Renatus Ziegler

Using placebos in day-to-day practice is an ethical problem. This paper summarises the available epidemiological evidence to support this difficult decision. Based on these data we propose to differentiate between placebo and “knowledge framing”. While the use of placebo should be confined to experimental settings in clinical trials, knowledge framing — which is only conceptually different from placebo — is a desired, expected and necessary component of any doctor-patient encounter. Examples from daily practice demonstrate both, the need to investigate the effects of knowledge framing and its impact on ethical, medical, economical and legal decisions

Using placebos in day-to-day practice is an ethical problem. This paper summarises the available epidemiological evidence to support this difficult decision. Based on these data we propose to differentiate between placebo and “knowledge framing”. While the use of placebo should be confined to experimental settings in clinical trials, knowledge framing — which is only conceptually different from placebo — is a desired, expected and necessary component of any doctor-patient encounter. Examples from daily practice demonstrate both, the need to investigate the effects of knowledge framing and its impact on ethical, medical, economical and legal decisions.

Traditionally, conceptual thinking is explored via philosophical analysis or psychological experimentation. We seek to complement these mainstream approaches with the perspective of a first person exploration into pure thinking. To begin with, pure thinking is defined as a process and differentiated from its content, the concepts itself. Pure thinking is an active process and not a series of associative thought-events; we participate in it, we immerse ourselves within its active performance. On the other hand, concepts are also of an experiential nature. And yet, little is known about what is it like to have or produce a thought, a concept, or an idea? Is a concept our own construction, a product of our own activity, or is it something we merely discover instead of producing it? We address these issues in a systematic first person enquiry into pure thinking.

Traditionally, conceptual thinking is explored via philosophical analysis or psychological experimentation. We seek to complement these mainstream approaches with the perspective of a first person exploration into pure thinking. To begin with, pure thinking is defined as a process and differentiated from its content, the concepts itself. Pure thinking is an active process and not a series of associative thought-events; we participate in it, we immerse ourselves within its active performance. On the other hand, concepts are also of an experiential nature. And yet, little is known about what is it like to have or produce a thought, a concept, or an idea? Is a concept our own construction, a product of our own activity, or is it something we merely discover instead of producing it? We address these issues in a systematic first person enquiry into pure thinking.