Reification and assent in research involving those who lack capacity
Reification and assent in research involving those who lack capacity
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DOI：
10.1136/jme-2022-108710
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发表时间：
2023-01-23
影响因子：
4.1
通讯作者：
Smajdor, Anna
中科院分区：
文献类型：
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作者：
Smajdor, Anna
在应用伦理学中，在医学治疗和研究中，我们应该如何对待他人的问题是一个中心问题。在本文中，我讨论了在涉及缺乏能力的人的研究中同意的伦理作用。我首先思考为什么同意在道德上是重要的，并考虑当同意不可能发生时会发生什么。借鉴德国哲学家霍尼特（Honneth）的著作，我讨论了物化的概念——当我们未能观察或回应他人对认可的需求时，这种现象就会显现出来。我认为，同意是对这种独立于认知能力之外的道德认可需求的一种回应方式。我将探讨无法获得人类同意的情况，并询问是否可以通过寻求同意来实现一些同样重要的伦理考虑，这些考虑支持了同意的必要性。我讨论了这可能对研究人员、未来的研究参与者和整个社会有益的方式。
In applied ethics, and in medical treatment and research, the question of how we should treat others is a central problem. In this paper, I address the ethical role of assent in research involving human beings who lack capacity. I start by thinking about why consent is ethically important, and consider what happens when consent is not possible. Drawing on the work of the German philosopher Honneth, I discuss the concept of reification-a phenomenon that manifests itself when we fail to observe or respond to our fellow humans' need for recognition. I suggest that assent is a way of responding to this moral need for recognition, which exists independently of cognitive capacity. I will look at the circumstances in which consent cannot be obtained from human beings, and ask whether some of the same ethically important considerations that underpin the need for consent might be achieved through seeking assent. I discuss the ways in which this might be beneficial for researchers, for prospective research participants and for society at large.