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설명동의의 신경윤리(Neuroethics)

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Author(s)
김양태이상목
Keimyung Author(s)
Kim, Yang Tae
Department
Dept. of Psychiatry (정신건강의학)
Journal Title
한국의료윤리학회지
Issued Date
2013
Volume
16
Issue
1
Keyword
informed consentdecision makingneuroethics
Abstract
Informed consent has problems with readability, length, complexity, and so on. On the one hand, rigid requirements related to informed consent discourage subjects to participate experiment. On the other hand, it distracts from more serious ethical problems in clinical research such as decision-making capacity. Recently, there is increasing evidence that some proportion of the population has difficulties with decision-making capacity. Therefore, the neuropsychological tests associated with decision making are needed before giving valid informed consent. The decision making related to informed consent can be described by the interplay between emotional and cognitive functions. How can we investigate this empirically? An appropriate scale measuring neuropsychological function in informed consent should include both cognitive and emotional abilities. Nowadays, the MacArthur Competence Assessment Tool (MacCAT) was widely used. But it relies predominantly on cognitive abilities such as understanding, appreciation, reasoning, and expression of choice. Considering recent empirical studies, the inclusion of emotional abilities in relation to decision-making seems to be essential. Iowa Gambling Task (IGT) requires emotional function as well as cognitive function to perform proper decision-making. Thus, it would be necessary to administer both the MacCAT and the IGT in people who have deficits in decision making and in giving valid or invalid informed consent.
Alternative Title
The Neuroethics of Informed Consent
Keimyung Author(s)(Kor)
김양태
Publisher
School of Medicine
Citation
김양태 and 이상목. (2013). 설명동의의 신경윤리(Neuroethics). 한국의료윤리학회지, 16(1), 1–10.
Type
Article
ISSN
2005-8284
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36406
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
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