Competence and Vulnerability in Biomedical Research

Competence and Vulnerability in Biomedical Research PDF Author: Philip Bielby
Publisher: Springer Science & Business Media
ISBN: 1402086040
Category : Medical
Languages : en
Pages : 244

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Book Description
Enhanced knowledge of the nature and causes of mental disorder have led increasingly to a need for the recruitment of ‘cognitively vulnerable’ participants in biomedical research. These individuals often fall into the ‘grey area’ between obvious decisional competence and obvious decisional incompetence and, as a result, may not be recognised as having the legal capacity to make such decisions themselves. At the core of the ethical debate surrounding the participation of cognitively vulnerable individuals in research is when, if at all, we should judge them decisionally and legally competent to consent to or refuse research participation on their own behalf and when they should be judged incompetent in this respect. In this book, the author develops a novel justificatory framework for making judgments of decisional competence to consent to biomedical research with reference to five groups of cognitively vulnerable individuals - older children and adolescents, adults with intellectual disabilities, adults with depression, adults with schizophrenia and adults with dementia, including Alzheimer’s disease. Using this framework, the author argues that we can make morally defensible judgments about the competence or incompetence of a potential participant to give contemporaneous consent to research by having regard to whether a judgment of competence would be more harmful to the ‘generic rights’ of the potential participant than a judgment of incompetence. The argument is also used to justify an account of supported decision-making in research, and applied to evaluate the extent to which this approach is evident in existing ethical guidelines and legal provisions. The book will be of interest to bioethicists as well as psychiatrists and academic medical lawyers interested in normative questions raised by the concepts of competence and capacity.

Competence and Vulnerability in Biomedical Research

Competence and Vulnerability in Biomedical Research PDF Author: Philip Bielby
Publisher: Springer Science & Business Media
ISBN: 1402086040
Category : Medical
Languages : en
Pages : 244

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Book Description
Enhanced knowledge of the nature and causes of mental disorder have led increasingly to a need for the recruitment of ‘cognitively vulnerable’ participants in biomedical research. These individuals often fall into the ‘grey area’ between obvious decisional competence and obvious decisional incompetence and, as a result, may not be recognised as having the legal capacity to make such decisions themselves. At the core of the ethical debate surrounding the participation of cognitively vulnerable individuals in research is when, if at all, we should judge them decisionally and legally competent to consent to or refuse research participation on their own behalf and when they should be judged incompetent in this respect. In this book, the author develops a novel justificatory framework for making judgments of decisional competence to consent to biomedical research with reference to five groups of cognitively vulnerable individuals - older children and adolescents, adults with intellectual disabilities, adults with depression, adults with schizophrenia and adults with dementia, including Alzheimer’s disease. Using this framework, the author argues that we can make morally defensible judgments about the competence or incompetence of a potential participant to give contemporaneous consent to research by having regard to whether a judgment of competence would be more harmful to the ‘generic rights’ of the potential participant than a judgment of incompetence. The argument is also used to justify an account of supported decision-making in research, and applied to evaluate the extent to which this approach is evident in existing ethical guidelines and legal provisions. The book will be of interest to bioethicists as well as psychiatrists and academic medical lawyers interested in normative questions raised by the concepts of competence and capacity.

Vulnerability

Vulnerability PDF Author: Henk ten Have
Publisher: Routledge
ISBN: 1317227883
Category : Health & Fitness
Languages : en
Pages : 274

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Book Description
Alongside globalization, the sense of vulnerability among people and populations has increased. We feel vulnerable to disease as new infections spread rapidly across the globe, while disasters and climate change make health increasingly precarious. Moreover, clinical trials of new drugs often exploit vulnerable populations in developing countries that otherwise have no access to healthcare and new genetic technologies make people with disabilities vulnerable to discrimination. Therefore the concept of ‘vulnerability’ has contributed new ideas to the debates about the ethical dimensions of medicine and healthcare. This book explains and elaborates the new concept of vulnerability in today’s bioethics. Firstly, Henk ten Have argues that vulnerability cannot be fully understood within the framework of individual autonomy that dominates mainstream bioethics today: it is often not the individual person who is vulnerable, rather that his or her vulnerability is created through the social and economic conditions in which he or she lives. Contending that the language of vulnerability offers perspectives beyond the traditional autonomy model, this book offers a new approach which will enable bioethics to evolve into a global enterprise. This groundbreaking book critically analyses the concept of vulnerability as a global phenomenon. It will appeal to scholars and students of ethics, bioethics, globalization, healthcare, medical science, medical research, culture, law, and politics.

International Ethical Guidelines for Health-Related Research Involving Humans

International Ethical Guidelines for Health-Related Research Involving Humans PDF Author: Council for International Organizations of Medical Sciences (CIOMS)
Publisher: World Health Organization
ISBN: 9789290360889
Category : Bioethics
Languages : en
Pages : 0

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Book Description
"In the new 2016 version of the ethical guidelines, CIOMS provides answers to a number of pressing issues in research ethics. The Council does so by stressing the need for research having scientific and social value, by providing special guidelines for health-related research in low-resource settings, by detailing the provisions for involving vulnerable groups in research and for describing under what conditions biological samples and health-related data can be used for research."--Page 4 de la couverture.

Vulnerability

Vulnerability PDF Author: Catriona Mackenzie
Publisher: Oxford University Press
ISBN: 019931666X
Category : Social Science
Languages : en
Pages : 331

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Book Description
The aim of this volume is to open up reflection on the nature of vulnerability, the responsibilities owed to the vulnerable, who bears these responsibilities, and how they are best fulfilled. In canvassing responses to these questions, the contributors engage with a range of ethical traditions and with issues in contemporary political philosophy and bioethics. Some essays in the volume explore the connections between vulnerability, autonomy, dignity, and justice. Other essays engage with a feminist ethics of care to articulate the relationship between vulnerability, dependence, and care. These theoretical approaches are complemented by detailed examination of vulnerability in specific contexts, including disability; responsibilities to children; intergenerational justice; and care of the elderly. The essays thus address fundamental questions concerning our moral duties to each other as individuals and as citizens. Contributing significantly to the development of an ethics of vulnerability, this volume opens up promising avenues for future research in feminist philosophy, moral and political philosophy, and bioethics.

The Belmont Report

The Belmont Report PDF Author: United States. National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research
Publisher:
ISBN:
Category : Ethics, Medical
Languages : en
Pages : 614

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Book Description


Structural Competency in Mental Health and Medicine

Structural Competency in Mental Health and Medicine PDF Author: Helena Hansen
Publisher: Springer
ISBN: 3030105253
Category : Medical
Languages : en
Pages : 240

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Book Description
This book documents the ways that clinical practitioners and trainees have used the “structural competency” framework to reduce inequalities in health. The essays describe on-the-ground ways that clinicians, educators, and activists craft structural interventions to enhance health outcomes, student learning, and community organizing around issues of social justice in health and healthcare. Each chapter of the book begins with a case study that illuminates a competency in reorienting clinical and public health practice toward community, institutional and policy level intervention based on alliances with social agencies, community organizations and policy makers. Written by authors who are trained in both clinical and social sciences, the chapters cover pedagogy in classrooms and clinics, community collaboration, innovative health promotion approaches in non-health sectors and in public policies, offering a view of effective care as structural intervention and a road map toward its implementation. Structural Competency in Mental Health and Medicine is a cutting-edge resource for psychiatrists, primary care physicians, addiction medicine specialists, emergency medicine specialists, nurses, social workers, public health practitioners, and other clinicians working toward equality in health.

Ethics and Neuromarketing

Ethics and Neuromarketing PDF Author: Andrew R. Thomas
Publisher: Springer
ISBN: 3319456091
Category : Business & Economics
Languages : en
Pages : 219

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Book Description
This book addresses the emerging field of neuromarketing, which, at its core, aims to better understand the impact of marketing stimuli by observing and interpreting human emotions. It includes contributions from leading researchers and practitioners, venturing beyond the tactics and strategies of neuromarketing to consider the ethical implications of applying powerful tools for data collection. The rationale behind neuromarketing is that human decision-making is not primarily a conscious process. Instead, there is increasing evidence that the willingness to buy products and services is an emotional process where the brain uses short cuts to accelerate the decision-making process. At the intersection of economics, neuroscience, consumer behavior, and cognitive psychology, neuromarketing focuses on which emotions are relevant in human decision-making, and uses this knowledge to make marketing more effective. The knowledge is applied in product design; enhancing promotions and advertising, pricing, professional services, and store design; and improving the consumer experience as a whole. The foundation for all of this activity is data gathering and analysis. Like many new processes and innovations, much of neuromarketing is operating far ahead of current governmental compliance and regulation and thus current practices are raising ethical issues. For example, facial recognition software, used to monitor and detect a wide range of micro-expressions, has been tested at several airports—under the guise of security and counterterrorism. To what extent is it acceptable to screen the entire population using these powerful and intrusive techniques without getting passengers’ consent? Citing numerous examples from the public and private sectors, the editors and contributing authors argue that while the United States has catalyzed technological advancements, European companies and governments are more progressive when it comes to defining ethical parameters and developing policies. This book details many of those efforts, and offers rational, constructive approaches to laying an ethical foundation for neuromarketing efforts.

Ecological Vulnerability

Ecological Vulnerability PDF Author: Katie Woolaston
Publisher: Cambridge University Press
ISBN: 1009063227
Category : Law
Languages : en
Pages : 247

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Book Description
Humans are responsible for biodiversity loss in many related and sometimes conflicting ways. Human-wildlife conflict, commonly defined as any negative interaction between people and wildlife, is a primary contributor to wildlife extinction and a manifestation of the destructive relationship that people have with wildlife. The author presents this 'wicked' problem in a social and legal context and demonstrates that legal institutions structurally deny human-wildlife conflict, while exacerbating conflict, promoting values consistent with individual autonomy, and ignoring the interconnected vulnerabilities shared by human and non-human species alike. It is the use of international and state law that sheds light on existing conflicts, including dingo conflict on K'Gari-Fraser Island in Australia, elephant conflict in Northern Botswana, and the global wildlife trade contributing to COVID-19. This book presents a critical analysis of human-wildlife conflict and its governance, to guide lawyers, scientists and conservations alike in the transformation of the management of human-wildlife conflict.

Planning Ethically Responsible Research

Planning Ethically Responsible Research PDF Author: Joan E. Sieber
Publisher: SAGE
ISBN: 1452202591
Category : Education
Languages : en
Pages : 265

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Book Description
""Two important aspects covered in this text are the ethical considerations in qualitative research methodologies, and the attention that is needed in University Research Ethics Committees to understanding and addressing these methodologies.""

Researching the Vulnerable

Researching the Vulnerable PDF Author: Pranee Liamputtong
Publisher: SAGE
ISBN: 9781412912549
Category : Medical
Languages : en
Pages : 264

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Book Description
This book takes as its starting point the particular considerations and sensitivities of being a researcher faced with a subject group at the margins of society, and explores the ethical, practical, and methodological implications of working with such groups. Author Pranee Liamputtong explores qualitative methods using examples, drawn from around the world, and from the wide variety of contexts that might count as 'researching the vulnerable'. Numerous salient points for the conduct of research within vulnerable groups of people, including ethical and moral issues, are considered, and discussed in the context of sensitive and innovative research methods.