1,721,026 research outputs found
Between legislation and bioethics: the European Convention on Human Rights and Biomedicine
The chapter explores the role that regional legislation plays in framing human rights and ethical principles in psychiatry by considering the Council of Europe’s Convention on Human Rights and Biomedicine. The chapter identifies the Convention’s contribution to an emergent legislative, regulatory and discursive formation, which is characterized by its alloy of human rights and bioethics. The author draws attention to articles within the Convention that have implications for psychiatry as regards its engagement with patients, with those on whom it depends to conduct research, and with the public. As well as indicating how various States within the Council of Europe have responded to the Convention, the author considers how the Convention attempts to align human rights and ethics through the regulation and formalisation of the relationship between doctor and patient, and researcher and research participant. This alignment is taking place at the same time as biomedicine is putting pressure on concepts (such as autonomy and informed consent) central to bioethics and human rights discourse
Das Arzt-Patienten-Verhältnis zwischen Individualisierung und Standardisierung : (Akademievorlesung am 4. Dezember 2003)
Forschung mit nicht-einwilligungsfähigen Patienten : (Vortrag vor den Mitgliedern der Berlin-Brandenburgischen Akademie der Wissenschaften am 26. Juni 1997)
Ethical Issues in Naturalistic Versus Controlled Trials
Ethical core issues in research with human subjects are related to informed consent and risk-benefit assessment. This is valid for all types of studies. However, there has been much greater focus of ethical considerations on controlled clinical trials than on naturalistic trials, probably because the former are interventional in nature and may have unknown and perhaps severe somatic risks, whereas naturalistic studies seem not to intervene but only to observe, and therefore are assumed to have fewer or almost no risks. However, there are also ethical implications in naturalistic trials, although their weight is differently accentuated, more with potential, more with potential psychological burdens of the observational procedures and more with potential physical risks in interventional trials. This will be elaborated with examples of placebo-controlled trials and of incidental findings in screenings, of marketing influences on observational studies, and of psychological burdens by survey interviews. The ethical implications will be analyzed within a more general framework. Finally, recommendations will be offered
Informed Consent in Psychiatry: Common European Standards and Differences, Problems and Recommendations: Summary and Proposals
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