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An Empirical Ethics Agenda for Psychiatric Research Involving Prisoners

机译:涉及囚犯的精神病学研究的经验伦理议程

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In the past 30 years, the incarcerated population in the United States has more than quadrupled to 2.3 million adults. With an alarmingly high prevalence of mental illness, substance use, and other serious health conditions compounding their curtailed autonomy, prisoners constitute perhaps the nation's most disadvantaged group. Scientifically rigorous research involving prisoners holds the potential to inform and enlighten correctional policy and to improve their treatment. At the same time, prisoner research presents significant ethical challenges to investigators and institutional review boards (IRBs) alike, by subjecting participants to conditions that potentially undermine the validity of their informed consent. In 2006, the Institute of Medicine Committee on Ethical Considerations for Revisions to the Department of Health and Human Services (DHHS) Regulations for Protection of Prisoners Involved in Research recommended both further protections and a more permissive approach to research review that would allow inmates greater access to potentially beneficial research. These recommendations have sparked renewed debate about the ethical trade-offs inherent to prisoner research. In this article, the authors review the major justifications for research with prisoner subjects and the associated ethical concerns, and argue that the field of empirical ethics has much to offer to the debate. They then propose a framework for prioritizing future empirical ethics inquiry on this understudied topic.
机译:在过去的30年中,在美国被监禁的人口增加了两倍多,达到230万人。由于精神疾病,吸毒和其他严重的健康状况的高发惊人,加重了他们的自主权,囚犯可能是美国最弱势的群体。涉及囚犯的科学严谨的研究有可能为教养政策提供信息和启发,并改善其待遇。同时,囚犯的研究使参加者处于可能破坏其知情同意书有效性的条件之下,对研究者和机构审查委员会(IRB)都提出了重大的道德挑战。 2006年,医学研究院伦理委员会对《卫生与公共服务部(DHHS)涉及研究中的囚犯保护条例》进行修订的伦理建议建议同时采取进一步的保护措施和更宽松的研究审查方法,以使囚犯有更多机会进行潜在有益的研究。这些建议引发了关于囚犯研究固有的伦理权衡问题的重新辩论。在本文中,作者回顾了有关囚犯主题和相关伦理问题的主要研究理由,并认为经验伦理学领域为辩论提供了很多东西。然后,他们提出了一个框架,用于对这个未被充分研究的主题进行优先于未来的经验伦理调查。

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