Affordable Access

Applying evidence to support ethical decisions: is the placebo really powerless?.

Authors
  • Porzsolt, Franz
  • Schlotz-Gorton, Nicole
  • Biller-Andorno, Nikola
  • Thim, Anke
  • Meissner, Karin
  • Roeckl-Wiedmann, Irmgard
  • Herzberger, Barbara
  • Ziegler, Renatus
  • Gaus, Wilhelm
  • Pöppe, Ernst
Type
Published Article
Journal
Science and engineering ethics
Publication Date
Jan 01, 2004
Volume
10
Issue
1
Pages
119–132
Identifiers
PMID: 14986778
Source
Medline
Keywords
License
Unknown

Abstract

Using placebos in day-to-day practice is an ethical problem. This paper summarises the available epidemiological evidence to support this difficult decision. Based on these data we propose to differentiate between placebo and "knowledge framing". While the use of placebo should be confined to experimental settings in clinical trials, knowledge framing--which is only conceptually different from placebo--is a desired, expected and necessary component of any doctor-patient encounter. Examples from daily practice demonstrate both, the need to investigate the effects of knowledge framing and its impact on ethical, medical, economical and legal decisions.

Report this publication

Statistics

Seen <100 times