Informed consent: does it take a village? The problem of culture and truth telling.
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Biomedical subjects
Publications and source records attributed to M Kuczewski.
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Casuistry and principlism are two of the leading contenders to be considered the methodology of bioethics. These methods may be incommensurable since the former emphasizes the examination of cases while the latter focuses on moral principles. Conversely, since both analyze cases in terms of mid-level principles, there is hope that these methods may be reconcilable or complementary. I analyze the role of principles in each and thereby show that these theories are virtually identical when interpreted in a certain light. That is, if the gaps in each method are filled by a concept of judgment or Aristotelian practical wisdom, these methods converge.
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Informed consent is a foundational concept of medical ethics. Since its enunciation almost 4 decades ago, it has engendered, and continues to engender, a great deal of debate and opposition from practicing physicians. We believe that much of the negative reaction to informed consent stems from some fundamental misunderstandings about what informed consent requires. This article discusses and refutes several myths about informed consent that have acquired some currency among physicians.