Placebo Controls and Epistemic Control In Orthodox Medicine  

Oleh:

Sullivan, Mark D.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of Medicine and Philosophy vol. 18 no. 2 (Apr. 1993), page 213-232.
Topik: Doctor-Patient Relationship; Epistemology; Placebo Effect; Professionalization; Randomized Clinical Trials

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: MM80.1 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

American orthodox medicine consolidated its professional authority in the early in the early 20th Century on the basis of its unbiased scientific method. The centerpiece of such a method is a strstegy for indentifying truly effective new therapies, i.e., the randomized clinical trial (RCT). A crucial component of the RCT in illness without established treatment is the placebo control. Placebo effects must be indentified 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 pharmacological interventions. Where the capacity to produce therapeutic results once validated the method of clinical consequences of this method science, now method validates results. The clinical consequences of this method of testing therapies include a diminished vision of therapeutic potential of the doctor-patient relationship and of the potential human resources available for healing.

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