Arnold & Lidz on
Consent (in Levine, Taking Sides, 11th edition)
EVENT MODEL dominates
Provision of info and
signed consent are combined in a single event, usually immediately
prior to start of invasive treatment. (avoids legal charge of battery
if patient objects)
professionals control the consent process, minimizing client
respect for autonomy requires that patients determine their level of
involvement. (Patients can trust judgment of doctor, but need not do
would maximize client participation.
Every party in the
process contributes to the dialogue.
decisions are PRIOR to current consent procedures:
Decision what problem
exists, then choice of reasonable goals (Neither of these can be
assumed to be identifiable by the medical professional)
Information must be
understandable to the client,
Weight assigned to
the importance of the decision (relative to client’s situation
professional consensus among professionals about proposed course of
updating of progress, with openness to revising goals.