Journal ArticleDOI
Information Disclosure, Subject Understanding, and Informed Consent in Psychiatric Research*
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TLDR
It is suggested that the degree of improvement in understanding obtainable for severely disordered subjects is substantially lower than it is for others and the implications for informed consent, the regulation of medical research, and the protection of human subjects are discussed.Abstract:
Investigator information disclosure and subject understanding are examined in four psychiatric studies using data drawn from observation of 88 consent sessions. In an attempt to determine if subjects' understanding of research can be improved, three experimental methods of information giving (including the use of independent subject educators) are compared to standard investigator disclosure. Findings indicate that the use of experimental techniques generally increases the quality of information delivered to prospective subjects, with disclosures by subject educators generating the most complete information. Subject understanding was also found to be significantly associated with the quality of information provided. Diagnosis and level of psychopathology, however, were found to be the most important predictors of subject understanding, with schizophrenics and the highly impaired most likely to demonstrate poor comprehension. These results suggest that the degree of improvement in understanding obtainable for severely disordered subjects is substantially lower than it is for others. The implications of these findings for informed consent, the regulation of medical research, and the protection of human subjects are discussed.read more
Citations
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Journal ArticleDOI
Interventions to improve research participants' understanding in informed consent for research: a systematic review.
TL;DR: In this article, the authors reviewed research on interventions to improve research participants' understanding of information disclosed in the informed consent process and found that participants may frequently not understand information disclosed to them.
Journal ArticleDOI
The MacArthur Treatment Competence Study. III: Abilities of patients to consent to psychiatric and medical treatments.
Thomas Grisso,Paul S. Appelbaum +1 more
TL;DR: Three instruments assessing abilities related to legal standards for competence to consent to treatment were administered to patients recently hospitalized for schizophrenia, major depression, and ischemic heart disease, as well as three groups of non-ill persons in the community who were matched with the hospitalized patients on age, gender, race, and socioeconomic status.
Journal ArticleDOI
The MacArthur Treatment Competence Study. I: Mental illness and competence to consent to treatment.
Paul S. Appelbaum,Thomas Grisso +1 more
TL;DR: The MacArthur Treatment Competence Study as discussed by the authors was designed to develop reliable and valid information with which to address clinical and policy questions regarding the abilities of persons with mental illness to make decisions about psychiatric treatment.
Journal ArticleDOI
The therapeutic misconception: problems and solutions.
TL;DR: The nature and origins of the therapeutic misconception are analyzed and some ways in which researchers can overcome this problem when obtaining a subject’s consent to participation in research are suggested.
Mental Illness and Competence to Consent to Treatment
Paul S. Appelbaum,Thomas Grisso +1 more
TL;DR: The MacArthur Treatment Competence Study as mentioned in this paper was designed to develop reliable and valid information with which to address clinical and policy questions regarding the abilities of persons with mental illness to make decisions about psychiatric treatment.
References
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Journal ArticleDOI
The Brief Psychiatric Rating Scale
John E. Overall,Donald R. Gorham +1 more
TL;DR: The Brief Psychiatric Rating Scale (BRS) as mentioned in this paper was developed to provide a rapid assessment technique particularly suited to the evaluation of patient change, and it is recommended for use where efficiency, speed, and economy are important considerations.
Journal ArticleDOI
A history and theory of informed consent
TL;DR: Faden, R.R., and Beauchamp, T.L. as mentioned in this paper present a history and theory of informed consent in the context of consent and informed consent theory.
Book
A History and Theory of Informed Consent
TL;DR: In this article, the authors provide a historical and conceptual review of informed consent with particular attention to the special conditions under which such consent is obtained, and a distinction is made between two concepts: informed consent defined in terms of the conditions of a particular kind of autonomous authorization and informed consent where the nature and acceptability of effective authorizations are established by operative informed consent rules in a particular policy system.
Book
The Silent World of Doctor and Patient
TL;DR: The Once and Future Silent World, by Alexander Morgan Capron as mentioned in this paper, is a collection of essays about the history of silence in the medical field. But the focus of this paper is not on the treatment of patients, but on the legal foundation of informed consent.
Related Papers (5)
Interventions to improve research participants' understanding in informed consent for research: a systematic review.
The MacArthur Treatment Competence Study. III: Abilities of patients to consent to psychiatric and medical treatments.
Thomas Grisso,Paul S. Appelbaum +1 more