Addiction, Voluntary Choice, and Informed Consent: A Reply to Uusitalo and Broers

In an earlier article in this journal I argued that the question of whether heroin addicts can give voluntary consent to take part in research which involves giving them a choice of free heroin does not - in contrast with a common assumption in the bioethics literature - depend exclusively on whethe...

Full description

Saved in:  
Bibliographic Details
Main Author: Henden, Edmund (Author)
Contributors: Uusitalo, Susanne (Bibliographic antecedent)
Format: Electronic Article
Language:English
Check availability: HBZ Gateway
Journals Online & Print:
Drawer...
Fernleihe:Fernleihe für die Fachinformationsdienste
Published: Wiley-Blackwell [2016]
In: Bioethics
Year: 2016, Volume: 30, Issue: 4, Pages: 293-298
IxTheo Classification:NCJ Ethics of science
Further subjects:B Informed Consent
B Addiction
B heroin-assisted treatment
B voluntary choice
B Autonomy
Online Access: Presumably Free Access
Volltext (Verlag)
Volltext (doi)
Description
Summary:In an earlier article in this journal I argued that the question of whether heroin addicts can give voluntary consent to take part in research which involves giving them a choice of free heroin does not - in contrast with a common assumption in the bioethics literature - depend exclusively on whether or not they possess the capacity to resist their desire for heroin. In some cases, circumstances and beliefs might undermine the voluntariness of the choices a person makes even if they do possess a capacity for self-control. Based on what I took to be a plausible definition of voluntariness, I argued that the circumstances and beliefs typical of many vulnerable heroin addicts are such that we have good reasons to suspect they cannot give voluntary consent to take part in such research, even assuming their desire for heroin is not irresistible. In a recent article in this journal, Uusitalo and Broers object to this on the grounds that I misdescribe heroin addicts' options set, that the definition of voluntariness on which I rely is unrealistic and too demanding, and, more generally, that my view of heroin addiction is flawed. I think their arguments derive from a misunderstanding of the view I expressed in my article. In what follows I hope therefore to clarify my position.
ISSN:1467-8519
Reference:Kritik von "Rethinking Informed Consent in Research on Heroin-Assisted Treatment (2015)"
Contains:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/bioe.12208