Morris C D, Niederbuhl J M, Mahr J M
Department of Psychology, Sunmount Developmental Disabilities Services Office, Tupper Lake, NY 12986.
Am J Ment Retard. 1993 Sep;98(2):263-72.
Interviews were conducted for individuals without mental retardation and with mild or moderate mental retardation in order to determine their capability to provide informed consent to hypothetical treatment vignettes. Protocols were developed to permit structured interviews, and standardized scoring procedures were devised to provide reliable determinations. Use of these procedures resulted in highly reliable ratings across different clinicians, and the likelihood of being determined capable to provide consent was positively related to level of intellectual functioning. Results point to the need to educate individuals with mental retardation about treatment situations and to balance protection from harm with self-determination.
为了确定无智力障碍以及有轻度或中度智力障碍的个体对假设治疗案例提供知情同意的能力，对他们进行了访谈。制定了方案以进行结构化访谈，并设计了标准化评分程序以做出可靠的判定。使用这些程序在不同临床医生之间产生了高度可靠的评级，并且被判定有能力提供同意的可能性与智力功能水平呈正相关。结果表明有必要对智力障碍个体进行治疗情况的教育，并在保护其免受伤害与自主决定权之间取得平衡。
