Background: Informed consent in clinical research is mandated throughout the world. Both patient subjects and investigators are required to understand and accept the distinction between research and treatment.Aim: To document the extent and to identify factors associated with therapeutic misconception in a population of patient subjects or parent proxies recruited from a variety of multicentre trials .Patients and methods: The study comprised two phases: the development of a questionnaire to assess the quality of informed consent and a survey of patient (...) subjects based on this questionnaire.Results: A total of 303 patient subjects or parent proxies were contacted and 279 questionnaires were analysed. The median age was 49.5 years, sex ratio was 1 and 61% of respondents were professionally active. Overall memorisation of the oral or written communication of informed consent was good , and satisfaction with the process was around 70%. Therapeutic misconception was present in 70% of respondents, who expected to receive better care and ignored the consequence of randomisation and treatment comparisons. This was positively associated with the acuteness and severity of the disease.Conclusion: The authors suggest that the risk of therapeutic misconception be specifically addressed in consent forms as an educational tool for both patients and investigators. (shrink)

Book Reviews Joël Boudreault, Dialogue: Canadian Philosophical Review/Revue canadienne de philosophie, FirstView Article.

The first systematic collaboration between cognitive scientists and sports psychologists considers the mind–body relationship from the perspective of athletic skill and sports practice. This landmark work is the first systematic collaboration between cognitive scientists and sports psychologists that considers the mind–body relationship from the perspective of athletic skill and sports practice. With twenty-six chapters by leading researchers, the book connects and integrates findings from fields that range from philosophy of mind to sociology of sports. The chapters show not only that (...) sports can tell scientists how the human mind works but also that the scientific study of the human mind can help athletes succeed. Sports psychology research has always focused on the themes, notions, and models of embodied cognition; embodied cognition, in turn, has found striking confirmation of its theoretical claims in the psychological accounts of sports performance and athletic skill. Athletic skill is a legitimate form of intelligence, involving cognitive faculties no less sophisticated and complex than those required by mathematical problem solving. After presenting the key concepts necessary for applying embodied cognition to sports psychology, the book discusses skill disruption ; sensorimotor skill acquisition and how training correlates to the development of cognitive faculties; the intersubjective and social dimension of sports skills, seen in team sports; sports practice in cultural and societal contexts; the notion of “affordance” and its significance for ecological psychology and embodied cognition theory; and the mind's predictive capabilities, which enable anticipation, creativity, improvisation, and imagination in sports performance. Contributors Ana Maria Abreu, Kenneth Aggerholm, Salvatore Maria Aglioti, Jesús Ilundáin-Agurruza, Duarte Araújo, Jürgen Beckmann, Kath Bicknell, Geoffrey P. Bingham, Jens E. Birch, Gunnar Breivik, Noel E. Brick, Massimiliano L. Cappuccio, Thomas H. Carr, Alberto Cei, Anthony Chemero, Wayne Christensen, Lincoln J. Colling, Cassie Comley, Keith Davids, Matt Dicks, Caren Diehl, Karl Erickson, Anna Esposito, Pedro Tiago Esteves, Mirko Farina, Giolo Fele, Denis Francesconi, Shaun Gallagher, Gowrishankar Ganesh, Raúl Sánchez-García, Rob Gray, Denise M. Hill, Daniel D. Hutto, Tsuyoshi Ikegami, Geir Jordet, Adam Kiefer, Michael Kirchhoff, Kevin Krein, Kenneth Liberman, Tadhg E. MacIntyre, Nelson Mauro Maldonato, David L. Mann, Richard S. W. Masters, Patrick McGivern, Doris McIlwain, Michele Merritt, Christopher Mesagno, Vegard Fusche Moe, Barbara Gail Montero, Aidan P. Moran, David Moreau, Hiroki Nakamoto, Alberto Oliverio, David Papineau, Gert-Jan Pepping, Miriam Reiner, Ian Renshaw, Michael A. Riley, Zuzanna Rucinska, Lawrence Shapiro, Paula Silva, Shannon Spaulding, John Sutton, Phillip D. Tomporowski, John Toner, Andrew D. Wilson, Audrey Yap, Qin Zhu, Christopher Madan. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Literature in MindH. G. Wells and the Evolution of the Mad ScientistAnne StilesIn 1893, H. G. Wells's article "Man of the Year Million" dramatically predicted the distant evolutionary future of mankind:The descendents of man will nourish themselves by immersion in nutritive fluid. They will have enormous brains, liquid, soulful eyes, and large hands, on which they will hop. No craggy nose will they have, no vestigial ears; their mouths (...) will be a small, perfectly round aperture, unanimal, like the evening star. Their whole muscular system will be shriveled to nothing, a dangling pendant to their minds.2The editors at Punch evidently found this prediction hilarious, publishing a poem and accompanying sketch ridiculing Wells's lopsided future humans (Figure 1, p. 318). But not everyone was laughing.As ridiculous as Wells's bodiless, large-headed "human tadpoles" may seem, they were based on the most rigorous evolutionary science of their day. Wells, a lower-middle-class academic prodigy, received a prestigious [End Page 317] Click for larger view View full resolutionFigure 1."1,000,000 A.D.," Punch, or the London Charivari, 25 November 1893, 250.[End Page 318]government scholarship to attend the Normal School of Science in South Kensington (later absorbed into the University of London). Though Wells left South Kensington in 1887 without earning his degree, he was greatly inspired by his biology teacher, famed physiologist Thomas Huxley. Wells absorbed Huxley's pessimistic take on late-Victorian evolutionary theory, particularly his emphasis on the inherent brutality of natural selection.Huxley's pessimism surfaces in Wells's dystopian scientific romances, which imaginatively probe the consequences of evolutionary theory run amok.3 Beginning with the eponymous mad-scientist villain of The Island of Dr. Moreau (1896) and continuing with alien invasion narratives like The War of the Worlds (1897–98) and The First Men in the Moon (1901), Wells depicts brains becoming steadily larger and more powerful as bodies grow smaller and more useless, emotions increasingly muted, and conscience all but silenced. Wells's nightmarish vision of the massively over-evolved brain unites these three works, as the ruthlessly intellectual biologist Moreau morphs into the amoral, top-heavy Martians and lunar inhabitants.Wells's malevolent mad scientists and extraterrestrials owe an intellectual debt not only to Huxley, but also to discussions of genius and insanity in late-Victorian issues of Mind (1876–present).4 The now-familiar trope of the mad scientist in fact traces its roots to the clinical association between genius and insanity that developed in the mid-nineteenth century. Authors like Scottish journalist and materialist philosopher John Ferguson Nisbet, English eugenicist Francis Galton, and Austrian Jewish physician Max Nordau—all of whose works were reviewed in Mind—argued that mankind had evolved larger brains at the expense of muscular strength, reproductive capacity, and moral sensibility.5 Wells drew upon these arguments in his fiction and even contributed his own article to Mind, a philosophical reflection on science entitled "Scepticism of the Instrument" (1904).In its unique role as "the first English journal devoted to Psychology and Philosophy." Mind was an ideal venue for an inherently interdisciplinary [End Page 319] subject like the clinical study of genius.6 The journal's first editor, George Croom Robertson, was particularly concerned that articles in Mind rise "above the narrowing influences of modern specialism."7 This disciplinary breadth attracted contributors from all fields, including fiction writers and literary critics like George Henry Lewes, Grant Allen, Andrew Lang, and, of course, H.G. Wells. During the same period, literary works probed ideas discussed in Mind, such as the nature of the soul, the possibility of free will, and the ramifications of biological determinism. In the four decades following its auspicious start, Mind provided a venue where scientists, philosophers and literary authors could find intellectual common ground.In this essay, the early fiction of H.G. Wells will serve as a case study of cross-fertilization between literature and scientific ideas discussed in Mind. The goals of this exploration are threefold: to gain a better understanding of the journal's history and influence; to investigate why Victorians associated genius with insanity; and to illuminate the shared... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:BOOK REVIEWS 287 the writers is deeply and seriously involved in answering what he takes to be fundamental questions about "what there is." But at the same time, it must be said that the degree of absorption which the essays reveal has about it an air of quaintness, as if, in reading them, one had suddenly discovered a community of people who spoke nothing but Elizabethan English. For the (...) problems constructed and dealt with in this way emerge from some earlier philosophical clime: from the worlds of Meinong's Investigations Into the Theory of Objects and Russell's Lectures on Logical Atomism, where the talk is of "elementary propositions," "The Ideal Language," "bare particulars," "denoting," what "subsists" as distinct from what "exists," and so on. If any of the writers are aware of the contributions made to philosophy by the later Wittgenstein (mentioned briefly only once in the text, p. 89), Wisdom (not referred to at all), Austin (who appears in a footnote as a translator of Frege), Ryle (mentioned once), and Strawson, this awareness is suppressed with a ruthlessness that borders on perversity. There is clearly here no feeling for the changes that have occurred in philosophy since 1933, or any awareness of the fact that the problems, which they pose, stem to a large extent from just those presuppositions which led to the abandonment of Logical Atomism some thirty years ago./n saying these things, I am, of course, not to be understood as implying that ontological investigations per se are always to be discounted, or that "progress in philosophy is linear," but merely that the fecundity of this particular mode of investigation has long since been shown to be exhausted. Finally, it is surprising to the reviewer that the volume does not contain a paper by Professor Gustav Bergmann. Most of the authors are former students of Professor Bergmann --and their work coincides with the scope of his own interests, as well as reflecting a similar approach to the problems being dealt with. To some extent, however, this omission is more apparent than real since he is mentioned frequently in the text--and, unless I have miscounted, some thirty-seven times in the footnotes. AVRUM STROLL University of California, San Diego BOOK NOTES Centre International de Synth~se, XXIV" Semaine de Synth~se" L'expdrience. 28 Mai-l" Juin, 1962. Paris, Editions A. Michel [1964]. 476 pp., 8 fig. = Revue de synth~se, 3m" serie, No. 29-31, Jan.-Sept., 1963. This large volume of the Revue de Synth~se deserves special notice, even though it is impossible to give it a critical review here. Here are gathered critical, empirical reports from competent scientists and other savants, including the whole range and all the domains of knowledge, on the concrete aspects of experience which special fields and methods of knowing reveal. Viewing experience from this wide perspective, and including in it what the Germans have called Erlebnis in order to do justice to the empirical aspects of existentialism as well as of phenomenology, these scholars have performed a basic service for the sciences and for philosophy. In addition to the more traditional distinctions between cognitive, moral, aesthetic, and religious experience, there are illuminating accounts of geological and biological empiricism (relating the terrestrial sciences to nuclear and cosmic sciences), and of experience englobante as distinguished from experience objective. Such catholic empiricism, such synthetic discriminations are indeed a great contribution to contemporary discussion and to progress in philosophical vocabulary and sympathies. 288 HISTORY OF PHILOSOPHY Among the participants in this work are: G. Bouligant, George Bastide, Jean Boisset, Olivier Lacombe, Jean Lameere, Joseph Moreau, and Jean Wahl. Many other authors have contributed briefer communications. --H.W.S. Chalus, Paul, L'homme et la religion. Recherches sur les sources psychologiques des croyances. Pal~olithique-N~olithique-Age du Bronze-Cr&e-IsraEl-Iran. Paris, Editions A. Michel, 1963. 510 pp., 22 figs., 12 pl., diagrs. = L'l~volution de l'Humanit& Biblioth~que de Synth&e Historique. S~rie compl~mentaire. 33.93 NF. This addition to the notable series of works sponsored by the Centre International de SynthOse in Paris attempts to combine the history and psychology of religion. The theme is indicated in... (shrink)