The Limits of Consent: A Socio-ethical Approach to Human Subject Research in Medicine
Oonagh Corrigan, John McMillan, Kathleen Liddell, Martin Richards, Charles Weijer
OUP Oxford, Jan 29, 2009 - Language Arts & Disciplines - 234 pages
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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1 Informed consent in medical research a procedure stretched beyond breaking point?
2 Trust and exploitation in clinical research
3 Consent and private liability in clinical research
a blind spot in the literature on decisionmaking for research participation
5 Beyond a rebarbative commitment to consent
comprehension obligations and empirical evidence
7 Is there an obligation to participate in medical research?
research as a virtuous relationship
9 Towards supported decisionmaking in biomedical research with cognitively vulnerable adults
10 Is consent sufficient? A case study of qualitative research with men with intellectual disabilities
a family affair?
indigenous participation in biobanking and salmon genomics focus groups
Other editions - View all
Appelbaum argued argument autonomy Beauchamp Belmont Report benefit Beyleveld and Brownsword biobanks Bioethics Cambridge cancer capacity Chapter claim clinical research clinical trials cognitively vulnerable concerns consent process consent to research context contract Corrigan decision decisional competence Declaration of Helsinki disability discussion duty duty of care family members fiduciary law focus groups free-riding genetic testing GOLD study Human Subjects Human Tissue Human Tissue Authority ibid important indigenous individual’s individuals informed consent interests interview liability Medical Ethics medical research Medicine moral mutation Nuremberg Code O’Neill obligation to participate one’s participate in research patient-subjects person perspectives physician-researchers potential participant practice principle protect randomized randomized controlled trial reasonable relation relevant require research ethics committees research involving research participants research subjects response risk salmon genomics seeking consent social suggest supported decision-making therapeutic misconception tion treatment trial participation trust relationships Tuskegee Syphilis Study UK Biobank understanding valid consent Weijer