Equipoise psychology

William James, at the dawn of modern psychology, argued that our habits anchor us to ourselves . As someone equally fascinated by the daily routines of artists and with their curious creative rituals , and as a practitioner of both in my own life, I frequently contemplate the difference between the routine and ritual, these two supreme deities of habit. They seem to be different sides of the same coin — while routine aims to make the chaos of everyday life more containable and controllable, ritual aims to imbue the mundane with an element of the magical. The structure of routine comforts us, and the specialness of ritual vitalizes us. A full life calls for both — too much control, and we become mummified; too little excitement and pleasurable discombobulation, and we become numb. After all, to be overly bobulated is to be dead inside — to doom oneself to a life devoid of the glorious and ennobling messiness of the human experience.

Miller and Brody argue that the notion of clinical equipoise is fundamentally misguided. The ethics of therapy and the ethics of research are two distinct enterprises that are governed by different norms. They state, “The doctrine of clinical equipoise is intended to act as a bridge between therapy and research, allegedly making it possible to conduct RCTs without sacrificing the therapeutic obligation of physicians to provide treatment according to a scientifically validated standard of care. This constitutes therapeutic misconception concerning the ethics of clinical trials, analogous to the tendency of patient volunteers to confuse treatment in the context of RCTs with routine medical care.” [5] Equipoise, they argue, only makes sense as a normative assumption for clinical trials if one assumes that researchers have therapeutic obligations to their research participants. Further criticisms of clinical equipoise have been leveled by Robert Veatch [6] and by Peter Ubel and Robert Silbergleit. [7]

Equipoise psychology

equipoise psychology

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