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Deception in research on the placebo effect

2012· book-chapter· en· W4214751476 on OpenAlexaff
David Wendler, Leora C. Swartzman

Bibliographic record

VenueOxford University Press eBooks · 2012
Typebook-chapter
Languageen
FieldNeuroscience
TopicPain Management and Placebo Effect
Canadian institutionsWestern University
FundersNational Institutes of HealthU.S. Department of Health and Human Services
KeywordsDeceptionPlaceboPsychologyPsychological interventionPlacebo responsePsychotherapistInterpretation (philosophy)Clinical trialMedicineSocial psychologyAlternative medicinePsychiatryComputer scienceInternal medicine

Abstract

fetched live from OpenAlex

This chapter examines ethical issues relating to the use of deception in research on the placebo effect, with particular emphasis on experiments involving patients in clinical settings. The placebo effect is a fascinating yet puzzling phenomenon, defined as the “positive physiological or psychological changes associated with the use of inert medications, sham procedures, or therapeutic symbols within a healthcare encounter.” Increasing scientific inquiry has been aimed at elucidating the mechanisms responsible for placebo effects and determining how inert interventions can lead to positive changes in patients. Patients' expectations for improvement, known as “response expectancies,” are thought to be one of the central mechanisms responsible for placebo effects. The chapter first considers why deception in scientific investigation is ethically problematic before presenting examples of deception in placebo research. It then proposes a method of informing participants about the use of deception that can reconcile the scientific need for deceptive research designs with the ethical requirements for clinical research.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.007
metaresearch head score (Gemma)0.010
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Research integrity
Consensus categoriesnone
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.996
Threshold uncertainty score0.039

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.010
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0010.010
Scholarly communication0.0040.009
Open science0.0010.002
Research integrity0.0040.006
Insufficient payload (model declined to judge)0.0120.004

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.162
GPT teacher head0.310
Teacher spread0.149 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designTheoretical or conceptual
DomainMethods
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2012
Admission routes1
Has abstractyes

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