The sin of subjectivism: A reply to Shapiro

Shapiro criticises our book on two grounds. He first outlines a series of mistakes. None of them we believe, in fact, have been made and this is usually quite clear from our book. His second criticism rejects our ‘subjectivist’ approach to measurement. We argue that he misrepresents our methods and fails to grasp their ability both to collect accurate data and deal adequately with possible sources of bias. Indeed in these, in its attention to the dating of both independent and dependent variables, and in the flexibility of its approach to the respondent, we feel our approach is better equipped than other existing instruments to tackle the problem of the aetiological role of psycho-social factors in illness.