| The exceptional ethics of the investigator-subject relationship. | |
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MedLine Citation:
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PMID: 20026526 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article concerns the validity of six canonical rules that institutional review boards use to constrain the behavior of investigators. These rules require investigators to design their studies in a scientifically valid way, not pay their subjects to take risks, minimize risks to their subjects, secure for their subjects access to effective interventions post-trial, not pay their subjects too much and allow their subjects to withdraw from the study unconditionally. Enforcement of these rules is problematic because there are other relationships that seem to be like the investigator-subject relationship in all ethically relevant respects, such as the employer-employee and volunteer organizer-volunteer relationships, to which we would not dream of applying these same rules. Applying these rules in one context but not the others is a violation of ethical consistency I label "exceptionalism." We should conclude that it is time to reexamine the validity of the six rules. |
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Authors:
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Benjamin Sachs |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-12-21 |
Journal Detail:
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Title: The Journal of medicine and philosophy Volume: 35 ISSN: 1744-5019 ISO Abbreviation: J Med Philos Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-14 Completed Date: 2010-03-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7610512 Medline TA: J Med Philos Country: United States |
Other Details:
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Languages: eng Pagination: 64-80 Citation Subset: E; IM |
Affiliation:
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Program in Environmental Studies and Center for Bioethics, New York University, 285 Mercer Street 9th Floor, New York, NY 10012, USA. sachs@nyu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Biomedical Research
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ethics* Ethical Analysis Humans Patient Dropouts Philosophy, Medical Professional-Patient Relations* Research Design Research Personnel / ethics* Research Subjects* Risk Reduction Behavior |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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