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Pavadinimas: INFORMED CONSENT : LEGAL THEORY AND CLINICAL PRACTICE
Autoriai: PAUL S. APPELBAUM, CHARLES W. LIDZ, ALAN MEISEL
Metai: 1987
ISBN: 019503841X
Leidykla: New York ; Oxford : Oxford Univ. Press
Brūkšninis kodas: 4202181
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Anotacija:

     "The authors illuminate the values underlying "informed consent" and show how these values might realistically and helpfully be realized in the clinical settings of medical practice. With commendably practical wisdom, this book charts a path that should be followed by pfysicians, lawyers, and judges." - Robert A. Burt, J.D., Southmayd professor of law, Yale University.


Part I An introduction to informed consent
Chapter 1 Informed consent: framing the questions 3
1.1 The clinicalsettings 4
1.2 Terminology 12
Chapter 2 Underlying ethical principles 17
2.1 Theories of ethics 18
2.2 The principle of autonomy 21
2.3 Deontological and consequentialist justifications of informed consent 26
2.4 The value of autonomy versus the value of health 28
Part II The legal theory of informed consent
Chapter 3 The legal requirements for disclosure and consent: history and current status 35
3.1 The historical context 35
3.2 Standards of disclosure 41
3.3 Elements of disclosure: further guidance for physicians 49
3.4 The requirement of consent 57
Chapter 4 Exceptions to the legal requirements: emergency, waiver, and the therapeutic privilege 66
4.1 The emergency exception 67
4.2 Waiver 69
4.3 Therapeutic privilege 72
Chapter 5 Exceptions to the legal requirements: Incompetency 81
5.1 General versus specific incompetency 82
5.2 Standards for determining incompetency 83
5.3 Who makes the determination? 90
5.4 Procedural issues 93
Chapter 6 Rules governing patients` redress in the Courts 112
6.1 Theory of recovery 113
6.2 Causation 119
6.3 Procedural aspects of litigation 123
Chapter 7 Critical approaches to the law of informed consent 130
7.1 The autonomy-oriented critique 131
7.2 The health-oriented critique 136
7.3 The interactionist critique 141
7.4 A synthetic approach 143
Part III The clinical setting
Chapter 8 Informed consent in practice 151
8.1 Two models 151
8.2 The stages of treatment in the process model 158
Chapter 9 Consent forms 175
9.1 The legal status of consent forms 176
9.2 An adjunctive approach to the use of consent forms 180
9.3 Practical issues 182
Chapter10 Patients who refuse treatment 190
10.1 Legal attitudes toward refusal of treatment 191
10.2 The dilemma of refusal of treatment in the clinical setting 194
10.3 Informed consent and refusal of treatment 202
Part IV Consent to research
Chapter 11 The law 211
11.1 The independent evolution of informed consent to research 211
11.2 Current regulation 219
11.3 Special populations 228
Chapter 12 Fulfilling the underlying purpose of informed consent 237
12.1 Subject and researcher – a divergence of interests 237
12.2 Problems 242
12.3 A reasonable approach: dispelling the therapeutic misconception 249
Part V Advancing informed consent
Chapter 13 An agenda for the future 263
Index 271


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