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The Dangers of Difference

Bibliographic Data

ID20336789
AuthorsPatricia A King (0000-0002-4837-4138, corresponding author)
Year1992
Volume22
Issue6
Pages35
Publication date1992-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherJSTOR (PUBLISHER)
DOI10.2307/3562948
OpenAlexW2972709451
LanguageEN
Citations received23

In view of the suspicion Tuskegee so justifiably engenders, calls for\nincreased participation by African Americans in clinical trials are worrisome. \nThe question of whether to tolerate racially differentiated AIDS research\ntesting of new or innovative therapies, as well as the question of what norms\nshould govern participation by African Americans in clinical research, needs\ncareful and thoughtful attention. A generic examination of the treatment of\nracial differences in medicine is beyond the scope of this article. However, I\nwill describe briefly what has occurred since disclosure of the Tuskegee\nexperiment to point out the dangers I find lurking in our current\npolicies....An appropriate strategy should have as its starting point the\ndefeasible presumption that blacks and whites are biologically the same with\nrespect to disease and treatment. Presumptions can be overturned of course,\nand the strategy should recognize the possibility that biological differences\nin some contexts are possible. But the presumption of equality acknowledges\nthat historically the greatest harm has come from the willingness to impute\nbiological differences rather than the willingness to overlook them. For some,\nallowing the presumption to be in any way defeasible is troubling. Yet I do\nnot believe that fear should lead us to ignore the possibility of biologically\ndifferentiated responses to disease and treatment, especially when the goal is\nto achieve medical benefit

Ethics in Clinical Research · Psychology

  • The spectre of race in American medicine

    Mariam O Fofana•Medical Humanities•2013

  • Ethnic Variations in Pet Attachment among Students at an American School of Veterinary Medicine

    Sue-Ellen Brown•Society and Animals•2002

  • Narrative Constructions of Health Care Issues and Policies

    Open Access•Heather J Carmack, Benjamin R Bates et al.•Journal of Medical Humanities•2008

  • Attitudes and beliefs of african americans toward participation in medical research

    Giselle Corbie-Smith, Stephen B Thomas et al.•Journal of General Internal…•1999

  • Racial Differences in Factors that Influence the Willingness to Participate in Medical Research Studies

    Open Access•Vickie L Shavers, Charles F Lynch et al.•Annals of Epidemiology•2002

  • A Legacy of Distrust

    Open Access•Vanessa Northington Gamble•American Journal of Preventive…•1993

  • Studying Biobehavioral Aspects of Health Disparities Among Older Adult Minorities

    K Whitfield, K E Whitfield•Journal of Urban Health•2005

  • The use of race variables in genetic studies of complex traits and the goal of reducing health disparities

    Alexandra E Shields, Mike Fortun et al.•American Psychologist•2005

  • Joint allies

    Sarah Seymour‐smith, David J Brown et al.•Qualitative Research in Psychology•2020

  • The Human Genome Diversity Project

    Open Access•David B Resnik•Politics and the Life Sciences•1999

  • Genes, environment, and race

    Keith E Whitfield, Gerald E Mcclearn et al.•American Psychologist•2005

  • Working together for health and human rights

    Victor W Sidel•Medicine Conflict & Survival•2000

  • Optimizing DNA yield from buccal swabs in the elderly

    Open Access•David J Vandenbergh, Kate Anthony et al.•American Journal of Human Biology•2003

  • Race, Genetics and Health

    Open Access•William Darity, Claudia Royal et al.•The Review of Black Political…•2009

  • The ‘natural’ body, God and contraceptive use in the southeastern United States

    Cynthia Woodsong, Michele Goldzieher Shedlin et al.•Culture Health & Sexuality•2004

  • Why are African Americans under‐represented in medical research studies? Impediments to participation

    Vickie L Shavers‐Hornaday, Charles F Lynch et al.•Ethnicity and Health•1997

  • It's More Than The Human Genome Diversity Project

    Open Access•Frank C Dukepoo•Politics and the Life Sciences•1999

  • The Quality Improvement–Research Divide and the Need for External Oversight

    Eran Bellin, Nancy Neveloff Dubler•American Journal of Public Health•2001

  • Affect and the sociology of race

    Open Access•James M Thomas•Ethnicities•2014

  • Racialized algorithms for kidney function

    Open Access•Lundy Braun, Anna Wentz et al.•Social Science & Medicine•2021

  • Bodily Differences and Collective Identities

    Open Access•Epstein, Steven Epstein•Body & Society•2004

  • A Paradox of Bias

    Open Access•Brea L Perry, Matthew Neltner et al.•Race and Social Problems•2013

  • They Say It's in the Genes

    Open Access•Johnny E Williams, Johnny Williams•Journal of Contemporary Ethnography•2011

Unique citing works23
Citations per year0,7
Citation span1993 - 2021 (29)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 20

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