Child's objection to non-beneficial research: capacity and distress based models

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• 作者：Marcin Waligora ; Joanna Różyńska ; Jan Piasecki
• 关键词：Pediatrics ; Non ; beneficial research ; Dissent ; Assent ; Children ; Proxy consent ; Incompetent subjects ; Vulnerable subjects
• 刊名：Medicine, Health Care and Philosophy
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：19
• 期：1
• 页码：65-70
• 全文大小：396 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Theory of Medicine and Bioethics
  Medical Law
  Ethics
  History of Medicine
  
• 出版者：Springer Netherlands
• ISSN：1572-8633

文摘

A child’s objection, refusal and dissent regarding participation in non-beneficial biomedical research must be respected, even when the parents or legal representatives have given their permission. There is, however, no consensus on the definition and criteria of a meaningful and valid child’s objection. The aim of this article is to clarify this issue. In the first part we describe the problems of a child’s assent in research. In the second part we distinguish and analyze two models of a child’s objection to research: the capacity-based model and the distress-based model. In the last part we present arguments for a broader and unified understanding of a child’s objection within regulations and practices. This will strengthen children’s rights and facilitate the entire process of assessment of research protocols.