[CAM products as therapeutic placebos: theoretical and bioethical reflections].

[CAM products as therapeutic placebos: theoretical and bioethical reflections].
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[CAM 产品作为治疗安慰剂:理论和生物伦理反思]

DOI:
10.1016/j.zefq.2014.12.001
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发表时间:
2014
期刊:
Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
影响因子:
--
通讯作者:
Reichardt
Reichardt
中科院分区:
--
文献类型:
--
作者:
Schöne-Seifert;Friedrich;Reichardt

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在德国以及许多其他国家,目前正在进行将CAM干预“整合”到传统医学中的项目。这是一项备受争议的努力。证明CAM干预合理性的一个后门-即使根据传统医学的科学标准,它们已被证明缺乏特定的有效性-是它们作为治疗安慰剂的用途。在本文中,我们将首先讨论一般的关键因素有关欺骗性安慰剂的使用,然后认为,在特定的情况下,CAM干预措施作为安慰剂一般的道德保留是加强了这样一个事实,即它们的使用是倾向于促进医生和患者之间的非或反科学的态度,我们认为这是非常有问题的。
In Germany as well as in many other countries the project of'integrating'CAM interventions into conventional medicine is currently underway. It is a highly contested endeavour. One backdoor of justifying CAM interventions-even if, according to the scientific standards of conventional medicine, they have been proved to lack specific effectiveness-is their use as therapeutic placebos. In this paper we will first discuss general critical considerations regarding deceptive placebo use and then argue that in the specific case of CAM interventions used as placebos general ethical reservations are reinforced by the fact that their use is prone to promote a non-or antiscientific attitude among physicians and patients, which we consider highly problematic.
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