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Few issues affecting the therapeutic professions are as much discussed and as little understood as informed consent. This book, written from the combined perspectives of a physician, a lawyer, and a social scientist, is the first reference work to provide a concise overview of informed consent with particular emphasis on the practical issues facing professionals. After introducing the ethical theories behind this principle, the authors describe the history and current status of the law, detailing all legal requirements for practitioners. They consider the problems faced when these theories and laws are applied in a clinical setting, offering suggestions for simplifying the interaction between doctor and patient and for making it clinically meaningful. The stress throughout is on ways to improve practitioners' performance in meeting these ethical and legal mandates. The book will be valuable for all professionals working in areas where issues of informed consent are likely to arise, including medicine, mental health care, social work, dentistry and law.

Tabla de contenidos provista por Syndetics

• 1 Informed Consent: Framing the Questions
• 2 The Concept and Ethical Justification of Informed Consent
• 3 The Legal Requirements for Disclosure and Consent: History and Current Status
• 4 Exceptions to the Legal Requirements: Emergency, Waiver, Therapeutic Privilege and Compulsory Treatment
• 5 Exceptions to the Legal Requirements: Incompetence
• 6 Legal Rules for Recovery
• 7 Critical Approaches to the Law of Informed Consent
• 8 The Role of Informed Consent in Medical Decision-making
• 9 Consent Forms: Documentation and Guidance
• 10 Managed Care and Informed Consent
• 11 Patients Who Refuse Treatment
• 12 The Independent Evolution of Informed Consent to Research
• 13 Fulfilling the Underlying Purpose of Informed Consent to Research
• 14 The Limits of Informed Consent
• 15 An Agenda for the Future

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CHOICE Review

This comprehensive work on informed consent considers philosophic and societal concerns, evolving legal theories, the clinical setting, consent to research, and a possible future agenda. The legal and medical communities are equally confused over consent. Medical concerns are based on direct, frequent involvement with the issue; the legal view is more removed and abstract. This unsatisfactory tension is compounded by a relative lack of solid data on actual risks of many medical treatments and the inherent problem of communication between professionals and laity. The authors focus on the issue of communication. They make a reasonable case for further improvement in the manner and content of all physician-patient exchange, including the formal ritual of consent papers. Further research is needed on the process, and this need partially voids the authors' future agenda. The final section on research consent is basically a statement on the tokenism of many institutional review boards and a failing of the general regulatory system. The book is a positive but not final statement. Health care workers currently are looking over their shoulders, seeking a useful definition of informed consent. They see, rather, uncertain legal guidelines and a poorly informed public. The book is an important step toward eventual clarification. Well written and heavily referenced, this work is recommended for upper-division and graduate-student use.-D.R. Shanklin, University of Chicago

Notas de autor provistas por Syndetics

Paul S.AppelbaumA.F. Zeleznik Professor of PsychiatryUniversity of Massachusetts School of Medicine.