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20252

Title

Commentary. The therapeutic misconception: Not just for patients

URL

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2528258

Journal

J Can Chiropr Assoc. 2008 Sep;52(3):139-142

Author(s)

Lawrence DJ

Subject(s)

Peer Review

Yes

Publication Type

Article

Abstract/Notes

Excerpt: The therapeutic misconception was first identified by Appelbaum, Roth and Lidz in their influential 1982 paper. The term was coined out of their study, which examined the consent interactions in 4 studies investigating treatment for psychiatric illnesses. Notably, these studies looked at different interventions, including medications, dose responses, and social interventions; at least one used a placebo control. The significant finding was that 69% of the subjects (n = 80 in total) could not state how they were assigned to a treatment group, while only 22% understood the nature of being randomized. In practical terms, participants in research felt that the therapies they were receiving were chosen for them, in order to provide them the best medical care for their problem. Even though they had undergone a consent negotiation, with what would appear to be the disclosure of required information on risks, benefit, randomization, etc., patients still felt that the choice to offer an intervention was based on what was best for them. They confused their goal in participation with the researcher’s goal in conducting the study; in the latter case, this was to gain knowledge that could be generalized to larger populations. As Lidz and Appelbaum stated in a later paper “The therapeutic misconception is a widely recognized problem in informed consent that occurs when subjects consent to participate in clinical research because of the belief that they will receive the same individually focused treatment that they would receive in a nonresearch clinical context.”

This excerpt is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record

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