Dare we rethink informed consent?

dc.contributor.authorDe Roubaix, Malcolmen_ZA
dc.identifier.citationDe Roubaix, M. 2017. Dare we rethink informed consent?. South African Journal of Bioethics and Law, 10(1):25-28, doi:10.7196/sajbl.507
dc.identifier.issn1999-7639 (online)
dc.descriptionCITATION: De Roubaix, M. 2017. Dare we rethink informed consent?. South African Journal of Bioethics and Law, 10(1):25-28, doi:10.7196/sajbl.507.
dc.descriptionThe original publication is available at
dc.description.abstractCurrent informed consent practices conform to the informed consent paradigm (ICP). Our intention is finally to promote patient autonomy through the provision of information intended to remove the information (i.e. power) differential between doctor and patient. ICP is fundamentally flawed, since it is impossible to comprehensively and explicitly inform. A fundamental problem is our reliance on the container-conduit metaphor of informing. As a linguistic act, this metaphor conceptualises the process of informing as passive, when in reality informing and consequent sense-making are parts of an individualised, personal and active process. The difficulties of the ICP are discussed, as are possible alternative strategies (reverting to paternalism, retaining the illusion of autonomy, and de-linking informing/consent, or the moral and legal aspects of consent). Alternative models are also discussed (e.g. Manson and O’Neill’s notion of informed consent as a transaction). Concluding suggestions include drawing on an ethics of responsibility, incorporating the notion of informed consent as a transaction, debating the issues raised here and promoting the ethical empowerment of practising doctors.en_ZA
dc.format.extent4 pages
dc.publisherHealth and Medical Publishing Group
dc.subjectInformed consent (Medical law)en_ZA
dc.subjectMedical ethicsen_ZA
dc.subjectPatient refusal of treatmenten_ZA
dc.subjectInformation theoryen_ZA
dc.titleDare we rethink informed consent?en_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthor retains copyright

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