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履行问责制:对研究伦理委员会信件的话语分析

Doing accountability: a discourse analysis of research ethics committee letters.

作者信息

O'Reilly Michelle, Dixon-Woods Mary, Angell Emma, Ashcroft Richard, Bryman Alan

机构信息

Greenwood Institute of Child Health, Department of Health Sciences, University of Leicester, Leicester, UK.

出版信息

Sociol Health Illn. 2009 Mar;31(2):246-61. doi: 10.1111/j.1467-9566.2008.01132.x. Epub 2008 Oct 2.

Abstract

Research ethics committees (RECs) are charged with adjudicating the ethical status of research projects, and determining the conditions necessary for such projects to proceed. Both because of their position in the research process and because of the controversial nature of ethical judgements, RECs' views and decisions need to be accountable. In this paper we use techniques of discourse analysis to show how REC decision letters 'do' accountability. Using a sample of 260 letters from three datasets, we identify a range of discursive devices used in letters written by RECs. These include drawing attention to: the process behind the decision, including its collaborative nature; holding the applicants accountable, by implying that any decision made by the REC can be attributed to the performance of the applicants; referring to specialist expertise; and calling upon external authorities. These tactics 'do' accountability by showing that routines of ethical assessment have been enacted, by establishing the factuality of claims, and by managing questions of fault and blame attribution. They may, however, also risk undermining legitimacy by failing to acknowledge the inherent contestability of ethical decision making or the limited nature of the cultural authority accorded to RECs, and thus may appear as an illegitimate exercise of power.

摘要

研究伦理委员会(RECs)负责裁定研究项目的伦理状况,并确定此类项目得以推进所需的条件。由于它们在研究过程中的地位以及伦理判断的争议性,伦理委员会的观点和决定需要具有可问责性。在本文中,我们运用话语分析技巧来展示伦理委员会的决定信函是如何“实现”可问责性的。我们从三个数据集中抽取了260封信函作为样本,识别出伦理委员会信函中使用的一系列话语手段。这些手段包括:提请注意决定背后的过程,包括其合作性质;通过暗示伦理委员会做出的任何决定都可归因于申请人的表现,让申请人承担责任;提及专业知识;以及援引外部权威。这些策略通过表明已经制定了伦理评估程序、确立主张的事实性以及处理过错和责任归属问题来“实现”可问责性。然而,它们也可能因未能认识到伦理决策固有的可争议性或赋予伦理委员会的文化权威的有限性而有破坏合法性的风险,因此可能看似是一种非法的权力行使。

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