Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Start date: 1950End date: 1979

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Now showing 1 - 5 of 5
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    Philosophical Reflections on Experimenting with Human Subjects
    (Biomedical Ethics and the Law, 1976) Jonas, Hans
    Experimenting with human subjects is going on in many fields of scientific and technological progress. It is designed to replace the overall instruction by natural, occasional, and cumulative experience with the selective information from artificial, systematic experiment which physicial science has found so effective in dealing with inanimate nature. Of the new experimentation with man, medical is surely the most legitimate; psychological, the most dubious; biological (still to come), the most dangerous. I have chosen here to deal with the first only, where the case for it is strongest and the task of adjudicating conflicting claims hardest. When I was first asked1 to comment “philosophically” on it, I had all the hesitation natural to a layman in the face of matters on which experts of the highest competence have had their say and still carry on their dialogue. As I familiarized myself with the material,2 any initial feeling of moral rectitude that might have facilitated my task quickly dissipated before the awesome complexity of the problem, and a state of great humility took its place. The awareness of the problem in all its shadings and ramifications speaks out with such authority, perception, and sophistication in the published discussions of the researchers themselves that it would be foolish of me to hope that I, an onlooker on the sidelines, could tell those battling in the arena anything they have not pondered themselves. Still, since the matter is obscure by its nature and involves very fundamental, transtechnical issues, anyone’s attempt at clarification can be of use, even without novelty. And even if the philosophical reflection should in the end achieve no more than the realization that in the dialectics of this area we must sin and fall into guilt, this insight may not be without its own gains.
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    The ‘Tuskegee Study’ of syphilis: Analysis of moral versus methodologic aspects
    (1978) BENEDEK, T
    The background and course of the prospective investigation of the “natural history” of syphilis which was conducted by the U.S. Public Health Service in Macon County, Alabama from 1932 to 1972 (the “Tuskegee Study”) is reviewed. Unpublished correspondence is cited to illustrate some of the attitudes and problems of the investigators. The relevance of certain other studies of syphilis to the interpretation of the Tuskegee data which were not discussed by the investigators is shown. The study is analyzed by the application of some general principles of scientific investigation set forth at the beginning of the article.
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    Racism and Research: The Case of the Tuskegee Syphilis Study
    (1978) Brandt, Allan M.
    In 1932 the U.S. Public Health Service (USPHS) initiated an experiment in Macon County, Alabama, to determine the natural course of untreated, latent syphilis in black males. The test comprised 400 syphilitic men, as well as 200 uninfected men who served as controls. The first published report of the study appeared in 1936 with subsequent papers issued every four to six years, through the 1960s. When penicillin became widely available by the early 1950s as the preferred treatment for syphilis, the men did not receive therapy. In fact on several occasions, the USPHS actually sought to prevent treatment. Moreover, a committee at the federally operated Center for Disease Control decided in 1969 that the study should be continued. Only in 1972, when accounts of the study first appeared in the national press, did the Department of Health, Education and Welfare halt the experiment.
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    Body Ritual among the Nacirema
    (1956) Miner, Horace
    THE anthropologist has become so familiar with the diversity of ways in which different peoples behave in similar situations that he is not apt to be surprised by even the most exotic customs. In fact, if all of thelogically possible combinations of behavior have not been found somewhere in the world, he is apt to suspect that they must be present in some yet undescribed tribe. This point has, in fact, been expressed with respect to clan organization by Murdock (1949: 71). In this light, the magical beliefs and practices of the Nacirema present such unusual aspects that it seems desirable to describe them as an example of the extremes to which human behavior can go. Professor Linton first brought the ritual of the Nacirema to the attention of anthropologists twenty years ago (1936:326), but the culture of this people is still very poorly understood. T h w r e a North American group living in the territory between the Canadian Cree, the Yaqui and Tarahumare of Mexico, and the Carib and Arawak of the Antilles. Little is known of their origin, although tradition states that they came from the east.