Towards Excellence: Virtue and the Principle of Autonomy in Informed Consent for Clinical Trials.

IF 1.9 3区 哲学 Q3 ETHICS Journal of Medicine and Philosophy Pub Date : 2025-07-21 DOI:10.1093/jmp/jhaf002
Alexander Montes
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Abstract

In this article, I argue that approximating virtues such as care and respectfulness are necessary to conduct an informed consent discussion for clinical trials adequately. I argue against Beauchamp and Childress' principlism insofar as it claims that virtues do not have "advantages" over the principle of respecting autonomy. When we elaborate what it means to facilitate autonomy in a consent discussion adequately, we find we are describing the virtues. This is because virtues do have an advantage over principles insofar as virtues provide us with rich descriptions of not only what we should do (respect autonomy), but how to do so (with the virtues of respectfulness, care, etc.). Thus, the principle of respecting autonomy points back to the virtues. I conclude by showing how cultivation of these virtues can help rectify well-known shortcomings in the informed consent process.

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走向卓越:美德与临床试验知情同意的自主原则。
在这篇文章中,我认为,近似的美德,如关心和尊重是必要的,以充分进行临床试验的知情同意讨论。我反对波尚和柴尔德里斯的原则,因为它声称美德并不比尊重自治的原则有“优势”。当我们充分阐述在同意讨论中促进自主的意义时,我们发现我们是在描述美德。这是因为美德确实比原则有优势,因为美德不仅为我们提供了丰富的描述,告诉我们应该做什么(尊重自主),而且还告诉我们如何去做(尊重、关心等美德)。因此,尊重自治的原则指向美德。最后,我展示了培养这些美德如何有助于纠正知情同意过程中众所周知的缺点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
30
期刊介绍: This bimonthly publication explores the shared themes and concerns of philosophy and the medical sciences. Central issues in medical research and practice have important philosophical dimensions, for, in treating disease and promoting health, medicine involves presuppositions about human goals and values. Conversely, the concerns of philosophy often significantly relate to those of medicine, as philosophers seek to understand the nature of medical knowledge and the human condition in the modern world. In addition, recent developments in medical technology and treatment create moral problems that raise important philosophical questions. The Journal of Medicine and Philosophy aims to provide an ongoing forum for the discussion of such themes and issues.
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