American Journal of Bioethics 17 (6):36-42 (2017)
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Abstract |
Nocebo effects occur when an adverse effect on the patient arises from the patient's own negative expectations. In accordance with informed consent, providers often disclose information that results in unintended adverse outcomes for the patient. While this may adhere to the principle of autonomy, it violates the doctrine of “primum non nocere,” given that side-effect disclosure may cause those side effects. In this article we build off previous work, particularly by Wells and Kaptchuk and by Cohen :3–11.[Taylor & Francis Online], [Web of Science ®] [Google Scholar]), to suggest ethical guidelines that permit nondisclosure in the case when a nocebo effect is likely to occur on of the basis of nonmaleficence. We accept that that autonomy vis-à-vis informed consent must be forestalled, but salvage much of its role by elaborating a practical clinical approach to postencounter follow-up. In doing so, we reconcile a clinically practicable process of determining conditions of disclosure with long-standing ethical commitments to patients.
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DOI | 10.1080/15265161.2017.1314042 |
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References found in this work BETA
To Tell the Truth, the Whole Truth, May Do Patients Harm: The Problem of the Nocebo Effect for Informed Consent.Rebecca Erwin Wells & Ted J. Kaptchuk - 2012 - American Journal of Bioethics 12 (3):22-29.
The Placebo Phenomenon and Medical Ethics: Rethinking the Relationship Between Informed Consent and Risk–Benefit Assessment.Franklin G. Miller & Luana Colloca - 2011 - Theoretical Medicine and Bioethics 32 (4):229-243.
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Citations of this work BETA
Telling the Truth About Pain: Informed Consent and the Role of Expectation in Pain Intensity.Nada Gligorov - 2018 - American Journal of Bioethics Neuroscience 9 (3):173-182.
Beware of Nocebo-Paternalism: Pitfalls of Tailored Nondisclosure.Bettina Schoene-Seifert - 2017 - American Journal of Bioethics 17 (6):56-58.
Placebo Effects and Racial and Ethnic Health Disparities: An Unjust and Underexplored Connection.Phoebe Friesen & Charlotte Blease - 2018 - Journal of Medical Ethics Recent Issues 44 (11):774-781.
Relational Autonomy, Maternalism, and the Nocebo Effect.Laura Specker Sullivan & Fay Niker - 2017 - American Journal of Bioethics 17 (6):52-54.
Preventing Nocebo Effects of Informed Consent Without Paternalism.Shlomo Cohen - 2017 - American Journal of Bioethics 17 (6):44-46.
View all 12 citations / Add more citations
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