关于开放标签安慰剂的虚构故事

IF 1.3 3区 哲学 Q3 ETHICS Journal of Medicine and Philosophy Pub Date : 2024-04-20 DOI:10.1093/jmp/jhae008
Doug Hardman
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引用次数: 0

摘要

安慰剂效应现在一般被广泛定义为个人对临床治疗的社会心理背景的反应,有别于治疗的生理效应特征。然而,一些研究人员认为,这种宽泛的定义会导致混淆和误导。对此,他们提出了一个狭义的定义,仅限于蓄意安慰剂治疗的疗效。在现代医学的框架内,这样的范围目前只剩下一种可行的安慰剂治疗范例:非欺骗性和非隐蔽性地服用 "安慰剂药片 "或开放标签安慰剂(OLP)治疗。在本文中,我将探讨安慰剂效应是如何在 OLP 中产生的。我认为,传统的、基于信念的 OLP 解释是自相矛盾的。相反,我提出了一种基于非悖论的伪装态度的解释,在虚构主义的框架内加以理解。
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A Fictionalist Account of Open-Label Placebo.

The placebo effect is now generally defined widely as an individual's response to the psychosocial context of a clinical treatment, as distinct from the treatment's characteristic physiological effects. Some researchers, however, argue that such a wide definition leads to confusion and misleading implications. In response, they propose a narrow definition restricted to the therapeutic effects of deliberate placebo treatments. Within the framework of modern medicine, such a scope currently leaves one viable placebo treatment paradigm: the non-deceptive and non-concealed administration of "placebo pills" or open-label placebo (OLP) treatment. In this paper, I consider how the placebo effect occurs in OLP. I argue that a traditional, belief-based account of OLP is paradoxical. Instead, I propose an account based on the non-doxastic attitude of pretence, understood within a fictionalist framework.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
30
期刊介绍: This bimonthly publication explores the shared themes and concerns of philosophy and the medical sciences. Central issues in medical research and practice have important philosophical dimensions, for, in treating disease and promoting health, medicine involves presuppositions about human goals and values. Conversely, the concerns of philosophy often significantly relate to those of medicine, as philosophers seek to understand the nature of medical knowledge and the human condition in the modern world. In addition, recent developments in medical technology and treatment create moral problems that raise important philosophical questions. The Journal of Medicine and Philosophy aims to provide an ongoing forum for the discussion of such themes and issues.
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