Evidence map›Paper›PMID 25719358›Full record

ArticleCambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees2015

Why is therapeutic misconception so prevalent?

Charles W Lidz, Karen Albert, Paul Appelbaum, Laura B Dunn, Eve Overton, Ekaterina Pivovarova

Abstract read
In one paragraph

Article in Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Getting It "Right".Journal of empirical research on human research ethics : JERHRE · 2016
    Trial
  4. Therapeutic Misconception as a Problem of Nonmaleficence by Way of False Hope.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
  5. Article
  6. Article
  7. Measuring the efficacy of community consultation in a pediatric exception from informed consent trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. YouTube as a source of information on breast cancer in the Arab world.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Charles W Lidz
Karen Albert
Paul Appelbaum
Laura B Dunn
Eve Overton
Ekaterina Pivovarova

Funding

The Blurring of Treatment and Research in Clinical Trials: two problemsRC1NR011612 · NINR · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI LIDZ, CHARLES W · 2009 to 2010
$968k
NINR NIH HHS 5RC1NR011612NINR NIH HHS RC1 NR011612
6 · The paper itself

Abstract

Therapeutic misconception (TM)-when clinical research participants fail to adequately grasp the difference between participating in a clinical trial and receiving ordinary clinical care-has long been recognized as a significant problem in consent to clinical trials. We suggest that TM does not primarily reflect inadequate disclosure or participants' incompetence. Instead, TM arises from divergent primary cognitive frames. The researchers' frame places the clinical trial in the context of scientific designs for assessing intervention efficacy. In contrast, most participants have a cognitive frame that is personal and focused primarily on their medical problems. To illustrate this, we draw on interview material from both clinical researchers and participants in clinical trials. We suggest that reducing TM requires encouraging subjects to adjust their frame, not just add information to their existing frame. What is necessary is a scientific reframing of participation in a clinical trial.

Indexed as

Ethics, ResearchResearch SubjectsTherapeutic MisconceptionClinical Trials as TopicComprehensionDelivery of Health CareHuman ExperimentationHumansInformed Consentresearch ethics

Identifiers

PMID25719358
PMCPMC9067606

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.