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对成瘾者使用成瘾药物的研究中的知情同意问题。

The issue of consent in research that administers drugs of addiction to addicted persons.

作者信息

Carter Adrian, Hall Wayne

机构信息

The University of Queensland, Queensland Brain Institute, Queensland, Australia.

出版信息

Account Res. 2008 Oct-Dec;15(4):209-25. doi: 10.1080/08989620802388689.

Abstract

In addiction, impaired control over drug use raises questions about the capacity of addicted persons to consent to participate in research studies in which they are given their drug of addiction. We review the case for doing such research, and the arguments that addiction does, and does not, prevent addicted persons from consenting to such research. We argue for a more nuanced view that acknowledges that while in some situations addiction impairs decision-making capacity, it does not eliminate such capacity. We conclude with some suggestions for recruiting addicted subjects and designing experiments in ways to obtain free and informed consent.

摘要

此外,对药物使用的控制受损引发了关于成瘾者是否有能力同意参与给予其成瘾药物的研究的问题。我们审视了开展此类研究的理由,以及关于成瘾确实和并未妨碍成瘾者同意此类研究的各种论点。我们主张一种更细致入微的观点,即承认虽然在某些情况下成瘾会损害决策能力,但并不会消除这种能力。我们最后提出了一些关于招募成瘾受试者以及设计实验以获得自由和知情同意的建议。

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