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From: Munson, Ronald. INTERVENTION AND REFLECTION.6th ED.,Belmont, California: Wadsworth Publishing Company,2000 . Page 547 Decision Scenario #6

“You realize,” Dr. Thorne said, “that you may not be in the group that receives medication. You may be in the placebo group for at least part of the time.”

“Right,” Ms. Ross said. “You’re just going to give me some medicine.”

“And do you understand the aims of the research?”

“You wan tot help me get better,” Ms. Ross suggested hesitantly.

“We hope you get better, of course. But that’s not what we’re trying to accomplish here. We’re trying to find out if this medication will help other people in your condition if we can treat them earlier than we were able to treat you.”

“You want to help people,” Ms. Ross said.

“That’s right. But you do understand that we may not be helping you in this experiment?”

“Not exactly. I mean, we aren’t going to try to harm you. But we aren’t necessarily going to be giving you the preferred treatment for your complaint either. Do you know the difference between research and therapy?”

“Research is when you’re trying to find something out. You’re searching around.”

“That’s right. And we’re asking you to be part of a research effort. As I told you, there are some risks. Besides the possibility of not getting treatment that you need, the drug may produce limited hepatic portal damage. We’re not sure how much.”

“I think I understand,” Ms. Ross said.

“I’m sure you do,: said Dr. Thorne. “I understand that you are freely volunteering to participate in this research.”

“Yes, sir. Mrs. Woolend, she told me if I volunteered I’d get a letter put in my file and I could get early release.”

“Mrs. Woolend told you that the review board would take your volunteering into account when they consider whether you should be put on work-release.”

“Yes, sir. And I’m awfully anxious to get out of here. I’ve got two children stay with my aunt, and I need to get out of this place as quick as I can.”

“I understand. We can’t promise you release, of course. But your participation will look good on your record. Now I have some papers here I want you to sign.”

 Critical Thinking

1. State what the ethical problems are in this case. There are several. State at least three of them.

2. READ Hellman and Hellman are Samuel Hellman and Deborah H. Hellman authors of “Of Mice but not Men: Problems of the randomized Clinical Trial” New England Journal of Medicine. Vol. 324 no 22 (1991) pp 1585-1589 Http://

State what the ethical position (ethical principle used by) of Hellman and Hellman would be and why you think so.  Summarize their thinking-use quotes.

If you still cannot access the Hellman and Hellman article then you can read the alternate article by Hans Jonas and then answer>>>

What would Hans Jonas make of this case? Would he think it was being handled in a manner that was morally correct or not? Summarize his thinking-use quotes.

READ  Title: Philosophical Reflections on Experimenting with Human Subjects 

Author: Hans Jonas  Publication Information: This essay is included, on pp.105-131, in a 1980 re-edition of Jonas’ Philosophical Essays: From Current Creed to Technological Man, published by the University of Chicago Press available here   Summary and comments here:

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