David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medicine and Philosophy 18 (2):213-231 (1993)
American orthodox medicine consolidated its professional authority in the early 20th Century on the basis of its unbiased scientific method. The centerpiece of such a method is a strategy for identifying truly effective new therapies, i.e., the randomized clinical trial (RCT). A crucial component of the RCT in illnesses without established treatment is the placebo control. Placebo effects must be identified and distinguished from pharmacological effects because placebos produce actual but unexplained therapeutic successes. The blinding necessary for a proper placebo-controlled RCT therefore introduces an epistemic bias into orthodox medicine: therapeutic successes that rely upon a direct link between knowing and healing, such as placebo effects, are discarded in favor of therapeutic successes that rely upon an indirect link between knowing and healing, such as pharmacological interventions. Where the capacity to produce therapeutic results once validated the method of clinical medical science, now method validates results. The clinical consequences of this method of testing therapies include a diminished vision of the therapeutic potential of the doctor-patient relationship and of the potential human resources available for healing. Keywords: doctor-patient relationship, epistemology, placebo effect, professionalization, randomized clinical trials CiteULike Connotea Del.icio.us What's this?
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
F. G. Miller & H. Brody (2011). Understanding and Harnessing Placebo Effects: Clearing Away the Underbrush. Journal of Medicine and Philosophy 36 (1):69-78.
Similar books and articles
Andrew Turner (2012). 'Placebos' and the Logic of Placebo Comparison. Biology and Philosophy 27 (3):419-432.
Connie Peck & Grahame Coleman (1991). Implications of Placebo Theory for Clinical Research and Practice in Pain Management. Theoretical Medicine and Bioethics 12 (3).
Franklin G. Miller & Howard Brody (2002). What Makes Placebo-Controlled Trials Unethical? American Journal of Bioethics 2 (2):3 – 9.
Nikola Biller-Andorno (2004). The Use of the Placebo Effect in Clinical Medicine — Ethical Blunder or Ethical Imperative? Science and Engineering Ethics 10 (1):43-50.
Thomas R. Weihrauch (2004). Placebo Treatment is Effective Differently in Different Diseases — but is It Also Harmless? A Brief Synopsis. Science and Engineering Ethics 10 (1):151-155.
Gunnel Elander & Göran Hermerén (1995). Placebo Effect and Randomized Clinical Trials. Theoretical Medicine and Bioethics 16 (2).
Bohdan W. Wasilewski (2004). Homeopathic Remedies as Placebo Alternatives — Verification on the Example of Treatment of Menopause-Related Vegetative and Emotional Disturbances. Science and Engineering Ethics 10 (1):179-188.
J. L. Mommaerts & Dirk Devroey (2012). The Placebo Effect: How the Subconscious Fits In. Perspectives in Biology and Medicine 55 (1):43-58.
Added to index2010-08-22
Total downloads3 ( #314,198 of 1,168,252 )
Recent downloads (6 months)1 ( #140,419 of 1,168,252 )
How can I increase my downloads?