Skip to main content
Log in

Can our understanding of informed consent be strengthened using the idea of cluster concepts?

  • Short Communication
  • Published:
Medicine, Health Care and Philosophy Aims and scope Submit manuscript

Abstract

Informed consent is thought to exist as a well-defined entity. Altered concepts of patient autonomy, differential cultural understanding of the entity, and the failure of clients to distinguish between research and clinical ethics, and various hierarchical cultural views of informed consent all suggest that alterations may be needed in the traditional concept. By using the methodology outlined by Gasking in which he defines the idea of “cluster concepts,” one may be able to enlarge the definition and augment the understanding of the informed consent and include the time and culture-specific variants which exist.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • Al-Faleh, H.F., N.S. Al-Majed, et al. 2010. Detailed disclosure to Saudi Arabian patients on risks related to an invasive procedure. Saudi Medical Journal 31(7): 814–818.

    PubMed  Google Scholar 

  • Edworthy, S.M., E. Zatarain, et al. 1988. Analysis of the 1982 ARA lupus criteria data set by recursive partitioning methodology: New insights into the relative merit of individual criteria. Journal of Rheumatology 15(10): 1493–1498.

    CAS  PubMed  Google Scholar 

  • Faden, R.R., T.L. Beauchamp, et al. 1986. A history and theory of informed consent. New York: Oxford University Press.

    Google Scholar 

  • Gasking, D. 1960. Clusters. The Australasian Journal of Philosophy 38(1): 1–36.

    Article  Google Scholar 

  • Harmon, A. 2010. Indian tribe wins fight to limit research of its DNA. New York, NY: New York Times.

    Google Scholar 

  • Hurst, S.A. 2008. Vulnerability in research and health care; describing the elephant in the room? Bioethics 22(4): 191–202.

    Article  PubMed  Google Scholar 

  • Kass, N., and A. Hyder. 2001. Attitudes and experiences of US and developing country investigators regarding US human subjects regulations. Ethical and Policy Issues in International Research: Clinical Trials in Developing Countries I, II: B1–B220.

    Google Scholar 

  • Lindegger, G., and L.M. Richter. 2000. HIV vaccine trials: Critical issues in informed consent. South African Journal of Science 96: 313–317.

    CAS  PubMed  Google Scholar 

  • Mallardi, V. 2005. The origin of informed consent. Acta Otorhinolaryngologica Italica 25(5): 312–327.

    CAS  PubMed  Google Scholar 

  • Pellegrino, E.D. 1992. Intersections of Western biomedical ethics and world culture: Problematic and possibility. Cambridge Quarterly of Healthcare Ethics 1(3): 191–196.

    Article  PubMed  Google Scholar 

  • Petrini, C. 2010. “Broad” consent, exceptions to consent and the question of using biological samples for research purposes different from the initial collection purpose. Social Science and Medicine 70(2): 217–220.

    Article  PubMed  Google Scholar 

  • Rauch, A.M., and E.S. Hurwitz. 1985. Centers for Disease Control (CDC) case definition for Kawasaki syndrome. Pediatr Infectious Disease 4(6): 702–703.

    Article  CAS  Google Scholar 

  • Reymond, M.A., A.S. Allal, et al. 2003. Informed consent for molecular-based diagnostic and prognostic studies in the cancer patient. Digestive Diseases 21(4): 351–356.

    Article  PubMed  Google Scholar 

  • Santillan-Doherty, P., A. Cabral-Castaneda, et al. 2003. Informed consent in clinical practice and medical research. Revista de Investigacion Clinica 55(3): 322–338.

    PubMed  Google Scholar 

  • Shestack, J.J. 1998. The philosophic foundations of human rights. Human Rights Quarterly 20(2): 201–234.

    Article  Google Scholar 

  • Sriram, T.G., K.V. Kumar, et al. 1991. Informed consent: a study of experiences and opinion of utilizers of health services from India. Social Science and Medicine 32(12): 1389–1392.

    Article  CAS  PubMed  Google Scholar 

  • Sykes, B. 2012. DNA USA : A genetic portrait of America. New York: Liveright Pub. Corp.

    Google Scholar 

  • Uzbeck, M., C. Quinn, et al. 2009. Randomised controlled trial of the effect of standard and detailed risk disclosure prior to bronchoscopy on peri-procedure anxiety and satisfaction. Thorax 64(3): 224–227.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wayne Xavier Shandera.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shandera, W.X. Can our understanding of informed consent be strengthened using the idea of cluster concepts?. Med Health Care and Philos 16, 679–682 (2013). https://doi.org/10.1007/s11019-012-9448-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11019-012-9448-y

Keywords

Navigation