de Melo-Martín I, Ho A
Division of Medical Ethics, Department of Public Health, Weill Cornell Medical College, 411 E. 69th Street, New York, NY, USA.
J Med Ethics. 2008 Mar;34(3):202-5. doi: 10.1136/jme.2006.019406.
The therapeutic misconception has been seen as presenting an ethical problem because failure to distinguish the aims of research participation from those receiving ordinary treatment may seriously undermine the informed consent of research subjects. Hence, most theoretical and empirical work on the problems of the therapeutic misconception has been directed to evaluate whether, and to what degree, this confusion invalidates the consent of subjects. We argue here that this focus on the understanding component of informed consent, while important, might be too narrow to capture the ethical complexity of the therapeutic misconception. We show that concerns about misplaced trust and exploitation of such trust are also relevant, and ought to be taken into account, when considering why the therapeutic misconception matters ethically.
治疗性误解被视为一个伦理问题，因为未能区分参与研究的目的与接受常规治疗的目的可能会严重损害研究受试者的知情同意。因此，关于治疗性误解问题的大多数理论和实证研究都旨在评估这种混淆是否以及在多大程度上使受试者的同意无效。我们在此认为，这种对知情同意理解部分的关注虽然重要，但可能过于狭隘，无法涵盖治疗性误解的伦理复杂性。我们表明，当考虑治疗性误解为何在伦理上重要时，对错误信任以及对这种信任的利用的担忧也很重要，应该予以考虑。
