Is consent to psychological interventions less important than consent to bodily interventions?

Abstract It is standardly accepted that medical interventions can be permissibly administered to a patient who has decision-making capacity only when she has given her valid consent to the intervention. However, this requirement for valid medical consent is much less frequently discussed in relation to psychological interventions (‘PIs’) than it is in relation to bodily interventions (‘BIs’). Moreover, legal and professional consent requirements in respect of PIs are laxer than the analogous requirements in respect of BIs. One possible justification for these differences appeals to the Differential Importance View—the view that it is presumptively morally less important to obtain explicitly given valid consent for PIs than for BIs. In this article, we argue against the Differential Importance View by considering and rejecting three possible justifications for it. These invoke differences between PIs and BIs with respect to implicit consent, risk, and wrongfulness.

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Publication Details

Journal
The Philosophical Quarterly
Published
2025-02-27
DOI
https://doi.org/10.1093/pq/pqaf005
Primary Topic
Mental Health and Psychiatry
Type
article
Field-Weighted Citation Impact
0.00
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article

Is consent to psychological interventions less important than consent to bodily interventions?

Thomas A. Douglas, Julian Savulescu, Lisa Forsberg
The Philosophical Quarterly
Mental Health and Psychiatry
article

Is consent to psychological interventions less important than consent to bodily interventions?

Thomas A. Douglas, Julian Savulescu, Lisa Forsberg
article en

Abstract

Abstract It is standardly accepted that medical interventions can be permissibly administered to a patient who has decision-making capacity only when she has given her valid consent to the intervention. However, this requirement for valid medical consent is much less frequently discussed in relation to psychological interventions (‘PIs’) than it is in relation to bodily interventions (‘BIs’). Moreover, legal and professional consent requirements in respect of PIs are laxer than the analogous requirements in respect of BIs. One possible justification for these differences appeals to the Differential Importance View—the view that it is presumptively morally less important to obtain explicitly given valid consent for PIs than for BIs. In this article, we argue against the Differential Importance View by considering and rejecting three possible justifications for it. These invoke differences between PIs and BIs with respect to implicit consent, risk, and wrongfulness.

The Philosophical Quarterly
National University of Singapore (SG), University of Oxford (GB)
Peace, Justice and strong institutions
Openalex Percentile: Top 95%
Mental Health and Psychiatry
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Is consent to psychological interventions less important than consent to bodily interventions? — Thomas A. Douglas, Julian Savulescu, et al. · The Philosophical Quarterly (2025) | TGRS Research Map | TGRS