Skip to main content

A Paradigm Change in Research Ethics

  • Chapter
  • First Online:
Human Medical Research

Abstract

An overarching theory for research ethics which determines what we owe to human beings in clinical research is absent. Thus far, the debate has focused mainly on negative obligations towards human subjects, such as the idea that participants must not be exploited or not be used merely as a means. A theory of research ethics should also take into account the positive obligations of what we owe to human beings. However, in order to establish this theory, we first need to reflect on the paradigm in which such a theory is framed. In this paper we argue that the current paradigm in research ethics is changing. Human subjects research seems to be regarded as an ordinary rather than an extraordinary practice in our society. Hence, research involving human beings does not deserve justification primarily because it is inherently problematic to enrol them in clinical research. A paradigm in which an immediate need to justify an unjustifiable practice is absent, may alter and influence our ideas on what we owe to human beings in research, both in a negative and positive sense.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Brassington I (2007) John Harris’ argument for a duty to research. Bioethics 21(3):160–168

    Article  PubMed  Google Scholar 

  • Brassington I (2011) Defending the duty to research? Bioethics 25(1):21–26

    Article  PubMed  Google Scholar 

  • Chan S, Harris J (2009) Free riders and pious sons—why science research remains obligatory. Bioethics 23(3):161–171

    Article  PubMed  Google Scholar 

  • Chiong W (2006) The real problem with equipoise. Am J Bioethics 6(4):37–47

    Article  Google Scholar 

  • Emanuel EJ, Wendler D, Grady C (2000) What makes clinical research ethical? JAMA 283:2701–2711

    Article  PubMed  CAS  Google Scholar 

  • Jonas H (1969) Philosophical reflections on experimenting with human subjects. Daedalus 98:219–247

    Google Scholar 

  • Harris J (2005) Scientific research is a moral duty. J Med Ethics 31(4):162, 242–248

    Google Scholar 

  • Helgesson G, Eriksson S (2008) Against the principle that the individual shall have priority over

    Google Scholar 

  • Science. J Med Ethics 34: 54–56

    Google Scholar 

  • London AJ (2007) Two dogmas of research ethics and the integrative approach to human-subjects research. J Med Philos 32: 99–116

    Article  PubMed  Google Scholar 

  • Miller FG, Brody H (2003) A critique of clinical equipoise: therapeutic misconception in the ethics of clinical trials. Hastings Cent Rep 33(3):19–28

    Article  PubMed  Google Scholar 

  • Miller FG, Joffe S (2009) Limits to research risks. J Med Ethics 35:445–449

    Article  PubMed  CAS  Google Scholar 

  • Schaefer GO, Emanuel EJ, Wertheimer A (2009) The obligation to participate in biomedical research. JAMA 302(1):67–72

    Article  PubMed  CAS  Google Scholar 

  • Shapshay S, Pimple KD (2007) Participation in biomedical research is an imperfect moral duty: a response to John Harris. J Med Ethics 33:414–417

    Article  PubMed  Google Scholar 

  • Van der Graaf R, Van Delden JJM (2010) On using people merely as a means in clinical research. Bioethics doi:10.1111/j.1467-8519.2010.01820.x.

    PubMed  Google Scholar 

  • Wendler D (2009) The ethics of clinical research. In: Zalta EN et al. (eds.) Stanford encyclopedia of philosophy. http://plato.stanford.edu/entries/clinical-research/#MinRis. Metaphysics Research Lab, CSLI, Stanford University

  • Wertheimer A (2011) Rethinking the ethics of clinical research. Widening the lens. Oxford University Press, Oxford

    Google Scholar 

  • World Medical Association (WMA) (2008) World Medical Association Declaration of Helsinki. Ethical principles for medical research involving human subjects. Amendment 59th WMA General Assembly, Seoul

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rieke van der Graaf .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Basel AG

About this chapter

Cite this chapter

van der Graaf, R., van Delden, J.J. (2012). A Paradigm Change in Research Ethics. In: Schildmann, J., Sandow, V., Rauprich, O., Vollmann, J. (eds) Human Medical Research. Springer, Basel. https://doi.org/10.1007/978-3-0348-0390-8_13

Download citation

Publish with us

Policies and ethics