How Failure to Falsify contributes to the Replication Crisis in the Clinical Neurosciences
Abstract:This critical review discusses evidence for the replication crisis in the clinical neuroscience literature with focus on the size of the literature and how scientific hypotheses are framed and tested. We aim to reinvigorate discussions born from philosophy of science regarding falsification (see Popper, 1959;1962) but with hope to bring pragmatic application that might give real leverage to attempts to address scientific reproducibility. The surging publication rate has not translated to unparalleled scientific progress so the current “science-by-volume” approach requires new perspective for determining scientific ground truths. We describe an example from the network neurosciences in the study of traumatic brain injury where there has been little effort to refute two prominent hypotheses leading to a literature without resolution. Based upon this example, we discuss how building strong hypotheses and then designing efforts to falsify them can bring greater precision to the clinical neurosciences. With falsification as the goal, we can harness big data and computational power to identify the fitness of each theory to advance the neurosciences.