Beyond Regulations: Ethics in Human Subjects Research

Front Cover
Nancy M. P. King, Gail E. Henderson, Jane Stein
UNC Press Books, Oct 12, 2005 - Medical - 296 pages
Across a broad range of disciplines--in medicine, social science, and the humanities--researchers, scholars, teachers, and administrators increasingly are looking for new ways to approach ethical issues in research with human subjects. Questions about how relationships between funders and researchers should affect research design, for example, or whether the potential benefits of research can outweigh the importance of its subjects' interests are inadequately addressed by the prevailing, regulation-based research ethics paradigm.
This book constitutes a reexamination of research ethics. It combines case studies and commentaries by a multidisciplinary group of scholars and researchers to explore such topics as informed consent, conflict of interest, confidentiality, and research on illegal behavior. All human subjects research takes place within complex social, cultural, and political contexts, the contributors argue. Increased consideration of the relationships between researchers and their subjects, funders, and institutions within these contexts will facilitate research that is sensitive and responsible as well as scientifically fruitful.
Beyond Regulations features a keynote essay by Ruth Macklin. Other contributors are Marcela Aracena Alvarez, Jorge Balan, B. Susan Bauer, Alan F. Benjamin, Lynn Blanchard, Allan M. Brandt, J. Pat Browder, Barbara Entwisle, Sue E. Estroff, Renee C. Fox, Lara Freidenfelds, Gail E. Henderson, Nancy M. P. King, Loretta M. Kopelman, Ernest N. Kraybill, Barry M. Popkin, Silvina Ramos, Desmond K. Runyan, Jane Stein, Ronald P. Strauss, Keith A. Wailoo, and Cynthia Waszak.





Across a broad range of disciplines--in biomedicine, the social sciences, and the humanities--researchers, scholars, administrators, and teachers increasingly struggle with questions of ethics in research with human subjects. All research takes place in complex social, cultural, political, and economic contexts; yet the prevailing principle-based research ethics paradigm does not adequately account for them.
This book reexamines research ethics using a new relationships paradigm. Through in-depth cases, commentaries, and essays, a multidisciplinary group of scholars and researchers addresses informed consent, conflict of interest, confidentiality, and other issues, considering questions like: What relationships should researchers have with their subjects' communities? When researchers and subjects have different views about research, who should have control? How should relationships between funders and researchers affect research design? Can research be so potentially beneficial that its importance outweighs the interests of subjects? Examining the relationships between researchers and subjects, communities, funders, and institutions--including considerations of authority and voice--can facilitate human subjects research that is morally sensitive and responsible as well as scientifically fruitful.

 

Contents

A New Paradigm
1
KEYNOTE ESSAY
19
CASE 1 CONTRACTS AND COVENANTS
45
CASE 2 COMMUNITYBASED HIV RESEARCH
81
CASE 3 CORPORATE SPONSORSHIP OF RESEARCH
109
CASE 4 RISK AND TRUST IN ABORTION RESEARCH
135
CASE 5 STUDYING MALTREATMENT IN FAMILIES
159
CASE 6 WHOSE CONSENT?
187
APPENDIX B Federal Common Rule
227
APPENDIX C CIOMS Epidemiological Research Guidelines
239
APPENDIX D CIOMS Biomedical Research Guidelines
247
APPENDIX E Contract between Alan Benjamin and Congregation Mikve IsraelEmanuel
252
APPENDIX F Letter from Alan Benjamin to the Congregation
255
References
258
Contributors
272
Index
275

Toward a New Synthesis
213
APPENDIX A Nuremberg Code
225

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About the author (2005)

Nancy King is associate professor of social medicine t the University of North Carolina at Chapel Hill.

Gail Henderson is associate professor of social medicine and adjunct professor of sociology at the University of North Carolina at Chapel Hill.

Jane Stein teaches research and evaluation methods in maternal and child health and international health at the University of North Carolina at Chapel Hill.

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