David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
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American Journal of Bioethics 5 (1):7 – 28 (2005)
Contemporary research ethics policies started with reflection on the atrocities perpetrated upoconcentration camp inmates by Nazi doctors. Apparently, as a consequence of that experience, the policies that now guide human subject research focus on the protection of human subjects by making informed consent the centerpiece of regulatory attention. I take the choice of context for policy design, the initial prioritization of informed consent, and several associated conceptual missteps, to have set research ethics off in the wrong direction. The aim of this paper is to sort out these confusions and their implications and to offer instead a straightforward framework for considering the ethical conduct of human subject research. In the course of this discussion I clarify different senses of autonomy that have been confounded and present more intelligible justifications for informed consent. I also take issue with several of the now accepted dogmas that govern research ethics. These include: the primacy of informed consent, the protection of the vulnerable, the substitution of beneficence for research's social purpose, and the introduction of an untenable distinction between innovation and research.
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Citations of this work BETA
Inmaculada de Melo-Martin (2008). A Duty to Participate in Research: Does Social Context Matter? American Journal of Bioethics 8 (10):28-36.
Rosamond Rhodes (2008). In Defense of the Duty to Participate in Biomedical Research. American Journal of Bioethics 8 (10):37 – 38.
Alex John London (2005). Does Research Ethics Rest on a Mistake? The Common Good, Reasonable Risk and Social Justice. American Journal of Bioethics 5 (1):37 – 39.
Franklin G. Miller (2005). Does Research Ethics Rest on a Mistake? American Journal of Bioethics 5 (1):34 – 36.
Rosamond Rhodes, Jody Azzouni, Stefan Bernard Baumrin, Keith Benkov, Martin J. Blaser, Barbara Brenner, Joseph W. Dauben, William J. Earle, Lily Frank, Nada Gligorov, Joseph Goldfarb, Kurt Hirschhorn, Rochelle Hirschhorn, Ian Holzman, Debbie Indyk & Ethylin Wang Jabs (2011). De MinimisRisk: A Proposal for a New Category of Research Risk. American Journal of Bioethics 11 (11):1-7.
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