Insights
Justifying children's participation in clinical research is complex. This study critiques arguments that broaden the definition of benefit to ethically permit children's exposure to research risks without consent.
Area of Science:
- Bioethics
- Pediatric Research Ethics
Background:
- Children's limited capacity to provide informed consent poses ethical challenges for research participation.
- Ethical justification for exposing children to research risks without consent remains a significant debate.
Purpose of the Study:
- To critically evaluate 'benefit arguments' used to justify children's exposure to research risks.
- To analyze the ethical implications of broadening the concept of benefit in pediatric research.
Main Methods:
- Philosophical analysis of ethical arguments.
- Examination of the concept of benefit in the context of research ethics.
Main Results:
- Existing 'benefit arguments' are found to be unpersuasive.
- Appealing to non-medical benefits (e.g., moral education) to justify children's research risk exposure presents ethical problems.
Conclusions:
- The strategy of broadening the notion of benefit is insufficient to ethically justify children's exposure to research risks without consent.
- Further ethical frameworks are needed to address the complexities of pediatric research participation and risk.
Abstract:
The inclusion of children in research gives rise to a difficult ethical question: What justifies children's research participation and exposure to research risks when they cannot provide informed consent? This question arises out of the tension between the moral requirement to obtain a subject's informed consent for research participation, on the one hand, and the limited capacity of most children to provide informed consent, on the other. Most agree that children's participation in clinical research can be justified. But the ethical justification for exposing children to research risks in the absence of consent remains unclear. One prevalent group of arguments aims to justify children's risk exposure by appealing to the concept of benefit. I call these 'benefit arguments'. Prominent versions of this argument defend the idea that broadening our understanding of the notion of benefit to include non-medical benefits (such as the benefit of a moral education) helps to justify children's research participation. I argue that existing benefit arguments are not persuasive and raise problems with the strategy of appealing to broader notions of benefit to justify children's exposure to research risk.
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