Argumentation and informed consent in the doctor–patient relationship

2014 ◽  
pp. 5-18
Author(s):  
Jerome Bickenbach
Keyword(s):  
Informed Consent ◽  
Patient Relationship ◽  
Doctor Patient Relationship

Argumentation and informed consent in the doctor–patient relationship

2012 ◽  
Vol 1 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Jerome Bickenbach
Keyword(s):  
Health Care ◽  
Informed Consent ◽  
Patient Autonomy ◽  
Argumentation Theory ◽  
Necessary Condition ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Consent To Treatment

Argumentation theory has much to offer our understanding of the doctor-patient relationship as it plays out in the context of seeking and obtaining consent to treatment. In order to harness the power of argumentation theory in this regard, I argue, it is necessary to take into account insights from the legal and bioethical dimensions of informed consent, and in particular to account for features of the interaction that make it psychologically complex: that there is a fundamental asymmetry of authority, power and expertise between doctor and patient; that, given the potential for coercion, it is a challenge to preserve the interactive balance presumed by the requirement of informed consent; and finally that the necessary condition that patients be ‘competent to consent’ may undermine the requirement of respecting patient autonomy. I argue argumentation theory has the resources to deal with these challenges and expand our knowledge, and appreciation, of the informed consent interaction in health care.

Informed Consent: Issues Involved for Developing Countries

1986 ◽  
Vol 26 (4) ◽  
pp. 305-307 ◽  
Author(s):  
Adityanjee
Keyword(s):  
Developing Countries ◽  
Informed Consent ◽  
Biomedical Research ◽  
Collaborative Research ◽  
Ethical Problem ◽  
Developed Countries ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Experimental Project

The issue of informed consent in biomedical research has attained paramout importance these days as multicentred collaborative research involves recruitment of subjects who are semi-literate and unaware of their own rights. Impressionistic judgments have been passed regarding the capability of such subjects to grasp the issues involved in the concept of informed consent. Procedures less rigorous than those used in developed countries have been advocated under such conditions. This paper examines the various facets of this ethical problem and cautions against any dilution in the time-honoured practices of giving an individual his/her right to total autonomy and the consequent right to withdraw at any stage from any experimental project without assigning any reasons. The author also cautions against the tendency on behalf of clinician-investigators to exploit the doctor-patient relationship so as to fulfil their own professional ambitions, neglecting in the process the legal and ethical rights of patients.

scholarly journals Problemas en la relación médico-enfermo y ética de las virtudes como propuesta de solución

2014 ◽  
Vol 63 (1) ◽  
Author(s):  
Jaime Vilarroig Martín
Keyword(s):  
Informed Consent ◽  
World Health ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Cardinal Virtues ◽  
Theological Virtues ◽  
The World ◽  
Right To Information ◽  
The Right ◽  
Kant's Ethics

L’articolo si compone di due parti. La prima si occupa di alcune importanti questioni concernenti la relazione medico-paziente, quali il diritto all’informazione, il consenso informato, le direttive anticipate, il diritto alla riservatezza, l’obiezione di coscienza e così via. Tutti questi argomenti vengono discussi alla luce della relazione medico-paziente e viene mostrato come siano tutti accomunati da mancanza di fiducia. La seconda parte mette in evidenza come recuperare questa fiducia attraverso l’etica della virtù (in contrapposizione all’etica dei doveri di Kant o l’utilitarismo etico di Stuart Mill). A titolo esemplificativo, viene proposta la soluzione dei problemi delineati nella prima parte, mostrando alcune particolari virtù mediche. Come esempio, viene proposta la soluzione dei problemi delineati nella prima parte, mostrando alcune particolari virtù mediche. Viene poi proposto un adattamento delle virtù cardinali della Organizzazione della Sanità (prudenza, giustizia, fortezza, temperanza) e si discutono le virtù cardinali del medico proposte da Beauchamp e Childress (compassione, intuizione, affidabilità e integrità) con una proposta di approfondimento. Infine, si tenta una lettura antropologica delle virtù teologiche (fede, speranza e carità) applicate al mondo medico. ---------- This article has two parts. The first deals with some important issues about the doctor-patient relationship, such as the right to information, informed consent, advance directives, the right to confidentiality, conscientious objection, and so on. It shows how they all appear in the doctor-patient relationship, and how they all indicate a lack of confidence as a common origin. The second part deals with how to recover this lost confidence through ethics of virtue (versus Kant’s ethics of duties, or Stuart Mill’s utilitarian ethics). As an example, we propose the solution of the problems outlined in the first part, showing some particular medical virtues. We propose an adaptation of the World Health cardinal virtues (prudence, justice, fortitude, temperance), and we discuss the physician’s cardinal virtues proposed by Beauchamp and Childress (compassion, insight, trustworthiness and integrity) adding a proposal to investigate in this way. Finally, it attempts an anthropological reading of the theological virtues (faith, hope and charity) applied to the medical world.

scholarly journals O Consentimento Informado e sua Dinâmica na Relação Médico-Paciente: Natureza Jurídica, Estrutura e Crise

2014 ◽  
Vol 9 (2) ◽  
Author(s):  
Silvio Romero Beltrão
Keyword(s):  
Informed Consent ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Legal Structure ◽  
Starting Point ◽  
Patient’S Autonomy ◽  
Legal Nature ◽  
Patient Will ◽  
The Will ◽  
Correct Application

O CONSENTIMENTO INFORMADO E SUA DINÂMICA NA RELAÇÃO MÉDICO-PACIENTE: NATUREZA JURÍDICA, ESTRUTURA E CRISE THE INFORMED CONSENT AND ITS DYNAMICS IN THE DOCTOR-PATIENT RELATIONSHIP: LEGAL NATURE, STRUCTURE AND CRISIS   RESUMO: O presente trabalho tem o caráter interdisciplinar e pretende analisar a dinâmica do consentimento informado, além de sua estrutura jurídica formal, apresentando inicialmente a existência de conflitos entre a autonomia do paciente e o dever do médico, diante da existência de uma crise que dificulta a aplicação precisa do consentimento informado na prática. O presente estudo foi concebido diante da doutrina portuguesa e brasileira, tendo como ponto de partida a análise da natureza jurídica da relação médico-paciente, para em seguida verificar a valoração da autonomia da vontade do paciente como estrutura nuclear da relação jurídica médico-paciente. Define o consentimento informado e sua estrutura e demonstra que o mesmo se encontra em crise. Expõe os requisitos do consentimento informado e aponta ao fim a necessidade do estudo dos diversos fatores que influenciam a correta aplicação do consentimento informado. PALAVRAS-CHAVE: Consentimento Informado; Médico-paciente; Vontade; Estudos comparativos Brasil-Portugal. ABSTRACT: This paper has an interdisciplinary character and intends to analyze the dynamics of informed consent, beyond its formal legal structure, initially presenting the existence of conflicts between the patient autonomy and the duty of the doctor, in face of the existence of a crisis that hampers the precise application of the informed consent in practice. The present study was designed based on Portuguese and Brazilian doctrine, having as its starting point the analysis of the legal nature of the doctor-patient relationship, in order to then verify the valuation of the patient’s autonomy of the will as core structure of the doctor-patient legal relationship. It is defined the informed consent and its structure and it is demonstrated that such institute is in crisis. It is outlined the requirements of informed consent and points to, finally, for the need to study the various factors that influence the correct application of informed consent. KEYWORDS: Informed Consent; Doctor-Patient; Will; Brazil-Portugal Comparative Studies. 

The internet—A useful communication tool but no replacement for the doctor-patient relationship

2001 ◽  
Vol 120 (5) ◽  
pp. A735-A735
Author(s):  
C STREETS ◽  
J PETERS ◽  
D BRUCE ◽  
P TSAI ◽  
N BALAJI ◽  
...  
Keyword(s):  
The Internet ◽  
Patient Relationship ◽  
Communication Tool ◽  
Doctor Patient Relationship
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