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Journal of Pediatric Psychology 21(4) pp. 505-516, 1996
© 1996 Society of Pediatric Psychology

research-article

Involving Children and Adolescents in Medical Decision Making: Developmental and Clinical Considerations1

Mary Ann McCabe2

Children's National Medical Center

2All correspondence should be addressed to Mary Ann McCabe, Department of Hematology/Oncology, Children's National Medical Center, 111 Michigan Avenue, NW, Washington DC 20010

Outlined the issues in informed consent, as well as goals for involving children and adolescents in decisions regarding their own medical treatment. This paper reviews the developmental and clinical considerations, and provides recommendations, for determining particular children's level of involvement. Finally, there are distinct roles for pediatric psychologists in this process, which are described. As medical treatment becomes increasingly sophisticated, there is an obligation for pediatric psychologists to appreciate the ethical and clinical issues in medical decision making for families.

Key words: adolescents; children; cognitive development; informed consent; medical decision making; social development.


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