Presuming patient autonomy in the face of therapeutic misconception.
Therapeutic misconception involves the failure of subjects either to understand or to incorporate into their own expectations the distinctions in nature and purpose of personally responsive therapeutic care, and the generic relationship between subject and investigator which is constrained by resear...
| Publicado en: | Bioethics Vol. 31; no. 9; pp. 711 - 716 |
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| Formato: | Artículo |
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Wiley-Blackwell
Nov2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=125743625&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 125743625 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02699702 6PJ jtl: Bioethics issn: 02699702 maglogo: Y pubinfo: dt: Nov2017 vid: 31 iid: 9 pid: 480 pub: Wiley-Blackwell artinfo: ui: 125743625 10.1111/bioe.12384 ppf: 711 ppct: 5 formats: tig: atl: Presuming patient autonomy in the face of therapeutic misconception. aug: au: McConville, Pat su: Attitude (Psychology) Informed consent (Medical law) Research ethics Therapeutics Human research subjects Psychology of human research subjects Participant-researcher relationships Patient autonomy sug: subj: Attitude (Psychology) Informed consent (Medical law) Research ethics Therapeutics Human research subjects Psychology of human research subjects Participant-researcher relationships Patient autonomy keyword: autonomy bioethics informed consent research ethics therapeutic misconception autonomy bioethics informed consent research ethics therapeutic misconception ab: Therapeutic misconception involves the failure of subjects either to understand or to incorporate into their own expectations the distinctions in nature and purpose of personally responsive therapeutic care, and the generic relationship between subject and investigator which is constrained by research protocols. Researchers cannot disregard this phenomenon if they are to ensure that subjects engage in research on the basis of genuine informed consent. However, our presumption of patient autonomy must be sustained unless we have compelling evidence of serious misunderstanding. This article argues that the mere expression of aspects of therapeutic misconception should not necessarily displace the presumption of subject autonomy or undermine ethical inclusion in research for at least three reasons. First, some interpretations of the empirical data do not suggest misunderstanding. Second, assessment of misestimation and optimism are delicate and value-laden, and turn quickly from questions of autonomy to questions of judgment. Third, incomplete understanding may yet be sufficient to allow a subject to engage in a substantially autonomous decision-making process. Our point is not to dismiss the possibility of genuine therapeutic misconception, but to question its frequency and fatality to the consent process. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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