Ethik in der Medizin 26 (4):317-330 (2014)

Authors
Orsolya Friedrich
Ludwig Maximilians Universität, München
Jan-Hendrik Heinrichs
Forschungszentrum Jülich
Abstract
Research with psychiatric patients raises frequently discussed, ethical questions, one of which is: Can psychiatric patients give consent to participation in research at all? To answer this and similar questions adequately, it is - according to our thesis - necessary to analyze first, which theoretical assumptions are made in established practice. To solve the question after the possibility of consent, compatible understandings of ‘disease’, ‘illness’ and ‘autonomy’ are crucial, but there is no consensual use of these terms in philosophy. Therefore we first are going to explain different concepts of ‘autonomy’ and ‘disease’. Subsequent to this we will test how the different conceptualizations of ‘autonomy’ and ‘disease’ can be related to each other and how the reasonable combinations shape possible answers to the opening question. It will become apparent that an adequate analysis of ‘autonomy’ and ‘disease’ raises ethical dilemma in psychiatry, for which we shall suggest possible solutions.
Keywords Autonomie  Zwangsmaßnahme  Selbstgefährdung  Psychiatrie  Einwilligungsfähigkeit  Autonomy  Coercive treatment  Self harm  Psychiatry  Capacity to consent
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DOI 10.1007/s00481-013-0284-2
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References found in this work BETA

Freedom of the Will and the Concept of a Person.Harry Frankfurt - 1971 - Journal of Philosophy 68 (1):5-20.
The Ethics of Authenticity.Charles Taylor - 1992 - Harvard University Press.
Harm to Self.Joel Feinberg - 1986 - Oxford University Press, USA.

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