同意不可言传

IF 2.6 4区 哲学 Q1 ETHICS Neuroethics Pub Date : 2024-02-15 DOI:10.1007/s12152-024-09545-6
Daniel Villiger
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引用次数: 0

摘要

目前,精神医疗领域正在掀起一场迷幻药复兴运动。迷幻药辅助治疗试验的数量正在稳步增长,一些国家已经授予精神科医生在特定条件下在非研究背景下使用迷幻药的特别许可。在取得这些临床进展的同时,还必须进行伦理调查。一个亟待解决的伦理问题涉及患者是否能对迷幻辅助治疗做出知情同意:治疗的变革性似乎阻碍了对其进行评估,这表明患者无法理解接受迷幻辅助治疗对他们究竟意味着什么,以及是否符合他们的价值观。本文认为,患者通常有足够的知识来做出知情同意,因为他们知道自己想要改变消极的现状,而迷幻辅助疗法为他们提供了一种有效的方法。因此,病人可以理解迷幻辅助疗法的变革性质对他们意味着什么,即使他们无法预知迷幻体验的表现形式,他们也可以做出与价值观相一致的选择。
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Giving Consent to the Ineffable

A psychedelic renaissance is currently taking place in mental healthcare. The number of psychedelic-assisted therapy trials is growing steadily, and some countries already grant psychiatrists special permission to use psychedelics in non-research contexts under certain conditions. These clinical advances must be accompanied by ethical inquiry. One pressing ethical question involves whether patients can even give informed consent to psychedelic-assisted therapy: the treatment’s transformative nature seems to block its assessment, suggesting that patients are unable to understand what undergoing psychedelic-assisted therapy actually means for them and whether it aligns with their values. The present paper argues that patients often have sufficient knowledge to give informed consent because they know that they want to change their negative status quo and that psychedelic-assisted therapy offers an effective way to do so. Accordingly, patients can understand what the transformative nature of psychedelic-assisted therapy means for them and a make a value-aligned choice even if they are unable to anticipate the manifestation of a psychedelic experience.

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来源期刊
Neuroethics
Neuroethics MEDICAL ETHICS-
CiteScore
5.50
自引率
7.10%
发文量
31
审稿时长
>12 weeks
期刊介绍: Neuroethics is an international, peer-reviewed journal dedicated to academic articles on the ethical, legal, political, social and philosophical questions provoked by research in the contemporary sciences of the mind and brain; especially, but not only, neuroscience, psychiatry and psychology. The journal publishes articles on questions raised by the sciences of the brain and mind, and on the ways in which the sciences of the brain and mind illuminate longstanding debates in ethics and philosophy.
期刊最新文献
Responding to existential distress at the end of life: Psychedelics and psychedelic experiences and/ as medicine Deep Brain Stimulation for Consciousness Disorders; Technical and Ethical Considerations Neurorights, Mental Privacy, and Mind Reading A Transformative Trip? Experiences of Psychedelic Use The Reliability Challenge to Moral Intuitions
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