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The Ethical Challenges of Human Research - Selected Essays (Hardcover, New)
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The Ethical Challenges of Human Research - Selected Essays (Hardcover, New)
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The use of human beings as research subjects poses distinctive
ethical issues. Subjects of medical research are exposed to risks
of harm for the sake of generating scientific knowledge that can
benefit future patients and society. Ethical analysis of the
challenges posed by research involving human subjects requires
careful attention to the contextual details of scientific
experimentation. This book contains 22 essays by Franklin G. Miller
on research ethics written over a 15-year period. With the
exception of the first essay, all have been previously published in
bioethics and medical journals. The book is arranged into four
parts. Part One addresses a general ethical perspective on the
protection of human subjects in clinical research, including
paternalism in research regulation and acceptable limits to
research risks. The essays in Part Two examine ethical issues in
study design. It includes ethical analyses of controversial types
of medical experimentation-studies that provoke psychiatric
symptoms, induce infections, provide patients with placebos that
withhold proven effective treatments or administer fake invasive
procedures, test experimental treatments in cancer patients who
have exhausted all standard treatment options, and employ the use
of deception to generate scientifically valid data. Part Three
offers a systematic critique of "the therapeutic orientation" to
clinical trials and the principle of clinical equipoise, which is
widely regarded as a fundamental norm for randomized treatment
studies. Part Four takes up a range of ethical issues relating to
informed consent for research participation, including examination
of "the therapeutic misconception" and presentation of a novel
approach to the validity of consent: "the fair transaction model."
An abiding theme, developed in many of the essays is that the
ethics of clinical research is importantly different from the
ethics of medical care.
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