Consentindo ambigüidades: uma análise documental dos termos de consentimento informado, utilizados em clínicas de reprodução humana assistida

Abstract

With the field of assisted human reproduction as a case study, this article presents the results of a study on informed consent forms, linking the understanding of the use of social languages - especially the language of risk - and its implications on the relationship between health professionals and clients. Informed by a social psychology perspective and aligned with the qualitative tradition in research, the study was oriented by a theoretical approach to discursive practice, whereby the language of risk is understood as a way of speaking of future control of risks. The analysis centered on the text of 27 informed consent forms provided by eight Brazilian clinics. Besides understanding the linguistic specificities, the analysis attempted to answer the question, "What is being consented to?" The results showed the ambiguity of a document which presupposes the use of the metaphor of taking versus not taking risks. That is, the document may be used in a democratic, bureaucratic, or even authoritarian way, while the communication of risks and benefits subsidizes both the decision-making and the dilution of responsibility throughout the relational network.

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“…It was evaluated 1478 Informed Consents (IC), from 1205 couples, whose underwent ART between 1999 and2004. Two study groups were established in according to the period of ART procedure, and the soap opera exhibition: group A when the treatments were realized before the entertainment exhibition, and group B after that.…”

Termos de esclarecimento e responsabilidade à luz da bioética de intervenção

“…Consent to a given treatment is nothing more than a choice resulting from a successful information process. Communication with the physician naturally includes risk information, which the autonomous patient must weigh and decide whether to accept, thus becoming co-responsible 31 .…”

Consentimento informado em genética forense

“…O consentimento informado deve ser utilizado em todas as situações nas quais se empregam tecnologias às pesquisas com seres humanos (5). O consentimento busca garantir a autonomia do sujeito da pesquisa (6).…”