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| Research article summary (published 30 Aug 2002): |
The therapeutic misconception: problems and solutions.
Full Abstract
BACKGROUND:
The therapeutic misconception occurs when a research subject fails to appreciate the distinction between the imperatives of clinical research and of ordinary treatment, and therefore inaccurately attributes therapeutic intent to research procedures. The therapeutic misconception is a serious problem for informed consent in clinical research.
OBJECTIVES:
This paper analyzes the nature and origins of the therapeutic misconception and suggests some ways in which researchers can overcome this problem when obtaining a subject's consent to participation in research.
RESEARCH:
DESIGN:
A conceptual analysis of informed consent to research and a review of the empirical literature are undertaken.
RESULTS:
Research and clinical care involve different standards for how the patient/subject is to be treated. The confusion of the two often leads to profound misunderstandings on the part of the patient/subject.
DISCUSSION:
A method for describing to patients/subjects the differences between research and treatment is proposed as a potential solution to the therapeutic misconception. Research is needed to determine whether this or any other change in the nature of the disclosure is effective in reducing the therapeutic misconception.
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Author information
Author/s: Lidz, Charles W (CW); Appelbaum, Paul S (PS);
Affiliation: Department of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts, USA. chuck.lidz(-atsign-)umassmed.edu
Grants: R01-MH58097 (Agency:United States NIMH)
Journal and publication information
Publication Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.
Journal: Medical care (Med Care), published in United States. (Language: eng)
Reference: 2002-Sep; vol 40 (issue 9 Suppl) : pp V55-63
Dates: Created 2002/09/12; Completed 2002/09/27; Revised 2007/11/14;
PMID: 12226586, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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