Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-26T16:16:05.821Z Has data issue: false hasContentIssue false

Chapter 4 - The Three Functions of Consent in Neurosurgery

from Part I - General Ethics

Published online by Cambridge University Press:  29 May 2020

By
Cameron Stewart  and
Ian Kerridge
Edited by
Stephen Honeybul
Stephen Honeybul
Affiliation:
Sir Charles Gairdner Hospital, Royal Perth and Fiona Stanley Hospitals
Get access

Summary

Consent is an expression of the therapeutic relationship shared by health professionals and patients. The doctrine of consent is also a function of a fundamental respect for persons, and in legal discourse it functions to protect both autonomy and respect. Consent legally performs a permissive function that requires that patient be asked for permission before any intervention is made to their body and a risk function by requiring information to be provided to patients about the risks of having or not having a proposed intervention, especially when those risks are material to the patient.

Keywords

consentautonomyshared decision-making
Type
Chapter
Information
Ethics in Neurosurgical Practice , pp. 29 - 38
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Dodds, S. M. Choice and control in feminist bioethics. Relational Autonomy: Feminist Perspectives on Autonomy, Agency, and the Social Self. Ed. Mackenzie, C, Stoljar, N. New York, Oxford University Press, 2000; 213–35.Google Scholar
Witt, W. K. Identity change and informed consent. Journal of Medical Ethics 2017; 43: 384–90.CrossRefGoogle ScholarPubMed
Gavrus, D. Informed consent and the history of modern neurosurgery. Handbook of Neuroethics. Ed. Clausen, J, Levy, N. Dordrecht, Springer, 2015; 505–15.Google Scholar
Bell, E., Leger, P., Sankar, T., Racine, E. Deep brain stimulation as clinical innovation: an ethical and organizational framework to sustain deliberations about psychiatric deep brain stimulation. Neurosurgery 2016; 79: 3–10.Google Scholar
Scanlan, C., Stewart, C., Kerridge, I. Consent in the face of death. Internal Medicine Journal 2019; 49: 108–10.Google Scholar
Klein, E. Eloquent brain, ethical challenges: functional brain mapping in neurosurgery. Seminars in Ultrasound CT and MRI 2015; 36: 291–5.Google Scholar
Mandarelli, G., Moretti, G., Pasquini, M., et al. Informed consent decision-making in deep brain stimulation. Brain Science 2018; 8: E84.Google Scholar
Canavero, S. Criminal minds: Neuromodulation of the psychopathic brain. Frontiers of Human Neuroscience 2014; 8: 124.Google Scholar
Park, R. J., Singh, I., Pike, A. C., et al. Deep brain stimulation in anorexia nervosa: Hope for the hopeless or exploitation of the vulnerable? The oxford neuroethics gold standard framework. Frontiers in Psychiatry 2017; 8: 6.CrossRefGoogle ScholarPubMed
Scanlan, C., Stewart, C., Kerridge, I. Decision making in the shadow of death. The American Journal of Bioethics 2016; 16: 23–4.Google Scholar
Brennum, J., Maier, C. M., Almdal, K., Engelmann, C. M., Gjerris, M. Primo non nocere or maximum survival in grade 2 gliomas? A medical ethical question. Acta Neurochirurgica 2015; 157 : 155–64.CrossRefGoogle ScholarPubMed
Lipworth, W., Montgomery, K. Managing and regulating conflicts of interest in medicine. Medical Professionals: Conflicts and Quandaries in Medical Practice, Ed. Montgomery, K and Lipworth, W. New York, Routledge, 2019.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×