Ch4 Ethical Guidelines Flashcards
Tuskegee Syphilis Study
- 1930’s study of 600 black men over long period of time to see how syphilis progresses
- 400 already had syphillis
- unethical
explain how the Tuskegee Syphilis Study illustrates violations of all three ethical principles of the Belmont Report
- not treated respectfully
- were harmed
- targeted, disadvantaged social group
how were the men in Tuskegee not treated respectfully?
- not told if they had syphilis
- not informed of available cures
- didn’t provide informed consent
how were the Tuskegee men harmed?
- not told about penicillin as a cure when it became available (many were illiterate)
- subjected to painful, dangerous tests (spinal taps)
how were the Tuskegee men targeted as a disadvantaged social group?
- syphilis not specific to poor African American men (bad external validity)
- they were chosen because they could be exploited
milgram obedience studies
- “teacher” (participant) has to “shock” “learner” (confederate) when the “learner” makes mistakes on word association test
- level of “shocks” increased until the “learner is unresponsive
- authoritative figure urges “teacher” to continue
results of milgram studies
65% delivered highest “shock” at 450 volts
only 2 or 3/ 100’s of participants refused to give any shocks at all
variations on milgram obedience studies
- learner mentions he has heart condition - same results (65%)
- learner in same room as teacher- 40%
- supervisor down the hall, over the phone instead of in the same room- 20%
what are the questions we should ask concerning ethics in the milgram studies?
- is it unethical to put participants through such a stressful experience?
- were there any lasting effects after participants were debriefed?
debrief
to be carefully informed of study’s hypothesis
how were the participants of milgram’s studies debriefed? how did the participants feel?
originally debrief showed “learner” unharmed, but didn’t mention that he didn’t receive shocks/ was a confederate
people were disturbed by their capacity to do harm regardless of whether the pain was actually inflicted
how could milgram have balanced risk to participants more?
after the initial study he could have adjusted the experiment to produce less anxiety
the Belmont report
report made at the request of congress (1976) outlining 3 principles for ethical decision making:
1) the principle of respect for persons
2) the principle of beneficence
3) the principle of justice
the principle of respect for persons
1) participants should be free to decide whether they want to participate in a study.
- includes informed consent
- no coercion, misleading, or undue influence
2) certain groups are less autonomous and entitled to special protection in terms of informed consent (children, cognitively disabled, prisoners)
- consent can sometimes come from parents or guardian in these cases
informed consent
gives participants info on the research project and its risks and benefits so they can decide whether they want to participate
coercion
implicit or explicit suggestion that not participating will lead to negative consequences
undue influence
offering incentives too attractive to refuse
principle of beneficence
researchers must take measures to protect participants from harm and ensure wellbeing
- weigh risks and benefits
researchers can’t withhold treatments known to be helpful to participants
- if this is found out halfway through a study, treatment needs to be made available to control group
anonymous study
researchers don’t collect any identifying info
confidential study
researchers collect some identifying info and prevent it from being disclosed
the principal of justice
looks at the balance btwn participants and those who benefit from the research
- who bore the risks and who reaped the benefits?
under what cases can researchers study a sample from a particular population (ethnic group, institutionalized people?) example?
must be because the problem they’re studying is especially prevalent in that population
ex: tuberculosis study on institutionalized people b/c it is particularly prevalent in institutions
why do research hospitals and universities have committees?
to decide if research complies with ethical guideline
the “common rule”
in the US federally funded agencies follow the common rule:
describes ways the Belmont report should be applied in research
(ex: explains informed consent procedure, ways to approve research)
in colleges, policies require those involved with research w/ human participants to be…
… trained in ethically responsible research
they may have to take a course- Responsible Conduct of Research, administered by CITI program
APA ethical principles
the “ethical principles of psychoanalysts and code of conduct”
contains 5 principles for guiding individual aspects of ethical behavior
who does the APA ethical principles protect?
research participants, also students in psych classes, therapists’ clients
the 5 APA ethical principles
A. beneficence and non-maleficence B. fidelity and responsibility C. Integrity D. Justice E. Respect for peoples rights and dignity
A. Beneficence and Non-Maleficence
- treat people in ways that will benefit them
- don’t cause suffering
- conduct research that will benefit society
B. Fidelity and Responsibility
- establish trust
- professional behavior
- you can't be a therapist to your student - no sexual relationships w/ clients