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363Response to Open Peer Commentaries on “Informed Consent: What Must Be Disclosed and What Must Be Understood?”American Journal of Bioethics 21 (7): 1-5. 2021.In “Informed Consent: What Must be Disclosed and What Must be Understood?”, we reject a dogma at the heart of research ethics. We demonstrate that the constitutive claim...
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1625Respect for PersonsThe Oxford Handbook of Research Ethics. 2020.This chapter explores the foundation and content of the duty to respect persons. The authors argue that it is best understood as a duty to recognize people’s rights. Respect for persons therefore has specific implications for how competent and non-competent persons ought to be treated in research. For competent persons it underlies the obligation to obtain consent to many research procedures. The chapter gives an analysis of the requirements for obtaining valid consent. It then considers respect…Read more
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3063Informed Consent: What Must Be Disclosed and What Must Be Understood?American Journal of Bioethics 21 (5): 46-58. 2021.Over the last few decades, multiple studies have examined the understanding of participants in clinical research. They show variable and often poor understanding of key elements of disclosure, such as expected risks and the experimental nature of treatments. Did the participants in these studies give valid consent? According to the standard view of informed consent they did not. The standard view holds that the recipient of consent has a duty to disclose certain information to the profferer of c…Read more
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31Disclosure and Consent to Medical Research ParticipationJournal of Moral Philosophy 12 (2): 195-219. 2015.Most regulations and guidelines require that potential research participants be told a great deal of information during the consent process. Many of these documents, and most of the scholars who consider the consent process, assume that all this information must be disclosed because it must all be understood. However, a wide range of studies surveying apparently competent participants in clinical trials around the world show that many do not understand key aspects of what they have been told. Th…Read more
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1129Understanding, Communication, and ConsentErgo: An Open Access Journal of Philosophy 5 45-68. 2018.Misconceived Consent: Miguel has stage IV lung cancer. He has nearly exhausted his treatment options when his oncologist, Dr. Llewellyn, tells him about an experimental vaccine trial that may boost his immune response to kill cancer cells. Dr. Llewellyn provides Miguel with a consent form that explains why the study is being conducted, what procedures he will undergo, what the various risks and benefits are, alternative sources of treatment, and so forth. She even sits down with him, carefully t…Read more
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4018Lies, Control, and Consent: A Response to Dougherty and MansonEthics 128 (2): 446-461. 2018.Tom Dougherty argues that culpably deceiving another person into sex is seriously wrong no matter what the content about which she is deceived. We argue that his explanation of why deception invalidates consent has extremely implausible implications. Though we reject Dougherty’s explanation, we defend his verdict about deception and consent to sex. We argue that he goes awry by conflating the disclosure requirement for consent and the understanding requirement. When these are distinguished, we c…Read more
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576Can informed consent to research be adapted to risk?Journal of Medical Ethics 41 (7): 521-528. 2015.The current ethical and regulatory framework for research is often charged with burdening investigators and impeding socially valuable research. To address these concerns, a growing number of research ethicists argue that informed consent should be adapted to the risks of research participation. This would require less rigorous consent standards in low-risk research than in high-risk research. However, the current discussion is restricted to cases of research in which the risks of research parti…Read more
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1005Motivational Internalism and the Challenge of AmoralismEuropean Journal of Philosophy 24 (2): 452-471. 2016.Motivational internalism is the thesis that captures the commonplace thought that moral judgements are necessarily motivationally efficacious. But this thesis appears to be in tension with another aspect of our ordinary moral experience. Proponents of the contrast thesis, motivational externalism, cite everyday examples of amoralism to demonstrate that it is conceptually possible to be completely unmoved by what seem to be sincere first-person moral judgements. This paper argues that the challen…Read more
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1200Disclosure and Consent to Medical Research ParticipationJournal of Moral Philosophy 10 (4): 195-219. 2013.Most regulations and guidelines require that potential research participants be told a great deal of information during the consent process. Many of these documents, and most of the scholars who consider the consent process, assume that all this information must be disclosed because it must all be understood. However, a wide range of studies surveying apparently competent participants in clinical trials around the world show that many do not understand key aspects of what they have been told. Th…Read more
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352Plenty to Worry About: Consent, Control, and AnxietyAmerican Journal of Bioethics 12 (3): 35-36. 2012.The American Journal of Bioethics, Volume 12, Issue 3, Page 35-36, March 2012.
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497How Not to Argue for Motivational InternalismIn Thom Brooks (ed.), New Waves in Ethics, Palgrave-macmillan. pp. 64-87. 2011.
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555Understanding, interests and informed consent: a reply to SreenivasanJournal of Medical Ethics 41 (4): 327-331. 2015.It is widely agreed that the view of informed consent found in the regulations and guidelines struggles to keep pace with the ever-advancing enterprise of human subjects research. Over the last 10 years, there have been serious attempts to rethink informed consent so that it conforms to our considered judgments about cases where we are confident valid consent has been given. These arguments are influenced by an argument from Gopal Sreenivasan, which apparently shows that a potential participant9…Read more
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775Clearing conceptual space for cognitivist motivational internalismPhilosophical Studies 148 (3). 2010.Cognitivist motivational internalism is the thesis that, if one believes that 'It is right to ϕ', then one will be motivated to ϕ. This thesis—which captures the practical nature of morality—is in tension with a Humean constraint on belief: belief cannot motivate action without the assistance of a conceptually independent desire. When defending cognitivist motivational internalism it is tempting to either argue that the Humean constraint only applies to non-moral beliefs or that moral beliefs on…Read more
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787Informed consent to HIV cure researchJournal of Medical Ethics 43 (2): 108-113. 2017.Trials with highly unfavourable risk–benefit ratios for participants, like HIV cure trials, raise questions about the quality of the consent of research participants. Why, it may be asked, would a person with HIV who is doing well on antiretroviral therapy be willing to jeopardise his health by enrolling in such a trial? We distinguish three concerns: first, how information is communicated to potential participants; second, participants’ motivations for enrolling in potentially high risk researc…Read more
Leeds, West Yorkshire, United Kingdom of Great Britain and Northern Ireland
Areas of Specialization
Meta-Ethics |
Biomedical Ethics |
Areas of Interest
Informed Consent in Medicine |
Moral Motivation |
Sexual Consent |