Causation in complexity - Philosophy for practice with Dr Rani Lill Anjum

Welcome to episode 16 of The Words Matter Podcast. On this episode I speak with philosopher Dr Rani Lill Anjum. Rani is Research Fellow in Philosophy at the Norwegian University of Life Sciences. Many of you will be aware of the research project she leads called Causation, Complexity and Evidence in Health Sciences, AKA CauseHealth. She is one of the leaders of the Norwegian University of Life Sciences Centre for Applied Philosophy of Science. In this episode: Rani takes us through the CauseHealth project and one of its major outputs 'the Book' named ‘Rethinking causality, complexity and evidence for the unique patient (see here). This is excellent resource, with contributions from philosophers and clinicians to help tackle with the philosophical biases that tacitly motivate evidence-based and person-centered clinical practice. She helps us dip our toe into the concept of causation and the different ways it can be conceptualised, and the importance of these conceptions with how we recognise evidence in relation to our clinical practice. We talk about what is a paradigm and the dominance of the scientific paradigm which underpins many of the assumptions of evidence-based practice. We touch on the reliance of RCTs in generating causal evidence and the potential contribution of other methods, including qualitative research to contribute to a better understanding of casual relationships. So it all gets pretty philosophical, and this episode might require more than one listen. This sort of philosophy is hard. I know when editing the episode, and re-listening, the excellent information and philosophical concepts sunk deeper into my brain and became more obvious- so please stick with it- it’s well worth it. I cannot recommend the CauseHealth book highly enough- it’s a fantastic resource and can be downloaded for free from Springer.