David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
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Bioethics 26 (8):422-430 (2012)
This paper considers the often-expressed fear that medical research may use children merely as means, and not respect them as ends in themselves – especially insofar as they are deemed less able to consent than adults. The main focus is on large-scale genetic, socio-medical and epidemiological research. The theoretical starting point of the paper is that to be treated as an end in oneself is to be regarded as – and to act as – a participant in cooperative endeavours. This participatory status is certainly connected with individual authority to consent and dissent; and there is no doubt that consent plays an important role when adults participate in many research projects. However, insofar as consent is located within structures of human cooperation, the authority to consent is not a straightforward privilege. Rather, consent is bound up with responsibility for one's choices and commitment to shared terms of cooperation. Given this understanding, it is argued that consent should not be our principal concern when we involve children in research. This is not because of children's (possible) incompetence to consent as such, but rather because children are still learning how to respect and assess the cooperative terms involved in our institutional lives. Instead, our leading concern should be with the terms regulating their involvement in research. Given suitable safeguards, research is one way in which children may learn what it is to bear responsibilities and to act as an end in oneself – that is, to cooperate with others on reasonable terms and for worthy ends
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Citations of this work BETA
Merle Spriggs (2015). Should We Tell Children and Young People About the Positive Experience of Taking Part in Clinical Trials? American Journal of Bioethics 15 (11):35-36.
Linus Broström & Mats Johansson (2014). Involving Children in Non-Therapeutic Research: On the Development Argument. [REVIEW] Medicine, Health Care and Philosophy 17 (1):53-60.
Mairi Levitt (2011). Relating to Participants: How Close Do Biobanks and Donors Really Want to Be? [REVIEW] Health Care Analysis 19 (3):220-230.
Carlo Petrini (2014). On the Minimal Risk Threshold in Research With Children: “Substantive Goods” and Other Criteria. American Journal of Bioethics 14 (9):23-24.
Eva De Clercq, Domnita Oana Badarau, Katharina M. Ruhe & Tenzin Wangmo (2015). Body Matters: Rethinking the Ethical Acceptability of Non-Beneficial Clinical Research with Children. Medicine, Health Care and Philosophy 18 (3):421-431.
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