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Therapeutic Misconception
Therapeutic misconception is a common ethical problem encountered in human subjects research. It was originally described in 1982 by Paul Appelbaum and colleagues. The idea was introduced to the bioethics community in 1987. The formulation given by Appelbaum ''et al.'' in 1987 was the following: “To maintain a therapeutic misconception is to deny the possibility that there may be major disadvantages to participating in clinical research that stem from the nature of the research process itself.” Context and definitions Therapeutic misconception did not receive great attention until the early 2000s, when references to the concept expanded significantly. Originally only used in the context of randomized controlled trials, the term is now commonly used among sociologists, neuroscientists, and clinical investigators. Therapeutic misconception Therapeutic misconception is detrimental to a subject’s understanding of a study, which is crucial for an autonomous decision. Certain factor ...
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Paul Appelbaum
Paul Stuart Appelbaum (born 1951) is an American psychiatrist and a leading expert on legal and ethical issues in medicine and psychiatry. Appelbaum has been Elizabeth K. Dollard Professor of Psychiatry, Medicine, and Law, and Director, Division of Law, Ethics, and Psychiatry, Department of Psychiatry, Columbia University College of Physicians and Surgeons since 2006. \Appelbaum was President of the American Psychiatric Association (2002-2003) and President of the American Academy of Psychiatry and the Law (1995-1996). Appelbaum is a member of the Standing Committee on Ethics of the World Psychiatric Association, and Chair of the APA's DSM Steering Committee. He was the Fritz Redlich Fellow at the Center for Advanced Study in the Behavioral Sciences; he was given the Isaac Ray Award of the American Psychiatric Association for "outstanding contributions to forensic psychiatry and the psychiatric aspects of jurisprudence." Appelbaum has been elected to the Institute of Medicine ...
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Clinical Trial
Clinical trials are prospective biomedical or behavioral research studies on human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel vaccines, drugs, dietary choices, dietary supplements, and medical devices) and known interventions that warrant further study and comparison. Clinical trials generate data on dosage, safety and efficacy. They are conducted only after they have received health authority/ethics committee approval in the country where approval of the therapy is sought. These authorities are responsible for vetting the risk/benefit ratio of the trial—their approval does not mean the therapy is 'safe' or effective, only that the trial may be conducted. Depending on product type and development stage, investigators initially enroll volunteers or patients into small pilot studies, and subsequently conduct progressively larger scale comparative studies. Clinical trials can vary i ...
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Informed Consent
Informed consent is a principle in medical ethics and medical law, that a patient must have sufficient information and understanding before making decisions about their medical care. Pertinent information may include risks and benefits of treatments, alternative treatments, the patient's role in treatment, and their right to refuse treatment. In most systems, healthcare providers have a legal and ethical responsibility to ensure that a patient's consent is informed. This principle applies more broadly than healthcare intervention, for example to conduct research and to disclosing a person's medical information. Definitions of informed consent vary, and the standard required is generally determined by the state. Informed consent requires a clear appreciation and understanding of the facts, implications, and consequences of an action. To give informed consent, the individual concerned must have adequate reasoning faculties and possess all relevant facts. Impairments to reasoning an ...
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Belmont Report
The ''Belmont Report'' is a report created by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Its full title is the ''Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research, Report of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research''. The report was issued on September 30, 1978 and published in the Federal Register on April 18, 1979. The report took its name from the Belmont Conference Center where the document was drafted in part. The Belmont Conference Center, once a part of the Smithsonian Institution, is in Elkridge, Maryland, 10 miles south of Baltimore, and until the end of 2010 was operated by Howard Community College. The ''Belmont Report'' summarizes ethical principles and guidelines for research involving human subjects. Three core principles are identified: respect for persons, beneficence, and justice. Three primary areas ...
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Guidelines For Human Subject Research
Various organizations have created guidelines for human subject research for various kinds of research involving human subjects and for various situations. Instructions for the Directors of Clinics, Outpatient Clinics and Other Medical Facilities In 1892, Albert Ludwig Sigesmund Neisser, a German physician who is credited with the discovery of Neisseria gonorrhoeae, performed two sets of clinical trials attempting to find a method of prevention for syphilis. Neisser first inserted serum obtained from a single patient who had begun exhibiting the early signs of syphilis under the skin of four female patients,Vollmann, Jochen, and Rolf Winau. "Informed consent in human experimentation before the Nuremberg code." BMJ: British Medical Journal 313.7070 (1996): 1445. similar to the procedure for smallpox inoculation. Neisser did not obtain consent from these patients, but none of them developed the disease. Neisser then conducted the second set of trials on four prostitutes.Ligon, BL. A ...
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Misconceptions
Each entry on this list of common misconceptions is worded as a correction; the misconceptions themselves are implied rather than stated. These entries are concise summaries of the main subject articles, which can be consulted for more detail. A common misconception is a viewpoint or factoid that is often accepted as true but which is actually false. They generally arise from conventional wisdom (such as old wives' tales), stereotypes, superstitions, fallacies, a misunderstanding of science, or the popularization of pseudoscience. Some common misconceptions are also considered to be urban legends, and they are often involved in moral panics. Arts and culture Business * Legal tender laws in the United States do not state that a private business, a person, or an organization must accept cash for payment, though it must be regarded as valid payment for debts when tendered to a creditor. a. b. c. * Adidas is not an acronym for either "All day I dream about sports", "All day I ...
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