| The double-blind, randomized,
placebo-controlled trial |
Date Written |
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| Author |
By Joe Holmes |
Date Revised |
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The double blind test are they really reliable? The medical
community uses double blind tests and its theory as a reliable
method to remove bias. The concept of randomly selected participates
and giving half of them a placebo sounds good. The reality
is that the participants in some cases may not be randomly
selected. Thus the sample participants can be rigged to remove
anyone who may provide a negative result. I participated in
one years ago where they did considerable advance tests to
determine if I was a candidate for the drug being tested.
I have read documents supporting this but can only find the
one below for now. I am sure I will come across others
1."The
double-blind, randomized, placebo-controlled trial: gold standard
or golden calf? Kaptchuk TJ. Beth Israel
Deaconess Medical Center, Harvard Medical School, 330 Brookline
Avenue, KW-400, Boston, MA 02215, USA.
The double-blind randomized controlled trial (RCT) is accepted
by medicine as objective scientific methodology that, when
ideally performed, produces knowledge untainted by bias. The
validity of the RCT rests not just on theoretical arguments,
but also on the discrepancy between the RCT and less rigorous
evidence (the difference is sometimes considered an objective
measure of bias). A brief overview of historical and recent
developments in "the discrepancy argument" is presented.
The article then examines the possibility that some of this
"deviation from truth" may be the result of artifacts
introduced by the masked RCT itself. Can an "unbiased"
method produce bias? Among the experiments examined are those
that augment the methodological stringency of a normal RCT
in order to render the experiment less susceptible to subversion
by the mind. This methodology, a hypothetical "platinum"
standard, can be used to judge the "gold" standard.
The concealment in a placebo-controlled RCT seems capable
of generating a "masking bias." Other potential
biases, such as "investigator self-selection," "preference,"
and "consent" are also briefly discussed. Such
potential distortions indicate that the double-blind RCT may
not be objective in the realist sense, but rather
is objective in a "softer" disciplinary sense. Some
"facts" may not exist independent of the apparatus
of their production.
PMID:
11377113
2."
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