[The doctrine of free and informed consent: its ethical and legal foundations and its applications in research and practice of psychiatry].
This article briefly examines the ethical and legal foundations for the doctrine of informed consent in medical research and practice. The doctrine is based upon the importance of respecting the individual's autonomy and his right to self-determination. The article also reviews the development of the doctrine of informed consent based on its recent application. The authors cite the Nuremburg Code and the Helsinki Declarations and particularly the media denunication of several scandals in the United States during the late 1960s, when Henri Beecher's name figured prominently. The effects of informed consent in psychiatry are examined specifically, as well as the consequences for psychiatric research, on subjects who are able to give their consent, as well as those who are unable to do so. As for its effects on clinical practice, the paper discusses the right of the hospitalized patient to refuse treatment, and informed consent and the risks for patients treated with neuroleptics of developing tardive dyskinesia. The authors conclude that in psychotherapy the concept of informed consent cannot be taken for granted.
Grunberg
F
F
Département de psychiatrie, Université de Montréal, Québec.
D014150:Antipsychotic Agents / Q000009:adverse effects; D002170:Canada; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D004409:Dyskinesia, Drug-Induced / Q000209:etiology; D006801:Humans; D007258:Informed Consent / Q000331:legislation & jurisprudence*; D001523:Mental Disorders / Q000628:therapy*; D011613:Psychotherapy
D014150:Antipsychotic Agents
La doctrine du consentement libre et éclairé: ses fondements éthiques, juridiques et ses applications dans la recherche et la pratique de la psychiatrie.