Ewuoso Cornelius
Steve Biko Centre for Bioethics, University of Witwatersrand, Johannesburg, South Africa.
J Med Ethics Hist Med. 2023 Dec 2;16:10. doi: 10.18502/jmehm.v16i10.14305. eCollection 2023.
This article draws on the underexplored or novel accounts of inclusion and the moral accounts of decolonization in African health decolonial literature to increase our understanding of how ethics dumping manifests in health research partnerships, and what more ought to be done to eliminate this phenomenon. African decolonial health literature proposes "inclusion that matters" - conceptualized as substantial, respectful and deep engagement with African agency - as a solution to end domination or mitigate the "appearance" of inclusion. Based on this supposition, the harm of ethics dumping - and I demonstrate how - is that it fails to engage the agency of Africans, and listen to or echo their voices in health and health research collaborations on the continent, or research collaborations that have significant implications for them. This account of inclusion can usefully increase our thinking about ethics dumping, which is ultimately and in several ways a failure to practice responsible science. Research is required to increase our understanding of what could reasonably constitute responsible science from a variety of perspectives.
本文借鉴了非洲健康去殖民化文学中对包容性的未充分探索或新颖描述以及去殖民化的道德描述,以增进我们对伦理倾销在健康研究伙伴关系中如何表现的理解,以及为消除这一现象还应采取哪些更多措施。非洲去殖民化健康文学提出了“重要的包容性”——被概念化为与非洲能动性进行实质性、尊重性和深入的互动——作为结束主导或减轻包容性“表象”的解决方案。基于这一假设,伦理倾销的危害——我将说明其危害方式——在于它未能让非洲人的能动性参与进来,未能在非洲大陆的健康及健康研究合作中,或对非洲人有重大影响的研究合作中倾听或回应他们的声音。这种包容性描述有助于增进我们对伦理倾销的思考,而伦理倾销最终在多个方面都是未能践行负责任的科学。需要开展研究,从多种视角增进我们对合理构成负责任科学的理解。