Nature | Editorial

John Maddox prize

Two strong-minded individuals are the first winners of an award for standing up for science.

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The British psychiatrist Simon Wessely and the Chinese science writer Shi-min Fang are the two inaugural winners of the John Maddox Prize. Sponsored by Nature and the Kohn Foundation, and stimulated and organized by the UK-based charity Sense About Science, the prize commemorates a former Editor of Nature, John Maddox. John was distinguished for his championing of robust science. The prize rewards individuals who have promoted sound science and evidence on a matter of public interest, with an emphasis on those who have faced difficulty or opposition in doing so. In this inaugural year, the judges (see were able to make two awards, each of £2,000 (US$3,200).

China’s rush to modernize and the communist government’s celebration of science and technology have firmly embraced scientists and scientific achievements, sometimes uncritically. And into that permissive milieu has walked a plethora of opportunists ready to take advantage of the situation with padded CVs, fraudulent and plagiarized articles, bogus medicines and medical procedures carried out without clinical evidence.

In 2000, Shi-min Fang started to expose these escapades in his New Threads website. As an outsider, trained as a biochemist but turned science writer and commentator, he has done much of what the scientific community aims, but often fails, to do — root out the fakers.

For example, Fang called into question DNA supplements that were widely advertised as a means to rejuvenate the tired, the pregnant and the old. Eventually, the government issued warnings about the supplements. Fang seemed to especially relish smacking down powerful or popular scientists. He even challenged official support of traditional Chinese medicine. But his targets fought back, in one case with particular hostility. In the summer of 2010, thugs hired by a urologist attacked Fang with a hammer and, according to Fang, tried to kill him. Fang had previously challenged not only the efficacy of a surgical procedure developed by the urologist, but also his CV.

Fang imposes transparency on an opaque system. He has opened a forum for criticism and debate in a community that is otherwise devoid of it.

Simon Wessely is a psychiatrist at the Institute of Psychiatry, King’s College London, who has specialized in two areas above all — the mental health of military personnel and veterans, and chronic fatigue syndrome. He and his colleagues demonstrated substantial overlap in symptoms between chronic fatigue syndrome and clinical depression. He carried out a massive and ambitious study to test the link between common viral infections and later fatigue, and found that there is no simple causal association. He subsequently developed a treatment approach using cognitive-behavioural therapy techniques, which in many cases brought about substantial improvement and in some was life transforming. This treatment was tested in large clinical trials and can now be found in the guidelines of the United Kingdom’s National Institute for Health and Clinical Excellence.

“All along the way,” says the individual who nominated him for the prize, “Wessely has had to suffer continued abuse and obstruction from a powerful minority of people who, under the guise of self-help organizations, have sought to promote an extreme and narrow version of the disorder. This version repudiates any psychological or psychiatric element to the extent that psychiatry is viewed as a contemptible discipline, which, by association, denigrates psychiatric patients. Hostile letters, e-mails and even death threats have been directed at Professor Wessely over two decades. Mischievous complaints have been made against him and his clinical team, and bogus questions raised in the Houses of Parliament. He has suffered a vigorous Internet assault and coordinated attempts have been made to turn him into a hate figure. He has been compared to Josef Mengele — particularly hurtful since Simon is the son of holocaust survivors. Simon has, perhaps naively, tried to deal with most of these by seeking dialogue and trying to educate and reassure, rather than by responding in kind.”

Wessely is the first to acknowledge that others working in this field have received similar or even worse abuse. Never­theless, the prize recognizes the very public stand that Wessely has taken over these issues.

Nature congratulates Simon Wessely and Shi-min Fang on their awards.

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