A Revised Consent Model for the Transplantation of Face and Upper Limbs: Covenant Consent

  • James L.¬†Benedict

Part of the International Library of Ethics, Law, and the New Medicine book series (LIME, volume 73)

Table of contents

  1. Front Matter
    Pages i-ix
  2. James L. Benedict
    Pages 1-7
  3. James L. Benedict
    Pages 9-72
  4. James L. Benedict
    Pages 73-113
  5. James L. Benedict
    Pages 115-148
  6. James L. Benedict
    Pages 149-193
  7. James L. Benedict
    Pages 195-203
  8. Back Matter
    Pages 205-256

About this book


This book supports the emerging field of vascularized composite allotransplantation (VCA) for face and upper-limb transplants by providing a revised, ethically appropriate consent model which takes into account what is actually required of facial and upper extremity transplant recipients. In place of consent as permission-giving, waiver, or autonomous authorization (the standard approaches), this book imagines consent as an ongoing mutual commitment, i.e. as covenant consent. The covenant consent model highlights the need for a durable personal relationship between the patient/subject and the care provider/researcher. Such a relationship is crucial given the recovery period of 5 years or more for VCA recipients. The case for covenant consent is made by first examining the field of vascularized composite allotransplantation, the history and present understandings of consent in health care, and the history and use of the covenant concept from its origins through its applications to health care ethics today. This book explains how standard approaches to consent are inadequate in light of the particular features of facial and upper limb transplantation. In contrast, use of the covenant concept creates a consent model that is more appropriate ethically for these very complex surgeries and long-term recoveries.


medical advancements for healthcare ethics VCA for consent covenant consent vascularized composite allotransplantation upper limb transplantation face transplantation ethics of consent the meaning covenant contemporary religious ethics solid organ transplants the role of consent in health care post-medieval philosophy current understanding of consent informed consent VCA transplantation ethics authorization of donation

Authors and affiliations

  • James L.¬†Benedict
    • 1
  1. 1.Center for Healthcare EthicsDuquesne UniversityPittsburghUSA

Bibliographic information

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