© 2008 The Author
Journal Compilation © 2008 Blackwell Publishing Ltd
Sociology Compass 2/5 (2008): 1506–1522, 10.1111/j.1751-9020.2008.00143.x
The Ethical Dilemma of Ethical Committees
Stuart Derbyshire*
University of Birmingham, School of Psychology
Abstract
The Nuremberg code, a response to the 1946 Nuremberg Medical Trials, was
the first attempt to formally state ethical requirements for medical research. The
Code was generally ignored as a response to the peculiarly barbaric Nazi atrocities
and an unnecessary fetter on normal research. A series of research scandals,
however, led to more successful attempts at regulating medical research and to
the introduction of various ethical committees during the 1970s. Since then,
ethical committees have expanded their remit to regulate social as well as medical
research and operate according to precautionary standards that far exceed what is
necessary to protect public safety. Ethical committees block investigations of
medical practice even when the intent is to benefit patients directly and they
prevent social research entailing even far-fetched possibilities of ‘stress’. Although
purportedly designed to protect patients and civil liberties, modern ethical
regulation damages the doctor–patient relationship, undermines professional
responsibility, and encourages negative scientific practice.
Thirty years ago, research with health data was viewed as a requirement
and even a moral duty for medical professionals (Gillott 2006). Research
by academic scholars pursuing the understanding of social systems and
human psychology was similarly a requirement for professors through to
undergraduate students. The free inquiry of medical professionals and
scholars was respected for the evident improvements in understanding that
such inquiry provided and the subsequent greater scope for human action
to solve problems.
The confident expectation of benefit from research, however, has been
in retreat since the end of the Second World War and the revelations of Nazi
atrocities. A series of medical research scandals, prominently documented
by Henry Beecher (1966) in the United States and Maurice Pappworth
(1967) in the United Kingdom during the 1960s, further eroded the faith
in medical science. Social scientists faced similar problems with widespread
debate over research that invaded privacy and revealed unexpected hom-
icidal and violent tendencies amongst ordinary members of the public and
regular students (Haney et al. 1973; Humphreys 1970; Milgram 1963). At
the beginning of the 1970s, the demand for medical and social research
regulation was realised through the first research ethics committees