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[This chapter will argue for the adaptation of the consent process for vascularized composite allotransplantationVascularized Composite Allotransplantation (VCA) research involving the transplant of faces and upper extremities. This adaptation of the consent process will reflect the particular nature of VCA as a form of therapeutic research which takes place over a long period of time, exposes the vulnerable subject to great risks and burdens, requires intensive long-term active participation of the recipient and raises the issue of the recipient’s dignityDignity and vulnerabilityVulnerability in a special way. It will incorporate several of the insights offered by various critics of the current standard approach to consent. Finally, at the heart of this adaptation will be a reimagining of consent in covenantal terms. This will involve reimagining the researcher/subject and physician/patient relationship. In place of the more typical professional distance and emotional detachment on the part of researchers or physicians, covenant consentConsentcovenant consent will require “compassionate solidarityCompassionate solidarity.”]
Published: Apr 26, 2017
Keywords: Consent Process; Personal Autonomy; Biomedical Ethic; Graft Recipient; Compassionate Care
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