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Chapter: Essentials of Psychiatry: Law, Ethics and Psychiatry

Ethics of Psychiatric Research

The conduct of psychiatric research often presents a paradox with troubling ethical ramifications.

Ethics of Psychiatric Research

 

The conduct of psychiatric research often presents a paradox with troubling ethical ramifications. In many circumstances, particularly in clinical investigations, worthwhile research thatis primarily intended to benefit individuals with mental illnesses as a group demands that the human subjects taking part in the protocols themselves be drawn from the ranks of the mentally ill community. The central dilemma, of course, is that the very psychiatric illness that makes an individual a desirable, even necessary, subject for a particular research project may compro-mise that individual’s own capacity to give voluntary, informed and competent consent to research participation. No subjects may be involved in research unless legally effective informed consent has been obtained and it is clear that undue influence and coercion are eliminated. The best research asks a specific and relevant question that will advance the field of knowledge, has a hypothesis, and has an investigator who has thoughtfully considered the risks of the study for subjects and the process for obtaining informed consent. The investigator presents the study to an Institutional Review Boards (IRB) which is comprised of institutionally-appointed assessors of risk and informed consent. IRBs have membership from the consumer community, the sci-entific community and others. IRBs are free to reject research, to amend the informed consent procedure, and to demand ad-ditional protections for the subjects. Although IRBs are a legally mandated check, which can also provide resources on the ethics of research, the responsibility for conducting ethical research lies with the investigator.

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Essentials of Psychiatry: Law, Ethics and Psychiatry : Ethics of Psychiatric Research |


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