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NEUROSCIENCE OF PSYCHOACTIVE SUBSTANCE USE AND DEPENDENCE





                     18. Medical research involving human subjects should only be conducted if the
                         importance of the objective outweighs the inherent risks and burdens to the
                         subject. This is especially important when the human subjects are healthy
                         volunteers.
                     19. Medical research is only justified if there is a reasonable likelihood that the
                         populations in which the research is carried out stand to benefit from the
                         results of the research.
                     20. The subjects must be volunteers and informed participants in the research
                         project.
                     21. The right of research subjects to safeguard their integrity must always be
                         respected. Every precaution should be taken to respect the privacy of the
                         subject, the confidentiality of the patient’s information and to minimize the
                         impact of the study on the subject’s physical and mental integrity and on
                         the personality of the subject.
                     22. In any research on human beings, each potential subject must be adequately
                         informed of the aims, methods, sources of funding, any possible conflicts
                         of interest, institutional affiliations of the researcher, the anticipated benefits
                         and potential risks of the study and the discomfort it may entail. The subject
                         should be informed of the right to abstain from participation in the study or
                         to withdraw consent to participate at any time without reprisal. After ensuring
                         that the subject has understood the information, the physician should then
                         obtain the subject’s freely-given informed consent, preferably in writing. If
                         the consent cannot be obtained in writing, the non-written consent must be
                         formally documented and witnessed.
                     23. When obtaining informed consent for the research project the physician
                         should be particularly cautious if the subject is in a dependent relationship
                         with the physician or may consent under duress. In that case the informed
                         consent should be obtained by a well-informed physician who is not
                         engaged in the investigation and who is completely independent of this
                         relationship.
                     24. For a research subject who is legally incompetent, physically or mentally
                         incapable of giving consent or is a legally incompetent minor, the investigator
                         must obtain informed consent from the legally authorized representative in
                         accordance with applicable law. These groups should not be included in
                         research unless the research is necessary to promote the health of the
                         population represented and this research cannot instead be performed on
                         legally competent persons.
                     25. When a subject deemed legally incompetent, such as a minor child, is able
                         to give assent to decisions about participation in research, the investigator
                         must obtain that assent in addition to the consent of the legally authorized
                         representative.
                     26. Research on individuals from whom it is not possible to obtain consent,
                         including proxy or advance consent, should be done only if the physical/



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