Place, Virtue Ethics and Physician-Researcher Dual-Role Consent in Clinical Research

Journal article


Gildersleeve, M. and Crowden, A. (2019). Place, Virtue Ethics and Physician-Researcher Dual-Role Consent in Clinical Research. American Journal of Bioethics. 19(4), pp. 37-39. https://doi.org/10.1080/15265161.2019.1572818
AuthorsGildersleeve, M. and Crowden, A
Abstract

Stephanie R. Morain and colleagues (2019) are right to claim that it is time for a more nuanced and specific approach to dual-role consent in clinical research. Here we show how philosophy of place and virtue ethics provide robust theoretical support for their claim. Drawing on our previous work applying neo-Aristotelian virtue theory to dual and multiple therapeutic relationships in clinical and research practice (Crowden 2008, 2016), and our arguments about why understanding an extended Heideggerian concept of “place” in clinical practice is important (Gildersleeve and Crowden 2018), we outline how potential challenges related to investigator role conflict, fear of diminished participant voluntariness, and therapeutic misconception can be better understood, captured, explained and resolved. Our virtue ethics place-focused framework recognizes the distinct ethical aspects of different physician-investigator relationships and the diverse nature of clinical research. We advance a philosophical analysis about how our “distinct ethics of place” influences ethical decision making in dual-role situations.

KeywordsPlace
Year2019
JournalAmerican Journal of Bioethics
Journal citation19 (4), pp. 37-39
PublisherTaylor & Francis
ISSN1536-0075
Digital Object Identifier (DOI)https://doi.org/10.1080/15265161.2019.1572818
Web address (URL)https://www.tandfonline.com/doi/full/10.1080/15265161.2019.1572818
Open accessPublished as non-open access
Research or scholarlyResearch
Page range37-39
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online17 Apr 2019
Publication process dates
AcceptedApr 2019
Deposited06 Nov 2024
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