In a therapeutic setting, what concern exists regarding parental permission for research involving children?

In a therapeutic setting, the concern regarding parental permission for research involving children is that parents might feel compelled to cooperate for continued services. This is particularly relevant in situations where researchers are working with children receiving therapeutic services, as the parents may worry that refusing to allow their child to participate in research could jeopardize their access to necessary treatment or support. This dynamic can create a situation where parental consent is influenced by the desire to maintain access to services rather than being based solely on the parents' informed understanding of the research and its implications for their child. It highlights the ethical considerations in obtaining consent, ensuring that parents can make fully voluntary decisions without the pressure of possible repercussions on their child's care.