The issue of consent in research that administers drugs of addiction to addicted persons

Account Res. 2008 Oct-Dec;15(4):209-25. doi: 10.1080/08989620802388689.

Abstract

In addiction, impaired control over drug use raises questions about the capacity of addicted persons to consent to participate in research studies in which they are given their drug of addiction. We review the case for doing such research, and the arguments that addiction does, and does not, prevent addicted persons from consenting to such research. We argue for a more nuanced view that acknowledges that while in some situations addiction impairs decision-making capacity, it does not eliminate such capacity. We conclude with some suggestions for recruiting addicted subjects and designing experiments in ways to obtain free and informed consent.

MeSH terms

  • Behavior, Addictive / chemically induced
  • Behavior, Addictive / psychology
  • Brain / drug effects
  • Drug Users / psychology*
  • Human Experimentation / ethics*
  • Human Experimentation / standards
  • Humans
  • Illicit Drugs*
  • Informed Consent / ethics*
  • Informed Consent / standards
  • Mental Competency
  • Neurosciences / ethics
  • Psychotropic Drugs / administration & dosage
  • Research Subjects
  • Substance-Related Disorders / physiopathology*
  • Substance-Related Disorders / psychology*

Substances

  • Illicit Drugs
  • Psychotropic Drugs