The Limits of Consent: A socio-ethical approach to human subject research in medicine

The Limits of Consent: A socio-ethical approach to human subject research in medicine

by Oonagh Corrigan
     
 

ISBN-10: 019923146X

ISBN-13: 9780199231461

Pub. Date: 03/25/2009

Publisher: Oxford University Press

Since its inception as an international principle to protect the welfare of patients and volunteers taking part in medical research, informed consent has become increasingly important within healthcare. Despite its ubiquitous status, there are a number of scholars who are beginning to question whether consent is adequate for contemporary biomedical research. The

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Overview

Since its inception as an international principle to protect the welfare of patients and volunteers taking part in medical research, informed consent has become increasingly important within healthcare. Despite its ubiquitous status, there are a number of scholars who are beginning to question whether consent is adequate for contemporary biomedical research. The Limits of Consent considers a number of criticisms that have been levelled at the prominence given to autonomy, a central tenet underpinning the rationale for informed consent in Western bioethics. It raises questions about how quickly and easily this principle has been adopted, and how appropriate it is for those actively engaged in research. In the context of genetic research, for example, the individual's overriding right of autonomy to give consent to research could have huge implications for other members of their families.

The Limits of Consent questions the assumption that informed consent protects or facilitates individual autonomy, and discusses empirical studies which suggest that gaining a truly informed consent can be difficult to achieve in practice. With the expectation of treatment and guidance from the physician, how much is the process of consent governed by social norms and expectations? The Limits of Consent focuses upon three principal areas within biomedical research: clinical trials, genetic research, and research with those who may have impaired capacity to consent. It is a truly multi-disciplinary book, incorporating perspectives from medicine, law, philosophy and sociology.

The Limits of Consent is a fascinating exploration of the inadequacies of consent, and will appeal to those in the fields of bioethics, socio-legal studies, sociology, and health law. Policy makers, research ethics committee members, and those healthcare professionals with an interest in medical ethics, will also find the book of interest.

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Product Details

ISBN-13:
9780199231461
Publisher:
Oxford University Press
Publication date:
03/25/2009
Pages:
256
Product dimensions:
6.30(w) x 9.30(h) x 2.80(d)

Table of Contents

Contributors xi

Introduction Oonagh Corrigan John McMillan Charles Weijer 1

1 Informed consent in medical research - a procedure stretched beyond breaking point? Søren Holm Søren Madsen 11

2 Trust and exploitation in clinical research Paul B. Miller Charles Weijer 25

3 Consent and private liability in clinical research Paul B. Miller Josephine Johnston 39

4 The decision to decline to enrol in a clinical trial: a blind spot in the literature on decision-making for research participation Clare Snowdon Diana Elbourne Jo Garcia 57

5 Beyond a rebarbative commitment to consent Kathleen Liddell 79

6 The normative status of the requirement to gain an informed consent in clinical trials: comprehension, obligations, and empirical evidence Angus Dawson 99

7 Is there an obligation to participate in medical research? Stephen John 115

8 Consenting older adults: research as a virtuous relationship Julian C. Hughes Erica Haimes Lorraine Summerville Karen Davies Joanna Collerton Thomas B.L. Kirkwood 133

9 Towards supported decision-making in biomedical research with cognitively vulnerable adults Philip Bielby 151

10 Is consent sufficient? A case study of qualitative research with men with intellectual disabilities Margaret Ponder Helen Statham Nina Hallowell Martin Richards 171

11 Consent to genetic testing: a family affair? Nina Hallowell 185

12 Cultural authority of informed consent: indigenous participation in biobanking and salmon genomics focus groups Michael Burgess James Tansey 199

Consent and beyond: some conclusions Kathleen Liddell Martin Richards 213

Index 229

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