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Giving addicts their drug of choice: The problem of consent

Bioethics 22 (6):314–320 (2008)

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Cynthia's dilemma: Consenting to heroin prescription.Louis C. Charland - 2002 - American Journal of Bioethics 2 (2):37-47.details Heroin prescription involves the medical provision of heroin in the treatment of heroin addiction. Rudimentary clinical trials on that treatment modality have been carried out and others are currently underway or in development. However, it is questionable whether subjects considered for such trials are mentally competent to consent to them. The problem has not been sufficiently appreciated in ethical and clinical discussions of the topic. The challenges involved throw new light on the role of value and accountability in contemporary discussions (...) of mental competence. (shrink) Download Export citation Bookmark 70 citations
Freedom of the will and the concept of a person.Harry G. Frankfurt - 1971 - Journal of Philosophy 68 (1):5-20.details It is my view that one essential difference between persons and other creatures is to be found in the structure of a person's will. Besides wanting and choosing and being moved to do this or that, men may also want to have certain desires and motives. They are capable of wanting to be different, in their preferences and purposes, from what they are. Many animals appear to have the capacity for what I shall call "first-order desires" or "desires of the (...) Download Export citation Bookmark 1459 citations
Inducement in Research.Martin Wilkinson & Andrew Moore - 1997 - Bioethics 11 (5):373-389.details Opposition to inducement payments for research subjects is an international orthodoxy amongst writers of ethics committee guidelines. We offer an argument in favour of these payments. We also critically evaluate the best arguments we can find or devise against such payments, and except in one very limited range of circumstances, we find these unconvincing. Download Export citation Bookmark 55 citations
Addiction and autonomy: Can addicted people consent to the prescription of their drug of addiction?Bennett Foddy & Julian Savulescu - 2005 - Bioethics 20 (1):1–15.details It is often claimed that the autonomy of heroin addicts is compromised when they are choosing between taking their drug of addiction and abstaining. This is the basis of claims that they are incompetent to give consent to be prescribed heroin. We reject these claims on a number of empirical and theoretical grounds. First we argue that addicts are likely to be sober, and thus capable of rational thought, when approaching researchers to participate in research. We reject behavioural evidence purported (...) Download Export citation Bookmark 36 citations

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