Informed consent and the requirement to ensure understanding

Journal of Applied Philosophy

Volumn 29, Issue 1, 2012, Pages 50-62

  Walker, Tom ^a  

^a KEELE UNIVERSITY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84865873268     PISSN: 02643758     EISSN: 14685930     Source Type: Journal    
DOI: 10.1111/j.1468-5930.2011.00550.x     Document Type: Article

References (16)

1. The full text of the code is availablehttp://www.ushmm.org/research/doctors/Nuremberg_Code.htm
2. CIOMS, International Guidelines for Biomedical Research Involving Human Subjects (CIOMS, 2002), pp. 37-9
3. WMA, Declaration of Helsinki, October Article 24.2008
4. F. J. Ingelfinger, 'Informed (but uneducated) consent', New England Journal of Medicine 1 (1972): 39-49
5. Ana Iltis, 'Lay concepts of informed consent to biomedical research: The capacity to understand and appreciate risk', Bioethics 20,4 (2006): 180-190
6. See M. Mangset, R. Førde, J. Nessa, E. Berge and T. BruunWyller, ' "I don't like that, it's tricking people too much.. ": Acute informed consent to participation in a trial of thrombolysis for stroke', Journal of Medical Ethics 34 (2008): 751-756
7. Angus Dawson, 'What should we do about it? Implications of the empirical evidence in relation to comprehension and acceptability of randomisation?' in S. Holm & M. Jonas (eds) Engaging theWorld:The Use of Empirical Research in Bioethics and the Regulation of Biotechnology (Amsterdam: IOS Press, 2004), pp. 41-52
8. Stephen Wilkinson, Bodies for Sale: Ethics and Exploitation in the Human Body Trade (London: Routledge, 2003), p. 77.
9. Neil C. Manson & Onora O'Neill, Rethinking Informed Consent (Cambridge: Cambridge University Press, 2007), p. 89
10. See Neil C. Manson, 'Consent and informed consent' in R. E. Ashcroft, A. Dawson, H. Draper & J.R. McMillan (eds) Principles of Health Care Ethics, 2nd edn. (Chichester: John Wiley and Sons Ltd, 2007), pp. 297-303
11. This example is based on the case of Bang v Charles T Miller Hospital, 251 Minn. 427, 88 N.W. 2d 186 (1958
12. See Onora O'Neill, Autonomy andTrust in Bioethics (Cambridge: Cambridge University Press, 2002), p. 162.
13. I would like to thank a reviewer for this example and for pressing me on this point.
14. A. M. Capron, 'Informed consent in catastrophic disease research and treatment', University of Pennsylvania Law Review, 123 (1974), p. 365
15. Tom L. Beauchamp & James F. Childress, Principles of Biomedical Ethics, 6th edn. (Oxford: Oxford University Press, 2009), pp. 122-4
16. The same types of reason may also generate other requirements-for example, that doctors and researchers provide a chance to raise questions about the information, and that they attempt to correct misunderstandings where these become apparent.