The therapeutic misconception: problems and solutions
Department of Psychiatry
Beneficence; *Cognition; Cost-Benefit Analysis; *Decision Making; Disclosure; Goals; *Human Experimentation; Humans; *Informed Consent; Patient Care; Patient Participation; Patient Satisfaction; Research; United States
Behavioral Disciplines and Activities | Health Services Research | Mental and Social Health | Psychiatry and Psychology
BACKGROUND: The therapeutic misconception occurs when a research subject fails to appreciate the distinction between the imperatives of clinical research and of ordinary treatment, and therefore inaccurately attributes therapeutic intent to research procedures. The therapeutic misconception is a serious problem for informed consent in clinical research.
OBJECTIVES: This paper analyzes the nature and origins of the therapeutic misconception and suggests some ways in which researchers can overcome this problem when obtaining a subject's consent to participation in research.
RESEARCH DESIGN: A conceptual analysis of informed consent to research and a review of the empirical literature are undertaken.
RESULTS: Research and clinical care involve different standards for how the patient/subject is to be treated. The confusion of the two often leads to profound misunderstandings on the part of the patient/subject.
DISCUSSION: A method for describing to patients/subjects the differences between research and treatment is proposed as a potential solution to the therapeutic misconception. Research is needed to determine whether this or any other change in the nature of the disclosure is effective in reducing the therapeutic misconception.
DOI of Published Version
Med Care. 2002 Sep;40(9 Suppl):V55-63. Link to article on publisher's site
Lidz CW, Appelbaum PS. (2002). The therapeutic misconception: problems and solutions. Implementation Science and Practice Advances Research Center Publications. https://doi.org/10.1097/01.MLR.0000023956.25813.18. Retrieved from https://escholarship.umassmed.edu/psych_cmhsr/101