Journal of Medical Ethics 45 (5):299-303 (2019)

Tommaso Bruni
King's College London
Charles Weijer
University of Western Ontario
Mackenzie Graham
Oxford University
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Functional MRI shows promise as a candidate prognostication method in acutely comatose patients following severe brain injury. However, further research is needed before this technique becomes appropriate for clinical practice. Drawing on a clinical case, we investigate the process of obtaining informed consent for this kind of research and identify four ethical issues. After describing each issue, we propose potential solutions which would make a patient’s participation in research compatible with her rights and interests. First, we defend the need for traditional proxy consent against two alternative approaches. Second, we examine the impact of the intensive care unit environment on the informed consent process. Third, we discuss the therapeutic misconception and its potential influence on informed consent. Finally, we deal with issues of timing in recruiting participants and related factors which may affect the risks of participation.
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DOI 10.1136/medethics-2018-104867
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References found in this work BETA

The Ubiquity and Utility of the Therapeutic Misconception.Rebecca Dresser - 2002 - Social Philosophy and Policy 19 (2):271-294.

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The Concise Argument: The Importance of Consent and Choice.John McMillan - 2019 - Journal of Medical Ethics 45 (5):285-286.

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