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Rethinking the Ethics of Clinical Research$
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Alan Wertheimer

Print publication date: 2010

Print ISBN-13: 9780199743513

Published to Oxford Scholarship Online: January 2011

DOI: 10.1093/acprof:oso/9780199743513.001.0001

Facing up to Paternalism in Research Ethics

Chapter:
(p. 19 ) 2 Facing up to Paternalism in Research Ethics1
Source:
Rethinking the Ethics of Clinical Research
Author(s):

Alan Wertheimer

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199743513.003.0002

Although research ethics has generally emphasized the importance of autonomy and informed consent, it has not faced up to the fact that the reigning regulatory and ethical frameworks for human research emphasize the protection of research subjects and is paternalistic at its core. This chapter argues that this regulatory regime is best justified as a form of group soft-paternalism in which IRBs compensate for deficiencies in subject decision-making.

Keywords:   research ethics, paternalism, autonomy, informed consent, subject protection, soft paternalism, hard paternalism, risk assessment, benefit assessment

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