Abstract and Keywords
During the past few decades, there has been tremendous progress in the diagnosis and treatment of cognitive disorders. With these opportunities to advance diagnosis and care, there are new ethical and practical concerns. This chapter provides a general overview of ethical issues related to patients with diminished cognitive functioning. It describes essential concepts and issues that clinicians must know, such as treatment decision-making, limitations on independence, protection from harm, and interpretive issues surrounding effort testing. It then describes ethical issues related to clinical research, such as informed consent and assent for research participation, and considerations when conducting clinical trials. Finally, the chapter describes some issues surrounding neuroethics, such as preparing for and dealing with incidental findings, early detection of disorders, neuroenhancement, and the use of deception.
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