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 ascientific reframingof participation in a clinical trial. (shrink)

Principled discussions of civil rights became inherently less likely as a direct result of the observation by Earl Warren, in Brown v. Board of Education, that, respecting freedmen, “Education of Negroes was almost non-existent, and practically all of the race were illiterate,” and in proportion as that observation increasingly became the foundation of common opinion on the subject. Warren's observation was not true in any meaningful or non-trivial sense. Nevertheless, it served to perpetuate the myth of a backward people needing (...) help to catch up instead of the truth of a people being held back. That is the perspective – the disadvantaged group perspective – that ultimately infected all discussion of civil rights, even after the designation of so-called “disadvantaged groups” had been extended beyond American blacks. To define civil rights, we may well begin with what all mankind would likely recognize. Thus the dictionary definition of “civil rights” stands: “the rights that belong to all individuals in a nation or community touching property, marriage, and the like.” In that definition the term “rights” may be further expanded to mean “legitimate claims,” following the definition of right as law – as “a claim or title or interest in anything whatever that is enforceable by law.” This definition applies with minimal distinction of regimes intruding and, therefore, without the host of recent complications in the United States that create the impression that civil rights have something to do with pluralism. Previously, the generic definition was thought to exhaust the meaning of the term in the United States. (shrink)

"Bibliographical notes": pages [243]-244.

Intellectual eminence apart, what did Kant, Clausewitz, Marx and Engels, and Tolstoy have in common? Professor Gallic argues that they made contributions to 'international theory' - to the understanding of the character and causes of war and of the possibility of peace between nations - which were of unrivalled originality in their own times and remain of undiminished importance in ours. But these contributions have been either ignored or much misunderstood ; chiefly because, as with all intellectual efforts in unexplored (...) fields, they were often imperfectly expressed, and were also overshadowed by their author's more striking achievements. Professor Gallic has sorted out, compared and contrasted, criticised and re-phrased the teachings of his chosen authors on peace and war. (shrink)

W. B. Gallie; IV—The Idea of Practice, Proceedings of the Aristotelian Society, Volume 68, Issue 1, 1 June 1968, Pages 63–86, https://doi.org/10.1093/aristoteli.

W. B. Gallie; I *—The Presidential Address: Rationality and the Use of Force, Proceedings of the Aristotelian Society, Volume 71, Issue 1, 1 June 1971, Pages 1–.