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Autor/inn/enBarton, Ellen; Eggly, Susan
TitelEthical or Unethical Persuasion? The Rhetoric of Offers to Participate in Clinical Trials
QuelleIn: Written Communication, 26 (2009) 3, S.295-319 (25 Seiten)
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0741-0883
DOI10.1177/0741088309336936
SchlagwörterDiscourse Analysis; Rhetoric; Oncology; Cancer; Medical Services; Ethics; Patients; Personal Autonomy; Participant Characteristics; Experimental Groups; Physicians; Physician Patient Relationship; Research; Control Groups
AbstractBased on a sample of 22 oncology encounters, this article presents a discourse analysis of positive, neutral, or negative valence in the presentation of three elements of informed consent--purpose, benefits, and risks--in offers to participate in clinical trials. It is found that physicians regularly present these key elements of consent with a positive valence, perhaps blurring the distinction between clinical care and clinical research in trial offers. The authors argue that the rhetoric of trial offers constructs and reflects the complex relationships of two competing ethical frameworks--contemporary bioethics and professional medical ethics--both aimed at governing the discourse of trial offers. The authors consider the status of ethical or unethical persuasion within each framework, proposing what is called the best-option principle as the ethical principle governing trial offers within professional medical ethics. (Contains 10 tables and 12 notes.) (As Provided).
AnmerkungenSAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2017/4/10
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