Are RCTs the gold standard?

Cartwright, Nancy (2007) Are RCTs the gold standard? In: Cartwright, Nancy, (ed.) Causal Powers: What Are They? Why Do We Need Them What Can Be Done With Them and What Cannot? Contingency and Dissent in Science (01/07). Centre for Philosophy of Natural and Social Science, London School of Economic and Political Science, London, UK.

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Abstract

The claims of RCTs to be the gold standard rest on the fact that the ideal RCT is a deductive method: if the assumptions of the test are met, a positive result implies the appropriate causal conclusion. This is a feature that RCTs share with a variety of other methods, which thus have equal claim to being a gold standard. This paper describes some of these other deductive methods and also some useful non-deductive methods, including the hypothetico-deductive method. It argues that with all deductive methods, the benefit that the conclusions follow deductively in the ideal case comes with a great cost: narrowness of scope. This is an instance of the familiar trade-off between internal and external validity. RCTs have high internal validity but the formal methodology puts severe constraints on the assumptions a target population must meet to justify exporting a conclusion from the test population to the target. The paper reviews one such set of assumptions to show the kind of knowledge required. The overall conclusion is that to draw causal inferences about a target population, which method is best depends case-by-case on what background knowledge we have or can come to obtain. There is no gold standard.

Item Type:	Book Section
Official URL:	http://www2.lse.ac.uk/CPNSS/Home.aspx
Additional Information:	© 2007 The Author
Divisions:	Philosophy, Logic and Scientific Method CPNSS
Subjects:	B Philosophy. Psychology. Religion > B Philosophy (General)
Date Deposited:	02 Feb 2011 11:54
Last Modified:	11 Dec 2024 17:11
URI:	http://eprints.lse.ac.uk/id/eprint/32009

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