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Voluntary consent: why a value-neutral concept won't work.
1Department of Bioethics, National Institutes of Health, Bethesda, MD, USA. Wertheimera@cc.nih.gov
The Journal of Medicine and Philosophy
|May 4, 2012
Summary
A value-neutral view of voluntariness cannot explain invalid consent. A moralized account is needed, suggesting most concerns about research consent voluntariness are unfounded. This impacts ethical research practices.
Area of Science:
- Philosophy of Science
- Bioethics
- Moral Philosophy
Background:
- The concept of voluntariness in consent is debated, with some viewing it as value-neutral.
- A value-neutral approach defines involuntariness based on controlling influences or lack of alternatives.
- This perspective faces challenges in explaining the invalidity of consent in various contexts.
Purpose of the Study:
- To critically evaluate the value-neutral conception of voluntariness.
- To propose and defend a moralized account of voluntariness.
- To reassess concerns regarding the voluntariness of consent in research participation.
Main Methods:
- Philosophical argumentation and conceptual analysis.
- Examination of existing theories of voluntariness.
- Application of the proposed moralized account to case studies of consent.
Main Results:
- A value-neutral conception of voluntariness is insufficient to account for the invalidity of consent.
- A moralized account of voluntariness provides a more robust framework for understanding consent.
- The proposed framework suggests that many common concerns about research consent voluntariness may be overstated.
Conclusions:
- The prevailing value-neutral understanding of voluntariness requires revision.
- A moralized approach to voluntariness is essential for a comprehensive theory of consent.
- Re-evaluating voluntariness in research consent may refine ethical oversight and participant protection.
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