Individual autonomy and the double-blind controlled experiment: the case of desperate volunteers
| Autor: | Bruce N. Waller, Gabriel Palmer-Fernandez, Larry Udell, Brendan P. Minogue |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Freedom
Psychotherapist Research Subjects media_common.quotation_subject Vulnerability Morals law.invention Double blind Randomized controlled trial Double-Blind Method law Informed consent Humans In patient Quality (business) Ethics Medical Sociology Controlled experiment media_common Randomized Controlled Trials as Topic Terminal Care Informed Consent Patient Selection General Medicine Control Groups Therapeutic Human Experimentation humanities Philosophy Issues ethics and legal aspects Human Experimentation Research Design Personal Autonomy Controlled Clinical Trials as Topic Patient Participation Goals Autonomy |
| Zdroj: | The Journal of medicine and philosophy. 20(1) |
| ISSN: | 0360-5310 |
| Popis: | This essay explores some concerns about the quality of informed consent in patients whose autonomy is diminished by fatal illness. It argues that patients with diminished autonomy cannot give free and voluntary consent, and that recruitment of such patients as subjects in human experimentation exploits their vulnerability in a morally objectionable way. Two options are given to overcome this objection: (i) recruit only those patients who desire to contribute to medical knowledge, rather than gain access to experimental treatment, or (ii) provide prospective subjects the choice to participate in standard double-blind study or receive the experimental treatment. Either option would guarantee that patients in desperate conditions are given a more meaningful choice and a richer freedom, and thus a higher quality of informed consent, than under standard randomized trials. |
| Databáze: | OpenAIRE |
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