PHLB09H3 Lecture Notes - Lecture 7: Shared Decision-Making In Medicine, Anarchism In Russia, Informed Consent
Document Summary
The concept of informed consent , faden and beauchamp. Two opposed concepts: autonomous authorization; concerns individuals, following rules that form institutional practices; concerns groups. Unlike (1), for (2) neither autonomy nor authorization is necessary. Assume responsibility for action a; transfer to another one"s authority to perform a. Autonomous action can satisfy 1-3 without satisfying 4. Authorization is just one kind of autonomous act. One can autonomously authorize treatment without effectively authorizing it. Only ic applies in biomedical research (2) informed consent as effective consent. Ic can be used to remove and sdm. Authorization isn"t autonomous, but legally or institutionally effective (192) Nb: disclosure isn"t required for (1), only authorization. Major consequences: (1) cant fail to be (2): violating rules (2) can fail to be (1): rule-following needn"t be authorized. Disclosure lawn don"t extend to this (1) is morally axiomatic for ic (1) lets patients grant/refuse authorization (2) should maximize likelihood that (1) is satisfied.
