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39 Rutgers L. Rev. 425 (1986-1987)
Informed Consent in Psychiatric Research

handle is hein.journals/rutlr39 and id is 433 raw text is: INFORMED CONSENT IN PSYCHIATRIC RESEARCH
Loren H. Roth, M.D., M.P.H.*
Paul S. Appelbaum, M.D.**
Charles W. Lidz, Ph.D.***
Paul Benson, Ph.D.****
William J. Winslade, Ph.D., J.D.*****
I.  INTRODUCTION
In the mid-1980's, the subject of informed consent has become
increasingly important for general and forensic psychiatry.' Informed
consent is the preeminent means by which psychiatric and other medical
patients can secure their rights to full participation in treatment decision-
making in therapeutic settings.' Within recent years, informed consent
has gained general acceptance as an ethical and legal requirement for
enrolling patients-subjects in human experimentation.'
The importance of informed consent for human experimentation has
been highlighted by societal condemnation of periodic abuses. Vivid
* Professor of Psychiatry, University of Pittsburgh School of Medicine. B.A., Cornell University,
1961; M.D., Harvard Medical School, 1966; M.P.H., Harvard School of Public Health, 1972.
** A.F. Zeleznik Professor of Psychiatry, Director of Law and Psychiatry Program, University of
Massachusetts Medical School, Worcester, Mass. B.A., Columbia College, 1972; M.D., Harvard
Medical School, 1976.
*** Professor of Psychiatry and Sociology, University of Pittsburgh School of Medicine. B.A.,
Yale University, 1967; Ph.D., Harvard University, 1974.
**** Assistant Professor of Sociology, Tulane University. B.A., University of California at Santa
Cruz, 1973; Ph.D., University of North Carolina at Chapel Hill, 1981.
***** Professor of Psychiatry and Medical Jurisprudence, University of Texas at Galveston.
B.A., Monmouth College, 1963; Ph.D., Northwestern University, 1967; J.D., University of
California School of Law, 1972; Ph.D., Southern California Psychoanalytic Institute, 1984.
This Article is an expanded and updated version of an article originally published in 6 PSYCHIATRIC
CLINICS N. AM. 551 (1983).
I. See C. LIDz, A. MEISEL, E. ZERUBAVEL, M. CARTER, R. SESTAK & L. ROTH, INFORMED
CONSENT: A STUDY OF DECISIONMAKING IN PSYCHIATRY (1984); Meisel, Roth & Lidz, Toward a
Model of the Legal Doctrine of Informed Consent, 134 AM. J. PSYCHIATRY 285 (1977).
2. Restructuring Informed Consent: Legal Theoryfor the Doctor-Patient Relationship, 79 YALE
L.J. 1533 (1970).
3. R. LEVINE, ETHICS AND REGULATION OF CLINICAL RESEARCH (1981). The requirement that
there be informed consent is congruent with the value orientation of Western civilization, which
emphasizes societal respect for individual free choice and rational decisionmaking as an intrinsic
element of human dignity. See G. ANNAS, L. GLANTZ & B. KATZ, INFORMED CONSENT TO HUMAN
EXPERIMENTATION: THE SUBJECT'S DILEMMA (1977).

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