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The battering of informed consent.

M Kottow1

  • 1Escuela de Salud Pública Facultad de Medicina University de Chile, Independencia 939, Santiago, Chile. kottow@hotmail.com

Journal of Medical Ethics
|December 3, 2004
PubMed
Summary

Autonomy is a core bioethics principle, yet patient and research subject rights are often restricted. This paper argues against paternalism, emphasizing that healthcare professionals lack the ethical standing to override patient autonomy.

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Area of Science:

  • Bioethics
  • Medical Ethics
  • Patient Rights

Background:

  • Autonomy is a foundational principle in bioethics.
  • Patient and research subject autonomy face increasing restrictions.
  • Paternalism in healthcare is sometimes advocated due to perceived patient incapacity.

Purpose of the Study:

  • To critically evaluate the revival of paternalism in healthcare.
  • To examine the erosion of autonomy in clinical and research settings.
  • To advocate for the reinforcement of autonomy in bioethics.

Main Methods:

  • Ethical analysis of paternalism versus autonomy.
  • Review of arguments for and against patient autonomy.
  • Examination of consent practices in clinical research.

Main Results:

  • The revival of paternalism is deemed unwarranted.
  • Prejudging patients as non-autonomous due to illness is biased.
  • Healthcare professionals' technical expertise does not grant ethical authority over patients.

Conclusions:

  • Healthcare professionals should not make decisions for patients.
  • Clinical research settings pose significant risks to subject autonomy.
  • Bioethics must prioritize and reinforce patient and research subject autonomy.
Keywords:
Biomedical and Behavioral ResearchProfessional Patient Relationship

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