Eight research protocols which had previously been approved by Ethical Research Committees (ERCs) were reviewed in simulated review committees set up during a symposium on medical ethics. Only three protocols were considered to provide fully adequate information to allow ethical review and only one protocol was thought to provide sufficient guarantees on the ethical issues raised by the proposed research. For five other protocols additional safeguards were considered necessary, in particular covering the problem of informed consent. Two protocols were considered (...) to raise unresolvable ethical issues. This artificial exercise does not establish that review by ERCs is ineffective. It does highlight the lack of objective criteria in ethical review. Peer review by exchange of protocols between ERCs could assist in increasing the consistency in the application of ethical standards. (shrink)

Cover -- Half Title -- Title Page -- Copyright Page -- Contents -- Preface to the Paperback Edition -- Preface -- Chapter 1: Introduction -- Chapter 2: Research Design and Methodology: The Two Studies -- Chapter 3: Is There a Problem? Current Patterns of Ethical Standards and Practices -- Chapter 4: The Dilemma of Science and Therapy: The Effects of Competitionin the Science Community -- Chapter 5: The Dilemma of Science and Therapy: The Effects of Competitionin the Local Institution -- (...) Chapter 6: Social Control: Some Patterns and Consequences of Socialization -- Chapter 7: Social Control: Some Patterns and Consequences of CollaborationGroups and Informal Interaction Structures -- Chapter 8: Six Case Studies -- Chapter 9: Social Control: The Structures, Processes, and Efficacy of PeerGroup Review -- Chapter 10: Social Control: Have Medical Schools Been Ethical Leaders? -- Chapter 11: The Social Responsibilities of a Powerful Profession: Some Suggestionsfor Policy Change and Reform -- Appendix I. National Survey Questionnaire -- Appendix II. Intensive Two-Institution Interview Schedule -- Index. (shrink)

"The subject of this book is the gradual social transformation of deviance designations in American society from "badness" to "sickness." This has been the most profound change in the definition of deviance in the past two centuries. By examining the medicalization (and demedicalization) of deviance in American society, we may also investigate the general sociohistorical process of defining deviance. Thus this book has a dual focus: it is a historical and sociological inquiry into the changing definitions of deviance and an (...) analysis of the transformation from religious and criminal to medical designations and control of deviance." -- preface. (shrink)