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Leaders
in good
publication
practice
In 2007, Caudex
Medical led the
eld in ensuring
transparency in
peer-reviewed
publications.
By proactively
making all our
processes GPP2
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(
)*+,-./ 0.123
Special
retro edition
by Adam Jacobs
and more complex versions for each passage. H e ideas. The introduction and methods sections of
the manuscript were identical in all cases.
then asked academics to rate the competence of
the research described in the articles. B ased
The reviewers ratings of the manuscript were
on 3 2 responses, he found that passages written
signiicantly affected by the content of the
in a simpliied style were rated of signiicantly
results section. C rucially, there were signiilower competence than the others, despite the
cant differences in the reviewers ratings of
way in which he had controlled for the nature
the methods sections, despite identical methof the research described.
ods in all versions of the manuscript. As you
This makes depressing reading for medical writ- have probably guessed by now, reviewers rated
the methods as being of better q uality when
ers. As medical writers, we are trained to
the results supported their pre-ex isting bewrite in a style that is straightforward and
liefs. N ot only that, but the reviewers were
easy to read. Although this is a good way to
more likely to recommend such manuscripts for
communicate information, it is actually not a
acceptance in the journal.
good way to impress your readership, who may
be more impressed if you write in a more comM ahoneys paper shows very clearly that peer
plex and less easily understood style. P erhaps
reviewers of papers are just as susceptible to
this ex plains a phenomenon that I m sure most
cognitive biases as anyone else, a fact that
medical writers have ex perienced when a docuprobably doesnt come as a great surprise to
ment comes back with a clients edits, many of
most medical writers. H e concludes W ithout
which seem to make the document less easy to
further scrutiny of the purposes and processes
read. I n the 3 0 years since Armstrongs paper
of peer review, we are left with little to dewas published, I doubt that very much has
fend it other than tradition. There may have
changed.
been plenty of further scrutiny of peer review
in the intervening 3 3 years, but I doubt that
M y own perspective on the above 2 studies is
there is much more to defend it despite that
that most people, particularly if they are supfurther scrutiny. I t is worrying that after
posed to be knowledgeable in a subject, dont
like to admit if they have failed to understand all that time since the bias inherent in peer
review was demonstrated so clearly, it still
something about that subject. There is probforms the cornerstone of scientiic publishing.
ably a tendency for people to assume that the
reason why they have not understood something
is a function of their own poor understandAdam Jacobs
ing, rather than the poor communication of the
D ianthus M edical L imited
person who delivered the information. The world
ajacobs@ dianthus.co.uk
would be a better place if we were all not
www.dianthus.co.uk
afraid to say q uite clearly when we dont understand something.
R eferences:
M y last paper, published by M ahoney in 1 9 7 7 1
( round about the same time as the picture of
me at the top of this article was taken) , looks
at the way cognitive biases can affect the peer 2
review process [ 4 ] . I irst came across this
3
paper a few years ago when working on a paper
on cognitive biases in medicine [ 5 ] . I thought
it was fascinating then, and I still do.
4
M ahoney was concerned about the ex tent to
which peer review of academic journals might
be affected by a phenomenon that psychologists describe as conirmatory bias: the ten5
dency for humans to welcome ex periences that
support their pre-ex isting beliefs, and to be
suspicious of anything that contradicts them.
To investigate this, M ahoney wrote 5 different
versions of a manuscript describing a fictitious ex periment on the effects of ex trinsic
reinforcement on intrinsic interest, which was
a controversial topic among psychologists at
the time. H e then sent the manuscript to peer
reviewers, who were unaware that they were
taking part in an ex periment and asked to rate
the manuscript on various aspects of its q uality. The reviewers perspective on the contro1
versial topic was inferred by their association
with a journal which had taken a clear line on
the controversy. S ome versions of the manuscript gave results that were consistent with
the reviewers presumed pre-ex isting ideas,
and some gave results that contradicted those
I n keeping with the retro theme of this article, I have tried to use 1 9 7 0 s typographic and bibliographic conventions, although
I must confess I m struggling to remember
what the convention for referring to a blog
entry was back then.
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