David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Theoretical Medicine and Bioethics 24 (2):131-148 (2003)
Since children are considered incapable ofgiving informed consent to participate inresearch, regulations require that bothparental permission and the assent of thepotential child subject be obtained. Assent andpermission are uniquely bound together, eachserving a different purpose. Parentalpermission protects the child from assumingunreasonable risks. Assent demonstrates respectfor the child and his developing autonomy. Inorder to give meaningful assent, the child mustunderstand that procedures will be performed,voluntarily choose to undergo the procedures,and communicate this choice. Understanding theelements of informed consent has been theparadigm for assessing capacity to give assent.This method leaves the youngest, leastcognitively mature children vulnerable towaiver of assent and forced researchparticipation. Voluntariness can also becompromised by the influence of authorityfigures who can exert undue influence andcoerce children to participate in research. This paper discusses factors that may influencethe decision to give assent/permission,potential parent-child conflict in theassent/permission process and how it isresolved, and potential parental undueinfluence on research participation. Theseissues are illustrated with quotations drawnfrom a larger qualitative study of parentalpermission and child assent (data notpresented). We suggest a developmentalapproach, viewing assent as a continuum rangingfrom mere affirmation in the youngest childrento the equivalent of the informed consentprocess in the mature adolescent.
|Keywords||assent child ethics human experimentation informed consent parents pediatrics permission research|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Benedetto Vitiello (2008). Effectively Obtaining Informed Consent for Child and Adolescent Participation in Mental Health Research. Ethics and Behavior 18 (2 & 3):182 – 198.
Rosalind Ekman Ladd (2004). The Child as Living Donor: Parental Consent and Child Assent. Cambridge Quarterly of Healthcare Ethics 13 (02):143-148.
David Wendler & Seema Shah (2003). Should Children Decide Whether They Are Enrolled in Nonbeneficial Research? American Journal of Bioethics 3 (4):1 – 7.
Victoria A. Miller, William W. Reynolds & Robert M. Nelson (2008). Parent-Child Roles in Decision Making About Medical Research. Ethics and Behavior 18 (2 & 3):161 – 181.
Michael C. Roberts & Lisa M. Buckloh (1995). Five Points and a Lament About Range and Cotton's "Reports of Assent and Permission in Research with Children: Illustrations and Suggestions". Ethics and Behavior 5 (4):333 – 344.
Lillian M. Range & C. Randy Cotton (1995). Assent and Permission Rejoinder. Ethics and Behavior 5 (4):345 – 347.
Jessica Masty & Celia Fisher (2008). A Goodness-of-Fit Approach to Informed Consent for Pediatric Intervention Research. Ethics and Behavior 18 (2 & 3):139 – 160.
Cheryl M. Sterling & Gary A. Walco (2003). Protection of Children's Rights to Self-Determination in Research. Ethics and Behavior 13 (3):237 – 247.
Patrick C. Friman (1995). Take Away Their Hammer: Logical and Ethical Problems in Range and Cotton's "Reports of Assent and Permission in Research with Children: Illustrations and Suggestions". Ethics and Behavior 5 (4):349 – 353.
Lillian M. Range & C. Randy Cotton (1995). Reports of Assent and Permission in Research with Children: Illustrations and Suggestions. Ethics and Behavior 5 (1):49 – 66.
Added to index2009-01-28
Total downloads11 ( #134,768 of 1,098,410 )
Recent downloads (6 months)5 ( #57,103 of 1,098,410 )
How can I increase my downloads?