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Published on: July 30, 2009
The therapeutic misconception: a threat to valid parental consent for pediatric neuroimaging research
Michael Hadskis1, Nuala Kenny, Jocelyn Downie
1Faculty of Law, Dalhousie University, Halifax, Nova Scotia, Canada. michael.hadskis@dal.ca
Insights
Therapeutic misconception in pediatric neuroimaging research can compromise parental consent for children
Area of Science:
- Pediatric Neuroimaging
- Clinical Research Ethics
- Child Health and Wellbeing
Background:
- Neuroimaging research offers significant advancements for child health.
- Pediatric neuroimaging research faces unique consent challenges due to child vulnerability and parental hope.
- Therapeutic misconception is a key ethical issue in this field.
Purpose of the Study:
- To review the concept of therapeutic misconception in pediatric neuroimaging research.
- To examine its impact on parental consent and research ethics.
- To propose recommendations for mitigation.
Main Methods:
- Literature review on therapeutic misconception.
- Analysis of consent challenges in pediatric neuroimaging.
- Ethical review of research involving children.
Main Results:
- Therapeutic misconception can compromise informed consent for children in neuroimaging studies (healthy controls or those with conditions).
- This misconception can undermine the ethical review process for neuroimaging research.
- Parental expectations of direct benefit can fuel this misconception.
Conclusions:
- Addressing therapeutic misconception is crucial for ethical pediatric neuroimaging research.
- Strategies are needed to ensure genuine informed consent from parents.
- Protecting vulnerable children in research requires careful ethical oversight.
Abstract:
Neuroimaging research has brought major advances to child health and wellbeing. However, because of the vulnerabilities associated with neurological and developmental conditions, the parental need for hope, and the expectation of parents that new medical advances can benefit their child, pediatric neuroimaging research presents significant challenges to the general problem of consent in the context of research involving children. A particular challenge in this domain is created by the presence of therapeutic misconception on the part of parents and other key research stakeholders. This article revierws the concept of therapeutic misconception and its role in pediatric neuroimaging research. It argues that this misconception can compromise consent given by parents for the involvement of their children in research as healthy controls or as persons with neurological and developmental conditions. The article further contends that therapeutic misconception can undermine the research ethics review process for proposed and ongoing neuroimaging studies. Against this backdrop, the article concludes with recommendations for mitigating the effects of therapeutic misconception in pediatric neuroimaging research.
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