The Value of Non-Domination in Supported Decision-Making for Research Participation for Individuals with Intellectual and Developmental Disabilities.

This paper argues that research ethics for individuals with intellectual and developmental disabilities must attend to the value of non-domination. First, we highlight the role of domination in the history of abusive research practices against individuals with intellectual and developmental disabili...

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Publicado en:Journal of Law, Medicine & Ethics Vol. 54; no. 2; pp. 56 - 67
Autores principales: Howard, Dana, McCarthy, Allison M.
Formato: tables/charts Journal Article
Publicado: Cambridge University Press Summer2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Summer2026
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      pub: Cambridge University Press
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        10.1017/jme.2025.10193
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        atl: The Value of Non-Domination in Supported Decision-Making for Research Participation for Individuals with Intellectual and Developmental Disabilities.
      aug:
        au:
          Howard, Dana
          McCarthy, Allison M.
        affil: Department of Biomedical Education and Anatomy, Center for Bioethics, The Ohio State University Wexner Medical Center, Columbus, United States
      sug:
        subj:
          Decision Making
          Developmental Disabilities Psychosocial Factors
          Persons with Intellectual Disabilities Psychosocial Factors
          Research Ethics
          Research Subjects Psychosocial Factors
          Consent Psychosocial Factors
          Special Populations
          Civil Rights
          Bioethics
          Social Justice
          Autism Spectrum Disorder
          Support, Psychosocial
          Human Rights
          Collaboration
          Interpersonal Relations
          Autonomy
          Health Policy
      ab: This paper argues that research ethics for individuals with intellectual and developmental disabilities must attend to the value of non-domination. First, we highlight the role of domination in the history of abusive research practices against individuals with intellectual and developmental disabilities, practices which directly led to existing protections for this vulnerable population. Second, we argue that existing protections do not adequately safeguard potential participants from domination in decision-making about whether to participate. This is a distinct concern from the well-established criticisms that existing protections may wrongfully exclude potential participants. Finally, we outline and defend an account of supported decision-making grounded in the value of non-domination in order to safeguard potential participants from domination. Our account nonetheless preserves supported decision-making's possibilities for greater inclusion of individuals with intellectual and developmental disabilities in research participation.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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