Beyond consent in research. Revisiting vulnerability in deep brain stimulation for psychiatric disorders.

نویسندگان

  • Emily Bell
  • Eric Racine
  • Paula Chiasson
  • Maya Dufourcq-Brana
  • Laura B Dunn
  • Joseph J Fins
  • Paul J Ford
  • Walter Glannon
  • Nir Lipsman
  • Mary Ellen Macdonald
  • Debra J H Mathews
  • Mary Pat McAndrews
چکیده

Vulnerability is an important criterion to assess the ethical justification of the inclusion of participants in research trials. Currently, vulnerability is often understood as an attribute inherent to a participant by nature of a diagnosed condition. Accordingly, a common ethical concern relates to the participant's decisionmaking capacity and ability to provide free and informed consent. We propose an expanded view of vulnerability that moves beyond a focus on consent and the intrinsic attributes of participants. We offer specific suggestions for how relational aspects and the dynamic features of vulnerability could be more fully captured in current discussions and research practices.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

O10: Deep Brain Stimulation and Psychiatry

The use of deep brain stimulation in psychiatric disorders has received great interest owing to the small risk of the operation, the reversible nature of the technique, and the possibility of optimizing treatment postoperatively. Currently deep brain stimulation in psychiatry is investigated for obsessive-compulsive disorder, Gilles de la Tourette’s syndrome and major depression. This presentat...

متن کامل

Treatment of Neurological and Psychiatric Disorders with Deep Brain Stimulation Raising Hopes and Future Challenges

The technology of Neural Stimulation in recent years has become the focus of the research and treatment, although it has been around for many years. The potential use of stimulating the brain and nerves ranges from the spinal cord stimulation to the implantations of cochlear and bionic eyes with a large discrepancy between the clinical readiness for these various uses. Electrical high-frequency...

متن کامل

Informed Consent in Deep Brain Stimulation – Ethical Considerations in a Stress Field of Pride and Prejudice

other nations already had prohibited this technique. While in the aftermath of the approval of chlorpromazine as first medicament for the treatment of psychiatric diseases in 1954 psychopharmacological therapy progressively began to revolutionize the psychiatric world, surgical methods for the treatment of psychiatric diseases involving gross damage of brain tissue were abandoned. However, enco...

متن کامل

Aqueous extract of saffron administration along with amygdala deep brain stimulation promoted alleviation of symptoms in post-traumatic stress disorder (PTSD) in rats

Objective: Post-traumatic stress disorder (PTSD) as one of the most devastating kinds of anxiety disorders, is the consequence of a traumatic event. Crocus sativus L., commonly known as saffron have been traditionally used for treatment of stress and anxiety. In this study, we evaluated the effects of peripheral administration of saffron, along with deep brain stimulation (DBS) in a post-trauma...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees

دوره 23 3  شماره 

صفحات  -

تاریخ انتشار 2014