缺失的委员会:瑞士研究伦理的形成

Magaly Tornay
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引用次数: 0

摘要

本文分析了瑞士研究伦理的形成,特别是伦理委员会的形成,通过追溯其不同阶段的早期历史:(1)1970年瑞士医学科学院发布的第一个人体实验准则;(2)建立这些规范的概念斗争;(3) 1979年成立了中央医学伦理委员会;(4) 1987年在图尔高农村州成立了第一个地方伦理委员会。它分析了地方实践、行业标准和新自由主义的、低调的、通过同行协商的软监管之间的相互作用。关键行为体是瑞士医学科学院、制药业和图尔高州。在这种背景下,“研究”和“实验”长期以来一直是有争议的、不明确的和有风险的概念。鼓励投资信托主要是作为一种分配责任、管理各种风险的方式,而且至关重要的是,作为避免司法和政治监管的更广泛战略的一部分。这篇文章在一个更普遍的层面上提出,“伦理”是如何以及为什么进入这个领域的,当问题被转换成伦理语言时,什么变得可见或模糊。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Missing Committees: Research Ethics in the Making in Switzerland
This article analyzes the formation of research ethics and particularly of ethics committees in Switzerland by tracing their early history along distinct phases: (1) the first guidelines on human experimentation issued by the Swiss Academy of Medical Sciences in 1970; (2) conceptual struggles in establishing these norms; (3) the emergence of a central medical-ethical committee in 1979; and (4) the first local ethics committee established in the rural canton of Thurgau in 1987. It analyzes the interplay between local practices, industrial standards, and a neoliberal, low-key, soft regulation by negotiation among peers. Key actors are the Swiss Academy of Medical Sciences, the pharmaceutical industry, and the canton of Thurgau. In this context, ‘research’ and ‘experiments’ for a long time remained disputed, unclear and risky notions. rec s were encouraged mainly as a way of distributing responsibility, of managing a wide array of risks and, crucially, as part of a wider strategy to avoid juridical and political regulation. The article asks, on a more general level, how and why ‘ethics’ entered this field and what becomes visible or obscured when issues are transposed into an ethical language.
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