Beyond consent in research: Revisiting vulnerability in deep brain stimulation for psychiatric disorders

Emily Bell; Eric Racine; Paula Chiasson; Maya Dufourcq-Brana; Laura B. Dunn; Joseph J. Fins; Paul J. Ford; Walter Glannon; Nir Lipsman; Mary Ellen Macdonald; Debra J.H. Mathews; Mary Pat McAndrews

doi:10.1017/S0963180113000984

Beyond consent in research: Revisiting vulnerability in deep brain stimulation for psychiatric disorders

Emily Bell, Eric Racine, Paula Chiasson, Maya Dufourcq-Brana, Laura B. Dunn, Joseph J. Fins, Paul J. Ford, Walter Glannon, Nir Lipsman, Mary Ellen Macdonald, Debra J.H. Mathews, Mary Pat McAndrews

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

Vulnerability is an important criterion to assess the ethical justification of the inclusion of participants in research trials. Currently, vulnerability is often understood as an attribute inherent to a participant by nature of a diagnosed condition. Accordingly, a common ethical concern relates to the participant's decisionmaking capacity and ability to provide free and informed consent. We propose an expanded view of vulnerability that moves beyond a focus on consent and the intrinsic attributes of participants. We offer specific suggestions for how relational aspects and the dynamic features of vulnerability could be more fully captured in current discussions and research practices.

Original language	English (US)
Pages (from-to)	361-368
Number of pages	8
Journal	Cambridge Quarterly of Healthcare Ethics
Volume	23
Issue number	3
DOIs	https://doi.org/10.1017/S0963180113000984
State	Published - Jul 2014
Externally published	Yes

Keywords

Deep brain stimulation
Informed consent
Neuroethics
Psychiatry
Research
Vulnerability

ASJC Scopus subject areas

Issues, ethics and legal aspects
Health(social science)
Health Policy

Access to Document

10.1017/S0963180113000984

Cite this

Bell, E., Racine, E., Chiasson, P., Dufourcq-Brana, M., Dunn, L. B., Fins, J. J., Ford, P. J., Glannon, W., Lipsman, N., Macdonald, M. E., Mathews, D. J. H., & McAndrews, M. P. (2014). Beyond consent in research: Revisiting vulnerability in deep brain stimulation for psychiatric disorders. Cambridge Quarterly of Healthcare Ethics, 23(3), 361-368. https://doi.org/10.1017/S0963180113000984

Bell, E, Racine, E, Chiasson, P, Dufourcq-Brana, M, Dunn, LB, Fins, JJ, Ford, PJ, Glannon, W, Lipsman, N, Macdonald, ME, Mathews, DJH & McAndrews, MP 2014, 'Beyond consent in research: Revisiting vulnerability in deep brain stimulation for psychiatric disorders', Cambridge Quarterly of Healthcare Ethics, vol. 23, no. 3, pp. 361-368. https://doi.org/10.1017/S0963180113000984

@article{6962ba0bc4544787b1d92bf8821ab6a9,

title = "Beyond consent in research: Revisiting vulnerability in deep brain stimulation for psychiatric disorders",

abstract = "Vulnerability is an important criterion to assess the ethical justification of the inclusion of participants in research trials. Currently, vulnerability is often understood as an attribute inherent to a participant by nature of a diagnosed condition. Accordingly, a common ethical concern relates to the participant's decisionmaking capacity and ability to provide free and informed consent. We propose an expanded view of vulnerability that moves beyond a focus on consent and the intrinsic attributes of participants. We offer specific suggestions for how relational aspects and the dynamic features of vulnerability could be more fully captured in current discussions and research practices.",

keywords = "Deep brain stimulation, Informed consent, Neuroethics, Psychiatry, Research, Vulnerability",

author = "Emily Bell and Eric Racine and Paula Chiasson and Maya Dufourcq-Brana and Dunn, {Laura B.} and Fins, {Joseph J.} and Ford, {Paul J.} and Walter Glannon and Nir Lipsman and Macdonald, {Mary Ellen} and Mathews, {Debra J.H.} and McAndrews, {Mary Pat}",

year = "2014",

month = jul,

doi = "10.1017/S0963180113000984",

language = "English (US)",

volume = "23",

pages = "361--368",

journal = "Cambridge Quarterly of Healthcare Ethics",

issn = "0963-1801",

publisher = "Cambridge University Press",

number = "3",

}

TY - JOUR

T1 - Beyond consent in research

T2 - Revisiting vulnerability in deep brain stimulation for psychiatric disorders

AU - Bell, Emily

AU - Racine, Eric

AU - Chiasson, Paula

AU - Dufourcq-Brana, Maya

AU - Dunn, Laura B.

AU - Fins, Joseph J.

AU - Ford, Paul J.

AU - Glannon, Walter

AU - Lipsman, Nir

AU - Macdonald, Mary Ellen

AU - Mathews, Debra J.H.

AU - McAndrews, Mary Pat

PY - 2014/7

Y1 - 2014/7

N2 - Vulnerability is an important criterion to assess the ethical justification of the inclusion of participants in research trials. Currently, vulnerability is often understood as an attribute inherent to a participant by nature of a diagnosed condition. Accordingly, a common ethical concern relates to the participant's decisionmaking capacity and ability to provide free and informed consent. We propose an expanded view of vulnerability that moves beyond a focus on consent and the intrinsic attributes of participants. We offer specific suggestions for how relational aspects and the dynamic features of vulnerability could be more fully captured in current discussions and research practices.

AB - Vulnerability is an important criterion to assess the ethical justification of the inclusion of participants in research trials. Currently, vulnerability is often understood as an attribute inherent to a participant by nature of a diagnosed condition. Accordingly, a common ethical concern relates to the participant's decisionmaking capacity and ability to provide free and informed consent. We propose an expanded view of vulnerability that moves beyond a focus on consent and the intrinsic attributes of participants. We offer specific suggestions for how relational aspects and the dynamic features of vulnerability could be more fully captured in current discussions and research practices.

KW - Deep brain stimulation

KW - Informed consent

KW - Neuroethics

KW - Psychiatry

KW - Research

KW - Vulnerability

UR - http://www.scopus.com/inward/record.url?scp=84902544919&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84902544919&partnerID=8YFLogxK

U2 - 10.1017/S0963180113000984

DO - 10.1017/S0963180113000984

M3 - Article

C2 - 24865371

AN - SCOPUS:84902544919

SN - 0963-1801

VL - 23

SP - 361

EP - 368

JO - Cambridge Quarterly of Healthcare Ethics

JF - Cambridge Quarterly of Healthcare Ethics

IS - 3

ER -

Beyond consent in research: Revisiting vulnerability in deep brain stimulation for psychiatric disorders

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this