Opinion: consentement éclairé et capacité en pratique clinique psychiatrique (une perspective québécoise)

1989 ◽  
Vol 34 (2) ◽  
pp. 110-114
Author(s):  
Denis Morrison
Keyword(s):  
Informed Consent ◽  
Fundamental Question ◽  
Psychiatric Practice ◽  
Consentement Éclairé ◽  
Final Answer ◽  
Pratique Clinique

This paper on informed consent and psychiatry, asks the fundamental question if informed consent doctrine applies or not to psychiatric practice. In a dialectic between systems of thought in psychiatry and law, the author stresses the importance of particular clinical situations which can be addressed or not in terms of application of informed consent doctrine. The purpose of the paper is not to give a final answer but to bring questions and stimulate thought.

Readability of Informed Consent Forms: Analysis and Recommendations for Development of Consent Forms for Use with Communities with Limited or Low Literacy

2016 ◽  
Author(s):  
Miraida Morales ◽  
Sarah Barriage
Keyword(s):  
Informed Consent ◽  
Pilot Study ◽  
Informed Consent Process ◽  
Consent Process ◽  
Measurement Tool ◽  
Low Literacy ◽  
Consent Forms ◽  
Early Readers ◽  
Research With Children ◽  
Consentement Éclairé

This poster presents a pilot study that analyzed a small corpus of informed consent forms used in research with children, adolescents, and adult early readers using Coh-Metrix, a readability measurement tool. Recommendations for increasing readability of consent forms in order to improve the informed consent process are also provided. Cette affiche présente une étude pilote qui a analysé un corpus restreint de formulaires de consentement éclairé utilisés dans la recherche avec les enfants, les adolescents et les lecteurs précoces adultes,  utilisant Coh-Metrix, un outil de mesure de la lisibilité. Nous fournissons également des recommandations pour augmenter la lisibilité des formulaires de consentement afin d'améliorer le processus de consentement éclairé.

Informed consent in psychiatric practice: where does the law now stand?

2011 ◽  
Vol 28 (2) ◽  
pp. 86-90
Author(s):  
Peter Leonard
Keyword(s):  
Informed Consent ◽  
Medical Profession ◽  
Case Law ◽  
Point Of View ◽  
Psychiatric Practice ◽  
Mental Health Legislation ◽  
Clinical Scenarios ◽  
Legal Duty ◽  
Legal Position ◽  
Health Legislation

AbstractThere is an established ethical and legal duty upon psychiatrists to obtain informed consent before treating a patient, although some exceptions do apply under Mental Health Legislation. The required standard for informed consent has been the subject of important case law in Ireland and other common law jurisdictions and this has caused some uncertainty for clinicians. The standard of informed consent can be viewed from the point of view of what the medical profession thinks is appropriate, or alternatively from the position of what a patient would reasonably expect to be told. These contrasting approaches are discussed in detail. A recent decision of the Irish Supreme Court establishes the ‘patient-centred’ standard for informed consent as the relevant standard in Irish law. The current legal position on informed consent is discussed in relation to common clinical scenarios in psychiatric practice.

Obtaining Informed Consent from Continuing Care Residents: Issues and Recommendations

2001 ◽  
Vol 20 (3) ◽  
pp. 385-406 ◽  
Author(s):  
Liza Stelmach ◽  
Candace Konnert ◽  
Keith Dobson
Keyword(s):  
Informed Consent ◽  
Santé Mentale ◽  
Continuing Care ◽  
Longue Duree ◽  
Longue Durée ◽  
Consentement Éclairé ◽  
Professionnels De La Santé ◽  
Sante Mentale

RÉSUMÉAu fur et à mesure de l'augmentation du nombre d'ainé(e)s dans les établissements de soins de longue durée, les professionnel(le)s de la santé mentale fourniront plus de services et mèneront plus d'enquêtes dans ce milieu. Les professionnel(le)s de la santé mentale s'occupant de patients nécessitant des soins de longue durée se retrouveront régubèrement aux prises avec des questions de morale, surtout en matière de consentement éclairé. Les caractéristiques du milieu des soins de longue durée et de ses résidents rendent le consentement éclairé particulièrement délicat. Les professionnels de la santé mentale doivent relever les défis qui s'y relient pour respecter les critères suivants du consentement éclairé: (1) le client est compétent, (2) le client dispose de toute l'information nécessaire, et (3) le client n'a pas été contraint et/ou le consentement est volontaire. L'article examine la question de ces critères dans un milieu de soins de longue durée et propose des suggestions et des directives à utiliser par les professionnels de la santé mentale qui ont à obtenir un consentement éclairé.

Informed Consent: Legal Requirements in Psychiatric Practice

1979 ◽  
Vol 7 (4) ◽  
pp. 479-491 ◽  
Author(s):  
Mary C. Sherman ◽  
F.S. Abuzzahab
Keyword(s):  
Informed Consent ◽  
Psychiatric Patient ◽  
Psychiatric Treatment ◽  
Case Law ◽  
Test Methods ◽  
Psychiatric Practice ◽  
Systematic Research ◽  
Legal Requirements ◽  
Professional Groups ◽  
The Law

Psychiatry and the law interface on the issue of informed consent in a singular way, because of the nature of the psychiatric patient. In the 1970's, with the increase in societal consciousness about psychiatric treatment and commitment procedures, principles regarding informed consent in psychiatric practice have been enunciated in case law. Some fundamental conflicts between psychiatry and the law remain, however, leaving the patient in the middle. No methods of care have been designed by religious and professional groups who oppose psychiatric treatment for those patients who “refuse” treatment. Systematic research is needed to test methods of consent and contents of consent disclosure.

Preliminary Report on Informed Consent for Mental Capacity Assessments

1993 ◽  
Vol 12 (3) ◽  
pp. 373-381 ◽  
Author(s):  
Rona Abramovitch ◽  
Mary Finstad ◽  
Michel Silberfeld
Keyword(s):  
Informed Consent ◽  
Preliminary Report ◽  
Geriatric Care ◽  
Mental Capacity ◽  
Consentement Éclairé

RÉSUMÉLa présente étude avait pour but d'étudier le consentement éclairé, c'est-à-dire donné en connaissance de cause, et la capacité intellectuelle. Dix-sept patients qui avaient été aiguillés à la Competency Clinic (clinique d'évaluation de la capacité intellectuelle) du Baycrest Centre for Geriatric Care ont été interrogés à la suite de leur évaluation. Les réponses qu'ils ont données relativement aux questions entourant les raisons et les conséquences possibles de l'évaluation indiquent une variation de la compréhension et de la capacité de donner un consentement éclairé. Les résultats sont analysés afin de déterminer si le niveau peu élevé de consentement éclairé convient dans les cas où les autres capacités sont déjà remises en question.

Le consentement éclairé: un atout pour la psychothérapie?

1993 ◽  
Vol 38 (8) ◽  
pp. 547-551 ◽  
Author(s):  
Jan Marta ◽  
Frederick H. Lowy
Keyword(s):  
Informed Consent ◽  
Literature Review ◽  
Treatment Modality ◽  
Well Being ◽  
Future Research ◽  
The Unconscious ◽  
Proposed Model ◽  
Explicit Consent ◽  
Unconscious Transference ◽  
Consentement Éclairé

Is it desirable to extend the practice of explicit informed consent to psychotherapy? Is it possible? How? This article offers preliminary answers to these questions following a literature review and reflection on the theory of informed consent and psychotherapy. It explores the advantages and the possibility of using explicit informed consent in place of the implicit consent obtained currently. Explicit consent for psychotherapy would be interactive, iterative, repeated and revocable. It would take into account specific characteristics of psychotherapy, such as the fact that it is a process rather than a procedure, its relative unpredictability, the active part the patient plays in treatment, and the importance of the unconscious, transference and counter-transference. It would have the advantages of respecting the patients’ autonomy without sacrificing their well-being, of having meaning not only for medico-legal protocols but for the patient, and would improve satisfaction with and the efficacy of psychotherapy as a treatment modality. The proposed model provides direction for future research, both empirical and theoretical.

scholarly journals Consent in psychiatric biobanks for pharmacogenetic research

2013 ◽  
Vol 16 (3) ◽  
pp. 677-682 ◽  
Author(s):  
Frederieke H. van der Baan ◽  
Rose D. C. Bernabe ◽  
Annelien L. Bredenoord ◽  
Jochem G. Gregoor ◽  
Gerben Meynen ◽  
...  
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Psychiatric Patients ◽  
Psychiatric Practice ◽  
Pharmacogenetic Testing ◽  
Informed Consent Procedure ◽  
Pharmacogenetic Research ◽  
Consent Procedure ◽  
Opt Out ◽  
Increased Risk

Abstract In psychiatric practice, pharmacogenetics has the potential to identify patients with an increased risk of unsatisfactory drug responses. Genotype-guided treatment adjustments may increase benefits and reduce harm in these patients; however, pharmacogenetic testing is not (yet) common practice and more pharmacogenetic research in psychiatric patients is warranted. An important precondition for this type of research is the establishment of biobanks. In this paper, we argue that, for the storage of samples in psychiatric biobanks, waiving of consent is not ethically justifiable since the risks cannot be considered minimal and the argument of impracticability does not apply. An opt-out consent procedure is also not justifiable, since it presumes competence while the decisional competence of psychiatric patients needs to be carefully evaluated. We state that an enhanced opt-in consent procedure is ethically necessary, i.e. a procedure that supports the patients’ decision-making at the time when the patient is most competent. Nevertheless, such a procedure is not the traditional exhaustive informed consent procedure, since this is not feasible in the case of biobanking.

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