Skip to main content

Research on Senile Dementia of the Alzheimer’s Type

Ethical Issues Involving Informed Consent

  • Chapter
Alzheimer’s Dementia

Part of the book series: Contemporary Issues in Biomedicine, Ethics, and Society ((CIBES))

Abstract

There are certain values that we would all, in general, agree upon and therefore designate as prevailing cultural or professional norms. These include integrity (or honesty), respect for other persons, justice (or fairness), and compassion. The issue we focus on here is troublesome because it seems to embody conflicting values. The conflict is at times more apparent than real, and one function of philosophical analysis is to clarify issues in order to resolve conflict. There are also, however, conflicts that are and will remain very real. We are asking difficult questions that need to be asked. The asking is as important as the answer, so we should give these questions a full measure of our attention rather than only seek the route that seems most expeditious. If any light can be shed on such engimas of value and meaning, it is likely to occur in an interdisciplinary discourse such as this. Since we are all in some way limited by the value hierarchies of our individual professions, we only stand to be enlightened by a convergence of various relevant perspectives.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Notes and References

  1. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Report and Recommendations: Research Involving Those Institutionalized as Mentally Infirm, DHEW Publication No. (05) 78–0006, 1978.

    Google Scholar 

  2. NIA Task Force. “Senility Reconsidered: Treatment Possibilities for Mental Impairment in the Elderly,” Journal of the American Medical Association 244, 1980, 259–263.

    Article  Google Scholar 

  3. L. Roth, A. Meisel, and C. Lidz, “Tests of Competency to Consent to Treatment,” American Journal of Psychiatry 134, 1977, 281–285.

    Google Scholar 

  4. B. J. McNeil, R. Weichselbaum, and S. G. Pauker, “Fallacy of the Five Year Survival in Lung Cancer,” New England Journal of Medicine 299, 1978, 1397–1401.

    Article  PubMed  CAS  Google Scholar 

  5. B. J. McNeil, R. Weichselbaum, and S. G. Pauker, “Speech and Survival: Tradeoffs between Quality and Quantity of Life in Laryrgeal Cancer,” New England Journal of Medicine 305, 1981, 982–987.

    Article  PubMed  CAS  Google Scholar 

  6. G. Annas, The Rights of Hospital Patients: The Basic ACLU Guide to a Hospital Patient’s Rights ( New York: Discus Books, 1975 ).

    Google Scholar 

  7. H. K. Beecher, “Ethics and Clinical Research,” New England Journal of Medicine 274, 1966, 1354–1368.

    Article  PubMed  CAS  Google Scholar 

  8. B. Barber, “The Ethics of Experimentation with Human Beings,” Scientific American 234, 1976, 25–31.

    Article  PubMed  CAS  Google Scholar 

  9. G. Alexander and T. H. D. Lewin, The Aged and the Need for Surrogate Management ( Syracuse: Syracuse University Press, 1972 ).

    Google Scholar 

  10. T. Halper, “The Double-Edged Sword: Paternalism as a Policy in the Problems of Aging,” Milbank Memorial Fund Quarterly 58, 1980, 472–499.

    Article  CAS  Google Scholar 

  11. D. Wikler, “Paternalism and the Mildly Retarded,” Philosophy and Public Affairs 8, 1979, 392.

    Google Scholar 

  12. S. Krugman, “Experiments at Willowbrook State School,” Lancet (1971): 966–967.

    Google Scholar 

  13. S. Hawerwas, “Reflections on Suffering, Death and Medicine,” Ethics in Science and Medicine 6, 1979, 229–237.

    Google Scholar 

  14. C. Cassel and A. Jameton, “Dementia in the Elderly: An Analysis of Medical Responsibility,” Annals of Internal Medicine 84, 1981, 802–807.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 The Humana Press, Inc.

About this chapter

Cite this chapter

Cassel, C. (1985). Research on Senile Dementia of the Alzheimer’s Type. In: Melnick, V.L., Dubler, N.N. (eds) Alzheimer’s Dementia. Contemporary Issues in Biomedicine, Ethics, and Society. Humana Press. https://doi.org/10.1007/978-1-4612-5174-3_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-5174-3_9

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-4612-9597-6

  • Online ISBN: 978-1-4612-5174-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics