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A linguistic model of informed consent

J Marta1

  • 1Joint Centre for Bioethics, University of Toronto.

The Journal of Medicine and Philosophy
|February 1, 1996
PubMed
Summary

Informed consent is more than a disclosure; it is a complex dialogue respecting diverse perspectives. This linguistic approach enhances ethical patient-physician communication and shared decision-making.

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Area of Science:

  • Linguistics
  • Medical Ethics
  • Communication Studies

Background:

  • Current informed consent models overlook communication complexities.
  • Special circumstances increase risks in obtaining informed consent.
  • Linguistic theories offer new perspectives on informed consent.

Purpose of the Study:

  • To linguistically analyze informed consent as a speech, communication, and dialogue act.
  • To propose a new model of informed consent based on linguistic theories.
  • To enhance the ethical and meaningfulness of informed consent.

Main Methods:

  • Linguistic analysis of informed consent.
  • Application of theories from J.L. Austin (speech acts).
  • Application of theories from Roman Jakobson (communication acts).
  • Application of theories from Mikhail Bakhtin (dialogue and discourse).

Main Results:

  • Informed consent is a performative speech act.
  • It arises from a series of communication acts.
  • These acts form a dialogic, polyphonic, heteroglossial discourse.
  • This process respects distinct individuals, multiple voices, and perspectives.

Conclusions:

  • The proposed model redefines informed consent as a dynamic, multi-voiced discourse.
  • This approach fosters more meaningful and ethical interactions between patients and physicians.
  • It acknowledges the interconnected human facets in healthcare communication.
Keywords:
Analytical ApproachProfessional Patient Relationship

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