涉及严重精神障碍患者的研究伦理

A. Bonella, G. Almeida, L. Almada
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摘要

本文旨在从科学的角度,以概念性和合理的知情方式,检查心理脆弱性与理性和自主决策能力之间的相互关系,并在此基础上提出相关的生物伦理方面,同时,基于统一的伦理原则,反思和审议与精神病学,心理学和神经科学中受主要精神障碍影响的人相关的研究。在强调了人类研究中伦理学的一般伦理方面之后,本文探讨了患有严重精神障碍(如重度抑郁症)的个体,如果被赋予理性的负责任的自主性,是否可以被认为是有效的理性、自主和负责任的。最后,我们强调了与脆弱性相关的生物伦理方面和与主题相关的实践理性。这里强调的各种理论和实践方面似乎至关重要,并提出了伦理神经科学和神经科学伦理学需要进一步探索的问题和概念的大纲。
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Ética das pesquisas envolvendo pessoas com transtornos mentais maiores
This paper aims to examine in a conceptual and reasonably well-informed manner from a scientific point of view, the interrelationship between mental vulnerability and rational and autonomous decision-making capacity, presenting relevant bioethical aspects, based on this examination, but also, based on consolidated ethical principles, to reflect and deliberate on the relevance of research with people affected by major mental disorders in psychiatry, psychology and neuroscience in general. After highlighting general ethical aspects of ethics in research with human beings, the paper examines whether individuals with major mental disorders, such as major depressive disorder, can be considered effectively rational, autonomous and responsible, if they are endowed with rational responsible autonomy. Finally, we highlight bioethical aspects related to vulnerability and practical rationality related to the theme. The various theoretical and practical aspects highlighted here seem crucial, and suggest the outline of questions and concepts that need to be further explored by the neuroscience of ethics and the ethics of neuroscience.
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