpler case. Suppose researchers are given the same dataset and asked to answer the question: “Do smaller class sizes improve student outcomes?” The data they are given includes class size, test scores, and graduation rates (a proxy for student outcomes). On the surface, this looks like a single empirical question posed to multiple researchers using the same data.

Now introduce a variable that is both substantively central and methodologically ambiguous, a measure of the students’ socio-economic disadvantage. Some researchers treat socio-economic disadvantage as a covariate, adjusting for baseline differences to estimate an average effect of class size across all students. Others restrict the sample to disadvantaged pupils, on the grounds that education policy is primarily about remediation or equity. Still others model heterogeneity explicitly, asking whether smaller classes matter more for some students than for others. Each of these choices is orthodox. None involves questionable practice, and all of them are “answering” the same surface question. But each corresponds to a different definition of the effect being studied and, most precisely, to a different question being answered. By definition, different models answer different questions.

In this setting, differences between researchers analyses would not normally be described as researchers answering the same question differently. Nor would we infer that analysts who focus on disadvantaged students are “biased” toward finding larger effects, or that those estimating population averages are distorting inference. We would recognise instead that the original prompt was under-specified, and that researchers made reasonable—if normatively loaded—decisions about which policy effect should be evaluated. B&B explicitly acknowledge this problem in their own work, writing: “[a]lthough it would be of interest to conduct a study of exactly how researchers end up using a specific ‘preferred’ specification, the experimental data do not allow examination of this crucial question” (p. 5). Even with this insight, however, they persist with the fiction that the researchers were indeed answering the same question, treating two different “preferred specifications” as if they answer the same question. It would be like our educationalists treating an analysis of outcomes for children from socio-economically deprived families as if answered the same question as an analysis that included all family types.

B&B’s immigration experiment goes a step further, and in doing so introduces an additional complication. Participant-researchers’ prior policy positions on immigration are elicited in advance of their data analysis, and then B&B used that as an organising variable in their analysis of participant-researchers.

Imagine a parallel design in the education case. Before analysing the data, researchers are asked whether they believe differences in educational outcome are primarily driven by school resources or by family deprivation. Their subsequent modelling choices—whether to focus on disadvantaged pupils, whether to emphasise average effects, whether to model strong heterogeneity—are then correlated with these priors. Such correlations would be unsurprising. If you think disadvantage is more important than school resources to student outcomes, you may well focus your analysis on students from deprived backgrounds. It would be a mistake, however, to conclude that researchers with strong views are biasing results, rather than pursuing different, defensible conceptions of the policy problem.

Once prior beliefs are foregrounded in this way, a basic ambiguity arises. Are we observing ideologically distorted inferences over the same shared question, or systematic differences in the questions being addressed given an under-specified prompt? Without agreement on what effect the analysis is meant to capture, those two interpretations cannot be disentangled. Conditioning on ideology (as B&B did) therefore risks converting a problem of an under-specified prompt into a story about ideologically biased reasoning. This critique does not deny that motivated reasoning exists, or that B&B’s research-participants were engaged in it. They simply do not show it, and the alternative explanation is more parsimonious.

The problems with the B&B paper are compounded when they attempt to measure “research quality” through peer evaluations. Researcher-participants in the experiment are asked to assess the quality of one another’s modelling strategies, introducing a second and distinct issue. The evaluation process is confounded by the distribution of views within the researcher-participant pool.

To see this, return again to the education example. Suppose researchers’ views about the importance of family deprivation for educational outcomes are normally distributed, with most clustered around a moderate position and fewer at the extremes. A randomly selected researcher asked to evaluate another randomly selected researcher will, with high probability, be paired with someone holding broadly similar views (around the middle of the distribution). In such cases, the modelling choices are likely to appear reasonable and well motivated, and to receive high quality scores. The evaluation implicitly invites the following reasoning: “your doing something similar to what I was doing, and I was doing high quality research, therefore you must be doing high quality research as well”.

By contrast, models produced by researchers in the tails of the distribution will more often be evaluated by researchers further away from their ideological view. Those models may be judged as poorly framed or unbalanced—not because they violate statistical standards, but because they depart from the modal conception of what the broadly framed question is about. Under these conditions, lower average quality scores for researchers with more extreme priors may reflect distance from the dominant framing, not inferior analytical practice. B&B, however, argued the results show that being ideologically in the middle produced higher quality research.

The issue here is not bias but design. When both peer reviewers and reviewees are drawn from the same population, and when quality is assessed without a fixed external benchmark for what counts as a good answer to the question, peer scores inevitably track conformity to the field’s modal worldview. Interpreting these scores as evidence that ideology degrades research quality is wrong.

B&B’s paper is useful. It shows that ideological commitments are associated with the questions that researchers answer. Cleanly, that is as far as it goes. Researchers answer the questions they think are important. The small, accurate interpretation is not as impressive a finding as “ideology drives interpretation”, but B&B’s research is most valuable where it is most restrained. The further it moves from firm ground describing correlations in researchers’ modelling choices towards the quick-sand of diagnosing ideological distortion of inference, the worse it gets. What they present as evidence of bias is more reasonably understood as evidence that their framing question itself was never well defined. Through its narrative style, and not withstanding quiet abjurations against causal inference, the paper invites the conclusion that researchers working on a divisive, politically salient topics simply find what their ideologies lead them to find. And taken at face-value, it licenses the distrust of empirical research on contested policy questions.

 

Viewpoint Therapy—Getting Identity Right

It was a bland, beige waiting room. John approached the receptionist’s desk. He felt awkward and uncomfortable—the awkwardness of a teenager doing something embarrassing while knowing that people were watching and judging. The waiting room was empty except for the receptionist and John’s mother, who had nudged him towards the desk while she took a seat.

I’m here to see Dr Childs he mumbled, fingering the cuff of his shirt. Sure hon, the receptionist smiled. You have a seat and she’ll be with your shortly.

He sat down next to his mother and thumbed nervously through a brochure he’d taken from the coffee table in the middle of the room—“Viewpoint Therapy – Helping Teens Explore Their Authentic Identity”. The pictures were soothing images of sunrises and beaches. On the third page was a head shot of Child’s. She had a slight smile and warm eyes. John’s mind flitted briefly to what the rest of her body might look like. A brief paragraph described Child’s approach to the healing journey: holistic, integrative, trauma-informed, grounded in mind–body connection, and authentic relationship building. Therapy was about creating a safe space for exploration. It was about meeting clients where they are, and about empowering growth through curiosity and compassion.

At the bottom of the back page in 4-point Helvetica was the disclaimer. None of our professionals are medically qualified. We engage in free speech at the rates displayed in our offices.

No one reads the fine print. John was no one.

Whether it was the pre-existing knot in his stomach or the gummy he’d had earlier, what John did read, he had to read twice. As his father liked to say, better informed but none the wiser. John definitely felt none the wiser.

One of the five doors coming off the waiting room opened and the full body version of the head shot appeared. John? Child’s inquired. John felt a slight twitch in his groin. His mother gave his shoulder a quick rub and a delicate push in Child’s direction. She smiled at Child’s who returned an acknowledging nod.

John and Childs had been dancing around for about thirty minutes. John had been fingering the shirt cuff on his right hand for almost the whole time. His head hung with embarrassment. It was only with occasional furtive looks he would see Child’s through his mop of brown hair.

The last thirty minutes had revealed John’s guilt and the shame. His almost constant thoughts about sex. His glances at girls breasts, necklines, buttocks, …. The slight (sometimes not so slight) tumescence. Oh My GOD—even now as he talked about it. The disgust with which he heard the girls whisper about it. Did you see….? Raucous giggles.

He loathed school.

His dad had seen him flipping through porn on his phone. His face flushed with the memory and with the memory of an almost instant desire to vomit.

And now he found himself in Child’s office.

Child’s knew she was at a difficult point in the therapeutic relationship. Teenagers are volatile. A soup of emotions and feelings. Sharp morals and jagged thinking.

Feelings of shame and disgust were normal, she said. In some ways they were appropriate. Looking at girls in class like that wasn’t right. Understandable? Maybe. Not here to judge. Here to help.

Now seemed to be the appropriate moment.

Your mom mentioned that you wanted to be gay. You want to escape that sense of shame and disgust about yourself. But you think of yourself as straight—a cis, hetero-normative cliche. You just can’t help but find girls attractive. It’s like that attraction is just a part of who you are. Something innate. It is so “you” that you cannot begin to imagine it being otherwise—and the shame and guilt.

John nodded. But you can’t just be gay, he said. I like being around other guys, but I’m just not attracted to them.

I think I can help you with that, Child’s said.

Six months later John was back in the same beige waiting room. Jessica—he now knew the receptionists name—waved him to take a seat.

John had lost weight. His clothes hung baggily. He glanced down and spotted the edge of a thin red wound near his left cuff. He pulled the sleeve down a little further.

Child’s appeared, smiled encouragingly and waved him into her office.

She looked winsomely disappointed. I’ll have to let your parents know, she explained. John was giving up on therapy. Giving up on himself.

Obviously any details were confidential, she reassured his slightly panicked look. But they do need to know you’ve decided to discontinue your healing. John could feel the sub-text: you’ll return to shameful, furtive looks at girl’s necklines. They’d never really gone away, John admitted to himself.

The process had started so well she reflected. Your faith … leaning on God. We had prayed together, here and then you with you family. There was such strength and hope. We had talked strategy. Then Luke had shown real interest when you had approached him. I thought you were making a real break through, then you pulled back. I think you used the word, “revolted” or was it “nauseous”?

Part of you obviously wanted to be gay. I could see it. Literally. You had it written on your forearms in hairline cuts. You thought I hadn’t noticed? Of course I had. It’s common. It was you rejecting the self attracted to girls—you were punishing it. If only….

I’m sorry we couldn’t complete your healing together, John. When you’re ready, my door is always open. I know that with faith and love you can do it.


Oral argument in the case of Chiles v. Salazar was heard by the US Supreme Court on 7 October 2025. The case was about the constitutionality of a Colorado law that prevented a therapist engaging in talk-based sexual-identity conversion therapy. Essentially, the argument was that banning the therapist (Chiles, a medically unqualified therapist) from engaging in talk therapy to convert a child from gay to straight sexual infringed the First Amendment—a denial of Chiles’s right to free speech. The argument hinged on the idea that therapeutic speech remains speech and thus, protected.

It was only Associate Justice Elena Kagan who inquired briefly about the protection offered by the First Amendment if the therapist was converting a child from straight to gay.

The problem with the free speech argument is that it gives cover to significant harm. Let me quote from a statement by an independent expert group published in the Journal of Forensic and Legal Medicine.

Conversion therapy is a set of practices that aim to change or alter an individual’s sexual orientation or gender identity. It is practiced in every region of the world by health professionals, religious practitioners, and community or family members often by or with the support of the state. Conversion therapy is performed despite evidence that it is ineffective and likely to cause individuals significant or severe physical and mental pain and suffering with long-term harmful effects.

That statement is about effectiveness, and the Supreme Court case is about the law.

The Court will rule in favour of Chiles. Talk-based therapy, they will say, is protected by the First Amendment. The court has often ruled that significant harm is protected by the law—see all the Second Amendment cases on the right to keep and bear arms. They would not, for a scintilla of a second, uphold Justice Kagan’s hypothetical. Conversion is only free speech in one direction and harm doesn’t matter.

A Christmas Story

In the last year of the reign of Biden, there was a ruler in Judea named Benyamin. He was a man of great cunning and greater cruelty.

In those days, Judea, though powerful, was a vassal state. Its strength was created through alliances with distant empires. It wielded its might with a fierce arm and harboured a deep hatred for its neighbors. Benyamin, fearing the loss of his power, sought to destroy the Philistines on that small strip of land called Gaza, and claim it for himself.

For over four hundred and forty days and nights, he commanded his armies to bomb their towns and villages, reducing them to rubble. The Philistines were corralled, trapped within walls and wire, with no escape. Benyamin promised them safety in Rafah and bombed the people there. He offered refuge in Jabalia, and bombed the people there.

In Gaza, there was no safety and there was no food.

Even as leaders wept for the Philistines, they sold weapons to Benyamin and lent him money to prosecute his war. Thus, the world watched in silence as the Philistines endured great suffering. Their cries rose up to heaven, seemingly unanswered.

And so it came to pass, in the last days of the last year of Biden, there was a humble Philistine named Yusouf born of the family of Dawoud. Before the war, Yusouf had been a mechanic. He worked hard each day fixing tires and carburetors, changing break-pads and exhaust systems. And at the end of each day, he would return home to his young wife, Mariam. The same Mariam, you may have heard of her, who was known for her inexhaustable cheerfulness.

That was before the war. Now Mariam was gaunt and tired, and heavy with child.

On the night of the winter solstice, in a dream, a messenger came to Yusouf. “Be not afraid, Yusouf”, the messenger said. “Be not afraid for yourself, for the wife you love so very much, or for your son—who will change the world. What will be, will be and was always meant to be”. Yusouf was troubled by this dream, and found himself torn between wonder, happiness, and fear. Mariam asked him why he looked troubled, but he said nothing and kept his own counsel.

The following night the same messenger visited Mariam in her dreams. Mariam was neither afraid nor troubled. The next morning she had a smile on her face that Yusouf had not seen for so long he had almost forgotten it. “It is time, Yusouf”, she said. “We have to go to the hospital in Beit Lahiya.”

Yusouf was troubled. Long ago he had learned to trust Mariam, but his motorbike had no fuel and it was a long walk. Too far for Mariam, and they were bombing Beit Lahiya. He remembered the words of the messenger in his dreams and he went from neighbour to neighbour. A teaspoon of fuel here, half a cup there. No one demanded payment. If they had any fuel, no one refused him. Having little, they shared what they had. It was the small act of kindness that binds communities. Yusouf wept for their generosity.

When he had gathered enough fuel, he had Mariam climb on the bike. Shadiah, the old sweet seller who had not made a sweet in over a year and could barely remember the smell of honey or rosewater, helped her onto the back.

Yusouf rode carefully. He weaved slowly around potholes and navigated bumps. In spite of his care, he could feel Mariam tense and grip him tighter. And then the motorbike stopped. A last gasping jerk and silence. The fuel was spent.

The late afternoon air was cooling as he helped Mariam walk towards the hospital. When they arrived at the gate, a porter stopped, them. “They’re evacuating the hospital. You can’t go in”, the porter told them. Yusouf begged. “My wife, she is going to give birth,” he told the porter—who could plainly see this for himself. The porter looked at Mariam and took pity. “You can’t go in, but there is a small community clinic around the corner. It was bombed recently, but some of it, a room or two, is still standing. I’ll send a midwife.”

Yusouf gently guided Mariam to the clinic. He found an old mattress on a broken gurney and a blanket. He lay it on the floor and settled Mariam.

If there had been a midwife—if she had ever arrived… if she had ever got the porter’s message—she would have been eager to retell the story of the birth. Sharing a coffee, with a date-filled siwa, she would have painted the picture. Mariam’s face was one of grace. Yusouf anxiously held her hand. The baby came quickly, with a minimum of fuss, as if Mariam was having her fifth and not her first.

Yusouf quickly scooped up the baby as it began to vocalise it’s unhappiness with the shock of a cold Gaza night. He cut the cord crudely but effectively with his pocket knife. And it was only as he was passing the the baby to Mariam that he looked confused. He did not have the son he was promised, he had a daughter. The moment was so fleeting that quantum physicists would have struggled to measure the breadth of time, and Yusouf smiled at the messenger’s joke.

Because there was no midwife to witness this moment, we need to account for the witnesses who were present. There was a mangy dog with a limp looking for warmth. He watched patiently and, once the birth was completed, he found a place at Mariam’s feet. There were three rats that crawled out of the rubble looking for scraps. They gave a hopeful sniff of the night air and sat respectfully and companionably on a broken chair. As soon as the moment passed, they disappeared into the crevices afforded by broken brick and torn concrete. Finally, there was an unremarkable cat. In comfortable fellowship, they all watch the moment of birth knowing that, tomorrow or the next day, they were mortal enemies, but tonight there was peace.

“Nasrin”, Yousuf whispered in Mariam’s ear as he kissed her forehead. “We’ll call her Nasrin.” The wild rose that grows and conquers impossible places.

There was a photo journalist called Weissman, who heard from the porter that was a very pregnant woman at the clinic. “She’s about to pop”, the porter said. Weissman hurried to the bombed out clinic so that he could bear witness to this miracle in the midst of war.

He missed the birth. And when he arrived, he did not announce his presence. It seemed rude. An intrusion on a very private moment. It did not, however, stop him from taking photos for AAP.

He later shared those images with the world. Yusouf lay on the gurney mattress, propped against a half destroyed wall. Mariam was lying against him, exhausted, eyes closed, covered in a dirty blanket. The baby Nasrin was feeding quietly, just the top of her head with a shock of improbably thick dark hair peeking out. Yousuf stared through the broken roof at the stars in heaven. The blackness of a world without electricity made resplendent. He looked up with wonderment and contentment on his face. He was blessed, he thought. No. They were blessed. The messenger was right.

As Weissman picked his way in the dark towards the hospital gate, where he had last seen the porter, he shared the same hope that he had seen on Yusouf’s face. New life can change things.

The night sky lit up, brightening his path to the hospital. He turned back and was awed by a red flare descending slowly over the remains of the clinic as if announcing a new beginning to the world. A chance for something different was born here today.

The explosion shook the ground and Weissman fell. Cement and brick dust from where the clinic had stood rose sharply in to the air. An avalanche of dust raced towards him.

The Leadership a-Gender — 1

After competence, are certitudecharisma and chutzpah the 3-Cs of research leadership?

An image encouraging positive thinking to overcome self-doubt. Just make sure there are no large dogs about.

When Rob Moodie was the CEO of the Victorian Health Promotion Foundation (VicHealth) he started a “conversations in leadership” series for the recipients of VicHealth Public Health Research Fellowships. The idea was to begin an explicit process to develop research leadership in public health, drawing us together to think about the qualities that were necessary.

There were ten of us at the first gathering; two men and eight women. Beyond the fact that it was a meeting for “future leaders”, none of us knew what it was all about. Rob went around the table, asking each of us in turn to introduce ourselves; he also asked how we felt about being identified as a future leader in public health research.

The gender divide was immediately and starkly revealed. When Rob asked Paul (the other man in the room) and me how we felt, we gave suitably immodest responses. I can’t remember our precise answers, but they would have reflected in some way on the appropriate recognition of our talent. Then the first woman spoke. She told, hesitantly, of a gnawing fear that she would be “found out”. Someone, probably sometime very soon, would realise that she was a fraud. She had no right to the VicHealth Fellowship, and she had even less claim on being a leader. Paul and I glanced at each other. Who were we to say that she was wrong? And then there was a visible sigh from the other women in the room. Each one, in turn, expressed an almost identical fear of being found out. This is a well-recognised phenomenon in the gender and leadership literature, described as, “imposter syndrome“: the fear of being found out.

Notwithstanding my bravado or Paul’s, I suspect neither of us felt quite as sure of our place as future leaders as we expressed. I know I didn’t. Nor, however, did I fear being found out in quite the same way the women had expressed. I may have worried a little about whether my performance would be good enough (was I leadership material?), but I did not experience the depth of self-doubt expressed by my colleagues. I had been invited into the room and, therefore, I had a right to be there! They received the same invitation but doubted their right.

An article in the Harvard Business Review on overcoming the feelings of inadequacy associated with imposter syndrome described individual, cognitive behavioural techniques (CBT) to help people manage the sense. If these techniques work, that’s great! The solution, however, reveals at least as much about organisational gender bias as it does about ways to overcome it. Underlying the CBT approach is not simply a view that self-doubt is misplaced, but that there is a deficit in the way a person’s brain works if they have that self-doubt. In other words, to succeed in leadership, you need to think more like me! The obverse problem, having an over-inflated and unrealistic view of one’s own excellence, is often rewarded in organisations, and the sufferer (or more likely the insufferable) is never referred to a Psychologist for therapy “because you’re not thinking right”. Having the 3-Cs of certitude,  charisma and chutzpah — typically identified as leadership qualities and never as leadership deficits — means that you are thinking right.

It is worth noting that although the women expressed the fear of being found out, they had all applied for and won highly coveted VicHealth Fellowships, and they were all in that room — even with their doubt.

The researcher, Thomas Chamorro-Premuzic, suggests that many of the 3-C style traits that are traditionally associated with great leaders may in fact be emblematic of leadership weaknesses. Being quieter (a listener), more thoughtful (open to new ideas) and having some self-doubt (seeking out a diversity of expert advice) can be valuable traits in good leadership. These are traits often associated with women who are passed over for leadership positions because they have not yet had their “deficits” corrected.

There are some clearly terrible traits for research leaders to have. Being a bully, mean, harassing staff and being incompetent would be high on that list. In research leadership, raw incompetence would be unusual. The others, sadly, are not. Research organisations need methods for identifying good research leaders that do not fall back on tired tropes, and provide women fair paths of advancements. These are organisational systems issues, not individual deficits to correct. Almost two decades ago, Rob Moodie’s conversations in leadership was a gentle step in that direction: making us all ask the question, what is it to be a great leader? He never said, by I suspect that he hoped we would carry forward some insight into the leadership a-gender.