Medicine, Health Care and Philosophy

, Volume 7, Issue 1, pp 93–98

Cultural context and consent: An anthropological view

  • M. Patrão Neves
Article

Abstract

The theme of “consent” is, without question, associated with the origins of bioethics and is one of its most significant paradigms that has remained controversial to the present, as is confirmed by the proposal for its debate during the last World Congress of Bioethics. Seen broadly as a compulsory minimum procedure in the field of biomedical ethics, even today it keeps open the issues that it has raised from the start: whether it is really necessary and whether it can be proven to be effective. My goal will be to attempt to determine the most genuine and relevant meaning of “consent,” going back from its present dominant normative meaning and, from there, identifying or simply sketching other possible forms of its expression in the world we live in, so as to justify its pertinence and validity. This objective will involve three stages: (1) “‘Consent’ as a privileged paradigm of bioethics (the ethical-juridical sense),” (2) “The symbolic value of ‘consent’ (the social-cultural sense),” and (3) “‘Consent’ as promotion of the human (the humanistic-personal sense)”.It is concluded that the common notion of normative “consent” is not the only one, nor does it hold universal validity; that, from a historical-cultural perspective, new expressions of “consent” appear, adapted to different social contexts and to possibly be implemented in developing countries; and, finally, that “consent” is strictly indispensable in situations of extreme dependence, in its symbolic relational character, in as much as it promotes ethical relationships among strangers and ensures that they remain so.

bioethics consent ethical-juridical person social-cultural and humanistic-personal perspectives ethical relations 

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References

  1. Beauchamp, T. and J. Childress: 1979, Principles of Biomedical Ethics. Oxford: Oxford University Press.Google Scholar
  2. Beauchamp, T. and R. Faden: 1986, A History and Theory of Informed Consent. Oxford: Oxford University Press.Google Scholar
  3. Fletcher, John: 1973, ‘Realities of Patient Consent to Medical Research’, Hastings Center Report 1, 39–49.Google Scholar
  4. Fletcher, John: 1983, ‘The Evolution of the Ethics of Informed Consent’, In: K. Berg and K.E. Tranoy (eds.), Research Ethics. New York: A.R. Liss, pp. 187–228.Google Scholar
  5. Goldworth, A.: 1996, ‘Informed Consent Revisited', Cambridge Quarterly of Healthcare Ethics 5, 214–220.PubMedGoogle Scholar
  6. Jonas, H.: 1970, ‘Philosophical Reflections on Experimentation with Human Subjects’, Daedalus 98(2), 219–247.Google Scholar
  7. Jonsen, A.: 1998, The Birth of Bioethics. Oxford: Oxford University Press.Google Scholar
  8. Jonsen, Albert, Veatch Robert and Walters LeRoy (eds.): 1998, Source Book in Bioethics. A Documentary History. Washington, DC: Georgetown University Press.Google Scholar
  9. Katz, J.: 1973, ‘Reservations About Panel Report on Charge I’, Final Report of the Tuskegee Syphilis Study Ad Hoc Advisory Panel. Washington, DC: U.S. Public Service.Google Scholar
  10. Lévinas, E.: 1971, Totalité et infini. Essai sur l'extériorité. Den Haag: Martinus Nijhoff.Google Scholar
  11. Pellegrino, E. and D. Thomasma: 1988, For the Patient's Good. Oxford: Oxford University Press.Google Scholar
  12. Potter, Van R.: 1995, ‘Global Bioethics: Converting Sustainable Development to Global Survival’, Medicine and Global Survival 2(3), 185–191.PubMedGoogle Scholar
  13. Potter, Van R.: 1987, ‘Two Kinds of Bioethics’, Perspectives on Biology and Medicine 30(12), 157–169.Google Scholar
  14. Ramsey, P.: 1970, The Patient as a Person: Explorations in Medical Ethics. New Haven: Yale University Press.Google Scholar
  15. Ricoeur, P.: 1990, Soi-même comme un autre. Paris: Seuil.Google Scholar

Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • M. Patrão Neves
    • 1
  1. 1.Departamento de FilosofiaUniversidade dos AçoresAçoresPortugal

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