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7. ETHICAL ISSUES IN NEUROSCIENCE RESEARCH ON SUBSTANCE DEPENDENCE TREATMENT AND PREVENTION




                     of the psychology and neurobiology of substance dependence, thus reducing
                     the number of primates needed in research.
                        It seems that a societal compromise exists between those who oppose
                     animal experimentation and those who deem it necessary (Varner, 1994).
                     The moral objections to animal experimentation have increased the burden
                     of proof that defenders of research must meet (Varner, 1994). This is a
                     reasonable outcome as long as the burden of proof is not insurmountable.
                        In most countries, legislation adopts one of two perspectives which
                     acknowledge the need for animal experimentation while placing restrictions
                     on the practice (Brody, 1998). Legislation in Europe and America takes a
                     “human priority” position in which animal suffering and loss are minimized
                     but the interests of humans take precedence over those of animals when they
                     conflict (Brody, 1998). In contrast, legislation in Australia and the United
                     Kingdom is based on a “balancing” position in which the interests of humans
                     are generally regarded as more important than those of animals but they can
                     sometimes be overridden in order to protect animals (Brody, 1998). Unlike
                     legislation in America and Europe, legislation in Australia and the United
                     Kingdom requires that during the ethical review process, the benefits of the
                     proposed experiments be weighed against the harm that will be inflicted on
                     the animals (Brody, 1998).


                     Ethical principles in human biomedical research
                     Since the Nuremberg trials of German medical researchers after World War
                     II, a consensus has been developed about the basic ethical requirements for
                     biomedical research on humans (Brody, 1998; Jonsen, 1998). In most
                     developed countries, national ethical codes set out obligations that
                     investigators must adhere to if their research is to be ethically and scientifically
                     legitimate. Although specific conditions for ethical approval may differ from
                     country to country the same basic set of ethical principles is found in most
                     national guidelines (Brody, 1998). These include independent ethical review
                     of research proposals, respect for patient privacy, informed consent to
                     participate in research, and protection of privacy and confidentiality of
                     information (Brody, 1998).


                     Independent ethical review of risks and benefits

                     In order for any human research to gain approval, investigators must obtain
                     ethical approval from an independent ethical review committee, usually
                     an institutional ethical review committee. An external review of a study
                     protocol provides an independent assessment of whether the benefits of
                     the proposed trial outweigh any risks that it poses to participants (Brody,
                     1998).


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