The Nocebo Effect of Informed Consent

The nocebo effect, the mirror-phenomenon to the placebo effect, is when the expectation of a negative outcome precipitates the corresponding symptom or leads to its exacerbation. One of the basic ethical duties in health care is to obtain informed consent from patients before treatment; however, the...

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Κύριος συγγραφέας: Cohen, Shlomo (Συγγραφέας)
Τύπος μέσου: Ηλεκτρονική πηγή Άρθρο
Γλώσσα:Αγγλικά
Έλεγχος διαθεσιμότητας: HBZ Gateway
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Fernleihe:Fernleihe für die Fachinformationsdienste
Έκδοση: Wiley-Blackwell 2014
Στο/Στη: Bioethics
Έτος: 2014, Τόμος: 28, Τεύχος: 3, Σελίδες: 147-154
Άλλες λέξεις-κλειδιά:B Informed Consent
B Information Disclosure
B Respect
B Autonomy
B risk-benefit analysis
B nocebo
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Περιγραφή
Σύνοψη:The nocebo effect, the mirror-phenomenon to the placebo effect, is when the expectation of a negative outcome precipitates the corresponding symptom or leads to its exacerbation. One of the basic ethical duties in health care is to obtain informed consent from patients before treatment; however, the disclosure of information regarding potential complications or side effects that this involves may precipitate a nocebo effect. While dilemmas between the principles of respect for patient autonomy and of nonmaleficence are recognized in medical ethics, there has not yet been an ethical discussion focused on the potential dilemma raised by the nocebo effect of informed consent (NEIC). This dilemma is especially pernicious, since it involves a direct causality of harm by the caregiver that is unparalleled by other potential harmful effects of information disclosure. This paper articulates the dilemma of the NEIC and offers a seminal ethical analysis.
ISSN:1467-8519
Περιλαμβάνει:Enthalten in: Bioethics
Persistent identifiers:DOI: 10.1111/j.1467-8519.2012.01983.x