By Victoria Adkins. In the literature concerning ectogenesis – the process of gestating a foetus outside of the human body (in an artificial womb) – discussions have been concerned with its possible implications for pregnant women. However, in order to consider these implications effectively we must also look at the relationship between pregnant women and […]
Category: consent
Consent in an acute clinical research setting – what should that look like?
Peta Coulson-Smith and Anneke Lucassen. Consent to an intervention serves to recognise a person’s autonomy, be that in clinical care – or in the research that informs that clinical care. Consent is not valid unless it is given voluntarily, on the basis of sufficient information to make the decision, and by someone who has the […]
Toward enhanced consent for psychedelic psychiatry
By William R Smith. and Dominic Sisti. Imagine living with treatment-resistant depression. You’ve already tried several lines of medication, electroconvulsive therapy, and psychotherapy to no avail. You might have even have used augmentation strategies such as transcranial magnetic stimulation. Maybe you have spent years of your life struggling with this disease despite these attempts; maybe […]
Can research participants break from the chain of traditional data sharing consent?
By Vasiliki Rahimzadeh In their recent article, Mann et al. propose to share biomedical research data more widely, securely and efficiently using blockchain technologies. Used to power cryptocurrencies such as Bitcoin, blockchain and the wider group of distributed ledger technologies provide new ways of exchanging data, including sensitive data such as health data, in that […]
Can Welfare Powers of Attorney in Scotland refuse medical treatment on the granter’s behalf?
By Amanda Ward There is ambiguity to what extent Welfare Powers of Attorney (WPA) in Scotland can refuse or withhold consent to medical treatment. The primary legislation to be consulted is the Adults with Incapacity (Scotland) Act 2000 (AWIA). A welfare power of attorney relates to decision making in relation to the granter’s personal and […]
Compulsory treatment or vaccination versus quarantine
By Thomas Douglas, Jonathan Pugh and Lisa Forsberg. Governments worldwide have responded to the Covid-19 pandemic with sweeping constraints on freedom of movement, including various forms of isolation, quarantine, and ‘lockdown’. Governments have also introduced new legal instruments to guarantee the lawfulness of their measures. In the UK, the Coronavirus Act 2020 gives the government […]
Consent in the time of COVID-19
By Helen Turnham, Michael Dunn, Guy Thornburn, Elaine Hill, Dominic Wilkinson Since the start of the COVID-19 pandemic, one widely discussed issue has been the diversion of medical systems to support patients with acute COVID-19 disease. This diversion inevitably reduces availability of routine and urgent treatments for non-COVID-related illness. Patients with acute surgical emergencies such […]
Capacity-based decision-making for transgender adolescents
By Timothy F. Murphy This post is part of a series on ethical and legal perspectives in sexual and reproductive health first posted on the BMJ Sexual and Reproductive Health blog. Readers may be interested in the companion piece ‘Transgender children: limits on consent to permanent interventions’ by Heather Brunskell-Evans. Academics, clinicians, and trans people have focused […]
Transgender children: limits on consent to permanent interventions
By Heather Brunskell-Evans This post is part of a series on ethical and legal perspectives in sexual and reproductive health first posted on the BMJ Sexual and Reproductive Health blog. Be sure to check out the companion piece ‘Capacity-based decision-making for transgender adolescents’ by Timothy F. Murphy. When we talk about ‘transgender children’, we are referring […]
Using Ulysses Contracts to prevent patients from spiralling into relapse
By Harriet Standing Many people have written about Ulysses contracts in relation to the treatment of patients with mental illnesses. However, previous discussions have not focused on the particular phenomenon known as ‘spiralling’. The inspiration for this paper came from a friend with bipolar disorder. Over the years, they had suffered the relapsing and remitting […]