Abstract
The doctrine of informed consent for treatment and research is by now firmly embedded in health law and medical ethics. Federal regulations govern all research conducted on human subjects and supported by federal funds (Code of Federal Regulations, 1981); many states have passed legislation that mandates informed consent for treatment (Meisel and Kabnick, 1980); and the common law contains an increasing number of cases dealing both with informed consent for therapy and for research. Although it is interesting to learn the philosophical bases for the doctrine of informed consent (Veatch, 1978; Donagan, 1977) and to trace its history in law in the United States (Simpson, 1981; Trichter and Lewis, 1981), this chapter will be devoted primarily to the concept of informed consent as a moral requirement in the biomedical domain.
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References
Annas, G.J. (1981). Help from the dead:The cases of Brother Fox and John Storar. Hastings Center Rep. 11, 19–20.
Annas, G.J. (1980). Quinlan, Saikewicz, and now Brother Fox. Hastings Center Rep. 10, 20–21.
Appelbaum, P.S., and Gutheil, T.G. (1980a). Druge refusal:A study of psychiatric inpatients. Am. J. Psychiat. 137, 340–346.
Appelbaum, P.S., and Gutheil, T.G. (1980b). Rotting with their rights on: Constitutional theory and clinical reality in drug refusal by psychiatric patients. Bull. A.A.P.L. 7, 306–315.
Appelbaum, P.S., and Gutheil, T.G. (1980c). The Boston state hospital case: “Involuntary mind control,” the constitution and the “right to rot.” Am. J. Psychiat. 137, 720–723.
Appelbaum, P.S., and Roth, L.B. (1982). Competency to consent to research:A psychiatric overview. Arch. Gen. Psychiat. 39, 951–958.
Bentham, J. (1789). An introduction to the Principles of Morals and Legislation. London.
Capron, A.M. (1982). The authority of others to decide about biomedical interventions with incompetents. In: Who Speaks for the Child: The Problems of Proxy Consent (Gaylin, W., and Macklin, R., eds.), pp. 115–152. Plenum, New York.
Code of Federal Regulations (1981). 45 CFR 46 Protection of human subjects. OPRR Reports (revised as of January 26, 1981).
Cross, A.W., and Churchill, L.R. (1982). Ethical and cultural dimensions of informed consent. Ann. Intern. Med. 96, 110–113.
Donagan, A. (1977). Informed consent in therapy and experimentation. J. Med. Philosophy 2, 310–327.
Dworkin, G. (1982). Consent, representation and proxy consent. In: Who Speaks for the Child, pp. 191–208.
Dworkin, G. (1976). Autonomy and behavior control. Hastings Center Rep. 6, 23–28.
Dworkin, G. (1972). Paternalism. Monist 56, 64–84.
Freedman, B. (1981). Competence, marginal and otherwise. Int. J. Law Psychiat. 4, 53–72.
Goldstein, J. (1982). Medical care for the child at risk: On state supervention of parental autonomy. In: Who Speaks for the Child, pp. 153–188.
Kant, I. (1785). Fundamental principles of the metaphysics of morals. Originally published in 1785.
Macklin, R. (1982). Return to the best interests of the child. In: Who Speaks for the Child, pp. 265–301.
Meisel, A., and Roth, L. H. (1981). What we do and do not know about informed consent. JAMA 246, 2473–2477.
Meisel, A., and Kabnick, L. D. (1980). Informed consent to medical treatment: An analysis of recent legislation. Univ. Pitt Law Rev. 41, 407–564.
Mill, J. S. (1863). Utilitarianism. London.
Miller, B. L. (1981). Autonomy and the refusal of lifesaving treatment. Hastings Center Rep. 11, 22–28.
National Commission for the Protection of Human Subjects: The Belmont Report-Ethical Principles and Guidelines for the Protection of Human Subjects of Research. Department of Health, Education, and Welfare, Government Printing Office, (OS)78-0012, Washington, D.C.
Roth, L. B., Meisel, A., and Lidz, C. W. (1977). Tests of competency to consent to treatment. Am. J. Psychiat. 134, 279–284.
Simpson, R. E. (1981). Informed consent: From disclosure to patient participation in medical decision-making. Northwestern Univ. Law Rev. 76, 172–297.
Trichter, J. G., and Lewis, P. W. (1981). Informed consent: The three tests and a modest proposal for the reality of the patient as an individual. South Texas Law J. 21, 155–170.
Veatch, R. M. (1978). Three theories of informed consent: Philosophical foundations and policy implications. In: National Commission for the Protection of Human Subjects: The Belmont Report, Appendix Volume. Department of Health, Education, and Welfare, Government Printing Office, Washington, D.C.
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Macklin, R. (1983). Problems of Informed Consent with the Cognitively Impaired. In: Pfaff, D.W. (eds) Ethical Questions in Brain and Behavior. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5590-1_3
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DOI: https://doi.org/10.1007/978-1-4612-5590-1_3
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