Informed consent revisited: Japan and the U.S.
Informed consent, decision-making styles and the role of patient-physician relationships are imperative aspects of clinical medicine worldwide. We present the case of a 74-year-old woman afflicted with advanced liver cancer whose attending physician, per request of the family, did not inform her of her true diagnosis. In our analysis, we explore the differences in informed-consent styles between patients who hold an "independent" and "interdependent" construal of the self and then highlight the possible implications maintained by this position in the context of international clinical ethics. Finally, we discuss the need to reassess informed-consent styles suitable to the needs of each patient regardless of whether he or she resides in the United States or in Japan.
Akabayashi
Akira
A
The University of Tokyo Graduate School of Medicine, Japan.
Slingsby
Brian Taylor
BT
D000368:Aged; D001291:Attitude of Health Personnel; D002294:Carcinoma, Squamous Cell; D003657:Decision Making; D005190:Family; D005260:Female; D006801:Humans; D007258:Informed Consent / Q000941:ethics* / Q000331:legislation & jurisprudence; D007564:Japan; D008113:Liver Neoplasms; D010817:Physician-Patient Relations; D014342:Truth Disclosure; D014481:United States